[Appendix]
[Other Materials]
[Increased Funding for BBEDCA Program Integrity Adjustments]
[From the U.S. Government Printing Office, www.gpo.gov]
<h1>INCREASED FUNDING FOR BBEDCA PROGRAM INTEGRITY ADJUSTMENTS
</h1>
INCREASED FUNDING FOR BBEDCA PROGRAM INTEGRITY ADJUSTMENTS
Centers for Medicare and Medicaid Services
Federal Funds
Payments to Health Care Trust Funds
Program and Financing (in millions of dollars)
Identification code 75–0580–6–1–571
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0004
General Fund Transfers to HI
114
0900
Total new obligations (object class 94.0)
114
Memorandum (non-add) entries:
1940
Unobligated balance expiring
114
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
114
3040
Outlays (gross)
–114
Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4100
Outlays from new mandatory authority
114
4190
Outlays, net (total)
114
Program Management
Of the funds made available for Program Management by Public Law 112–10, $1,211,899 are hereby cancelled.
Program and Financing (in millions of dollars)
Identification code 75–0511–6–1–550
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0001
Program operations
–1
0900
Total new obligations (object class 25.2)
–1
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1701
Change in uncollected payments, Federal sources
–1
1750
Spending auth from offsetting collections, disc (total)
–1
1930
Total budgetary resources available
–1
Change in obligated balance:
Obligated balance, start of year (net):
3000
Unpaid obligations, brought forward, Oct 1 (gross)
–1
3010
Uncollected pymts, Fed sources, brought forward, Oct 1
1
3030
Obligations incurred, unexpired accounts
–1
3050
Change in uncollected pymts, Fed sources, unexpired
1
Obligated balance, end of year (net):
3090
Unpaid obligations, end of year (gross)
–1
–1
3091
Uncollected pymts, Fed sources, end of year
1
1
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
–1
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
1
Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the Health Care Fraud and Abuse Control
base or cap adjustment for 2012, the President's Budget proposes to offset the increase to the HCFAC 2012 base funding with
unobligated multi-year Healthcare Integrated General Ledger Accounting System and Contracting Reform funding provided in Public
Law 112–10.
Trust Funds
Federal Hospital Insurance Trust Fund
Program and Financing (in millions of dollars)
Identification code 75–8005–6–7–571
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0001
Direct program activity
–1
0900
Total new obligations (object class 94.0)
–1
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1133
Unobligated balance of appropriations temporarily reduced
–1
1160
Appropriation, discretionary (total)
–1
1930
Total budgetary resources available
–1
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
–1
3040
Outlays (gross)
1
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
–1
Outlays, gross:
4010
Outlays from new discretionary authority
–1
4180
Budget authority, net (total)
–1
4190
Outlays, net (total)
–1
Health Care Fraud and Abuse Control Account
For an additional amount for "Health Care Fraud and Abuse Control Account" and in addition to amounts otherwise available
for program integrity and program management, $271,722,199, to remain available through September 30, 2013, to be transferred
from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as authorized by
section 201(g) of the Social Security Act; of which $140,041,412 shall be for Centers for Medicare and Medicaid Services Program
Integrity Activities, including administrative costs, to conduct oversight activities for the Medicare program including,
but not limited to, Medicare Advantage and the Medicare Prescription Drug Program authorized in title XVIII of the Social
Security Act and for activities described in section 1893 of such Act and for Medicaid and Children's Health Insurance Program
("CHIP'') program integrity activities; of which $68,081,621 shall be for the Department of Health and Human Services Office
of Inspector General to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act; and of which $63,599,166
shall be for the Department of Justice to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act:
Provided, That, of the amount provided under this heading, $1,211,899 is provided to meet the terms of section 251(b)(2)(C)(ii)
of the Balanced Budget and Emergency Deficit Control Act of 1985: Provided further, That, of the amount provided under this
heading, $270,510,300 is additional new budget authority specified for purposes of subsection 251(b)(2)(C) of the Balanced
Budget and Emergency Deficit Control Act of 1985, as amended: Provided further, That the amount provided under this heading
shall be treated for purposes of section 251(b)(2)(C) as being included under this heading in the Departments of Labor, Health
and Human Services, and Education, and Related Agencies Appropriations Act, 2012.
Program and Financing (in millions of dollars)
Identification code 75–8393–6–7–571
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0101
CMS discretionary BASE
1
0103
CMS discretionary CAP
139
0104
Other discretionary CAP
131
0900
Total new obligations
271
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101
Appropriation (special or trust fund)
272
1144
Approp temporarily reduced (Sec 527, HR 2055)
–1
1160
Appropriation, discretionary (total)
271
1930
Total budgetary resources available
271
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
271
3040
Outlays (gross)
–271
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
271
Outlays, gross:
4010
Outlays from new discretionary authority
271
4180
Budget authority, net (total)
271
4190
Outlays, net (total)
271
Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the base or the cap adjustment for 2012,
the President's Budget proposes to increase the 2012 base funding to $311 million (which is fully offset) and to provide the
additional $270 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(C) of the Balanced Budget
and Emergency Deficit Control Act of 1985, as amended.
Object Classification (in millions of dollars)
Identification code 75–8393–6–7–571
2011 actual
2012 est.
2013 est.
Direct obligations:
25.3
Other purchases of goods and services from Government accounts (HHS/DOJ)
63
25.3
Other purchases of goods and services from Government accounts (HHS/OIG)
68
25.6
Medical care (CMS)
140
99.9
Total new obligations
271
Office of the Inspector General
Federal Funds
Office of the Inspector General
Program and Financing (in millions of dollars)
Identification code 75–0128–6–1–551
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0803
HCFAC Discretionary allocation adjustment
68
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
68
1750
Spending auth from offsetting collections, disc (total)
68
1930
Total budgetary resources available
68
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
68
3040
Outlays (gross)
–68
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
68
Outlays, gross:
4010
Outlays from new discretionary authority
68
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–68
Object Classification (in millions of dollars)
Identification code 75–0128–6–1–551
2011 actual
2012 est.
2013 est.
99.9
Total new obligations
68
Employment Summary
Identification code 75–0128–6–1–551
2011 actual
2012 est.
2013 est.
2001
Reimbursable civilian full-time equivalent employment
208
Legal Activities and U.S. Marshals
Federal Funds
Salaries and Expenses, General Legal Activities
Program and Financing (in millions of dollars)
Identification code 15–0128–6–1–999
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0880
Health Care Fraud salaries and expenses
30
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
30
1750
Spending auth from offsetting collections, disc (total)
30
1930
Total budgetary resources available
30
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
30
3040
Outlays (gross)
–30
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
30
Outlays, gross:
4010
Outlays from new discretionary authority
30
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–30
Object Classification (in millions of dollars)
Identification code 15–0128–6–1–999
2011 actual
2012 est.
2013 est.
99.9
Total new obligations
30
Employment Summary
Identification code 15–0128–6–1–999
2011 actual
2012 est.
2013 est.
2001
Reimbursable civilian full-time equivalent employment
77
Salaries and Expenses, United States Attorneys
Program and Financing (in millions of dollars)
Identification code 15–0322–6–1–752
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0801
Health Care Fraud salaries and expenses
25
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
25
1750
Spending auth from offsetting collections, disc (total)
25
1930
Total budgetary resources available
25
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
25
3040
Outlays (gross)
–25
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
25
Outlays, gross:
4010
Outlays from new discretionary authority
25
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–25
Object Classification (in millions of dollars)
Identification code 15–0322–6–1–752
2011 actual
2012 est.
2013 est.
99.9
Total new obligations
25
Employment Summary
Identification code 15–0322–6–1–752
2011 actual
2012 est.
2013 est.
2001
Reimbursable civilian full-time equivalent employment
70
Federal Bureau of Investigation
Federal Funds
Salaries and Expenses
Program and Financing (in millions of dollars)
Identification code 15–0200–6–1–999
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0801
Health Care Fraud salaries and expenses
8
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
8
1750
Spending auth from offsetting collections, disc (total)
8
1930
Total budgetary resources available
8
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
8
3040
Outlays (gross)
–8
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
8
Outlays, gross:
4010
Outlays from new discretionary authority
8
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–8
Object Classification (in millions of dollars)
Identification code 15–0200–6–1–999
2011 actual
2012 est.
2013 est.
99.9
Total new obligations
8
Employment Summary
Identification code 15–0200–6–1–999
2011 actual
2012 est.
2013 est.
2001
Reimbursable civilian full-time equivalent employment
30
Federal Funds
Supplemental Security Income Program
Program and Financing (in millions of dollars)
Identification code 28–0406–6–1–609
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0001
Program Integrity Cap Adjustment
46
0900
Total new obligations (object class 25.3)
46
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1100
Appropriation
46
1160
Appropriation, discretionary (total)
46
1930
Total budgetary resources available
46
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
46
3040
Outlays (gross)
–46
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
46
Outlays, gross:
4010
Outlays from new discretionary authority
46
4180
Budget authority, net (total)
46
4190
Outlays, net (total)
46
Trust Funds
Federal Disability Insurance Trust Fund
Program and Financing (in millions of dollars)
Identification code 28–8007–6–7–651
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0001
Program Integrity Cap Adjustment
94
0900
Total new obligations (object class 94.0)
94
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101
Appropriation (special or trust fund)
94
1160
Appropriation, discretionary (total)
94
1930
Total budgetary resources available
94
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
94
3040
Outlays (gross)
–94
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
94
Outlays, gross:
4010
Outlays from new discretionary authority
94
4180
Budget authority, net (total)
94
4190
Outlays, net (total)
94
Limitation on Administrative Expenses
For an additional amount for "Limitation on Administrative Expenses" for the cost associated with continuing disability reviews
under titles II and XVI of the Social Security Act and for the cost associated with conducting redeterminations of eligibility
under title XVI of the Social Security Act, $140,695,700 may be expended, as authorized by section 201(g)(1) of the Social
Security Act, from any one or all of the trust funds referred to therein: Provided, That such amount is additional new budget
authority specified for purposes of subsection 251(b)(2)(B) of the Balanced Budget and Emergency Deficit Control Act of 1985,
and shall be treated for such purposes as being included under this heading in the Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2012.
Program and Financing (in millions of dollars)
Identification code 28–8704–6–7–651
2011 actual
2012 est.
2013 est.
Obligations by program activity:
0001
Program Integrity Cap Adjustment
140
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected - Program Integrity Cap Adjustment
140
1750
Spending auth from offsetting collections, disc (total)
140
1900
Budget authority (total)
140
1930
Total budgetary resources available
140
Change in obligated balance:
3030
Obligations incurred, unexpired accounts
140
3040
Outlays (gross)
–140
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
140
Outlays, gross:
4010
Outlays from new discretionary authority
140
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources - Program Integrity Cap Adjustment
–140
Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the cap adjustment for 2012, the President's
Budget proposes to provide the additional $140 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(B)
of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended.
Object Classification (in millions of dollars)
Identification code 28–8704–6–7–651
2011 actual
2012 est.
2013 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
32
12.1
Civilian personnel benefits
20
23.3
Communications, utilities, and miscellaneous charges
25
25.1
Advisory and assistance services
63
99.9
Total new obligations
140
Employment Summary
Identification code 28–8704–6–7–651
2011 actual
2012 est.
2013 est.
1001
Direct civilian full-time equivalent employment
320