[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]
THE BUDGET FOR FISCAL YEAR 2002
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; [$1,217,797,000] $1,335,389,000, of which not to
exceed [$149,273,000 in] $161,716,000 to be derived from prescription
drug user fees authorized by 21 U.S.C. 379(h) [may], including any such
fees assessed prior to the current fiscal year but credited during the
current year, in accordance with section 736(g)(4), and shall be
credited to this appropriation and remain available until expended:
Provided, [That fees derived from applications received during fiscal
year 2001 shall be subject to the fiscal year 2001 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)
$285,269,000 shall be for the Center for Food Safety and Applied
Nutrition and related field activities in the Office of Regulatory
Affairs; (2) $317,547,000 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 $12,534,000 shall be available for grants
and contracts awarded under section 5 of the Orphan Drug Act (21 U.S.C.
360ee); (3) $140,489,000 shall be for the Center for Biologics
Evaluation and Research and for related field activities in the Office
of Regulatory Affairs; (4) $64,069,000 shall be for the Center for
Veterinary Medicine and for related field activities in the Office of
Regulatory Affairs; (5) $165,207,000 shall be for the Center for Devices
and Radiological Health and for related field activities in the Office
of Regulatory Affairs; (6) $35,568,000 shall be for the National Center
for Toxicological Research; (7) $25,855,000 shall be for Rent and
Related activities, other than the amounts paid to the General Services
Administration; (8) $104,954,000 shall be for payments to the General
Services Administration for rent and related costs; and (9) $78,839,000
shall be for other activities, including the Office of the Commissioner;
the Office of Management and Systems; 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 Committees
on Appropriations of both Houses of Congress] $6,000,000 for costs
related to occupancy of new facilities at White Oak, Maryland, to remain
available until September 30, 2003. In addition, $2,950,000, solely for
carrying out section 804 of the Federal Food, Drug, and Cosmetic Act, to
be available only after the requirements of section 804(l) have been
satisfied.
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 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, [$31,350,000]
$34,281,000, to remain available until expended (7 U.S.C. 2209b).
(Agriculture, Rural Development, Food and Drug Administration, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a) of
P.L. 106-387.)
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9911-0-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
Receipts:
02.20 Cooperative research and
development agreements.......... 1 1 1
Appropriations:
05.00 Salaries and expenses............. -1 -1 -1
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9911-0-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Foods........................... 280 285 306
00.02 Drugs........................... 371 390 440
00.03 Devices and radiological
products...................... 158 165 179
00.04 National center for
toxicological research........ 36 35 37
00.05 Tobacco......................... 6
00.06 Other activities................ 67 67 81
00.07 Other rent and rent related
activities.................... 32 26 32
00.08 Rental payments................. 88 99 99
00.09 Buildings and facilities........ 11 31 34
00.10 CRADAs.......................... 1 1 1
09.01 Reimbursable program.............. 185 196 218
--------- --------- ----------
10.00 Total new obligations........... 1,235 1,295 1,427
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 100 96 96
22.00 New budget authority (gross)...... 1,229 1,318 1,430
22.10 Resources available from
recoveries of prior year
obligations..................... 2
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 1,331 1,414 1,526
23.95 Total new obligations............. -1,235 -1,295 -1,427
23.98 Unobligated balance expiring or
withdrawn....................... -23 -3
24.40 Unobligated balance carried
forward, end of year............ 96 96 96
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 1,052 1,123 1,211
40.76 Reduction pursuant to P.L. 106-
113........................... -3
40.77 Reduction pursuant to P.L. 106-
554 (0.22 percent)............ -2
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 1,049 1,121 1,211
Mandatory:
60.25 Appropriation (special fund,
indefinite)................... 1 1 1
Spending authority from offsetting
collections:
Discretionary:
68.00 Offsetting collections (cash). 182 196 218
68.10 Change in uncollected customer
payments from Federal
sources..................... 2
68.15 Adjustments to uncollected
customer payments from
Federal sources............. -5
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)..... 179 196 218
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 1,229 1,318 1,430
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 346 371 372
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -11 -13 -13
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 335 358 359
73.10 Total new obligations............. 1,235 1,295 1,427
73.20 Total outlays (gross)............. -1,205 -1,294 -1,392
73.40 Adjustments in expired accounts
(net)........................... -3
73.45 Recoveries of prior year
obligations..................... -2
74.00 Change in uncollected customer
payments from Federal sources... -2
[[Page 436]]
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 371 372 407
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -13 -13 -13
--------- --------- ----------
74.99 Obligated balance, end of year 358 359 394
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 973 1,002 1,087
86.93 Outlays from discretionary
balances........................ 231 291 304
86.97 Outlays from new mandatory
authority....................... 1 1 1
--------- --------- ----------
87.00 Total outlays (gross)........... 1,205 1,294 1,392
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -182 -196 -218
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -2
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... 5
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 1,050 1,122 1,212
90.00 Outlays........................... 1,023 1,098 1,174
---------------------------------------------------------------------------
[In millions of dollars]
2000 2001 2002
Distribution of budget authority by
account:
Salaries and expenses............. 950 991 1078
Rental payments (FDA)............. 88 99 99
Buildings and facilities.......... 11 31 34
Distribution of outlays by account:
Salaries and expenses............. 923 981 1055
Rental payments (FDA)............. 88 99 99
Buildings and facilities.......... 12 18 30
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 1,050 1,122 1,212
Outlays........................... 1,023 1,098 1,174
Legislative proposal, not subject to
PAYGO:
Budget Authority..................
Outlays...........................
------------------------------------
Total:
Budget Authority.................. 1,050 1,122 1,212
Outlays........................... 1,023 1,098 1,174
====================================
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 $123.6 million (+10 percent) increase over the FY 2001
enacted program level. The Budget includes $1,176.6 million for salaries
and expenses, which includes funding for the prevention and surveillance
of Bovine Spongiform Encephalopathy (BSE); prevention of adverse events
related to human drugs, medical devices, and biologic products;
protection of human subjects in clinical studies; food safety;
inspections of FDA-regulated products and related production processes,
as well as funding for the first phase of an integrated financial
system, and the first phase of FDA's consolidation into the White Oak
Maryland site. Of the salaries and expenses amount, $98.9 million will
be used for payments to the General Services Administration for rent and
rent related costs (an additional $6.2 million will be derived from
fees). In addition, the Budget includes $203.5 million for user fees, an
increase of $33.1 million in user fees over FY 2001, which will be used
to finance FDA activities. The $203.5 million in user fees includes $20
million in new user fees for import program operations and food export
certificates. The buildings and facilities appropriation of $34.3
million provides funds for projects related to repair, construction,
alteration, and improvement of buildings and facilities of FDA,
including a replacement laboratory in Los Angeles, California.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9911-0-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 457 493 542
11.3 Other than full-time permanent 30 31 34
11.5 Other personnel compensation.. 17 18 20
--------- --------- ----------
11.9 Total personnel compensation 504 542 596
12.1 Civilian personnel benefits..... 119 125 137
21.0 Travel and transportation of
persons....................... 21 18 21
22.0 Transportation of things........ 4 2 3
23.1 Rental payments to GSA.......... 88 99 99
23.2 Rental payments to others....... 5 6 6
23.3 Communications, utilities, and
miscellaneous charges......... 18 21 26
24.0 Printing and reproduction....... 3 3 3
25.1 Advisory and assistance services 15 12 16
25.2 Other services.................. 54 50 57
25.3 Purchases of goods and services
from Government accounts...... 49 45 48
25.4 Operation and maintenance of
facilities.................... 31 24 26
25.5 Research and development
contracts..................... 30 23 31
25.7 Operation and maintenance of
equipment..................... 24 26 27
26.0 Supplies and materials.......... 15 17 20
31.0 Equipment....................... 35 39 43
32.0 Land and structures............. 8 20 23
41.0 Grants, subsidies, and
contributions................. 25 25 25
42.0 Insurance claims and indemnities 2 2 2
--------- --------- ----------
99.0 Subtotal, direct obligations.. 1,050 1,099 1,209
99.0 Reimbursable obligations.......... 185 196 218
--------- --------- ----------
99.9 Total new obligations........... 1,235 1,295 1,427
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9911-0-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 7,729 7,967 8,269
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 1,138 1,145 1,165
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 17
---------------------------------------------------------------------------
Salaries and Expenses
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9911-2-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations............. 20
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 20
23.95 Total new obligations............. -20
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
68.00 Spending authority from
offsetting collections
(gross): Offsetting
collections (cash)............ 20
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 20
73.20 Total outlays (gross)............. -20
----------------------------------------------------------------------------
[[Page 437]]
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 20
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -20
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
The Budget includes $203.5 million in user fees, of which $20.0
million are new user fees to finance FDA activities as reflected in the
legislative proposal schedule. The authorizing legislation will be
proposed to authorize the collection and spending of the fees subject to
appropriations action.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9911-2-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
99.0 Reimbursable obligations:
Subtotal, reimbursable
obligations..................... 20
--------- --------- ----------
99.9 Total new obligations........... 20
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9911-2-1-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
2001 Total compensable workyears: Full-
time equivalent employment...... 70
---------------------------------------------------------------------------
Public enterprise funds:
Revolving Fund for Certification and Other Services
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4309-0-3-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations............. 4 4 5
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 3 2 3
22.00 New budget authority (gross)...... 4 4 5
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 7 6 8
23.95 Total new obligations............. -4 -4 -5
24.40 Unobligated balance carried
forward, end of year............ 2 3 3
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
69.00 Offsetting collections (cash)... 4 4 5
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 1 2 1
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 1 2 1
73.10 Total new obligations............. 4 4 5
73.20 Total outlays (gross)............. -4 -4 -5
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 2 1 1
--------- --------- ----------
74.99 Obligated balance, end of year 2 1 1
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 4 4 5
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -4 -4 -5
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
11.1 Personnel compensation: Full-time
permanent....................... 2 2 2
12.1 Civilian personnel benefits....... 1 1 1
25.2 Other services.................... 1 1 2
--------- --------- ----------
99.9 Total new obligations........... 4 4 5
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-4309-0-3-554 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
2001 Total compensable workyears: Full-
time equivalent employment...... 33 38 38
---------------------------------------------------------------------------
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] sections 1128E and 1820 of
the Social Security Act, the Health Care Quality Improvement Act of
1986, as amended, the Native Hawaiian Health Care Act of 1988, as
amended, and the Poison Control Center Enhancement and Awareness Act,
[$5,525,476,000, of which $226,224,000 shall be available for the
construction and renovation of health care and other facilities, and]
$4,982,593,000, of which [$25,000,000] $24,997,000 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 fees collected for the full
disclosure of information under the ``Health Care Fraud and Abuse Data
Collection Program,'' authorized by section 1128E(d)(2) of the Social
Security Act, shall be sufficient to recover the full costs of operating
the program, 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, [$253,932,000]
$254,170,000 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 $589,000,000 shall be for State AIDS Drug Assistance Programs
authorized by section 2616 of the Public Health Service Act: [Provided
further, That of the amount provided under this heading, $700,000 shall
be for the American Federation of Negro Affairs Education and Research
Fund of Philadelphia, $900,000 shall be for the Des Moines University
Osteopathic Medical Center, $250,000 shall be for the University of
Alaska,
[[Page 438]]
Anchorage, to train Alaska Natives as psychologists, $900,000 shall be
for Northeastern University in Boston, Massachusetts to train doctors to
serve in low-income communities, $500,000 shall be for the University of
Alaska, Anchorage, to recruit and train nurses in rural areas, and
$230,000 shall be for the Illinois Poison Center:] Provided further,
That, notwithstanding section 502(a)(1) of the Social Security Act, not
to exceed [$113,728,000] $108,622,000 is available for carrying out
special projects of regional and national significance pursuant to
section 501(a)(2) of such Act[, of which $5,000,000 is for Columbia
Hospital for Women Medical Center in Washington, D.C., to support
community outreach programs for women, $5,000,000 is for continuation of
the traumatic brain injury State demonstration projects, and $100,000 is
for St. Joseph's Health Services of Rhode Island for the Providence
Smiles dental program for low-income children.]
[For special projects of regional and national significance under
section 501(a)(2) of the Social Security Act, $30,000,000, which shall
become available on October 1, 2001, and shall remain available until
September 30, 2002: Provided, That such amount shall not be counted
toward compliance with the allocation required in section 502(a)(1) of
such Act: Provided further, That such amount shall be used only for
making competitive grants to provide abstinence education (as defined in
section 510(b)(2) of such Act) to adolescents and for evaluations
(including longitudinal evaluations) of activities under the grants and
for Federal costs of administering the grants: Provided further, That
grants shall be made only to public and private entities which agree
that, with respect to an adolescent to whom the entities provide
abstinence education under such grant, the entities will not provide to
that adolescent any other education regarding sexual conduct, except
that, in the case of an entity expressly required by law to provide
health information or services the adolescent shall not be precluded
from seeking health information or services from the entity in a
different setting than the setting in which the abstinence education was
provided: Provided further, That the funds expended for such evaluations
may not exceed 3.5 percent of such amount]: Provided further, $7,556,000
shall be available under section 751 of the Public Health Service Act
and $1,907,000 shall be available under section 755, notwithstanding
section 757(b) of such Act. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0350-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.02 Loan guarantee subsidy.......... 1 1
00.07 Reestimates of loan guarantee
subsidy....................... 3
00.08 Interest on reestimates of loan
guarantee subsidy............. 1
00.10 Health centers.................. 1,013 1,164 1,288
00.11 National Health Service Corps... 38 42 43
00.12 National Health Service Corps
recruitment................... 79 88 84
00.13 Hansen's disease center......... 20 18 18
00.14 Payment to Hawaii for the
treatment of Hansen's disease. 2 2 2
00.15 Black lung clinics.............. 6 6 6
00.16 Nursing loan repayment.......... 2 2 2
00.17 Health professions.............. 300 353 140
00.18 Maternal and child health block
grant......................... 709 714 709
00.19 Healthy start................... 90 90 90
00.20 Universal newborn hearing....... 3 8 7
00.21 Emergency medical services...... 17 19 16
00.22 Poison control centers.......... 3 20 16
00.23 HIV/AIDS........................ 1,594 1,808 1,808
00.24 Organ transplantation........... 10 15 20
00.25 Health care facilities.......... 115 255
00.26 Bone marrow donor registry...... 18 22 22
00.27 Rural health policy development. 33 13 6
00.28 Rural health outreach grants.... 36 58 38
00.29 Rural health flexibility grants. 25 25 25
00.30 Telehealth...................... 36 6
00.31 Program management.............. 125 138 147
00.32 Family planning................. 239 254 254
00.33 Abstinence education............ 44 50 50
00.34 State access program............ 15 15 15
00.35 Community access program........ 25 125
00.36 Health centers tort claim fund.. 12 13 13
00.37 Trauma EMS...................... 3 2
00.38 Adoption awareness.............. 10 10
00.39 Childrens' GME.................. 40 235 200
00.40 Denali commission............... 10
00.41 Discretionary abstinence grants. 20 30
00.42 State offices of rural health... 4
--------- --------- ----------
03.00 Total direct programs........... 4,617 5,632 5,072
09.01 Reimbursable program.............. 129 147 141
--------- --------- ----------
10.00 Total new obligations........... 4,746 5,779 5,213
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 51 49 39
22.00 New budget authority (gross)...... 4,751 5,769 5,204
22.10 Resources available from
recoveries of prior year
obligations..................... 1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 4,803 5,818 5,243
23.95 Total new obligations............. -4,746 -5,779 -5,213
23.98 Unobligated balance expiring or
withdrawn....................... -8
24.40 Unobligated balance carried
forward, end of year............ 49 39 30
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 4,590 5,551 4,983
40.75 Reduction pursuant to P.L. 106-
554 (Labor/HHS)............... -1
40.76 Reduction pursuant to P.L. 106-
113........................... -21
41.00 Transferred to other accounts... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 4,568 5,550 4,983
55.00 Advance appropriation........... 20 30
Mandatory:
60.00 Appropriation................... 50 50 50
60.05 Appropriation (indefinite)...... 4
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 54 50 50
Spending authority from offsetting
collections:
Discretionary:
68.00 Offsetting collections (cash). 118 145 133
68.10 Change in uncollected customer
payments from Federal
sources..................... -31 -53
68.15 Adjustments to uncollected
customer payments from
Federal sources............. 41 53
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)..... 128 145 133
Mandatory:
69.00 Offsetting collections
(cash)(HIPDB)................. 1 4 8
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 4,751 5,769 5,204
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 3,162 3,512 4,405
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -84 -53
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 3,078 3,459 4,405
73.10 Total new obligations............. 4,746 5,779 5,213
73.20 Total outlays (gross)............. -4,333 -4,830 -5,279
73.40 Adjustments in expired accounts
(net)........................... -62 -55
73.45 Recoveries of prior year
obligations..................... -1
74.00 Change in uncollected customer
payments from Federal sources... 31 53
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 3,512 4,405 4,339
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -53
--------- --------- ----------
74.99 Obligated balance, end of year 3,459 4,405 4,339
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,734 2,217 1,998
86.93 Outlays from discretionary
balances........................ 2,562 2,564 3,242
86.97 Outlays from new mandatory
authority....................... 5 17 21
86.98 Outlays from mandatory balances... 30 32 18
--------- --------- ----------
87.00 Total outlays (gross)........... 4,333 4,830 5,279
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
88.00 Federal sources............... -105 -132 -124
88.40 Non-Federal sources........... -14 -17 -17
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -119 -149 -141
[[Page 439]]
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. 31 53
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... -41 -53
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 4,622 5,620 5,063
90.00 Outlays........................... 4,212 4,681 5,138
---------------------------------------------------------------------------
[Dollars in millions]
2000 2001 2002
Distribution of budget authority by
account:
Health resources and services..... 1013 1164 1288
Health centers malpractice claims. 5 5 5
Distribution of outlays by account:
Health resources and services..... 1013 1164 1288
Health centers malpractice claims. 12 13 13
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0350-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Guaranteed loan levels supportable by subsidy
budget authority:
2150 Health centers: Facilities
renovation loan guarantee levels 1 14 12
2150 Health centers: Managed care
network development loan
guarantee levels................ 2
2150 Health centers: Managed care plan
loan guarantee levels........... 4 18 7
--------- --------- ----------
2159 Total loan guarantee levels..... 5 32 21
Guaranteed loan subsidy (in percent):
2320 Facilities loan subsidy rate...... 4.12 0.43 4.08
2320 Managed care network development
loan subsidy rate............... 8.19 7.71 9.27
2320 Managed care plan loan subsidy
rate............................ 5.39 3.93 5.00
--------- --------- ----------
2329 Weighted average subsidy rate... 5.20 2.11 4.88
Guaranteed loan subsidy budget authority:
2330 Facilities construction loans..... 1
2330 Managed care network development
loans...........................
2330 Managed care plan loan subsidy
budget authority................ 1
2330 Subsidy budget authority--
reestimate...................... 4
--------- --------- ----------
2339 Total subsidy budget authority.. 4 1 1
Guaranteed loan subsidy outlays:
2340 Subsidy outlays facilities
renovation...................... 1
2340 Subsidy outlays managed care
networks........................
2340 Subsidy outlays--managed care
plans........................... 1
2340 Subsidy outlays--reestimates...... 4
--------- --------- ----------
2349 Total subsidy outlays........... 4 1 1
----------------------------------------------------------------------------
Administrative expense data:
3510 Administrative expenses........... 1 1 1
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. The FY 2002 Budget includes a Healthy Communities Innovation
Fund Initiative that makes available approximately $400 million in
existing grant activity for innovations in health care delivery at the
State and local level. Of the $400 million total, Health Resources and
Services Administration may make available approximately $220 million to
communities to address health care access issues in innovative ways.
Funding is also available for the Innovation Fund in the Centers for
Disease Control and Prevention and Health Care Financing Administration.
HHS will coordinate these funding streams to achieve the goals of the
Initiative.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0350-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 103 116 121
11.3 Other than full-time permanent 4 4 5
11.5 Other personnel compensation.. 4 5 5
--------- --------- ----------
11.9 Total personnel compensation 111 125 131
12.1 Civilian personnel benefits..... 29 32 33
21.0 Travel and transportation of
persons....................... 5 5 5
22.0 Transportation of things........ 1 1 1
23.1 Rental payments to GSA.......... 12 12 12
23.3 Communications, utilities, and
miscellaneous charges......... 4 5 4
24.0 Printing and reproduction....... 2 2 2
25.1 Advisory and assistance services 43 50 52
25.2 Other services.................. 68 73 82
25.3 Purchases of goods and services
from Government accounts...... 64 73 72
25.4 Operation and maintenance of
facilities.................... 1 1 1
25.6 Medical care.................... 1 1 1
25.7 Operation and maintenance of
equipment..................... 4 5 5
26.0 Supplies and materials.......... 2 2 2
31.0 Equipment....................... 6 6 9
41.0 Grants, subsidies, and
contributions................. 4,253 5,226 4,647
42.0 Insurance claims and indemnities 11 13 13
--------- --------- ----------
99.0 Subtotal, direct obligations.. 4,617 5,632 5,072
99.0 Reimbursable obligations.......... 129 147 141
--------- --------- ----------
99.9 Total new obligations........... 4,746 5,779 5,213
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0350-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 1,695 1,816 1,792
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 242 272 272
---------------------------------------------------------------------------
Vaccine Injury Compensation
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0320-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 42.0)..................... 74 30
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 115 43 13
22.10 Resources available from
recoveries of prior year
obligations..................... 1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 116 43 13
23.95 Total new obligations............. -74 -30
24.40 Unobligated balance carried
forward, end of year............ 43 13 13
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 5 3
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 5 3
73.10 Total new obligations............. 74 30
73.20 Total outlays (gross)............. -75 -33
73.45 Recoveries of prior year
obligations..................... -1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 3
--------- --------- ----------
74.99 Obligated balance, end of year 3
----------------------------------------------------------------------------
Outlays (gross), detail:
86.98 Outlays from mandatory balances... 75 33
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays........................... 75 33
---------------------------------------------------------------------------
The Vaccine improvement program was established pursuant to Public
Law 99-660 and Public Law 100-203, and serves as a source of funds to
pay claims for compensation for vaccine related injury or death. Payment
of claims associated with vaccine related injury or death occurring
before October 1, 1988 are financed from the General Fund and
[[Page 440]]
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 2002 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
[Sec. 150. There is hereby appropriated for payment to the Ricky Ray
Hemophilia Relief Fund, as provided by Public Law 105-369, $105,000,000,
of which notwithstanding any other provision of law $10,000,000 shall be
for program management of the Health Resources and Services
Administration, to remain available until expended.] (Division B,
Miscellaneous Appropriations Act, 2001, as enacted by section 1(a)(4) of
P.L. 106-554.)
[Sec. 932. Appropriations for Ricky Ray Hemophilia Relief Fund.]
[Section 101(e) of the Ricky Ray Hemophilia Relief Fund Act of 1998
(42 U.S.C. 300c-22 note) is amended by adding at the end the following:
``There is appropriated to the Fund $475,000,000 for fiscal year 2001,
to remain available until expended.''.] (Medicare, Medicaid, and SCHIP
Benefits Improvement and Protection Act of 2000 (H.R. 5561), as enacted
by section 1(a)(6) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0355-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 92.0)..................... 580
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 580
23.95 Total new obligations............. -580
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 580
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 580
73.20 Total outlays (gross)............. -580
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 580
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 580
90.00 Outlays........................... 580
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Default claims.................... 4
--------- --------- ----------
10.00 Total new obligations........... 4
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1 1
22.00 New financing authority (gross)... 4 1 1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 5 1 2
23.95 Total new obligations............. -4
24.40 Unobligated balance carried
forward, end of year............ 1 3
----------------------------------------------------------------------------
New financing authority (gross), detail:
Discretionary:
68.00 Spending authority from
offsetting collections
(gross): (Federal sources:
From program account)......... 4 1 1
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 4
73.20 Total financing disbursements
(gross)......................... -4
87.00 Total financing disbursements
(gross)......................... 4
----------------------------------------------------------------------------
Offsets:
Against gross financing authority and
financing disbursements:
88.00 Offsetting collections (cash)
from: Federal sources......... -4 -1 -1
----------------------------------------------------------------------------
Net financing authority and financing
disbursements:
89.00 Financing authority...............
90.00 Financing disbursements........... -1 -1
---------------------------------------------------------------------------
Status of Guaranteed Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4442-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Position with respect to appropriations act
limitation on commitments:
2111 Limitation on guaranteed loans
made by private lenders......... 5 32 21
--------- --------- ----------
2150 Total guaranteed loan
commitments................... 5 32 21
2199 Guaranteed amount of guaranteed
loan commitments................ 4 26 17
----------------------------------------------------------------------------
Cumulative balance of guaranteed loans
outstanding:
2210 Outstanding, start of year........ 4 5 37
2231 Disbursements of new guaranteed
loans........................... 5 32 21
2251 Repayments and prepayments........
2263 Adjustments: Terminations for
default that result in claim
payments........................ -4
--------- --------- ----------
2290 Outstanding, end of year........ 5 37 58
----------------------------------------------------------------------------
Memorandum:
2299 Guaranteed amount of guaranteed
loans outstanding, end of year.. 4 31 49
---------------------------------------------------------------------------
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. This program has
used $13.7 million of its available $160 million in loan guarantee
authority, HRSA plans to use approximately $53 million of the remaining
existing loan guarantee limit over FY 2001 and FY 2002. 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 1999 actual 2000 actual 2001 est. 2002 est.
-----------------------------------------------------------------------------------------------
ASSETS:
1101 Federal assets: Fund balances with
Treasury........................ 1 1 1
------------ -------------- ------------ -------------
1999 Total assets.................... 1 1 1
LIABILITIES:
2204 Non-Federal liabilities:
Liabilities for loan guarantees. 5 5 1 1
------------ -------------- ------------ -------------
2999 Total liabilities............... 5 5 1 1
NET POSITION:
3300 Cumulative results of operations.. -4 -1
------------ -------------- ------------ -------------
[[Page 441]]
3999 Total net position.............. -4 -1
------------ -------------- ------------ -------------
4999 Total liabilities and net position 5 1 1
-----------------------------------------------------------------------------------------------
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,
[$3,679,000] $3,792.000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
General Fund Credit Receipt Accounts (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0340-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
0101 Health education assistance loans,
downward reestimates of
subsidies....................... 136
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0340-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.07 Reestimates of loan guarantee
subsidy......................... 7
00.08 Interest on reestimates of loan
guarantee subsidy............... 2
00.09 Administrative expenses subject to
limitation...................... 4 4 4
--------- --------- ----------
10.00 Total new obligations........... 4 13 4
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 4 13 4
23.95 Total new obligations............. -4 -13 -4
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 4 4 4
Mandatory:
60.05 Appropriation (indefinite)...... 9
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 4 13 4
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 2 1
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 2 1
73.10 Total new obligations............. 4 13 4
73.20 Total outlays (gross)............. -4 -14 -4
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 1
--------- --------- ----------
74.99 Obligated balance, end of year 1
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 3 4 4
86.93 Outlays from discretionary
balances........................ 1 1
86.97 Outlays from new mandatory
authority....................... 9
--------- --------- ----------
87.00 Total outlays (gross)........... 4 14 4
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 4 13 4
90.00 Outlays........................... 4 14 4
---------------------------------------------------------------------------
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0340-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Guaranteed loan subsidy budget authority:
2330 Upward Reestimate................. 9
2330 Downward Reestimate............... -136
--------- --------- ----------
2339 Total subsidy budget authority.. -127
Guaranteed loan subsidy outlays:
2340 Subsidy outlays--Upward
Reestimates..................... 9
2340 Downward Reestimates.............. -136
--------- --------- ----------
2349 Total subsidy outlays........... -127
----------------------------------------------------------------------------
Administrative expense data:
3510 Budget authority.................. 4 4 4
3580 Outlays from balances............. 1 1
3590 Outlays from new authority........ 3 4 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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
11.1 Personnel compensation: Full-
time permanent................ 2 2 2
25.3 Purchases of goods and services
from Government accounts...... 1 1
41.0 Grants, subsidies, and
contributions................. 9
--------- --------- ----------
99.0 Subtotal, direct obligations.. 2 12 3
99.5 Below reporting threshold......... 2 1 1
--------- --------- ----------
99.9 Total new obligations........... 4 13 4
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0340-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
1001 Total compensable workyears: Full-
time equivalent employment...... 28 25 25
---------------------------------------------------------------------------
Health Education Assistance Loans Financing Account
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4304-0-3-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Death and disability claims....... 1 1 2
00.02 Default claims.................... 15 27 31
--------- --------- ----------
00.91 Subtotal........................ 16 28 33
08.02 Obligations for downward
reestimates..................... 79
08.04 Obligations for interest on the
downward reestimate............. 57
--------- --------- ----------
08.91 Subtotal........................ 136
--------- --------- ----------
10.00 Total new obligations........... 16 164 33
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 295 301 174
22.00 New financing authority (gross)... 22 37 37
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 317 338 211
23.95 Total new obligations............. -16 -164 -33
24.40 Unobligated balance carried
forward, end of year............ 301 174 178
----------------------------------------------------------------------------
New financing authority (gross), detail:
Discretionary:
68.00 Spending authority from
offsetting collections
(gross): Offsetting
collections (cash)............ 22 37 37
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 16 164 33
73.20 Total financing disbursements
(gross)......................... -16 -164 -33
87.00 Total financing disbursements
(gross)......................... 16 164 33
----------------------------------------------------------------------------
Offsets:
Against gross financing authority and
financing disbursements:
Offsetting collections (cash)
from:
88.00 Federal sources............... -9
88.25 Interest on uninvested funds.. -20 -24 -32
88.40 Recoveries of defaulted loans. -2 -4 -5
--------- --------- ----------
[[Page 442]]
88.90 Total, offsetting
collections (cash)........ -22 -37 -37
----------------------------------------------------------------------------
Net financing authority and financing
disbursements:
89.00 Financing authority...............
90.00 Financing disbursements........... -6 127 -4
---------------------------------------------------------------------------
Status of Guaranteed Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4304-0-3-552 2000 actual 2001 est. 2002 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........ 1,551 1,535 1,507
Adjustments:
2261 Terminations for default that
result in loans receivable.... -15 -27 -31
2263 Terminations for default that
result in claim payments...... -1 -1 -2
--------- --------- ----------
2290 Outstanding, end of year........ 1,535 1,507 1,474
----------------------------------------------------------------------------
Memorandum:
2299 Guaranteed amount of guaranteed
loans outstanding, end of year.. 1,535 1,507 1,474
----------------------------------------------------------------------------
Addendum:
Cumulative balance of defaulted guaranteed
loans that result in loans receivable:
2310 Outstanding, start of year...... 38 53 76
2331 Disbursements for guaranteed
loan claims................... 15 27 31
2351 Repayments of loans receivable.. -4 -5
--------- --------- ----------
2390 Outstanding, end of year...... 53 76 102
---------------------------------------------------------------------------
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 1999 actual 2000 actual 2001 est. 2002 est.
-----------------------------------------------------------------------------------------------
ASSETS:
1101 Federal assets: Fund balances with
Treasury........................ 295 301 174 178
Non-Federal assets:
1201 Investments in non-Federal
securities, net............... 45 20 24 32
1206 Receivables, net................ 3 2 4 5
------------ -------------- ------------ -------------
1999 Total assets.................... 343 323 202 215
LIABILITIES:
2204 Non-Federal liabilities:
Liabilities for loan guarantees. 1,551 1,535 1,507 1,474
------------ -------------- ------------ -------------
2999 Total liabilities............... 1,551 1,535 1,507 1,474
NET POSITION:
3300 Cumulative results of operations.. -1,208 -1,212 -1,305 -1,259
------------ -------------- ------------ -------------
3999 Total net position.............. -1,208 -1,212 -1,305 -1,259
------------ -------------- ------------ -------------
4999 Total liabilities and net position 343 323 202 215
-----------------------------------------------------------------------------------------------
Health Education Assistance Loans Liquidating Account
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4305-0-3-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Death and disability claims....... 4 5 6
00.02 Defaulted loans................... 21 18 16
00.03 Debt collection................... 3 7 8
--------- --------- ----------
10.00 Total new obligations........... 28 30 30
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 52 30 30
22.40 Capital transfer to general fund.. -24
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 28 30 30
23.95 Total new obligations............. -28 -30 -30
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.05 Appropriation (indefinite)...... 32 10 10
69.00 Offsetting collections (cash)..... 20 20 20
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 52 30 30
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 13 22
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 13 22
73.10 Total new obligations............. 28 30 30
73.20 Total outlays (gross)............. -18 -52 -30
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 22
--------- --------- ----------
74.99 Obligated balance, end of year 22
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 18 30 30
86.98 Outlays from mandatory balances... 22
--------- --------- ----------
87.00 Total outlays (gross)........... 18 52 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.................. 32 10 10
90.00 Outlays........................... -2 32 10
---------------------------------------------------------------------------
Status of Guaranteed Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4305-0-3-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Cumulative balance of guaranteed loans
outstanding:
2210 Outstanding, start of year........ 1,338 1,267 1,176
2251 Repayments and prepayments........ -64 -79 -86
Adjustments:
2261 Terminations for default that
result in loans receivable.... -5 -9 -8
2263 Terminations for default that
result in claim payments...... -2 -3 -3
--------- --------- ----------
2290 Outstanding, end of year........ 1,267 1,176 1,079
----------------------------------------------------------------------------
Memorandum:
2299 Guaranteed amount of guaranteed
loans outstanding, end of year.. 1,267 1,176 1,079
----------------------------------------------------------------------------
Addendum:
Cumulative balance of defaulted guaranteed
loans that result in loans receivable:
2310 Outstanding, start of year...... 496 500 495
2331 Disbursements for guaranteed
loan claims................... 24 25 24
2351 Repayments of loans receivable.. -14 -14 -14
2361 Write-offs of loans receivable.. -16 -16 -16
2364 Other adjustments, net.......... 10
--------- --------- ----------
2390 Outstanding, end of year...... 500 495 489
---------------------------------------------------------------------------
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.
[[Page 443]]
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 1999 actual 2000 actual 2001 est. 2002 est.
-----------------------------------------------------------------------------------------------
0101 Revenue........................... 45 28 30 30
0102 Expense........................... -27 -28 -30 -30
------------ -------------- ------------ -------------
0105 Net income or loss (-)............ 18
-----------------------------------------------------------------------------------------------
Balance Sheet (in millions of dollars)
-----------------------------------------------------------------------------------------------
Identification code 75-4305-0-3-552 1999 actual 2000 actual 2001 est. 2002 est.
-----------------------------------------------------------------------------------------------
ASSETS:
Net value of assets related to
pre-1992 direct loans
receivable and acquired
defaulted guaranteed loans
receivable:
1701 Defaulted guaranteed loans,
gross......................... 496 500 495 489
1702 Interest receivable............. 6 6 6 6
------------ -------------- ------------ -------------
1704 Defaulted guaranteed loans and
interest receivable, net.... 502 506 501 495
------------ -------------- ------------ -------------
1799 Value of assets related to
loan guarantees............. 502 506 501 495
1801 Other Federal assets: Cash and
other monetary assets........... 27 28 30 30
------------ -------------- ------------ -------------
1999 Total assets.................... 529 534 531 525
LIABILITIES:
2104 Federal liabilities: Resources
payable to Treasury............. 2 2 3 3
2201 Non-Federal liabilities: Accounts
payable......................... 20 24 25 24
------------ -------------- ------------ -------------
2999 Total liabilities............... 22 26 28 27
NET POSITION:
3300 Cumulative results of operations.. 507 508 503 498
------------ -------------- ------------ -------------
3999 Total net position.............. 507 508 503 498
------------ -------------- ------------ -------------
4999 Total liabilities and net position 529 534 531 525
-----------------------------------------------------------------------------------------------
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4305-0-3-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.2 Other services.................... 3 7 8
42.0 Insurance claims and indemnities.. 25 23 22
--------- --------- ----------
99.9 Total new obligations........... 28 30 30
---------------------------------------------------------------------------
Medical Facilities Guarantee and Loan Fund
federal interest subsidies for medical facilities
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9931-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Operating expenses: Interest
subsidies, private.............. 1
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... 1
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 48 51 53
22.00 New budget authority (gross)...... 6 5 4
22.60 Portion applied to repay debt..... -2 -3 -3
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 52 53 54
23.95 Total new obligations............. -1
24.40 Unobligated balance carried
forward, end of year............ 51 53 54
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 1
69.00 Offsetting collections (cash)..... 5 5 4
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 6 5 4
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 15 15 15
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 15 15 15
73.10 Total new obligations............. 1
73.20 Total outlays (gross)............. -1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 15 15 15
--------- --------- ----------
74.99 Obligated balance, end of year 15 15 15
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 1
----------------------------------------------------------------------------
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....................... -3 -3 -3
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -5 -5 -4
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 1
90.00 Outlays........................... -4 -5 -4
---------------------------------------------------------------------------
Status of Direct Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9931-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Cumulative balance of direct loans
outstanding:
1210 Outstanding, start of year........ 15 11 3
1251 Repayments: Repayments and
prepayments..................... -5 -8 -3
1264 Write-offs for default: Accruals
and adjustments, net............ 1
--------- --------- ----------
1290 Outstanding, end of year........ 11 3
---------------------------------------------------------------------------
Status of Guaranteed Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9931-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Cumulative balance of guaranteed loans
outstanding:
2210 Outstanding, start of year........ 45 24 3
2251 Repayments and prepayments........ -21 -21 -3
--------- --------- ----------
2290 Outstanding, end of year........ 24 3
----------------------------------------------------------------------------
Memorandum:
2299 Guaranteed amount of guaranteed
loans outstanding, end of year.. 24
---------------------------------------------------------------------------
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.
[[Page 444]]
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 $2,992,000 shall be
available from the Trust Fund to the Secretary of Health and Human
Services. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8175-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............ 1,398 1,546 1,649
Receipts:
02.00 Deposits.......................... 133 134 137
02.40 Interest income................... 83 93 100
--------- --------- ----------
02.99 Total receipts and collections.. 216 227 237
--------- --------- ----------
04.00 Total: Balances and collections... 1,614 1,773 1,886
Appropriations:
05.00 Vaccine injury compensation
program trust fund.............. -68 -124 -125
--------- --------- ----------
05.99 Total appropriations............ -68 -124 -125
--------- --------- ----------
07.99 Balance, end of year.............. 1,546 1,649 1,761
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8175-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Compensation: Claims for post--FY
1989 injuries................... 58 114 115
Administrative expenses:
01.03 Claims processing (Claims Court) 3 3 3
01.04 Claims processing (Public Health
Service)...................... 3 3 3
01.05 Claims processing (Dept. of
Justice)...................... 4 4 4
--------- --------- ----------
01.91 Total, administrative expenses 10 10 10
--------- --------- ----------
10.00 Total new obligations........... 68 124 125
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1 1
22.00 New budget authority (gross)...... 68 124 125
22.10 Resources available from
recoveries of prior year
obligations..................... 1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 70 125 125
23.95 Total new obligations............. -68 -124 -125
24.40 Unobligated balance carried
forward, end of year............ 1
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... 10 10 10
Mandatory:
60.27 Appropriation (trust fund,
indefinite)................... 58 114 115
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 68 124 125
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 1
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 1
73.10 Total new obligations............. 68 124 125
73.20 Total outlays (gross)............. -68 -124 -125
73.45 Recoveries of prior year
obligations..................... -1
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 10 10 10
86.97 Outlays from new mandatory
authority....................... 58 114 115
--------- --------- ----------
87.00 Total outlays (gross)........... 68 124 125
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 68 124 125
90.00 Outlays........................... 68 124 125
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.01 Total investments, start of year:
Federal securities: Par value... 1,431 1,577 1,680
92.02 Total investments, end of year:
Federal securities: Par value... 1,577 1,680 1,793
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.2 Other services.................... 3 3 3
25.3 Purchases of goods and services
from Government accounts........ 7 7 7
42.0 Insurance claims and indemnities.. 58 114 115
--------- --------- ----------
99.9 Total new obligations........... 68 124 125
---------------------------------------------------------------------------
Ricky Ray Hemophilia Relief Fund
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8074-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
Receipts:
02.40 Payments from the general fund.... 75 580
Appropriations:
05.00 Ricky Ray hemophilia relief fund.. -75 -580
--------- --------- ----------
05.99 Total appropriations............ -75 -580
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8074-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Compensation--claims.............. 39 360 241
00.02 Administrative expenses subject to
limitation...................... 5 4 3
--------- --------- ----------
10.00 Total new obligations........... 44 364 244
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 31 247
22.00 New budget authority (gross)...... 75 580
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 75 611 247
23.95 Total new obligations............. -44 -364 -244
24.40 Unobligated balance carried
forward, end of year............ 31 247 3
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... 75
Mandatory:
60.27 Appropriation (trust fund,
indefinite)................... 580
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 75 580
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 11
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 11
73.10 Total new obligations............. 44 364 244
73.20 Total outlays (gross)............. -33 -375 -244
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 11
--------- --------- ----------
74.99 Obligated balance, end of year 11
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 33
86.93 Outlays from discretionary
balances........................ 42
86.97 Outlays from new mandatory
authority....................... 333
[[Page 445]]
86.98 Outlays from mandatory balances... 244
--------- --------- ----------
87.00 Total outlays (gross)........... 33 375 244
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 75 580
90.00 Outlays........................... 33 375 244
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
11.1 Personnel compensation: Full-
time permanent................ 2 2
25.2 Other services.................. 5 1 1
42.0 Insurance claims and indemnities 39 360 241
--------- --------- ----------
99.0 Subtotal, direct obligations.. 44 363 244
99.5 Below reporting threshold......... 1
--------- --------- ----------
99.9 Total new obligations........... 44 364 244
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-8074-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
1001 Total compensable workyears: Full-
time equivalent employment...... 22 22
---------------------------------------------------------------------------
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, [$2,240,658,000]
$2,387,014,000, 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 $15,000,000 shall remain
available until expended, for the Indian Catastrophic Health Emergency
Fund: Provided further, That [$431,756,000] $430,776,000 for contract
medical care shall remain available for obligation until September 30,
[2002] 2003: Provided further, That of the funds provided, up to
$22,000,000 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 one-year contracts and
grants which are to be performed in two fiscal years, so long as the
total obligation is recorded in the year for which the funds are
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, [2002] 2003: 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 [$248,781,000]
288,234,000 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 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 [2001] 2002, of which [not to exceed $10,000,000 may be used] up to
$40,000,000 is for such costs associated with the the Navajo Nation's
new and expanded contracts, grants, self-governance compacts or annual
funding agreements: 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,
2001.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0390-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Clinical services............... 1,582 1,796 1,861
00.02 Preventive health............... 92 96 100
00.03 Urban health.................... 28 30 30
00.04 Indian health professions....... 16 31 31
00.05 Tribal management............... 2 2 2
00.06 Direct operations............... 51 53 65
00.07 Self-governance................. 9 10 10
00.08 Contract support costs.......... 229 248 288
00.09 Diabetes funds.................. 30 100 100
09.01 Reimbursable program.............. 639 707 736
--------- --------- ----------
10.00 Total new obligations........... 2,678 3,073 3,223
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 115 179 179
22.00 New budget authority (gross)...... 2,743 3,073 3,223
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 2,858 3,252 3,402
23.95 Total new obligations............. -2,678 -3,073 -3,223
23.98 Unobligated balance expiring or
withdrawn....................... -1
24.40 Unobligated balance carried
forward, end of year............ 179 179 179
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 2,079 2,271 2,387
40.76 Reduction pursuant to P.L. 106-
113........................... -5
40.77 Reduction pursuant to P.L. 106-
554 (0.22 percent)............ -5
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 2,074 2,266 2,387
Mandatory:
60.00 Appropriation................... 70 70
62.00 Transferred from HCFA for
diabetes...................... 30 30 30
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 30 100 100
Discretionary:
68.00 Spending authority from
offsetting collections:
Offsetting collections (cash). 639 707 736
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 2,743 3,073 3,223
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 481 449 585
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 481 449 585
73.10 Total new obligations............. 2,678 3,073 3,223
73.20 Total outlays (gross)............. -2,701 -2,937 -3,230
73.40 Adjustments in expired accounts
(net)........................... -10
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 449 585 577
--------- --------- ----------
74.99 Obligated balance, end of year 449 585 577
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 2,236 2,451 2,573
86.93 Outlays from discretionary
balances........................ 435 402 558
86.97 Outlays from new mandatory
authority....................... 23 78 78
86.98 Outlays from mandatory balances... 7 6 21
--------- --------- ----------
87.00 Total outlays (gross)........... 2,701 2,937 3,230
----------------------------------------------------------------------------
[[Page 446]]
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
88.00 Federal sources............... -338 -356 -372
88.40 Non-Federal sources........... -301 -351 -364
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -639 -707 -736
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,104 2,366 2,487
90.00 Outlays........................... 2,062 2,230 2,494
---------------------------------------------------------------------------
The Indian health services account provides medical care, public
health services, and health professions training opportunities to
American Indians and Alaska Natives. An estimated $1,642 million will be
administered by tribal governments under self-determination contracts
and self-governance compacts in FY 2002.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0390-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 290 309 331
11.3 Other than full-time permanent 14 15 16
11.5 Other personnel compensation.. 27 29 31
--------- --------- ----------
11.9 Total personnel compensation 331 353 378
12.1 Civilian personnel benefits..... 96 102 110
13.0 Benefits for former personnel... 2 2 3
Travel and transportation of
persons:
21.0 Travel and transportation of
persons..................... 14 14 14
21.0 Patient Travel................ 15 15 15
22.0 Transportation of things........ 10 10 10
23.1 Rental payments to GSA.......... 2 2 2
23.2 Rental payments to others....... 9 9 9
23.3 Communications, utilities, and
miscellaneous charges......... 18 18 18
24.0 Printing and reproduction....... 1 1 1
25.1 Advisory and assistance services 7 7 7
25.2 Other services.................. 56 91 91
25.3 Purchases of goods and services
from Government accounts...... 34 33 33
25.4 Operation and maintenance of
facilities.................... 1 4 5
25.5 Research and development
contracts..................... 1 1 1
25.6 Medical care.................... 189 230 230
25.7 Operation and maintenance of
equipment..................... 4 4 4
25.8 Subsistence and support of
persons....................... 2 3 2
26.0 Supplies and materials.......... 96 97 97
31.0 Equipment....................... 14 14 14
41.0 Grants, subsidies, and
contributions................. 1,136 1,355 1,442
42.0 Insurance claims and indemnities 1 1 1
--------- --------- ----------
99.0 Subtotal, direct obligations.. 2,039 2,366 2,487
99.0 Reimbursable obligations.......... 639 707 736
--------- --------- ----------
99.9 Total new obligations........... 2,678 3,073 3,223
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0390-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 9,998 10,109 10,235
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 3,403 3,403 3,403
---------------------------------------------------------------------------
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, [$363,904,000] $319,795,000, 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 from the funds appropriated herein, $5,000,000 shall be
designated by the Indian Health Service as a contribution to the Yukon-
Kuskokwim Health Corporation (YKHC) to start a priority project for the
acquisition of land, planning, design and construction of 79 staff
quarters at Bethel, Alaska, subject to a negotiated project agreement
between the YKHC and the Indian Health Service: Provided further, That
this project shall not be subject to the construction provisions of the
Indian Self-Determination and Education Assistance Act and shall be
removed from the Indian Health Service priority list upon completion:
Provided further, That the Federal Government shall not be liable for
any property damages or other construction claims that may arise from
YKHC undertaking this project: Provided further, That the land shall be
owned or leased by the YKHC and title to quarters shall remain vested
with the YKHC: Provided further, That notwithstanding any provision of
law governing Federal construction, $2,240,000 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
$5,000,000 shall remain available until expended for the purpose of
funding joint venture health care facility projects authorized under the
Indian Health Care Improvement Act, as amended: Provided further, That
priority, by rank order, shall be given to tribes with outpatient
projects on the existing Indian Health Services priority list that have
Service-approved planning documents, and can demonstrate by March 1,
2001, the financial capability necessary to provide an appropriate
facility: Provided further, That joint venture funds unallocated after
March 1, 2001, shall be made available for joint venture projects on a
competitive basis giving priority to tribes that currently have no
existing Federally-owned health care facility, have planning documents
meeting Indian Health Service requirements prepared for approval by the
Service and can demonstrate the financial capability needed to provide
an appropriate facility: Provided further, That the Indian Health
Service shall request additional staffing, operation and maintenance
funds for these facilities in future budget requests:] 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 notwithstanding the provisions of title III, section 306,
of the Indian Health Care Improvement Act (Public Law 94-437, as
amended), construction contracts authorized under title I of the Indian
Self-Determination and Education Assistance Act of 1975, as amended, may
be used rather than grants to fund small ambulatory facility
construction projects: Provided further, That if a contract is used, the
IHS is authorized to improve municipal, private, or tribal lands, and
that at no time, during construction or after completion of the project
will the Federal Government have any rights or title to any real or
personal property acquired as a part of the contract]. (Department of
the Interior and Related Agencies Appropriations Act, 2001.)
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0391-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
[[Page 447]]
Receipts:
02.20 Rent and charges for quarters,
Indian health service, HHS...... 5 5 5
Appropriations:
05.00 Indian health facilities.......... -5 -5 -5
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0391-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Sanitation and health facilities 139 180 131
00.02 Maintenance..................... 42 51 50
00.03 Facilities and environmental
health........................ 112 121 127
00.04 Equipment....................... 12 16 16
--------- --------- ----------
01.00 Total direct program.......... 305 368 324
09.01 Reimbursable program.............. 7 4 4
--------- --------- ----------
10.00 Total new obligations........... 312 372 328
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 72 90 90
22.00 New budget authority (gross)...... 331 372 329
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 403 462 419
23.95 Total new obligations............. -312 -372 -328
24.40 Unobligated balance carried
forward, end of year............ 90 90 90
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 319 364 320
40.76 Reduction pursuant to P.L. 106-
113........................... -2
40.77 Reduction pursuant to P.L. 106-
554 (0.22 percent)............ -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 317 363 320
Mandatory:
60.25 Appropriation (special fund,
indefinite)................... 5 5 5
Discretionary:
68.00 Spending authority from
offsetting collections:
Offsetting collections (cash). 9 4 4
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 331 372 329
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 334 321 392
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 334 321 392
73.10 Total new obligations............. 312 372 328
73.20 Total outlays (gross)............. -325 -302 -343
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 321 392 378
--------- --------- ----------
74.99 Obligated balance, end of year 321 392 378
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 104 113 100
86.93 Outlays from discretionary
balances........................ 217 184 238
86.97 Outlays from new mandatory
authority....................... 5 5 5
--------- --------- ----------
87.00 Total outlays (gross)........... 325 302 343
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -9 -4 -4
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 322 368 325
90.00 Outlays........................... 317 298 339
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 45 49 53
11.3 Other than full-time permanent 4 4 5
11.5 Other personnel compensation.. 1 1 1
--------- --------- ----------
11.9 Total personnel compensation 50 54 59
12.1 Civilian personnel benefits..... 13 15 15
21.0 Travel and transportation of
persons....................... 3 3 3
22.0 Transportation of things........ 2 2 2
23.3 Communications, utilities, and
miscellaneous charges......... 11 11 12
25.1 Advisory and assistance services 1 1 1
25.2 Other services.................. 126 179 131
25.3 Purchases of goods and services
from Government accounts...... 1 6 6
25.4 Operation and maintenance of
facilities.................... 9 9 8
25.7 Operation and maintenance of
equipment..................... 2 3 2
26.0 Supplies and materials.......... 7 7 7
31.0 Equipment....................... 8 8 8
32.0 Land and structures............. 8 8 8
41.0 Grants, subsidies, and
contributions................. 58 56 56
42.0 Insurance claims and indemnities 6 6 6
--------- --------- ----------
99.0 Subtotal, direct obligations.. 305 368 324
99.0 Reimbursable obligations.......... 7 4 4
--------- --------- ----------
99.9 Total new obligations........... 312 372 328
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0391-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
1001 Total compensable workyears: Full-
time equivalent employment...... 1,244 1,281 1,289
---------------------------------------------------------------------------
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,
[[Page 448]]
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, 2001.)
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, [$3,868,027,000] $3,878,530,000, of which [$175,000,000]
$150,000,000 shall remain available until expended for [the facilities
master plan 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, of which $52,000,000
shall remain available until expended for the National Pharmaceutical
Stockpile, and of which [$104,527,000] $116,527,000 for international
HIV/AIDS programs shall remain available until September 30, [2002]
2003: Provided, That in addition to amounts provided herein, up to
[$71,690,000] $126,978,000 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 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 15 States[: Provided further,
That notwithstanding any other provision of law, a single contract or
related contracts for development and construction of facilities 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 funds obligated for influenza vaccine stockpile in fiscal
year 2000 and fiscal year 2001 shall be considered as appropriated under
Section 3 of Public Law 101-502]. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0943-0-1-999 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
Receipts:
02.20 Cooperative research and
development agreements, Centers
for Disease Contr............... 1 1 1
Appropriations:
05.00 Disease control, research, and
training........................ -1 -1 -1
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0943-0-1-999 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Preventive health block grant... 135 176
00.02 Prevention centers.............. 18 23
00.03 Sexually transmitted diseases... 136 148
00.04 Immunization.................... 491 530
00.05 Infectious diseases............. 296 308
00.06 Other chronic and environmental
diseases...................... 559 600
00.07 Tobacco......................... 98 103
00.08 Occupational safety and health.. 215 119
00.10 Epidemic services............... 104 175
00.11 Health statistics............... 33 26
00.12 HIV............................. 706 767
00.13 Prevention research............. 15 14
00.14 Buildings and facilities........ 74 175
00.15 Office of the director.......... 38
00.16 Violent crime reduction programs 50
00.17 Eliminating racial and ethnic
disparities................... 29 35
00.18 Program administration.......... 667
00.19 Birth defects/developmental
disabilities/disability &
health........................ 76
00.20 Chronic disease prev & health
promotion..................... 575
00.21 Environmental health............ 137
00.22 Epidemic services and response.. 80
00.24 HIV/AIDS, STD and TB prevention. 1,069
00.25 Immunization.................... 575
00.26 Infectious disease control...... 332
00.27 Injury prevention and control... 144
00.28 Occupational safety and health.. 266
00.29 Preventive health & heath
service block grant........... 135
00.30 Public health improvement....... 109
00.31 Building and facilities......... 150
00.32 Office of the Director.......... 49
00.33 Bioterrorism.................... 182
09.01 Reimbursable program.............. 202 205 240
--------- --------- ----------
10.00 Total new obligations........... 3,199 4,071 4,119
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 43 26 39
22.00 New budget authority (gross)...... 3,183 4,085 4,123
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 3,226 4,111 4,162
23.95 Total new obligations............. -3,199 -4,071 -4,119
23.98 Unobligated balance expiring or
withdrawn....................... -1 -1
24.40 Unobligated balance carried
forward, end of year............ 26 39 43
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 2,923 3,868 3,879
40.75 Reduction pursuant to P.L. 106-
554 (Labor/HHS)............... -2
40.76 Reduction pursuant to P.L. 106-
113........................... -19
42.00 Transferred from other accounts. 73
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 2,977 3,866 3,879
Mandatory:
60.25 Appropriation (special fund,
indefinite)................... 1 1 1
62.00 Transferred from other accounts. 3 13 3
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 4 14 4
Spending authority from offsetting
collections:
Discretionary:
68.00 Offsetting collections (cash). 130 205 240
68.10 Change in uncollected customer
payments from Federal
sources..................... 51
68.15 Adjustments to uncollected
customer payments from
Federal sources............. 21
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)..... 202 205 240
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 3,183 4,085 4,123
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 2,335 2,836 3,532
[[Page 449]]
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -112 -163 -163
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 2,223 2,673 3,369
73.10 Total new obligations............. 3,199 4,071 4,119
73.20 Total outlays (gross)............. -2,662 -3,377 -3,907
73.40 Adjustments in expired accounts
(net)........................... -36
74.00 Change in uncollected customer
payments from Federal sources... -51
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 2,836 3,532 3,744
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -163 -163 -163
--------- --------- ----------
74.99 Obligated balance, end of year 2,673 3,369 3,581
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,247 1,558 1,598
86.93 Outlays from discretionary
balances........................ 1,409 1,813 2,301
86.97 Outlays from new mandatory
authority....................... 4 6 2
86.98 Outlays from mandatory balances... 2 6
--------- --------- ----------
87.00 Total outlays (gross)........... 2,662 3,377 3,907
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
88.00 Federal sources............... -129 -204 -239
88.40 Non-Federal sources........... -1 -1 -1
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -130 -205 -240
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -51
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... -21
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,981 3,880 3,883
90.00 Outlays........................... 2,531 3,172 3,667
---------------------------------------------------------------------------
[Dollars in millions]
2000 2001 2002
Distribution of budget authority by
account:
Disease control, research and
training........................ 2,931 3,880 3,883
Violent crime reduction programs.. 50 0 0
Distribution of outlays by account:
Disease control, research and
training........................ 2,509 3,163 3,665
Violent crime reduction programs.. 22 9 2
Comparable BA by Activity (dollars in millions)
2000 2001 2002
Birth Defects/Developmental/
Disabilities/Disability & Health.... 50 71 76
HIV/AIDS, STD, TB................... 854 1,045 1,069
HIV/AIDS (non-add).................. 687 849 872
Immunization........................ 475 552 575
Infectious Disease Control.......... 254 318 332
Environmental Health................ 88 137 137
Chronic Disease/Health Promotion.... 531 750 575
Preventive Health Block Grant....... 135 135 135
Occupational Safety and Health...... 226 260 266
Injury Prevention................... 132 143 144
Health Statistics BA................ 40 50 0
Program Level..................... 112 122 127
Epidemic Services................... 69 78 80
Public Health Improvement........... 92 110 109
Buildings and Facilities............ 57 175 150
Bioterrorism........................ 153 181 182
Office of the Director.............. 39 42 49
------------------------------------
Total............................... 3,195 4,047 3,879
====================================
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.
For FY 2002, CDC has modified and consolidated several budget
categories to simplify its budget, and move towards budgeting its
activities by Center. The new budget categories will continue to
represent the total costs of a program, including both administrative
costs and CDC's centralized services.
This display also includes amounts derived from the Violent crime
reduction trust fund in FY 2000. In FY 2001 and FY 2002, the activities
formerly supported by the trust fund are funded through the relevant
program activity lines (preventive health block grant, injury control).
The FY 2002 display also includes CDC bioterrorism funding ($182
million), which was previously included in the Public Health and Social
Services Emergency Fund in FY 2000 and FY 2001.
The Healthy Communities Innovation Fund Initiative makes available
approximately $180 million in Centers for Disease Control and
Prevention's existing grant activities to address health care issues at
the State and local level in innovative ways. Funding is also available
for the Innovation Fund in the Health Resources and Services
Administration and Health Care Financing Administration.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0943-0-1-999 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 320 352 390
11.3 Other than full-time permanent 30 33 34
11.5 Other personnel compensation.. 18 19 21
11.8 Special personal services
payments.................... 1 1 1
--------- --------- ----------
11.9 Total personnel compensation 369 405 446
12.1 Civilian personnel benefits..... 107 118 124
21.0 Travel and transportation of
persons....................... 30 36 36
22.0 Transportation of things........ 5 6 6
23.1 Rental payments to GSA.......... 24 34 37
23.2 Rental payments to others....... 2 8 8
23.3 Communications, utilities, and
miscellaneous charges......... 21 27 27
24.0 Printing and reproduction....... 5 6 6
25.1 Advisory and assistance services 82 112 29
25.2 Other services.................. 63 69 62
25.3 Purchases of goods and services
from Government accounts...... 115 121 93
25.4 Operation and maintenance of
facilities.................... 31 35 35
25.5 Research and development
contracts..................... 126 185 167
25.6 Medical care.................... 2 4 4
25.7 Operation and maintenance of
equipment..................... 10 15 15
25.8 Subsistence and support of
persons....................... 1 1 1
26.0 Supplies and materials.......... 24 33 33
31.0 Equipment....................... 54 63 61
32.0 Land and structures............. 58 171 146
41.0 Grants, subsidies, and
contributions................. 1,867 2,416 2,542
42.0 Insurance claims and indemnities 1 1 1
--------- --------- ----------
99.0 Subtotal, direct obligations.. 2,997 3,866 3,879
99.0 Reimbursable obligations.......... 202 205 240
--------- --------- ----------
99.9 Total new obligations........... 3,199 4,071 4,119
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0943-0-1-999 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 6,562 6,892 7,162
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 654 669 673
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 643 174
---------------------------------------------------------------------------
Agency for Toxic Substances and Disease Registry
salaries and expenses
For necessary expenses for the Agency for Toxic Substances and
Disease Registry (ATSDR) in carrying out activities set forth in
sections 104(i), 111(c)(4), and 111(c)(14) of the Comprehensive
Environmental Response, Compensation, and Liability Act of 1980
(CERCLA), as amended; section 118(f) of the Superfund Amendments and
Reauthorization Act of 1986 (SARA), as amended; and section 3019 of the
Solid Waste Disposal Act, as amended, [$75,000,000] $78,235,000, to be
derived from the Hazardous Substance Superfund Trust Fund pursuant to
section 517(a) of SARA (26 U.S.C. 9507):
[[Page 450]]
Provided, That not withstanding any other provision of law, in lieu of
performing a health assessment under section 104(i)(6) of CERCLA, the
Administrator of ATSDR may conduct other appropriate health studies,
evaluations, or activities, including, without limitation, biomedical
testing, clinical evaluations, medical monitoring, and referral to
accredited health care providers: Provided further, That in performing
any such health assessment or health study, evaluation, or activity, the
Administrator of ATSDR shall not be bound by the deadlines in section
104(i)(6)(A) of CERCLA: Provided further, That none of the funds
appropriated under this heading shall be available for the Agency for
Toxic Substances and Disease Registry to issue in excess of 40
toxicological profiles pursuant to section 104(i) of CERCLA during
fiscal year [2001] 2002, and existing profiles may be updated as
necessary. (Departments of Veterans Affairs and Housing and Urban
Development, and Independent Agencies Appropriations Act, 2001, as
enacted by section 1(a)(1) of P.L. 106-377.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8252-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Direct program.................... 75 78
09.01 Reimbursable program.............. 25 26
--------- --------- ----------
10.00 Total new obligations........... 100 104
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 100 104
23.95 Total new obligations............. -100 -104
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... 75 78
68.00 Spending authority from offsetting
collections: Offsetting
collections (cash).............. 25 26
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 100 104
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 49
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 49
73.10 Total new obligations............. 100 104
73.20 Total outlays (gross)............. -51 -85
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 49 68
--------- --------- ----------
74.99 Obligated balance, end of year 49 68
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 51 53
86.93 Outlays from discretionary
balances........................ 32
--------- --------- ----------
87.00 Total outlays (gross)........... 51 85
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -25 -26
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 75 78
90.00 Outlays........................... 26 59
---------------------------------------------------------------------------
The Agency for Toxic Substances and Disease Registry (ATSDR) was
previously funded through a transfer from the EPA Superfund. In FY 2001,
funds were directly appropriated to ATSDR in the VA/HUD appropriations
bill, but still financed through the Superfund. The FY 2002 Budget
maintains this separate account structure for ATSDR.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8252-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 21 22
11.3 Other than full-time permanent 1 1
11.5 Other personnel compensation.. 1 1
--------- --------- ----------
11.9 Total personnel compensation 23 24
12.1 Civilian personnel benefits..... 6 6
21.0 Travel and transportation of
persons....................... 2 2
23.3 Communications, utilities, and
miscellaneous charges......... 1 1
25.1 Advisory and assistance services 4 4
25.2 Other services.................. 2 2
25.3 Purchases of goods and services
from Government accounts...... 8 8
25.5 Research and development
contracts..................... 6 8
31.0 Equipment....................... 2 2
41.0 Grants, subsidies, and
contributions................. 21 21
--------- --------- ----------
99.0 Subtotal, direct obligations.. 75 78
99.0 Reimbursable obligations.......... 25 26
--------- --------- ----------
99.9 Total new obligations........... 100 104
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-8252-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 351 352
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 76 77
---------------------------------------------------------------------------
Allocations Received From Other Accounts
Note.--Obligations incurred in FY 2000 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, [$3,757,242,000] $4,177,203,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
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, [$2,299,866,000] $2,567,429,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
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, [$306,448,000] $341,898,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
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,
[$1,303,385,000] $1,457,915,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
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,
[$1,176,482,000] $1,316,448,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
[[Page 451]]
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,
[$2,043,208,000] $2,355,325,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
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, [$1,535,823,000]
$1,720,206,000. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
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,
[$976,455,000] $1,096,650,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
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,
[$510,611,000] $571,126,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
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,
[$502,549,000] $561,750,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
For necessary expenses for the National Institute of Environmental
Health Sciences in carrying out activities set forth in section 311(a)
of the Comprehensive Environmental Response, Compensation, and Liability
Act of 1980, as amended, [$63,000,000] $70,228,000. (Departments of
Veterans Affairs and Housing and Urban Development, and Independent
Agencies Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L.
106-377.)
National Institute on Aging
For carrying out section 301 and title IV of the Public Health
Service Act with respect to aging, [$786,039,000] $879,961,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
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, [$396,687,000] $443,565,000. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
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,
[$300,581,000] $336,757,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
National Institute of Nursing Research
For carrying out section 301 and title IV of the Public Health
Service Act with respect to nursing research, [$104,370,000]
$117,686,000. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
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, [$340,678,000]
$381,966,000. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
National Institute on Drug Abuse
For carrying out section 301 and title IV of the Public Health
Service Act with respect to drug abuse, [$781,327,000] $907,369,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
National Institute of Mental Health
For carrying out section 301 and title IV of the Public Health
Service Act with respect to mental health, [$1,107,028,000]
$1,238,305,000. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
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, [$382,384,000]
$426,739,000. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
National Institute for Biomedical Imaging and Bioengineering
For carrying out section 301 and title IV of the Public Health
Service Act with respect to biomedical imaging and bioengineering
research, $40,206,000.
National Center for Research Resources
For carrying out section 301 and title IV of the Public Health
Service Act with respect to research resources and general research
support grants, [$817,475,000] $974,038,000: 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 [$75,000,000] $97,000,000 shall
be for extramural facilities construction grants. (Departments of Labor,
Health and Human Services, and Education, and Related Agencies
Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
554.)
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,
[$89,211,000] $100,063,000. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
National Center on Minority Health and Health Disparties
For carrying out section 301 and title IV of the Public Health
Service Act with respect to minority health and health disparities
research, [$130,200,000] $158,425,000. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
John E. Fogarty International Center
For carrying out the activities at the John E. Fogarty International
Center, [$50,514,000] $56,449,000. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
National Library of Medicine
For carrying out section 301 and title IV of the Public Health
Service Act with respect to health information communications,
[$246,801,000] $275,725,000, of which $4,000,000 shall be available
until expended for improvement of information systems: Provided, That in
fiscal year 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.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Office of the Director
(including transfer of funds)
For carrying out the responsibilities of the Office of the Director,
National Institutes of Health, [$213,581,000] $232,098,000, of which
[$48,271,000] $53,540,000 shall be for the Office of AIDS Research:
[[Page 452]]
Provided, That funding shall be available for the purchase of not to
exceed [20] 29 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]. (Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 2001, as enacted
by section 1(a)(1) of P.L. 106-554.)
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, [$153,790,000] $306,600,000, to remain
available until expended, of which [$47,300,000] $26,000,000 shall be
for the [National] John Edward Porter Neuroscience Research Center[:
Provided, That notwithstanding any other provision of law, a single
contract or related contracts for the development and construction of
the first phase of the National Neuroscience Research Center 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] and
$53,000,000 for the animal vivarium. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9915-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
Receipts:
02.20 Cooperative research and
development agreements, NIH..... 10 10 10
Appropriations:
05.00 National Institutes of Health..... -10 -10 -10
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9915-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 National Cancer Institute....... 3,315 3,754 4,177
00.02 National Heart, Lung, and Blood
Institute..................... 2,027 2,299 2,567
00.03 National Institute of Dental and
Craniofacial Research......... 268 306 342
00.04 National Institute of Diabetes
and Digestive and Kidney
Disease....................... 1,167 1,400 1,555
00.05 National Institute of
Neurological Disorders and
Stroke........................ 1,028 1,176 1,316
00.06 National Institute of Allergy
and Infectious Diseases....... 1,777 2,042 2,355
00.07 National Institute of General
Medical Sciences.............. 1,367 1,535 1,720
00.08 National Institute of Child
Health and Human Development.. 857 976 1,097
00.09 National Eye Institute.......... 450 510 571
00.10 National Institute of
Environmental Health Sciences. 442 565 632
00.11 National Institute on Aging..... 686 786 880
00.12 National Institute of Arthritis
and Musculoskeletal and Skin
Disease....................... 349 397 444
00.13 National Institute on Deafness
and Other Communication
Disorder...................... 264 300 337
00.14 National Institute of Mental
Health........................ 972 1,106 1,238
00.15 National Institute on Drug Abuse 695 781 907
00.16 Natinal Institute on Alcohol
Abuse and Alcoholism.......... 292 340 382
00.17 National Institute of Nursing
Research...................... 89 104 118
00.18 National Human Genome Research
Institute..................... 335 382 427
00.19 National Institute of Biomedical
Imaging and Bioengineering.... 40
00.20 National Center for Research
Resources..................... 676 817 974
00.21 National Center for
Complementary and Alternative
Medicine...................... 78 89 100
00.22 National Center on Minority
Health and Health Disparities. 130 158
00.23 John E. Fogarty International
Center........................ 43 51 57
00.24 National Library of Medicine.... 214 246 276
00.25 Office of the Director.......... 282 212 232
00.26 Buildings and Facilities........ 141 154 307
00.27 Cooperative Research and
Development Agreements........ 12 12 12
00.28 Royalities...................... 52
09.00 Reimbursable program.............. 1,122 1,339 1,453
--------- --------- ----------
10.00 Total new obligations........... 19,000 21,809 24,674
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 161 173 170
22.00 New budget authority (gross)...... 19,016 21,807 24,672
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 19,177 21,980 24,842
23.95 Total new obligations............. -19,000 -21,809 -24,674
23.98 Unobligated balance expiring or
withdrawn....................... -4
24.40 Unobligated balance carried
forward, end of year............ 173 170 168
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 17,913 20,376 23,112
40.75 Reduction pursuant to P.L. 106-
554 (Labor/HHS)............... -9
40.76 Reduction pursuant to P.L. 106-
113........................... -100
41.00 Transferred to other accounts... -23 -6
42.00 Transferred from other accounts. 10
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 17,800 20,361 23,112
Mandatory:
60.00 Appropriation................... 70 70
60.25 Appropriation (special fund,
indefinite)................... 10 10 10
62.00 Transferred from other accounts. 27 27 27
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 37 107 107
Spending authority from offsetting
collections:
Discretionary:
68.00 Offsetting collections (cash). 1,368 1,339 1,453
68.10 Change in uncollected customer
payments from Federal
sources..................... -246
68.15 Adjustments to uncollected
customer payments from
Federal sources............. 57
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)..... 1,179 1,339 1,453
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 19,016 21,807 24,672
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 14,630 16,684 19,300
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -732 -486 -486
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 13,898 16,198 18,814
73.10 Total new obligations............. 19,000 21,809 24,674
73.20 Total outlays (gross)............. -16,783 -19,193 -22,135
73.40 Adjustments in expired accounts
(net)........................... 83
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 16,684 19,300 21,839
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -486 -486 -486
--------- --------- ----------
74.99 Obligated balance, end of year 16,198 18,814 21,353
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 6,449 6,911 7,843
86.93 Outlays from discretionary
balances........................ 10,292 12,237 14,215
86.97 Outlays from new mandatory
authority....................... 35 15 15
86.98 Outlays from mandatory balances... 7 30 62
--------- --------- ----------
87.00 Total outlays (gross)........... 16,783 19,193 22,135
----------------------------------------------------------------------------
[[Page 453]]
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -1,368 -1,339 -1,453
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. 246
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... -57
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 17,837 20,468 23,219
90.00 Outlays........................... 15,415 17,854 20,682
---------------------------------------------------------------------------
[Dollars in millions]
2000 2001 2002
Distribution of budget authority by
account:
National Cancer Institute......... 3,311 3,755 4,177
National Heart, Lung, and Blood
Institute....................... 2,027 2,299 2,567
National Institute of Dental and
Craniofacial Research........... 269 306 342
National Institute of Diabetes and
Digestive and Kidney Diseases... 1,167 1,400 1,555
National Institute of Neurological
Disorder and Stroke............. 1,028 1,176 1,316
National Institute of Allergy and
Infectious Diseases............. 1,777 2,042 2,355
National Institute of General
Medical Sciences................ 1,367 1,535 1,720
National Institute of Child Health
and Human Development........... 857 976 1,097
National Eye Institute............ 450 510 571
National Institute of
Environmental Health Sciences... 442 565 632
National Institute on Aging....... 686 786 880
National Institute of Arthritis
and Musculoskeletal and Skin
Diseases........................ 350 396 444
National Institute on Deafness and
Other Communication Disorders... 264 300 337
National Institute of Nursing
Research........................ 89 104 118
National Institute on Alcohol
Abuse and Alcoholism............ 292 340 382
National Institute on Drug Abuse.. 695 781 907
National Institute of Mental
Health.......................... 972 1,106 1,238
National Center for Research
Resources....................... 676 817 974
National Human Genome Research
Institute....................... 335 382 427
National Institute of Biomedical
Imaging and Bioengineering...... 40
National Center for Complementary
and Alternative Medicine........ 68 89 100
National Center for Minority
Health and Health Disparities... 130 158
John E. Fogarty International
Center.......................... 44 51 56
National Library of Medicine...... 214 246 276
Office of the Director............ 282 212 232
Buildings and Facilities.......... 165 154 307
------------------------------------
Subtotal...................... 17,827 20,458 23,209
Cooperative Research and
Development Agreements.......... 10 10 10
------------------------------------
Total Budget Authority, NIH... 17,837 20,468 23,219
====================================
[Dollars in millions]
2000 2001 2002
Distribution of outlays by account:
National Cancer Institute......... 2,929 3,341 3,813
National Heart, Lung, and Blood
Institute....................... 1,696 2,007 2,296
National Institute of Dental and
Craniofacial Research........... 232 271 309
National Institute of Diabetes and
Digestive and Kidney Diseases... 993 1,186 1,402
National Institute of Neurological
Disorders and Stroke............ 868 1,031 1,186
National Institute of Allergy and
Infectious Diseases............. 1,523 1,789 2,068
National Institute of General
Medical Sciences................ 1,203 1,378 1,559
National Institute of Child Health
and Human Development........... 769 869 998
National Eye Institute............ 387 451 518
National Institute of
Environmental Health Sciences... 399 474 578
National Institute on Aging....... 571 685 785
National Institute of Arthritis
and Musculoskeletal and Skin
Diseases........................ 295 348 398
National Institute on Deafness and
Other Communication Disorders... 222 264 303
National Institute of Nursing
Research........................ 71 85 103
National Institute on Alcohol
Abuse and Alcoholism............ 253 295 342
National Institute on Drug Abuse.. 580 681 782
National Institute of Mental
Health.......................... 821 966 1,108
National Center for Research
Resources....................... 493 680 814
National Human Genome Research
Institute....................... 374 297 397
National Institute of Biomedical
Imaging and Bioengineering...... 6
National Center for Complementary
and Alternative Medicine........ 11 46 75
National Center for Minority
Health and Health Disparities... 19 43
John E. Fogarty International
Center.......................... 29 42 49
National Library of Medicine...... 184 223 255
Office of the Director............ 317 239 242
Buildings and Facilities.......... 210 177 243
Service and Supply Fund/Management
Fund............................ -31
------------------------------------
Subtotal Outlays.............. 15,399 17,844 20,672
Cooperative Research and
Development Agreements.......... 16 10 10
------------------------------------
Total Outlays, NIH............ 15,415 17,854 20,682
====================================
Note: The total amount for FY 2002 AIDS research is $2,501,352,000 which
was jointly determined by the Director of NIH and the Director of the Office
of AIDS Research. Amounts available under section 4921 of P.L. 105-33 and
P.L. 106-554 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 is working to meet the management challenges that can arise when
an agency receives a substantial infusion of resources over a short
period of time. NIH is in the process of identifying strategies and
policies that would be implemented in 2002 and 2003 and beyond to
maximize budgetary and management flexibility in the future. Such
strategies could include funding the total costs of an increasing number
of new grants in the grant's first year and supporting some one-time
activities such as high-priority construction and renovation projects.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9915-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 560 643 701
11.3 Other than full-time permanent 169 194 213
11.5 Other personnel compensation.. 39 35 38
11.8 Special personal services
payments.................... 99 114 124
--------- --------- ----------
11.9 Total personnel compensation 867 986 1,076
12.1 Civilian personnel benefits..... 195 225 246
21.0 Travel and transportation of
persons....................... 34 39 43
22.0 Transportation of things........ 5 5 6
23.1 Rental payments to GSA.......... 6 7 7
23.2 Rental payments to others....... 21 23 28
23.3 Communications, utilities, and
miscellaneous charges......... 42 48 53
24.0 Printing and reproduction....... 14 16 17
25.1 Advisory and assistance services 57 58 63
25.2 Other services.................. 329 321 363
25.3 Purchases of goods and services
from Government accounts...... 1,188 1,275 1,554
25.4 Operation and maintenance of
facilities.................... 192 293 454
25.5 Research and development
contracts..................... 974 1,157 1,339
25.6 Medical care.................... 12 12 14
25.7 Operation and maintenance of
equipment..................... 39 39 43
26.0 Supplies and materials.......... 176 194 217
31.0 Equipment....................... 156 168 186
41.0 Grants, subsidies, and
contributions................. 13,571 15,604 17,512
--------- --------- ----------
99.0 Subtotal, direct obligations.. 17,878 20,470 23,221
99.0 Reimbursable obligations.......... 1,122 1,339 1,453
--------- --------- ----------
99.9 Total new obligations........... 19,000 21,809 24,674
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9915-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 11,581 12,728 13,178
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 4,465 4,706 4,782
---------------------------------------------------------------------------
[[Page 454]]
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, [$2,958,001,000, of which $24,605,000 shall be available for
the projects and in the amounts specified in the statement of the
managers on the conference report accompanying this Act] $3,029,456,000:
Provided, That in addition to amounts provided herein, $29,000,000 shall
be available from amounts available under section 241 of the Public
Health Service Act, to carry out national data collection activities.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1362-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Mental health and substance
abuse activities.............. 635 793 817
00.02 Mental health partnership....... 356 420 420
00.03 Substance abuse partnership..... 1,600 1,665 1,725
00.05 Program management.............. 59 79 67
09.01 Reimbursable program.............. 32 40 69
--------- --------- ----------
10.00 Total new obligations........... 2,682 2,997 3,098
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 2,684 2,997 3,098
23.95 Total new obligations............. -2,682 -2,997 -3,098
23.98 Unobligated balance expiring or
withdrawn....................... -2
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 2,655 2,958 3,029
40.75 Reduction pursuant to P.L. 106-
554 (Labor/HHS)............... -1
40.76 Reduction pursuant to P.L. 106-
113........................... -3
41.00 Transferred to other accounts... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 2,651 2,957 3,029
68.00 Spending authority from offsetting
collections: Offsetting
collections (cash).............. 33 40 69
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 2,684 2,997 3,098
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 1,852 1,985 2,278
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 1,852 1,985 2,278
73.10 Total new obligations............. 2,682 2,997 3,098
73.20 Total outlays (gross)............. -2,532 -2,704 -2,951
73.40 Adjustments in expired accounts
(net)........................... -17
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 1,985 2,278 2,425
--------- --------- ----------
74.99 Obligated balance, end of year 1,985 2,278 2,425
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,129 1,243 1,305
86.93 Outlays from discretionary
balances........................ 1,403 1,463 1,646
--------- --------- ----------
87.00 Total outlays (gross)........... 2,532 2,704 2,951
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -33 -40 -69
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,651 2,957 3,029
90.00 Outlays........................... 2,499 2,664 2,882
---------------------------------------------------------------------------
This program provides Federal support for treatment and prevention
in the areas of alcoholism, drug abuse, and mental health. The
Administration has proposed to retain the language in Sec. 214 of the
HHS General Provisions dealing with the penalty in the Sec. 1926 of the
Public Health Service Act, known as the Synar Amendment. The only
penalty allowed under the current law is disproportionally severe, and
could penalize those needing substance abuse services rather than states
that miss their youth tobacco use reduction targets. The Administration
looks forward to working with Congress to achieve a permanent statutory
change that would establish a more fair and sustainable penalty
structure.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1362-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 36 39 42
11.3 Other than full-time permanent 1 1 1
11.5 Other personnel compensation.. 1 1 1
--------- --------- ----------
11.9 Total personnel compensation 38 41 44
12.1 Civilian personnel benefits..... 8 9 9
21.0 Travel and transportation of
persons....................... 2 2 2
23.1 Rental payments to GSA.......... 4 6 6
23.3 Communications, utilities, and
miscellaneous charges......... 2 2 2
24.0 Printing and reproduction....... 4 4 4
25.1 Advisory and assistance services 11 14 15
25.2 Other services.................. 168 175 180
25.3 Purchases of goods and services
from Government accounts...... 74 79 82
26.0 Supplies and materials.......... 7 7 7
31.0 Equipment....................... 1 2 2
41.0 Grants, subsidies, and
contributions................. 2,328 2,614 2,674
42.0 Insurance claims and indemnities 2 2 2
--------- --------- ----------
99.0 Subtotal, direct obligations.. 2,649 2,957 3,029
99.0 Reimbursable obligations.......... 33 40 69
--------- --------- ----------
99.9 Total new obligations........... 2,682 2,998 3,098
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-1362-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 541 560 560
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 70 72 72
---------------------------------------------------------------------------
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Federal Funds
General and special funds:
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, $104,963,000; in
addition,] $306,245,000 from amounts designated under section 241 of the
Act, together with amounts received from Freedom of Information Act
fees, reimbursable and interagency agreements, and the sale of data,
which 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
$164,980,000]. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1700-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
01.01 Research on health costs,
quality, and outcomes......... 108 103
[[Page 455]]
01.04 Program support................. 2 2
09.00 Reimbursable program.............. 103 177 318
--------- --------- ----------
10.00 Total new obligations........... 213 282 318
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 2 5 5
22.00 New budget authority (gross)...... 216 282 318
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 218 287 323
23.95 Total new obligations............. -213 -282 -318
23.98 Unobligated balance expiring or
withdrawn....................... -1
24.40 Unobligated balance carried
forward, end of year............ 5 5 5
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 111 105
40.76 Reduction pursuant to P.L. 106-
113........................... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 110 105
Spending authority from offsetting
collections:
68.00 Offsetting collections (cash)... 110 177 318
68.10 Change in uncollected customer
payments from Federal sources. -14
68.15 Adjustments to uncollected
customer payments from Federal
sources....................... 10
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)....... 106 177 318
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 216 282 318
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 170 218 215
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -20 -6 -6
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 150 212 209
73.10 Total new obligations............. 213 282 318
73.20 Total outlays (gross)............. -161 -285 -409
73.40 Adjustments in expired accounts
(net)........................... -4
74.00 Change in uncollected customer
payments from Federal sources... 14
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 218 215 124
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -6 -6 -6
--------- --------- ----------
74.99 Obligated balance, end of year 212 209 118
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 68 188 318
86.93 Outlays from discretionary
balances........................ 93 97 91
--------- --------- ----------
87.00 Total outlays (gross)........... 161 285 409
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -110 -177 -318
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. 14
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... -10
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 110 105
90.00 Outlays........................... 51 108 91
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 12 14
11.3 Other than full-time permanent 2 3
--------- --------- ----------
11.9 Total personnel compensation 14 17
12.1 Civilian personnel benefits..... 3 4
21.0 Travel and transportation of
persons....................... 1
23.1 Rental payments to GSA.......... 2 3
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...... 6 7
25.5 Research and development
contracts..................... 21 35
26.0 Supplies and materials.......... 1 1
31.0 Equipment....................... 1 2
41.0 Grants, subsidies, and
contributions................. 53 26
--------- --------- ----------
99.0 Subtotal, direct obligations.. 110 105
99.0 Reimbursable obligations.......... 103 177 318
--------- --------- ----------
99.9 Total new obligations........... 213 282 318
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-1700-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 200 228
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 66 66 294
---------------------------------------------------------------------------
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, [$93,586,251,000] $106,821,882,000, to remain
available until expended.
For making, after May 31, [2001] 2002, payments to States under
title XIX of the Social Security Act for the last quarter of fiscal year
[2001] 2002 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 [2002, $36,207,551,000] 2003,
$46,601,937,000, 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. (Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 2001, as enacted
by section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0512-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Medicaid vendor payments.......... 114,540 122,429 134,238
00.02 State and local administration.... 6,718 6,998 7,996
00.03 Vaccine purchases................. 550 775 795
09.00 Medicare Part B premium transfer.. 60 70
--------- --------- ----------
10.00 Total new obligations........... 121,809 130,262 143,099
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1,117 110
22.00 New budget authority (gross)...... 117,794 130,152 143,099
22.10 Resources available from
recoveries of prior year
obligations..................... 3,007
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 121,918 130,262 143,099
23.95 Total new obligations............. -121,809 -130,262 -143,099
24.40 Unobligated balance carried
forward, end of year............ 110
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 86,087 93,586 106,822
60.05 Appropriation (indefinite)...... 2,923 4,678
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 89,010 98,264 106,822
[[Page 456]]
65.00 Advance appropriation........... 28,734 30,589 36,207
Offsetting collections (cash):
69.00 Offsetting collections (cash)... 170
69.00 Offsetting collections (cash)... 1,239 70
69.10 Change in uncollected customer
payments from Federal sources... 50 -110
--------- --------- ----------
69.90 Spending authority from
offsetting collections (total
mandatory).................... 50 1,299 70
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 117,794 130,152 143,099
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 4,811 5,691 5,691
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -60 -110
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 4,751 5,581 5,691
73.10 Total new obligations............. 121,809 130,262 143,099
73.20 Total outlays (gross)............. -117,921 -130,262 -143,099
73.45 Recoveries of prior year
obligations..................... -3,007
74.00 Change in uncollected customer
payments from Federal sources... -50 110
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 5,691 5,691 5,691
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -110
--------- --------- ----------
74.99 Obligated balance, end of year 5,581 5,691 5,691
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 116,715 129,123 142,099
86.98 Outlays from mandatory balances... 1,206 1,139 1,000
--------- --------- ----------
87.00 Total outlays (gross)........... 117,921 130,262 143,099
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
Federal sources:
88.00 Federal sources............. -170 -70
88.00 Federal sources............. -1,239
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -1,409 -70
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -50 110
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 117,744 128,853 143,029
90.00 Outlays........................... 117,921 128,853 143,029
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 117,744 128,853 143,029
Outlays........................... 117,921 128,853 143,029
Legislative proposal, subject to
PAYGO:
Budget Authority.................. -606
Outlays........................... -606
------------------------------------
Total:
Budget Authority.................. 117,744 128,853 142,423
Outlays........................... 117,921 128,853 142,423
====================================
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
41.0 Direct obligations: Grants,
subsidies, and contributions.... 121,809 130,202 143,029
99.0 Reimbursable obligations:
Subtotal, reimbursable
obligations..................... 60 70
--------- --------- ----------
99.9 Total new obligations........... 121,809 130,262 143,099
---------------------------------------------------------------------------
Grants to States for Medicaid
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0512-4-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 41.0)..................... -606
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... -606
23.95 Total new obligations............. 606
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... -606
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. -606
73.20 Total outlays (gross)............. 606
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... -606
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. -606
90.00 Outlays........................... -606
---------------------------------------------------------------------------
This Administration is proposing to further restrict the Medicaid
``upper payment limit'' loophole by prohibiting States with new hospital
payment plans from accessing a higher upper payment limit permitted by
previous regulations. The Administration is also proposing legislation
that would permanently extend a Department of Veterans Affairs provision
which limits VA pensions to Medicaid recipients in nursing homes.
State Grants and Demonstrations
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0516-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 41.0)..................... 62 67
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 62 67
23.95 Total new obligations............. -62 -67
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 62 67
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 46
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 46
73.10 Total new obligations............. 62 67
73.20 Total outlays (gross)............. -16 -29
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 46 84
--------- --------- ----------
74.99 Obligated balance, end of year 46 84
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 16 17
86.98 Outlays from mandatory balances... 12
--------- --------- ----------
87.00 Total outlays (gross)........... 16 29
----------------------------------------------------------------------------
[[Page 457]]
Net budget authority and outlays:
89.00 Budget authority.................. 62 67
90.00 Outlays........................... 16 29
---------------------------------------------------------------------------
The Ticket to Work and Work Incentives Improvement Act of 1999 (P.L.
106-170), Title II, established two grant programs. Section 203 provides
funding for Medicaid infrastructure grants to support the design,
establishment and operation of State infrastructures to help working
people with disabilities purchase health coverage through Medicaid.
Section 204 provides funding for States to establish Demonstrations to
Maintain Independence and Employment, which will provide Medicaid
benefits and services to working individuals who have a condition that,
without medical assistance, will result in disability.
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, [$70,381,600,000] $81,924,200,000.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0580-0-1-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Supplementary medical insurance
(SMI)........................... 65,561 69,777 81,332
00.02 Hospital insurance for uninsured
(HI)............................ 349 321 292
00.03 Federal uninsured payment (HI).... 121 132 150
00.04 Program management (HI)........... 116 152 150
00.06 Federal payments from taxation of
OASDI benefits (HI)............. 8,787 7,337 7,903
00.08 Fraud and abuse control, FBI...... 76 88 101
00.10 Fraud and abuse control, criminal
fines........................... 57 63 69
00.14 Fraud and abuse control,
administrative fees............. 4 4 5
--------- --------- ----------
10.00 Total new obligations........... 75,071 77,874 90,002
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 78,213 77,874 90,002
23.95 Total new obligations............. -75,071 -77,874 -90,002
23.98 Unobligated balance expiring or
withdrawn....................... -3,142
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
Appropriation:
60.00 Appropriation................. 8,924 7,492 8,078
60.00 Appropriation................. 69,289 70,382 81,924
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 78,213 77,874 90,002
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 75,071 77,874 90,002
73.20 Total outlays (gross)............. -75,071 -77,874 -90,002
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 75,071 77,874 90,002
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 78,213 77,874 90,002
90.00 Outlays........................... 75,071 77,874 90,002
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 78,213 77,874 90,002
Outlays........................... 75,071 77,874 90,002
Legislative proposal, not subject to
PAYGO:
Budget Authority.................. -176
Outlays........................... -176
------------------------------------
Total:
Budget Authority.................. 78,213 77,874 89,826
Outlays........................... 75,071 77,874 89,826
====================================
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
41.0 Grants, subsidies, and
contributions................... 74,485 77,269 89,410
42.0 Insurance claims and indemnities.. 470 453 442
92.0 Undistributed..................... 116 152 150
--------- --------- ----------
99.9 Total new obligations........... 75,071 77,874 90,002
---------------------------------------------------------------------------
Payments to Health Care Trust Funds
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0580-2-1-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Supplementary medical insurance
(SMI)........................... -70
00.06 Federal Payments from Taxation of
OASDI Benefits (HI)............. -106
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... -176
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... -176
23.95 Total new obligations............. 176
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... -176
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. -176
73.20 Total outlays (gross)............. 176
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... -176
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. -176
90.00 Outlays........................... -176
---------------------------------------------------------------------------
The budget proposes a tax relief package that would reduce marginal
tax rates. This change would reduce the receipts from taxing OASDI
benefits, and therefore would reduce the amount of the tax transfer to
the Hospital Insurance (HI) trust fund. The account reflects this
reduction.
The budget proposes new discretionary user fees paid by providers
for submitting paper claims and duplicate or unprocessable claims. This
account reflects the reduction in payments to HI and SMI as a result of
this user fee proposal.
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 [$2,246,326,000] $2,351,158,000, to be
transferred from the Federal Hospital Insurance and the Federal
Supplementary Medical Insurance Trust Funds, as
[[Page 458]]
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 section 1857(e)(2) of the Social Security 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] $18,200,000
appropriated under this heading for the managed care system redesign
shall remain available until expended: Provided further, [That
$20,000,000 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 the Secretary of Health and Human Services is
directed to enter into an agreement with the Mind-Body Institute of
Boston, Massachusetts to conduct a demonstration of a lifestyle
modification program: Provided further, That $2,800,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded for administration, evaluation, quality monitoring and peer
review of this lifestyle modification demonstration: Provided further,
That $2,800,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to a joint application from the
University of Pittsburgh, Case Western Reserve in Cleveland, Ohio, and
Mt. Sinai Hospital in Miami, Florida, to use integrated nursing services
and technology to implement daily monitoring of congestive heart failure
patients in underserved populations in accordance with established
clinical guidelines: Provided further, That $500,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to the University of Pittsburgh Medical Center and University
of Pennsylvania for a study of the efficacy of surgical versus non-
surgical management of abdominal aneurysms: Provided further, That
$650,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to the Vascular Surgery Outcomes
Initiative at Dartmouth College: Provided further, That up to $300,000
of the amount available for research, demonstration, and evaluation
activities shall be awarded to the United States-Mexico Border Counties
Coalition for a study to determine the unreimbursed costs incurred to
treat undocumented aliens for medical emergencies in southwest border
States, their border counties, and hospitals within the jurisdiction of
these States and counties: Provided further, That $1,700,000 of the
amount available for research, demonstration, and evaluation activities
shall be awarded to the AIDS Healthcare Foundation in Los Angeles for a
demonstration of residential and outpatient treatment facilities:
Provided further, That $350,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to the Cook
County, Illinois Bureau of Health for the Asthma Champion Initiative
demonstration to reduce morbidity and mortality from asthma in high
prevalence areas: Provided further, That $1,000,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to the West Virginia University School of Medicine's Eye
Center to test interventions and improve the quality of life for
individuals with low vision, with a particular focus on the elderly:
Provided further, That $1,000,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to the Iowa
Department of Public Health for the establishment and operation of a
mercantile prescription drug purchasing cooperative or non-profit
corporation demonstration: Provided further, That $691,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to Ohio State University to determine the benefits of
compliance packaging: Provided further, That $855,000 of the amount
available for research, demonstration and evaluation activities shall be
awarded to Children's Hospice International for a demonstration project
to provide a continuum of care for children with life-threatening
conditions and their families: Provided further, That $921,000 of the
amount available for research, demonstration, and evaluation activities
shall be awarded to Equip for Equality for a demonstration project to
document the impact of an independent investigative unit that will
examine deaths or other serious allegations of abuse and neglect of
people with disabilities at facilities in Illinois: Provided further,
That $1,000,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to Duke University Medical Center
to demonstrate the potential savings in the Medicare program of a
reimbursement system based on preventative care: Provided further, That
$1,843,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to Bucks County, Pennsylvania,
for a health improvement project: Provided further, That $255,000 of the
amount available for research, demonstration, and evaluation activities
shall be awarded to the LA Care Health Plan in Los Angeles, California
for a demonstration program to improve clinical data coordination among
Medicaid providers: Provided further, That $646,000 of the amount
available for research, demonstration, and evaluation activities shall
be for 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 fees in fiscal year [2001] 2002 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.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0511-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Medicare contractors............ 1,237 1,357 1,522
00.02 Federal administration.......... 484 505 532
00.03 State survey and certification.. 209 242 242
00.04 Research, demonstrations, and
evaluation projects........... 62 138 55
--------- --------- ----------
01.00 Total direct program............ 1,992 2,242 2,351
09.01 CLIA.............................. 37 43 43
09.03 Other reimbursements.............. 11 2 2
09.06 Medicare+Choice................... 92 17 17
--------- --------- ----------
09.09 Total reimbursable program...... 140 62 62
--------- --------- ----------
10.00 Total new obligations........... 2,132 2,304 2,413
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 88 71 71
22.00 New budget authority (gross)...... 2,086 2,304 2,413
22.10 Resources available from
recoveries of prior year
obligations..................... 30
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 2,204 2,375 2,484
23.95 Total new obligations............. -2,132 -2,304 -2,413
24.40 Unobligated balance carried
forward, end of year............ 71 71 71
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
42.00 Transferred from other accounts. 3
Spending authority from offsetting
collections:
Offsetting collections (cash):
68.00 Offsetting collections (cash). 1,986 2,242 2,351
68.00 Offsetting collections (cash). 140 62 62
68.10 Change in uncollected customer
payments from Federal sources. 111
68.15 Adjustments to uncollected
customer payments from Federal
sources....................... -154
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)....... 2,082 2,304 2,413
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 2,085 2,304 2,413
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 738 826 826
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -663 -774 -774
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 75 52 52
73.10 Total new obligations............. 2,132 2,304 2,413
73.20 Total outlays (gross)............. -2,014 -2,304 -2,413
73.45 Recoveries of prior year
obligations..................... -30
74.00 Change in uncollected customer
payments from Federal sources... -111
[[Page 459]]
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 826 826 826
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -774 -774 -774
--------- --------- ----------
74.99 Obligated balance, end of year 52 52 52
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,577 2,304 2,413
86.93 Outlays from discretionary
balances........................ 437
--------- --------- ----------
87.00 Total outlays (gross)........... 2,014 2,304 2,413
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
88.00 Federal sources............... -1,986 -2,242 -2,351
88.40 Non-Federal sources........... -140 -62 -62
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........ -2,126 -2,304 -2,413
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -111
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... 154
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 3
90.00 Outlays........................... -112
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 2
Outlays........................... -112
Legislative proposal, not subject to
PAYGO:
Budget Authority..................
Outlays...........................
------------------------------------
Total:
Budget Authority.................. 2
Outlays........................... -112
====================================
Program management activities include funding for research, Medicare
contractors, survey and certification, CLIA, Medicare+Choice, and
administrative costs. The Healthy Communities Innovation Fund Initiative
makes available approximately $10 million in Health Care Financing
Administration's existing grant activities to address health care issues
at the State and local level in innovative ways. Additional funding is
available in the Health Resources and Services Administration and
Centers for Disease Control and Prevention.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0511-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 271 301 323
11.3 Other than full-time permanent 7 8 9
11.5 Other personnel compensation.. 4 4 5
--------- --------- ----------
11.9 Total personnel compensation 282 313 337
12.1 Civilian personnel benefits..... 58 61 68
21.0 Travel and transportation of
persons....................... 11 12 11
22.0 Transportation of things........ 1
23.1 Rental payments to GSA.......... 15 21 21
23.3 Communications, utilities, and
miscellaneous charges......... 13 4 4
24.0 Printing and reproduction....... 5 8 7
25.1 Advisory and assistance services 17 1 1
25.2 Other services.................. 336 409 352
25.3 Purchases of goods and services
from Government accounts...... 8 9 8
25.6 Medical care.................... 1,208 1,353 1,518
26.0 Supplies and materials.......... 3 1 1
31.0 Equipment....................... 11 3 2
32.0 Land and structures............. 10 10 10
41.0 Grants, subsidies, and
contributions................. 14 37 11
--------- --------- ----------
99.0 Subtotal, direct obligations.. 1,992 2,242 2,351
99.0 Reimbursable obligations.......... 140 62 62
--------- --------- ----------
99.9 Total new obligations........... 2,132 2,304 2,413
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0511-0-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 4,366 4,528 4,552
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 80 82 80
---------------------------------------------------------------------------
Program Management
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0511-2-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct program:
00.01 Medicare operations............. -115
Reimbursable program:
09.01 Proposed user fees.............. 115
--------- --------- ----------
10.00 Total new obligations...........
----------------------------------------------------------------------------
Budgetary resources available for obligation:
23.95 Total new obligations.............
----------------------------------------------------------------------------
New budget authority (gross), detail:
Spending authority from offsetting
collections:
Discretionary:
Offsetting collections (cash):
68.00 Offsetting collections
(appropriation)........... -115
68.00 Offsetting collections (user
fees)..................... 115
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary).....
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations.............
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash)
from:
88.00 Federal sources............... 115
88.40 Non-Federal sources........... -115
--------- --------- ----------
88.90 Total, offsetting
collections (cash)........
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
The Budget includes $115 million in new user fees to finance HCFA
activities. Proposed fees include: a duplicate or unprocessable claims
fee and a paper claims 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 $115
million. The authorizing legislation will be proposed to authorize the
collection and spending of the fee.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0511-2-1-550 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.6 Direct obligations: Medical care.. -115
99.0 Reimbursable obligations:
Subtotal, reimbursable
obligations..................... 115
--------- --------- ----------
99.9 Total new obligations...........
---------------------------------------------------------------------------
[[Page 460]]
State Children's Health Insurance Fund
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0515-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Grants, subsidies, and
contributions................... 4,249 4,249 3,115
00.02 Advisory and assistance services.. 10
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... 4,259 4,249 3,115
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 4,259 4,249 3,115
23.95 Total new obligations............. -4,259 -4,249 -3,115
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
Appropriation:
60.00 Appropriation, BBA............ 4,275 4,275 3,150
60.00 Appropriation, BBRA for
territories................. 34 34 25
60.00 Appropriation, BBRA........... 10
61.00 Transferred to other accounts... -60 -60 -60
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 4,259 4,249 3,115
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 7,912 10,951 11,168
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 7,912 10,951 11,168
73.10 Total new obligations............. 4,259 4,249 3,115
73.20 Total outlays (gross)............. -1,220 -4,032 -3,355
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 10,951 11,168 10,928
--------- --------- ----------
74.99 Obligated balance, end of year 10,951 11,168 10,928
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 195 880 930
86.98 Outlays from mandatory balances... 1,025 3,152 2,425
--------- --------- ----------
87.00 Total outlays (gross)........... 1,220 4,032 3,355
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 4,259 4,249 3,115
90.00 Outlays........................... 1,220 4,032 3,355
---------------------------------------------------------------------------
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.
Immediate Helping Hand Prescription Drug Plan
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9010-4-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 41.0)..................... 2,500 11,200
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 2,500 11,200
23.95 Total new obligations............. -2,500 -11,200
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 2,500 11,200
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 2,500 11,200
73.20 Total outlays (gross)............. -2,500 -11,200
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 2,500 11,200
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,500 11,200
90.00 Outlays........................... 2,500 11,200
---------------------------------------------------------------------------
The Immediate Helping Hand provides critical assistance to our
Nation's most vulnerable senior citizens for the cost of their
prescription drugs.
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 [2001] 2002,
no commitments for direct loans or loan guarantees shall be made.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4420-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 11 10 10
22.00 New budget authority (gross)...... 1
22.60 Portion applied to repay debt..... -2 -1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 10 9 10
23.95 Total new obligations.............
24.40 Unobligated balance carried
forward, end of year............ 10 10 10
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
69.00 Offsetting collections (cash)... 1
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -1
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
Status of Guaranteed Loans (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-4420-0-3-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Cumulative balance of guaranteed loans
outstanding:
2210 Outstanding, start of year........ 3 1
2251 Repayments and prepayments........ -2 -1
--------- --------- ----------
2290 Outstanding, end of year........ 1
----------------------------------------------------------------------------
Memorandum:
2299 Guaranteed amount of guaranteed
loans outstanding, end of year.. 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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............ 137,807 167,263 196,615
Receipts:
02.00 Transfers from general fund (FICA
taxes).......................... 125,909 137,002 143,528
[[Page 461]]
02.01 Transfers from general fund (SECA
taxes).......................... 9,200 9,819 10,152
02.02 Receipts from Railroad Retirement
Board........................... 418 407 418
02.03 Civil penalties and damages....... 147 161 178
02.04 Deposits by states................ 2
02.20 Premiums collected for uninsured
individuals not otherwise
eligible........................ 1,392 1,397 1,488
02.21 Other proprietary receipts from
the public...................... 1
02.40 Federal employer contributions
(FICA).......................... 1,989 2,036 2,125
02.41 Postal service employer
contributions (FICA)............ 639 655 682
02.42 Payments from the general fund
(uninsured and program
management)..................... 587 605 592
Offsetting receipts (intragovernmental):
02.43 Taxation on OASDI benefits...... 8,787 7,337 7,903
02.43 Taxation on OASDI benefits,
legislative proposal not
subject to PAYGO.............. -106
02.44 Interest payments by Railroad
Retirement Board................ 47 37 34
02.45 Interest received by trust funds.. 10,423 12,248 13,715
02.46 Payments for military service
credits......................... 2 2 2
02.47 FBI, Payment from the general fund 76 88 101
02.48 Criminal fines, transfers from the
general fund.................... 57 63 69
02.49 Civil monetary penalties,
transfers from the general fund. 5 6 6
02.50 Transfers from DOD, HI............ 11 16
02.80 Federal hospital insurance trust
fund, offsetting collections.... 5
--------- --------- ----------
02.99 Total receipts and collections.. 159,686 171,874 180,903
--------- --------- ----------
04.00 Total: Balances and collections... 297,493 339,137 377,518
Appropriations:
Appropriations:
05.00 Federal hospital insurance trust
fund.......................... -129,366 -141,572 -146,197
05.00 Proposed legislation not subject
to PAYGO...................... 20
05.01 Health care fraud and abuse
control account................. -869 -950 -1,010
--------- --------- ----------
05.99 Total appropriations............ -130,235 -142,522 -147,187
06.10 Unobligated balance returned to
receipts........................ 5
--------- --------- ----------
07.99 Balance, end of year.............. 167,263 196,615 230,331
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8005-0-7-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Benefit payments, HI.............. 125,993 135,092 141,843
00.02 Administration, HI................ 1,232 1,447 1,548
00.03 Peer review organizations, HI..... 405 89 312
00.04 Research, HI...................... 30 97 39
00.05 HI partial transfer of home health
to SMI.......................... 1,706 3,515 2,455
00.06 Quinquennial adjustment........... 1,332
--------- --------- ----------
10.00 Total new obligations........... 129,366 141,572 146,197
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 129,366 141,572 146,197
23.95 Total new obligations............. -129,366 -141,572 -146,197
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... 1,222 1,504 1,547
Mandatory:
60.27 Appropriation (trust fund,
indefinite)................... 157,594 169,420 178,451
60.45 Portion precluded from
obligation.................... -29,450 -29,352 -33,801
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 128,144 140,068 144,650
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 129,366 141,572 146,197
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 465 636 390
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 465 636 390
73.10 Total new obligations............. 129,366 141,572 146,197
73.20 Total outlays (gross)............. -129,195 -141,818 -146,221
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 636 390 366
--------- --------- ----------
74.99 Obligated balance, end of year 636 390 366
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,222 1,440 1,547
86.97 Outlays from new mandatory
authority....................... 127,823 140,011 144,447
86.98 Outlays from mandatory balances... 150 367 227
--------- --------- ----------
87.00 Total outlays (gross)........... 129,195 141,818 146,221
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 129,366 141,572 146,197
90.00 Outlays........................... 129,195 141,818 146,221
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.01 Total investments, start of year:
Federal securities: Par value... 153,767 168,859 197,178
92.02 Total investments, end of year:
Federal securities: Par value... 168,859 197,178 230,850
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 129,366 141,572 146,197
Outlays........................... 129,195 141,818 146,221
Legislative proposal, not subject to
PAYGO:
Budget Authority.................. -20
Outlays........................... -20
------------------------------------
Total:
Budget Authority.................. 129,366 141,572 146,177
Outlays........................... 129,195 141,818 146,201
====================================
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Unexpended balance, start of year:
0100 Treasury balance.................. -15,346 -789
0101 U.S. Securities: Par value........ 153,767 168,859 197,178
--------- --------- ----------
0199 Total balance, start of year.... 138,421 168,072 197,178
Cash income during the year:
Current law:
Receipts:
1200 FHI trust fund, transfers from
general fund (FICA taxes)... 125,909 137,002 143,528
1201 FHI trust fund, transfers from
general fund (SECA taxes)... 9,200 9,819 10,152
1202 FHI trust fund, receipts from
Railroad Retirement Board... 418 407 418
1203 HCFAC: Civil penalties and
damages..................... 147 161 178
1204 FHI trust fund, Deposits by
States...................... 2
Offsetting receipts
(proprietary):
1220 FHI trust fund, premiums
collected for uninsured
individuals not otherwise
eligible.................... 1,392 1,397 1,488
1221 Other proprietary receipts.... 1
Offsetting receipts
(intragovernmental):
1240 FHI trust fund, Federal
employer contributions
(FICA)...................... 1,989 2,036 2,125
1241 FHI trust fund, Postal Service
employer contributions
(FICA)...................... 639 655 682
Offsetting receipts
(intragovernmental):
1242 FHI trust fund, Federal
payment for transitional
coverage for uninsured
Federal employees......... 121 132 150
1242 FHI trust fund, Federal
payment for transitional
coverage for the uninsured 349 321 292
1242 FHI trust fund, general fund
transfer, program
management (HI)........... 116 152 150
1243 FHI trust fund, Federal
payments for OASDI taxes.... 8,787 7,337 7,903
1244 FHI trust fund, interest
payment from Railroad
Retirement Board............ 47 37 34
1245 FHI trust fund, interest on
investments................. 10,423 12,248 13,715
1246 FHI trust fund, transfer from
Department of Defense for
military service credits.... 2 2 2
1247 HCFAC: FBI.................... 76 88 101
1248 HCFAC: Criminal fines......... 57 63 69
1249 HCFAC: Civil monetary
penalties................... 5 6 6
1250 Other intragovernmental
transactions................ 11 16
Offsetting collections:
1280 HCFAC user fees............... 5
1299 Income under present law........ 159,686 171,874 181,009
Proposed legislation:
Offsetting receipts
(intragovernmental):
2243 Offsetting receipts
(intragovernmental)......... -106
--------- --------- ----------
3299 Total cash income............... 159,686 171,874 180,903
[[Page 462]]
Cash outgo during year:
Current law:
Cash outgo during the year (-):
4500 Benefit Payments.............. -125,992 -136,424 -141,843
4500 Administration................ -1,232 -1,431 -1,521
4500 Peer Review Organizations..... -235 -399 -336
4500 Research...................... -30 -49 -66
4500 HI Partial Transfer of Home
Health to SMI............... -1,706 -3,515 -2,455
4501 HCFAC........................... -840 -950 -1,010
4599 Outgo under current law (-)..... -130,035 -142,768 -147,231
Proposed legislation:
5500 Administration, legislative
proposal not subject to PAYGO. 20
--------- --------- ----------
6599 Total cash outgo (-)............ -130,035 -142,768 -147,211
Unexpended balance, end of year:
8700 Uninvested balance................ -789
8701 Federal securities: Par value..... 168,859 197,178 230,870
--------- --------- ----------
8799 Total balance, end of year...... 168,072 197,178 230,870
---------------------------------------------------------------------------
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8005-0-7-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Grants, subsidies, and contributions:
41.0 Payment for health insurance
experiments and demonstration
projects...................... 30 97 39
41.0 Payment for peer review
organization (PRO) activities. 405 89 312
42.0 Insurance claims and indemnities.. 125,993 136,424 141,843
Undistributed:
92.0 HI Partial Transfer of Home
Health to SMI................. 1,706 3,515 2,455
92.0 Reimbursement for administrative
expenses for other than SSA
LAE........................... 50 50 50
92.0 Purchases of goods and services. 694 816 864
93.0 Administrative expenses: Portion
of limitation on salaries and
expenses: Social Security
Administration.................. 488 581 634
--------- --------- ----------
99.9 Total new obligations........... 129,366 141,572 146,197
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.02 Administration, HI................ -20
--------- --------- ----------
10.00 Total new obligations (object
class 92.0)................... -20
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... -20
23.95 Total new obligations............. 20
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... -20
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. -20
73.20 Total outlays (gross)............. 20
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... -20
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. -20
90.00 Outlays........................... -20
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.02 Total investments, end of year:
Federal securities: Par value... 20
---------------------------------------------------------------------------
The budget proposes a tax relief package that would reduce marginal
tax rates. This change would reduce the receipts from taxing OASDI
benefits, and therefore would reduce the amount of the tax transfer to
the Hospital Insurance (HI) trust fund. The account reflects this
reduction.
The budget proposes new discretionary user fees paid by providers
for submitting paper claims and duplicate or unprocessable claims. This
account reflects the reduction in payments to HI and SMI as a result of
this user fee proposal.
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Medicare integrity program........ 630 680 700
00.02 FBI fraud and abuse control....... 76 88 101
00.03 Other fraud and abuse control..... 157 182 209
09.01 Reimbursable program.............. 1
--------- --------- ----------
10.00 Total new obligations........... 864 950 1,010
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 869 950 1,010
23.95 Total new obligations............. -864 -950 -1,010
23.98 Unobligated balance expiring or
withdrawn....................... -5
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.26 Appropriation (trust fund,
definite)..................... 864 950 1,010
69.00 Offsetting collections (cash)..... 5
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 869 950 1,010
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 149 173 173
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 149 173 173
73.10 Total new obligations............. 864 950 1,010
73.20 Total outlays (gross)............. -840 -950 -1,010
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 173 173 173
--------- --------- ----------
74.99 Obligated balance, end of year 173 173 173
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 840 950 1,010
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -5
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 864 950 1,010
90.00 Outlays........................... 836 950 1,010
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
25.6 Medical care (HCFA)............. 630 680 700
92.0 Undistributed (FBI)............. 76 88 101
--------- --------- ----------
99.0 Subtotal, direct obligations.. 706 768 801
Allocation Account:
Personnel compensation:
Full-time permanent:
11.1 Full-time permanent [Other
HHS]...................... 2 2 1
[[Page 463]]
11.1 Full-time permanent (OIG)... 61 74 87
11.1 Full-time permanent (DoJ)... 15 15 15
11.1 Full-time permanent (ASMB).. 2
11.1 Full-time permanent (OGC)... 2 3 4
Other than full-time
permanent:
11.3 Other than full-time
permanent (DOJ)........... 1 1 1
11.3 Other than full-time
permanent (OIG)........... 1
11.5 Other personnel compensation
(OIG)....................... 1
11.8 Special personal services
payments [DOJ].............. 1 1 1
--------- --------- ----------
11.9 Total personnel compensation 84 96 111
Civilian personnel benefits:
12.1 Civilian personnel benefits
(OIG)....................... 17 19 24
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 1
22.0 Transportation of things (OIG).. 1 1 1
Rental payments to GSA:
23.1 Rental payments to GSA (OIG).. 8 8 9
23.1 Rental payments to GSA (DoJ).. 3 3 3
23.3 Communications, utilities, and
miscellaneous charges (OIG)... 2 1 2
24.0 Printing and reproduction [DOJ]. 1 1
25.1 Advisory and assistance services
[DOJ]......................... 1 1 1
Other services:
25.2 Other services (DoJ).......... 6 14 15
25.2 Other services [OIG].......... 2 2 2
25.2 Other services................ 1 3
Purchases of goods and services
from Government accounts:
25.3 Purchases of goods and
services from Government
accounts (DoJ).............. 2 3 2
25.3 Purchases of goods and
services from Government
accounts [OIG].............. 12 12 12
25.7 Operation and maintenance of
equipment (OIG)............... 1 1 1
26.0 Supplies and materials (OIG).... 2 2 2
Equipment:
31.0 Equipment (OIG)............... 5 4 4
31.0 Equipment [DOJ]............... 1 1
Grants, subsidies, and
contributions:
41.0 Grants, subsidies, and
contributions (AoA)......... 1 1
41.0 Grants, subsidies, and
contributions (HCFA)........ 2 3
--------- --------- ----------
99.0 Subtotal, allocation account.. 158 182 209
--------- --------- ----------
99.9 Total new obligations........... 864 950 1,010
---------------------------------------------------------------------------
This schedule reflects estimated distribution of the allocation
account. Actual FY 2002 distributions will be determined by the
Secretary of HHS and the Attorney General consistent with the
President's priorities.
2000 actual 2001 est. 2002 est.
Department of Justice (DOJ)......... 35 43 45
Office of the Inspector General, HHS 119 130 150
Health Care Financing
Administration, HHS................. 630 683 704
Office of General Counsel, HHS...... 2 4 5
Other HHS........................... 2 2 5
------------------------------------
Total........................... 788 862 909
====================================
Federal Supplementary Medical Insurance Trust Fund
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8004-0-7-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............ 45,615 45,730 39,360
Receipts:
Offsetting receipts (proprietary):
02.20 Premiums collected for the aged. 17,961 19,152 22,116
02.20 Premiums collected for the aged,
legislative proposal not
subject to PAYGO.............. -20
02.21 Premiums collected for the
disabled........................ 2,554 2,884 3,430
02.22 Other proprietary receipts from
the public...................... 4
Offsetting receipts (intragovernmental):
02.40 Federal contributions........... 65,561 69,777 81,332
02.40 Federal contributions,
legislative proposal not
subject to PAYGO.............. -70
02.41 Interest received by trust fund... 3,160 3,033 2,733
02.42 Transfers from DOD, SMI........... 11 15
02.80 Federal supplementary medical
insurance trust fund, offsetting
collections..................... 1,706 3,515 2,455
--------- --------- ----------
02.99 Total receipts and collections.. 90,946 98,372 111,991
--------- --------- ----------
04.00 Total: Balances and collections... 136,561 144,102 151,351
Appropriations:
Appropriations:
05.00 Federal supplementary medical
insurance trust fund.......... -90,831 -104,742 -112,290
05.00 Legislative proposal not subject
to PAYGO...................... 95
--------- --------- ----------
05.99 Total appropriations............ -90,831 -104,742 -112,195
--------- --------- ----------
07.99 Balance, end of year.............. 45,730 39,360 39,156
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8004-0-7-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Benefit payments, SMI............. 87,170 99,183 107,669
00.02 Administration, SMI............... 1,767 1,810 2,002
00.03 Peer review organizations, SMI.... 175 22 78
00.04 Research, SMI..................... 13 42 16
00.06 Transfer to Medicaid for payment
of SMI premiums................. 170 70
09.01 HI partial transfer of home health 1,706 3,515 2,455
--------- --------- ----------
10.00 Total new obligations........... 90,831 104,742 112,290
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 90,831 104,742 112,290
23.95 Total new obligations............. -90,831 -104,742 -112,290
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... 1,776 1,852 2,014
40.76 Reduction pursuant to P.L. 106-
113........................... -4
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 1,776 1,848 2,014
Mandatory:
60.27 Appropriation (trust fund,
indefinite)................... 87,464 93,009 107,612
60.45 Portion precluded from
obligation.................... -115 6,370 209
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 87,349 99,379 107,821
69.00 Offsetting collections (cash)..... 1,706 3,515 2,455
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 90,831 104,742 112,290
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 34 166 114
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 34 166 114
73.10 Total new obligations............. 90,831 104,742 112,290
73.20 Total outlays (gross)............. -90,698 -104,794 -112,288
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 166 114 116
--------- --------- ----------
74.99 Obligated balance, end of year 166 114 116
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,776 1,816 2,003
86.97 Outlays from new mandatory
authority....................... 88,894 102,879 110,225
86.98 Outlays from mandatory balances... 28 99 60
--------- --------- ----------
87.00 Total outlays (gross)........... 90,698 104,794 112,288
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -1,706 -3,515 -2,455
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 89,125 101,227 109,835
90.00 Outlays........................... 88,992 101,279 109,833
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.01 Total investments, start of year:
Federal securities: Par value... 26,528 45,075 39,474
92.02 Total investments, end of year:
Federal securities: Par value... 45,075 39,474 39,177
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 89,125 101,227 109,835
Outlays........................... 88,992 101,279 109,833
[[Page 464]]
Legislative proposal, not subject to
PAYGO:
Budget Authority.................. -95
Outlays........................... -95
------------------------------------
Total:
Budget Authority.................. 89,125 101,227 109,740
Outlays........................... 88,992 101,279 109,738
====================================
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Unexpended balance, start of year:
0100 Treasury balance.................. 19,120 821
0101 U.S. Securities: Par value........ 26,528 45,075 39,474
--------- --------- ----------
0199 Total balance, start of year.... 45,649 45,896 39,474
Cash income during the year:
Current law:
Offsetting receipts
(proprietary):
1220 Premiums collected for the
aged, FSMI fund............. 17,961 19,152 22,116
1221 Premiums collected for the
disabled, FSMI fund......... 2,554 2,884 3,430
1222 Other proprietary receipts.... 4
Offsetting receipts
(intragovernmental):
1240 Federal contributions, FSMI
fund........................ 65,561 69,777 81,332
1241 Interest received by trust
fund, FSMI fund............. 3,160 3,033 2,733
1242 Intragovernmental transactions 11 15
Offsetting collections:
1280 HI partial transfer of home
health...................... 1,706 3,515 2,455
1299 Income under present law........ 90,946 98,372 112,081
Proposed legislation:
Offsetting receipts (proprietary
receipts):
2220 Offsetting receipts
(proprietary receipts)...... -20
Offsetting receipts
(intragovernmental):
2240 Federal contributions,
legislative proposal not
subject to PAYGO............ -70
2299 Income under proposed
legislation................... -90
--------- --------- ----------
3299 Total cash income............... 90,946 98,372 111,991
Cash outgo during year:
Current law:
Cash outgo during the year (-):
4500 Benefit payments & ESRD....... -87,169 -99,183 -107,669
4500 Administration................ -1,767 -1,799 -1,979
4500 Peer review organizations..... -43 -106 -87
4500 Research...................... -13 -21 -28
4500 HI partial transfer of home
health...................... -1,706 -3,515 -2,455
4500 Transfer to Medicaid for
payment of SMI premiums..... -170 -70
4599 Outgo under current law (-)..... -90,698 -104,794 -112,288
Proposed legislation:
5500 Administration, legislative
proposal not subject to PAYGO. 95
--------- --------- ----------
6599 Total cash outgo (-)............ -90,698 -104,794 -112,193
Unexpended balance, end of year:
8700 Uninvested balance................ 821
8701 Federal securities: Par value..... 45,075 39,474 39,272
--------- --------- ----------
8799 Total balance, end of year...... 45,896 39,474 39,272
---------------------------------------------------------------------------
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 20-8004-0-7-571 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Grants, subsidies, and
contributions:
41.0 Payment for peer review
organization (PRO) activity. 175 22 78
41.0 Payment for health insurance
experiments and
demonstration projects...... 16 42 16
42.0 Insurance claims and indemnities 87,170 99,353 107,739
92.0 Undistributed................... 1,254 1,297 1,442
93.0 Administrative expenses: Portion
of limitation on salaries and
expenses: Social Security
Administration................ 510 513 560
--------- --------- ----------
99.0 Subtotal, direct obligations.. 89,125 101,227 109,835
99.0 Reimbursable obligations.......... 1,706 3,515 2,455
--------- --------- ----------
99.9 Total new obligations........... 90,831 104,742 112,290
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.02 Administration, SMI............... -95
--------- --------- ----------
10.00 Total new obligations (object
class 92.0)................... -95
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... -95
23.95 Total new obligations............. 95
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.26 Appropriation (trust fund,
definite)..................... -95
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. -95
73.20 Total outlays (gross)............. 95
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... -95
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. -95
90.00 Outlays........................... -95
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.02 Total investments, end of year:
Federal securities: Par value... 95
---------------------------------------------------------------------------
The Budget proposes new discretionary user fees paid by providers
for submitting paper claims and duplicate or unprocessable claims. This
account reflects the reduction in payments to SMI as a result of this
user fee proposal.
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.''
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 State family assistance grant..... 16,489 16,489 16,489
00.02 State penalties................... -10 -10
00.03 Territories--family assistance
grants.......................... 78 78 78
00.04 Matching grants to territories.... 7 15 15
00.05 Bonus to reward decrease in
illegitimacy.................... 100 100 100
[[Page 465]]
00.06 Supplemental grants for population
increases....................... 239 319
00.07 Bonus to reward high performance
States.......................... 200 200 200
00.08 Tribal work programs.............. 7 7 7
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... 17,120 17,198 16,879
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1,561 1,122 609
22.00 New budget authority (gross)...... 16,689 16,689 16,679
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 18,250 17,811 17,288
23.95 Total new obligations............. -17,120 -17,198 -16,879
23.98 Unobligated balance expiring or
withdrawn....................... -8 -3
24.40 Unobligated balance carried
forward, end of year............ 1,122 609 408
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.05 Appropriation (indefinite)...... 16,689 16,689 16,679
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 10,136 11,803 11,922
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 10,136 11,803 11,922
73.10 Total new obligations............. 17,120 17,198 16,879
73.20 Total outlays (gross)............. -15,463 -17,080 -17,260
73.40 Adjustments in expired accounts
(net)........................... 11
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 11,803 11,922 11,542
--------- --------- ----------
74.99 Obligated balance, end of year 11,803 11,922 11,542
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 10,344 10,309 10,136
86.98 Outlays from mandatory balances... 5,120 6,771 7,124
--------- --------- ----------
87.00 Total outlays (gross)........... 15,463 17,080 17,260
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 16,689 16,689 16,679
90.00 Outlays........................... 15,464 17,080 17,260
---------------------------------------------------------------------------
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)
This legislative proposal will allow states beginning in 2003 to
claim as Federal TANF expenditures a portion of the revenue losses
associated with enacting a charitable State Tax Credit for contributions
to charities designated by States as addressing poverty and its impact.
Contingency Fund
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1522-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1,958 1,958
23.95 Total new obligations.............
23.98 Unobligated balance expiring or
withdrawn....................... -1,958
24.40 Unobligated balance carried
forward, end of year............ 1,958
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
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), [$2,441,800,000] $2,447,800,000,
to remain available until expended; and for such purposes for the first
quarter of fiscal year [2002, $1,000,000,000] 2003, $1,100,000,000, 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 fiscal year for
unanticipated costs, incurred for the current fiscal year, such sums as
may be necessary. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1501-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Child support enforcement (CSE):
Benefit payments:
00.01 State child support
administrative costs........ 2,806 3,248 3,414
00.02 Federal incentive/hold
harmless payments to States. 406 426 460
00.03 Access and visitation grants.. 10 10 10
--------- --------- ----------
00.91 Subtotal, child support
enforcement................... 3,222 3,684 3,884
01.02 Payments to territories........... 19 23 23
01.03 Repatriation...................... 1 1 1
--------- --------- ----------
01.91 Subtotal, other payments........ 20 24 24
Aid to families with dependent children (AFDC)
payments:
02.01 AFDC benefit payments........... 94 37
02.03 State and local welfare
administration................ 17 1
02.04 AFDC/JOBS child care............ 2
--------- --------- ----------
02.91 Subtotal, AFDC programs....... 111 40
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... 3,353 3,748 3,908
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1,920 1
22.00 New budget authority (gross)...... 1,416 3,747 3,908
22.10 Resources available from
recoveries of prior year
obligations..................... 18
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 3,354 3,748 3,908
23.95 Total new obligations............. -3,353 -3,748 -3,908
24.40 Unobligated balance carried
forward, end of year............ 1
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 2,442 2,448
60.05 Appropriation (indefinite)...... 260 229
--------- --------- ----------
62.50 Appropriation (total
mandatory).................. 260 2,671 2,448
65.00 Advance appropriation........... 750 650 1,000
69.00 Offsetting collections (cash)..... 406 426 460
69.10 Change in uncollected customer
payments from Federal sources... 54
69.15 Adjustments to uncollected
customer payments from Federal
sources......................... -54
--------- --------- ----------
69.90 Spending authority from
offsetting collections (total
mandatory).................... 406 426 460
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 1,416 3,747 3,908
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 1,086 1,163 1,046
[[Page 466]]
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -30 -84 -84
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 1,056 1,079 962
73.10 Total new obligations............. 3,353 3,748 3,908
73.20 Total outlays (gross)............. -3,312 -3,865 -3,913
73.40 Adjustments in expired accounts
(net)........................... 54
73.45 Recoveries of prior year
obligations..................... -18
74.00 Change in uncollected customer
payments from Federal sources... -54
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 1,163 1,046 1,041
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -84 -84 -84
--------- --------- ----------
74.99 Obligated balance, end of year 1,079 962 957
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 1,416 3,235 3,382
86.98 Outlays from mandatory balances... 1,896 630 531
--------- --------- ----------
87.00 Total outlays (gross)........... 3,312 3,865 3,913
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -406 -426 -460
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -54
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... 54
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 1,010 3,321 3,448
90.00 Outlays........................... 2,906 3,439 3,453
---------------------------------------------------------------------------
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 net Federal costs of
child support enforcement:
Net Federal Costs of Child Support Enforcement
(In millions of dollars)
2000 2001 2002
Gross Federal share of collections.. (1,319) (1,322) (1,338)
Federal incentive payments to States 396 416 450
Hold harmless payments.............. 10 10 10
State child support administrative
costs............................... 2,806 3,248 3,414
Access and visitation grants........ 10 10 10
------------------------------------
Total........................... 1,903 2.362 2,546
====================================
Low Income Home Energy Assistance
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, [in addition to amounts already appropriated
for fiscal year 2001, $300,000,000] $1,400,000,000.
For making payments under title XXVI of the Omnibus Reconciliation
Act of 1981, $300,000,000: Provided, That these funds are [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: Provided further, That these funds 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 such Act] for
the unanticipated home energy assistance needs of one or more States, as
authorized by section 2604(e) of the Act and notwithstanding the
designation requirement of section 2602(e) of such Act. (Departments of
Labor, Health and Human Services, and Education, and Related Agencies
Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1502-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 41.0)..................... 1,845 1,856 1,559
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 156
22.00 New budget authority (gross)...... 2,000 1,700 1,700
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 2,000 1,856 1,700
23.95 Total new obligations............. -1,845 -1,856 -1,559
23.98 Unobligated balance expiring or
withdrawn....................... -141
24.40 Unobligated balance carried
forward, end of year............ 156
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 300 1,400
40.15 Appropriation (emergency)....... 900 300 300
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 900 600 1,700
55.00 Advance appropriation........... 1,100 1,100
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 2,000 1,700 1,700
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 474 822 437
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 474 822 437
73.10 Total new obligations............. 1,845 1,856 1,559
73.20 Total outlays (gross)............. -1,495 -2,241 -1,525
73.40 Adjustments in expired accounts
(net)........................... -2
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 822 437 471
--------- --------- ----------
74.99 Obligated balance, end of year 822 437 471
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 1,079 1,336 1,153
86.93 Outlays from discretionary
balances........................ 416 905 372
--------- --------- ----------
87.00 Total outlays (gross)........... 1,495 2,241 1,525
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,000 1,700 1,700
90.00 Outlays........................... 1,495 2,241 1,525
---------------------------------------------------------------------------
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. Obligation
estimates for the emergency contingency fund are based on average
historical obligation rates.
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), [$423,109,000: Provided, That funds appropriated pursuant to
section 414(a) of the Immigration and Nationality Act for fiscal year
2001 shall be available for the costs of assistance provided and other
activities through September 30, 2003] $435,224,000 to remain available
through September 30, 2004: Provided [further], That up to [$5,000,000]
$10,000,000 is available to carry out the Trafficking Victims Protection
Act of 2000.
For carrying out section 5 of the Torture Victims Relief Act of 1998
(Public Law 105-320), $10,000,000. (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
[[Page 467]]
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1503-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Refugee and entrant assistance.... 443 423 435
00.02 Assistance for treatment of
torture victims................. 7 10 10
--------- --------- ----------
10.00 Total new obligations........... 450 433 445
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 2 50 62
22.00 New budget authority (gross)...... 498 445 445
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 500 495 507
23.95 Total new obligations............. -450 -433 -445
24.40 Unobligated balance carried
forward, end of year............ 50 62 62
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 423 435
40.05 Appropriation (indefinite)...... 8 10 10
40.15 Appropriation (emergency)....... 419
40.76 Reduction pursuant to P.L. 106-
113........................... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 426 433 445
50.00 Reappropriation................. 72 12
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 498 445 445
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 587 597 578
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 587 597 578
73.10 Total new obligations............. 450 433 445
73.20 Total outlays (gross)............. -383 -452 -446
73.40 Adjustments in expired accounts
(net)........................... -58
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 597 578 577
--------- --------- ----------
74.99 Obligated balance, end of year 597 578 577
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 124 120 120
86.93 Outlays from discretionary
balances........................ 259 331 325
--------- --------- ----------
87.00 Total outlays (gross)........... 383 452 446
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 498 445 445
90.00 Outlays........................... 383 452 446
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 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........ 1 1 1
41.0 Grants, subsidies, and
contributions................... 447 430 442
--------- --------- ----------
99.9 Total new obligations........... 450 433 445
---------------------------------------------------------------------------
Promoting Safe and Stable Families
For carrying out section 430 of the Social Security Act,
$305,000,000. In addition, $67,000,000 shall be made available to the
states consistent with the allotment procedures in section 433 of the
Social Security Act for carrying out programs to mentor the children of
prisoners and probationers. (Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2001,
as enacted by section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1512-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Grants to States and Tribes....... 260 289 289
00.02 Training and technical assistance. 6 6 6
00.03 State court assessment activities. 10 10 10
00.04 Mentoring children of prisoners... 67
--------- --------- ----------
10.00 Total new obligations........... 276 305 372
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 295 305 372
23.95 Total new obligations............. -276 -305 -372
23.98 Unobligated balance expiring or
withdrawn....................... -19
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 67
Mandatory:
60.00 Appropriation................... 295 305 305
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 295 305 372
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 322 345 328
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 322 345 328
73.10 Total new obligations............. 276 305 372
73.20 Total outlays (gross)............. -245 -276 -303
73.40 Adjustments in expired accounts
(net)........................... -8 -46
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 345 328 397
--------- --------- ----------
74.99 Obligated balance, end of year 345 328 397
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 10
86.97 Outlays from new mandatory
authority....................... 42 46 46
86.98 Outlays from mandatory balances... 203 230 247
--------- --------- ----------
87.00 Total outlays (gross)........... 245 276 303
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 295 305 372
90.00 Outlays........................... 245 276 303
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 295 305 372
Outlays........................... 245 276 303
Legislative proposal, subject to
PAYGO:
Budget Authority.................. 200
Outlays........................... 30
------------------------------------
Total:
Budget Authority.................. 295 305 572
Outlays........................... 245 276 333
====================================
This program provides funds for a broad range of child welfare
services, including family preservation and family support services.
Includes funding for states to provide competitive grants to faith and
community-based groups to mentor the children of prisoners and help
rebuild the families of low-income probationers.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1512-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.1 Advisory and assistance services.. 6 6 7
25.2 Other services.................... 1
41.0 Grants, subsidies, and
contributions................... 270 299 364
--------- --------- ----------
99.9 Total new obligations........... 276 305 372
---------------------------------------------------------------------------
[[Page 468]]
Promoting Safe and Stable Families
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1512-4-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Grants to States and Tribes....... 200
--------- --------- ----------
10.00 Total new obligations........... 200
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 200
23.95 Total new obligations............. -200
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 200
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year..........................
--------- --------- ----------
72.99 Obligated balance, start of
year........................
73.10 Total new obligations............. 200
73.20 Total outlays (gross)............. -30
73.40 Adjustments in expired accounts
(net)...........................
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 170
--------- --------- ----------
74.99 Obligated balance, end of year 170
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 30
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 200
90.00 Outlays........................... 30
---------------------------------------------------------------------------
The legislative proposal will reauthorize and increase the funds
available for the Promoting Safe and Stable Families program.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1512-4-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
21.0 Travel and transportation of
persons......................... 1
25.1 Advisory and assistance services.. 5
25.2 Other services.................... 1
41.0 Grants, subsidies, and
contributions................... 193
--------- --------- ----------
99.9 Total new obligations........... 200
---------------------------------------------------------------------------
Job Opportunities and Basic Skills Training Program
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1509-0-1-504 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 62 43 3
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 62 43 3
73.20 Total outlays (gross)............. -15 -9 -3
73.40 Adjustments in expired accounts
(net)........................... -4 -31
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 43 3
--------- --------- ----------
74.99 Obligated balance, end of year 43 3
----------------------------------------------------------------------------
Outlays (gross), detail:
86.98 Outlays from mandatory balances... 15 9 3
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays........................... 15 9 3
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 8
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 8
73.40 Adjustments in expired accounts
(net)........................... -7
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays...........................
---------------------------------------------------------------------------
Child Care Entitlement to States
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1550-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Mandatory child care.............. 1,178 1,177 1,178
00.02 Matching child care............... 1,136 1,332 1,478
00.03 Training and technical assistance. 6 6 7
00.04 Child Care Tribal Grants.......... 47 51 54
--------- --------- ----------
10.00 Total new obligations........... 2,367 2,567 2,717
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 2,367 2,567 2,717
23.95 Total new obligations............. -2,367 -2,567 -2,717
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 2,367 2,567 2,717
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 517 643 787
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 517 643 787
73.10 Total new obligations............. 2,367 2,567 2,717
73.20 Total outlays (gross)............. -2,237 -2,423 -2,555
73.40 Adjustments in expired accounts
(net)........................... -4
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 643 787 949
--------- --------- ----------
74.99 Obligated balance, end of year 643 787 949
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 1,869 1,994 2,046
86.98 Outlays from mandatory balances... 368 429 509
--------- --------- ----------
87.00 Total outlays (gross)........... 2,237 2,423 2,555
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 2,367 2,567 2,717
90.00 Outlays........................... 2,237 2,423 2,555
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.1 Advisory and assistance services.. 6 6 7
41.0 Grants, subsidies, and
contributions................... 2,361 2,561 2,710
--------- --------- ----------
99.9 Total new obligations........... 2,367 2,567 2,717
---------------------------------------------------------------------------
[[Page 469]]
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, such funds] $2,199,987,000 shall be used to
supplement, not supplant state general revenue funds for child care
assistance for low-income families: Provided, That $400,000,000 shall be
available for States to provide parents with certificates to obtain
after-school child care with a high-quality education focus for eligible
children less than 19 years of age, and such funds shall be used to
supplement, not supplant existing State efforts to serve school-age
children: Provided further, That [of the funds appropriated for fiscal
year 2001,] $19,120,000 shall be available for child care resource and
referral and school-aged child care activities, of which $1,000,000
shall be for the Child Care Aware toll free hotline: Provided further,
That [of the funds appropriated for fiscal year 2001], in addition to
the amounts required to be reserved by the States under section 658G,
$272,672,000 shall be reserved by the States for activities authorized
under section 658G, of which $100,000,000 shall be for activities that
improve the quality of infant and toddler child care: Provided further,
That [of the funds appropriated for fiscal year 2001], $10,000,000 shall
be for use by the Secretary for child care research, demonstration, and
evaluation activities. (Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 2001, as enacted
by section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1515-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Block grant payments to States.... 1,170 1,985 1,785
00.02 Grants to States for after school
certificates.................... 400
00.03 Advisory and assistance services.. 3 5 5
00.04 Research and evaluation fund...... 10 10 10
--------- --------- ----------
10.00 Total new obligations........... 1,183 2,000 2,200
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 1,183 2,000 2,200
23.95 Total new obligations............. -1,183 -2,000 -2,200
23.98 Unobligated balance expiring or
withdrawn.......................
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 817 2,200
55.00 Advance appropriation........... 1,183 1,183
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 1,183 2,000 2,200
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 390 499 813
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 390 499 813
73.10 Total new obligations............. 1,183 2,000 2,200
73.20 Total outlays (gross)............. -1,070 -1,686 -2,069
73.40 Adjustments in expired accounts
(net)........................... -3
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 499 813 944
--------- --------- ----------
74.99 Obligated balance, end of year 499 813 944
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 758 1,280 1,408
86.93 Outlays from discretionary
balances........................ 312 406 661
--------- --------- ----------
87.00 Total outlays (gross)........... 1,070 1,686 2,069
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 1,183 2,000 2,200
90.00 Outlays........................... 1,070 1,686 2,069
---------------------------------------------------------------------------
This appropriation helps low-income families pay for child care and
related services including certificates for parents to obtain high
quality after-school care with an education focus and supports grants to
States for child care quality activities.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1515-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.1 Advisory and assistance services.. 5 6 6
25.2 Other services.................... 1 1 1
41.0 Grants, subsidies, and
contributions................... 1,177 1,993 2,193
--------- --------- ----------
99.9 Total new obligations........... 1,183 2,000 2,200
---------------------------------------------------------------------------
Social Services Block Grant
For making grants to States pursuant to section 2002 of the Social
Security Act, [$1,725,000,000: Provided, That notwithstanding section
2003(c) of such Act, as amended, the amount specified for allocation
under such section for fiscal year 2001 shall be $1,725,000,000:
Provided further, That, notwithstanding subparagraph (B) of section
404(d)(2) of such Act, the applicable percent specified under such
subparagraph for a State to carry out State programs pursuant to title
XX of such Act shall be 10 percent] $1,700,000,000. (Departments of
Labor, Health and Human Services, and Education, and Related Agencies
Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1534-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
10.00 Total new obligations (object
class 41.0)..................... 1,775 1,725 1,700
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 1,775 1,725 1,700
23.95 Total new obligations............. -1,775 -1,725 -1,700
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 1,775 1,725 1,700
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 927 874 693
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 927 874 693
73.10 Total new obligations............. 1,775 1,725 1,700
73.20 Total outlays (gross)............. -1,827 -1,906 -1,809
73.40 Adjustments in expired accounts
(net)........................... -1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 874 693 583
--------- --------- ----------
74.99 Obligated balance, end of year 874 693 583
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 1,481 1,501 1,479
86.98 Outlays from mandatory balances... 346 406 330
--------- --------- ----------
87.00 Total outlays (gross)........... 1,827 1,906 1,809
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 1,775 1,725 1,700
90.00 Outlays........................... 1,827 1,906 1,809
---------------------------------------------------------------------------
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, [the Early Learning Opportunities Act,] part
B(1) of title IV and sections 413, 429A, 1110, and 1115 of the Social
Security Act, and sections 40155, 40211, and 40241 of Public Law 103-
322; 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,
[[Page 470]]
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,
[$7,956,345,000] $8,117,492,000, of which $43,000,000, to remain
available until September 30, [2002] 2003, 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) and may be made for
adoptions completed in fiscal years [1999] 2000 and [2000] 2001; of
which [$682,876,000] $655,015,000 shall be for making payments under the
Community Services Block Grant Act; and of which [$6,200,000,000]
$6,324,812,000 shall be for making payments under the Head Start Act,
[of which $1,400,000,000 shall become available October 1, 2001 and
remain available through September 30, 2002] Provided, That the budget
authority (but not the outlays) for $1,400,000,000 provided under this
heading in fiscal year 2001, to be available as an advance appropriation
in fiscal year 2002, shall be considered direct spending in fiscal year
2002 for purposes of the Balanced Budget and Emergency Deficit Control
Act of 1990, as amended, and section 2(a) of Public Law 106-554:
Provided further, 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 $53,739,900 shall be for the Transitional Living
Program as authorized by Part B of the Runaway and Homeless Youth Act,
of which $33,000,000 is for Maternity Group Homes: Provided further,
That $89,000,000 is for a compassion capital fund to provide grants to
charitable organizations to emulate model social service programs and to
encourage research on the best practices of social service
organizations: 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 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.
[Funds appropriated for fiscal year 2001 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 2001 under section 413(h)(1) of
the Social Security Act shall be reduced by $15,000,000.] (Departments
of Labor, Health and Human Services, and Education, and Related Agencies
Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1536-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Head Start........................ 3,865 6,200 6,325
Social services programs:
Runaway and homeless youth:
01.03 Runaway and homeless youth.... 44 48 48
01.04 Transitional living........... 20 21 21
01.05 Maternity group homes......... 33
Child abuse:
01.07 Child abuse state grants...... 21 21 21
01.08 Child abuse discretionary
grants...................... 18 34 18
01.09 Community based resource
centers..................... 33 33 33
Child welfare programs:
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........... 42 43 43
01.17 Adoption opportunities........ 27 27 27
01.18 Family violence grants--battered
women......................... 18
01.19 Social services and income
maintenance research.......... 39 38 6
01.20 Native American programs........ 35 46 44
01.21 Compassion capital fund......... 89
01.23 Early learning fund............. 20
Developmental disabilities:
01.24 Protection and advocacy....... 28 33 33
01.25 Special projects.............. 10 11 11
01.26 University affiliated projects 18 22 22
01.27 State grants.................. 66 68 68
--------- --------- ----------
01.91 Subtotal social services
programs.................... 730 776 828
02.01 ACF Federal administration........ 147 164 172
02.22 Faith based center................ 3
02.88 Violent crime reductions programs. 134 134
--------- --------- ----------
02.91 Subtotal, Federal administration 147 298 309
--------- --------- ----------
02.93 Total Head Start, social
services programs, Federal
administration................ 4,742 7,274 7,462
Community services programs:
03.01 Community services block grants. 519 600 600
03.03 Community food and nutrition.... 6 6
03.04 Community services discretionary 37 35 30
03.05 National youth sports........... 15 16
03.06 Individual development accounts... 7 25 25
--------- --------- ----------
03.91 Subtotal, community services.... 584 682 655
--------- --------- ----------
04.00 Total direct programs........... 5,326 7,956 8,117
09.01 Reimbursable program.............. 15 15 15
--------- --------- ----------
10.00 Total new obligations........... 5,341 7,971 8,132
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1
22.00 New budget authority (gross)...... 5,344 7,971 9,532
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 5,345 7,971 9,532
23.95 Total new obligations............. -5,341 -7,971 -8,132
23.98 Unobligated balance expiring or
withdrawn....................... -3
24.40 Unobligated balance carried
forward, end of year............ 1,400
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 3,634 6,556 8,117
40.15 Appropriation (emergency)....... 1,700
40.76 Reduction pursuant to P.L. 106-
113........................... -6
41.00 Transferred to other accounts... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 5,327 6,556 8,117
55.00 Advance appropriation........... 1,400
Mandatory:
65.00 Advance appropriation........... 1,400
Spending authority from offsetting
collections:
Discretionary:
68.00 Offsetting collections (cash). 15 15 15
68.10 Change in uncollected customer
payments from Federal
sources..................... 2
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)..... 17 15 15
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 5,344 7,971 9,532
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 4,261 3,396 4,671
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -2 -2
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 4,261 3,394 4,669
73.10 Total new obligations............. 5,341 7,971 8,132
73.20 Total outlays (gross)............. -6,167 -6,657 -7,809
73.40 Adjustments in expired accounts
(net)........................... -39 -41
74.00 Change in uncollected customer
payments from Federal sources... -2
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 3,396 4,671 4,994
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -2 -2 -2
--------- --------- ----------
74.99 Obligated balance, end of year 3,394 4,669 4,992
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 2,671 3,825 3,867
86.93 Outlays from discretionary
balances........................ 3,495 2,832 3,942
--------- --------- ----------
87.00 Total outlays (gross)........... 6,167 6,657 7,809
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -15 -15 -15
[[Page 471]]
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -2
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 5,327 7,956 9,517
90.00 Outlays........................... 6,152 6,642 7,794
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 5,327 7,956 9,517
Outlays........................... 6,151 6,642 7,794
Legislative proposal, not subject to
PAYGO:
Budget Authority.................. 64
Outlays........................... 3
------------------------------------
Total:
Budget Authority.................. 5,327 7,956 9,581
Outlays........................... 6,151 6,642 7,797
====================================
Includes funding for grants to provide young pregnant and parenting
women with access to community and faith-based Maternity Group Homes.
Additionally, provides funding for a Compassion Capital Fund to support
public and private partnerships in funding community and faith-based
charitable organizations that expand upon or emulate model social
service programs. Finally, funds are included for Best Practices to fund
research on the effectiveness of social service organizations.
The Administration proposes to reverse the misleading budget
practice of using advance appropriations simply to avoid spending
limitations. In order to avoid overstating discretionary budget
authority in 2002, language is proposed to exclude the advance
appropriation budget authority, appropriated in 2001, from discretionary
budget authority.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1536-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 94 104 113
11.3 Other than full-time permanent 1 1 1
11.5 Other personnel compensation.. 1 1 1
--------- --------- ----------
11.9 Total personnel compensation 96 106 115
12.1 Civilian personnel benefits..... 18 20 22
21.0 Travel and transportation of
persons....................... 3 4 5
23.1 Rental payments to GSA.......... 13 15 16
23.3 Communications, utilities, and
miscellaneous charges......... 2 2 2
24.0 Printing and reproduction....... 1 2 3
25.1 Advisory and assistance services 80 77 124
25.2 Other services.................. 8 8 41
25.3 Purchases of goods and services
from Government accounts...... 35 29 30
25.5 Research and development
contracts..................... 1 1
25.7 Operation and maintenance of
equipment..................... 1 1
26.0 Supplies and materials.......... 1 1 2
31.0 Equipment....................... 1 1 1
41.0 Grants, subsidies, and
contributions................. 5,068 7,689 7,754
--------- --------- ----------
99.0 Subtotal, direct obligations.. 5,326 7,956 8,117
99.0 Reimbursable obligations.......... 15 15 15
--------- --------- ----------
99.9 Total new obligations........... 5,341 7,971 8,132
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-1536-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 1,468 1,532 1,550
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 2
---------------------------------------------------------------------------
Children and Families Services Programs
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1536-2-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.04 Strengthening fatherhood.......... 64
--------- --------- ----------
10.00 Total new obligations........... 64
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 64
23.95 Total new obligations............. -64
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 64
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 64
73.20 Total outlays (gross)............. -3
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 61
--------- --------- ----------
74.99 Obligated balance, end of year 61
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 3
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 64
90.00 Outlays........................... 3
---------------------------------------------------------------------------
This legislative proposal includes funds to establish a new
discretionary grant program for community and faith-based organizations
that promote responsible fatherhood, successful parenting and stronger
marriages.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1536-2-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.2 Other services.................... 4
41.0 Grants, subsidies, and
contributions................... 60
--------- --------- ----------
99.9 Total new obligations........... 64
---------------------------------------------------------------------------
Violent Crime Reduction Programs
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8605-0-1-754 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Family violence/battered women's
shelters and domestic violence
hotline......................... 86
00.02 Education and prevention grants to
reduce sexual abuse of runaway,
homeless and street youth....... 15
--------- --------- ----------
10.00 Total new obligations........... 101
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 101
23.95 Total new obligations............. -101
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
42.00 Transferred from other accounts. 101
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 116 117 33
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 116 117 33
73.10 Total new obligations............. 101
73.20 Total outlays (gross)............. -101 -84 -29
73.40 Adjustments in expired accounts
(net)........................... 1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 117 33 4
--------- --------- ----------
[[Page 472]]
74.99 Obligated balance, end of year 117 33 4
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 11
86.93 Outlays from discretionary
balances........................ 90 84 29
--------- --------- ----------
87.00 Total outlays (gross)........... 101 84 29
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 101
90.00 Outlays........................... 101 84 29
---------------------------------------------------------------------------
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-8605-0-1-754 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.1 Advisory and assistance services.. 3
41.0 Grants, subsidies, and
contributions................... 98
--------- --------- ----------
99.9 Total new obligations........... 101
---------------------------------------------------------------------------
Children's Research and Technical Assistance
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1553-0-1-609 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Training and technical assistance. 15 14 14
00.02 Federal parent locator service.... 34 27 27
00.03 Child welfare study............... 6
00.04 Welfare research.................. 15
09.01 Reimbursable program.............. 4 9 9
--------- --------- ----------
10.00 Total new obligations........... 53 50 71
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 8
22.00 New budget authority (gross)...... 43 49 71
22.10 Resources available from
recoveries of prior year
obligations..................... 2 1
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 53 50 71
23.95 Total new obligations............. -53 -50 -71
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 39 40 62
69.00 Offsetting collections (cash)..... 4 9 9
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 43 49 71
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 60 36 31
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 60 36 31
73.10 Total new obligations............. 53 50 71
73.20 Total outlays (gross)............. -75 -54 -53
73.45 Recoveries of prior year
obligations..................... -2 -1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 36 31 49
--------- --------- ----------
74.99 Obligated balance, end of year 36 31 49
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 23 26 26
86.98 Outlays from mandatory balances... 52 28 26
--------- --------- ----------
87.00 Total outlays (gross)........... 75 54 53
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.40 Offsetting collections (cash)
from: Non-Federal sources..... -4 -9 -9
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 39 40 62
90.00 Outlays........................... 71 45 44
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
21.0 Travel and transportation of
persons....................... 1 1 1
23.3 Communications, utilities, and
miscellaneous charges......... 1 1 1
24.0 Printing and reproduction....... 1 1
25.1 Advisory and assistance services 23 17 29
25.2 Other services.................. 4 1 1
25.3 Purchases of goods and services
from Government accounts...... 18 15 24
26.0 Supplies and materials.......... 1 1 1
41.0 Grants, subsidies, and
contributions................. 1 4 4
--------- --------- ----------
99.0 Subtotal, direct obligations.. 49 41 62
99.0 Reimbursable obligations.......... 4 9 9
--------- --------- ----------
99.9 Total new obligations........... 53 50 71
---------------------------------------------------------------------------
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, [$4,863,100,000] $4,885,600,000.
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 [2002, $1,735,900,000] 2003, $1,754,000,000. (Departments of Labor,
Health and Human Services, and Education, and Related Agencies
Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1545-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Foster care....................... 4,536 5,063 5,055
00.02 Independent living................ 1,008 140 140
00.03 Adoption assistance............... 134 1,198 1,426
--------- --------- ----------
10.00 Total new obligations........... 5,678 6,401 6,621
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 5,697 6,401 6,621
23.95 Total new obligations............. -5,678 -6,401 -6,621
23.98 Unobligated balance expiring or
withdrawn....................... -19
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 4,342 4,863 4,886
65.00 Advance appropriation........... 1,355 1,538 1,736
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 5,697 6,401 6,622
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 853 1,071 1,417
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 853 1,071 1,417
73.10 Total new obligations............. 5,678 6,401 6,621
73.20 Total outlays (gross)............. -5,453 -6,055 -6,540
73.40 Adjustments in expired accounts
(net)........................... -7
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 1,071 1,417 1,498
--------- --------- ----------
74.99 Obligated balance, end of year 1,071 1,417 1,498
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 4,779 5,160 5,637
86.98 Outlays from mandatory balances... 674 895 903
--------- --------- ----------
[[Page 473]]
87.00 Total outlays (gross)........... 5,453 6,055 6,540
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 5,697 6,401 6,621
90.00 Outlays........................... 5,453 6,055 6,540
---------------------------------------------------------------------------
Summary of Budget Authority and Outlays
(in millions of dollars)
2000 actual 2001 est. 2002 est.
Enacted/requested:
Budget Authority.................. 5,697 6,401 6,622
Outlays........................... 5,453 6,055 6,540
Legislative proposal, subject to
PAYGO:
Budget Authority.................. 60
Outlays........................... 9
------------------------------------
Total:
Budget Authority.................. 5,697 6,401 6,682
Outlays........................... 5,453 6,055 6,549
====================================
Foster care.--The proposed level will support eligible low-income
children who must be placed outside the home. An average of 290,700
children per month will be served in 2002.
Adoption assistance.--The proposed funding level will support
subsidies for families adopting eligible low-income children with
special needs. An average of 301,600 children per month will be served
in 2002.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-1545-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
25.1 Advisory and assistance services.. 3 3 3
41.0 Grants, subsidies, and
contributions................... 5,675 6,398 6,618
--------- --------- ----------
99.9 Total new obligations........... 5,678 6,401 6,621
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.02 Independent living................ 60
--------- --------- ----------
10.00 Total new obligations (object
class 41.0)................... 60
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 60
23.95 Total new obligations............. -60
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.00 Appropriation................... 60
----------------------------------------------------------------------------
Change in unpaid obligations:
73.10 Total new obligations............. 60
73.20 Total outlays (gross)............. -9
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 51
--------- --------- ----------
74.99 Obligated balance, end of year 51
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 9
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 60
90.00 Outlays........................... 9
---------------------------------------------------------------------------
This proposal will provide vouchers to youth who age out of foster
care to cover the costs of college tuition or vocational training.
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, [$1,103,135,000] $1,097,718,000, of which $5,000,000 shall
be available for activities regarding medication management, screening,
and education to prevent incorrect medication and adverse drug
reactions[: 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].
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0142-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
01.01 Supportive services and centers... 310 325 327
01.02 Preventive health................. 16 21 21
01.03 National family caregiver support
program......................... 125 127
01.05 Congregate meals.................. 374 378 378
01.06 Home-delivered meals.............. 147 152 158
01.08 Grants to Indian tribes........... 18 23 25
01.09 Training, research, and
discretionary projects.......... 29 36 18
01.10 Aging network support activities.. 2 2
01.11 Federal administration............ 16 17 18
01.13 Alzheimer's disease demonstration
grants to States................ 6 9 9
01.14 Grants to States for the
protection of vulnerable older
Americans....................... 13 14 14
--------- --------- ----------
10.00 Total new obligations........... 928 1,103 1,098
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 2 2
22.00 New budget authority (gross)...... 934 1,103 1,098
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 934 1,105 1,100
23.95 Total new obligations............. -928 -1,103 -1,098
23.98 Unobligated balance expiring or
withdrawn....................... -3
24.40 Unobligated balance carried
forward, end of year............ 2 2
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 934 1,103 1,098
40.76 Reduction pursuant to P.L. 106-
113........................... -1
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 933 1,103 1,098
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 260 303 389
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 260 303 389
73.10 Total new obligations............. 928 1,103 1,098
73.20 Total outlays (gross)............. -884 -1,017 -1,086
73.40 Adjustments in expired accounts
(net)........................... -1
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 303 389 401
--------- --------- ----------
74.99 Obligated balance, end of year 303 389 401
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 648 742 746
86.93 Outlays from discretionary
balances........................ 237 275 340
--------- --------- ----------
87.00 Total outlays (gross)........... 884 1,017 1,086
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 934 1,103 1,098
90.00 Outlays........................... 884 1,017 1,086
---------------------------------------------------------------------------
Administration on Aging.--The proposed level will provide continued
funding for core formula grant programs that provide nutrition,
supportive services and caregiver support services through the aging
network. AoA programs are part of
[[Page 474]]
a comprehensive system of support for older people and their families.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0142-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
11.1 Personnel compensation: Full-time
permanent....................... 8 9 9
12.1 Civilian personnel benefits....... 2 2 2
23.1 Rental payments to GSA............ 1 2 2
25.2 Other services.................... 7 8 9
41.0 Grants, subsidies, and
contributions................... 910 1,082 1,076
--------- --------- ----------
99.9 Total new obligations........... 928 1,103 1,098
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0142-0-1-506 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 114 117 120
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 5 5 5
---------------------------------------------------------------------------
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, [$285,224,000]
$415,348,000, 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 further, That of the funds made available under
this heading for carrying out title XX of the Public Health Service Act,
[$10,377,000] $11,885,000 shall be for activities specified under
section 2003(b)(2), of which $10,157,000 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 [no funds shall
be obligated for minority AIDS prevention and treatment activities until
the Department of Health and Human Services submits an operating plan to
the House and Senate Committees on Appropriations] of this amount,
$68,700,000 shall be available to support activities to counter
potential biological disease, and chemical threats to civilian
populations; $50,000,000 is for minority AIDS prevention and treatment
activities; and $30,000,000 shall be for an Information Technology
Security and Innovation Fund for department-wide activities involving
cybersecurity, information technology security, and related innovation
projects. (Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, 2001, as enacted by
section 1(a)(1) of P.L. 106-554.)
office for civil rights
For expenses necessary for the Office for Civil Rights,
[$24,742,000] $28,691,000, 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. (Departments of Labor, Health
and Human Services, and Education, and Related Agencies Appropriations
Act, 2001, as enacted by section 1(a)(1) of P.L. 106-554.)
policy research
For carrying out, to the extent not otherwise provided, research
studies under section 1110 of the Social Security Act and title III of
the Public Health Service Act, [$16,738,000] $2,500,000: Provided, That
in addition to amounts provided herein, $18,000,000 shall be available
from amounts available under section 241 of the Public Health Services
Act, to carry out any national health or human services research and
evaluation activities. (Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 2001, as enacted
by section 1(a)(1) of P.L. 106-554.)
[public health and social services emergency fund]
[For expenses necessary to support activities related to countering
potential biological, disease and chemical threats to civilian
populations, $241,231,000: Provided, That this amount is distributed as
follows: Centers for Disease Control and Prevention, $181,131,000, of
which $32,000,000 shall be for the Health Alert Network and $18,040,000
shall be for the continued study of the anthrax vaccine; and Office of
Emergency Preparedness, $60,100,000.] (Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2001, as enacted by section 1(a)(1) of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9912-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
Direct activities:
00.01 General departmental management. 225 296 421
00.02 Office for Civil Rights......... 23 28 32
00.03 Policy research................. 17 17 3
00.04 Public health and social
services emergency fund....... 471 265
09.01 Reimbursable program.............. 83 115 130
--------- --------- ----------
10.00 Total new obligations........... 819 721 586
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 103 56 32
22.00 New budget authority (gross)...... 900 697 586
22.22 Unobligated balance transferred
from other accounts............. 2
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 1,005 753 618
23.95 Total new obligations............. -819 -721 -586
23.98 Unobligated balance expiring or
withdrawn....................... -130
24.40 Unobligated balance carried
forward, end of year............ 56 32 32
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 248 568 447
40.15 Appropriation (emergency)....... 566
40.75 Reduction pursuant to P.L. 106-
554 (Labor/HHS)............... -1
40.76 Reduction pursuant to P.L. 106-
113........................... -2
41.00 Transferred to other accounts... -5
42.00 Transferred from other accounts. 12 6
--------- --------- ----------
43.00 Appropriation (total
discretionary).............. 819 573 447
Spending authority from offsetting
collections:
68.00 Offsetting collections (cash)... 111 124 139
68.10 Change in uncollected customer
payments from Federal sources. -30
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)....... 81 124 139
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 900 697 586
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 398 607 680
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -119 -89 -89
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 279 518 591
73.10 Total new obligations............. 819 721 586
73.20 Total outlays (gross)............. -843 -648 -749
73.40 Adjustments in expired accounts
(net)........................... 232
74.00 Change in uncollected customer
payments from Federal sources... 30
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 607 680 517
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -89 -89 -89
--------- --------- ----------
74.99 Obligated balance, end of year 518 591 428
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 575 355 347
86.93 Outlays from discretionary
balances........................ 268 293 402
--------- --------- ----------
[[Page 475]]
87.00 Total outlays (gross)........... 843 648 749
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -111 -124 -139
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. 30
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 819 573 447
90.00 Outlays........................... 732 524 610
---------------------------------------------------------------------------
(Dollars in millions)
2000 actual 2001 est. 2002 est.
Distribution of budget authority by
account:
General Departmental Management... 220 291 415
Office for Civil Rights........... 19 24 29
Policy Research................... 17 17 3
Public Health and Social Services
Emergency Fund.................. 565 241
Distribution of outlays by account:
General Departmental Management... 248 205 306
Office for Civil Rights........... 20 24 28
Policy research................... -3 21 12
Public Health and Social Services
Emergency Fund.................. 467 274 263
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, emergency preparedness and programs to
counter bioterrorist threats. In FY 2002, General Departmental
Management (GDM) funding would increase substantially to create a new
information security and innovation fund to coordinate and better manage
the department-wide information technology infrastructure. In addition,
the GDM would receive increased funding to support womens' health and to
improve HHS headquarters' facilities.
In FY 2002, no funding is proposed for the Public Health and Social
Services Emergency Fund (PHSSEF), which will be reserved for true
emergency funding. Bioterrorism funding currently reflected in the
PHSSEF account in FY 2001, will be shifted in FY 2002 and is proposed to
be funded as follows: bioterrorism programs to be carried out by the
Centers for Disease Control (CDC) would be funded from CDC parent
accounts and bioterrorism programs in the Office of the Secretary would
be funded as part of ``General Departmental Management'' activities.
Object Classification (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9912-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
Personnel compensation:
11.1 Full-time permanent........... 90 107 119
11.3 Other than full-time permanent 3 3 4
11.5 Other personnel compensation.. 2 2 2
--------- --------- ----------
11.9 Total personnel compensation 95 112 125
12.1 Civilian personnel benefits..... 20 25 27
21.0 Travel and transportation of
persons....................... 3 4 7
22.0 Transportation of things........ 1
23.1 Rental payments to GSA.......... 13 15 15
23.3 Communications, utilities, and
miscellaneous charges......... 4 4 5
24.0 Printing and reproduction....... 2 2 2
25.1 Advisory and assistance services 8 1 29
25.2 Other services.................. 28 43 61
25.3 Purchases of goods and services
from Government accounts...... 113 30 32
25.4 Operation and maintenance of
facilities.................... 4 3 7
25.5 Research and development
contracts..................... 8 36 8
25.7 Operation and maintenance of
equipment..................... 5 5 5
26.0 Supplies and materials.......... 4 4 6
31.0 Equipment....................... 10 8 22
41.0 Grants, subsidies, and
contributions................. 59 113 105
--------- --------- ----------
99.0 Subtotal, direct obligations.. 376 406 456
99.0 Reimbursable obligations.......... 83 115 130
Allocation Account:
Personnel compensation:
11.1 Full-time permanent........... 23 18
11.5 Other personnel compensation.. 1
--------- --------- ----------
11.9 Total personnel compensation 24 18
12.1 Civilian personnel benefits..... 7 6
21.0 Travel and transportation of
persons....................... 2
23.1 Rental payments to GSA.......... 1 1
25.1 Advisory and assistance services 1
25.2 Other services.................. 31 50
25.3 Purchases of goods and services
from Government accounts...... 95 14
25.5 Research and development
contracts..................... 19
25.6 Medical care.................... 5
31.0 Equipment....................... 18 10
41.0 Grants, subsidies, and
contributions................. 157 101
--------- --------- ----------
99.0 Subtotal, allocation account.. 360 200
--------- --------- ----------
99.9 Total new obligations........... 819 721 586
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9912-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 1,322 1,488 1,575
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 196 199 227
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 55 71 79
---------------------------------------------------------------------------
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.''
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.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0379-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Retirement payments............... 158 176 196
00.02 Survivors' benefits............... 11 12 13
00.03 Medical care...................... 32 31 32
00.04 Military service credits.......... 1 1 1
--------- --------- ----------
10.00 Total new obligations........... 202 220 242
----------------------------------------------------------------------------
Budgetary resources available for obligation:
22.00 New budget authority (gross)...... 215 220 242
23.95 Total new obligations............. -202 -220 -242
23.98 Unobligated balance expiring or
withdrawn....................... -13
----------------------------------------------------------------------------
[[Page 476]]
New budget authority (gross), detail:
Mandatory:
60.05 Appropriation (indefinite)...... 215 220 242
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 17 6 17
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 17 6 17
73.10 Total new obligations............. 202 220 242
73.20 Total outlays (gross)............. -217 -209 -240
73.40 Adjustments in expired accounts
(net)........................... 4
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 6 17 19
--------- --------- ----------
74.99 Obligated balance, end of year 6 17 19
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 200 204 225
86.98 Outlays from mandatory balances... 17 3 14
--------- --------- ----------
87.00 Total outlays (gross)........... 217 209 240
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 215 220 242
90.00 Outlays........................... 217 209 240
---------------------------------------------------------------------------
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
13.0 Benefits for former personnel..... 169 188 209
25.2 Other services.................... 32 31 32
25.3 Purchases of goods and services
from Government accounts........ 1 1 1
--------- --------- ----------
99.9 Total new obligations........... 202 220 242
---------------------------------------------------------------------------
Health Activities Funds
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9913-0-1-552 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 12 11 11
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -2 -2 -2
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 10 10 10
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 11 11 11
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -2 -2 -2
--------- --------- ----------
74.99 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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
09.01 Program support center............ 249 294 308
09.02 Federal employee occupational
health.......................... 95 115 116
09.03 OS activities..................... 7 7 7
--------- --------- ----------
10.00 Total new obligations........... 351 416 431
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 70 56 56
22.00 New budget authority (gross)...... 314 416 431
22.10 Resources available from
recoveries of prior year
obligations..................... 23
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 407 472 487
23.95 Total new obligations............. -351 -416 -431
24.40 Unobligated balance carried
forward, end of year............ 56 56 56
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
69.00 Offsetting collections (cash)... 447 416 431
69.10 Change in uncollected customer
payments from Federal sources. -108
69.15 Adjustments to uncollected
customer payments from Federal
sources....................... -25
--------- --------- ----------
69.90 Spending authority from
offsetting collections
(total mandatory)........... 314 416 431
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 129 126 126
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -237 -129 -129
--------- --------- ----------
72.99 Obligated balance, start of
year........................ -108 -3 -3
73.10 Total new obligations............. 351 416 431
73.20 Total outlays (gross)............. -357 -416 -431
73.40 Adjustments in expired accounts
(net)........................... 25
73.45 Recoveries of prior year
obligations..................... -23
74.00 Change in uncollected customer
payments from Federal sources... 108
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 126 126 126
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -129 -129 -129
--------- --------- ----------
74.99 Obligated balance, end of year -3 -3 -3
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 314 416 431
86.98 Outlays from mandatory balances... 43
--------- --------- ----------
87.00 Total outlays (gross)........... 357 416 431
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -447 -416 -431
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. 108
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... 25
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority..................
90.00 Outlays........................... -90
---------------------------------------------------------------------------
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
grants, audit resolution, OS graphics, and the regional health
[[Page 477]]
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Personnel compensation:
11.1 Full-time permanent............. 64 71 74
11.3 Other than full-time permanent.. 2 4 4
11.5 Other personnel compensation.... 3 4 4
--------- --------- ----------
11.9 Total personnel compensation.. 69 79 82
12.1 Civilian personnel benefits....... 15 15 16
21.0 Travel and transportation of
persons......................... 2 3 3
22.0 Transportation of things.......... 2 2 3
23.1 Rental payments to GSA............ 12 12 13
23.3 Communications, utilities, and
miscellaneous charges........... 7 9 9
24.0 Printing and reproduction......... 1 1 1
25.1 Advisory and assistance services.. 16 24 25
25.2 Other services.................... 105 108 110
25.3 Purchases of goods and services
from Government accounts........ 27 36 36
25.4 Operation and maintenance of
facilities...................... 10 10 10
25.6 Medical care...................... 15 17 17
26.0 Supplies and materials............ 61 91 97
31.0 Equipment......................... 9 9 9
--------- --------- ----------
99.9 Total new obligations........... 351 416 431
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9941-0-4-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
2001 Total compensable workyears: Full-
time equivalent employment...... 1,197 1,290 1,291
---------------------------------------------------------------------------
Trust Funds
Miscellaneous Trust Funds
Unavailable Collections (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9971-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
01.99 Balance, start of year............
Receipts:
02.00 Gifts and contributions,
miscellaneous trust funds....... 29 27 27
02.20 Contributions, Indian health
facilities, Health Services
Administration.................. 42 43 43
02.40 Interest, Miscellaneous trust
funds........................... 1 1 1
--------- --------- ----------
02.99 Total receipts and collections.. 72 71 71
Appropriations:
05.00 Miscellaneous trust funds......... -72 -71 -71
--------- --------- ----------
07.99 Balance, end of year..............
---------------------------------------------------------------------------
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-9971-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.02 Gifts............................. 27 28 28
00.03 Contributions, Indian health
facilities...................... 38 43 43
--------- --------- ----------
10.00 Total new obligations........... 65 71 71
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 47 58 58
22.00 New budget authority (gross)...... 72 71 71
22.10 Resources available from
recoveries of prior year
obligations..................... 4
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 123 129 129
23.95 Total new obligations............. -65 -71 -71
24.40 Unobligated balance carried
forward, end of year............ 58 58 58
----------------------------------------------------------------------------
New budget authority (gross), detail:
Mandatory:
60.27 Appropriation (trust fund,
indefinite)................... 72 71 71
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 68 74 62
--------- --------- ----------
72.99 Obligated balance, start of
year........................ 68 74 62
73.10 Total new obligations............. 65 71 71
73.20 Total outlays (gross)............. -54 -83 -69
73.45 Recoveries of prior year
obligations..................... -4
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 74 62 64
--------- --------- ----------
74.99 Obligated balance, end of year 74 62 64
----------------------------------------------------------------------------
Outlays (gross), detail:
86.97 Outlays from new mandatory
authority....................... 38 28 28
86.98 Outlays from mandatory balances... 16 55 41
--------- --------- ----------
87.00 Total outlays (gross)........... 54 83 69
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 72 71 71
90.00 Outlays........................... 54 83 69
----------------------------------------------------------------------------
Memorandum (non-add) entries:
92.01 Total investments, start of year:
Federal securities: Par value... 15 20 20
92.02 Total investments, end of year:
Federal securities: Par value... 20 20 20
---------------------------------------------------------------------------
[Dollars in millions]
2000 2001 2002
Distribution of budget authority by
account:
Gifts............................. 30 28 28
Contributions, Indian health
facilities...................... 42 43 43
Distribution of outlays by account:
Gifts............................. 17 50 42
Contributions, Indian health
facilities...................... 37 33 27
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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
11.3 Personnel compensation: Other than
full-time permanent............. 1 1 1
21.0 Travel and transportation of
persons......................... 1 1 1
22.0 Transportation of things.......... 1 1
25.1 Advisory and assistance services.. 1 1 1
25.2 Other services.................... 17 17 17
25.4 Operation and maintenance of
facilities...................... 4 5 5
25.5 Research and development contracts 3 4 4
25.7 Operation and maintenance of
equipment....................... 10 10 10
26.0 Supplies and materials............ 1 2 2
31.0 Equipment......................... 1 2 2
32.0 Land and structures............... 1 2 2
41.0 Grants, subsidies, and
contributions................... 25 25 25
--------- --------- ----------
99.9 Total new obligations........... 65 71 71
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-9971-0-7-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
1001 Total compensable workyears: Full-
time equivalent employment...... 34 34 34
---------------------------------------------------------------------------
OFFICE OF THE INSPECTOR GENERAL
General and special funds:
Office of Inspector General
For expenses necessary for the Office of Inspector General,
including the hire of passenger motor vehicles for investigations, in
carrying out the provisions of the Inspector General Act of 1978, as
amended, [$33,849,000] $35,786,000: Provided, That of such amount,
necessary sums are available for providing protective services to the
Secretary
[[Page 478]]
and investigating non-payment of child support cases for which non-
payment is a Federal offense under 18 U.S.C. 228, each of which
activities is hereby authorized in this and subsequent fiscal years.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)
Program and Financing (in millions of dollars)
----------------------------------------------------------------------------
Identification code 75-0128-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Obligations by program activity:
00.01 Direct program.................... 31 34 36
09.01 Reimbursable program.............. 20 19 17
--------- --------- ----------
10.00 Total new obligations........... 51 53 53
----------------------------------------------------------------------------
Budgetary resources available for obligation:
21.40 Unobligated balance carried
forward, start of year.......... 1 1 1
22.00 New budget authority (gross)...... 51 53 53
--------- --------- ----------
23.90 Total budgetary resources
available for obligation...... 52 54 54
23.95 Total new obligations............. -51 -53 -53
24.40 Unobligated balance carried
forward, end of year............ 1 1 1
----------------------------------------------------------------------------
New budget authority (gross), detail:
Discretionary:
40.00 Appropriation................... 31 34 36
Spending authority from offsetting
collections:
68.00 Offsetting collections (cash)... 13 19 17
68.10 Change in uncollected customer
payments from Federal sources. 18
68.15 Adjustments to uncollected
customer payments from Federal
sources....................... -11
--------- --------- ----------
68.90 Spending authority from
offsetting collections
(total discretionary)....... 20 19 17
--------- --------- ----------
70.00 Total new budget authority
(gross)....................... 51 53 53
----------------------------------------------------------------------------
Change in unpaid obligations:
Unpaid obligations, start of year:
72.40 Unpaid obligations, start of
year.......................... 16 26
72.95 Uncollected customer payments
from Federal sources, start of
year.......................... -4 -22 -22
--------- --------- ----------
72.99 Obligated balance, start of
year........................ -4 -6 4
73.10 Total new obligations............. 51 53 53
73.20 Total outlays (gross)............. -49 -43 -53
73.40 Adjustments in expired accounts
(net)........................... 12
74.00 Change in uncollected customer
payments from Federal sources... -18
Unpaid obligations, end of year:
74.40 Unpaid obligations, end of year. 16 26 26
74.95 Uncollected customer payments
from Federal sources, end of
year.......................... -22 -22 -22
--------- --------- ----------
74.99 Obligated balance, end of year -6 4 4
----------------------------------------------------------------------------
Outlays (gross), detail:
86.90 Outlays from new discretionary
authority....................... 41 49 49
86.93 Outlays from discretionary
balances........................ 8 -6 4
--------- --------- ----------
87.00 Total outlays (gross)........... 49 43 53
----------------------------------------------------------------------------
Offsets:
Against gross budget authority and outlays:
88.00 Offsetting collections (cash)
from: Federal sources......... -13 -19 -17
Against gross budget authority only:
88.95 Change in uncollected customer
payments from Federal sources. -18
88.96 Adjustment to uncollected
customer payments from Federal
sources....................... 11
----------------------------------------------------------------------------
Net budget authority and outlays:
89.00 Budget authority.................. 31 34 36
90.00 Outlays........................... 36 24 36
---------------------------------------------------------------------------
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)
2000 actual 2001 est. 2002 est.
Budget Authority:
Discretionary appropriations.......... 31 34 36
Mandatory (HCFAC Account)............. 119 130 150
--------- --------- ----------
Total............................. 150 164 186
Outlays:
Discretionary appropriations.......... 36 24 36
Mandatory (HCFAC Account)............. 116 136 146
--------- --------- ----------
Total............................. 152 160 182
This schedule reflects distribution of mandatory funds from the
HCFAC account in FY 2001. Actual FY 2002 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 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct obligations:
11.1 Personnel compensation: Full-
time permanent................ 17 20 22
12.1 Civilian personnel benefits..... 4 5 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
26.0 Supplies and materials.......... 1
31.0 Equipment....................... 1 1 1
--------- --------- ----------
99.0 Subtotal, direct obligations.. 31 34 36
99.0 Reimbursable obligations.......... 20 19 17
--------- --------- ----------
99.9 Total new obligations........... 51 53 53
---------------------------------------------------------------------------
Personnel Summary
----------------------------------------------------------------------------
Identification code 75-0128-0-1-551 2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Direct:
1001 Total compensable workyears: Full-
time equivalent employment...... 261 306 309
Reimbursable:
2001 Total compensable workyears: Full-
time equivalent employment...... 95 73 56
Allocation account:
3001 Total compensable workyears: Full-
time equivalent employment...... 1,018 1,145 1,315
---------------------------------------------------------------------------
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)
----------------------------------------------------------------------------
2000 actual 2001 est. 2002 est.
----------------------------------------------------------------------------
Offsetting receipts from the public:
75-274530 Health education assistance
loans, downward reestimates of
subsidies........................... 136
75-310700 Federal share of child
support collections................. 913 896 878
--------- --------- ----------
General Fund Offsetting receipts from
the public............................. 913 1,032 878
----------------------------------------------------------------------------
Intragovernmental payments:
20-310530 Quinquennial adjustment for
military service credits, Federal
hospital insurance.................. 1,332
--------- --------- ----------
General Fund Intragovernmental payments. 1,332
---------------------------------------------------------------------------
[[Page 479]]
GENERAL PROVISIONS
Sec. 201. Funds appropriated in this title shall be available for
not to exceed $37,000 for official reception and representation expenses
when specifically approved by the Secretary.
Sec. 202. The Secretary shall make available through assignment not
more than 60 employees of the Public Health Service to assist in child
survival activities and to work in AIDS programs through and with funds
provided by the Agency for International Development, the United Nations
International Children's Emergency Fund or the World Health
Organization.
Sec. 203. None of the funds appropriated 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 [I] 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.]
Sec. 205. Notwithstanding section 241(a) of the Public Health
Service Act, such portion as the Secretary shall determine, but not more
than 2 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. 206. Not to exceed 6 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 or any other Act
may be transferred between appropriations: 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. 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. 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. 211. 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. 212. 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,
1999, and 2000'' and inserting ``1997, 1998, 1999, 2000 and
2001''; and
(B) in subsection (e), by striking ``October 1, 2000''
each place it appears and inserting ``October 1, 2001''; and
(2) in section 599E (8 U.S.C. 1255 note) in subsection (b)(2),
by striking ``September 30, 2000'' and inserting ``September 30,
2001''.]
[Sec. 213. None of the funds provided in this Act or in any other
Act making appropriations for fiscal year 2001 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).]
Sec. [214] 212. (a) Except as provided by subsection (e) 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 by [March 1, 2001] May 1, 2002 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) 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.
(c) The State is to maintain State expenditures in fiscal year
[2001] 2002 for tobacco prevention programs and for compliance
activities at a level that is not less than the level of such
expenditures maintained by the State for fiscal year [2000] 2001, and
adding to that level the additional funds for tobacco compliance
activities required under subsection (a). The State is to submit a
report to the Secretary on all fiscal year [2000] 2001 State
expenditures and all fiscal year [2001] 2002 obligations for tobacco
prevention and compliance activities by program activity by July 31,
[2001] 2002.
(d) The Secretary shall exercise discretion in enforcing the timing
of the State obligation of the additional funds required by the
certification described in subsection (a) as late as July 31, [2001]
2002.
(e) None of the funds appropriated by this Act may be used to
withhold substance abuse funding pursuant to section 1926 from a
territory that receives less than $1,000,000.
[Sec. 215. Section 448 of the Public Health Service Act (42 U.S.C.
285g) is amended by inserting ``gynecologic health,'' after ``with
respect to''.]
[Sec. 216. None of the funds appropriated under this Act shall be
expended by the National Institutes of Health on a contract for the care
of the 288 chimpanzees acquired by the National Institutes of Health
from the Coulston Foundation, unless the contractor is accredited by the
Association for the Assessment and Accreditation of Laboratory Animal
Care International or has a Public Health Services assurance, and has
not been charged multiple times with egregious violations of the Animal
Welfare Act: Provided, That the requirements of section 481(A)(e)(1)
shall not apply to funds awarded to nonhuman primate research facilities
of special interest to NIH.]
[Sec. 217. No grants may be awarded under the first paragraph under
the heading ``Department of Health and Human Services, Health Resources
and Services Administration, Health Resources and
[[Page 480]]
Services'' in chapter 4 of title II of the Emergency Supplemental Act,
2000 (Public Law 106-246, division B) until March 1, 2001.]
[Sec. 218. (a) The second sentence of section 5948(d) of title 5,
United States Code, is amended to read as follows: ``No agreement shall
be entered into under this section later than September 30, 2005, nor
shall any agreement cover a period of service extending beyond September
30, 2007.''.
(b) Section 3 of the Federal Physicians Comparability Allowance Act
of 1978 (5 U.S.C. 5948 note) is amended by striking ``September 30,
2002'' and inserting ``September 30, 2007''.]
[Sec. 219. (a) Congress makes the following findings:
(1) Organ procurement organizations play an important role in
the effort to increase organ donation in the United States.
(2) The current process for the certification and
recertification of organ procurement organizations conducted by the
Department of Health and Human Services has created a level of
uncertainty that is interfering with the effectiveness of organ
procurement organizations in raising the level of organ donation.
(3) The General Accounting Office, the Institute of Medicine,
and the Harvard School of Public Health have identified substantial
limitations in the organ procurement organization certification and
recertification process and have recommended changes in that
process.
(4) The limitations in the recertification process include:
(A) An exclusive reliance on population-based measures
of performance that do not account for the potential in the
population for organ donation and do not permit
consideration of other outcome and process standards that
would more accurately reflect the relative capability and
performance of each organ procurement organization.
(B) A lack of due process to appeal to the Secretary of
Health and Human Services for recertification on either
substantive or procedural grounds.
(5) The Secretary of Health and Human Services has the authority
under section 1138(b)(1)(A)(i) of the Social Security Act (42 U.S.C.
1320b-8(b)(1)(A)(i)) to extend the period for recertification of an
organ procurement organization from 2 to 4 years on the basis of its
past practices in order to avoid the inappropriate disruption of the
nation's organ system.
(6) The Secretary of Health and Human Services can use the
extended period described in paragraph (5) for recertification of
all organ procurement organizations to--
(A) develop improved performance measures that would
reflect organ donor potential and interim outcomes, and to
test these measures to ensure that they accurately measure
performance differences among the organ procurement
organizations; and
(B) improve the overall certification process by
incorporating process as well as outcome performance
measures, and developing equitable processes for appeals.
(b) Section 371(b)(1) of the Public Health Service Act (42 U.S.C.
273(b)(1)) is amended--
(1) by redesignating subparagraphs (D) through (G) as
subparagraphs (E) through (H), respectively;
(2) by realigning the margin of subparagraph (F) (as so
redesignated) so as to align with subparagraph (E) (as so
redesignated); and
(3) by inserting after subparagraph (C) the following:
``(D) notwithstanding any other provision of law, has met the
other requirements of this section and has been certified or
recertified by the Secretary within the previous 4-year period as
meeting the performance standards to be a qualified organ
procurement organization through a process that either--
``(i) granted certification or recertification within
such 4-year period with such certification or
recertification in effect as of January 1, 2000, and
remaining in effect through the earlier of--
``(I) January 1, 2002; or
``(II) the completion of recertification under the requirements of
clause (ii); or
``(ii) is defined through regulations that are
promulgated by the Secretary by not later than January 1,
2002, that--
``(I) require recertifications of qualified organ procurement
organizations not more frequently than once every 4 years;
``(II) rely on outcome and process performance measures that are
based on empirical evidence, obtained through reasonable efforts, of
organ donor potential and other related factors in each service area of
qualified organ procurement organizations;
``(III) use multiple outcome measures as part of the certification
process; and
``(IV) provide for a qualified organ procurement organization to
appeal a decertification to the Secretary on substantive and procedural
grounds;''.]
Sec. [220] 213. (a) In order for the Centers for Disease Control and
Prevention to carry out international HIV/AIDS and other infectious
disease, chronic and environmental disease, and other health activities
abroad during fiscal year [2001] 2002, the Secretary of Health and Human
Services is authorized to--
(1) utilize the authorities contained in subsection 2(c) of the
State Department Basic Authorities Act of 1956, as amended, subject
to the limitations set forth in subsection (b), and
(2) enter into reimbursable agreements with the Department of
State using any funds appropriated to the Department of Health and
Human Services, for the purposes for which the funds were
appropriated in accordance with authority granted to the Secretary
of Health and Human Services or under authority governing the
activities of the Department of State.
(b) In exercising the authority set forth in subsection (a)(1), the
Secretary of Health and Human Services--
(1) shall not award contracts for performance of an inherently
governmental function; and
(2) shall follow otherwise applicable Federal procurement laws
and regulations to the maximum extent practicable.
[Sec. 221. Notwithstanding any other provision of law, the Director,
National Institutes of Health, may enter into and administer a long-term
lease for facilities for the purpose of providing laboratory, office and
other space for biomedical and behavioral research at the Bayview Campus
in Baltimore, Maryland: Provided, That the House and Senate
Appropriations Committees will be notified of the terms and conditions
of the lease upon its execution.]
[Sec. 222. Of the funds appropriated in this Act for the National
Institutes of Health, $5,800,000 shall be transferred to the Office of
the Secretary, General Departmental Management to support the newly
established Office for Human Research Protections.]
[Sec. 223. Section 487E(a)(1) of the Public Health Service Act is
amended by striking ``as employees of the National Institutes of
Health''.]
[Sec. 224. Notwithstanding any other provision of law relating to
vacancies in offices for which appointments must be made by the
President, including any time limitation on serving in an acting
capacity, the Acting Director of the National Institutes of Health as of
January 12, 2000, may serve in that position until a new Director of the
National Institutes of Health is confirmed by the Senate.]
[Sec. 225. The National Neuroscience Research Center to be
constructed on the National Institutes of Health Bethesda campus is
hereby named the John Edward Porter Neuroscience Research Center]
Sec. 214. Of funds appropriated in this Act and awarded to a State
under the Public Health Service Act and Title V of the Social Security
Act, each State may transfer up to 20 percent of such funds between such
grants: Provided, That funds for a single grant shall not be increased
by more than 50 percent above the original grant award amount: Provided
further, That a State exercising this transfer authority must notify the
Secretary of Health and Human Services in writing at least 30 days prior
to implementing such a transfer: Provided further, That the Secretary of
Health and Human Services shall issue guidance in order to implement
this transfer authority.
Sec. 215. With the funds appropriated to the National Institutes of
Health in this Act, NIH is authorized to obligate in fiscal year 2002
the full multi-year cost of a grant or contract that is awarded in that
year, and such obligated funds shall remain available until expended.
(Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
of P.L. 106-554.)