[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.)
