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

             <h1>DEPARTMENT OF HEALTH AND HUMAN SERVICES

             </h1>

          DEPARTMENT OF HEALTH AND HUMAN SERVICES

             Food and Drug Administration

             Federal Funds
             Salaries and ExpensesFor 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; 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; and notwithstanding section 521 of Public Law 107–188; [$4,346,670,000] $4,430,203,000: Provided, That of the amount provided under this heading, [$760,000,000] $798,000,000 shall be derived from prescription drug user fees authorized by 21 U.S.C. 379h, and shall be credited to this account and
             remain available until expended; [$114,833,000] $128,282,000 shall be derived from medical device user fees authorized by 21 U.S.C. 379j, and shall be credited to this account and remain
             available until expended; [$305,996,000] $312,116,000 shall be derived from human generic drug user fees authorized by 21 U.S.C. 379j-42, and shall be credited to this account
             and remain available until expended; [$20,716,000] $21,014,000 shall be derived from biosimilar biological product user fees authorized by 21 U.S.C. 379j-52, and shall be credited to this
             account and remain available until expended; [$23,600,000] $22,464,000 shall be derived from animal drug user fees authorized by 21 U.S.C. 379j-12, and shall be credited to this account and remain
             available until expended; [$7,328,000] $6,944,000 shall be derived from animal generic drug user fees authorized by 21 U.S.C. 379j-21, and shall be credited to this account
             and remain available until expended; [$534,000,000] $566,000,000 shall be derived from tobacco product user fees authorized by 21 U.S.C. 387s, and shall be credited to this account and remain
             available until expended[; $12,925,000 shall be derived from food and feed recall fees authorized by 21 U.S.C. 379j-31, and shall be credited to this
             account and remain available until expended; $15,367,000 shall be derived from food reinspection fees authorized by 21 U.S.C.
             379j-31, and shall be credited to this account and remain available until expended; and amounts derived from voluntary qualified
             importer program fees authorized by 21 U.S.C. 379j-31 shall be credited to this account and remain available until expended]: Provided further, That in addition and notwithstanding any other provision under this heading, amounts collected for prescription drug user
             fees, medical device user fees, human generic drug user fees, biosimilar biological product user fees, animal drug user fees,
             and animal generic drug user fees that exceed the respective fiscal year [2014] 2015 limitations are appropriated and shall be credited to this account and remain available until expended: Provided further, That fees derived from prescription drug, medical device, human generic drug, biosimilar biological product, animal drug,
             and animal generic drug assessments for fiscal year [2014] 2015, including any such fees collected prior to fiscal year [2014] 2015 but credited for fiscal year [2014] 2015, shall be subject to the fiscal year [2014] 2015 limitations: Provided further, That the Secretary may accept payment during fiscal year [2014] 2015 of user fees specified under this heading and authorized for fiscal year [2015] 2016, prior to the due date for such fees, and that amounts of such fees assessed for fiscal year [2015] 2016 for which the Secretary accepts payment in fiscal year [2014] 2015 shall not be included in amounts under this heading: 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) $900,259,000 shall be for the Center for Food Safety and Applied Nutrition and
             related field activities in the Office of Regulatory Affairs; (2) $1,289,304,000 shall be for the Center for Drug Evaluation
             and Research and related field activities in the Office of Regulatory Affairs; (3) $337,543,000 shall be for the Center for
             Biologics Evaluation and Research and for related field activities in the Office of Regulatory Affairs; (4) $173,207,000 shall
             be for the Center for Veterinary Medicine and for related field activities in the Office of Regulatory Affairs; (5) $408,918,000
             shall be for the Center for Devices and Radiological Health and for related field activities in the Office of Regulatory Affairs;
             (6) $62,494,000 shall be for the National Center for Toxicological Research; (7) $501,476,000 shall be for the Center for
             Tobacco Products and for related field activities in the Office of Regulatory Affairs; (8) not to exceed $178,361,000 shall
             be for Rent and Related activities, of which $61,922,000 is for White Oak Consolidation, other than the amounts paid to the
             General Services Administration for rent; (9) not to exceed $219,907,000 shall be for payments to the General Services Administration
             for rent; and (10) $275,201,000 shall be for other activities, including the Office of the Commissioner of Food and Drugs,
             the Office of Foods and Veterinary Medicine, the Office of Medical and Tobacco Products, the Office of Global and Regulatory
             Policy, the Office of Operations, the Office of the Chief Scientist, and central services for these offices:] Provided further, That not to exceed $25,000 of this amount shall be for official reception and representation expenses, not otherwise provided for, as determined by
             the Commissioner: [Provided further, That any transfer of funds pursuant to section 770(n) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379dd(n)) shall
             only be from amounts made available under this heading for other activities:] Provided further, That funds may be transferred from one specified activity to another with the prior [approval] notification of the Committees on Appropriations of both Houses of Congress.

          In addition, mammography user fees authorized by 42 U.S.C. 263b, export certification user fees authorized by 21 U.S.C. 381,
             [and] priority review user fees authorized by 21 U.S.C. 360n, food and feed recall fees, food reinspection fees, and voluntary qualified importer program fees authorized by 21 U.S.C.
                379j-31, outsourcing facility fees authorized by 21 U.S.C.379j-62, prescription drug wholesale distributer licensing and inspection
                fees authorized by 21 U.S.C. 353(e)(3), and third-party logistics provider licensing and inspection fees authorized by 21
                U.S.C. 360eee-3(c)(1), [may] shall be credited to this account, to remain available until expended.
             Buildings and FacilitiesFor 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, $8,788,000, to remain available until expended. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2014.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–9911–0–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      1
                      1

                      Receipts:

                      0220
                      Cooperative Research and Development Agreements, FDA
                      3
                      2
                      3

                      0400
                      Total: Balances and collections
                      3
                      3
                      4

                      Appropriations:

                      0500
                      Salaries and Expenses
                      –2
                      –2
                      –2

                      0799
                      Balance, end of year
                      1
                      1
                      2

          Program and Financing (in millions of dollars)

                      Identification code 75–9911–0–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Foods
                      797
                      883
                      903

                      0002
                      Drugs
                      438
                      466
                      480

                      0003
                      Devices and Radiological Products
                      296
                      321
                      318

                      0004
                      National Center for Toxicological Research
                      55
                      62
                      59

                      0005
                      Other Activities
                      160
                      172
                      175

                      0006
                      Other Rent and Rent Related Activities
                      118
                      132
                      116

                      0007
                      Rental Payments
                      150
                      162
                      169

                      0008
                      Buildings and Facilities
                      6
                      9
                      9

                      0009
                      CRADAs
                      2
                      2
                      2

                      0010
                      Animal Drugs and Feed
                      126
                      141
                      145

                      0011
                      Biologics
                      195
                      211
                      210

                      0012
                      Food and Drug Safety (no-year)
                      9

                      0799
                      Total direct obligations
                      2,352
                      2,561
                      2,586

                      0801
                      Reimbursable program (User fees)
                      1,795
                      2,456
                      1,900

                      0802
                      Reimbursable program (Federal sources)
                      40

                      0899
                      Total reimbursable obligations
                      1,835
                      2,456
                      1,900

                      0900
                      Total new obligations
                      4,187
                      5,017
                      4,486

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      852
                      670
                      122

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      853
                      670
                      122

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      2,580
                      2,561
                      2,584

                      1130
                      Appropriations permanently reduced
                      –194

                      1160
                      Appropriation, discretionary (total)
                      2,386
                      2,561
                      2,584

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      2
                      2
                      2

                      1260
                      Appropriations, mandatory (total)
                      2
                      2
                      2

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1,676
                      1,827
                      1,900

                      1701
                      Change in uncollected payments, Federal sources
                      23

                      1702
                      Offsetting collections (previously unavailable)
                      327
                      333
                      333

                      1702
                      Offsetting collections (previously unavailable) — previously reported as precluded from obligation that will be available
                         for obligation

                      79

                      1723
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –67

                      1725
                      Spending authority from offsetting collections precluded from obligation (limitation on obligations)
                      –564
                      –333
                      –333

                      1750
                      Spending auth from offsetting collections, disc (total)
                      1,395
                      1,906
                      1,900

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      232

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –11

                      1850
                      Spending auth from offsetting collections, mand (total)
                      221

                      1900
                      Budget authority (total)
                      4,004
                      4,469
                      4,486

                      1930
                      Total budgetary resources available
                      4,857
                      5,139
                      4,608

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      670
                      122
                      122

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,663
                      2,319
                      2,841

                      3010
                      Obligations incurred, unexpired accounts
                      4,187
                      5,017
                      4,486

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –3,460
                      –4,495
                      –4,776

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –71

                      3050
                      Unpaid obligations, end of year
                      2,319
                      2,841
                      2,551

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –44
                      –51
                      –51

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –23

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      16

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –51
                      –51
                      –51

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,619
                      2,268
                      2,790

                      3200
                      Obligated balance, end of year
                      2,268
                      2,790
                      2,500

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3,781
                      4,467
                      4,484

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,516
                      3,401
                      3,409

                      4011
                      Outlays from discretionary balances
                      906
                      1,092
                      1,365

                      4020
                      Outlays, gross (total)
                      3,422
                      4,493
                      4,774

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –33
                      –1

                      4033
                      Non-Federal sources
                      –1,657
                      –1,826
                      –1,900

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –1,690
                      –1,827
                      –1,900

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –23

                      4052
                      Offsetting collections credited to expired accounts
                      14

                      4060
                      Additional offsets against budget authority only (total)
                      –9

                      4070
                      Budget authority, net (discretionary)
                      2,082
                      2,640
                      2,584

                      4080
                      Outlays, net (discretionary)
                      1,732
                      2,666
                      2,874

                      Mandatory:

                      4090
                      Budget authority, gross
                      223
                      2
                      2

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      38
                      2
                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –232

                      4180
                      Budget authority, net (total)
                      2,073
                      2,642
                      2,586

                      4190
                      Outlays, net (total)
                      1,538
                      2,668
                      2,876

                      Memorandum (non-add) entries:

                      5090
                      Unavailable balance, SOY: Offsetting collections
                      349
                      664
                      585

                      5091
                      Unavailable balance, EOY: Offsetting collections
                      664
                      585
                      585

             [In millions of dollars]

                         2013
                         2014
                         2015

                         Distribution of discretionary budget authority by account:

                         Salaries and expenses
                         2,380
                         2,552
                         2,575

                         Buildings and facilities
                         6
                         9
                         9

                         Distribution of discretionary outlays by account:

                         Salaries and expenses
                         1,726
                         2,657
                         2,865

                         Buildings and facilities
                         6
                         9
                         9

             The Food and Drug Administration (FDA) promotes and protects public health by overseeing the safety, efficacy, quality, and
                security of human and veterinary drugs, biological products, medical devices, foods, cosmetics, and products that emit radiation.
                FDA also has responsbility for regulating the manufacturing, marketing, and distribution of tobacco products to protect public
                health and to reduce tobacco use by minors. FDA advances public health by helping to speed innovations that make medicines
                more effective, safer, and more affordable and by helping the public get the accurate, science-based information they need
                to use medicines and foods to maintain and improve their health. FDA supports the Nation's counterterrorism capability by
                ensuring the security of the food supply and by fostering the development of medical products and countermeasures to respond
                to deliberate and naturally emerging public health threats. The FY 2015 Budget provides funding to support food and medical
                product safety, including implementation of the Food Safety Modernization Act and increased oversight of the pharmacy compounding
                industry, promote development of medical countermeasures, and maintain the integrity of operations and infrastructure.

          Object Classification (in millions of dollars)

                      Identification code 75–9911–0–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      789
                      790
                      793

                      11.3
                      Other than full-time permanent
                      97
                      106
                      106

                      11.5
                      Other personnel compensation
                      46
                      56
                      56

                      11.7
                      Military personnel
                      62
                      61
                      61

                      11.8
                      Special personal services payments
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      995
                      1,014
                      1,017

                      12.1
                      Civilian personnel benefits
                      276
                      280
                      282

                      12.2
                      Military personnel benefits
                      32
                      32
                      32

                      21.0
                      Travel and transportation of persons
                      38
                      38
                      49

                      22.0
                      Transportation of things
                      3
                      5
                      5

                      23.1
                      Rental payments to GSA
                      150
                      162
                      169

                      23.2
                      Rental payments to others
                      5
                      3
                      3

                      23.3
                      Communications, utilities, and miscellaneous charges
                      38
                      38
                      40

                      24.0
                      Printing and reproduction
                      1
                      3
                      3

                      25.1
                      Advisory and assistance services
                      49
                      48
                      48

                      25.2
                      Other services from non-Federal sources
                      279
                      340
                      340

                      25.3
                      Other goods and services from Federal sources
                      143
                      233
                      233

                      25.4
                      Operation and maintenance of facilities
                      66
                      66
                      66

                      25.5
                      Research and development contracts
                      30
                      34
                      34

                      25.7
                      Operation and maintenance of equipment
                      63
                      50
                      50

                      26.0
                      Supplies and materials
                      33
                      44
                      44

                      31.0
                      Equipment
                      57
                      56
                      56

                      32.0
                      Land and structures
                      1
                      5
                      5

                      41.0
                      Grants, subsidies, and contributions
                      91
                      109
                      109

                      42.0
                      Insurance claims and indemnities
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      2,351
                      2,561
                      2,586

                      99.0
                      Reimbursable obligations
                      1,836
                      2,456
                      1,900

                      99.9
                      Total new obligations
                      4,187
                      5,017
                      4,486

          Employment Summary

                      Identification code 75–9911–0–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      9,113
                      9,677
                      9,886

                      1101
                      Direct military average strength employment
                      684
                      648
                      648

                      2001
                      Reimbursable civilian full-time equivalent employment
                      3,960
                      5,117
                      5,441

                      2101
                      Reimbursable military average strength employment
                      297
                      343
                      343

                      3001
                      Allocation account civilian full-time equivalent employment
                      48
                      48
                      48

                      3101
                      Allocation account military average strength employment
                      1
                      1
                      1

             Salaries and Expenses
             (Legislative proposal, not subject to PAYGO)In addition, contingent upon the enactment of authorizing legislation, the Secretary shall assess user fees with respect to
                food facility registrations and inspections, food imports, food contact notification activities, cosmetic activities, and
                international express courier import activities, and such fees shall be credited to this account and remain available until
                expended.
          Program and Financing (in millions of dollars)

                      Identification code 75–9911–2–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Food Facility Registration and Inspection

                      60

                      0802
                      Food Import

                      169

                      0803
                      International Courier

                      6

                      0804
                      Cosmetics

                      19

                      0805
                      Food Contact Substance Notification

                      5

                      0900
                      Total new obligations

                      259

                      Budgetary Resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected

                      259

                      1750
                      Spending auth from offsetting collections, disc (total)

                      259

                      1900
                      Budget authority (total)

                      259

                      1930
                      Total budgetary resources available

                      259

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      259

                      3020
                      Outlays (gross)

                      –259

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      259

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      259

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4033
                      Non-Federal sources

                      –259

             The 2015 Budget includes a number of new user fees. Legislation will be proposed to allow FDA to collect fees for food import
                and food facility registration and inspection to implement the requirements of the FDA Food Safety Modernization Act (FSMA).
                The additional resources, estimated at $169 million for the food import program, would support FDA's food safety efforts to
                modernize the import system. The fees collected for the food facility registration and inspection program, estimated at $60
                million, would enable FDA to target new and improved activities required by FSMA to modernize the food safety system and support
                improvements in safety science and risk analysis to prevent food safety outbreaks. The Budget also reproposes user fees to
                support activities related to cosmetics and food contact notification activities, and fees to support inspection-related activities
                at domestic courier facilities.

          Object Classification (in millions of dollars)

                      Identification code 75–9911–2–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      99.9
                      Total new obligations

                      259

          Employment Summary

                      Identification code 75–9911–2–1–554
                      2013 actual
                      2014 est.
                      2015 est.

                      2001
                      Reimbursable civilian full-time equivalent employment

                      500

             Revolving Fund for Certification and Other Services

             Program and Financing (in millions of dollars)

                      Identification code 75–4309–0–3–554
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program
                      8
                      8
                      8

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      3
                      4
                      4

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      9
                      8
                      8

                      1850
                      Spending auth from offsetting collections, mand (total)
                      9
                      8
                      8

                      1930
                      Total budgetary resources available
                      12
                      12
                      12

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      4
                      4
                      4

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      3
                      3
                      3

                      3010
                      Obligations incurred, unexpired accounts
                      8
                      8
                      8

                      3020
                      Outlays (gross)
                      –8
                      –8
                      –9

                      3050
                      Unpaid obligations, end of year
                      3
                      3
                      2

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      3
                      3
                      3

                      3200
                      Obligated balance, end of year
                      3
                      3
                      2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      9
                      8
                      8

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2
                      7
                      8

                      4101
                      Outlays from mandatory balances
                      6
                      1
                      1

                      4110
                      Outlays, gross (total)
                      8
                      8
                      9

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –9
                      –8
                      –8

                      4190
                      Outlays, net (total)
                      –1

                      1

             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
                      2013 actual
                      2014 est.
                      2015 est.

                      Reimbursable obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      4
                      4
                      4

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      1
                      1
                      1

                      25.2
                      Other services from non-Federal sources
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      99.9
                      Total new obligations
                      8
                      8
                      8

          Employment Summary

                      Identification code 75–4309–0–3–554
                      2013 actual
                      2014 est.
                      2015 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      38
                      38
                      38

             Health Resources and Services Administration

             Federal Funds
             Health Resources and Services
             Primary Health CareFor carrying out titles II and III of the Public Health Service Act (referred to in this Act as the "PHS Act'') with respect
             to primary health care and the Native Hawaiian Health Care Act of 1988, [$1,495,276,000] $1,000,040,000: Provided, That no more than [$40,000] $40,000 shall be available until expended for carrying out the provisions of section 224(o) of the PHS[Act, including associated administrative expenses and relevant evaluations]: Provided further, That no more than [$94,893,000] $88,983,000 shall be available until expended for carrying out the provisions of Public Law 104–73 and for expenses incurred by the Department
             of Health and Human Services (referred to in this Act as "HHS'') pertaining to administrative claims made under such law:
             Provided further, That [of funds provided for the Health Centers program, as defined by section 330 of the PHS Act, by this Act or any other Act for
             fiscal year 2014, not less than $110,000,000 shall be obligated in fiscal year 2014 as base grant adjustments and not less
             than $350,000,000 shall be obligated in fiscal year 2014 to support new access points including approved and unfunded applications
             from fiscal year 2013, grants to expand medical services, behavioral health, oral health, pharmacy, and vision services, and
             costs associated with the HHS administration of these grants] funds made available for carrying out section 330 of the PHS Act in this or any prior Act, including section 10503 of Public
                Law 111–148, may also be used for the construction and improvement of community health centers.
             Health WorkforceFor carrying out titles III, VII, and VIII of the PHS Act with respect to the health workforce, section 1128E and 1921(b) of the Social Security Act, and the Health Care Quality Improvement Act of 1986, [$734,236,000] $477,140,000: Provided, That $100,000,000, to remain available until expended, shall be for the National Health Service Corps Program: Provided further, That sections 747(c)(2)[, 751(j)(2),] and 762(k), and the proportional funding amounts in paragraphs (1) through (4) of section 756(e) of the PHS Act shall not apply
             to funds made available under this heading: Provided further, That [for any program operating under section 751 of the PHS Act on or before January 1, 2009, the Secretary may hereafter waive
             any of the requirements contained in sections 751(d)(2)(A) and 751(d)(2)(B) of such Act for the full project period of a grant
             under such section: Provided further, That no funds shall be available for section 340G-1 of the PHS Act: 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 such 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 fees collected for the disclosure of information under the information reporting requirement program authorized by
             section 1921 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:] fees collected for the disclosure of information under section 427(b) of the Health Care Quality Improvement Act of 1986 and
                sections 1128E(d)(2) and 1921 of the Social Security Act shall be sufficient to recover the full costs of operating the programs
                authorized by such sections and shall remain available until expended for the National Practitioner Data Bank: Provided further, That funds transferred to this account to carry out section 846 and subpart 3 of part D of title III of the PHS Act may
             be used to make prior year adjustments to awards made under such sections: Provided further, That, on April 1, 2015, available amounts appropriated under section 340H(g) of the PHS Act are hereby
                permanently cancelled, and an equal amount of funding is hereby appropriated to be available until expended to carry out such
                section: Provided further, That in addition to amounts provided herein, $61,581,000 shall be available from amounts available
                under section 241 of the PHS Act to carry out section 811 of the PHS Act.
             Maternal and Child HealthFor carrying out titles III, XI, XII, and XIX of the PHS Act with respect to maternal and child health, title V of the Social
             Security Act, and section 712 of the American Jobs Creation Act of 2004, [$846,017,000] $846,017,000: Provided, That notwithstanding sections 502(a)(1) and 502(b)(1) of the Social Security Act, not more than $77,093,000 shall be available
             for carrying out special projects of regional and national significance pursuant to section 501(a)(2) of such Act and $10,276,000
             shall be available for projects described in paragraphs (A) through (F) of section 501(a)(3) of such Act.
             Ryan White Hiv/Aids ProgramFor carrying out title XXVI of the PHS Act with respect to the Ryan White HIV/AIDS program, [$2,293,781,000],$2,297,781,000: of which [$1,970,881,000] $1,970,881,000 shall remain available to the Secretary through September 30, [2016] 2017, for parts A and B of title XXVI of the PHS Act, and of which not less than [$900,313,000] $900,313,000 shall be for State AIDS Drug Assistance Programs under the authority of section 2616 or 311(c) of such Act: Provided, That in addition to amounts provided herein, [$25,000,000] $25,000,000 shall be available from amounts available under section 241 of the PHS  Act to carry out parts A, B, and C[, and D] of title XXVI of [the PHS] such Act to fund Special Projects of National Significance under section 2691.
             Health Care SystemsFor carrying out titles III and XII of the PHS Act with respect to health care systems, and the Stem Cell Therapeutic and
             Research Act of 2005, [$103,193,000] $103,659,000, of which [$122,000] $122,000 shall be available until expended for facilities renovations at the Gillis W. Long Hansen's Disease Center: Provided, That the Secretary may collect a fee of 0.1 percent of each purchase of 340B drugs from entities participating
                in the Drug Pricing Program pursuant to section 340B of the PHS Act to pay for the operating costs of such program: Provided
                further, That fees pursuant to the 340B Drug Pricing Program shall be collected by the Secretary based on sales data that
                shall be submitted by drug manufacturers and shall be credited to this account, to remain available until expended.
             Rural HealthFor carrying out titles III and IV of the PHS Act with respect to rural health, section 427(a) of the Federal Coal Mine Health
             and Safety Act of 1969, [the Cardiac Arrest Survival Act of 2000,] and sections 711 and 1820 of the Social Security Act, [$142,335,000] $124,562,000, of which [$40,609,000] $26,200,000 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: Provided, That of the funds made available under this heading for Medicare rural hospital flexibility grants, [$14,942,000 shall be available for the Small Rural Hospital Improvement Grant Program for quality improvement and adoption
             of health information technology and] up to [$1,000,000] $1,000,000 shall be to carry out section 1820(g)(6) of the Social Security Act, with funds provided for grants under section 1820(g)(6)
             available for the purchase and implementation of telehealth services, including pilots and demonstrations on the use of electronic
             health records to coordinate rural veterans care between rural providers and the Department of Veterans Affairs electronic
             health record system: Provided further, That notwithstanding section 338J(k) of the PHS Act, [$9,511,000] $9,511,000 shall be available for State Offices of Rural Health.
             Family PlanningFor carrying out the program under title X of the PHS Act to provide for voluntary family planning projects, [$286,479,000] $286,479,000: Provided, 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.
             Program ManagementFor program support in the Health Resources and Services Administration, [$153,061,000] $157,061,000: Provided, That funds made available under this heading may be used to supplement program support funding provided under the headings
             "Primary Health Care'', "Health Workforce'', "Maternal and Child Health'', "Ryan White HIV/AIDS Program'', "Health Care Systems'',
             and "Rural Health'': Provided further, That the Administrator may transfer funds between any of the accounts of HRSA with notification to the
                Committees on Appropriations of both Houses of Congress at least 15 days in advance of any transfer, but no such account shall
                be decreased by more than 3 percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0350–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0009
                      Free Clinics Medical Malpractice
                      1

                      0010
                      Health Centers
                      1,390
                      1,400
                      911

                      0012
                      National Health Service Corps

                      100

                      0013
                      Hansen's Disease Center
                      15
                      15
                      15

                      0014
                      Payment to Hawaii for the Treatment of Hansen's Disease
                      2
                      2
                      2

                      0015
                      Black Lung Clinics
                      7
                      7
                      7

                      0016
                      Nursing Education Loan Repayment and Scholarships
                      78
                      80
                      80

                      0017
                      Health Professions
                      357
                      389
                      297

                      0018
                      Maternal and Child Health Block Grant
                      605
                      634
                      634

                      0019
                      Healthy Start
                      98
                      101
                      101

                      0020
                      Poison Control Centers
                      18
                      19
                      19

                      0021
                      EMS for Children
                      20
                      20
                      20

                      0022
                      Universal Newborn Hearing Screening
                      18
                      18
                      18

                      0023
                      HIV/AIDS
                      2,220
                      2,297
                      2,298

                      0024
                      Organ Transplantation
                      23
                      24
                      24

                      0025
                      Bone Marrow Donor Registry
                      22
                      22
                      22

                      0026
                      Rural Health Policy Development
                      9
                      9
                      9

                      0027
                      Rural Health Outreach Grants
                      52
                      57
                      57

                      0028
                      Rural Health Flexibility Grants
                      38
                      41
                      26

                      0030
                      Telehealth
                      11
                      14
                      14

                      0031
                      Program Management
                      151
                      153
                      157

                      0032
                      Family Planning
                      278
                      286
                      286

                      0033
                      Loan Repayment/Faculty Fellowship
                      1
                      1
                      1

                      0035
                      Health Centers Tort Claim Fund
                      58
                      95
                      89

                      0036
                      Heritable Disorders
                      9
                      12
                      12

                      0038
                      Childrens' GME
                      251
                      265

                      0041
                      State Offices of Rural Health
                      9
                      10
                      10

                      0043
                      Radiogenic Diseases
                      2
                      2
                      2

                      0044
                      Traumatic Brain Injury
                      9
                      9
                      9

                      0045
                      Autism and Other Developmental Disorders
                      45
                      47
                      47

                      0046
                      Cord Blood Stem Cell Bank
                      11
                      11
                      11

                      0048
                      Sickle Cell
                      4
                      4
                      4

                      0049
                      Drug Pricing Program
                      4
                      10
                      10

                      0050
                      Family to Family Health Information Centers ACA
                      5
                      3

                      0067
                      Prevention Fund
                      2

                      0073
                      Health Centers ACA
                      1,491
                      2,145
                      3,600

                      0074
                      Health Centers Construction ACA
                      1
                      28

                      0075
                      National Health Service Corps ACA
                      286
                      283
                      310

                      0076
                      School Based Health Centers ACA
                      82
                      2
                      2

                      0077
                      GME Payments THC ACA
                      31
                      73
                      105

                      0079
                      Rural Health AED
                      2
                      3

                      0300
                      Total direct programs
                      7,716
                      8,591
                      9,309

                      0799
                      Total direct obligations
                      7,716
                      8,591
                      9,309

                      0801
                      Reimbursable program
                      48
                      48
                      54

                      0802
                      Reimbursable program: PHS evaluation
                      22
                      25
                      87

                      0899
                      Total reimbursable obligations
                      70
                      73
                      141

                      0900
                      Total new obligations
                      7,786
                      8,664
                      9,450

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      382
                      362
                      261

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      68

                      1021
                      Recoveries of prior year unpaid obligations
                      32

                      1050
                      Unobligated balance (total)
                      414
                      362
                      261

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      6,194
                      6,054
                      5,293

                      1100
                      Appropriation

                      135

                      1120
                      Appropriations transferred to other accts [75–0943]
                      –16

                      1120
                      Appropriations transferred to other accts [75–1362]
                      –15

                      1121
                      Appropriations transferred from other accts [75–0943]
                      8

                      1121
                      Appropriations transferred from other accts [75–1362]
                      1

                      1121
                      Appropriations transferred from other accts [75–1502]
                      6

                      1121
                      Appropriations transferred from other accts [75–0142]
                      1

                      1130
                      Appropriations permanently reduced
                      –324

                      1131
                      Unobligated balance of appropriations permanently reduced

                      –135

                      1160
                      Appropriation, discretionary (total)
                      5,855
                      6,054
                      5,293

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,855
                      2,508
                      3,910

                      1221
                      Appropriations transferred from other accts [75–0116]
                      2

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –53
                      –77

                      1260
                      Appropriations, mandatory (total)
                      1,804
                      2,431
                      3,910

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      31
                      62
                      122

                      1701
                      Change in uncollected payments, Federal sources
                      31

                      1723
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –1

                      1750
                      Spending auth from offsetting collections, disc (total)
                      61
                      62
                      122

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Offsetting collections (cash)(HPSL&NSL)
                      16
                      16
                      16

                      1850
                      Spending auth from offsetting collections, mand (total)
                      16
                      16
                      16

                      1900
                      Budget authority (total)
                      7,736
                      8,563
                      9,341

                      1930
                      Total budgetary resources available
                      8,150
                      8,925
                      9,602

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –2

                      1941
                      Unexpired unobligated balance, end of year
                      362
                      261
                      152

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,681
                      6,238
                      6,334

                      3010
                      Obligations incurred, unexpired accounts
                      7,786
                      8,664
                      9,450

                      3011
                      Obligations incurred, expired accounts
                      3

                      3020
                      Outlays (gross)
                      –8,136
                      –8,568
                      –8,770

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –32

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –64

                      3050
                      Unpaid obligations, end of year
                      6,238
                      6,334
                      7,014

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –80
                      –74
                      –74

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –31

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      37

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –74
                      –74
                      –74

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,601
                      6,164
                      6,260

                      3200
                      Obligated balance, end of year
                      6,164
                      6,260
                      6,940

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      5,916
                      6,116
                      5,415

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,201
                      2,407
                      2,075

                      4011
                      Outlays from discretionary balances
                      3,820
                      3,615
                      3,511

                      4020
                      Outlays, gross (total)
                      6,021
                      6,022
                      5,586

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –34
                      –35
                      –96

                      4033
                      Non-Federal sources
                      –30
                      –27
                      –19

                      4033
                      Non-Federal sources

                      –7

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –64
                      –62
                      –122

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –31

                      4052
                      Offsetting collections credited to expired accounts
                      33

                      4060
                      Additional offsets against budget authority only (total)
                      2

                      4070
                      Budget authority, net (discretionary)
                      5,854
                      6,054
                      5,293

                      4080
                      Outlays, net (discretionary)
                      5,957
                      5,960
                      5,464

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,820
                      2,447
                      3,926

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      907
                      1,166
                      1,467

                      4101
                      Outlays from mandatory balances
                      1,208
                      1,380
                      1,717

                      4110
                      Outlays, gross (total)
                      2,115
                      2,546
                      3,184

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –16
                      –16
                      –16

                      4180
                      Budget authority, net (total)
                      7,658
                      8,485
                      9,203

                      4190
                      Outlays, net (total)
                      8,056
                      8,490
                      8,632

                      Memorandum (non-add) entries:

                      5090
                      Unavailable balance, SOY: Offsetting collections

                      1
                      1

                      5091
                      Unavailable balance, EOY: Offsetting collections
                      1
                      1
                      1

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      7,658
                      8,485
                      9,203

                      Outlays
                      8,056
                      8,490
                      8,632

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      400

                      Outlays

                      200

                      Total:

                      Budget Authority
                      7,658
                      8,485
                      9,603

                      Outlays
                      8,056
                      8,490
                      8,832

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

                      Identification code 75–0350–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Guaranteed loan levels supportable by subsidy budget authority:

                      215001
                      Health centers: Facilities renovation loan guarantee levels

                      8
                      4

                      215002
                      Health centers: Managed care network development loan guarantee

                      1
                      1

                      215003
                      Health centers: Managed care plan loan guarantee levels

                      3
                      1

                      215999
                      Total loan guarantee levels

                      12
                      6

                      Guaranteed loan subsidy (in percent):

                      232001
                      Health centers: Facilities renovation loan guarantee levels
                      0.00
                      2.81
                      2.67

                      232002
                      Health centers: Managed care network development loan guarantee
                      0.00
                      10.10
                      9.68

                      232003
                      Health centers: Managed care plan loan guarantee levels
                      0.00
                      5.86
                      5.83

                      232999
                      Weighted average subsidy rate
                      0.00
                      4.18
                      4.37

             Resources displayed here support categorical grants and contracts managed by Health Resources and Services Administration
                (HRSA). These activities include support for Federally Qualified Health Centers, treatment and care for those living with
                HIV/AIDS, health professions training, maternal and child health care services, promotion of organ and bone marrow donation,
                and the medical malpractice claims funds, which pay malpractice claims filed against employees of federally-supported health
                centers and free clinics. HRSA is also responsible for oversight of the 340B Drug Discount Program. The 2015 Budget proposes
                a new user fee for this program to improve administration and oversight of this activity.

             HRSA administers the following revolving loan programs: Health Professions Student Loans (HPSL), Nursing Student Loans (NSL),
                Primary Care Loans (PCL) and Loans for Disadvantaged Students (LDS). These programs are financed through revolving accounts
                (Federal Capital Contribution) and do not receive annual appropriations. Through these revolving fund accounts, funds are
                awarded to institutions that in turn provide loans to individual students. As borrowers pay back loans the programs revolving
                account gets replenished, and the collected funds are then used to give out new loans in the following academic years. If
                the program's revolving account has excess funds that will not be used to provide new loans, these excess funds are returned
                to HRSA. Funds returned to HRSA are then awarded to programs that are in need of additional funds. The information below reflects
                Academic Year 2012–2013 data reported in the Annual Operating Report.

             Health Professions Revolving Loan Programs Federal Capital Contribution

                         Program
                         Account Balance

                         HPSL
                         389,796,286

                         NSL
                         174,462,796

                         PCL
                         258,568,607

                         LDS
                         132,944,663

                         Total
                         955,772,352

          Object Classification (in millions of dollars)

                      Identification code 75–0350–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      157
                      166
                      160

                      11.3
                      Other than full-time permanent
                      6
                      6
                      6

                      11.5
                      Other personnel compensation
                      2
                      2
                      2

                      11.7
                      Military personnel
                      19
                      19
                      19

                      11.9
                      Total personnel compensation
                      184
                      193
                      187

                      12.1
                      Civilian personnel benefits
                      47
                      50
                      49

                      12.2
                      Military personnel benefits
                      10
                      10
                      10

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      23.1
                      Rental payments to GSA
                      21
                      22
                      26

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      6
                      6
                      6

                      25.1
                      Advisory and assistance services
                      13
                      13
                      13

                      25.2
                      Other services from non-Federal sources
                      137
                      133
                      127

                      25.3
                      Other goods and services from Federal sources
                      200
                      196
                      183

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      25.6
                      Medical care
                      3
                      3
                      2

                      25.7
                      Operation and maintenance of equipment
                      25
                      25
                      23

                      26.0
                      Supplies and materials
                      2
                      2
                      2

                      31.0
                      Equipment
                      3
                      3
                      3

                      41.0
                      Grants, subsidies, and contributions
                      7,010
                      7,880
                      8,623

                      42.0
                      Insurance claims and indemnities
                      51
                      51
                      51

                      99.0
                      Direct obligations
                      7,716
                      8,591
                      9,309

                      99.0
                      Reimbursable obligations
                      70
                      73
                      141

                      99.9
                      Total new obligations
                      7,786
                      8,664
                      9,450

          Employment Summary

                      Identification code 75–0350–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,578
                      1,613
                      1,596

                      1101
                      Direct military average strength employment
                      195
                      195
                      195

                      2001
                      Reimbursable civilian full-time equivalent employment
                      62
                      62
                      72

                      2101
                      Reimbursable military average strength employment
                      4
                      4
                      4

             Health Resources and Services

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0350–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0075
                      National Health Service Corps ACA

                      400

                      0300
                      Total direct programs

                      400

                      0803
                      Reimbursable program:  Targeted Support for GME

                      530

                      0900
                      Total new obligations

                      930

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      400

                      1260
                      Appropriations, mandatory (total)

                      400

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      530

                      1850
                      Spending auth from offsetting collections, mand (total)

                      530

                      1900
                      Budget authority (total)

                      930

                      1930
                      Total budgetary resources available

                      930

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      930

                      3020
                      Outlays (gross)

                      –730

                      3050
                      Unpaid obligations, end of year

                      200

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      200

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      930

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      730

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –530

                      4180
                      Budget authority, net (total)

                      400

                      4190
                      Outlays, net (total)

                      200

          Object Classification (in millions of dollars)

                      Identification code 75–0350–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      3

                      11.7
                      Military personnel

                      1

                      11.9
                      Total personnel compensation

                      4

                      12.1
                      Civilian personnel benefits

                      1

                      23.3
                      Communications, utilities, and miscellaneous charges

                      2

                      25.2
                      Other services from non-Federal sources

                      5

                      25.3
                      Other goods and services from Federal sources

                      23

                      25.7
                      Operation and maintenance of equipment

                      2

                      41.0
                      Grants, subsidies, and contributions

                      362

                      99.0
                      Direct obligations

                      399

                      99.0
                      Reimbursable obligations

                      531

                      99.9
                      Total new obligations

                      930

          Employment Summary

                      Identification code 75–0350–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      56

                      1101
                      Direct military average strength employment

                      5

                      2001
                      Reimbursable civilian full-time equivalent employment

                      2101
                      Reimbursable military average strength employment

             Vaccine Injury Compensation

             Program and Financing (in millions of dollars)

                      Identification code 75–0320–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      15
                      19
                      19

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      4

                      1850
                      Spending auth from offsetting collections, mand (total)
                      4

                      1900
                      Budget authority (total)
                      4

                      1930
                      Total budgetary resources available
                      19
                      19
                      19

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      19
                      19
                      19

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      4

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –4

                      4190
                      Outlays, net (total)
                      –4

             The Vaccine Injury Compensation 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 are reflected in this account.
                Given sufficient carry-over funds from prior years' appropriations to pay for the balance of the pre-1988 claims yet to be
                adjudicated, no appropriation is requested to cover payment of pre-1988 claims. By statute, no new claims are accepted for
                this account. Payment of claims associated with vaccine related injury or death occurring after October 1, 1988 are reflected
                in the Vaccine Injury Compensation Program trust fund account.

             Covered Countermeasure Process Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0343–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Claims
                      3
                      1
                      1

                      0103
                      Admin Expense

                      3
                      3

                      0900
                      Total new obligations
                      3
                      4
                      4

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      2
                      1

                      1011
                      Unobligated balance transfer from other accts [75–0140]
                      3
                      3
                      3

                      1050
                      Unobligated balance (total)
                      5
                      5
                      4

                      1930
                      Total budgetary resources available
                      5
                      5
                      4

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      2
                      2
                      6

                      3010
                      Obligations incurred, unexpired accounts
                      3
                      4
                      4

                      3020
                      Outlays (gross)
                      –3

                      3050
                      Unpaid obligations, end of year
                      2
                      6
                      10

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2
                      2
                      6

                      3200
                      Obligated balance, end of year
                      2
                      6
                      10

                      Budget authority and outlays, net:

                      Discretionary:

                      Outlays, gross:

                      4011
                      Outlays from discretionary balances
                      3

                      4190
                      Outlays, net (total)
                      3

             The Covered Countermeasure Process Fund is established pursuant to the PHS Act, as amended by Division C of Public Law 109–148,
                to serve as a source of funds to pay for compensation for injuries, illnesses or death, or losses resulting from the administration
                to or use by an individual of a covered countermeasure for which a Secretarial Declaration has been issued, pursuant to section
                319F-3(b) of the Public Health Service Act. Additionally, authority is provided to address any unexpected claims that may
                arise under the Smallpox Emergency Personal Protection Act of 2003.

          Object Classification (in millions of dollars)

                      Identification code 75–0343–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1

                      25.2
                      Other services from non-Federal sources
                      2
                      2
                      2

                      42.0
                      Insurance claims and indemnities

                      1
                      1

                      99.0
                      Direct obligations
                      3
                      3
                      3

                      99.5
                      Below reporting threshold

                      1
                      1

                      99.9
                      Total new obligations
                      3
                      4
                      4

          Employment Summary

                      Identification code 75–0343–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      5
                      5
                      5

                      1101
                      Direct military average strength employment
                      3
                      3
                      3

             Maternal, Infant, and Early Childhood Home Visiting Programs

             Program and Financing (in millions of dollars)

                      Identification code 75–0321–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0010
                      Maternal, Infant, and Early Childhood Home Visiting Programs
                      378
                      396

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      14
                      25

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      9

                      1050
                      Unobligated balance (total)
                      23
                      25

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      400
                      400

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –20
                      –29

                      1260
                      Appropriations, mandatory (total)
                      380
                      371

                      1930
                      Total budgetary resources available
                      403
                      396

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      25

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      528
                      654
                      734

                      3010
                      Obligations incurred, unexpired accounts
                      378
                      396

                      3020
                      Outlays (gross)
                      –242
                      –316
                      –348

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –10

                      3050
                      Unpaid obligations, end of year
                      654
                      734
                      386

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      528
                      654
                      734

                      3200
                      Obligated balance, end of year
                      654
                      734
                      386

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      380
                      371

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      12
                      15

                      4101
                      Outlays from mandatory balances
                      230
                      301
                      348

                      4110
                      Outlays, gross (total)
                      242
                      316
                      348

                      4180
                      Budget authority, net (total)
                      380
                      371

                      4190
                      Outlays, net (total)
                      242
                      316
                      348

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      380
                      371

                      Outlays
                      242
                      316
                      348

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      500

                      Outlays

                      20

                      Total:

                      Budget Authority
                      380
                      371
                      500

                      Outlays
                      242
                      316
                      368

             P.L. 111–148 provides resources to Maternal, Infant and Early Childhood Home Visiting Program through 2014 to provide comprehensive
                services for at risk communities.  The 2015 Budget includes $500 million for the Maternal, Infant and Early Childhood Home
                Visiting Program to extend and expand evidenced-based home visiting services for at risk communities. These activities are
                administered by HRSA.

          Object Classification (in millions of dollars)

                      Identification code 75–0321–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      2
                      2

                      11.7
                      Military personnel

                      1

                      11.9
                      Total personnel compensation
                      2
                      3

                      12.1
                      Civilian personnel benefits
                      1
                      1

                      25.1
                      Advisory and assistance services
                      19
                      19

                      41.0
                      Grants, subsidies, and contributions
                      356
                      373

                      99.9
                      Total new obligations
                      378
                      396

          Employment Summary

                      Identification code 75–0321–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      19
                      19

                      1101
                      Direct military average strength employment
                      3
                      3

             Maternal, Infant, and Early Childhood Home Visiting Programs

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0321–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0010
                      Maternal, Infant, and Early Childhood Home Visiting Programs

                      497

                      Budgetary Resources:

                      Unobligated balance:

                      1012
                      Unobligated balance transfers between expired and unexpired accounts

                      25

                      1050
                      Unobligated balance (total)

                      25

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      500

                      1260
                      Appropriations, mandatory (total)

                      500

                      1930
                      Total budgetary resources available

                      525

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      28

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      497

                      3020
                      Outlays (gross)

                      –20

                      3050
                      Unpaid obligations, end of year

                      477

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      477

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      500

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      20

                      4180
                      Budget authority, net (total)

                      500

                      4190
                      Outlays, net (total)

                      20

          Object Classification (in millions of dollars)

                      Identification code 75–0321–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      3

                      11.7
                      Military personnel

                      1

                      11.9
                      Total personnel compensation

                      4

                      12.1
                      Civilian personnel benefits

                      1

                      25.1
                      Advisory and assistance services

                      23

                      41.0
                      Grants, subsidies, and contributions

                      469

                      99.9
                      Total new obligations

                      497

          Employment Summary

                      Identification code 75–0321–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      19

                      1101
                      Direct military average strength employment

                      3

             Health Center Guaranteed Loan Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 75–4442–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0711
                      Default claim payments on principal

                      1
                      1

                      0900
                      Total new obligations

                      1
                      1

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      3
                      3
                      2

                      1930
                      Total budgetary resources available
                      3
                      3
                      2

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      3
                      2
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      1

                      3010
                      Obligations incurred, unexpired accounts

                      1
                      1

                      3050
                      Unpaid obligations, end of year

                      1
                      2

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      1

                      3200
                      Obligated balance, end of year

                      1
                      2

          Status of Guaranteed Loans (in millions of dollars)

                      Identification code 75–4442–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Position with respect to appropriations act limitation on commitments:

                      2121
                      Limitation available from carry-forward
                      18
                      18
                      6

                      2143
                      Uncommitted limitation carried forward
                      –18
                      –6

                      2150
                      Total guaranteed loan commitments

                      12
                      6

                      2199
                      Guaranteed amount of guaranteed loan commitments

                      12
                      6

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      77
                      77
                      78

                      2231
                      Disbursements of new guaranteed loans

                      12
                      6

                      2251
                      Repayments and prepayments

                      –10
                      –10

                      2263
                      Adjustments: Terminations for default that result in claim payments

                      –1
                      –1

                      2290
                      Outstanding, end of year
                      77
                      78
                      73

                      Memorandum:

                      2299
                      Guaranteed amount of guaranteed loans outstanding, end of year
                      77
                      60
                      60

             P.L. 104–299 and P.L. 104–208 authorize Health Resources and Services Administration (HRSA) to guarantee up to $160 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. 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
                      2012 actual
                      2013 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      3
                      3

                      1999
                      Total assets
                      3
                      3

                      LIABILITIES:

                      2204
                      Non-Federal liabilities: Liabilities for loan guarantees
                      3
                      3

                      4999
                      Total liabilities and net position
                      3
                      3

             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 PHS Act. For administrative
             expenses to carry out the guaranteed loan program, including section 709 of the PHS Act, $2,687,000.] (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0340–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0707
                      Reestimates of loan guarantee subsidy
                      25

                      0708
                      Interest on reestimates of loan guarantee subsidy
                      31

                      0709
                      Administrative expenses
                      3
                      2

                      0900
                      Total new obligations
                      59
                      2

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3
                      3

                      1120
                      Appropriations transferred to other accts [91–0202]

                      –1

                      1160
                      Appropriation, discretionary (total)
                      3
                      2

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      56

                      1260
                      Appropriations, mandatory (total)
                      56

                      1900
                      Budget authority (total)
                      59
                      2

                      1930
                      Total budgetary resources available
                      59
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1
                      1
                      1

                      3010
                      Obligations incurred, unexpired accounts
                      59
                      2

                      3020
                      Outlays (gross)
                      –59
                      –2

                      3050
                      Unpaid obligations, end of year
                      1
                      1
                      1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1
                      1
                      1

                      3200
                      Obligated balance, end of year
                      1
                      1
                      1

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3
                      2

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      3
                      2

                      Mandatory:

                      4090
                      Budget authority, gross
                      56

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      56

                      4180
                      Budget authority, net (total)
                      59
                      2

                      4190
                      Outlays, net (total)
                      59
                      2

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

                      Identification code 75–0340–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Guaranteed loan upward reestimates:

                      235001
                      HEAL Loan guarantee
                      56

                      235999
                      Total upward reestimate budget authority
                      56

                      Guaranteed loan downward reestimates:

                      237001
                      HEAL Loan guarantee

                      –43

                      237999
                      Total downward reestimate subsidy budget authority

                      –43

                      Administrative expense data:

                      3510
                      Budget authority
                      3

                      3590
                      Outlays from new authority
                      2

              Pursuant to P.L. 113–76, the Consolidated Appropriations Act, 2014 the authority to administer, service, collect, and enforce
                the program as well as the functions, assets, and liabilities of the Secretary of Health and Human Services are permanently
                transferred to the Secretary of Education.

          Object Classification (in millions of dollars)

                      Identification code 75–0340–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      1

                      25.3
                      Other goods and services from Federal sources
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      56

                      99.9
                      Total new obligations
                      59
                      2

          Employment Summary

                      Identification code 75–0340–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      14
                      14

             Health Education Assistance Loans Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 75–4304–0–3–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0711
                      Default claim payments on principal
                      10
                      12

                      0742
                      Downward reestimate paid to receipt account

                      18

                      0743
                      Interest on downward reestimates

                      26

                      0900
                      Total new obligations
                      10
                      56

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      49
                      107

                      1010
                      Unobligated balance transfer to other accts [91–4300]

                      –54

                      1023
                      Unobligated balances applied to repay debt
                      –1

                      1050
                      Unobligated balance (total)
                      48
                      53

                      Financing authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      69
                      3

                      1850
                      Spending auth from offsetting collections, mand (total)
                      69
                      3

                      1930
                      Total budgetary resources available
                      117
                      56

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      107

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts
                      10
                      56

                      3020
                      Financing disbursements (gross)
                      –10
                      –56

                      Financing authority and disbursements, net:

                      Mandatory:

                      4090
                      Financing authority, gross
                      69
                      3

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      10
                      56

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources-upward estimate and interest
                      –56

                      4122
                      Interest on uninvested funds
                      –6

                      4123
                      Recoveries of defaulted loans
                      –7
                      –3

                      4130
                      Offsets against gross financing auth and disbursements (total)
                      –69
                      –3

                      4170
                      Financing disbursements, net (mandatory)
                      –59
                      53

                      4190
                      Financing disbursements, net (total)
                      –59
                      53

          Status of Guaranteed Loans (in millions of dollars)

                      Identification code 75–4304–0–3–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      430
                      350

                      2251
                      Repayments and prepayments
                      –70
                      –5

                      Adjustments:

                      2261
                      Terminations for default that result in loans receivable
                      –8
                      –13

                      2263
                      Terminations for default that result in claim payments
                      –2
                      –3

                      2264
                      Other adjustments, net

                      –329

                      2290
                      Outstanding, end of year
                      350

                      Memorandum:

                      2299
                      Guaranteed amount of guaranteed loans outstanding, end of year
                      350

                      Addendum:

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

                      2310
                      Outstanding, start of year
                      184
                      192

                      2331
                      Disbursements for guaranteed loan claims
                      10
                      12

                      2361
                      Write-offs of loans receivable
                      –2
                      –3

                      2364
                      Other adjustments, net

                      –201

                      2390
                      Outstanding, end of year
                      192

             Pursuant to P.L. 113–76, the Consolidated Appropriations Act, 2014 this activity is transferred to the Department of Education.

          Balance Sheet (in millions of dollars)

                      Identification code 75–4304–0–3–552
                      2012 actual
                      2013 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      50
                      108

                      Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:

                      1501
                      Defaulted guaranteed loans receivable, gross
                      184
                      192

                      1505
                      Allowance for subsidy cost (-)
                      –126
                      –144

                      1599
                      Net present value of assets related to defaulted guaranteed loans
                      58
                      48

                      1999
                      Total assets
                      108
                      156

                      LIABILITIES:

                      2204
                      Non-Federal liabilities: Liabilities for loan guarantees
                      108
                      156

                      4999
                      Total liabilities and net position
                      108
                      156

             Health Education Assistance Loans Liquidating Account

             Program and Financing (in millions of dollars)

                      Identification code 75–4305–0–3–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0711
                      Default claim payments on principal
                      2
                      2

                      0900
                      Total new obligations (object class 33.0)
                      2
                      2

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1
                      1

                      1260
                      Appropriations, mandatory (total)
                      1
                      1

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      9
                      9

                      1820
                      Capital transfer of spending authority from offsetting collections to general fund
                      –8
                      –8

                      1850
                      Spending auth from offsetting collections, mand (total)
                      1
                      1

                      1900
                      Budget authority (total)
                      2
                      2

                      1930
                      Total budgetary resources available
                      2
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts
                      2
                      2

                      3020
                      Outlays (gross)
                      –2
                      –2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      2
                      2

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2
                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –9
                      –9

                      4180
                      Budget authority, net (total)
                      –7
                      –7

                      4190
                      Outlays, net (total)
                      –7
                      –7

          Status of Guaranteed Loans (in millions of dollars)

                      Identification code 75–4305–0–3–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      64
                      49

                      2251
                      Repayments and prepayments
                      –13
                      –7

                      Adjustments:

                      2261
                      Terminations for default that result in loans receivable
                      –2
                      –2

                      2264
                      Other adjustments, net

                      –40

                      2290
                      Outstanding, end of year
                      49

                      Memorandum:

                      2299
                      Guaranteed amount of guaranteed loans outstanding, end of year
                      49

                      Addendum:

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

                      2310
                      Outstanding, start of year
                      346
                      331

                      2331
                      Disbursements for guaranteed loan claims
                      2
                      2

                      2351
                      Repayments of loans receivable
                      –8
                      –9

                      2361
                      Write-offs of loans receivable
                      –20

                      2364
                      Other adjustments, net
                      11
                      –324

                      2390
                      Outstanding, end of year
                      331

             Pursuant to P.L. 113–76, the Consolidated Appropriations Act, 2014 this activity is transferred to the Department of Education.

          Balance Sheet (in millions of dollars)

                      Identification code 75–4305–0–3–552
                      2012 actual
                      2013 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      1
                      1

                      1701
                      Defaulted guaranteed loans, gross
                      346
                      331

                      1703
                      Allowance for estimated uncollectible loans and interest (-)
                      –238
                      –248

                      1799
                      Value of assets related to loan guarantees
                      108
                      83

                      1999
                      Total assets
                      109
                      84

                      LIABILITIES:

                      2104
                      Federal liabilities: Resources payable to Treasury
                      109
                      82

                      2204
                      Non-Federal liabilities: Liabilities for loan guarantees

                      2

                      2999
                      Total liabilities
                      109
                      84

                      4999
                      Total liabilities and net position
                      109
                      84

             Medical Facilities Guarantee and Loan Fund

             Status of Direct Loans (in millions of dollars)

                      Identification code 75–9931–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year
                      7
                      7
                      7

                      1251
                      Repayments: Repayments and prepayments

                      1290
                      Outstanding, end of year
                      7
                      7
                      7

             Titles VI and 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.

          Balance Sheet (in millions of dollars)

                      Identification code 75–9931–0–3–551
                      2012 actual
                      2013 actual

                      ASSETS:

                      1601
                      Direct loans, gross
                      7
                      7

                      1999
                      Total assets
                      7
                      7

                      LIABILITIES:

                      2201
                      Non-Federal liabilities: Accounts payable
                      7
                      7

                      4999
                      Total liabilities and net position
                      7
                      7

          Trust Funds
             Vaccine Injury Compensation Program Trust FundFor payments from the Vaccine Injury Compensation Program Trust Fund (the "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 PHS Act, to remain available until expended: Provided, That for necessary administrative expenses, not to exceed [$6,464,000] $7,500,000 shall be available from the Trust Fund to the Secretary. (Department of Health and Human Services Appropriations Act, 2014.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–8175–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year
                      3,214
                      3,244
                      3,304

                      Receipts:

                      0200
                      Deposits, Vaccine Injury Compensation Trust Fund
                      204
                      249
                      256

                      0240
                      Interest and Profits on Investments, Vaccine Injury Compensation Trust Fund
                      119
                      115
                      128

                      0299
                      Total receipts and collections
                      323
                      364
                      384

                      0400
                      Total: Balances and collections
                      3,537
                      3,608
                      3,688

                      Appropriations:

                      0500
                      Vaccine Injury Compensation Program Trust Fund
                      –18
                      –19
                      –21

                      0501
                      Vaccine Injury Compensation Program Trust Fund
                      –275
                      –285
                      –293

                      0599
                      Total appropriations
                      –293
                      –304
                      –314

                      0799
                      Balance, end of year
                      3,244
                      3,304
                      3,374

          Program and Financing (in millions of dollars)

                      Identification code 75–8175–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Compensation: Claims for post - FY 1989 injuries
                      275
                      285
                      293

                      0103
                      Claims processing (Claims Court)
                      5
                      5
                      5

                      0104
                      Claims processing (HRSA)
                      6
                      6
                      8

                      0105
                      Claims processing (Dept. of Justice)
                      8
                      8
                      8

                      0191
                      Total, administrative expenses
                      19
                      19
                      21

                      0799
                      Total direct obligations
                      294
                      304
                      314

                      0801
                      Reimbursable program activity (claims)
                      2

                      0900
                      Total new obligations
                      296
                      304
                      314

                      Budgetary Resources:

                      Unobligated balance:

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      18
                      19
                      21

                      1160
                      Appropriation, discretionary (total)
                      18
                      19
                      21

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      275
                      285
                      293

                      1260
                      Appropriations, mandatory (total)
                      275
                      285
                      293

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      2

                      1850
                      Spending auth from offsetting collections, mand (total)
                      2

                      1900
                      Budget authority (total)
                      295
                      304
                      314

                      1930
                      Total budgetary resources available
                      296
                      304
                      314

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      19
                      16

                      3010
                      Obligations incurred, unexpired accounts
                      296
                      304
                      314

                      3020
                      Outlays (gross)
                      –298
                      –320
                      –314

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3050
                      Unpaid obligations, end of year
                      16

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      19
                      16

                      3200
                      Obligated balance, end of year
                      16

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      18
                      19
                      21

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      13
                      19
                      21

                      4011
                      Outlays from discretionary balances
                      8
                      16

                      4020
                      Outlays, gross (total)
                      21
                      35
                      21

                      Mandatory:

                      4090
                      Budget authority, gross
                      277
                      285
                      293

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      277
                      285
                      293

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –2

                      4180
                      Budget authority, net (total)
                      293
                      304
                      314

                      4190
                      Outlays, net (total)
                      296
                      320
                      314

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      3,194
                      3,244
                      3,324

                      5001
                      Total investments, EOY: Federal securities: Par value
                      3,244
                      3,324
                      3,415

             The Vaccine Injury Compensation Program was established pursuant to P.L. 99–660 and P.L. 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 75–8175–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      2
                      2

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      25.3
                      Other goods and services from Federal sources
                      3
                      16
                      18

                      42.0
                      Insurance claims and indemnities
                      290
                      285
                      293

                      99.9
                      Total new obligations
                      296
                      304
                      314

          Employment Summary

                      Identification code 75–8175–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      17
                      20
                      23

                      1101
                      Direct military average strength employment
                      2
                      2
                      2

             Indian Health Service

             Federal Funds
             Indian Health ServicesFor expenses necessary to carry out the Act of August 5, 1954 (68 Stat. 674), the Indian Self-Determination and Education Assistance 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, [$3,982,842,000] $4,172,182,000, together with payments received during the fiscal year pursuant to 42 U.S.C. 238(b) and 238b, 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,[$878,575,000] $929,041,000 for Purchased/Referred Care, including [$51,500,000] $51,500,000 for the Indian Catastrophic Health Emergency Fund, shall remain available until expended: Provided further, That, of the funds provided, up to $36,000,000 shall remain available until expended for implementation of the loan repayment program
             under section 108 of the Indian Health Care Improvement Act: Provided further, That the amounts collected by the Federal Government as authorized by sections 104 and 108 of the Indian Health Care Improvement
             Act (25 U.S.C. 1613a and 1616a) during the preceding fiscal year for breach of contracts shall be deposited to the Fund authorized
             by section 108A of the Act (25 U.S.C. 1616a-1) and shall remain available until expended and, notwithstanding section 108A(c)
             of the Act (25 U.S.C. 1616a-1(c)), funds shall be available to make new awards under the loan repayment and scholarship programs
             under sections 104 and 108 of the Act (25 U.S.C. 1613a and 1616a): Provided further, That notwithstanding any other provision of law, the amounts made available within this account for the methamphetamine
             and suicide prevention and treatment initiative and for the domestic violence prevention initiative shall be allocated at
             the discretion of the Director of the Indian Health Service and shall remain available until expended: Provided further, That funds provided in this Act may be used for annual contracts and grants that fall within 2 fiscal years, provided the
             total obligation is recorded in the year 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, except for those related to the planning, design, or
             construction of new facilities: Provided further, That funding contained herein for scholarship programs under the Indian Health Care Improvement Act (25 U.S.C. 1613) shall
             remain available until expended: 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 the Bureau of Indian Affairs may collect from the Indian Health Service, tribes and tribal organizations operating
             health facilities pursuant to Public Law 93–638, such individually identifiable health information relating to disabled children
             as may be necessary for the purpose of carrying out its functions under the Individuals with Disabilities Education Act (20
             U.S.C. 1400, et seq.): Provided further, That 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, Environment, and Related Agencies Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0390–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Clinical services
                      3,051
                      3,099
                      3,243

                      0002
                      Preventive health
                      143
                      148
                      156

                      0003
                      Urban health
                      41
                      41
                      41

                      0004
                      Indian health professions
                      32
                      34
                      39

                      0005
                      Tribal management
                      2
                      1
                      2

                      0006
                      Direct operations
                      68
                      68
                      68

                      0007
                      Self-governance
                      6
                      5
                      6

                      0008
                      Contract support costs
                      448
                      587
                      617

                      0009
                      Diabetes funds
                      147
                      147

                      0799
                      Total direct obligations
                      3,938
                      4,130
                      4,172

                      0801
                      Reimbursable program
                      1,219
                      1,334
                      1,364

                      0900
                      Total new obligations
                      5,157
                      5,464
                      5,536

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      560
                      577
                      408

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      560

                      1021
                      Recoveries of prior year unpaid obligations
                      124

                      1050
                      Unobligated balance (total)
                      684
                      577
                      408

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,915
                      3,983
                      4,172

                      1120
                      Appropriations transferred to other accts [75–0390]
                      –65

                      1121
                      Appropriations transferred from other accts [75–0390]
                      65

                      1130
                      Appropriations permanently reduced
                      –202

                      1160
                      Appropriation, discretionary (total)
                      3,713
                      3,983
                      4,172

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      150
                      150

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –3
                      –3

                      1260
                      Appropriations, mandatory (total)
                      147
                      147

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1,203
                      1,165
                      1,165

                      1701
                      Change in uncollected payments, Federal sources
                      –10

                      1750
                      Spending auth from offsetting collections, disc (total)
                      1,193
                      1,165
                      1,165

                      1900
                      Budget authority (total)
                      5,053
                      5,295
                      5,337

                      1930
                      Total budgetary resources available
                      5,737
                      5,872
                      5,745

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –3

                      1941
                      Unexpired unobligated balance, end of year
                      577
                      408
                      209

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      844
                      833
                      1,016

                      3010
                      Obligations incurred, unexpired accounts
                      5,157
                      5,464
                      5,536

                      3011
                      Obligations incurred, expired accounts
                      24

                      3020
                      Outlays (gross)
                      –5,037
                      –5,281
                      –5,416

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –124

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –31

                      3050
                      Unpaid obligations, end of year
                      833
                      1,016
                      1,136

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –82
                      –68
                      –68

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      10

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      4

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –68
                      –68
                      –68

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      762
                      765
                      948

                      3200
                      Obligated balance, end of year
                      765
                      948
                      1,068

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      4,906
                      5,148
                      5,337

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      4,178
                      4,431
                      4,586

                      4011
                      Outlays from discretionary balances
                      734
                      838
                      830

                      4020
                      Outlays, gross (total)
                      4,912
                      5,269
                      5,416

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –263
                      –368
                      –368

                      4033
                      Non-Federal sources
                      –942
                      –797
                      –797

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –1,205
                      –1,165
                      –1,165

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      10

                      4052
                      Offsetting collections credited to expired accounts
                      2

                      4060
                      Additional offsets against budget authority only (total)
                      12

                      4070
                      Budget authority, net (discretionary)
                      3,713
                      3,983
                      4,172

                      4080
                      Outlays, net (discretionary)
                      3,707
                      4,104
                      4,251

                      Mandatory:

                      4090
                      Budget authority, gross
                      147
                      147

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      48

                      4101
                      Outlays from mandatory balances
                      77
                      12

                      4110
                      Outlays, gross (total)
                      125
                      12

                      4180
                      Budget authority, net (total)
                      3,860
                      4,130
                      4,172

                      4190
                      Outlays, net (total)
                      3,832
                      4,116
                      4,251

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      3,860
                      4,130
                      4,172

                      Outlays
                      3,832
                      4,116
                      4,251

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      150

                      Outlays

                      144

                      Total:

                      Budget Authority
                      3,860
                      4,130
                      4,322

                      Outlays
                      3,832
                      4,116
                      4,395

             The Indian Health Services account provides medical care, public health services, and health professions training opportunities
                to American Indians and Alaska Natives. An estimated $2.248 billion primarily through self-determination contracts and compacts,
                will be administered by tribal governments in 2015.

          Object Classification (in millions of dollars)

                      Identification code 75–0390–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      397
                      404
                      413

                      11.3
                      Other than full-time permanent
                      20
                      20
                      21

                      11.5
                      Other personnel compensation
                      50
                      51
                      52

                      11.7
                      Military personnel
                      72
                      74
                      75

                      11.9
                      Total personnel compensation
                      539
                      549
                      561

                      12.1
                      Civilian personnel benefits
                      143
                      146
                      149

                      12.2
                      Military personnel benefits
                      32
                      32
                      33

                      13.0
                      Benefits for former personnel
                      13
                      13
                      13

                      21.0
                      Travel and transportation of persons
                      8
                      8
                      8

                      21.0
                      Patient travel
                      32
                      33
                      35

                      22.0
                      Transportation of things
                      6
                      6
                      6

                      23.1
                      Rental payments to GSA
                      8
                      8
                      8

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      11
                      11
                      11

                      25.1
                      Advisory and assistance services
                      8
                      8
                      8

                      25.2
                      Other services from non-Federal sources
                      90
                      95
                      101

                      25.3
                      Other goods and services from Federal sources
                      50
                      51
                      52

                      25.4
                      Operation and maintenance of facilities
                      8
                      9
                      9

                      25.6
                      Medical care
                      308
                      452
                      504

                      25.7
                      Operation and maintenance of equipment
                      13
                      13
                      13

                      25.8
                      Subsistence and support of persons
                      3
                      3
                      3

                      26.0
                      Supplies and materials
                      98
                      103
                      109

                      31.0
                      Equipment
                      7
                      8
                      8

                      41.0
                      Grants, subsidies, and contributions
                      2,559
                      2,580
                      2,539

                      42.0
                      Insurance claims and indemnities
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      3,938
                      4,130
                      4,172

                      99.0
                      Reimbursable obligations
                      1,219
                      1,334
                      1,364

                      99.9
                      Total new obligations
                      5,157
                      5,464
                      5,536

          Employment Summary

                      Identification code 75–0390–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      7,082
                      7,358
                      7,474

                      1101
                      Direct military average strength employment
                      1,105
                      1,138
                      1,147

                      2001
                      Reimbursable civilian full-time equivalent employment
                      5,173
                      5,059
                      5,065

                      2101
                      Reimbursable military average strength employment
                      807
                      783
                      777

             Indian Health Services

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0390–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0003
                      Urban health

                      150

                      0900
                      Total new obligations (object class 41.0)

                      150

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      150

                      1260
                      Appropriations, mandatory (total)

                      150

                      1900
                      Budget authority (total)

                      150

                      1930
                      Total budgetary resources available

                      150

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      150

                      3020
                      Outlays (gross)

                      –144

                      3050
                      Unpaid obligations, end of year

                      6

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      6

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      150

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      144

                      4180
                      Budget authority, net (total)

                      150

                      4190
                      Outlays, net (total)

                      144

             Indian Health FacilitiesFor 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, $461,995,000 [$451,673,000], to remain available until expended: Provided, That notwithstanding any other provision of law, funds appropriated for the planning, design, construction, renovation or
             expansion of health facilities for the benefit of an Indian tribe or tribes may be used to purchase land on which such facilities
             will be located: Provided further, That not to exceed $500,000 may 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 none of the funds appropriated to the Indian Health Service may be used for sanitation facilities construction for
             new homes funded with grants by the housing programs of the United States Department of Housing and Urban Development: Provided further, That not to exceed $2,700,000 from this account and the "Indian Health Services'' account may 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 may be placed in a Demolition Fund, to remain available until expended, and be used by the Indian
             Health Service for the demolition of Federal buildings. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2014.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–0391–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0220
                      Rent and Charges for Quarters, Indian Health Service
                      8
                      8
                      8

                      0400
                      Total: Balances and collections
                      8
                      8
                      8

                      Appropriations:

                      0500
                      Indian Health Facilities
                      –8
                      –8
                      –8

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 75–0391–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Sanitation and health facilities
                      164
                      164
                      164

                      0002
                      Maintenance
                      54
                      54
                      54

                      0003
                      Facilities and environmental health
                      201
                      211
                      221

                      0004
                      Equipment
                      20
                      23
                      23

                      0100
                      Total direct program
                      439
                      452
                      462

                      0799
                      Total direct obligations
                      439
                      452
                      462

                      0801
                      Reimbursable program
                      65
                      65
                      65

                      0900
                      Total new obligations
                      504
                      517
                      527

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      169
                      156
                      105

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      169

                      1021
                      Recoveries of prior year unpaid obligations
                      8

                      1050
                      Unobligated balance (total)
                      177
                      156
                      105

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      442
                      452
                      462

                      1130
                      Appropriations permanently reduced
                      –23

                      1160
                      Appropriation, discretionary (total)
                      419
                      452
                      462

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      8
                      8
                      8

                      1260
                      Appropriations, mandatory (total)
                      8
                      8
                      8

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      56
                      6
                      6

                      1750
                      Spending auth from offsetting collections, disc (total)
                      56
                      6
                      6

                      1900
                      Budget authority (total)
                      483
                      466
                      476

                      1930
                      Total budgetary resources available
                      660
                      622
                      581

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      156
                      105
                      54

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      525
                      522
                      542

                      3010
                      Obligations incurred, unexpired accounts
                      504
                      517
                      527

                      3020
                      Outlays (gross)
                      –498
                      –497
                      –494

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –8

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      522
                      542
                      575

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –6
                      –5
                      –5

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      1

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –5
                      –5
                      –5

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      519
                      517
                      537

                      3200
                      Obligated balance, end of year
                      517
                      537
                      570

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      475
                      458
                      468

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      259
                      142
                      145

                      4011
                      Outlays from discretionary balances
                      230
                      347
                      341

                      4020
                      Outlays, gross (total)
                      489
                      489
                      486

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –42
                      –6
                      –6

                      4033
                      Non-Federal sources
                      –14

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –56
                      –6
                      –6

                      4070
                      Budget authority, net (discretionary)
                      419
                      452
                      462

                      4080
                      Outlays, net (discretionary)
                      433
                      483
                      480

                      Mandatory:

                      4090
                      Budget authority, gross
                      8
                      8
                      8

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      8
                      8

                      4101
                      Outlays from mandatory balances
                      6

                      4110
                      Outlays, gross (total)
                      9
                      8
                      8

                      4180
                      Budget authority, net (total)
                      427
                      460
                      470

                      4190
                      Outlays, net (total)
                      442
                      491
                      488

             The Indian Health Facilities account supports construction, repair and improvement, equipment, and environmental health and
                facilities support for the Indian Health Service. An estimated $208.7 million primarily through self-determination contracts
                and compacts, will be administered by tribal governments in 2015.

          Object Classification (in millions of dollars)

                      Identification code 75–0391–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      46
                      48
                      51

                      11.3
                      Other than full-time permanent
                      2
                      2
                      2

                      11.5
                      Other personnel compensation
                      2
                      2
                      2

                      11.7
                      Military personnel
                      24
                      24
                      25

                      11.9
                      Total personnel compensation
                      74
                      76
                      80

                      12.1
                      Civilian personnel benefits
                      14
                      15
                      16

                      12.2
                      Military personnel benefits
                      9
                      9
                      9

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      22.0
                      Transportation of things
                      4
                      4
                      4

                      23.1
                      Rental payments to GSA
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      14
                      16
                      16

                      25.1
                      Advisory and assistance services
                      3
                      2
                      2

                      25.2
                      Other services from non-Federal sources
                      69
                      71
                      71

                      25.3
                      Other goods and services from Federal sources
                      2
                      2
                      2

                      25.4
                      Operation and maintenance of facilities
                      9
                      10
                      10

                      25.7
                      Operation and maintenance of equipment
                      5
                      6
                      6

                      26.0
                      Supplies and materials
                      6
                      7
                      7

                      31.0
                      Equipment
                      8
                      9
                      10

                      32.0
                      Land and structures
                      83
                      82
                      82

                      41.0
                      Grants, subsidies, and contributions
                      136
                      140
                      144

                      99.0
                      Direct obligations
                      439
                      452
                      462

                      99.0
                      Reimbursable obligations
                      65
                      65
                      65

                      99.9
                      Total new obligations
                      504
                      517
                      527

          Employment Summary

                      Identification code 75–0391–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,003
                      1,049
                      1,082

                      1101
                      Direct military average strength employment
                      171
                      171
                      163

                      2001
                      Reimbursable civilian full-time equivalent employment
                      29
                      29
                      29

             ADMINISTRATIVE PROVISIONS

             Indian Health Service Administrative ProvisionsAppropriations provided in this Act to the Indian Health Service shall be available for services as authorized by 5 U.S.C.
                3109 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; uniforms or allowances therefor as authorized by
                5 U.S.C. 5901–5902; and for expenses of attendance at meetings that relate to the functions or activities of the Indian Health
                Service: 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 none of the funds made available to the Indian Health Service in this Act shall be used for any assessments
                or charges by the Department of Health and Human Services unless identified in the budget justification and provided in this
                Act, or notified to the House and Senate Committees on Appropriations through the reprogramming process: 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 V 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 V of such Act and thereafter shall remain available to the tribe or tribal organization without fiscal
                year limitation: Provided further, That none of the funds made available to the Indian Health Service in this Act shall be
                used to implement the final rule published in the Federal Register on September 16, 1987, by the Department of Health and
                Human Services, relating to the eligibility for the health care services of the Indian Health Service until the Indian Health
                Service has submitted a budget request reflecting the increased costs associated with the proposed final rule, and such request
                has been included in an appropriations Act and enacted into law: Provided further, That 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 payments 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 from which the funds were originally derived, with such 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 notification to the House and Senate Committees on Appropriations.
             Centers for Disease Control and Prevention

             Federal Funds
             CDC-Wide Activities and Program Support
             Immunization and Respiratory DiseasesFor carrying out titles II, III, XVII, and XXI, and section 2821 of the PHS Act, titles II and IV of the Immigration and Nationality
             Act, and section 501 of the Refugee Education Assistance Act, with respect to immunization and respiratory diseases, [$571,536,000] $607,942,000: Provided, That in addition to amounts provided herein, $12,864,000 shall be available from amounts available under section 241 of
             the PHS Act to carry out the National Immunization Surveys.
             Hiv/Aids, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis PreventionFor carrying out titles II, III, XVII, and XXIII[, and XXVI] of the PHS Act with respect to HIV/AIDS, viral hepatitis, sexually transmitted diseases, and tuberculosis prevention, [$1,072,834,000] $1,124,942,000: Provided, That, in addition to the amounts provided herein, $3,000,000 shall be available from amounts available
                under section 241 of the PHS Act to carry out the evaluation of HIV school health activities.
             Emerging and Zoonotic Infectious DiseasesFor carrying out titles II, III, and XVII, and section 2821 of the PHS Act, titles II and IV of the Immigration and Nationality
             Act, and section 501 of the Refugee Education Assistance Act, with respect to emerging and zoonotic infectious diseases, [$287,300,000] $393,549,000: Provided, That of the [funds provided for the Advanced Molecular Detection initiative, the CDC Director shall establish and publish a five-year program
             implementation plan within 90 days of enactment] amounts available to pay for the transportation, medical care, treatment, and other related costs of persons quarantined
                or isolated under federal or state quarantine law, up to $1,000,000 shall remain available until expended.
             Chronic Disease Prevention and Health PromotionFor carrying out titles II, III, XI, XV, XVII, and XIX of the PHS Act with respect to chronic disease prevention and health
             promotion, [$711,650,000] $608,253,000: Provided, That funds appropriated under this account may be available for making grants under section 1509 of the PHS Act for [not less than] up to 21 States, tribes, or tribal organizations: Provided further, That [of the funds available under this heading, $5,000,000 shall be available to conduct an extension and outreach program to combat
             obesity in counties with the highest levels of obesity: Provided further, That of the funds provided under this heading, $80,000,000 shall be available for a program consisting of three-year grants
             of no less than $100,000 per year to non-governmental entities, local public health offices, school districts, local housing
             authorities, local transportation authorities or Indian tribes to implement evidence-based chronic disease prevention strategies:
             Provided further, That applicants for grants described in the previous proviso shall determine the population to be served and shall agree
             to work in collaboration with multi-sector partners] the proportional funding requirements under section 1503(a) of the PHS Act shall not apply to funds made available under
                this heading.
             Birth Defects, Developmental Disabilities, Disabilities and HealthFor carrying out titles II, III, XI, and XVII of the PHS Act with respect to birth defects, developmental disabilities, disabilities
             and health, [$122,435,000] $61,541,000.
             Public Health Scientific ServicesFor carrying out titles II, III, and XVII of the PHS Act with respect to health statistics, surveillance, health informatics, and workforce development, [$347,179,000] $377,723,000: Provided, That, in addition to amounts provided herein, [$85,691,000] $95,086,000 shall be available from amounts available under section 241 of the PHS Act to carry out public health scientific services.
             Environmental HealthFor carrying out titles II, III, and XVII of the PHS Act with respect to environmental health, [$147,555,000] $131,811,000.
             Injury Prevention and ControlFor carrying out titles II, III, and XVII of the PHS Act with respect to injury prevention and control, [$142,311,000] $188,699,000: Provided, That, in addition to the amounts provided herein, $5,605,000 shall be available from amounts under
                section 241 of the PHS Act to carry out the evaluation of Rape Prevention and Education programs.
             National Institute for Occupational Safety and HealthFor carrying out titles II, III, and XVII of the PHS Act, sections 101, 102, 103, 201, 202, 203, 301, and 501[, and 514] of the Federal Mine Safety and Health Act, section 13 of the Mine Improvement and New Emergency Response Act, and sections
             20, 21, and 22 of the Occupational Safety and Health Act, with respect to occupational safety and health, [$180,300,000: Provided, That in addition to amounts provided herein, $112,000,000] $280,590,000 shall be available from amounts available under section 241 of the PHS Act.
             Energy Employees Occupational Illness Compensation ProgramFor necessary expenses to administer the Energy Employees Occupational Illness Compensation Program Act, $55,358,000, to remain
             available until expended: Provided, That this amount shall be available consistent with the provision regarding administrative expenses in section 151(b) of
             division B, title I of Public Law 106–554.
             Global HealthFor carrying out titles II, III, and XVII of the PHS Act with respect to global health, [$383,000,000] $464,301,000, of which [$114,250,000] $128,735,000 for international HIV/AIDS shall remain available through September 30, [2015, and of which $7,500,000 shall remain available through September 30, 2015, to support national public health institutes] 2016: Provided, That funds may be used for purchase and insurance of official motor vehicles in foreign countries.
             Public Health Preparedness and ResponseFor carrying out titles II, III, and XVII of the PHS Act with respect to public health preparedness and response, and for
             expenses necessary to support activities related to countering potential biological, nuclear, radiological, and chemical threats
             to civilian populations, [$1,323,450,000, of which $535,000,000 shall remain available until expended for the Strategic National Stockpile: Provided, That in the event the Director of the CDC activates the Emergency Operations Center, the Director of the CDC may detail
             CDC staff without reimbursement for up to 30 days to support the work of the CDC Emergency Operations Center, so long as the
             Director provides a notice to the Committees on Appropriations of the House of Representatives and the Senate within 15 days
             of the use of this authority and a full report within 30 days after use of this authority which includes the number of staff
             and funding level broken down by the originating center and number of days detailed: Provided further, That in the previous proviso the annual reimbursement cannot exceed $3,000,000 across CDC: Provided further, That of the funds provided for the Strategic National Stockpile, up to $2,000,000 shall be used to support a comprehensive
             IOM evaluation of the distribution system] $1,317,375,000: Provided, That, of the amounts available to the Strategic National Stockpile, $542,817,000 shall remain available
                until expended: Provided further, That the Director of the CDC, or the Administrator of the Agency for Toxic Substances and
                Disease Registry, may detail staff without reimbursement for up to 180 days, to support an activation of the Emergency Operations
                Center at the CDC.
             Cdc-Wide Activities and Program Support
             (including transfer of funds)For carrying out titles II, III, XVII, and XIX, and section 2821 of the PHS Act and for cross-cutting activities and program support that supplement activities
             funded under the headings "Immunization and Respiratory Diseases'', "HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases,
             and Tuberculosis Prevention'', "Emerging and Zoonotic Infectious Diseases'', "Chronic Disease Prevention and Health Promotion'',
             "Birth Defects, Developmental Disabilities, Disabilities and Health'', "Environmental Health'', "Injury Prevention and Control'',
             "National Institute for Occupational Safety and Health'', "Energy Employees Occupational Illness Compensation Program'', "Global
             Health'', "Public Health Preparedness and Response'', and "Public Health Scientific Services'', [$517,570,000, of which $380,000,000 shall be available until September 30, 2015, for business services and transfer to the
             Working Capital Fund ,] and for carrying out section 4001 of Public Law 111–148, $123,570,000,of which [$24,000,000] $10,000,000 shall be available until September 30, 2018, for [acquisition of real property,] equipment, construction and renovation of facilities: Provided, That paragraphs (1) through (3) of subsection (b) of section 2821 of the PHS Act shall not apply to funds appropriated under
             this heading and in all other accounts of the CDC: Provided further, That funds appropriated under this heading and in all other accounts of CDC may be used to support the purchase,
             hire, maintenance, and operation of aircraft for use and support of the activities of CDC: Provided further, That employees of CDC or the Public Health Service, both civilian and commissioned officers, detailed to States, municipalities,
             or other organizations under authority of section 214 of the PHS Act, or in overseas assignments, shall be treated as non-Federal
             employees for reporting purposes only and shall not be included within any personnel ceiling applicable to the Agency, Service,
             or HHS during the period of detail or assignment: Provided further, That CDC may use up to $10,000 from amounts appropriated to CDC in this Act for official reception and representation expenses
             when specifically approved by the Director of CDC: Provided further, That in addition, such sums as may be derived from authorized user fees, which shall be credited to the appropriation charged
             with the cost thereof: Provided further, That with respect to the previous proviso, authorized user fees from the Vessel Sanitation Program shall be available through
             September 30, [2015] 2016: Provided further, That, of the funds made available under this heading and in all other accounts of CDC, up to $1,000 per eligible employee of CDC
             shall be made available until expended for Individual Learning Accounts: Provided further, That [to facilitate the implementation of the permanent Working Capital Fund ("WCF'') authorized under this heading in division
             F of Public Law 112–74, on or after enactment of this Act, unobligated balances of amounts appropriated for business services
             for fiscal year 2013 shall be transferred to the WCF: Provided further, That on or after enactment of this Act, CDC shall transfer amounts available for business services to other CDC appropriations
             consistent with the benefit each appropriation received from the business services appropriation in fiscal year 2013: Provided further, That once the WCF is implemented in fiscal year 2014, assets purchased in any prior fiscal year with funds appropriated
             for or reimbursed to business services may be transferred to the WCF and customers billed for depreciation of those assets:
             Provided further, That CDC shall, consistent with the authorities provided in 42 U.S.C. 231, ensure that the WCF is used only for administrative
             support services and not for programmatic activities: Provided further, That CDC shall notify the Committees on Appropriations of the House of Representatives and the Senate not later than 15
             days prior to any transfers made with funds provided under this heading] the Director may transfer funds between any of the accounts of CDC with notification to the Comittees on Appropriations of
                both Houses of Congress at least 15 days in advance of any transfer, but no such account shall be decreased by more than 3
                percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2014.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–0943–0–1–999
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0220
                      Cooperative Research and Development Agreements, Centers for Disease Control
                      1
                      2
                      2

                      0400
                      Total: Balances and collections
                      1
                      2
                      2

                      Appropriations:

                      0500
                      CDC-Wide Activities and Program Support
                      –1
                      –2
                      –2

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 75–0943–0–1–999
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Birth Defects, Developmental Disabilities, Disability and Health (0958)
                      130
                      132
                      132

                      0002
                      CDC Wide Activities and Program Support (0943)
                      1,099
                      299
                      124

                      0004
                      Chronic Disease Prevention and Health Promotion (0948)
                      739
                      1,188
                      1,078

                      0005
                      Emerging and Zoonotics Infectious Diseases (0949)
                      246
                      393
                      445

                      0006
                      Energy Employee Illness Occupational Compensation Program Act (EEOICPA) (0954)
                      50
                      50
                      55

                      0007
                      Environmental Health (0947)
                      102
                      180
                      169

                      0008
                      Global Health (0955)
                      332
                      414
                      465

                      0012
                      HIV/AIDS, Viral Hepatitis, STD and TB Prevention (0950)
                      1,045
                      1,121
                      1,128

                      0013
                      Immunization and Respiratory Diseases (0951)
                      563
                      772
                      735

                      0015
                      Injury Prevention and Control (0952)
                      130
                      151
                      189

                      0016
                      Occupational Safety and Health (0953)
                      172
                      221

                      0019
                      Public Health Preparedness and Response (0956)
                      1,255
                      1,371
                      1,317

                      0020
                      Public Health Scientific Services (0959)
                      144
                      397
                      431

                      0021
                      Cooperative Research and Development Agreements (CRADA) (5146)
                      1
                      2
                      2

                      0799
                      Total direct obligations
                      6,008
                      6,691
                      6,270

                      0802
                      Reimbursable program activity
                      588
                      541
                      738

                      0809
                      Reimbursable program activities, subtotal
                      588
                      541
                      738

                      0900
                      Total new obligations
                      6,596
                      7,232
                      7,008

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      182
                      165
                      166

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      182

                      1021
                      Recoveries of prior year unpaid obligations
                      46

                      1050
                      Unobligated balance (total)
                      228
                      165
                      166

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      5,657
                      5,807
                      5,400

                      1120
                      Appropriations transferred to other accts [75–0350]
                      –8

                      1121
                      Appropriations transferred from other accts [75–9915]
                      59

                      1121
                      Appropriations transferred from other accts [75–9912]
                      2

                      1121
                      Appropriations transferred from other accts [75–0140]
                      2

                      1121
                      Appropriations transferred from other accts [75–0142]
                      5

                      1121
                      Appropriations transferred from other accts [75–0350]
                      16

                      1130
                      Appropriations permanently reduced
                      –296

                      1160
                      Appropriation, discretionary (total)
                      5,437
                      5,807
                      5,400

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      55
                      55
                      55

                      1201
                      Appropriation (special or trust fund)
                      1
                      2
                      2

                      1221
                      Appropriations transferred from other accts [75–0116]
                      463
                      831
                      809

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –5
                      –5

                      1260
                      Appropriations, mandatory (total)
                      514
                      883
                      866

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      329
                      541
                      736

                      1701
                      Change in uncollected payments, Federal sources
                      260

                      1750
                      Spending auth from offsetting collections, disc (total)
                      589
                      541
                      736

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      2
                      2

                      1850
                      Spending auth from offsetting collections, mand (total)

                      2
                      2

                      1900
                      Budget authority (total)
                      6,540
                      7,233
                      7,004

                      1930
                      Total budgetary resources available
                      6,768
                      7,398
                      7,170

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –7

                      1941
                      Unexpired unobligated balance, end of year
                      165
                      166
                      162

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,312
                      5,779
                      6,052

                      3010
                      Obligations incurred, unexpired accounts
                      6,596
                      7,232
                      7,008

                      3011
                      Obligations incurred, expired accounts
                      32

                      3020
                      Outlays (gross)
                      –6,979
                      –6,959
                      –6,909

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –46

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –136

                      3050
                      Unpaid obligations, end of year
                      5,779
                      6,052
                      6,151

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –461
                      –429
                      –429

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –260

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      292

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –429
                      –429
                      –429

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      5,851
                      5,350
                      5,623

                      3200
                      Obligated balance, end of year
                      5,350
                      5,623
                      5,722

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      6,026
                      6,348
                      6,136

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,373
                      2,539
                      2,470

                      4011
                      Outlays from discretionary balances
                      3,898
                      3,328
                      3,531

                      4020
                      Outlays, gross (total)
                      6,271
                      5,867
                      6,001

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –603
                      –532
                      –727

                      4033
                      Non-Federal sources
                      –7
                      –9
                      –9

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –610
                      –541
                      –736

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –260

                      4052
                      Offsetting collections credited to expired accounts
                      281

                      4060
                      Additional offsets against budget authority only (total)
                      21

                      4070
                      Budget authority, net (discretionary)
                      5,437
                      5,807
                      5,400

                      4080
                      Outlays, net (discretionary)
                      5,661
                      5,326
                      5,265

                      Mandatory:

                      4090
                      Budget authority, gross
                      514
                      885
                      868

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      128
                      329
                      321

                      4101
                      Outlays from mandatory balances
                      580
                      763
                      587

                      4110
                      Outlays, gross (total)
                      708
                      1,092
                      908

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources

                      –2
                      –2

                      4180
                      Budget authority, net (total)
                      5,951
                      6,690
                      6,266

                      4190
                      Outlays, net (total)
                      6,369
                      6,416
                      6,171

             The Centers for Disease Control and Prevention (CDC) supports a number of categorical programs designed to improve the health,
                safety, and protection of all Americans. These activities include immunization and respiratory diseases, HIV/AIDS, Hepatitis,
                STDs, and Tuberculosis prevention, emerging and zoonotic infectious diseases, chronic disease prevention and health promotion,
                occupational safety and health, public health and scientific services, injury prevention and control, environmental health,
                global health, programs that reduce the occurrence of birth defects and developmental disabilities, public health preparedness
                and emergency response, and CDC-Wide Activities and Program Support.  The 2013 levels in MAX are not comparable with 2014
                and the 2015 Budget levels.  In 2014, CDC implemented a Working Capital Fund, which realigned business support services from
                the prior fiscal year to the program budget lines based on 2013 consumption data.

          Object Classification (in millions of dollars)

                      Identification code 75–0943–0–1–999
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      700
                      706
                      713

                      11.3
                      Other than full-time permanent
                      98
                      102
                      102

                      11.5
                      Other personnel compensation
                      25
                      24
                      24

                      11.7
                      Military personnel
                      70
                      65
                      65

                      11.8
                      Special personal services payments
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      894
                      898
                      905

                      12.1
                      Civilian personnel benefits
                      251
                      252
                      254

                      12.2
                      Military personnel benefits
                      48
                      44
                      44

                      13.0
                      Benefits for former personnel
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      37
                      33
                      40

                      22.0
                      Transportation of things
                      12
                      10
                      9

                      23.1
                      Rental payments to GSA
                      35
                      59
                      60

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      32
                      34
                      35

                      24.0
                      Printing and reproduction
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      541
                      796
                      681

                      25.2
                      Other services from non-Federal sources
                      207
                      198
                      135

                      25.3
                      Other goods and services from Federal sources
                      253
                      293
                      240

                      25.4
                      Operation and maintenance of facilities
                      67
                      48
                      37

                      25.5
                      Research and development contracts
                      37
                      41
                      31

                      25.6
                      Medical care
                      5
                      7
                      6

                      25.7
                      Operation and maintenance of equipment
                      39
                      32
                      25

                      25.8
                      Subsistence and support of persons

                      1
                      30

                      26.0
                      Supplies and materials
                      561
                      299
                      297

                      31.0
                      Equipment
                      53
                      54
                      52

                      32.0
                      Land and structures
                      19
                      11
                      11

                      41.0
                      Grants, subsidies, and contributions
                      2,911
                      3,575
                      3,372

                      99.0
                      Direct obligations
                      6,008
                      6,691
                      6,270

                      99.0
                      Reimbursable obligations
                      588
                      541
                      738

                      99.9
                      Total new obligations
                      6,596
                      7,232
                      7,008

          Employment Summary

                      Identification code 75–0943–0–1–999
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      8,764
                      8,764
                      8,764

                      1101
                      Direct military average strength employment
                      800
                      800
                      800

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,159
                      1,159
                      1,159

                      2101
                      Reimbursable military average strength employment
                      101
                      101
                      101

             CDC Working Capital Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–4553–0–4–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program activity

                      520
                      517

                      0900
                      Total new obligations (object class 25.3)

                      520
                      517

                      Budgetary Resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected

                      520
                      517

                      1750
                      Spending auth from offsetting collections, disc (total)

                      520
                      517

                      1900
                      Budget authority (total)

                      520
                      517

                      1930
                      Total budgetary resources available

                      520
                      517

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      520
                      517

                      3020
                      Outlays (gross)

                      –520
                      –517

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      520
                      517

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      520
                      517

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources

                      –520
                      –517

             Implemented in 2014, CDC's new Working Capital Fund has extended availability and serves as the funding mechanism to finance
                centralized business services support across CDC. Services rendered under the fund are performed at pre-established rates
                that are used to cover the full cost of operations and future investments. Contributions are collected for services, thereby
                creating market-like incentives to maximize efficiency and quality.

          Object Classification (in millions of dollars)

                      Identification code 75–4553–0–4–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Reimbursable obligations:

                      25.3
                      Other goods and services from Federal sources

                      520
                      517

                      99.0
                      Reimbursable obligations

                      520
                      517

             Agency for Toxic Substances and Disease Registry
             toxic substances and environmental public healthFor necessary expenses for the Agency for Toxic Substances and Disease Registry (ATSDR) in carrying out activities set forth
             in sections 104(i) and 111(c)(4) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA)[; section 118(f) of the Superfund Amendments and Reauthorization Act of 1986 (SARA);] and section 3019 of the Solid Waste Disposal Act, $74,691,000, of which up to $1,000 per eligible employee of the Agency
             for Toxic Substances and Disease Registry shall remain available until expended for Individual Learning Accounts: Provided, That notwithstanding 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 healthcare 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 ATSDR to issue in excess of 40 toxicological
             profiles pursuant to section [104(I)] 104(i) of CERCLA during fiscal year [2014] 2015, and existing profiles may be updated as necessary. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0944–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program
                      75
                      75
                      75

                      0801
                      Reimbursable program
                      4
                      10
                      10

                      0900
                      Total new obligations
                      79
                      85
                      85

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      17
                      14
                      14

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      76
                      75
                      75

                      1130
                      Appropriations permanently reduced
                      –4

                      1160
                      Appropriation, discretionary (total)
                      72
                      75
                      75

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      20

                      1260
                      Appropriations, mandatory (total)

                      20

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      2
                      10
                      10

                      1701
                      Change in uncollected payments, Federal sources
                      2

                      1750
                      Spending auth from offsetting collections, disc (total)
                      4
                      10
                      10

                      1900
                      Budget authority (total)
                      76
                      85
                      105

                      1930
                      Total budgetary resources available
                      93
                      99
                      119

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      14
                      14
                      34

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      52
                      42
                      33

                      3010
                      Obligations incurred, unexpired accounts
                      79
                      85
                      85

                      3020
                      Outlays (gross)
                      –87
                      –94
                      –98

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –2

                      3050
                      Unpaid obligations, end of year
                      42
                      33
                      20

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –14
                      –10
                      –10

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –2

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      6

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –10
                      –10
                      –10

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      38
                      32
                      23

                      3200
                      Obligated balance, end of year
                      32
                      23
                      10

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      76
                      85
                      85

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      51
                      63
                      63

                      4011
                      Outlays from discretionary balances
                      32
                      31
                      21

                      4020
                      Outlays, gross (total)
                      83
                      94
                      84

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –9
                      –10
                      –10

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –2

                      4052
                      Offsetting collections credited to expired accounts
                      7

                      4060
                      Additional offsets against budget authority only (total)
                      5

                      4070
                      Budget authority, net (discretionary)
                      72
                      75
                      75

                      4080
                      Outlays, net (discretionary)
                      74
                      84
                      74

                      Mandatory:

                      4090
                      Budget authority, gross

                      20

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      14

                      4101
                      Outlays from mandatory balances
                      4

                      4110
                      Outlays, gross (total)
                      4

                      14

                      4180
                      Budget authority, net (total)
                      72
                      75
                      95

                      4190
                      Outlays, net (total)
                      78
                      84
                      88

             The Agency for Toxic Substances and Disease Registry (ATSDR) is authorized under the Comprehensive Environmental Response,
                Compensation, and Liability Act of 1980 (CERCLA). ATSDR's mission is to use the best science, take responsive action, and
                provide trustworthy health information to prevent and mitigate harmful exposures to toxic substances and related disease.

          Object Classification (in millions of dollars)

                      Identification code 75–0944–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      22
                      23
                      24

                      11.3
                      Other than full-time permanent
                      1
                      1
                      1

                      11.5
                      Other personnel compensation
                      1
                      1
                      1

                      11.7
                      Military personnel
                      4
                      4
                      4

                      11.9
                      Total personnel compensation
                      28
                      29
                      30

                      12.1
                      Civilian personnel benefits
                      8
                      8
                      8

                      12.2
                      Military personnel benefits
                      1
                      1
                      2

                      23.3
                      Communications, utilities, and miscellaneous charges
                      5
                      5
                      3

                      25.1
                      Advisory and assistance services
                      3
                      4
                      4

                      25.2
                      Other services from non-Federal sources
                      5
                      5
                      5

                      25.3
                      Other goods and services from Federal sources
                      7
                      7
                      7

                      25.7
                      Operation and maintenance of equipment
                      1
                      1
                      1

                      31.0
                      Equipment
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      16
                      14
                      14

                      99.0
                      Direct obligations
                      75
                      75
                      75

                      99.0
                      Reimbursable obligations
                      4
                      10
                      10

                      99.9
                      Total new obligations
                      79
                      85
                      85

          Employment Summary

                      Identification code 75–0944–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      240
                      240
                      240

                      1101
                      Direct military average strength employment
                      38
                      38
                      38

                      2001
                      Reimbursable civilian full-time equivalent employment
                      9
                      9
                      9

                      2101
                      Reimbursable military average strength employment
                      1
                      1
                      1

             World Trade Center Health Program Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0946–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Federal Share
                      230
                      268
                      282

                      0002
                      NYC
                      26
                      30
                      31

                      0900
                      Total new obligations
                      256
                      298
                      313

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      107

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (WTC (CDC Direct))
                      234
                      382
                      282

                      1200
                      Appropriation (WTC—NYC DHSS—CDC)
                      26
                      42
                      31

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –10
                      –19

                      1260
                      Appropriations, mandatory (total)
                      250
                      405
                      313

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      6

                      1850
                      Spending auth from offsetting collections, mand (total)
                      6

                      1900
                      Budget authority (total)
                      256
                      405
                      313

                      1930
                      Total budgetary resources available
                      256
                      405
                      420

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      107
                      107

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      114
                      162
                      177

                      3010
                      Obligations incurred, unexpired accounts
                      256
                      298
                      313

                      3020
                      Outlays (gross)
                      –191
                      –283
                      –365

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –17

                      3050
                      Unpaid obligations, end of year
                      162
                      177
                      125

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      114
                      162
                      177

                      3200
                      Obligated balance, end of year
                      162
                      177
                      125

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      256
                      405
                      313

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      125
                      203
                      157

                      4101
                      Outlays from mandatory balances
                      66
                      80
                      208

                      4110
                      Outlays, gross (total)
                      191
                      283
                      365

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –21

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      15

                      4160
                      Budget authority, net (mandatory)
                      250
                      405
                      313

                      4170
                      Outlays, net (mandatory)
                      170
                      283
                      365

                      4180
                      Budget authority, net (total)
                      250
                      405
                      313

                      4190
                      Outlays, net (total)
                      170
                      283
                      365

             HHS along with CDC began implementing provisions of The James Zadroga 9/11 Health and Compensation Act of 2010 (P.L. 111–347)
                on July 1, 2011, to provide monitoring and treatment benefits to eligible responders and survivors. CDC/NIOSH serves as the
                Program Administrator for the WTC Health Program. The WTC Health Program provides quality care for WTC-related health conditions,
                conducts WTC research, and maintains a health registry to collect data on victims of the September 11, 2001, terrorist attacks.
                The amounts included for 2014 and 2015 Budget reflect estimated Federal obligations for the WTC Health Program.

          Object Classification (in millions of dollars)

                      Identification code 75–0946–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      2
                      2
                      2

                      11.7
                      Military personnel
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      18
                      18
                      20

                      25.2
                      Other services from non-Federal sources
                      71
                      82
                      33

                      25.3
                      Other goods and services from Federal sources
                      10
                      5
                      4

                      25.6
                      Medical care
                      134
                      170
                      233

                      41.0
                      Grants, subsidies, and contributions
                      20
                      20
                      20

                      99.9
                      Total new obligations
                      256
                      298
                      313

          Employment Summary

                      Identification code 75–0946–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      18
                      18
                      18

                      1101
                      Direct military average strength employment
                      4
                      4
                      4

             National Institutes of Health

             Federal Funds
             National Cancer InstituteFor carrying out section 301 and title IV of the PHS Act with respect to cancer, [$4,923,238,000] $4,930,715,000, of which up to $8,000,000 may be used for facilities repairs and improvements at the National Cancer Institute—Frederick
             Federally Funded Research and Development Center in Frederick, Maryland. (Department of Health and Human Services Appropriations Act, 2014.)
             National Heart, Lung, and Blood InstituteFor carrying out section 301 and title IV of the PHS Act with respect to cardiovascular, lung, and blood diseases, and blood
             and blood products, [$2,988,605,000] $2,987,685,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Dental and Craniofacial ResearchFor carrying out section 301 and title IV of the PHS Act with respect to dental and craniofacial diseases, [$398,650,000] $397,131,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Diabetes and Digestive and Kidney DiseasesFor carrying out section 301 and title IV of the PHS Act with respect to diabetes and digestive and kidney disease, [$1,744,274,000] $1,743,336,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Neurological Disorders and StrokeFor carrying out section 301 and title IV of the PHS Act with respect to neurological disorders and stroke, [$1,587,982,000] $1,608,461,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Allergy and Infectious DiseasesFor carrying out section 301 and title IV of the PHS Act with respect to allergy and infectious diseases, [$4,358,841,000] $4,423,357,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of General Medical SciencesFor carrying out section 301 and title IV of the PHS Act with respect to general medical sciences, [$2,364,147,000: Provided, That not less than $273,325,000 is provided for the Institutional Development Awards program] $2,368,877,000. (Department of Health and Human Services Appropriations Act, 2014.)
             Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentFor carrying out section 301 and title IV of the PHS Act with respect to child health and human development, [$1,282,595,000] $1,283,487,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Eye InstituteFor carrying out section 301 and title IV of the PHS Act with respect to eye diseases and visual disorders, [$682,077,000] $675,168,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Environmental Health SciencesFor carrying out section 301 and title IV of the PHS Act with respect to environmental health sciences, [$665,439,000] $665,080,000. (Department of Health and Human Services Appropriations Act, 2014.)
          For necessary expenses [for] of 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 (42 U.S.C. 9660(a)) and section 126(g) of the Superfund Amendments
             and Reauthorization Act of 1986, $77,349,000. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2014.)
             National Institute on AgingFor carrying out section 301 and title IV of the PHS Act with respect to aging, [$1,171,038,000] $1,170,880,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Arthritis and Musculoskeletal and Skin DiseasesFor carrying out section 301 and title IV of the PHS Act with respect to arthritis and musculoskeletal and skin diseases,
             [$520,053,000] $520,189,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute on Deafness and Other Communication DisordersFor carrying out section 301 and title IV of the PHS Act with respect to deafness and other communication disorders, [$404,049,000] $403,933,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Nursing ResearchFor carrying out section 301 and title IV of the PHS Act with respect to nursing research, [$140,517,000] $140,452,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute on Alcohol Abuse and AlcoholismFor carrying out section 301 and title IV of the PHS Act with respect to alcohol abuse and alcoholism, [$446,025,000] $446,017,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute on Drug AbuseFor carrying out section 301 and title IV of the PHS Act with respect to drug abuse, [$1,025,435,000] $1,023,268,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Mental HealthFor carrying out section 301 and title IV of the PHS Act with respect to mental health, [$1,446,172,000] $1,440,076,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Human Genome Research InstituteFor carrying out section 301 and title IV of the PHS Act with respect to human genome research, [$497,813,000] $498,451,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute of Biomedical Imaging and BioengineeringFor carrying out section 301 and title IV of the PHS Act with respect to biomedical imaging and bioengineering research, [$329,172,000] $328,532,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Center for Complementary and Alternative MedicineFor carrying out section 301 and title IV of the PHS Act with respect to complementary and alternative medicine, [$124,296,000] $124,509,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Institute on Minority Health and Health DisparitiesFor carrying out section 301 and title IV of the PHS Act with respect to minority health and health disparities research,
             [$268,322,000] $267,953,000. (Department of Health and Human Services Appropriations Act, 2014.)
             John E. Fogarty International CenterFor carrying out the activities of the John E. Fogarty International Center (described in subpart 2 of part E of title IV
             of the PHS Act), [$67,577,000] $67,776,000. (Department of Health and Human Services Appropriations Act, 2014.)
             National Library of MedicineFor carrying out section 301 and title IV of the PHS Act with respect to health information communications, [$327,723,000, of which] $372,851,000: Provided, That, of the amounts available for improvement of information systems, $4,000,000 shall be available until September 30, [2015 , for improvement of information systems] 2016: Provided further, That, in fiscal year [2014] 2015, the National Library of Medicine 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 (referred to in this title as
             "NIH''): Provided further, That, in addition to amounts provided herein, $8,200,000 shall be available from amounts available under section 241 of the PHS
             Act to carry out the purposes of the National Information Center on Health Services Research and Health Care Technology established
             under section 478A of the PHS Act and related health information services. (Department of Health and Human Services Appropriations Act, 2014.)
             National Center for Advancing Translational SciencesFor carrying out section 301 and title IV of the PHS Act with respect to translational sciences, [$633,267,000] $657,471,000: Provided, That up to [$9,835,000] $29,810,000 shall be available to implement section 480 of the PHS Act, relating to the Cures Acceleration Network[: Provided further, That at least $474,746,000 is provided to the Clinical and Translational Sciences Awards program]. (Department of Health and Human Services Appropriations Act, 2014.)
             Office of the DirectorFor carrying out the responsibilities of the Office of the Director, NIH, [$1,400,134,000] $1,451,786,000, of which up to [$25,000,000] $30,000,000 shall be used to carry out section [213] 212 of this Act: Provided, That funding shall be available for the purchase of not to exceed 29 passenger motor vehicles for replacement only: Provided further, That NIH is authorized to collect third-party payments for the cost of clinical services that are incurred in NIH research
             facilities and that such payments shall be credited to the NIH Management Fund: Provided further, That all funds credited to the NIH Management Fund shall remain available for one fiscal year after the fiscal year in which
             they are deposited: Provided further, That $165,000,000 shall be for the National Children's Study ("NCS''), except that not later than July 15, [2014] 2015, the Director shall estimate the amount needed for the NCS during fiscal year [2014] 2015, and any funds in excess of the estimated need shall be transferred to and merged with the accounts for the various Institutes
             and Centers in proportion to their shares of total NIH appropriations made by this Act: Provided further, That [$533,039,000] $583,039,000 shall be available for the Common Fund established under section 402A(c)(1) of the PHS Act: Provided further, That of the funds provided $10,000 shall be for official reception and representation expenses when specifically approved
             by the Director of the NIH: Provided further, That the Office of AIDS Research within the Office of the Director of the NIH may spend up to $8,000,000 to make grants
             for construction or renovation of facilities as provided for in section 2354(a)(5)(B) of the PHS Act: Provided further, That the Director may direct up to 1 percent of the total made available in this or any other Act to all
                National Institutes of Health appropriations to activities that 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. (Department of Health and Human Services Appropriations Act, 2014.)
             Buildings and FacilitiesFor the study of, construction or demolition of, renovation of, and acquisition of equipment for, facilities of or used by
             NIH, including the acquisition of real property, [$128,663,000] $128,663,000, to remain available until [September 30, 2018, of which up to $7,000,000 may be used for demolition] expended. (Department of Health and Human Services Appropriations Act, 2014.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–9915–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0220
                      Cooperative Research and Development Agreements, NIH
                      18
                      17
                      17

                      0400
                      Total: Balances and collections
                      18
                      17
                      17

                      Appropriations:

                      0500
                      National Institutes of Health
                      –18
                      –17
                      –17

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 75–9915–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      National Cancer Institute (0849)
                      4,789
                      4,929
                      4,931

                      0002
                      National Heart, Lung, and Blood Institute (0872)
                      2,904
                      2,987
                      2,988

                      0003
                      National Institute of Dental and Craniofacial Research (0873)
                      387
                      398
                      397

                      0004
                      National Institute of Diabetes and Digestive and Kidney Disease (0884)
                      1,695
                      1,744
                      1,743

                      0005
                      National Institute of Neurological Disorders and Stroke (0886)
                      1,534
                      1,588
                      1,608

                      0006
                      National Institute of Allergy and Infectious Diseases (0885)
                      4,235
                      4,399
                      4,423

                      0007
                      National Institute of General Medical Sciences (0851)
                      2,293
                      2,365
                      2,369

                      0008
                      National Institute of Child Health and Human Development (0844)
                      1,246
                      1,283
                      1,283

                      0009
                      National Eye Institute (0887)
                      657
                      675
                      675

                      0010
                      National Institute of Environmental Health Sciences (0862)
                      721
                      742
                      742

                      0011
                      National Institute on Aging (0843)
                      1,041
                      1,171
                      1,171

                      0012
                      National Institute of Arthritis and Musculoskeletal and Skin Disease (0888)
                      505
                      520
                      520

                      0013
                      National Institute on Deafness and Other Communication Disorder (0890)
                      393
                      404
                      404

                      0014
                      National Institute of Mental Health (0892)
                      1,396
                      1,419
                      1,440

                      0015
                      National Institute on Drug Abuse (0893)
                      993
                      1,017
                      1,023

                      0016
                      National Institute on Alcohol Abuse and Alcoholism (0894)
                      433
                      446
                      446

                      0017
                      National Institute of Nursing Research (0889)
                      137
                      141
                      141

                      0018
                      National Human Genome Research Institute (0891)
                      484
                      498
                      498

                      0019
                      National Institute of Biomedical Imaging and Bioengineering (0898)
                      319
                      327
                      329

                      0021
                      National Center for Complementary and Alternative Medicine (0896)
                      121
                      124
                      125

                      0022
                      National Institute on Minority Health and Health Disparities (0897)
                      261
                      268
                      268

                      0023
                      John E. Fogarty International Center (0819)
                      66
                      68
                      68

                      0024
                      National Library of Medicine (0807)
                      317
                      328
                      373

                      0025
                      Office of the Director (0846)
                      1,412
                      1,400
                      1,452

                      0026
                      Buildings and facilities (0838)
                      167
                      129
                      129

                      0027
                      Cooperative Research and Development Agreements
                      21
                      17
                      17

                      0028
                      National Center for Advancing Translational Sciences (0875)
                      543
                      633
                      657

                      0031
                      Type 1 Diabetes
                      142
                      139

                      0799
                      Total direct obligations
                      29,212
                      30,159
                      30,220

                      0801
                      Reimbursable - Other
                      3,151
                      3,192
                      3,201

                      0802
                      Royalties
                      92
                      179
                      179

                      0809
                      Reimbursable program activities, subtotal
                      3,243
                      3,371
                      3,380

                      0899
                      Total reimbursable obligations
                      3,243
                      3,371
                      3,380

                      0900
                      Total new obligations
                      32,455
                      33,530
                      33,600

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      458
                      739
                      564

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      253
                      702

                      1021
                      Recoveries of prior year unpaid obligations
                      59
                      4

                      1050
                      Unobligated balance (total)
                      517
                      743
                      564

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      30,780
                      30,003
                      30,203

                      1120
                      Appropriations transferred to other accts [75–0943]
                      –59

                      1120
                      Appropriations transferred to other accts [75–0511]
                      –114

                      1121
                      Appropriations transferred from other accts [75–0140]
                      149

                      1130
                      Appropriations permanently reduced
                      –1,607

                      1160
                      Appropriation, discretionary (total)
                      29,149
                      30,003
                      30,203

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      150
                      150

                      1201
                      Appropriation (special or trust fund)
                      18
                      17
                      17

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –8
                      –11

                      1260
                      Appropriations, mandatory (total)
                      160
                      156
                      17

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      2,609
                      3,192
                      3,201

                      1701
                      Change in uncollected payments, Federal sources
                      762

                      1750
                      Spending auth from offsetting collections, disc (total)
                      3,371
                      3,192
                      3,201

                      1900
                      Budget authority (total)
                      32,680
                      33,351
                      33,421

                      1930
                      Total budgetary resources available
                      33,197
                      34,094
                      33,985

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –3

                      1941
                      Unexpired unobligated balance, end of year
                      739
                      564
                      385

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      33,050
                      31,107
                      30,317

                      3010
                      Obligations incurred, unexpired accounts
                      32,455
                      33,530
                      33,600

                      3011
                      Obligations incurred, expired accounts
                      203

                      3020
                      Outlays (gross)
                      –34,173
                      –34,316
                      –32,870

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –59
                      –4

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –369

                      3050
                      Unpaid obligations, end of year
                      31,107
                      30,317
                      31,047

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –938
                      –1,253
                      –1,253

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –762

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      447

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –1,253
                      –1,253
                      –1,253

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      32,112
                      29,854
                      29,064

                      3200
                      Obligated balance, end of year
                      29,854
                      29,064
                      29,794

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      32,520
                      33,195
                      33,404

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      10,579
                      11,293
                      11,356

                      4011
                      Outlays from discretionary balances
                      23,438
                      22,905
                      21,384

                      4020
                      Outlays, gross (total)
                      34,017
                      34,198
                      32,740

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –3,080
                      –3,192
                      –3,201

                      4033
                      Non-Federal sources
                      –117

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –3,197
                      –3,192
                      –3,201

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –762

                      4052
                      Offsetting collections credited to expired accounts
                      588

                      4060
                      Additional offsets against budget authority only (total)
                      –174

                      4070
                      Budget authority, net (discretionary)
                      29,149
                      30,003
                      30,203

                      4080
                      Outlays, net (discretionary)
                      30,820
                      31,006
                      29,539

                      Mandatory:

                      4090
                      Budget authority, gross
                      160
                      156
                      17

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      7
                      49
                      17

                      4101
                      Outlays from mandatory balances
                      149
                      69
                      113

                      4110
                      Outlays, gross (total)
                      156
                      118
                      130

                      4180
                      Budget authority, net (total)
                      29,309
                      30,159
                      30,220

                      4190
                      Outlays, net (total)
                      30,976
                      31,124
                      29,669

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      29,309
                      30,159
                      30,220

                      Outlays
                      30,976
                      31,124
                      29,669

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      150

                      Outlays

                      36

                      Total:

                      Budget Authority
                      29,309
                      30,159
                      30,370

                      Outlays
                      30,976
                      31,124
                      29,705

             DISTRIBUTION OF BUDGET AUTHORITY AND OUTLAYS BY ACCOUNT (in millions of dollars)

                         2013
                         2014
                         2015

                         Distribution of budget authority by account:

                         National Cancer Institute
                         4,789
                         4,929
                         4,931

                         National Heart, Lung, and Blood Institute
                         2,904
                         2,987
                         2,988

                         National Institute of Dental and Craniofacial Research
                         387
                         398
                         397

                         National Institute of Diabetes and Digestive and Kidney Diseases
                         1,695
                         1,744
                         1,743

                         National Institute of Neurological Disorder and Stroke
                         1,534
                         1,588
                         1,608

                         National Institute of Allergy and Infectious Diseases
                         4,235
                         4,399
                         4,423

                         National Institute of General Medical Sciences
                         2,293
                         2,365
                         2,369

                         Eunice Kennedy Shriver National Institute of Child Health and Human Development
                         1,246
                         1,283
                         1,283

                         National Eye Institute
                         657
                         675
                         675

                         National Institute of Environmental Health Sciences
                         721
                         742
                         742

                         National Institute on Aging
                         1,041
                         1,171
                         1,171

                         National Institute of Arthritis and Musculoskeletal and Skin Diseases
                         505
                         520
                         520

                         National Institute on Deafness and Other Communication Disorders
                         393
                         404
                         404

                         National Institute of Mental Health
                         1,396
                         1,419
                         1,440

                         National Institute on Drug Abuse
                         993
                         1,017
                         1,023

                         National Institute on Alcohol Abuse and Alcoholism
                         433
                         446
                         446

                         National Institute of Nursing Research
                         137
                         141
                         141

                         National Center for Research Resources
                         0
                         0
                         0

                         National Human Genome Research Institute
                         484
                         498
                         498

                         National Institute of Biomedical Imaging and Bioengineering
                         319
                         327
                         329

                         National Institute on Minority Health and Health Disparities
                         261
                         268
                         268

                         National Center for Complementary and Alternative Medicine
                         121
                         124
                         125

                         National Center for Advancing Translational Sciences
                         543
                         633
                         657

                         John E. Fogarty International Center
                         66
                         68
                         68

                         National Library of Medicine
                         317
                         328
                         373

                         Office of the Director
                         1,412
                         1,400
                         1,452

                         Buildings and Facilities
                         167
                         129
                         129

                         Subtotal
                         29,049
                         30,003
                         30,203

                         Cooperative Research and Development Agreements
                         21
                         17
                         17

                         Total Budget Authority, NIH
                         29,070
                         30,020
                         30,220

                         2013
                         2014
                         2015

                         Distribution of outlays by account:

                         National Cancer Institute
                         4,867
                         5,075
                         4,832

                         National Heart, Lung, and Blood Institute
                         3,021
                         2,945
                         2,926

                         National Institute of Dental and Craniofacial Research
                         401
                         430
                         390

                         National Institute of Diabetes and Digestive and Kidney Diseases
                         1,908
                         2,067
                         1,710

                         National Institute of Neurological Disorders and Stroke
                         1,593
                         1,735
                         1,560

                         National Institute of Allergy and Infectious Diseases
                         4,514
                         4,250
                         4,314

                         National Institute of General Medical Sciences
                         2,574
                         2,583
                         2,315

                         Eunice Kennedy Shriver National Institute of Child Health and Human Development
                         1,298
                         1,388
                         1,257

                         National Eye Institute
                         707
                         693
                         661

                         National Institute of Environmental Health Sciences
                         507
                         718
                         728

                         National Institute on Aging
                         1,074
                         1,115
                         1,127

                         National Institute of Arthritis and Musculoskeletal and Skin Diseases
                         517
                         540
                         509

                         National Institute on Deafness and Other Communication Disorders
                         407
                         421
                         396

                         National Institute of Mental Health
                         1,476
                         1,419
                         1,399

                         National Institute on Drug Abuse
                         1,071
                         936
                         999

                         National Institute on Alcohol Abuse and Alcoholism
                         469
                         448
                         437

                         National Institute of Nursing Research
                         143
                         138
                         138

                         National Center for Research Resources
                         125
                         83
                         28

                         National Human Genome Research Institute
                         470
                         567
                         488

                         National Institute of Biomedical Imaging and Bioengineering
                         330
                         338
                         320

                         National Institute on Minority Health and Health Disparities
                         248
                         262
                         260

                         National Center for Complementary and Alternative Medicine
                         125
                         128
                         122

                         National Center for Advancing Translational Sciences
                         476
                         564
                         578

                         John E. Fogarty International Center
                         67
                         73
                         66

                         National Library of Medicine
                         318
                         336
                         345

                         Office of the Director
                         1,324
                         1,504
                         1,387

                         Buildings and Facilities
                         95
                         83
                         91

                         ARRA Funds
                         935
                         273
                         273

                         Management Fund/Service and Supply Fund
                         –103

                         Subtotal Outlays

                         Cooperative Research and Development Agreements
                         18
                         16
                         16

                         Total Outlays, NIH
                         30,975
                         31,125
                         29,670

             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.

          Object Classification (in millions of dollars)

                      Identification code 75–9915–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      905
                      921
                      931

                      11.3
                      Other than full-time permanent
                      463
                      468
                      473

                      11.5
                      Other personnel compensation
                      18
                      19
                      19

                      11.7
                      Military personnel
                      21
                      21
                      22

                      11.8
                      Special personal services payments
                      160
                      160
                      162

                      11.9
                      Total personnel compensation
                      1,567
                      1,589
                      1,607

                      12.1
                      Civilian personnel benefits
                      422
                      430
                      445

                      12.2
                      Military personnel benefits
                      15
                      15
                      15

                      21.0
                      Travel and transportation of persons
                      43
                      45
                      45

                      22.0
                      Transportation of things
                      5
                      5
                      5

                      23.1
                      Rental payments to GSA
                      2
                      2
                      2

                      23.2
                      Rental payments to others

                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      28
                      29
                      29

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      112
                      114
                      115

                      25.2
                      Other services from non-Federal sources
                      732
                      791
                      760

                      25.3
                      Other goods and services from Federal sources
                      2,872
                      2,985
                      3,032

                      25.4
                      Operation and maintenance of facilities
                      210
                      174
                      174

                      25.5
                      Research and development contracts
                      2,072
                      2,201
                      2,180

                      25.6
                      Medical care
                      21
                      22
                      22

                      25.7
                      Operation and maintenance of equipment
                      106
                      108
                      109

                      26.0
                      Supplies and materials
                      178
                      185
                      184

                      31.0
                      Equipment
                      131
                      136
                      135

                      41.0
                      Grants, subsidies, and contributions
                      20,695
                      21,326
                      21,359

                      99.0
                      Direct obligations
                      29,212
                      30,159
                      30,220

                      99.0
                      Reimbursable obligations
                      3,243
                      3,371
                      3,380

                      99.9
                      Total new obligations
                      32,455
                      33,530
                      33,600

          Employment Summary

                      Identification code 75–9915–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      13,255
                      13,240
                      13,240

                      1101
                      Direct military average strength employment
                      200
                      200
                      200

                      2001
                      Reimbursable civilian full-time equivalent employment
                      4,675
                      4,690
                      4,690

                      2101
                      Reimbursable military average strength employment
                      100
                      100
                      100

             National Institutes of Health

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–9915–4–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity

                      150

                      0900
                      Total new obligations (object class 41.0)

                      150

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      150

                      1260
                      Appropriations, mandatory (total)

                      150

                      1900
                      Budget authority (total)

                      150

                      1930
                      Total budgetary resources available

                      150

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      150

                      3020
                      Outlays (gross)

                      –36

                      3050
                      Unpaid obligations, end of year

                      114

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      114

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      150

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      36

                      4180
                      Budget authority, net (total)

                      150

                      4190
                      Outlays, net (total)

                      36

             Substance Abuse and Mental Health Services Administration

             Federal Funds
             Mental HealthFor carrying out titles III, V, and XIX of the PHS Act with respect to mental health, and the Protection and Advocacy for
             Individuals with Mental Illness Act, [$1,055,347,000] $992,792,000: Provided, That notwithstanding section 520A(f)(2) of the PHS Act, no funds appropriated for carrying out section 520A shall be available
             for carrying out section 1971 of the PHS Act: Provided further, That in addition to amounts provided herein, [$21,039,000] $26,039,000 shall be available under section 241 of the PHS Act to supplement funds otherwise available for mental health activities and to carry out subpart I of part B of title XIX of the PHS Act to fund section 1920(b) technical assistance, national data,
             data collection and evaluation activities, and further that the total available under this Act for section 1920(b) activities
             shall not exceed 5 percent of the amounts appropriated for subpart I of part B of title XIX: Provided further, That section 520E(b)(2) of the PHS Act shall not apply to funds appropriated under this Act for fiscal year [2014] 2015: Provided further, That [of the amount appropriated under this heading, $46,000,000 shall be for the National Child Traumatic Stress Initiative as
             described in section 582 of the PHS Act] notwithstanding section 565(b)(1) of the PHS Act, technical assistance may be provided to a public entity to establish or
                operate a system of comprehensive community mental health services to children with a serious emotional disturbance, without
                regard to whether the public entity receives a grant under section 561(a) of such Act: Provided further, That States shall expend at least 5 percent of the amount each receives for carrying out section 1911 of the PHS Act to
             support evidence-based [programs that] mental health prevention and treatment practices to address the needs of individuals with early serious mental illness, including psychotic disorders, regardless of the age
             of the individual at onset: Provided further, That none of the funds provided for section 1911 of the PHS Act shall be subject to section 241 of such Act.
             Substance Abuse TreatmentFor carrying out titles III[,] and V[, and XIX] of the PHS Act with respect to substance abuse treatment and [section 1922(a) of the PHS Act] title XIX of such Act with respect to substance abuse treatment and prevention, [$2,052,661,000] $2,008,056,000: Provided, That in addition to amounts provided herein, [the following amounts] $109,200,000 shall be available under section 241 of the PHS Act[: (1) $79,200,000] to supplement funds otherwise available for substance abuse treatment activities and to carry out subpart II of part B of title XIX of the PHS Act to fund section 1935(b) technical assistance, national data,
             data collection and evaluation activities, and further that the total available under this Act for section 1935(b) activities
             shall not exceed 5 percent of the amounts appropriated for subpart II of part B of title XIX[; and (2) $2,000,000 to evaluate substance abuse treatment programs]: Provided further, That none of the funds provided for section 1921 of the PHS Act shall be subject to section 241 of such Act.
             Substance Abuse PreventionFor carrying out titles III and V of the PHS Act with respect to substance abuse prevention, [$175,631,000] $169,092,000: Provided, That in addition to amounts provided herein, $16,468,000 shall be available under section 241 of
                the PHS Act to supplement funds otherwise available for substance abuse prevention activities.
             Health Surveillance and Program SupportFor program support and cross-cutting activities that supplement activities funded under the headings "Mental Health'', "Substance
             Abuse Treatment'', and "Substance Abuse Prevention'' in carrying out titles III, V, and XIX of the PHS Act and the Protection
             and Advocacy for Individuals with Mental Illness Act in the Substance Abuse and Mental Health Services Administration, [$151,296,000] $127,729,000: Provided, That in addition to amounts provided herein, [$30,428,000] $58,995,000 shall be available under section 241 of the PHS Act to supplement funds available to carry out national surveys on drug abuse
             and mental health, to collect and analyze program data, and to conduct public awareness and technical assistance activities:
             Provided further, That, in addition, fees may be collected for the costs of publications, data, data tabulations, and data analysis completed
             under title V of the PHS Act and provided to a public or private entity upon request, which shall be credited to this appropriation
             and shall remain available until expended for such purposes: Provided further, That amounts made available in this Act for carrying out section 501(m) of the PHS Act shall remain available
                through September 30, 2016: Provided further, That funds made available under this heading may be used to supplement program support funding provided under the headings
             "Mental Health'', "Substance Abuse Treatment'', and "Substance Abuse Prevention'': Provided further, That the Administrator may transfer funds between any of the accounts of SAMHSA with notification to the
                Committees on Appropriations of both Houses of Congress at least 15 days in advance of any transfer, but no such account shall
                be decreased by more than 3 percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1362–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0006
                      Mental Health
                      894
                      1,055
                      999

                      0007
                      Substance Abuse Treatment
                      2,033
                      2,052
                      2,002

                      0008
                      Substance Abuse Prevention
                      176
                      176
                      169

                      0009
                      Health Surveillance and Program Support
                      121
                      152
                      128

                      0100
                      Total, direct program
                      3,224
                      3,435
                      3,298

                      0799
                      Total direct obligations
                      3,224
                      3,435
                      3,298

                      0802
                      Reimbursables
                      280
                      249
                      328

                      0900
                      Total new obligations
                      3,504
                      3,684
                      3,626

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1
                      63

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1

                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,349
                      3,435
                      3,298

                      1120
                      Appropriations transferred to other accts [75–0350]
                      –1

                      1121
                      Appropriations transferred from other accts [75–0350]
                      15

                      1121
                      Appropriations transferred from other accts [75–1536]
                      21

                      1121
                      Appropriations transferred from other accts [75–1515]
                      2

                      1130
                      Appropriations permanently reduced
                      –175

                      1160
                      Appropriation, discretionary (total)
                      3,211
                      3,435
                      3,298

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from the Prevention and Public Health Fund [75–0116]
                      15
                      62
                      58

                      1260
                      Appropriations, mandatory (total)
                      15
                      62
                      58

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      145
                      249
                      330

                      1701
                      Change in uncollected payments, Federal sources
                      135

                      1750
                      Spending auth from offsetting collections, disc (total)
                      280
                      249
                      330

                      1900
                      Budget authority (total)
                      3,506
                      3,746
                      3,686

                      1930
                      Total budgetary resources available
                      3,506
                      3,747
                      3,749

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      63
                      123

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      3,125
                      3,219
                      2,953

                      3010
                      Obligations incurred, unexpired accounts
                      3,504
                      3,684
                      3,626

                      3011
                      Obligations incurred, expired accounts
                      10

                      3020
                      Outlays (gross)
                      –3,378
                      –3,950
                      –3,739

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –42

                      3050
                      Unpaid obligations, end of year
                      3,219
                      2,953
                      2,840

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –22
                      –143
                      –143

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –135

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      14

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –143
                      –143
                      –143

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      3,103
                      3,076
                      2,810

                      3200
                      Obligated balance, end of year
                      3,076
                      2,810
                      2,697

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3,491
                      3,684
                      3,628

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,176
                      1,554
                      1,583

                      4011
                      Outlays from discretionary balances
                      2,167
                      2,289
                      2,100

                      4020
                      Outlays, gross (total)
                      3,343
                      3,843
                      3,683

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –153
                      –249
                      –328

                      4033
                      Non-Federal sources

                      –2

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –153
                      –249
                      –330

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –135

                      4052
                      Offsetting collections credited to expired accounts
                      8

                      4060
                      Additional offsets against budget authority only (total)
                      –127

                      4070
                      Budget authority, net (discretionary)
                      3,211
                      3,435
                      3,298

                      4080
                      Outlays, net (discretionary)
                      3,190
                      3,594
                      3,353

                      Mandatory:

                      4090
                      Budget authority, gross
                      15
                      62
                      58

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      4
                      24
                      22

                      4101
                      Outlays from mandatory balances
                      31
                      83
                      34

                      4110
                      Outlays, gross (total)
                      35
                      107
                      56

                      4180
                      Budget authority, net (total)
                      3,226
                      3,497
                      3,356

                      4190
                      Outlays, net (total)
                      3,225
                      3,701
                      3,409

             This program provides Federal support to strengthen the capacity of the Nation's health care delivery system to provide effective
                substance abuse prevention, addiction treatment, and mental health services for people at risk for or experiencing substance
                abuse or mental illness. SAMHSA builds partnerships with States, communities, tribal and private not-for-profit organizations
                to enhance health and reduce the adverse impact of substance abuse and mental illness on America's communities.

          Object Classification (in millions of dollars)

                      Identification code 75–1362–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      48
                      51
                      51

                      11.3
                      Other than full-time permanent
                      4
                      4
                      4

                      11.5
                      Other personnel compensation

                      1
                      1

                      11.7
                      Military personnel
                      3
                      3
                      3

                      11.9
                      Total personnel compensation
                      55
                      59
                      59

                      12.1
                      Civilian personnel benefits
                      15
                      16
                      16

                      12.2
                      Military personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      6
                      6
                      10

                      23.3
                      Communications, utilities, and miscellaneous charges

                      1
                      1

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      54
                      48
                      50

                      25.2
                      Other services from non-Federal sources
                      163
                      204
                      192

                      25.3
                      Other goods and services from Federal sources
                      33
                      63
                      70

                      25.4
                      Operation and maintenance of facilities
                      2
                      1
                      1

                      25.5
                      Research and development contracts

                      4
                      4

                      41.0
                      Grants, subsidies, and contributions
                      2,892
                      3,029
                      2,891

                      99.0
                      Direct obligations
                      3,224
                      3,435
                      3,298

                      99.0
                      Reimbursable obligations
                      280
                      249
                      328

                      99.9
                      Total new obligations
                      3,504
                      3,684
                      3,626

          Employment Summary

                      Identification code 75–1362–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      492
                      520
                      509

                      1101
                      Direct military average strength employment
                      34
                      35
                      37

                      2001
                      Reimbursable civilian full-time equivalent employment
                      66
                      85
                      93

                      2101
                      Reimbursable military average strength employment
                      16
                      15
                      16

             Agency for Healthcare Research and Quality

             Federal Funds
             Healthcare Research and QualityFor carrying out titles III and IX of the PHS Act, part A of title XI of the Social Security Act, and section 1013 of the
             Medicare Prescription Drug, Improvement, and Modernization Act of 2003, [$364,008,000] $334,099,000 shall be available from amounts available under section 241 of the PHS Act, notwithstanding subsection 947(c) of such Act:
             Provided, That in addition, amounts received from Freedom of Information Act fees, reimbursable and interagency agreements, and the
             sale of data shall be credited to this appropriation and shall remain available until [September 30, 2015] expended. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1700–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0003
                      Prevention and Public Health Fund
                      6
                      7

                      0801
                      Reimbursable program
                      15
                      15
                      15

                      0802
                      Reimbursable program: PHS evaluation
                      366
                      364
                      334

                      0899
                      Total reimbursable obligations
                      381
                      379
                      349

                      0900
                      Total new obligations
                      387
                      386
                      349

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      4
                      21
                      21

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      4
                      21

                      Budget authority:

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from other accts [75–0116]
                      6
                      7

                      1260
                      Appropriations, mandatory (total)
                      6
                      7

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      121
                      379
                      349

                      1701
                      Change in uncollected payments, Federal sources
                      256

                      1750
                      Spending auth from offsetting collections, disc (total)
                      377
                      379
                      349

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      21

                      1850
                      Spending auth from offsetting collections, mand (total)
                      21

                      1900
                      Budget authority (total)
                      404
                      386
                      349

                      1930
                      Total budgetary resources available
                      408
                      407
                      370

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      21
                      21
                      21

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      725
                      487
                      151

                      3010
                      Obligations incurred, unexpired accounts
                      387
                      386
                      349

                      3011
                      Obligations incurred, expired accounts
                      4

                      3020
                      Outlays (gross)
                      –613
                      –722
                      –462

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –16

                      3050
                      Unpaid obligations, end of year
                      487
                      151
                      38

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –293
                      –387
                      –387

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –256

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      162

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –387
                      –387
                      –387

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      432
                      100
                      –236

                      3200
                      Obligated balance, end of year
                      100
                      –236
                      –349

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      377
                      379
                      349

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      126
                      379
                      349

                      4011
                      Outlays from discretionary balances
                      477
                      331
                      100

                      4020
                      Outlays, gross (total)
                      603
                      710
                      449

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –273
                      –379
                      –349

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –256

                      4052
                      Offsetting collections credited to expired accounts
                      152

                      4060
                      Additional offsets against budget authority only (total)
                      –104

                      4080
                      Outlays, net (discretionary)
                      330
                      331
                      100

                      Mandatory:

                      4090
                      Budget authority, gross
                      27
                      7

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      10
                      12
                      13

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –21

                      4180
                      Budget authority, net (total)
                      6
                      7

                      4190
                      Outlays, net (total)
                      319
                      343
                      113

             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
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.5
                      Research and development contracts
                      2
                      7

                      41.0
                      Grants, subsidies, and contributions
                      4

                      99.0
                      Direct obligations
                      6
                      7

                      99.0
                      Reimbursable obligations
                      381
                      379
                      349

                      99.9
                      Total new obligations
                      387
                      386
                      349

          Employment Summary

                      Identification code 75–1700–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      2001
                      Reimbursable civilian full-time equivalent employment
                      296
                      297
                      297

                      2101
                      Reimbursable military average strength employment
                      9
                      9
                      9

                      3001
                      Allocation account civilian full-time equivalent employment
                      6
                      20
                      20

             Centers for Medicare and Medicaid Services

             Federal Funds
             Grants to States for MedicaidFor carrying out, except as otherwise provided, titles XI and XIX of the Social Security Act, [$177,872,985,000] $234,608,916,000, to remain available until expended.

          For making, after May 31, [2014] 2015, payments to States under title XIX or in the case of section 1928 on behalf of States under title XIX of the Social Security
             Act for the last quarter of fiscal year [2014] 2015 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 [2015] 2016, [$103,472,323,000] $113,272,140,000, to remain available until expended.

          Payment under such title XIX may be made for any quarter with respect to a State plan or plan amendment in effect during such
             quarter, if submitted in or prior to such quarter and approved in that or any subsequent quarter. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0512–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments
                      265,069
                      290,533
                      315,239

                      0002
                      State and local administration
                      17,767
                      18,556
                      18,766

                      0003
                      Vaccines for Children
                      3,607
                      3,562
                      4,077

                      0799
                      Total direct obligations
                      286,443
                      312,651
                      338,082

                      0801
                      Medicare Part B premiums
                      477
                      390

                      0802
                      Medicare Part D

                      6

                      0899
                      Total reimbursable obligations
                      477
                      390
                      6

                      0900
                      Total new obligations
                      286,920
                      313,041
                      338,088

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      21,091
                      2,283
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      18,143

                      1050
                      Unobligated balance (total)
                      39,234
                      2,283
                      1

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation Medicaid
                      158,827
                      204,033
                      234,609

                      1260
                      Appropriations, mandatory (total)
                      158,827
                      204,033
                      234,609

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      90,614
                      106,336
                      103,472

                      1280
                      Advanced appropriation, mandatory (total)
                      90,614
                      106,336
                      103,472

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      528
                      390
                      6

                      1850
                      Spending auth from offsetting collections, mand (total)
                      528
                      390
                      6

                      1900
                      Budget authority (total)
                      249,969
                      310,759
                      338,087

                      1930
                      Total budgetary resources available
                      289,203
                      313,042
                      338,088

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2,283
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      27,899
                      30,756
                      34,967

                      3010
                      Obligations incurred, unexpired accounts
                      286,920
                      313,041
                      338,088

                      3020
                      Outlays (gross)
                      –265,920
                      –308,830
                      –331,446

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –18,143

                      3050
                      Unpaid obligations, end of year
                      30,756
                      34,967
                      41,609

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      27,899
                      30,756
                      34,967

                      3200
                      Obligated balance, end of year
                      30,756
                      34,967
                      41,609

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      249,969
                      310,759
                      338,087

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      230,914
                      279,612
                      331,446

                      4101
                      Outlays from mandatory balances
                      35,006
                      29,218

                      4110
                      Outlays, gross (total)
                      265,920
                      308,830
                      331,446

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –477
                      –390
                      –6

                      4123
                      Non-Federal sources
                      –51

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –528
                      –390
                      –6

                      4160
                      Budget authority, net (mandatory)
                      249,441
                      310,369
                      338,081

                      4170
                      Outlays, net (mandatory)
                      265,392
                      308,440
                      331,440

                      4180
                      Budget authority, net (total)
                      249,441
                      310,369
                      338,081

                      4190
                      Outlays, net (total)
                      265,392
                      308,440
                      331,440

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      249,441
                      310,369
                      338,081

                      Outlays
                      265,392
                      308,440
                      331,440

                      Amounts included in the adjusted baseline:

                      Budget Authority

                      7

                      Outlays

                      7

                      Legislative proposal, not subject to PAYGO:

                      Budget Authority

                      –365
                      –636

                      Outlays

                      –365
                      –636

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      540
                      5,151

                      Outlays

                      540
                      5,151

                      Total:

                      Budget Authority
                      249,441
                      310,544
                      342,603

                      Outlays
                      265,392
                      308,615
                      335,962

             Medicaid assists States in providing medical care to their low-income populations by granting Federal matching payments under
                title XIX of the Social Security Act to States with approved plans.

             Medicaid estimates assume budget authority for expenses that are incurred but not reported (IBNR).
             Authorized as part of Title XIX, Vaccines for Children (VFC) finances the purchase of vaccines for low-income, eligible children.
                VFC is administered by the Centers for Disease Control and Prevention and is funded entirely by the Federal Government.

             Vaccines for Children (in millions of dollars)

                         Obligations
                         2013
                         2014
                         2015

                         Vaccine Purchase
                         3,335
                         3,273
                         3,776

                         Vaccine Stockpile
                         137
                         135
                         138

                         Ordering, Distribution, and Operations
                         94
                         111
                         119

                         Vaccine Management Contract Support
                         1
                         0
                         0

                         Evaluation Activities
                         42
                         43
                         44

                         Total Obligations
                         3,609
                         3,562
                         4,077

          Object Classification (in millions of dollars)

                      Identification code 75–0512–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions
                      286,443
                      312,651
                      338,082

                      99.0
                      Reimbursable obligations
                      477
                      390
                      6

                      99.9
                      Total new obligations
                      286,920
                      313,041
                      338,088

             Grants to States for Medicaid

             (Amounts included in the adjusted baseline)Program and Financing (in millions of dollars)

                      Identification code 75–0512–7–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments

                      7

                      0900
                      Total new obligations (object class 41.0)

                      7

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      7

                      1260
                      Appropriations, mandatory (total)

                      7

                      1930
                      Total budgetary resources available

                      7

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      7

                      3020
                      Outlays (gross)

                      –7

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      7

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      7

                      4180
                      Budget authority, net (total)

                      7

                      4190
                      Outlays, net (total)

                      7

             Grants to States for Medicaid

             (Legislative proposal, not subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0512–2–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments

                      124

                      0900
                      Total new obligations (object class 41.0)

                      124

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      124

                      1260
                      Appropriations, mandatory (total)

                      124

                      1930
                      Total budgetary resources available

                      124

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      124

                      3020
                      Outlays (gross)

                      –124

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      124

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      124

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –365
                      –760

                      4180
                      Budget authority, net (total)

                      –365
                      –636

                      4190
                      Outlays, net (total)

                      –365
                      –636

             Please see the narratives in the Program Integrity Administrative Expenses (Social Security Administration) and Health Care Fraud and Abuse Control accounts for a description of certain program integrity estimates reflected here. This schedule also reflects the offsetting
                collections from Medicare Part B for the extension of the Qualified Individuals (QI) program, and other impacts of the Administration's
                Medicaid proposals.

             Grants to States for Medicaid

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0512–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments

                      175
                      4,391

                      0801
                      Medicare Part B Premiums

                      365
                      760

                      0900
                      Total new obligations

                      540
                      5,151

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation Medicaid

                      175
                      4,391

                      1260
                      Appropriations, mandatory (total)

                      175
                      4,391

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      365
                      760

                      1850
                      Spending auth from offsetting collections, mand (total)

                      365
                      760

                      1900
                      Budget authority (total)

                      540
                      5,151

                      1930
                      Total budgetary resources available

                      540
                      5,151

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      540
                      5,151

                      3020
                      Outlays (gross)

                      –540
                      –5,151

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      540
                      5,151

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      540
                      5,151

                      4180
                      Budget authority, net (total)

                      540
                      5,151

                      4190
                      Outlays, net (total)

                      540
                      5,151

             This schedule reflects the Administration's Medicaid proposals.

          Object Classification (in millions of dollars)

                      Identification code 75–0512–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions

                      175
                      4,391

                      99.0
                      Reimbursable obligations

                      365
                      760

                      99.9
                      Total new obligations

                      540
                      5,151

             State Grants and Demonstrations

             Program and Financing (in millions of dollars)

                      Identification code 75–0516–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0011
                      Emergency health services for undocumented aliens
                      16
                      7
                      2

                      0012
                      Medicaid integrity program
                      102
                      132
                      78

                      0018
                      Money follows the person (MFP) demonstration
                      344
                      434
                      434

                      0019
                      MFP evaluations and technical support
                      1
                      1
                      1

                      0023
                      Grants to improve outreach and enrollment
                      34
                      6
                      1

                      0025
                      Medicaid emergency psychiatric demonstration
                      14
                      30
                      19

                      0026
                      Incentives for prevention of chronic diseases in Medicaid
                      23
                      22
                      8

                      0900
                      Total new obligations
                      534
                      632
                      543

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,459
                      1,489
                      1,346

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      61

                      1050
                      Unobligated balance (total)
                      1,521
                      1,489
                      1,346

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      530
                      527
                      528

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –27
                      –38

                      1260
                      Appropriations, mandatory (total)
                      503
                      489
                      528

                      1900
                      Budget authority (total)
                      503
                      489
                      528

                      1930
                      Total budgetary resources available
                      2,024
                      1,978
                      1,874

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      1,489
                      1,346
                      1,331

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      765
                      715
                      598

                      3010
                      Obligations incurred, unexpired accounts
                      534
                      632
                      543

                      3011
                      Obligations incurred, expired accounts
                      9

                      3020
                      Outlays (gross)
                      –517
                      –749
                      –673

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –61

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –15

                      3050
                      Unpaid obligations, end of year
                      715
                      598
                      468

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      765
                      715
                      598

                      3200
                      Obligated balance, end of year
                      715
                      598
                      468

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      503
                      489
                      528

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      134
                      117

                      4101
                      Outlays from mandatory balances
                      517
                      615
                      556

                      4110
                      Outlays, gross (total)
                      517
                      749
                      673

                      4180
                      Budget authority, net (total)
                      503
                      489
                      528

                      4190
                      Outlays, net (total)
                      517
                      749
                      673

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      503
                      489
                      528

                      Outlays
                      517
                      749
                      673

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      525

                      Outlays

                      25

                      Total:

                      Budget Authority
                      503
                      489
                      1,053

                      Outlays
                      517
                      749
                      698

             State Grants and Demonstrations includes funding for grant programs enacted in several legislative authorities, including
                the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106–170), the Medicare Prescription Drug, Improvement,
                and Modernization Act of 2003 (P.L. 108–173), the Deficit Reduction Act of 2005 (P.L. 109–171), the Children's Health Insurance
                Program Reauthorization Act of 2009 (P.L. 111–3), the Patient Protection and Affordable Care Act (P.L. 111–148), and the Health
                Care and Education Reconciliation Act of 2010 (P.L. 111–152).

             The Budget includes an unobligated balance of approximately $9 million for activities authorized by Section 203 and $130 million
                for activities authorized by Section 204 of the Ticket to Work and Work Incentives Improvement Act. Thus, pursuant to 31 U.S.C.
                1555, any remaining balance (whether obligated or unobligated) will be withdrawn and returned to the Treasury two years after
                there has been no disbursement made against the appropriation.

          Object Classification (in millions of dollars)

                      Identification code 75–0516–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent - Medicaid Integrity Program
                      9
                      9
                      9

                      12.1
                      Civilian personnel benefits - Medicaid Integrity Program
                      6
                      6
                      6

                      41.0
                      Grants, subsidies, and contributions - Emergency services for undocumented aliens

                      7
                      2

                      41.0
                      Grants, subsidies, and contributions - Medicaid Integrity Program
                      16
                      117
                      63

                      41.0
                      Grants, subsidies, and contributions - Money follows the person (MFP) demonstrations
                      87
                      434
                      434

                      41.0
                      Grants, subsidies, and contributions - MFP evaluations and technical support
                      344
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions - Grants to improve outreach and enrollment
                      1
                      6
                      1

                      41.0
                      Grants, subsidies, and contributions - Medicaid emergency psychiatric demonstration
                      34
                      30
                      19

                      41.0
                      Grants, subsidies, and contributions - Incentives for prevention of chronic diseases in Medicaid

                      41.0
                      Grants, subsidies, and contributions - Medicaid emergency psychiatric demonstration
                      14

                      41.0
                      Grants, subsidies, and contributions - Incentives for prevention of chronic diseases in Medicaid
                      23
                      22
                      8

                      99.9
                      Total new obligations
                      534
                      632
                      543

          Employment Summary

                      Identification code 75–0516–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      79
                      90
                      102

             State Grants and Demonstrations

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0516–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0012
                      Medicaid integrity program

                      25

                      0900
                      Total new obligations (object class 41.0)

                      25

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      525

                      1260
                      Appropriations, mandatory (total)

                      525

                      1900
                      Budget authority (total)

                      525

                      1930
                      Total budgetary resources available

                      525

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      500

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      25

                      3020
                      Outlays (gross)

                      –25

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      525

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      25

                      4180
                      Budget authority, net (total)

                      525

                      4190
                      Outlays, net (total)

                      25

             Payments to Health Care Trust FundsFor payment to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as provided
             under sections 217(g), 1844, and 1860D-16 of the Social Security Act, sections 103(c) and 111(d) of the Social Security Amendments
             of 1965, section 278(d)(3) of Public Law 97–248, and for administrative expenses incurred pursuant to section 201(g) of the
             Social Security Act, [$255,185,000,000] $259,212,000,000.

          In addition, for making matching payments under section 1844 and benefit payments under section 1860D-16 of the Social Security
             Act that were not anticipated in budget estimates, such sums as may be necessary. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0580–0–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)
                      181,194
                      192,491
                      194,343

                      0002
                      Part D benefits (Rx Drug)
                      49,900
                      54,599
                      63,342

                      0003
                      Part D Federal administration (Rx Drug)
                      368
                      373
                      418

                      0004
                      General Fund Transfers to HI
                      816
                      1,070
                      1,103

                      0006
                      Federal Bureau of Investigation (HCFAC)
                      128
                      127
                      140

                      0007
                      Federal payments from taxation of OASDI benefits (HI)
                      14,310
                      18,114
                      20,956

                      0008
                      Criminal fines (HCFAC)
                      708
                      1,141
                      1,156

                      0009
                      Civil monetary penalties and damages (HCFAC - DOJ and CMS administration)
                      41
                      32
                      33

                      0010
                      Asset Forfeiture
                      30
                      27
                      28

                      0011
                      State Low Income Determinations

                      6

                      0900
                      Total new obligations
                      247,495
                      267,974
                      281,525

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      6,652

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite, annual)
                      234,082
                      255,185
                      259,212

                      1200
                      Appropriation (indefinite, permanent)
                      14,310
                      18,114
                      20,956

                      1200
                      Appropriation (HCFAC for FBI)
                      128
                      127
                      140

                      1200
                      Appropriation (indefinite for HCFAC)
                      780
                      1,200
                      1,217

                      1260
                      Appropriations, mandatory (total)
                      249,300
                      274,626
                      281,525

                      1930
                      Total budgetary resources available
                      249,300
                      274,626
                      288,177

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1,805

                      1941
                      Unexpired unobligated balance, end of year

                      6,652
                      6,652

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      5,277
                      5,049

                      3010
                      Obligations incurred, unexpired accounts
                      247,495
                      267,974
                      281,525

                      3011
                      Obligations incurred, expired accounts
                      206

                      3020
                      Outlays (gross)
                      –242,424
                      –268,202
                      –281,525

                      3050
                      Unpaid obligations, end of year
                      5,277
                      5,049
                      5,049

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      5,277
                      5,049

                      3200
                      Obligated balance, end of year
                      5,277
                      5,049
                      5,049

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      249,300
                      274,626
                      281,525

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      242,318
                      263,017
                      281,525

                      4101
                      Outlays from mandatory balances
                      106
                      5,185

                      4110
                      Outlays, gross (total)
                      242,424
                      268,202
                      281,525

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –18

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      18

                      4160
                      Budget authority, net (mandatory)
                      249,300
                      274,626
                      281,525

                      4170
                      Outlays, net (mandatory)
                      242,406
                      268,202
                      281,525

                      4180
                      Budget authority, net (total)
                      249,300
                      274,626
                      281,525

                      4190
                      Outlays, net (total)
                      242,406
                      268,202
                      281,525

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      249,300
                      274,626
                      281,525

                      Outlays
                      242,406
                      268,202
                      281,525

                      Amounts included in the adjusted baseline:

                      Budget Authority

                      –60

                      Outlays

                      –60

                      Legislative proposal, not subject to PAYGO:

                      Budget Authority

                      –1,181

                      Outlays

                      –1,181

                      Total:

                      Budget Authority
                      249,300
                      274,626
                      280,284

                      Outlays
                      242,406
                      268,202
                      280,284

             Payments are made to the Federal Hospital Insurance and Federal Supplementary Medical Insurance trust funds from the general
                fund of the Treasury to finance Medicare's medical and drug benefits for beneficiaries and certain other qualified individuals.

          Object Classification (in millions of dollars)

                      Identification code 75–0580–0–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions
                      246,184
                      266,404
                      279,864

                      42.0
                      Insurance claims and indemnities
                      228
                      204
                      187

                      94.0
                      Financial transfers (Federal admin)
                      1,083
                      1,366
                      1,474

                      99.9
                      Total new obligations
                      247,495
                      267,974
                      281,525

             Payments to Health Care Trust Funds

             (Amounts included in the adjusted baseline)Program and Financing (in millions of dollars)

                      Identification code 75–0580–7–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)

                      –60

                      0900
                      Total new obligations (object class 41.0)

                      –60

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite annual)

                      –60

                      1260
                      Appropriations, mandatory (total)

                      –60

                      1930
                      Total budgetary resources available

                      –60

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –60

                      3020
                      Outlays (gross)

                      60

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –60

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –60

                      4180
                      Budget authority, net (total)

                      –60

                      4190
                      Outlays, net (total)

                      –60

             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
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)

                      –700

                      0002
                      Part D benefits (Rx Drug)

                      –481

                      0900
                      Total new obligations (object class 41.0)

                      –1,181

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite, annual)

                      –1,181

                      1260
                      Appropriations, mandatory (total)

                      –1,181

                      1930
                      Total budgetary resources available

                      –1,181

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –1,181

                      3020
                      Outlays (gross)

                      1,181

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –1,181

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –1,181

                      4180
                      Budget authority, net (total)

                      –1,181

                      4190
                      Outlays, net (total)

                      –1,181

             Quality Improvement Organizations

             Program and Financing (in millions of dollars)

                      Identification code 75–0519–0–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      QIO contracts
                      372
                      1,272
                      334

                      0002
                      QIO support contracts

                      377
                      391

                      0900
                      Total new obligations
                      372
                      1,649
                      725

                      Budgetary Resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      55
                      1,649
                      725

                      1801
                      Change in uncollected payments, Federal sources
                      404

                      1850
                      Spending auth from offsetting collections, mand (total)
                      459
                      1,649
                      725

                      1930
                      Total budgetary resources available
                      459
                      1,649
                      725

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –87

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      765
                      626
                      626

                      3010
                      Obligations incurred, unexpired accounts
                      372
                      1,649
                      725

                      3011
                      Obligations incurred, expired accounts
                      17

                      3020
                      Outlays (gross)
                      –512
                      –1,649
                      –725

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –16

                      3050
                      Unpaid obligations, end of year
                      626
                      626
                      626

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –1,100
                      –1,060
                      –1,060

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –404

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      444

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –1,060
                      –1,060
                      –1,060

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –335
                      –434
                      –434

                      3200
                      Obligated balance, end of year
                      –434
                      –434
                      –434

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      459
                      1,649
                      725

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      74
                      1,069
                      254

                      4101
                      Outlays from mandatory balances
                      438
                      580
                      471

                      4110
                      Outlays, gross (total)
                      512
                      1,649
                      725

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Baseline Program [Text]
                      –499
                      –1,649
                      –725

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –404

                      4142
                      Offsetting collections credited to expired accounts
                      444

                      4150
                      Additional offsets against budget authority only (total)
                      40

                      4170
                      Outlays, net (mandatory)
                      13

                      4190
                      Outlays, net (total)
                      13

             Part B of Title XI of the Social Security Act, as amended by the Peer Review Improvement Act of 1982, provides the statutory
                authority for the Medicare Quality Improvement Organization (QIO) Program. The mission of the program is to promote the effectiveness,
                efficiency, economy, and quality of services delivered to Medicare beneficiaries and to ensure that those services are reasonable
                and necessary. The program is funded through transfers from the Medicare Hospital Insurance Trust Fund and the Medicare Supplementary
                Medical Insurance Trust Fund. In FY 2012, a Treasury account specific to the QIO program was established to improve budgetary
                operations.

          Object Classification (in millions of dollars)

                      Identification code 75–0519–0–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      28
                      22
                      24

                      12.1
                      Civilian personnel benefits

                      26
                      26

                      25.2
                      Other services from non-Federal sources
                      342
                      1,224
                      284

                      25.3
                      Other goods and services from Federal sources
                      2
                      377
                      391

                      99.9
                      Total new obligations
                      372
                      1,649
                      725

          Employment Summary

                      Identification code 75–0519–0–1–571
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      153
                      182
                      205

             Program ManagementFor carrying out, except as otherwise provided, titles XI, XVIII, XIX, and XXI of the Social Security Act, titles XIII and
             XXVII of the PHS Act, the Clinical Laboratory Improvement Amendments of 1988, and other responsibilities of the Centers for
             Medicare and Medicaid Services, not to exceed [$3,669,744,000] $4,199,744,000, 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; together with all funds collected in accordance with section 353
             of the PHS Act and section 1857(e)(2) of the Social Security Act, funds retained by the Secretary pursuant to section 302
             of the Tax Relief and Health Care Act of 2006; and such sums as may be collected from authorized user fees and the sale of
             data, which shall be credited to this account and remain available until [September 30, 2019] expended: Provided, That all funds derived in accordance with 31 U.S.C. 9701 from organizations established under title XIII of the PHS Act
             shall be credited to and available for carrying out the purposes of this appropriation: Provided further, That the Secretary is directed to collect fees in fiscal year [2014] 2015 from Medicare Advantage organizations pursuant to section 1857(e)(2) of the Social Security Act and from eligible organizations
             with risk-sharing contracts under section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act[: Provided further, That $22,004,000 shall be available for the State high-risk health insurance pool program as authorized by the State High
             Risk Pool Funding Extension Act of 2006]. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0511–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Program operations
                      3,127
                      2,888
                      3,003

                      0002
                      Federal administration
                      788
                      840
                      860

                      0003
                      State survey and certification
                      372
                      399
                      448

                      0004
                      Research, demonstrations, and evaluation projects
                      331
                      99
                      60

                      0006
                      High-risk pool grants
                      42
                      20

                      0007
                      ARRA Medicare/Medicaid HIT
                      131
                      130
                      138

                      0100
                      Total direct program
                      4,791
                      4,376
                      4,509

                      0799
                      Total direct obligations
                      4,791
                      4,376
                      4,509

                      0801
                      Clinical laboratory improvement amendments
                      56
                      46
                      50

                      0802
                      Sale of data
                      16
                      7
                      7

                      0803
                      Coordination of benefits
                      15
                      1
                      30

                      0804
                      Medicare advantage/Prescription drug plan
                      85
                      70
                      71

                      0805
                      Provider enrollment
                      16
                      27
                      28

                      0806
                      Recovery audit contractors
                      455
                      763
                      750

                      0807
                      Other reimbursable program activity
                      37

                      0808
                      Marketplace User Fees

                      200
                      1,159

                      0810
                      Risk Adjustment Administrative Expenses

                      20

                      0811
                      Risk Corridors

                      5,450

                      0899
                      Total reimbursable obligations
                      680
                      1,114
                      7,565

                      0900
                      Total new obligations
                      5,471
                      5,490
                      12,074

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,297
                      837
                      686

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      190

                      1020
                      Adjustment of unobligated bal brought forward, Oct 1

                      –10

                      1021
                      Recoveries of prior year unpaid obligations
                      17

                      1050
                      Unobligated balance (total)
                      1,314
                      827
                      686

                      Budget authority:

                      Appropriations, discretionary:

                      1121
                      Appropriations transferred from other accts [75–9915]
                      114

                      1160
                      Appropriation, discretionary (total)
                      114

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      253
                      253
                      193

                      1221
                      Appropriations transferred from other accts [75–0116]
                      454

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –213
                      –18

                      1260
                      Appropriations, mandatory (total)
                      494
                      235
                      193

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      2,066
                      3,960
                      9,657

                      1701
                      Change in uncollected payments, Federal sources
                      2,257

                      1702
                      Offsetting collections (previously unavailable)

                      4

                      1750
                      Spending auth from offsetting collections, disc (total)
                      4,323
                      3,964
                      9,657

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      149
                      1,234
                      2,115

                      1801
                      Change in uncollected payments, Federal sources
                      –42

                      1802
                      Offsetting collections (previously unavailable)

                      1

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced

                      –85

                      1850
                      Spending auth from offsetting collections, mand (total)
                      107
                      1,150
                      2,115

                      1900
                      Budget authority (total)
                      5,038
                      5,349
                      11,965

                      1930
                      Total budgetary resources available
                      6,352
                      6,176
                      12,651

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –44

                      1941
                      Unexpired unobligated balance, end of year
                      837
                      686
                      577

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      3,436
                      4,197
                      3,525

                      3010
                      Obligations incurred, unexpired accounts
                      5,471
                      5,490
                      12,074

                      3011
                      Obligations incurred, expired accounts
                      63

                      3020
                      Outlays (gross)
                      –4,578
                      –6,162
                      –12,279

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –17

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –178

                      3050
                      Unpaid obligations, end of year
                      4,197
                      3,525
                      3,320

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –4,252
                      –4,097
                      –4,097

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –2,215

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      2,370

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –4,097
                      –4,097
                      –4,097

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –816
                      100
                      –572

                      3200
                      Obligated balance, end of year
                      100
                      –572
                      –777

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      4,437
                      3,964
                      9,657

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,109
                      3,964
                      9,657

                      4011
                      Outlays from discretionary balances
                      2,035

                      4020
                      Outlays, gross (total)
                      4,144
                      3,964
                      9,657

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –3,598
                      –3,953
                      –4,200

                      4033
                      Non-Federal sources
                      –617
                      –11
                      –5,457

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –4,215
                      –3,964
                      –9,657

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –2,257

                      4052
                      Offsetting collections credited to expired accounts
                      2,149

                      4060
                      Additional offsets against budget authority only (total)
                      –108

                      4070
                      Budget authority, net (discretionary)
                      114

                      4080
                      Outlays, net (discretionary)
                      –71

                      Mandatory:

                      4090
                      Budget authority, gross
                      601
                      1,385
                      2,308

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      7
                      1,153
                      2,118

                      4101
                      Outlays from mandatory balances
                      427
                      1,045
                      504

                      4110
                      Outlays, gross (total)
                      434
                      2,198
                      2,622

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –184
                      –48
                      –6

                      4123
                      Non-Federal sources
                      –25
                      –1,102
                      –2,109

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –209
                      –1,150
                      –2,115

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      42

                      4142
                      Offsetting collections credited to expired accounts
                      60

                      4150
                      Additional offsets against budget authority only (total)
                      102

                      4160
                      Budget authority, net (mandatory)
                      494
                      235
                      193

                      4170
                      Outlays, net (mandatory)
                      225
                      1,048
                      507

                      4180
                      Budget authority, net (total)
                      608
                      235
                      193

                      4190
                      Outlays, net (total)
                      154
                      1,048
                      507

                      Memorandum (non-add) entries:

                      5090
                      Unavailable balance, SOY: Offsetting collections

                      80

                      5091
                      Unavailable balance, EOY: Offsetting collections

                      80
                      80

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      608
                      235
                      193

                      Outlays
                      154
                      1,048
                      507

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      401

                      Outlays

                      6

                      Total:

                      Budget Authority
                      608
                      235
                      594

                      Outlays
                      154
                      1,048
                      513

             Program management activities include funding for program operations, survey and certification, the Clinical Laboratory Improvement
                Amendments (CLIA), Medicare Advantage, Medicare Part D coordination of benefits, recovery audit contracts and other administrative
                costs.

          Object Classification (in millions of dollars)

                      Identification code 75–0511–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      465
                      473
                      507

                      11.3
                      Other than full-time permanent
                      14
                      10
                      11

                      11.5
                      Other personnel compensation
                      2
                      8
                      8

                      11.7
                      Military personnel
                      11
                      15
                      15

                      11.9
                      Total personnel compensation
                      492
                      506
                      541

                      12.1
                      Civilian personnel benefits
                      147
                      136
                      152

                      12.2
                      Military personnel benefits
                      6
                      8
                      8

                      21.0
                      Travel and transportation of persons
                      5
                      7
                      7

                      22.0
                      Transportation of things
                      1

                      23.1
                      Rental payments to GSA
                      8
                      8
                      8

                      23.3
                      Communications, utilities, and miscellaneous charges
                      47

                      24.0
                      Printing and reproduction
                      39
                      4
                      4

                      25.1
                      Advisory and assistance services
                      49

                      25.2
                      Other services from non-Federal sources
                      2,703
                      2,399
                      2,271

                      25.3
                      Other goods and services from Federal sources
                      70
                      11
                      10

                      25.4
                      Operation and maintenance of facilities
                      6

                      25.5
                      Research and development contracts
                      13
                      20
                      16

                      25.6
                      Medical care
                      704
                      1,162
                      1,425

                      25.7
                      Operation and maintenance of equipment
                      8

                      26.0
                      Supplies and materials
                      2
                      1
                      1

                      31.0
                      Equipment
                      3

                      41.0
                      Grants, subsidies, and contributions
                      201
                      67
                      19

                      42.0
                      Insurance claims and indemnities
                      287
                      47
                      47

                      99.0
                      Direct obligations
                      4,791
                      4,376
                      4,509

                      99.0
                      Reimbursable obligations
                      680
                      1,114
                      7,565

                      99.9
                      Total new obligations
                      5,471
                      5,490
                      12,074

          Employment Summary

                      Identification code 75–0511–0–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      4,551
                      4,379
                      4,574

                      1001
                      Direct civilian full-time equivalent employment
                      150
                      159
                      190

                      1101
                      Direct military average strength employment
                      138
                      163
                      164

                      2001
                      Reimbursable civilian full-time equivalent employment
                      105
                      112
                      125

             Program Management

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0511–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Program operations

                      430

                      0100
                      Total direct program

                      430

                      0801
                      Federal Payment Levy Program

                      2

                      0802
                      Survey and Certification CMP Investment

                      1

                      0809
                      Reimbursable program activities, subtotal

                      3

                      0899
                      Total reimbursable obligations

                      3

                      0900
                      Total new obligations

                      433

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      400

                      1260
                      Appropriations, mandatory (total)

                      400

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      33

                      1850
                      Spending auth from offsetting collections, mand (total)

                      33

                      1900
                      Budget authority (total)

                      433

                      1930
                      Total budgetary resources available

                      433

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      433

                      3020
                      Outlays (gross)

                      –38

                      3050
                      Unpaid obligations, end of year

                      395

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      395

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      433

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      38

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –30

                      4124
                      Offsetting governmental collections

                      –2

                      4130
                      Offsets against gross budget authority and outlays (total)

                      –32

                      4160
                      Budget authority, net (mandatory)

                      401

                      4170
                      Outlays, net (mandatory)

                      6

                      4180
                      Budget authority, net (total)

                      401

                      4190
                      Outlays, net (total)

                      6

          Object Classification (in millions of dollars)

                      Identification code 75–0511–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      2

                      12.1
                      Civilian personnel benefits

                      1

                      25.2
                      Other services from non-Federal sources

                      427

                      99.0
                      Direct obligations

                      430

                      99.0
                      Reimbursable obligations

                      3

                      99.9
                      Total new obligations

                      433

          Employment Summary

                      Identification code 75–0511–4–1–550
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      20

                      1101
                      Direct military average strength employment

                      2001
                      Reimbursable civilian full-time equivalent employment

             Children's Health Insurance Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0515–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Grants to States and U.S. territories
                      8,972
                      9,514
                      10,388

                      0002
                      Performance bonus payments
                      345
                      339

                      0003
                      Child health quality improvement
                      40
                      52
                      11

                      0900
                      Total new obligations (object class 41.0)
                      9,357
                      9,905
                      10,399

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      860
                      282
                      3,207

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      6,094

                      1021
                      Recoveries of prior year unpaid obligations
                      36

                      1050
                      Unobligated balance (total)
                      6,990
                      282
                      3,207

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation (CHIPRA Performance Bonus Extension)

                      350

                      1130
                      Appropriations permanently reduced

                      –3,485

                      1160
                      Appropriation, discretionary (total)

                      –3,135

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      17,451
                      19,147
                      21,061

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –6,368
                      –6,317

                      1260
                      Appropriations, mandatory (total)
                      11,083
                      12,830
                      21,061

                      1900
                      Budget authority (total)
                      11,083
                      12,830
                      17,926

                      1930
                      Total budgetary resources available
                      18,073
                      13,112
                      21,133

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –8,434

                      1941
                      Unexpired unobligated balance, end of year
                      282
                      3,207
                      10,734

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,474
                      6,115
                      5,831

                      3010
                      Obligations incurred, unexpired accounts
                      9,357
                      9,905
                      10,399

                      3011
                      Obligations incurred, expired accounts
                      17

                      3020
                      Outlays (gross)
                      –9,469
                      –10,189
                      –10,861

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –36

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –228

                      3050
                      Unpaid obligations, end of year
                      6,115
                      5,831
                      5,369

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,474
                      6,115
                      5,831

                      3200
                      Obligated balance, end of year
                      6,115
                      5,831
                      5,369

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –3,135

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      350

                      Mandatory:

                      4090
                      Budget authority, gross
                      11,083
                      12,830
                      21,061

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3,466
                      6,300
                      1,100

                      4101
                      Outlays from mandatory balances
                      6,003
                      3,889
                      9,411

                      4110
                      Outlays, gross (total)
                      9,469
                      10,189
                      10,511

                      4180
                      Budget authority, net (total)
                      11,083
                      12,830
                      17,926

                      4190
                      Outlays, net (total)
                      9,469
                      10,189
                      10,861

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      11,083
                      12,830
                      17,926

                      Outlays
                      9,469
                      10,189
                      10,861

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      10

                      Outlays

                      10

                      Total:

                      Budget Authority
                      11,083
                      12,830
                      17,936

                      Outlays
                      9,469
                      10,189
                      10,871

             The Balanced Budget Act of 1997 established the Children's Health Insurance Program (CHIP) 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 separate
                CHIP program, a CHIP Medicaid expansion program, or a combination of both. The Children's Health Insurance Program Reauthorization
                Act of 2009 (P.L. 111–3, CHIPRA) reauthorized the CHIP program and appropriated funding for CHIP through 2013. CHIPRA made
                some modifications to the program including increased funding for States and territories, bonus payments for States that exceed
                Medicaid child enrollment targets, and support for child health quality and outreach activities. A contingency fund to assist
                States who project spending above their available allocated CHIP funds was also created by CHIPRA and funding is included
                in a separate account. The Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) extended funding for CHIP, providing
                appropriations through 2015.

             Children's Health Insurance Fund

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0515–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0004
                      Express Lane Eligibility

                      10

                      0900
                      Total new obligations (object class 41.0)

                      10

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      10

                      1260
                      Appropriations, mandatory (total)

                      10

                      1900
                      Budget authority (total)

                      10

                      1930
                      Total budgetary resources available

                      10

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      10

                      3020
                      Outlays (gross)

                      –10

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      10

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      10

                      4180
                      Budget authority, net (total)

                      10

                      4190
                      Outlays, net (total)

                      10

             Center for Medicare and Medicaid Innovation

             Program and Financing (in millions of dollars)

                      Identification code 75–0522–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Administration
                      97
                      213
                      216

                      0002
                      Innovation Activities
                      856
                      1,424
                      1,306

                      0900
                      Total new obligations
                      953
                      1,637
                      1,522

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      9,130
                      8,180
                      6,543

                      1021
                      Recoveries of prior year unpaid obligations
                      3

                      1050
                      Unobligated balance (total)
                      9,133
                      8,180
                      6,543

                      1930
                      Total budgetary resources available
                      9,133
                      8,180
                      6,543

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      8,180
                      6,543
                      5,021

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      647
                      941
                      1,524

                      3010
                      Obligations incurred, unexpired accounts
                      953
                      1,637
                      1,522

                      3020
                      Outlays (gross)
                      –656
                      –1,054
                      –1,444

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –3

                      3050
                      Unpaid obligations, end of year
                      941
                      1,524
                      1,602

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      647
                      941
                      1,524

                      3200
                      Obligated balance, end of year
                      941
                      1,524
                      1,602

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      656
                      1,054
                      1,444

                      4190
                      Outlays, net (total)
                      656
                      1,054
                      1,444

             The Center for Medicare and Medicaid Innovation ("Innovation Center") was established by section 1115A of the Social Security
                Act (as added by section 3021 of the Affordable Care Act). The Innovation Center is tasked with testing innovative payment
                and service delivery models to reduce program expenditures while preserving or enhancing the quality of care provided to individuals
                under Medicare, Medicaid, or Children's Health Insurance Program (CHIP). The statute provides $10 billion in mandatory funding
                for these purposes in fiscal years 2011 through 2019.

          Object Classification (in millions of dollars)

                      Identification code 75–0522–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      26
                      45
                      48

                      12.1
                      Civilian personnel benefits
                      8
                      14
                      15

                      25.2
                      Other services from non-Federal sources
                      282
                      485
                      450

                      25.3
                      Other goods and services from Federal sources
                      2
                      2
                      3

                      41.0
                      Grants, subsidies, and contributions
                      635
                      1,091
                      1,006

                      99.9
                      Total new obligations
                      953
                      1,637
                      1,522

          Employment Summary

                      Identification code 75–0522–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      258
                      412
                      443

             Child Enrollment Contingency Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–5551–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      3

                      Receipts:

                      0240
                      Interest, Child Enrollment Contingency Fund
                      3
                      3

                      0400
                      Total: Balances and collections
                      3
                      3
                      3

                      Appropriations:

                      0500
                      Child Enrollment Contingency Fund

                      2,099

                      0501
                      Child Enrollment Contingency Fund
                      –3

                      0599
                      Total appropriations
                      –3

                      2,099

                      0799
                      Balance, end of year

                      3
                      2,102

          Program and Financing (in millions of dollars)

                      Identification code 75–5551–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Grants to States and US Territories

                      100
                      100

                      0900
                      Total new obligations (object class 41.0)

                      100
                      100

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,093
                      2,096
                      2,099

                      Budget authority:

                      Appropriations, discretionary:

                      1134
                      Unobligated balance precluded from obligation

                      –2,099

                      1160
                      Appropriation, discretionary (total)

                      –2,099

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      103
                      100

                      1201
                      Appropriation (special or trust fund)
                      3

                      1260
                      Appropriations, mandatory (total)
                      3
                      103
                      100

                      1900
                      Budget authority (total)
                      3
                      103
                      –1,999

                      1930
                      Total budgetary resources available
                      2,096
                      2,199
                      100

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2,096
                      2,099

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      26
                      12
                      12

                      3010
                      Obligations incurred, unexpired accounts

                      100
                      100

                      3020
                      Outlays (gross)
                      –14
                      –100
                      –100

                      3050
                      Unpaid obligations, end of year
                      12
                      12
                      12

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      26
                      12
                      12

                      3200
                      Obligated balance, end of year
                      12
                      12
                      12

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –2,099

                      Mandatory:

                      4090
                      Budget authority, gross
                      3
                      103
                      100

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      14
                      100
                      100

                      4180
                      Budget authority, net (total)
                      3
                      103
                      –1,999

                      4190
                      Outlays, net (total)
                      14
                      100
                      100

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      2,096
                      2,098

                      5001
                      Total investments, EOY: Federal securities: Par value
                      2,098

             The Children's Health Insurance Program Reauthorization Act of 2009 (P.L. 111–3, CHIPRA) established the Child Enrollment
                Contingency Fund under Title XXI of the Social Security Act. Beginning in 2009, a State may qualify for a contingency fund
                payment if it projects a funding shortfall for the fiscal year and if its average monthly child enrollment exceeds its target
                average number of enrollees for the fiscal year. The Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) extended
                the contingency fund through 2015.

             The fund received an initial appropriation equal to 20 percent of the FY 2009 national allotment ($2.1 billion). In fiscal
                years 2010 through 2015, the statute appropriates the amount necessary to make payments to eligible States, but not to exceed
                20 percent of the total annual appropriation for CHIP allotments to States. Any amounts in excess of this aggregate cap will
                be made available for CHIP performance bonus payments. The contingency fund is invested in interest bearing securities of
                the United States, and the income derived from these investments constitutes a part of the fund.

             Medicare Health Information Technology Incentive Payments, Recovery Act

             Program and Financing (in millions of dollars)

                      Identification code 75–0508–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Incentive payments to hospitals
                      3,385
                      6,213
                      1,436

                      0802
                      Incentive payments to eligible professionals
                      2,674
                      3,450
                      710

                      0900
                      Total new obligations (object class 42.0)
                      6,059
                      9,663
                      2,146

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,070
                      1,871
                      1,871

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected from the HI Trust Fund
                      3,519
                      6,213
                      1,436

                      1800
                      Collected from the SMI Trust Fund
                      2,797
                      3,450
                      710

                      1801
                      Change in uncollected payments, Federal sources
                      544

                      1850
                      Spending auth from offsetting collections, mand (total)
                      6,860
                      9,663
                      2,146

                      1930
                      Total budgetary resources available
                      7,930
                      11,534
                      4,017

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1,871
                      1,871
                      1,871

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      448
                      305
                      305

                      3010
                      Obligations incurred, unexpired accounts
                      6,059
                      9,663
                      2,146

                      3020
                      Outlays (gross)
                      –6,202
                      –9,663
                      –2,146

                      3050
                      Unpaid obligations, end of year
                      305
                      305
                      305

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –1,898
                      –2,442
                      –2,442

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –544

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –2,442
                      –2,442
                      –2,442

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –1,450
                      –2,137
                      –2,137

                      3200
                      Obligated balance, end of year
                      –2,137
                      –2,137
                      –2,137

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      6,860
                      9,663
                      2,146

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      4,685
                      8,363
                      1,696

                      4101
                      Outlays from mandatory balances
                      1,517
                      1,300
                      450

                      4110
                      Outlays, gross (total)
                      6,202
                      9,663
                      2,146

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –6,316
                      –9,663
                      –2,146

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –544

                      4170
                      Outlays, net (mandatory)
                      –114

                      4190
                      Outlays, net (total)
                      –114

             Rate Review Grants

             Program and Financing (in millions of dollars)

                      Identification code 75–0112–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Premium rate review grants
                      70
                      31

                      0900
                      Total new obligations (object class 41.0)
                      70
                      31

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      90
                      29

                      1021
                      Recoveries of prior year unpaid obligations
                      9
                      2

                      1050
                      Unobligated balance (total)
                      99
                      31

                      1930
                      Total budgetary resources available
                      99
                      31

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      29

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      127
                      162
                      111

                      3010
                      Obligations incurred, unexpired accounts
                      70
                      31

                      3020
                      Outlays (gross)
                      –26
                      –80
                      –50

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –9
                      –2

                      3050
                      Unpaid obligations, end of year
                      162
                      111
                      61

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      127
                      162
                      111

                      3200
                      Obligated balance, end of year
                      162
                      111
                      61

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      26
                      80
                      50

                      4190
                      Outlays, net (total)
                      26
                      80
                      50

             The Affordable Care Act (P.L. 111–148) amends Section 2794 of the Public Health Service Act and provides that the Secretary
                shall carry out a program to award grants to States for a five-year period beginning in fiscal year 2010. The Grants to States
                for Health Insurance Premium Review program provides funding to help States develop or enhance their current rate review activities.
                The program provides $250,000,000 over the five-year period beginning with fiscal year 2010. States may receive no less than
                $1,000,000 and no more than $5,000,000 in any one grant year. Grant recipients are required to submit data to the Secretary
                on health insurance rate trends.

             Pre-Existing Condition Insurance Plan Program

             Program and Financing (in millions of dollars)

                      Identification code 75–0113–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      1,587
                      367

                      0801
                      Premiums from Fallback States
                      183
                      75

                      0900
                      Total new obligations
                      1,770
                      442

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,832
                      367

                      1021
                      Recoveries of prior year unpaid obligations
                      93

                      1050
                      Unobligated balance (total)
                      1,925
                      367

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      212
                      75

                      1850
                      Spending auth from offsetting collections, mand (total)
                      212
                      75

                      1900
                      Budget authority (total)
                      212
                      75

                      1930
                      Total budgetary resources available
                      2,137
                      442

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      367

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,261
                      585

                      3010
                      Obligations incurred, unexpired accounts
                      1,770
                      442

                      3020
                      Outlays (gross)
                      –2,353
                      –1,027

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –93

                      3050
                      Unpaid obligations, end of year
                      585

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,261
                      585

                      3200
                      Obligated balance, end of year
                      585

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      212
                      75

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      183
                      75

                      4101
                      Outlays from mandatory balances
                      2,170
                      952

                      4110
                      Outlays, gross (total)
                      2,353
                      1,027

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –212
                      –75

                      4190
                      Outlays, net (total)
                      2,141
                      952

             This account funds the Pre-Existing Condition Insurance Plan Program (PCIP), which makes health insurance available to people
                who have been unable to get insurance due to a pre-existing condition. Enrollees pay monthly premiums similar to those charged
                in the commercial individual market, and the Federal government pays for remaining costs that exceed enrollee contributions.
                The funding for this program, including operating costs, was provided in the FY 2010 appropriation by the Affordable Care
                Act (P.L. 111–148). The FY 2015 President's Budget obligation and outlays projections are based on policy assumptions to manage
                costs in the program to the $5 billion appropriation.

          Object Classification (in millions of dollars)

                      Identification code 75–0113–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      4
                      3

                      25.2
                      Other services from non-Federal sources
                      20
                      16

                      41.0
                      Grants, subsidies, and contributions
                      1,563
                      348

                      99.0
                      Direct obligations
                      1,587
                      367

                      99.0
                      Reimbursable obligations
                      183
                      75

                      99.9
                      Total new obligations
                      1,770
                      442

          Employment Summary

                      Identification code 75–0113–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      12
                      14

             Early Retiree Reinsurance Program

             Program and Financing (in millions of dollars)

                      Identification code 75–0114–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Subsidies for early retirees
                      39
                      7

                      0002
                      Administration
                      21
                      12
                      1

                      0799
                      Total direct obligations
                      60
                      19
                      1

                      0801
                      Reimbursable program activity
                      21
                      33

                      0900
                      Total new obligations
                      81
                      52
                      1

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      75
                      20
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      5

                      1050
                      Unobligated balance (total)
                      80
                      20
                      1

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      21
                      33

                      1850
                      Spending auth from offsetting collections, mand (total)
                      21
                      33

                      1900
                      Budget authority (total)
                      21
                      33

                      1930
                      Total budgetary resources available
                      101
                      53
                      1

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      20
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      23
                      19

                      3010
                      Obligations incurred, unexpired accounts
                      81
                      52
                      1

                      3020
                      Outlays (gross)
                      –80
                      –71
                      –1

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –5

                      3050
                      Unpaid obligations, end of year
                      19

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      23
                      19

                      3200
                      Obligated balance, end of year
                      19

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      21
                      33

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      21
                      33

                      4101
                      Outlays from mandatory balances
                      59
                      38
                      1

                      4110
                      Outlays, gross (total)
                      80
                      71
                      1

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –10
                      –17

                      4123
                      Non-Federal sources
                      –11
                      –16

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –21
                      –33

                      4170
                      Outlays, net (mandatory)
                      59
                      38
                      1

                      4190
                      Outlays, net (total)
                      59
                      38
                      1

             The Affordable Care Act (P.L. 111–148) authorized and appropriated $5 billion for the Early Retiree Reinsurance Program (ERRP).
                ERRP provides reimbursement to participating sponsors of certified plans that provide health benefits to early retirees (age
                55 and older and not eligible for Medicare), their spouses, and surviving spouses and dependents. Reimbursement is equal to
                80 percent of the actual cost of health expenses paid for an individual (net of price concessions) between a cost threshold
                of $15,000 and cost limit of $90,000 beginning in 2010. The cost threshold and cost limit are adjusted for inflation each
                year based on the Medical Care Component of the consumer price index for all urban consumers. Reimbursements to sponsors shall
                be used to reduce the sponsor's health benefit or premium costs, provide premium and cost sharing relief to plan participants,
                or both. By statute, ERRP sunsets on January 1, 2014 and is no longer providing reimbursements to plan sponsors.

          Object Classification (in millions of dollars)

                      Identification code 75–0114–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      12

                      25.2
                      Other services from non-Federal sources
                      19

                      1

                      42.0
                      Insurance claims and indemnities
                      39
                      7

                      99.0
                      Direct obligations
                      60
                      19
                      1

                      99.0
                      Reimbursable obligations
                      21
                      33

                      99.9
                      Total new obligations
                      81
                      52
                      1

          Employment Summary

                      Identification code 75–0114–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      11
                      8

             Affordable Insurance Exchange Grants

             Program and Financing (in millions of dollars)

                      Identification code 75–0115–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Planning and establishment grants
                      2,107
                      1,268
                      785

                      0002
                      Administration
                      41
                      51
                      51

                      0900
                      Total new obligations
                      2,148
                      1,319
                      836

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      2,194
                      1,414
                      836

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –46
                      –95

                      1260
                      Appropriations, mandatory (total)
                      2,148
                      1,319
                      836

                      1930
                      Total budgetary resources available
                      2,148
                      1,319
                      836

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,899
                      3,016
                      1,888

                      3010
                      Obligations incurred, unexpired accounts
                      2,148
                      1,319
                      836

                      3011
                      Obligations incurred, expired accounts
                      159

                      3020
                      Outlays (gross)
                      –963
                      –2,447
                      –1,899

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –227

                      3050
                      Unpaid obligations, end of year
                      3,016
                      1,888
                      825

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,899
                      3,016
                      1,888

                      3200
                      Obligated balance, end of year
                      3,016
                      1,888
                      825

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      2,148
                      1,319
                      836

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      100
                      659
                      418

                      4101
                      Outlays from mandatory balances
                      863
                      1,788
                      1,481

                      4110
                      Outlays, gross (total)
                      963
                      2,447
                      1,899

                      4180
                      Budget authority, net (total)
                      2,148
                      1,319
                      836

                      4190
                      Outlays, net (total)
                      963
                      2,447
                      1,899

             This program provides funding for Planning and Establishment Grants to States for their activities to implement Affordable
                Insurance Exchanges, which are also referred to as Marketplaces. The Exchanges will facilitate the purchase of qualified health
                plans in the individual market and provide for the establishment of a Small Business Health Options Program to allow small
                businesses to offer qualified health plans to their employees. Section 1311 of the Patient Protection and Affordable Care
                Act (P.L. 111–148) provides amounts necessary to enable the Secretary to award grants to States beginning no later than March
                23, 2011, and allows for renewal grants through January 1, 2015.

          Object Classification (in millions of dollars)

                      Identification code 75–0115–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      10
                      10
                      10

                      25.2
                      Other services from non-Federal sources
                      31
                      41
                      41

                      41.0
                      Grants, subsidies, and contributions
                      2,107
                      1,268
                      785

                      99.9
                      Total new obligations
                      2,148
                      1,319
                      836

          Employment Summary

                      Identification code 75–0115–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      56
                      65
                      76

             Risk Adjustment Program Payments

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–5733–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0200
                      Receipts, Risk Adjustment Program

                      3,378

                      0400
                      Total: Balances and collections

                      3,378

                      Appropriations:

                      0500
                      Risk Adjustment Program Payments

                      –3,378

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 75–5733–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity

                      3,378

                      0900
                      Total new obligations (object class 41.0)

                      3,378

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      3,378

                      1260
                      Appropriations, mandatory (total)

                      3,378

                      1930
                      Total budgetary resources available

                      3,378

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      3,378

                      3020
                      Outlays (gross)

                      –3,378

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      3,378

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      3,378

                      4180
                      Budget authority, net (total)

                      3,378

                      4190
                      Outlays, net (total)

                      3,378

             Section 1343 of the Affordable Care Act (P.L. 111–148) established a permanent risk adjustment program for non-grandfathered
                plans in the individual and small group markets. Charges are collected from health insurance issuers that enroll healthier
                than average enrollees and payments are made to issuers that enroll sicker than average enrollees. Risk adjustment may be
                operated by a State, or by the Federal government in the event a State chooses not to operate risk adjustment. Payments and
                charges are made in the year following the plan year for which they are calculated.

             Transitional Reinsurance Program

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–5735–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0200
                      Contributions, Transitional Reinsurance Program

                      10,020

                      0400
                      Total: Balances and collections

                      10,020

                      Appropriations:

                      0500
                      Transitional Reinsurance Program

                      –10,020

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 75–5735–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Transitional reinsurance payments

                      10,000

                      0002
                      Administrative expenses

                      20

                      0900
                      Total new obligations

                      10,020

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      10,020

                      1260
                      Appropriations, mandatory (total)

                      10,020

                      1930
                      Total budgetary resources available

                      10,020

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      10,020

                      3020
                      Outlays (gross)

                      –10,020

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      10,020

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      10,020

                      4180
                      Budget authority, net (total)

                      10,020

                      4190
                      Outlays, net (total)

                      10,020

             Section 1341 of the Affordable Care Act (P.L. 111–148) established a transitional, temporary, three-year reinsurance program
                to minimize the impact of high-cost enrollees in plans in the individual market for plan years 2014, 2015, and 2016. The Centers
                for Medicare & Medicaid Services assesses health insurance issuers and group health plans a per enrollee fee to fund the reinsurance
                contributions, and makes payments to issuers in the individual market for enrollees whose medical costs exceed a certain threshold,
                up to a reinsurance cap. Reinsurance collections and payments are made in the year following the plan year for which they
                are applicable.

          Object Classification (in millions of dollars)

                      Identification code 75–5735–0–2–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions - Transitional Reinsurance

                      10,000

                      41.0
                      Grants, subsidies, and contributions - Administration

                      20

                      99.9
                      Total new obligations

                      10,020

             Consumer Operated and Oriented Plan Program Contingency Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0524–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0701
                      Direct loan subsidy
                      2
                      210

                      0709
                      Administrative expenses
                      8
                      11
                      8

                      0900
                      Total new obligations
                      10
                      221
                      8

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      230
                      9

                      Budget authority:

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from other accts [75–0118]
                      253

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –13

                      1260
                      Appropriations, mandatory (total)
                      240

                      1930
                      Total budgetary resources available
                      240
                      230
                      9

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      230
                      9
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      7
                      173

                      3010
                      Obligations incurred, unexpired accounts
                      10
                      221
                      8

                      3020
                      Outlays (gross)
                      –3
                      –55
                      –10

                      3050
                      Unpaid obligations, end of year
                      7
                      173
                      171

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      7
                      173

                      3200
                      Obligated balance, end of year
                      7
                      173
                      171

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      240

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3

                      4101
                      Outlays from mandatory balances

                      55
                      10

                      4110
                      Outlays, gross (total)
                      3
                      55
                      10

                      4180
                      Budget authority, net (total)
                      240

                      4190
                      Outlays, net (total)
                      3
                      55
                      10

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

                      Identification code 75–0524–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct loan levels supportable by subsidy budget authority:

                      115001
                      Startup Loans
                      7
                      116

                      115002
                      Solvency Loans

                      402

                      115999
                      Total direct loan levels
                      7
                      518

                      Direct loan subsidy (in percent):

                      132001
                      Startup Loans
                      37.66
                      35.66
                      0.00

                      132002
                      Solvency Loans
                      0.00
                      42.08
                      0.00

                      132999
                      Weighted average subsidy rate
                      37.66
                      40.64
                      0.00

                      Direct loan subsidy budget authority:

                      133001
                      Startup Loans
                      2
                      41

                      133002
                      Solvency Loans

                      169

                      133999
                      Total subsidy budget authority
                      2
                      210

                      Direct loan subsidy outlays:

                      134001
                      Startup Loans
                      1
                      43

                      134999
                      Total subsidy outlays
                      1
                      43

                      Direct loan downward reestimates:

                      Administrative expense data:

                      3580
                      Outlays from balances
                      2
                      12

             The Consumer Operated and Oriented Plan Contingency Fund was established by the American Taxpayer Relief Act of 2012 (P.L.
                112–240). This fund provides assistance and oversight to qualified nonprofit health insurance issuers that have been awarded
                loans or grants under section 1322 of the Affordable Care Act (P.L. 111–148).

          Object Classification (in millions of dollars)

                      Identification code 75–0524–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      5
                      4

                      23.1
                      Rental payments to GSA
                      1
                      1
                      1

                      25.2
                      Other services from non-Federal sources
                      6
                      5
                      3

                      41.0
                      Grants, subsidies, and contributions
                      2
                      210

                      99.9
                      Total new obligations
                      10
                      221
                      8

          Employment Summary

                      Identification code 75–0524–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      18
                      18
                      16

             Consumer Operated and Oriented Plan Program Account

             Program and Financing (in millions of dollars)

                      Identification code 75–0118–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0701
                      Direct loan subsidy
                      122

                      0703
                      Subsidy for modifications of direct loans
                      5

                      0705
                      Reestimates of direct loan subsidy
                      3
                      18

                      0706
                      Interest on reestimates of direct loan subsidy

                      1

                      0709
                      Administrative expenses

                      1

                      0900
                      Total new obligations
                      130
                      19
                      1

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,659
                      8
                      8

                      1021
                      Recoveries of prior year unpaid obligations
                      8

                      1050
                      Unobligated balance (total)
                      2,667
                      8
                      8

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      3
                      19

                      1220
                      Appropriations transferred to other accts [75–0524]
                      –253

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –2,279

                      1260
                      Appropriations, mandatory (total)
                      –2,529
                      19

                      1930
                      Total budgetary resources available
                      138
                      27
                      8

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      8
                      8
                      7

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      703
                      548
                      326

                      3010
                      Obligations incurred, unexpired accounts
                      130
                      19
                      1

                      3020
                      Outlays (gross)
                      –277
                      –241
                      –147

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –8

                      3050
                      Unpaid obligations, end of year
                      548
                      326
                      180

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      703
                      548
                      326

                      3200
                      Obligated balance, end of year
                      548
                      326
                      180

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      –2,529
                      19

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      19

                      4101
                      Outlays from mandatory balances
                      274
                      222
                      147

                      4110
                      Outlays, gross (total)
                      277
                      241
                      147

                      4180
                      Budget authority, net (total)
                      –2,529
                      19

                      4190
                      Outlays, net (total)
                      277
                      241
                      147

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

                      Identification code 75–0118–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct loan levels supportable by subsidy budget authority:

                      115002
                      Startup Loans
                      37

                      115003
                      Solvency
                      257

                      115999
                      Total direct loan levels
                      294

                      Direct loan subsidy (in percent):

                      132002
                      Startup Loans
                      37.66
                      0.00
                      0.00

                      132003
                      Solvency
                      41.90
                      0.00
                      0.00

                      132999
                      Weighted average subsidy rate
                      41.37
                      0.00
                      0.00

                      Direct loan subsidy budget authority:

                      133002
                      Startup Loans
                      14

                      133003
                      Solvency
                      108

                      133999
                      Total subsidy budget authority
                      122

                      Direct loan subsidy outlays:

                      134002
                      Startup Loans
                      71
                      14

                      134003
                      Solvency
                      195
                      205
                      147

                      134999
                      Total subsidy outlays
                      266
                      219
                      147

                      Direct loan upward reestimates:

                      135002
                      Startup Loans
                      3

                      135003
                      Solvency

                      19

                      135999
                      Total upward reestimate budget authority
                      3
                      19

                      Direct loan downward reestimates:

                      137002
                      Startup Loans

                      –6

                      137999
                      Total downward reestimate budget authority

                      –6

                      Administrative expense data:

                      3580
                      Outlays from balances
                      4
                      3

             Section 1322 of the Affordable Care Act (P.L. 111–148) authorized and appropriated funding for the Consumer Operated and Oriented
                Plan (CO-OP) Program. The CO-OP Program fosters the creation of qualified nonprofit health insurance issuers that operate
                with a strong consumer focus to offer qualified health plans in the individual and small group markets in the States. The
                Secretary shall award loans to qualified nonprofit issuers to fund start-up costs and reserves which enable qualified issuers
                to meet state solvency requirements. The Secretary may also award loans for the purposes of encouraging the establishment
                of CO-OPs in states where no issuer applies to be a qualified nonprofit issuer under Section 1322.

             As required by the Federal Credit Reform Act of 1990, this account records, for this program, the subsidy costs associated
                with CO-OP Program grants and loans, as well as administrative expenses of this program. The subsidy amounts are estimated
                on a present value basis; the administrative expenses are estimated on a cash basis.

          Object Classification (in millions of dollars)

                      Identification code 75–0118–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.2
                      Other services from non-Federal sources

                      1

                      41.0
                      Grants, subsidies, and contributions
                      130
                      19

                      99.9
                      Total new obligations
                      130
                      19
                      1

             Consumer Operated and Oriented Plan Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 75–4418–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0710
                      Direct loan obligations
                      295

                      0713
                      Payment of interest to Treasury
                      22
                      35
                      45

                      0742
                      Downward reestimate paid to receipt account

                      6

                      0900
                      Total new obligations
                      317
                      41
                      45

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,228
                      1
                      1

                      1020
                      Adjustment of unobligated bal brought forward, Oct 1
                      –2,228

                      1021
                      Recoveries of prior year unpaid obligations
                      19

                      1050
                      Unobligated balance (total)
                      19
                      1
                      1

                      Financing authority:

                      Borrowing authority, mandatory:

                      1400
                      Borrowing authority
                      386
                      24
                      27

                      1422
                      Borrowing authority applied to repay debt
                      –236

                      1440
                      Borrowing authority, mandatory (total)
                      150
                      24
                      27

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      296
                      255
                      165

                      1801
                      Change in uncollected payments, Federal sources
                      –147
                      –219
                      –147

                      1825
                      Spending authority from offsetting collections applied to repay debt

                      –19

                      1850
                      Spending auth from offsetting collections, mand (total)
                      149
                      17
                      18

                      1900
                      Financing authority (total)
                      299
                      41
                      45

                      1930
                      Total budgetary resources available
                      318
                      42
                      46

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      1
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,601
                      1,243
                      739

                      3010
                      Obligations incurred, unexpired accounts
                      317
                      41
                      45

                      3020
                      Financing disbursements (gross)
                      –656
                      –545
                      –379

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –19

                      3050
                      Unpaid obligations, end of year
                      1,243
                      739
                      405

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –692
                      –545
                      –326

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      147
                      219
                      147

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –545
                      –326
                      –179

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      909
                      698
                      413

                      3200
                      Obligated balance, end of year
                      698
                      413
                      226

                      Financing authority and disbursements, net:

                      Mandatory:

                      4090
                      Financing authority, gross
                      299
                      41
                      45

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      656
                      545
                      379

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –269
                      –238
                      –147

                      4122
                      Interest on uninvested funds
                      –17
                      –17
                      –18

                      4123
                      Non-Federal sources
                      –10

                      4130
                      Offsets against gross financing auth and disbursements (total)
                      –296
                      –255
                      –165

                      Additional offsets against financing authority only (total):

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      147
                      219
                      147

                      4160
                      Financing authority, net (mandatory)
                      150
                      5
                      27

                      4170
                      Financing disbursements, net (mandatory)
                      360
                      290
                      214

                      4180
                      Financing authority, net (total)
                      150
                      5
                      27

                      4190
                      Financing disbursements, net (total)
                      360
                      290
                      214

          Status of Direct Loans (in millions of dollars)

                      Identification code 75–4418–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Position with respect to appropriations act limitation on obligations:

                      1131
                      Direct loan obligations exempt from limitation
                      295

                      1150
                      Total direct loan obligations
                      295

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year
                      90
                      714
                      1,218

                      1231
                      Disbursements: Direct loan disbursements
                      634
                      504
                      333

                      1251
                      Repayments: Repayments and prepayments
                      –10

                      1263
                      Write-offs for default: Direct loans

                      1290
                      Outstanding, end of year
                      714
                      1,218
                      1,551

             As required by the Federal Credit Reform Act of 1990, this non-budgetary account records all cash flows to and from the Government
                resulting from direct loans obligated in 1992 and beyond (including modifications of direct loans that resulted from obligations
                in any year). The amounts in this account are a means of financing and are not included in the budget totals.

          Balance Sheet (in millions of dollars)

                      Identification code 75–4418–0–3–551
                      2012 actual
                      2013 actual

                      Group heading

                      ASSETS:

                      Federal assets:

                      1101
                      Fund balances with Treasury

                      118

                      Investments in US securities:

                      1106
                      Receivables, net

                      25

                      Net value of assets related to post-1991 direct loans receivable:

                      1401
                      Direct loans receivable, gross
                      90
                      714

                      1405
                      Allowance for subsidy cost (-)
                      –34
                      –309

                      1499
                      Net present value of assets related to direct loans
                      56
                      405

                      1999
                      Total assets
                      56
                      548

                      LIABILITIES:

                      2103
                      Federal liabilities: Debt
                      56
                      548

                      4999
                      Total liabilities and net position
                      56
                      548

             Consumer Operated and Oriented Plan Program Contingency Fund Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 75–4482–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0710
                      Direct loan obligations
                      7
                      518

                      0713
                      Payment of interest to Treasury

                      1
                      3

                      0900
                      Total new obligations
                      7
                      519
                      3

                      Budgetary Resources:

                      Financing authority:

                      Borrowing authority, mandatory:

                      1400
                      Borrowing authority
                      5
                      309
                      3

                      1422
                      Borrowing authority applied to repay debt
                      –1

                      1440
                      Borrowing authority, mandatory (total)
                      4
                      309
                      3

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      1
                      43

                      1801
                      Change in uncollected payments, Federal sources
                      2
                      167

                      1850
                      Spending auth from offsetting collections, mand (total)
                      3
                      210

                      1900
                      Financing authority (total)
                      7
                      519
                      3

                      1930
                      Total budgetary resources available
                      7
                      519
                      3

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      5
                      402

                      3010
                      Obligations incurred, unexpired accounts
                      7
                      519
                      3

                      3020
                      Financing disbursements (gross)
                      –2
                      –122
                      –3

                      3050
                      Unpaid obligations, end of year
                      5
                      402
                      402

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1

                      –2
                      –169

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –2
                      –167

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –2
                      –169
                      –169

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      3
                      233

                      3200
                      Obligated balance, end of year
                      3
                      233
                      233

                      Financing authority and disbursements, net:

                      Mandatory:

                      4090
                      Financing authority, gross
                      7
                      519
                      3

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      2
                      122
                      3

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –1
                      –43

                      Additional offsets against financing authority only (total):

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –2
                      –167

                      4160
                      Financing authority, net (mandatory)
                      4
                      309
                      3

                      4170
                      Financing disbursements, net (mandatory)
                      1
                      79
                      3

                      4180
                      Financing authority, net (total)
                      4
                      309
                      3

                      4190
                      Financing disbursements, net (total)
                      1
                      79
                      3

          Status of Direct Loans (in millions of dollars)

                      Identification code 75–4482–0–3–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Position with respect to appropriations act limitation on obligations:

                      1131
                      Direct loan obligations exempt from limitation
                      7
                      518

                      1150
                      Total direct loan obligations
                      7
                      518

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year

                      2
                      123

                      1231
                      Disbursements: Direct loan disbursements
                      2
                      121

                      1251
                      Repayments: Repayments and prepayments

                      1263
                      Write-offs for default: Direct loans

                      1290
                      Outstanding, end of year
                      2
                      123
                      123

             As required by the Federal Credit Reform Act of 1990, this non-budgetary account records all cash flows to and from the federal
                treasury resulting from direct loans obligated in 1992 and beyond (including modifications of direct loans that resulted from
                obligations in any year). The amounts in this account are a means of financing only and are not included in the budget totals.

          Balance Sheet (in millions of dollars)

                      Identification code 75–4482–0–3–551
                      2012 actual
                      2013 actual

                      ASSETS:

                      1401
                      Net value of assets related to post-1991 direct loans receivable: Direct loans receivable, gross

                      2

                      1999
                      Total assets

                      2

          Trust Funds
             Federal Hospital Insurance Trust Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–8005–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year
                      203,744
                      179,985
                      163,016

                      Adjustments:

                      0190
                      Rounding adjustment
                      1

                      0199
                      Balance, start of year
                      203,745
                      179,985
                      163,016

                      Receipts:

                      0200
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)
                      192,707
                      200,501
                      211,795

                      0201
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)- legislative proposal subject to PAYGO

                      7
                      679

                      0202
                      FHI Trust Fund, Receipts from Railroad Retirement Board
                      547
                      556
                      568

                      0203
                      FHI Trust Fund, Transfers from General Fund (SECA Taxes)
                      16,016
                      18,406
                      18,683

                      0204
                      FHI Trust Fund, Civil Penalties and Damages
                      1,364
                      1,134
                      1,172

                      0220
                      FHI Trust Fund, Other Proprietary Interest from the Public
                      1
                      2
                      2

                      0221
                      FHI Trust Fund, Basic Premium, Medicare Advantage
                      260
                      246
                      232

                      0222
                      FHI Trust Fund, Basic Premium, Medicare Advantage- legislative proposal subject to PAYGO

                      –2

                      0223
                      FHI Trust Fund, Medicare Refunds
                      10,603
                      9,500
                      9,850

                      0224
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible
                      3,397
                      3,520
                      3,499

                      0225
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible- legislative proposal subject to PAYGO

                      –38

                      0240
                      FHI Trust Fund, Federal Employer Contributions (FICA)
                      3,582
                      3,440
                      3,446

                      0241
                      FHI Trust Fund, Postal Service Employer Contributions (FICA)
                      596
                      600
                      610

                      0242
                      FHI Trust Fund, Interest Received by Trust Funds
                      9,888
                      8,855
                      8,275

                      0243
                      FHI Trust Fund, Interest Received by Trust Funds- legislative proposal not subject to PAYGO

                      72

                      0244
                      FHI Trust Fund, Taxation on OASDI Benefits
                      14,310
                      18,114
                      20,956

                      0245
                      FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account

                      127
                      140

                      0246
                      FHI Trust Fund, Transfers from General Fund (criminal Fines)
                      708
                      1,141
                      1,156

                      0247
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)
                      14
                      23
                      23

                      0248
                      FHI Trust Fund, Transfers from General Fund (asset Forfeitures)
                      30
                      27
                      28

                      0249
                      FHI Trust Fund, Interest Payments by Railroad Retirement Board
                      29
                      26
                      31

                      0250
                      FHI Trust Fund, Payments from the General Fund (uninsured and Program Management)
                      110
                      1,299
                      1,104

                      0299
                      Total receipts and collections
                      254,162
                      267,524
                      282,281

                      0400
                      Total: Balances and collections
                      457,907
                      447,509
                      445,297

                      Appropriations:

                      0500
                      Federal Hospital Insurance Trust Fund
                      –2,505
                      –2,565
                      –2,711

                      0501
                      Federal Hospital Insurance Trust Fund
                      132

                      0502
                      Federal Hospital Insurance Trust Fund
                      –250,116
                      –263,358
                      –278,237

                      0503
                      Federal Hospital Insurance Trust Fund
                      –23,960
                      –17,016
                      –3,174

                      0504
                      Federal Hospital Insurance Trust Fund
                      27
                      2

                      0505
                      Federal Hospital Insurance Trust Fund- legislative proposal not subject to PAYGO

                      480

                      0506
                      Federal Hospital Insurance Trust Fund- legislative proposal not subject to PAYGO

                      –480

                      0507
                      Federal Hospital Insurance Trust Fund- legislative proposal subject to PAYGO

                      –340

                      0508
                      Federal Hospital Insurance Trust Fund- legislative proposal subject to PAYGO

                      2,717

                      0509
                      Federal Hospital Insurance Trust Fund

                      6

                      0510
                      Federal Hospital Insurance Trust Fund

                      –6

                      0511
                      Health Care Fraud and Abuse Control Account
                      –310
                      –294
                      –319

                      0512
                      Health Care Fraud and Abuse Control Account
                      16

                      0513
                      Health Care Fraud and Abuse Control Account
                      –1,294
                      –1,313
                      –1,214

                      0514
                      Health Care Fraud and Abuse Control Account
                      34
                      51

                      0515
                      Health Care Fraud and Abuse Control Account- legislative proposal not subject to PAYGO

                      552

                      0516
                      Health Care Fraud and Abuse Control Account- legislative proposal subject to PAYGO

                      –378

                      0517
                      Health Care Fraud and Abuse Control Account

                      43

                      0599
                      Total appropriations
                      –277,976
                      –284,493
                      –283,061

                      0610
                      Federal Hospital Insurance Trust Fund
                      2

                      0620
                      Federal Hospital Insurance Trust Fund
                      52

                      0799
                      Balance, end of year
                      179,985
                      163,016
                      162,236

          Program and Financing (in millions of dollars)

                      Identification code 75–8005–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, HI
                      269,780
                      272,604
                      279,185

                      0002
                      HIT Incentive Payments
                      3,366
                      6,213
                      1,436

                      0003
                      Administration, HI
                      2,904
                      2,730
                      2,860

                      0004
                      Quality improvement organizations, HI
                      459
                      1,319
                      580

                      0799
                      Total direct obligations
                      276,509
                      282,866
                      284,061

                      0801
                      Reimbursable program activity
                      439

                      0900
                      Total new obligations
                      276,948
                      282,866
                      284,061

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      71

                      1021
                      Recoveries of prior year unpaid obligations
                      141

                      1026
                      Adjustment for change in allocation of trust fund limitation or foreign exchange valuation
                      –52

                      1029
                      Other balances withdrawn
                      –2

                      1050
                      Unobligated balance (total)
                      87

                      71

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      2,505
                      2,565
                      2,711

                      1132
                      Appropriations temporarily reduced
                      –132

                      1160
                      Appropriation, discretionary (total)
                      2,373
                      2,565
                      2,711

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      250,116
                      263,358
                      278,237

                      1203
                      Appropriation (previously unavailable)
                      23,960
                      17,016
                      3,174

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –27
                      –2

                      1260
                      Appropriations, mandatory (total)
                      274,049
                      280,372
                      281,411

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      440

                      1801
                      Change in uncollected payments, Federal sources
                      –1

                      1850
                      Spending auth from offsetting collections, mand (total)
                      439

                      1900
                      Budget authority (total)
                      276,861
                      282,937
                      284,122

                      1930
                      Total budgetary resources available
                      276,948
                      282,937
                      284,193

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      71
                      132

                      Special and non-revolving trust funds:

                      1950
                      Other balances withdrawn and returned to unappropriated receipts
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      24,209
                      24,941
                      24,922

                      3010
                      Obligations incurred, unexpired accounts
                      276,948
                      282,866
                      284,061

                      3020
                      Outlays (gross)
                      –276,075
                      –282,885
                      –284,064

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –141

                      3050
                      Unpaid obligations, end of year
                      24,941
                      24,922
                      24,919

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –1

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      24,208
                      24,941
                      24,922

                      3200
                      Obligated balance, end of year
                      24,941
                      24,922
                      24,919

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,373
                      2,565
                      2,711

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,599
                      1,699
                      1,793

                      4011
                      Outlays from discretionary balances
                      857
                      747
                      831

                      4020
                      Outlays, gross (total)
                      2,456
                      2,446
                      2,624

                      Mandatory:

                      4090
                      Budget authority, gross
                      274,488
                      280,372
                      281,411

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      273,031
                      253,958
                      254,032

                      4101
                      Outlays from mandatory balances
                      588
                      26,481
                      27,408

                      4110
                      Outlays, gross (total)
                      273,619
                      280,439
                      281,440

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –440

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      1

                      4160
                      Budget authority, net (mandatory)
                      274,049
                      280,372
                      281,411

                      4170
                      Outlays, net (mandatory)
                      273,179
                      280,439
                      281,440

                      4180
                      Budget authority, net (total)
                      276,422
                      282,937
                      284,122

                      4190
                      Outlays, net (total)
                      275,635
                      282,885
                      284,064

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      228,292
                      206,010
                      188,994

                      5001
                      Total investments, EOY: Federal securities: Par value
                      206,010
                      188,994
                      185,820

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      276,422
                      282,937
                      284,122

                      Outlays
                      275,635
                      282,885
                      284,064

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      –2,377

                      Outlays

                      –2,377

                      Total:

                      Budget Authority
                      276,422
                      282,937
                      281,745

                      Outlays
                      275,635
                      282,885
                      281,687

             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. In addition, the Budget includes a package of proposals that improve Medicare's
                sustainability by promoting high-quality, efficient care; aligning payments with the costs of providing care; encouraging
                beneficiaries to seek high-value services; and reducing the Federal subsidy of Medicare costs for those beneficiaries who
                can most afford them.

          Status of Funds (in millions of dollars)

                      Identification code 75–8005–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Unexpended balance, start of year:

                      0100
                      Balance, start of year
                      229,337
                      206,314
                      189,256

                      Adjustments:

                      0190
                      Rounding adjustment
                      2

                      0199
                      Total balance, start of year
                      229,340
                      206,314
                      189,256

                      Cash income during the year:

                      Current law:

                      Receipts:

                      1200
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)
                      192,707
                      200,501
                      211,795

                      1202
                      FHI Trust Fund, Receipts from Railroad Retirement Board
                      547
                      556
                      568

                      1203
                      FHI Trust Fund, Transfers from General Fund (SECA Taxes)
                      16,016
                      18,406
                      18,683

                      1204
                      FHI Trust Fund, Civil Penalties and Damages
                      1,364
                      1,134
                      1,172

                      Offsetting receipts (proprietary):

                      1220
                      FHI Trust Fund, Other Proprietary Interest from the Public
                      1
                      2
                      2

                      1221
                      FHI Trust Fund, Basic Premium, Medicare Advantage
                      260
                      246
                      232

                      1223
                      FHI Trust Fund, Medicare Refunds
                      10,603
                      9,500
                      9,850

                      1224
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible
                      3,397
                      3,520
                      3,499

                      Offsetting receipts (intragovernmental):

                      1240
                      FHI Trust Fund, Federal Employer Contributions (FICA)
                      3,582
                      3,440
                      3,446

                      1241
                      FHI Trust Fund, Postal Service Employer Contributions (FICA)
                      596
                      600
                      610

                      1242
                      FHI Trust Fund, Interest Received by Trust Funds
                      9,888
                      8,855
                      8,275

                      1244
                      FHI Trust Fund, Taxation on OASDI Benefits
                      14,310
                      18,114
                      20,956

                      1245
                      FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account

                      127
                      140

                      1246
                      FHI Trust Fund, Transfers from General Fund (criminal Fines)
                      708
                      1,141
                      1,156

                      1247
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)
                      14
                      23
                      23

                      1248
                      FHI Trust Fund, Transfers from General Fund (asset Forfeitures)
                      30
                      27
                      28

                      1249
                      FHI Trust Fund, Interest Payments by Railroad Retirement Board
                      29
                      26
                      31

                      1250
                      FHI Trust Fund, Payments from the General Fund (uninsured and Program Management)
                      110
                      1,299
                      1,104

                      Offsetting collections:

                      1280
                      Federal Hospital Insurance Trust Fund
                      440

                      1299
                      Income under present law
                      254,602
                      267,517
                      281,570

                      Proposed legislation:

                      Receipts:

                      2201
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)

                      7
                      679

                      Offsetting receipts (proprietary receipts):

                      2222
                      FHI Trust Fund, Basic Premium, Medicare Advantage

                      –2

                      2225
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible

                      –38

                      Offsetting receipts (intragovernmental):

                      2243
                      FHI Trust Fund, Interest Received by Trust Funds

                      72

                      2299
                      Income under proposed legislation

                      7
                      711

                      3299
                      Total cash income
                      254,602
                      267,524
                      282,281

                      Cash outgo during year:

                      Current law:

                      4500
                      Federal Hospital Insurance Trust Fund
                      –276,075
                      –282,885
                      –284,064

                      4500
                      Health Care Fraud and Abuse Control Account

                      43

                      4500
                      Health Care Fraud and Abuse Control Account
                      –1,555
                      –1,697
                      –1,576

                      4599
                      Outgo under current law (-)
                      –277,630
                      –284,582
                      –285,597

                      Proposed legislation:

                      5500
                      Federal Hospital Insurance Trust Fund

                      2,377

                      5500
                      Health Care Fraud and Abuse Control Account

                      –378

                      5500
                      Health Care Fraud and Abuse Control Account

                      552

                      5599
                      Outgo under proposed legislation (-)

                      2,551

                      6599
                      Total cash outgo (-)
                      –277,630
                      –284,582
                      –283,046

                      Manual Adjustments:

                      7690
                      Rounding adjustment
                      2

                      7699
                      Total adjustments
                      2

                      Unexpended balance, end of year:

                      8700
                      Uninvested balance (net), end of year
                      304
                      262
                      2,671

                      8701
                      Federal Hospital Insurance Trust Fund
                      206,010
                      188,994
                      185,820

                      8799
                      Total balance, end of year
                      206,314
                      189,256
                      188,491

          Object Classification (in millions of dollars)

                      Identification code 75–8005–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      41.0
                      Payment for Quality Improvement Organization (QIO) activities
                      459
                      1,319
                      580

                      42.0
                      Insurance claims and indemnities (benefits)
                      273,146
                      272,604
                      279,185

                      94.0
                      Financial transfers
                      2,904
                      8,943
                      4,296

                      99.0
                      Direct obligations
                      276,509
                      282,866
                      284,061

                      42.0
                      Allocation Account - reimbursable: Insurance claims and indemnities
                      439

                      99.9
                      Total new obligations
                      276,948
                      282,866
                      284,061

             Federal Hospital Insurance Trust Fund

             (Amounts included in the adjusted baseline)Program and Financing (in millions of dollars)

                      Identification code 75–8005–7–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –6

                      1203
                      Appropriation (previously unavailable)

                      6

             Federal Hospital Insurance Trust Fund

             (Legislative proposal, not subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8005–2–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –480

                      1203
                      Appropriation (previously unavailable)

                      480

             Federal Hospital Insurance Trust Fund

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8005–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, HI

                      –2,392

                      0003
                      Administration, HI

                      15

                      0900
                      Total new obligations

                      –2,377

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      340

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced

                      –2,717

                      1260
                      Appropriations, mandatory (total)

                      –2,377

                      1900
                      Budget authority (total)

                      –2,377

                      1930
                      Total budgetary resources available

                      –2,377

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –2,377

                      3020
                      Outlays (gross)

                      2,377

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –2,377

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –2,377

                      4180
                      Budget authority, net (total)

                      –2,377

                      4190
                      Outlays, net (total)

                      –2,377

          Object Classification (in millions of dollars)

                      Identification code 75–8005–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      42.0
                      Insurance claims and indemnities (benefits)

                      –2,392

                      94.0
                      Financial transfers

                      15

                      99.9
                      Total new obligations

                      –2,377

             Health Care Fraud and Abuse Control AccountIn addition to amounts otherwise available for program integrity and program management, [$293,588,000] $318,588,000,  to remain available through September 30, [2015] 2016, 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 [$207,636,000] $262,344,000 shall be for [the Medicare Integrity Program at the Centers for Medicare and Medicaid Services, including administrative costs, to conduct
             oversight activities for Medicare Advantage under Part C and the Medicare Prescription Drug Program under Part D of the Social
             Security Act and for activities described in section 1893(b) of such Act,] Centers for Medicare and Medicaid Services program integrity activities; of which [$28,122,000] $28,122,000 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[, of which $29,708,000 shall be for the Medicaid and Children's Health Insurance Program ("CHIP'') program integrity activities,]; and of which [$28,122,000] $28,122,000 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 the report required by section 1817(k)(5) of the Social Security Act for fiscal year [2014] 2015 shall include measures of the operational efficiency and impact on fraud, waste, and abuse in the Medicare, Medicaid, and
             CHIP programs for the funds provided by this appropriation. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–8393–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicare integrity program
                      815
                      858
                      882

                      0002
                      FBI fraud and abuse control
                      132
                      127
                      139

                      0003
                      Other fraud and abuse control
                      296
                      278
                      301

                      0004
                      Predictive Modeling
                      22
                      11

                      0005
                      Undistributed SSA savings

                      –19
                      –108

                      0091
                      Total Mandatory
                      1,265
                      1,255
                      1,214

                      0101
                      CMS discretionary
                      284
                      238
                      262

                      0102
                      Other discretionary
                      84
                      56
                      56

                      0191
                      Total Discretionary
                      368
                      294
                      318

                      0900
                      Total new obligations
                      1,633
                      1,549
                      1,532

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      186
                      166
                      173

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      55

                      1021
                      Recoveries of prior year unpaid obligations
                      64

                      1050
                      Unobligated balance (total)
                      250
                      166
                      173

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      310
                      294
                      319

                      1132
                      Appropriations temporarily reduced
                      –16

                      1160
                      Appropriation, discretionary (total)
                      294
                      294
                      319

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      1,294
                      1,313
                      1,214

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –34
                      –51

                      1260
                      Appropriations, mandatory (total)
                      1,260
                      1,262
                      1,214

                      1900
                      Budget authority (total)
                      1,554
                      1,556
                      1,533

                      1930
                      Total budgetary resources available
                      1,804
                      1,722
                      1,706

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –5

                      1941
                      Unexpired unobligated balance, end of year
                      166
                      173
                      174

                      Special and non-revolving trust funds:

                      1951
                      Unobligated balance expiring
                      5

                      1952
                      Expired unobligated balance, start of year
                      44
                      36
                      44

                      1953
                      Expired unobligated balance, end of year
                      31
                      44
                      44

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,157
                      1,155
                      1,007

                      3010
                      Obligations incurred, unexpired accounts
                      1,633
                      1,549
                      1,532

                      3020
                      Outlays (gross)
                      –1,555
                      –1,697
                      –1,576

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –64

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –16

                      3050
                      Unpaid obligations, end of year
                      1,155
                      1,007
                      963

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,157
                      1,155
                      1,007

                      3200
                      Obligated balance, end of year
                      1,155
                      1,007
                      963

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      294
                      294
                      319

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      106
                      294
                      319

                      4011
                      Outlays from discretionary balances
                      247

                      4020
                      Outlays, gross (total)
                      353
                      294
                      319

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,260
                      1,262
                      1,214

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      402
                      899
                      800

                      4101
                      Outlays from mandatory balances
                      800
                      504
                      457

                      4110
                      Outlays, gross (total)
                      1,202
                      1,403
                      1,257

                      4180
                      Budget authority, net (total)
                      1,554
                      1,556
                      1,533

                      4190
                      Outlays, net (total)
                      1,555
                      1,697
                      1,576

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      1,554
                      1,556
                      1,533

                      Outlays
                      1,555
                      1,697
                      1,576

                      Amounts included in the adjusted baseline:

                      Budget Authority

                      –43

                      Outlays

                      –43

                      Legislative proposal, not subject to PAYGO:

                      Budget Authority

                      –552

                      Outlays

                      –552

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      378

                      Outlays

                      378

                      Total:

                      Budget Authority
                      1,554
                      1,556
                      1,316

                      Outlays
                      1,555
                      1,697
                      1,359

             The Health Insurance Portability and Accountability Act of 1996 (P.L. 104–191) established the Health Care Fraud and Abuse
                Control (HCFAC) account within the Federal Hospital Insurance Trust Fund and appropriated funds 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.

             The Budget includes a discretionary request for efforts to safeguard Centers for Medicare and Medicaid Services (CMS) program
                integrity that will supplement other CMS program integrity funds. See additional discussion in the Budget Process chapter
                in the Analytical Perspectives volume.

          Object Classification (in millions of dollars)

                      Identification code 75–8393–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent (CMS)
                      37
                      45
                      51

                      12.1
                      Civilian personnel benefits (CMS)
                      10
                      13
                      13

                      23.3
                      Communications, utilities, and miscellaneous charges
                      9
                      12
                      13

                      25.1
                      Advisory and assistance services (predictive modeling)
                      22
                      11

                      25.2
                      Other services (CMS/Medicaid)
                      40
                      28
                      28

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/DOJ)
                      107
                      86
                      90

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/OIG)
                      234
                      213
                      228

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/AoA)
                      11
                      10
                      11

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/OGC)
                      9
                      9
                      9

                      25.3
                      Other goods and services from Federal sources (HHS/CMS)
                      15
                      13
                      15

                      25.3
                      Other goods and services from Government accounts (HHS/FDA)
                      5
                      3
                      3

                      25.6
                      Medical care  (CMS)
                      1,001
                      998
                      1,040

                      92.0
                      Undistributed

                      –19
                      –108

                      94.0
                      Financial transfers (FBI)
                      133
                      127
                      139

                      99.9
                      Total new obligations
                      1,633
                      1,549
                      1,532

          Employment Summary

                      Identification code 75–8393–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      358
                      442
                      465

             Health Care Fraud and Abuse Control Account

             (Amounts included in the adjusted baseline)Program and Financing (in millions of dollars)

                      Identification code 75–8393–7–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –43

                      1260
                      Appropriations, mandatory (total)

                      –43

                      1900
                      Budget authority (total)

                      –43

                      1930
                      Total budgetary resources available

                      –43

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      –43

                      Change in obligated balance:

                      Unpaid obligations:

                      3020
                      Outlays (gross)

                      43

                      3050
                      Unpaid obligations, end of year

                      43

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      43

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –43

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –43

                      4180
                      Budget authority, net (total)

                      –43

                      4190
                      Outlays, net (total)

                      –43

             Health Care Fraud and Abuse Control Account

             (Legislative proposal, not subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8393–2–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –552

                      1260
                      Appropriations, mandatory (total)

                      –552

                      1930
                      Total budgetary resources available

                      –552

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      –552

                      Change in obligated balance:

                      Unpaid obligations:

                      3020
                      Outlays (gross)

                      552

                      3050
                      Unpaid obligations, end of year

                      552

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      552

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –552

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –552

                      4180
                      Budget authority, net (total)

                      –552

                      4190
                      Outlays, net (total)

                      –552

             The mandatory proposal included in the Budget is estimated to achieve additional savings.

             Health Care Fraud and Abuse Control Account

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8393–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      CMS program integrity

                      214

                      0002
                      Other program integrity

                      164

                      0900
                      Total new obligations

                      378

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      378

                      1260
                      Appropriations, mandatory (total)

                      378

                      1930
                      Total budgetary resources available

                      378

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      378

                      3020
                      Outlays (gross)

                      –378

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      378

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      378

                      4180
                      Budget authority, net (total)

                      378

                      4190
                      Outlays, net (total)

                      378

             For FY 2015, the Budget proposes $378 million in mandatory funds for the Health Care Fraud and Abuse Control program and proposes
                $319 million through discretionary appropriations. After 2015, no discretionary funding is being proposed for this purpose.
                In addition, an annual reduction to the discretionary spending limits in section 251(c) of the BBEDCA, as amended, is proposed
                beginning in 2016 to offset the cost of shifting the FY 2014 enacted portion of the base funding from discretionary to mandatory.
                The more stable mandatory program integrity funding will produce new net deficit savings of over $2 billion over 10 years.

          Object Classification (in millions of dollars)

                      Identification code 75–8393–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.2
                      Other services (CMS/Medicaid)

                      15

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/DOJ)

                      80

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/OIG)

                      85

                      25.6
                      Medical care  (CMS)

                      198

                      99.9
                      Total new obligations

                      378

             Federal Supplementary Medical Insurance Trust Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–8004–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year
                      41,270
                      37,018
                      42,384

                      Receipts:

                      0200
                      Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI
                      3,216
                      2,960
                      3,000

                      0220
                      Other Proprietary Interest from the Public, FSMI Fund
                      4
                      3
                      3

                      0221
                      Premiums Collected for Medicare Prescription Drug Account, FSMI
                      3,224
                      3,633
                      4,270

                      0222
                      Premiums Collected for Medicare Prescription Drug Account, FSMI- legislative proposal subject to PAYGO

                      –110

                      0223
                      Payments from States, Medicare Prescription Drug Account, FSMI
                      8,666
                      8,748
                      8,795

                      0224
                      Payments from States, Medicare Prescription Drug Account, FSMI- legislative proposal subject to PAYGO

                      –80

                      0225
                      Basic Premium, Medicare Advantage, FSMI Trust Fund
                      246
                      259
                      265

                      0226
                      Medicare Refunds, SMI
                      5,248
                      4,400
                      4,500

                      0227
                      Premiums Collected for the Aged, FSMI Fund
                      51,679
                      55,123
                      57,302

                      0228
                      Premiums Collected for the Aged, FSMI Fund- legislative proposal subject to PAYGO

                      –203

                      0229
                      Premiums Collected for the Disabled, FSMI Fund
                      10,091
                      10,094
                      10,285

                      0230
                      Premiums Collected for the Disabled, FSMI Fund- legislative proposal subject to PAYGO

                      –37

                      0240
                      Federal Contributions, FSMI Fund
                      176,940
                      192,491
                      194,343

                      0241
                      Federal Contributions, FSMI Fund- legislative proposal not subject to PAYGO

                      –700

                      0242
                      Federal Contributions, FSMI Fund

                      –60

                      0243
                      Interest Received by Trust Fund, FSMI Fund
                      2,511
                      2,786
                      3,274

                      0244
                      Interest Received by Trust Fund, FSMI Fund- legislative proposal not subject to PAYGO

                      –2

                      0245
                      Interest Received by Trust Fund, FSMI Fund

                      –34
                      –319

                      0246
                      Federal Contribution, State Low-income Determinations, Prescription Drug Account, FSMI

                      6

                      0247
                      Interest, Medicare Prescription Drug Account, FSMI
                      7
                      8
                      10

                      0248
                      Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI
                      367
                      373
                      418

                      0249
                      Federal Contributions for Benefits, Prescription Drug Account, SMI
                      49,900
                      54,599
                      63,342

                      0250
                      Federal Contributions for Benefits, Prescription Drug Account, SMI- legislative proposal not subject to PAYGO

                      –481

                      0251
                      Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund
                      1
                      1
                      1

                      0299
                      Total receipts and collections
                      312,100
                      335,442
                      347,824

                      0400
                      Total: Balances and collections
                      353,370
                      372,460
                      390,208

                      Appropriations:

                      0500
                      Federal Supplementary Medical Insurance Trust Fund
                      –3,150
                      –3,007
                      –3,147

                      0501
                      Federal Supplementary Medical Insurance Trust Fund
                      162

                      0502
                      Federal Supplementary Medical Insurance Trust Fund
                      –242,531
                      –264,896
                      –269,917

                      0503
                      Federal Supplementary Medical Insurance Trust Fund
                      –6,793

                      0504
                      Federal Supplementary Medical Insurance Trust Fund
                      7
                      1

                      0505
                      Federal Supplementary Medical Insurance Trust Fund

                      11,949
                      14,722

                      0506
                      Federal Supplementary Medical Insurance Trust Fund- legislative proposal not subject to PAYGO

                      1,181

                      0507
                      Federal Supplementary Medical Insurance Trust Fund- legislative proposal not subject to PAYGO

                      –365
                      –1,941

                      0508
                      Federal Supplementary Medical Insurance Trust Fund- legislative proposal subject to PAYGO

                      1,101

                      0509
                      Federal Supplementary Medical Insurance Trust Fund- legislative proposal subject to PAYGO

                      –176

                      0510
                      Federal Supplementary Medical Insurance Trust Fund

                      34
                      379

                      0511
                      Federal Supplementary Medical Insurance Trust Fund

                      –6,214
                      –14,036

                      0512
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –348
                      –334
                      –344

                      0513
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      20

                      0514
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –63,698
                      –67,244
                      –76,406

                      0515
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund- legislative proposal subject to PAYGO

                      671

                      0599
                      Total appropriations
                      –316,331
                      –330,076
                      –347,913

                      0610
                      Federal Supplementary Medical Insurance Trust Fund
                      1

                      0620
                      Federal Supplementary Medical Insurance Trust Fund
                      –22

                      0799
                      Balance, end of year
                      37,018
                      42,384
                      42,295

          Program and Financing (in millions of dollars)

                      Identification code 75–8004–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, SMI
                      245,396
                      248,693
                      254,328

                      0002
                      Transfer to Medicaid for payment of SMI premiums
                      477
                      390

                      0003
                      HIT Incentive Payments
                      3,656
                      3,450
                      640

                      0004
                      Administration, SMI
                      2,880
                      3,090
                      3,229

                      0005
                      Quality Improvement Organizations, SMI
                      14
                      330
                      145

                      0799
                      Total direct obligations
                      252,423
                      255,953
                      258,342

                      0801
                      Reimbursable program activity
                      11

                      0900
                      Total new obligations
                      252,434
                      255,953
                      258,342

                      Budgetary Resources:

                      Unobligated balance:

                      1021
                      Recoveries of prior year unpaid obligations
                      97

                      1026
                      Adjustment for change in allocation of trust fund limitation or foreign exchange valuation
                      22

                      1029
                      Other balances withdrawn
                      –1

                      1050
                      Unobligated balance (total)
                      118

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      3,150
                      3,007
                      3,147

                      1132
                      Appropriations temporarily reduced
                      –162

                      1160
                      Appropriation, discretionary (total)
                      2,988
                      3,007
                      3,147

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      242,531
                      264,896
                      269,917

                      1203
                      Appropriation (previously unavailable)
                      6,793

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –7
                      –1

                      1234
                      Appropriations precluded from obligation

                      –11,949
                      –14,722

                      1260
                      Appropriations, mandatory (total)
                      249,317
                      252,946
                      255,195

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      11

                      1850
                      Spending auth from offsetting collections, mand (total)
                      11

                      1900
                      Budget authority (total)
                      252,316
                      255,953
                      258,342

                      1930
                      Total budgetary resources available
                      252,434
                      255,953
                      258,342

                      Memorandum (non-add) entries:

                      Special and non-revolving trust funds:

                      1950
                      Other balances withdrawn and returned to unappropriated receipts
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      24,404
                      24,692
                      24,835

                      3010
                      Obligations incurred, unexpired accounts
                      252,434
                      255,953
                      258,342

                      3020
                      Outlays (gross)
                      –252,049
                      –255,810
                      –258,223

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –97

                      3050
                      Unpaid obligations, end of year
                      24,692
                      24,835
                      24,954

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      24,404
                      24,692
                      24,835

                      3200
                      Obligated balance, end of year
                      24,692
                      24,835
                      24,954

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,988
                      3,007
                      3,147

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,666
                      1,643
                      1,710

                      4011
                      Outlays from discretionary balances
                      1,177
                      1,158
                      1,299

                      4020
                      Outlays, gross (total)
                      2,843
                      2,801
                      3,009

                      Mandatory:

                      4090
                      Budget authority, gross
                      249,328
                      252,946
                      255,195

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      248,293
                      231,056
                      230,102

                      4101
                      Outlays from mandatory balances
                      913
                      21,953
                      25,112

                      4110
                      Outlays, gross (total)
                      249,206
                      253,009
                      255,214

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –11

                      4180
                      Budget authority, net (total)
                      252,305
                      255,953
                      258,342

                      4190
                      Outlays, net (total)
                      252,038
                      255,810
                      258,223

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      69,324
                      67,385
                      72,639

                      5001
                      Total investments, EOY: Federal securities: Par value
                      67,385
                      72,639
                      72,738

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      252,305
                      255,953
                      258,342

                      Outlays
                      252,038
                      255,810
                      258,223

                      Amounts included in the adjusted baseline:

                      Budget Authority

                      6,180
                      13,657

                      Outlays

                      6,180
                      13,657

                      Legislative proposal, not subject to PAYGO:

                      Budget Authority

                      365
                      760

                      Outlays

                      365
                      760

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      –925

                      Outlays

                      –925

                      Total:

                      Budget Authority
                      252,305
                      262,498
                      271,834

                      Outlays
                      252,038
                      262,355
                      271,715

             The Supplementary Medical Insurance (SMI) program is a voluntary program that 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 generally financed by premium payments from enrollees and contributions from the general revenues.

             The status of the trust fund is as follows. In addition, the Budget includes a package of proposals that improve Medicare's
                sustainability by promoting high-quality, efficient care; aligning payments with the costs of providing care; encouraging
                beneficiaries to seek high-value services; and reducing the Federal subsidy of Medicare costs for those who need the subsidy
                the least.

          Status of Funds (in millions of dollars)

                      Identification code 75–8004–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Unexpended balance, start of year:

                      0100
                      Balance, start of year
                      71,728
                      69,818
                      75,309

                      Adjustments:

                      0191
                      Rounding adjustment
                      2

                      0199
                      Total balance, start of year
                      71,730
                      69,818
                      75,309

                      Cash income during the year:

                      Current law:

                      Receipts:

                      1200
                      Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI
                      3,216
                      2,960
                      3,000

                      Offsetting receipts (proprietary):

                      1220
                      Other Proprietary Interest from the Public, FSMI Fund
                      4
                      3
                      3

                      1221
                      Premiums Collected for Medicare Prescription Drug Account, FSMI
                      3,224
                      3,633
                      4,270

                      1223
                      Payments from States, Medicare Prescription Drug Account, FSMI
                      8,666
                      8,748
                      8,795

                      1225
                      Basic Premium, Medicare Advantage, FSMI Trust Fund
                      246
                      259
                      265

                      1226
                      Medicare Refunds, SMI
                      5,248
                      4,400
                      4,500

                      1227
                      Premiums Collected for the Aged, FSMI Fund
                      51,679
                      55,123
                      57,302

                      1229
                      Premiums Collected for the Disabled, FSMI Fund
                      10,091
                      10,094
                      10,285

                      Offsetting receipts (intragovernmental):

                      1240
                      Federal Contributions, FSMI Fund
                      176,940
                      192,491
                      194,343

                      1242
                      Federal Contributions, FSMI Fund

                      –60

                      1243
                      Interest Received by Trust Fund, FSMI Fund
                      2,511
                      2,786
                      3,274

                      1245
                      Interest Received by Trust Fund, FSMI Fund

                      –34
                      –319

                      1246
                      Federal Contribution, State Low-income Determinations, Prescription Drug Account, FSMI

                      6

                      1247
                      Interest, Medicare Prescription Drug Account, FSMI
                      7
                      8
                      10

                      1248
                      Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI
                      367
                      373
                      418

                      1249
                      Federal Contributions for Benefits, Prescription Drug Account, SMI
                      49,900
                      54,599
                      63,342

                      1251
                      Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund
                      1
                      1
                      1

                      Offsetting collections:

                      1280
                      Federal Supplementary Medical Insurance Trust Fund
                      11

                      1281
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      3,160

                      1299
                      Income under present law
                      315,271
                      335,444
                      349,435

                      Proposed legislation:

                      Offsetting receipts (proprietary receipts):

                      2222
                      Premiums Collected for Medicare Prescription Drug Account, FSMI

                      –110

                      2224
                      Payments from States, Medicare Prescription Drug Account, FSMI

                      –80

                      2228
                      Premiums Collected for the Aged, FSMI Fund

                      –203

                      2230
                      Premiums Collected for the Disabled, FSMI Fund

                      –37

                      Offsetting receipts (intragovernmental):

                      2241
                      Federal Contributions, FSMI Fund

                      –700

                      2244
                      Interest Received by Trust Fund, FSMI Fund

                      –2

                      2250
                      Federal Contributions for Benefits, Prescription Drug Account, SMI

                      –481

                      2299
                      Income under proposed legislation

                      –2
                      –1,611

                      3299
                      Total cash income
                      315,271
                      335,442
                      347,824

                      Cash outgo during year:

                      Current law:

                      4500
                      Federal Supplementary Medical Insurance Trust Fund
                      –252,049
                      –255,810
                      –258,223

                      4500
                      Federal Supplementary Medical Insurance Trust Fund

                      –6,180
                      –13,657

                      4500
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –65,133
                      –67,596
                      –76,748

                      4599
                      Outgo under current law (-)
                      –317,182
                      –329,586
                      –348,628

                      Proposed legislation:

                      5500
                      Federal Supplementary Medical Insurance Trust Fund

                      925

                      5500
                      Federal Supplementary Medical Insurance Trust Fund

                      –365
                      –760

                      5500
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

                      671

                      5599
                      Outgo under proposed legislation (-)

                      –365
                      836

                      6599
                      Total cash outgo (-)
                      –317,182
                      –329,951
                      –347,792

                      Manual Adjustments:

                      7690
                      Cash reconciliation adjustment
                      –1

                      7699
                      Total adjustments
                      –1

                      Unexpended balance, end of year:

                      8700
                      Uninvested balance (net), end of year
                      2,433
                      2,670
                      2,603

                      8701
                      Federal Supplementary Medical Insurance Trust Fund
                      67,385
                      72,639
                      72,738

                      8799
                      Total balance, end of year
                      69,818
                      75,309
                      75,341

          Object Classification (in millions of dollars)

                      Identification code 75–8004–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      41.0
                      Payment for Quality Improvement Organization (QIO) activity
                      14
                      330
                      145

                      42.0
                      Insurance claims and indemnities
                      249,529
                      252,533
                      254,968

                      94.0
                      Financial transfers
                      2,880
                      3,090
                      3,229

                      99.0
                      Direct obligations
                      252,423
                      255,953
                      258,342

                      42.0
                      Allocation Account - reimbursable: Insurance claims and indemnities
                      11

                      99.9
                      Total new obligations
                      252,434
                      255,953
                      258,342

             Federal Supplementary Medical Insurance Trust Fund

             (Amounts included in the adjusted baseline)Program and Financing (in millions of dollars)

                      Identification code 75–8004–7–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Benefits

                      6,180
                      13,657

                      0900
                      Total new obligations (object class 42.0)

                      6,180
                      13,657

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –34
                      –379

                      1234
                      Appropriations precluded from obligation

                      6,214
                      14,036

                      1260
                      Appropriations, mandatory (total)

                      6,180
                      13,657

                      1900
                      Budget authority (total)

                      6,180
                      13,657

                      1930
                      Total budgetary resources available

                      6,180
                      13,657

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      6,180
                      13,657

                      3020
                      Outlays (gross)

                      –6,180
                      –13,657

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      6,180
                      13,657

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      6,180
                      13,657

                      4180
                      Budget authority, net (total)

                      6,180
                      13,657

                      4190
                      Outlays, net (total)

                      6,180
                      13,657

             Federal Supplementary Medical Insurance Trust Fund

             (Legislative proposal, not subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8004–2–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0002
                      Transfer to Medicaid for payment of SMI premiums

                      365
                      760

                      0900
                      Total new obligations (object class 42.0)

                      365
                      760

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –1,181

                      1234
                      Appropriations precluded from obligation

                      365
                      1,941

                      1260
                      Appropriations, mandatory (total)

                      365
                      760

                      1900
                      Budget authority (total)

                      365
                      760

                      1930
                      Total budgetary resources available

                      365
                      760

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      365
                      760

                      3020
                      Outlays (gross)

                      –365
                      –760

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      365
                      760

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      365
                      760

                      4180
                      Budget authority, net (total)

                      365
                      760

                      4190
                      Outlays, net (total)

                      365
                      760

             Federal Supplementary Medical Insurance Trust Fund

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8004–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, SMI

                      –940

                      0004
                      Administration, SMI

                      15

                      0900
                      Total new obligations

                      –925

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –1,101

                      1234
                      Appropriations precluded from obligation

                      176

                      1260
                      Appropriations, mandatory (total)

                      –925

                      1900
                      Budget authority (total)

                      –925

                      1930
                      Total budgetary resources available

                      –925

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –925

                      3020
                      Outlays (gross)

                      925

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –925

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –925

                      4180
                      Budget authority, net (total)

                      –925

                      4190
                      Outlays, net (total)

                      –925

          Object Classification (in millions of dollars)

                      Identification code 75–8004–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      42.0
                      Insurance claims and indemnities

                      –940

                      94.0
                      Financial transfers

                      15

                      99.9
                      Total new obligations

                      –925

             Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–8308–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Prescription Drug Benefits
                      69,358
                      67,239
                      76,396

                      0002
                      Administrative Costs
                      312
                      339
                      354

                      0900
                      Total new obligations
                      69,670
                      67,578
                      76,750

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      2,555

                      1050
                      Unobligated balance (total)
                      2,555
                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      348
                      334
                      344

                      1132
                      Appropriations temporarily reduced
                      –20

                      1160
                      Appropriation, discretionary (total)
                      328
                      334
                      344

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      63,698
                      67,244
                      76,406

                      1260
                      Appropriations, mandatory (total)
                      63,698
                      67,244
                      76,406

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      3,160

                      1850
                      Spending auth from offsetting collections, mand (total)
                      3,160

                      1900
                      Budget authority (total)
                      67,186
                      67,578
                      76,750

                      1930
                      Total budgetary resources available
                      69,741
                      67,579
                      76,750

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –70
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      1

                      Special and non-revolving trust funds:

                      1951
                      Unobligated balance expiring
                      70
                      1

                      1952
                      Expired unobligated balance, start of year
                      599
                      439
                      450

                      1953
                      Expired unobligated balance, end of year
                      369
                      449
                      449

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      5,607
                      7,397
                      7,379

                      3010
                      Obligations incurred, unexpired accounts
                      69,670
                      67,578
                      76,750

                      3011
                      Obligations incurred, expired accounts
                      77

                      3020
                      Outlays (gross)
                      –65,133
                      –67,596
                      –76,748

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –2,555

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –269

                      3050
                      Unpaid obligations, end of year
                      7,397
                      7,379
                      7,381

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      5,607
                      7,397
                      7,379

                      3200
                      Obligated balance, end of year
                      7,397
                      7,379
                      7,381

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      328
                      334
                      344

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      210
                      232
                      241

                      4011
                      Outlays from discretionary balances
                      155
                      88
                      98

                      4020
                      Outlays, gross (total)
                      365
                      320
                      339

                      Mandatory:

                      4090
                      Budget authority, gross
                      66,858
                      67,244
                      76,406

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      59,477
                      60,503
                      72,005

                      4101
                      Outlays from mandatory balances
                      5,291
                      6,773
                      4,404

                      4110
                      Outlays, gross (total)
                      64,768
                      67,276
                      76,409

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –3,160

                      4180
                      Budget authority, net (total)
                      64,026
                      67,578
                      76,750

                      4190
                      Outlays, net (total)
                      61,973
                      67,596
                      76,748

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      64,026
                      67,578
                      76,750

                      Outlays
                      61,973
                      67,596
                      76,748

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      –671

                      Outlays

                      –671

                      Total:

                      Budget Authority
                      64,026
                      67,578
                      76,079

                      Outlays
                      61,973
                      67,596
                      76,077

             Since January 2006, Medicare beneficiaries have had the opportunity to enroll in a comprehensive voluntary prescription drug
                benefit. The Budget includes a package of proposals that slow the growth of Part D net expenditures.

          Object Classification (in millions of dollars)

                      Identification code 75–8308–0–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.2
                      Other services from non-Federal sources
                      312
                      339
                      354

                      42.0
                      Insurance claims and indemnities
                      69,358
                      67,239
                      76,396

                      99.9
                      Total new obligations
                      69,670
                      67,578
                      76,750

             Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–8308–4–7–571
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Prescription Drug Benefits

                      –671

                      0900
                      Total new obligations (object class 42.0)

                      –671

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –671

                      1260
                      Appropriations, mandatory (total)

                      –671

                      1900
                      Budget authority (total)

                      –671

                      1930
                      Total budgetary resources available

                      –671

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –671

                      3020
                      Outlays (gross)

                      671

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –671

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –671

                      4180
                      Budget authority, net (total)

                      –671

                      4190
                      Outlays, net (total)

                      –671

             Allocations Received from Other Accounts

             Note.—Obligations incurred under allocations from other accounts are included in the schedule of the parent appropriation
                as in the following example: Centers for Medicare and Medicaid Services "Health Care Fraud and Abuse Control Account."

             Administration for Children and Families

             Federal Funds
             Temporary Assistance for Needy Families

             Program and Financing (in millions of dollars)

                      Identification code 75–1552–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      State family assistance grant
                      16,488
                      16,486
                      16,486

                      0002
                      Territories - family assistance grants
                      78
                      78
                      78

                      0006
                      Tribal work programs
                      8
                      8
                      8

                      0009
                      Healthy marriage and responsible fatherhood grants
                      148
                      148
                      150

                      0900
                      Total new obligations
                      16,722
                      16,720
                      16,722

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1
                      3

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      16,739
                      16,737
                      16,739

                      1220
                      Appropriations transferred to other accts [75–1552]
                      –36

                      1221
                      Appropriations transferred from other accts [75–1552]
                      36

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –1

                      1260
                      Appropriations, mandatory (total)
                      16,738
                      16,737
                      16,739

                      1930
                      Total budgetary resources available
                      16,738
                      16,738
                      16,742

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –15
                      –15
                      –15

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      3
                      5

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      5,180
                      4,795
                      4,690

                      3010
                      Obligations incurred, unexpired accounts
                      16,722
                      16,720
                      16,722

                      3020
                      Outlays (gross)
                      –17,107
                      –16,825
                      –16,805

                      3050
                      Unpaid obligations, end of year
                      4,795
                      4,690
                      4,607

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      5,180
                      4,795
                      4,690

                      3200
                      Obligated balance, end of year
                      4,795
                      4,690
                      4,607

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      16,738
                      16,737
                      16,739

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      13,557
                      13,376
                      13,378

                      4101
                      Outlays from mandatory balances
                      3,550
                      3,449
                      3,427

                      4110
                      Outlays, gross (total)
                      17,107
                      16,825
                      16,805

                      4180
                      Budget authority, net (total)
                      16,738
                      16,737
                      16,739

                      4190
                      Outlays, net (total)
                      17,107
                      16,825
                      16,805

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      16,738
                      16,737
                      16,739

                      Outlays
                      17,107
                      16,825
                      16,805

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      10

                      Outlays

                      8

                      Total:

                      Budget Authority
                      16,738
                      16,737
                      16,749

                      Outlays
                      17,107
                      16,825
                      16,813

             This account provides funding for the Temporary Assistance for Needy Families block grant and related activities authorized
                by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction
                Act of 2005 (P.L. 109–171). Since 2010, this account has been temporarily reauthorized by a series of Acts, most recently
                in the Consolidated Appropriations Act, 2014 (P.L. 113–76).

          Object Classification (in millions of dollars)

                      Identification code 75–1552–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      1
                      1

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      20
                      20
                      22

                      25.3
                      Other goods and services from Federal sources
                      2
                      2
                      2

                      41.0
                      Grants, subsidies, and contributions
                      16,698
                      16,696
                      16,696

                      99.9
                      Total new obligations
                      16,722
                      16,720
                      16,722

          Employment Summary

                      Identification code 75–1552–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      15
                      15
                      15

             Temporary Assistance for Needy Families

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1552–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Monitoring and Oversight

                      10

                      0900
                      Total new obligations (object class 25.1)

                      10

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      10

                      1260
                      Appropriations, mandatory (total)

                      10

                      1930
                      Total budgetary resources available

                      10

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      10

                      3020
                      Outlays (gross)

                      –8

                      3050
                      Unpaid obligations, end of year

                      2

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      10

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      8

                      4180
                      Budget authority, net (total)

                      10

                      4190
                      Outlays, net (total)

                      8

             Contingency Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–1522–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Contingency fund
                      610
                      608
                      612

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      6

                      1012
                      Unobligated balance transfers between expired and unexpired accounts

                      2

                      1050
                      Unobligated balance (total)

                      2
                      6

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      612
                      612
                      612

                      1260
                      Appropriations, mandatory (total)
                      612
                      612
                      612

                      1930
                      Total budgetary resources available
                      612
                      614
                      618

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –2

                      1941
                      Unexpired unobligated balance, end of year

                      6
                      6

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      596
                      274
                      129

                      3010
                      Obligations incurred, unexpired accounts
                      610
                      608
                      612

                      3020
                      Outlays (gross)
                      –699
                      –753
                      –683

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –233

                      3050
                      Unpaid obligations, end of year
                      274
                      129
                      58

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      596
                      274
                      129

                      3200
                      Obligated balance, end of year
                      274
                      129
                      58

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      612
                      612
                      612

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      487
                      553
                      555

                      4101
                      Outlays from mandatory balances
                      212
                      200
                      128

                      4110
                      Outlays, gross (total)
                      699
                      753
                      683

                      4180
                      Budget authority, net (total)
                      612
                      612
                      612

                      4190
                      Outlays, net (total)
                      699
                      753
                      683

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      612
                      612
                      612

                      Outlays
                      699
                      753
                      683

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      –10

                      Outlays

                      –8

                      Total:

                      Budget Authority
                      612
                      612
                      602

                      Outlays
                      699
                      753
                      675

          Object Classification (in millions of dollars)

                      Identification code 75–1522–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions
                      610
                      604
                      612

                      94.0
                      Financial transfers

                      4

                      99.9
                      Total new obligations
                      610
                      608
                      612

             Contingency Fund

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1522–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Contingency fund

                      –10

                      0900
                      Total new obligations (object class 41.0)

                      –10

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      –10

                      1260
                      Appropriations, mandatory (total)

                      –10

                      1930
                      Total budgetary resources available

                      –10

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –10

                      3020
                      Outlays (gross)

                      8

                      3050
                      Unpaid obligations, end of year

                      –2

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      –2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –10

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –8

                      4180
                      Budget authority, net (total)

                      –10

                      4190
                      Outlays, net (total)

                      –8

             Payments to States for Child Support Enforcement and Family Support ProgramsFor carrying out, except as otherwise provided, [under] titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act and the Act of July 5, 1960[, $2,965,245,000] (24 U.S.C. 321–329), $2,438,523,000, to remain available until expended; and for such purposes for the first quarter of fiscal year [2015, $1,250,000,000] 2016, $1,160,000,000, to remain available until expended.

          For [making] carrying out, after May 31 of the current fiscal year, [payments to States or other non-Federal entities under] except as otherwise provided, 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. 321–329), 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. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1501–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      State child support administrative costs
                      3,716
                      3,633
                      3,386

                      0002
                      Child support incentive payments
                      510
                      520
                      527

                      0003
                      Access and visitation grants
                      10
                      10
                      10

                      0091
                      Subtotal, child support enforcement
                      4,236
                      4,163
                      3,923

                      0102
                      Payments to territories
                      33
                      33
                      33

                      0103
                      Repatriation
                      1
                      1
                      1

                      0191
                      Subtotal, other payments
                      34
                      34
                      34

                      0799
                      Total direct obligations
                      4,270
                      4,197
                      3,957

                      0801
                      Offset obligations (CSE grants to States)
                      8
                      22
                      6

                      0900
                      Total new obligations
                      4,278
                      4,219
                      3,963

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      3

                      68

                      1021
                      Recoveries of prior year unpaid obligations
                      269
                      200
                      200

                      1050
                      Unobligated balance (total)
                      272
                      200
                      268

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      2,901
                      2,965
                      2,439

                      1260
                      Appropriations, mandatory (total)
                      2,901
                      2,965
                      2,439

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      1,100
                      1,100
                      1,250

                      1280
                      Advanced appropriation, mandatory (total)
                      1,100
                      1,100
                      1,250

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      7
                      22
                      6

                      1801
                      Change in uncollected payments, Federal sources
                      –2

                      1850
                      Spending auth from offsetting collections, mand (total)
                      5
                      22
                      6

                      1900
                      Budget authority (total)
                      4,006
                      4,087
                      3,695

                      1930
                      Total budgetary resources available
                      4,278
                      4,287
                      3,963

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      68

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      986
                      922
                      1,032

                      3010
                      Obligations incurred, unexpired accounts
                      4,278
                      4,219
                      3,963

                      3020
                      Outlays (gross)
                      –4,073
                      –3,909
                      –4,088

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –269
                      –200
                      –200

                      3050
                      Unpaid obligations, end of year
                      922
                      1,032
                      707

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –2

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      2

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      984
                      922
                      1,032

                      3200
                      Obligated balance, end of year
                      922
                      1,032
                      707

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      4,006
                      4,087
                      3,695

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3,497
                      3,669
                      3,552

                      4101
                      Outlays from mandatory balances
                      576
                      240
                      536

                      4110
                      Outlays, gross (total)
                      4,073
                      3,909
                      4,088

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –7
                      –22
                      –6

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      2

                      4160
                      Budget authority, net (mandatory)
                      4,001
                      4,065
                      3,689

                      4170
                      Outlays, net (mandatory)
                      4,066
                      3,887
                      4,082

                      4180
                      Budget authority, net (total)
                      4,001
                      4,065
                      3,689

                      4190
                      Outlays, net (total)
                      4,066
                      3,887
                      4,082

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      4,001
                      4,065
                      3,689

                      Outlays
                      4,066
                      3,887
                      4,082

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      10

                      Outlays

                      10

                      Total:

                      Budget Authority
                      4,001
                      4,065
                      3,699

                      Outlays
                      4,066
                      3,887
                      4,092

             This account provides for payments to States for child support enforcement and other family support programs, including access
                and visitation programs for families. The Federal share of child support collections is returned to the Treasury in a receipt
                account.  The Budget proposes a Child Support and Fatherhood Initiative, a comprehensive set of proposals which promotes using
                child support payments in the best interest of the child, supports noncustodial parents becoming and staying involved in their
                children's lives, and improves establishment and enforcement procedures by closing loopholes and improving Federal processes.

          Object Classification (in millions of dollars)

                      Identification code 75–1501–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions
                      4,270
                      4,197
                      3,957

                      99.0
                      Reimbursable obligations
                      8
                      22
                      6

                      99.9
                      Total new obligations
                      4,278
                      4,219
                      3,963

             Payments to States for Child Support Enforcement and Family Support Programs

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1501–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      State child support administrative costs

                      10

                      0900
                      Total new obligations (object class 41.0)

                      10

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      10

                      1260
                      Appropriations, mandatory (total)

                      10

                      1930
                      Total budgetary resources available

                      10

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      10

                      3020
                      Outlays (gross)

                      –10

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      10

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      10

                      4180
                      Budget authority, net (total)

                      10

                      4190
                      Outlays, net (total)

                      10

             Low Income Home Energy AssistanceFor making payments under subsections (b), [and] (d), and (e) of section 2602 of the Low Income Home Energy Assistance Act of 1981, [$3,424,549,000] $2,750,000,000, of which $2,550,000,000 shall be for making payments under subsections (b) and (d) of such section; and of
                which $200,000,000 shall be for making payments under subsection (e) of such section, to be made notwithstanding the designation
                requirements of such subsection: Provided, That all but [$491,000,000] $366,000,000 of [this] the amount provided in this section for subsections (b) and (d) shall be allocated as though the total appropriation for such payments for fiscal year [2014] 2015 was less than $1,975,000,000: Provided further, That, notwithstanding section 2609A(a), of the amounts appropriated under section 2602(b), not more than [$2,988,000] $3,000,000 of such amounts may be reserved by the Secretary for technical assistance, training, and monitoring of program activities
             for compliance with internal controls, policies and procedures and may, in addition to the authorities provided in section
             2609A(a)(1), use such funds through contracts with private entities that do not qualify as nonprofit organizations.

           For making competitive grants to current grantees to assist low-income households in reducing home energy burden and for
                conducting a national evaluation of such grants, $50,000,000.  (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1502–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      LIHEAP Block Grant
                      3,255
                      3,425
                      2,550

                      0002
                      Contingency Fund

                      200

                      0003
                      Energy Burden Reduction Grants

                      50

                      0900
                      Total new obligations
                      3,255
                      3,425
                      2,800

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,472
                      3,425
                      2,800

                      1120
                      Appropriations transferred to other accts [75–1503]
                      –29

                      1120
                      Appropriations transferred to other accts [75–0350]
                      –6

                      1130
                      Appropriations permanently reduced
                      –182

                      1160
                      Appropriation, discretionary (total)
                      3,255
                      3,425
                      2,800

                      1930
                      Total budgetary resources available
                      3,255
                      3,425
                      2,800

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,642
                      1,361
                      1,703

                      3010
                      Obligations incurred, unexpired accounts
                      3,255
                      3,425
                      2,800

                      3020
                      Outlays (gross)
                      –3,532
                      –3,083
                      –2,892

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –4

                      3050
                      Unpaid obligations, end of year
                      1,361
                      1,703
                      1,611

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,642
                      1,361
                      1,703

                      3200
                      Obligated balance, end of year
                      1,361
                      1,703
                      1,611

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3,255
                      3,425
                      2,800

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,180
                      2,158
                      1,767

                      4011
                      Outlays from discretionary balances
                      1,352
                      925
                      1,125

                      4020
                      Outlays, gross (total)
                      3,532
                      3,083
                      2,892

                      4180
                      Budget authority, net (total)
                      3,255
                      3,425
                      2,800

                      4190
                      Outlays, net (total)
                      3,532
                      3,083
                      2,892

             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.  The Budget proposes new competitive grants to reduce
                household energy burdens for low-income households.

          Object Classification (in millions of dollars)

                      Identification code 75–1502–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      2
                      2
                      2

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      3,252
                      3,422
                      2,797

                      99.9
                      Total new obligations
                      3,255
                      3,425
                      2,800

             Refugee and Entrant AssistanceFor necessary expenses for refugee and entrant assistance activities authorized by section 414 of the Immigration and Nationality
             Act and section 501 of the Refugee Education Assistance Act of 1980, and for carrying out section 462 of the Homeland Security
             Act of 2002, section 235 of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008, the Trafficking
             Victims Protection Act of 2000 ("TVPA''), section 203 of the Trafficking Victims Protection Reauthorization Act of 2005, and
             the Torture Victims Relief Act of 1998, [$1,486,095,000] $1,486,129,000, of which [$1,461,605,000] $1,453,394,000 shall remain available through September 30, [2016] 2017, for carrying out such sections 414, 501, 462, and 235: Provided, That amounts available under this heading to carry out such section 203 and the TVPA shall also be available for research
             and evaluation with respect to activities under those authorities: Provided further, That a contingency fund, to be available until expended, shall be established for the unaccompanied alien
                children program authorized by section 462 of the Homeland Security Act of 2002 and section 235 of the William Wilberforce
                Trafficking Victims Protection Reauthorization Act of 2008: Provided further, That all available balances from this appropriation
                available for such activities may be deposited in such fund prior to expiration. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1503–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Refugee and entrant assistance
                      603
                      593
                      585

                      0002
                      Assistance for treatment of torture victims
                      11
                      11
                      11

                      0003
                      Unaccompanied alien children
                      376
                      868
                      868

                      0005
                      Trafficking Victims program
                      9
                      14
                      22

                      0900
                      Total new obligations
                      999
                      1,486
                      1,486

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1
                      2
                      2

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      2
                      2
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      1,016
                      1,486
                      1,486

                      1120
                      Appropriations transferred to other accts [75–1503]
                      –1,003

                      1121
                      Appropriations transferred from other accts [75–1503]
                      1,003

                      1121
                      Appropriations transferred from other accts [75–1515]
                      1

                      1121
                      Appropriations transferred from other accts [75–1502]
                      29

                      1130
                      Appropriations permanently reduced
                      –47

                      1160
                      Appropriation, discretionary (total)
                      999
                      1,486
                      1,486

                      1930
                      Total budgetary resources available
                      1,001
                      1,488
                      1,488

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2
                      2
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      544
                      537
                      902

                      3010
                      Obligations incurred, unexpired accounts
                      999
                      1,486
                      1,486

                      3020
                      Outlays (gross)
                      –997
                      –1,121
                      –1,398

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –8

                      3050
                      Unpaid obligations, end of year
                      537
                      902
                      990

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      544
                      537
                      902

                      3200
                      Obligated balance, end of year
                      537
                      902
                      990

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      999
                      1,486
                      1,486

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      612
                      743
                      743

                      4011
                      Outlays from discretionary balances
                      385
                      378
                      655

                      4020
                      Outlays, gross (total)
                      997
                      1,121
                      1,398

                      4180
                      Budget authority, net (total)
                      999
                      1,486
                      1,486

                      4190
                      Outlays, net (total)
                      997
                      1,121
                      1,398

             This program provides funds to States and non-governmental organizations for administering the refugee and entrant assistance
                program. Funds also are provided to assist in the rehabilitation of victims of torture, trafficking victims, and the care
                and placement of unaccompanied alien children. Additional funding is included for a new initiative aimed at preventing human
                trafficking and providing direct services to domestic victims.

          Object Classification (in millions of dollars)

                      Identification code 75–1503–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      4
                      6
                      6

                      12.1
                      Civilian personnel benefits
                      1
                      2
                      2

                      23.1
                      Rental payments to GSA
                      2
                      3
                      3

                      25.1
                      Advisory and assistance services
                      35
                      62
                      63

                      25.2
                      Other services from non-Federal sources
                      11
                      7
                      7

                      25.3
                      Other goods and services from Federal sources
                      7
                      49
                      49

                      41.0
                      Grants, subsidies, and contributions
                      939
                      1,357
                      1,356

                      99.9
                      Total new obligations
                      999
                      1,486
                      1,486

          Employment Summary

                      Identification code 75–1503–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      53
                      73
                      81

             Promoting Safe and Stable FamiliesFor carrying out, except as otherwise provided, section 436 of the Social Security Act, $345,000,000 and [in addition,] for carrying out, except as otherwise provided, section 437 of such Act, $59,765,000. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1512–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Grants to States and Tribes
                      349
                      343
                      365

                      0002
                      Research, training and technical assistance
                      8
                      8
                      8

                      0003
                      State court improvement activities
                      30
                      30
                      32

                      0004
                      Family Connection Grants
                      14

                      0005
                      PREP
                      79
                      78

                      0006
                      Abstinence Education
                      37
                      35

                      0900
                      Total new obligations
                      517
                      494
                      405

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      16
                      9
                      11

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      17
                      9
                      11

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      63
                      60
                      60

                      1130
                      Appropriations permanently reduced
                      –3

                      1160
                      Appropriation, discretionary (total)
                      60
                      60
                      60

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      485
                      470
                      345

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –25
                      –34

                      1260
                      Appropriations, mandatory (total)
                      460
                      436
                      345

                      1900
                      Budget authority (total)
                      520
                      496
                      405

                      1930
                      Total budgetary resources available
                      537
                      505
                      416

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –11

                      1941
                      Unexpired unobligated balance, end of year
                      9
                      11
                      11

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      677
                      622
                      562

                      3010
                      Obligations incurred, unexpired accounts
                      517
                      494
                      405

                      3020
                      Outlays (gross)
                      –565
                      –554
                      –497

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –6

                      3050
                      Unpaid obligations, end of year
                      622
                      562
                      470

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      677
                      622
                      562

                      3200
                      Obligated balance, end of year
                      622
                      562
                      470

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      60
                      60
                      60

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      20
                      19
                      19

                      4011
                      Outlays from discretionary balances
                      48
                      44
                      40

                      4020
                      Outlays, gross (total)
                      68
                      63
                      59

                      Mandatory:

                      4090
                      Budget authority, gross
                      460
                      436
                      345

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      97
                      91
                      95

                      4101
                      Outlays from mandatory balances
                      400
                      400
                      343

                      4110
                      Outlays, gross (total)
                      497
                      491
                      438

                      4180
                      Budget authority, net (total)
                      520
                      496
                      405

                      4190
                      Outlays, net (total)
                      565
                      554
                      497

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      520
                      496
                      405

                      Outlays
                      565
                      554
                      497

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      90

                      Outlays

                      2

                      Total:

                      Budget Authority
                      520
                      496
                      495

                      Outlays
                      565
                      554
                      499

             This account provides funds for a broad range of child welfare services, including family preservation and family support
                services. Additionally, this account includes funding for the Personal Responsibility Education Program (PREP) which was made
                available by the Patient Protection and Affordable Care Act (P.L. 111–148). The Budget includes a five-year reauthorization
                of PREP as well as continuation of Family Connection Grants through 2016.

          Object Classification (in millions of dollars)

                      Identification code 75–1512–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      1

                      25.1
                      Advisory and assistance services
                      9
                      11
                      11

                      25.3
                      Other goods and services from Federal sources
                      4
                      2
                      2

                      41.0
                      Grants, subsidies, and contributions
                      503
                      480
                      392

                      99.9
                      Total new obligations
                      517
                      494
                      405

          Employment Summary

                      Identification code 75–1512–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      10
                      10
                      2

             Promoting Safe and Stable Families

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1512–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0004
                      Family Connection Grants

                      15

                      0005
                      PREP

                      75

                      0900
                      Total new obligations

                      90

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      90

                      1260
                      Appropriations, mandatory (total)

                      90

                      1900
                      Budget authority (total)

                      90

                      1930
                      Total budgetary resources available

                      90

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      90

                      3020
                      Outlays (gross)

                      –2

                      3050
                      Unpaid obligations, end of year

                      88

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      88

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      90

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      2

                      4180
                      Budget authority, net (total)

                      90

                      4190
                      Outlays, net (total)

                      2

          Object Classification (in millions of dollars)

                      Identification code 75–1512–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      1

                      25.1
                      Advisory and assistance services

                      6

                      25.3
                      Other goods and services from Federal sources

                      1

                      41.0
                      Grants, subsidies, and contributions

                      82

                      99.9
                      Total new obligations

                      90

          Employment Summary

                      Identification code 75–1512–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      8

             Child Care Entitlement to States

             Program and Financing (in millions of dollars)

                      Identification code 75–1550–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Mandatory child care
                      1,178
                      1,178
                      1,178

                      0002
                      Matching child care
                      1,691
                      1,674
                      1,674

                      0003
                      Training and technical assistance
                      7
                      7
                      7

                      0004
                      Child care tribal grants
                      58
                      58
                      58

                      0900
                      Total new obligations
                      2,934
                      2,917
                      2,917

                      Budgetary Resources:

                      Unobligated balance:

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      17

                      1050
                      Unobligated balance (total)
                      17

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      2,917
                      2,917
                      2,917

                      1260
                      Appropriations, mandatory (total)
                      2,917
                      2,917
                      2,917

                      1900
                      Budget authority (total)
                      2,917
                      2,917
                      2,917

                      1930
                      Total budgetary resources available
                      2,934
                      2,917
                      2,917

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      711
                      755
                      771

                      3010
                      Obligations incurred, unexpired accounts
                      2,934
                      2,917
                      2,917

                      3020
                      Outlays (gross)
                      –2,872
                      –2,901
                      –2,912

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –18

                      3050
                      Unpaid obligations, end of year
                      755
                      771
                      776

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      711
                      755
                      771

                      3200
                      Obligated balance, end of year
                      755
                      771
                      776

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      2,917
                      2,917
                      2,917

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2,264
                      2,363
                      2,363

                      4101
                      Outlays from mandatory balances
                      608
                      538
                      549

                      4110
                      Outlays, gross (total)
                      2,872
                      2,901
                      2,912

                      4180
                      Budget authority, net (total)
                      2,917
                      2,917
                      2,917

                      4190
                      Outlays, net (total)
                      2,872
                      2,901
                      2,912

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      2,917
                      2,917
                      2,917

                      Outlays
                      2,872
                      2,901
                      2,912

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      750

                      Outlays

                      600

                      Total:

                      Budget Authority
                      2,917
                      2,917
                      3,667

                      Outlays
                      2,872
                      2,901
                      3,512

             This account provides child care subsidies for low-income working families and was established by the Personal Responsibility
                and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction Act of 2005 (P.L. 109–171).
                Since 2010, this account has been temporarily reauthorized by a series of Acts, most recently in the Consolidated Appropriations
                Act, 2014 (P.L. 113–76).

          Object Classification (in millions of dollars)

                      Identification code 75–1550–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      6
                      6
                      6

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      2,927
                      2,910
                      2,910

                      99.9
                      Total new obligations
                      2,934
                      2,917
                      2,917

             Child Care Entitlement to States

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1550–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0002
                      Matching child care

                      706

                      0003
                      Training and technical assistance

                      11

                      0004
                      Child care tribal grants

                      33

                      0900
                      Total new obligations

                      750

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      750

                      1260
                      Appropriations, mandatory (total)

                      750

                      1900
                      Budget authority (total)

                      750

                      1930
                      Total budgetary resources available

                      750

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      750

                      3020
                      Outlays (gross)

                      –600

                      3050
                      Unpaid obligations, end of year

                      150

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      150

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      750

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      600

                      4180
                      Budget authority, net (total)

                      750

                      4190
                      Outlays, net (total)

                      600

          Object Classification (in millions of dollars)

                      Identification code 75–1550–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services

                      11

                      41.0
                      Grants, subsidies, and contributions

                      739

                      99.9
                      Total new obligations

                      750

             Payments to States for the Child Care and Development Block GrantFor carrying out the Child Care and Development Block Grant Act of 1990 ("CCDBG Act''), [$2,360,000,000] $2,417,000,000 shall be used to supplement, not supplant State general revenue funds for child care assistance for low-income families:
             Provided, That [$19,357,000] $19,824,500 shall be available for child care resource and referral and school-aged child care activities, of which [$996,000] $1,000,000 shall be available to the Secretary for a competitive grant for the operation of a national toll free referral line and Web
             site to develop and disseminate child care consumer education information for parents and help parents access child care in
             their local community: Provided further, That, in addition to the amounts required to be reserved by the States under section 658G of the CCDBG Act, [$296,484,000] $303,645,000 shall be reserved by the States for activities authorized under section 658G, of which [$108,732,000] $111,358,000 shall be for activities that improve the quality of infant and toddler care: Provided further, That [$9,851,000] $9,871,000 shall be for use by the Secretary for child care research, demonstration, and evaluation activities: Provided further, That technical assistance under section 658I(a)(3) of such Act may be provided directly, or through the use of contracts,
             grants, cooperative agreements, or interagency agreements:Provided further, That $200,000,000 shall be made available, using the allocation formula in section 658O of the CCDBG Act,
                for grants to each State, territory, and Indian tribe and tribal organization that submits a plan to be approved by the Secretary
                demonstrating how it will use these funds to improve the quality of child care, including the quality of the child care workforce,
                and health and safety measures. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1515–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Block grant payments to States
                      2,197
                      2,350
                      2,407

                      0004
                      Research and evaluation fund
                      9
                      10
                      10

                      0900
                      Total new obligations
                      2,206
                      2,360
                      2,417

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      2,328
                      2,360
                      2,417

                      1120
                      Appropriations transferred to other accts [75–1515]
                      –12

                      1120
                      Appropriations transferred to other accts [75–1503]
                      –1

                      1120
                      Appropriations transferred to other accts [75–1362]
                      –2

                      1121
                      Appropriations transferred from other accts [75–1515]
                      12

                      1130
                      Appropriations permanently reduced
                      –119

                      1160
                      Appropriation, discretionary (total)
                      2,206
                      2,360
                      2,417

                      1930
                      Total budgetary resources available
                      2,206
                      2,360
                      2,417

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      555
                      583
                      605

                      3010
                      Obligations incurred, unexpired accounts
                      2,206
                      2,360
                      2,417

                      3020
                      Outlays (gross)
                      –2,177
                      –2,338
                      –2,413

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      583
                      605
                      609

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      555
                      583
                      605

                      3200
                      Obligated balance, end of year
                      583
                      605
                      609

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,206
                      2,360
                      2,417

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,706
                      1,912
                      1,958

                      4011
                      Outlays from discretionary balances
                      471
                      426
                      455

                      4020
                      Outlays, gross (total)
                      2,177
                      2,338
                      2,413

                      4180
                      Budget authority, net (total)
                      2,206
                      2,360
                      2,417

                      4190
                      Outlays, net (total)
                      2,177
                      2,338
                      2,413

             This program provides grants to States for child care subsidies for low-income working families and activities to improve
                child care quality. In FY 2015, it includes a new initiative to improve the quality of child care, including health and safety
                measures.

          Object Classification (in millions of dollars)

                      Identification code 75–1515–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      2

                      25.1
                      Advisory and assistance services
                      11
                      11
                      15

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      2,194
                      2,348
                      2,399

                      99.9
                      Total new obligations
                      2,206
                      2,360
                      2,417

          Employment Summary

                      Identification code 75–1515–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      13

             Social Services Block GrantFor making grants to States pursuant to section 2002 of the Social Security Act, $1,700,000,000: Provided, 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-A of such Act shall be 10 percent. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1534–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Social Services Block Grant
                      1,613
                      1,577
                      1,700

                      0002
                      Health Profession Opportunity Grants
                      81
                      79

                      0003
                      Hurricane Sandy Funding
                      474

                      0900
                      Total new obligations
                      2,168
                      1,656
                      1,700

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      29
                      30
                      30

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      30
                      30
                      30

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,785
                      1,785
                      1,700

                      1221
                      Appropriations transferred from other accts [75–0140]
                      500

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –117
                      –129

                      1260
                      Appropriations, mandatory (total)
                      2,168
                      1,656
                      1,700

                      1900
                      Budget authority (total)
                      2,168
                      1,656
                      1,700

                      1930
                      Total budgetary resources available
                      2,198
                      1,686
                      1,730

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      30
                      30
                      30

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      572
                      862
                      653

                      3010
                      Obligations incurred, unexpired accounts
                      2,168
                      1,656
                      1,700

                      3020
                      Outlays (gross)
                      –1,877
                      –1,865
                      –1,996

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3050
                      Unpaid obligations, end of year
                      862
                      653
                      357

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      572
                      862
                      653

                      3200
                      Obligated balance, end of year
                      862
                      653
                      357

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      2,168
                      1,656
                      1,700

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1,395
                      1,328
                      1,428

                      4101
                      Outlays from mandatory balances
                      482
                      537
                      568

                      4110
                      Outlays, gross (total)
                      1,877
                      1,865
                      1,996

                      4180
                      Budget authority, net (total)
                      2,168
                      1,656
                      1,700

                      4190
                      Outlays, net (total)
                      1,877
                      1,865
                      1,996

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      2,168
                      1,656
                      1,700

                      Outlays
                      1,877
                      1,865
                      1,996

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      85

                      Outlays

                      2

                      Total:

                      Budget Authority
                      2,168
                      1,656
                      1,785

                      Outlays
                      1,877
                      1,865
                      1,998

          Object Classification (in millions of dollars)

                      Identification code 75–1534–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      1

                      25.1
                      Advisory and assistance services
                      9
                      16

                      25.3
                      Other goods and services from Federal sources
                      2

                      41.0
                      Grants, subsidies, and contributions
                      2,156
                      1,639
                      1,700

                      99.9
                      Total new obligations
                      2,168
                      1,656
                      1,700

          Employment Summary

                      Identification code 75–1534–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      10
                      10

             Social Services Block Grant

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1534–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0002
                      Health Profession Opportunity Grants

                      85

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      85

                      1260
                      Appropriations, mandatory (total)

                      85

                      1900
                      Budget authority (total)

                      85

                      1930
                      Total budgetary resources available

                      85

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      85

                      3020
                      Outlays (gross)

                      –2

                      3050
                      Unpaid obligations, end of year

                      83

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      83

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      85

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      2

                      4180
                      Budget authority, net (total)

                      85

                      4190
                      Outlays, net (total)

                      2

          Object Classification (in millions of dollars)

                      Identification code 75–1534–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      1

                      25.1
                      Advisory and assistance services

                      3

                      25.3
                      Other goods and services from Federal sources

                      10

                      41.0
                      Grants, subsidies, and contributions

                      71

                      99.9
                      Total new obligations

                      85

          Employment Summary

                      Identification code 75–1534–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      10

             Children and Families Services ProgramsFor carrying out, except as otherwise provided, the Runaway and Homeless Youth Act, the Head Start Act, the Child Abuse Prevention
             and Treatment Act, sections 303 and 313 of the Family Violence Prevention and Services Act, the Native American Programs Act
             of 1974, title II of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (adoption opportunities), the
             Abandoned Infants Assistance Act of 1988, part B-1 of title IV and sections 413, 1110, and 1115 of the Social Security Act;
             for making payments under the Community Services Block Grant Act ("CSBG Act''), sections 473B and 477(i) of the Social Security
             Act, and the Assets for Independence Act; for necessary administrative expenses to carry out such Acts and titles I, IV, V,
             X, XI, XIV, XVI, and XX of the Social Security Act, the Act of July 5, 1960, the Low Income Home Energy Assistance Act of
             1981, title IV of the Immigration and Nationality Act, and section 501 of the Refugee Education Assistance Act of 1980; and
             for the administration of prior year obligations made by the Administration for Children and Families under the Developmental
             Disabilities Assistance and Bill of Rights Act and the Help America Vote Act of 2002, [$10,346,943,000] $10,277,062,000, of which $37,943,000, to remain available through September 30, [2015] 2016, shall be for grants to States for adoption incentive payments, as authorized by section 473A of the Social Security Act
             and may be made for adoptions completed before September 30, [2014] 2015: Provided, That subsection (b)(5) of such section 473A shall apply to funds appropriated under this heading by substituting ["2013''] "2014" for "2012'': Provided further, That [$8,598,095,000] $8,868,389,000 shall be for making payments under the Head Start Act: Provided further, That of the amount in the previous proviso, [$8,073,095,000] $8,193,389,000 shall be available for payments under section 640 of the Head Start Act[, of which $100,000,000 shall be available for a cost of living adjustment notwithstanding section 640(a)(3)(A) of such Act:
             Provided further, That for purposes of allocating funds under section 640 of the Head Start Act, subsection (a)(2) of such section shall be
             applied by substituting "fiscal year 2012'' for "the prior fiscal year'' each place it appears in such subsection]: Provided further, That of the amount provided for making payments under the Head Start Act, $25,000,000 shall be available for allocation
             by the Secretary to supplement activities described in paragraphs (7)(B) and (9) of section 641(c) of such Act under the Designation
             Renewal System, established under the authority of sections 641(c)(7), 645A(b)(12) and 645A(d) of such Act: Provided further, That amounts allocated to Head Start grantees at the discretion of the Secretary to supplement activities pursuant to the
             previous proviso shall not be included in the calculation of the "base grant'' in subsequent fiscal years, as such term is
             used in section 640(a)(7)(A) of the Head Start Act: Provided further, That notwithstanding section 640 of the Head Start Act, of the amount provided for making payments under the Head Start
             Act, [$500,000,000] $650,000,000 shall be available through March 31, [2015] 2016 for [expansion of] Early Head Start programs as described in section 645A of such Act, for conversion of Head Start services to Early Head Start
             services as described in section 645(a)(5)(A) of such Act, and for [new] discretionary grants for high quality infant and toddler care through Early Head Start-Child Care Partnerships, to entities
             defined as eligible under section 645A(d) of such Act, and, notwithstanding section 645A(c)(2) of such Act, these funds are
             available to serve children under age 4: Provided further, That of the amount made available in the immediately preceding proviso, up to [$10,000,000] $15,000,000 shall be available for the Federal costs of administration and evaluation activities of the program described in such proviso:
             Provided further, That an Early Head Start agency awarded funds for an Early Head Start-Child Care Partnership after October 1, [2014] 2015, shall not be subject to the requirements of the system for designation renewal as defined by section 641 of the Head Start
             Act, for this award only, prior to 18 months after the date of such award: Provided further, That amounts provided under the seventh proviso under this heading in Public Law 113–76 shall not be included
                in the calculation of the "base grant'' in fiscal year 2015, as such term is used in section 640(a)(7)(A) of the Head Start
                Act: Provided further, That [$709,854,000] $350,000,000 shall be for making payments under the CSBG Act: Provided further, That [$36,204,000 shall be for sections 680 and 678E(b)(2) of the CSBG Act, of which not less than $29,883,000 shall be for section
             680(a)(2) and not less than $5,971,000 shall be for section 680(a)(3)(B) of such Act] no more than $350,000 shall be reserved under section 674(b)(3) of the CSBG Act, all of which shall be available solely for
                carrying out section 678E(b)(2) of such Act: 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 CSBG Act, and have not been expended by such entity, they shall remain with such entity for carryover
             into the next fiscal year for expenditure by such entity consistent with program purposes: Provided further, That [the Secretary shall establish procedures regarding the disposition of intangible assets and program income that permit such
             assets acquired with, and program income derived from, grant funds authorized under section 680 of the CSBG Act to become
             the sole property of such grantees after a period of not more than 12 years after the end of the grant period for any activity
             consistent with section 680(a)(2)(A) of the CSBG Act: Provided further, That intangible assets in the form of loans, equity investments and other debt instruments, and program income may be used
             by grantees for any eligible purpose consistent with section 680(a)(2)(A) of the CSBG Act: Provided further, That these procedures shall apply to such grant funds made available after November 29, 1999: Provided further, That funds appropriated for section 680(a)(2) of the CSBG Act shall be available for financing construction and rehabilitation
             and loans or investments in private business enterprises owned by community development corporations:], to the extent funds for the Assets for Independence Act are distributed as grant funds to a qualified entity and have not
                been expended by such entity within three years after the date of award, such funds may be recaptured and, during the fiscal
                year of such recapture, reallocated among other qualified entities, to remain available to such entities for five years: Provided
                further, That notwithstanding section 414(e) of such Act, the Secretary may award up to $1,000,000 to support evidence-based
                evaluation: Provided further, That in addition to amounts provided herein, $5,762,000 shall be available from amounts available under section 241 of the
             PHS Act to carry out the provisions of section 1110 of the Social Security Act: Provided further, That amounts provided under this heading to carry out section 1110 of the Social Security Act, other than
                amounts made available for that purpose under the previous proviso, shall remain available until expended: Provided further, That section 303(a)(2)(A)(i) of the Family Violence Prevention and Services Act shall not apply to amounts provided herein:
             Provided further, That $1,864,000 shall be for a human services case management system for federally declared disasters, to include a comprehensive
             national case management contract and Federal costs of administering the system: Provided further, That up to $2,000,000 shall be for improving the Public Assistance Reporting Information System, including grants to States
             to support data collection for a study of the system's effectiveness. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1536–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0101
                      Head Start
                      7,573
                      8,598
                      8,868

                      0102
                      Head Start Emergency Hurricane Sandy funding
                      8

                      0103
                      Runaway and homeless youth (basic centers)
                      50
                      53
                      53

                      0104
                      Transitional living
                      41
                      44
                      44

                      0105
                      Prevalence, Needs and Characteristics of Homeless Youth

                      2

                      0106
                      Education grants to reduce sexual abuse of runaway youth
                      17
                      17
                      17

                      0109
                      Child abuse State grants
                      25
                      25
                      25

                      0110
                      Child abuse discretionary activities
                      24
                      29
                      29

                      0111
                      Community-based child abuse prevention
                      39
                      40
                      40

                      0112
                      Child welfare services
                      263
                      269
                      269

                      0113
                      Child welfare training, research, or demonstration projects
                      24
                      25
                      25

                      0114
                      Adoption opportunities
                      36
                      40
                      40

                      0115
                      Abandoned infants assistance
                      11
                      11
                      11

                      0116
                      Adoption incentives
                      37
                      38
                      38

                      0117
                      Independent living training vouchers
                      42
                      43
                      43

                      0119
                      State councils on developmental disabilities
                      70

                      0120
                      Protection and advocacy
                      39

                      0121
                      Projects of national significance
                      8

                      0122
                      University centers for excellence
                      37

                      0123
                      Voting access for individuals with disabilities
                      5

                      0124
                      Native American programs
                      45
                      47
                      47

                      0125
                      Social services and income maintenance research

                      9

                      0128
                      Federal administration
                      201
                      198
                      205

                      0129
                      Center for faith-based and community initiatives
                      1
                      1
                      1

                      0131
                      Disaster human services case management
                      2
                      2
                      2

                      0191
                      Direct program activities, subtotal
                      8,598
                      9,480
                      9,768

                      0301
                      Community services block grant
                      635
                      674
                      350

                      0303
                      Rural community facilities
                      5
                      6

                      0304
                      Community services discretionary (JOLI & CED)
                      28
                      30

                      0306
                      Assets for independence
                      19
                      19
                      19

                      0308
                      Domestic violence hotline
                      3
                      4
                      5

                      0309
                      Family violence prevention and services
                      121
                      134
                      135

                      0391
                      Direct program activities, subtotal
                      811
                      867
                      509

                      0400
                      Total, direct program
                      9,409
                      10,347
                      10,277

                      0799
                      Total direct obligations
                      9,409
                      10,347
                      10,277

                      0801
                      Reimbursable program
                      35
                      30
                      30

                      0809
                      Reimbursable program activities, subtotal
                      35
                      30
                      30

                      0900
                      Total new obligations
                      9,444
                      10,377
                      10,307

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      89
                      84

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      2
                      89

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      9,941
                      10,347
                      10,277

                      1120
                      Appropriations transferred to other accts [75–1362]
                      –21

                      1121
                      Appropriations transferred from other accounts [75–0140]
                      100

                      1130
                      Appropriations permanently reduced
                      –523

                      1160
                      Appropriation, discretionary (total)
                      9,497
                      10,347
                      10,277

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      21
                      24
                      24

                      1701
                      Change in uncollected payments, Federal sources
                      12

                      1750
                      Spending auth from offsetting collections, disc (total)
                      33
                      24
                      24

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      1
                      1
                      1

                      1801
                      Change in uncollected payments, Federal sources
                      1

                      1850
                      Spending auth from offsetting collections, mand (total)
                      2
                      1
                      1

                      1900
                      Budget authority (total)
                      9,532
                      10,372
                      10,302

                      1930
                      Total budgetary resources available
                      9,534
                      10,461
                      10,386

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      89
                      84
                      79

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,628
                      6,218
                      6,676

                      3010
                      Obligations incurred, unexpired accounts
                      9,444
                      10,377
                      10,307

                      3011
                      Obligations incurred, expired accounts
                      2

                      3020
                      Outlays (gross)
                      –9,751
                      –9,919
                      –10,217

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –105

                      3050
                      Unpaid obligations, end of year
                      6,218
                      6,676
                      6,766

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –10
                      –16
                      –16

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –13

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      7

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –16
                      –16
                      –16

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,618
                      6,202
                      6,660

                      3200
                      Obligated balance, end of year
                      6,202
                      6,660
                      6,750

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      9,530
                      10,371
                      10,301

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      3,942
                      4,371
                      4,343

                      4011
                      Outlays from discretionary balances
                      5,808
                      5,546
                      5,874

                      4020
                      Outlays, gross (total)
                      9,750
                      9,917
                      10,217

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –27
                      –18
                      –18

                      4033
                      Non-Federal sources

                      –6
                      –6

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –27
                      –24
                      –24

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –12

                      4052
                      Offsetting collections credited to expired accounts
                      6

                      4060
                      Additional offsets against budget authority only (total)
                      –6

                      4070
                      Budget authority, net (discretionary)
                      9,497
                      10,347
                      10,277

                      4080
                      Outlays, net (discretionary)
                      9,723
                      9,893
                      10,193

                      Mandatory:

                      4090
                      Budget authority, gross
                      2
                      1
                      1

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      1

                      4101
                      Outlays from mandatory balances

                      1

                      4110
                      Outlays, gross (total)
                      1
                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –2
                      –1
                      –1

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –1

                      4142
                      Offsetting collections credited to expired accounts
                      1

                      4170
                      Outlays, net (mandatory)
                      –1
                      1
                      –1

                      4180
                      Budget authority, net (total)
                      9,497
                      10,347
                      10,277

                      4190
                      Outlays, net (total)
                      9,722
                      9,894
                      10,192

             The request prioritizes investments in early learning to improve outcomes for children. A total of $8.9 billion is requested
                to support an early learning initiative to expand access to high quality infant and toddler care, Head Start services, and
                support the transition between new and incumbent Head Start grantees in the Designation Renewal System. This Budget also requests
                an additional $1 million for family violence prevention, $9 million for research to improve effectiveness of programs serving
                children and adolescents, and $2 million to study the prevalence, needs and characteristics of homeless youth. This request
                discontinues funding for the Rural Communities Facilities and the Community Economic Development programs.

          Object Classification (in millions of dollars)

                      Identification code 75–1536–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      109
                      111
                      115

                      11.3
                      Other than full-time permanent
                      5
                      5
                      5

                      11.7
                      Military personnel
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      115
                      117
                      121

                      12.1
                      Civilian personnel benefits
                      31
                      32
                      33

                      21.0
                      Travel and transportation of persons
                      3
                      4
                      4

                      23.1
                      Rental payments to GSA
                      15
                      14
                      14

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      2
                      4
                      4

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      190
                      202
                      208

                      25.2
                      Other services from non-Federal sources
                      3
                      4
                      4

                      25.3
                      Other goods and services from Federal sources
                      47
                      49
                      49

                      25.4
                      Operation and maintenance of facilities
                      2
                      2
                      2

                      25.5
                      Research and development contracts
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      8,997
                      9,915
                      9,834

                      99.0
                      Direct obligations
                      9,409
                      10,347
                      10,277

                      99.0
                      Reimbursable obligations
                      35
                      30
                      30

                      99.9
                      Total new obligations
                      9,444
                      10,377
                      10,307

          Employment Summary

                      Identification code 75–1536–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,126
                      1,139
                      1,174

                      1101
                      Direct military average strength employment
                      7
                      7
                      7

                      2001
                      Reimbursable civilian full-time equivalent employment
                      11
                      19
                      19

             Children's Research and Technical Assistance

             Program and Financing (in millions of dollars)

                      Identification code 75–1553–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Training and technical assistance
                      12
                      15
                      12

                      0002
                      Federal parent locator service
                      24
                      24
                      25

                      0004
                      Welfare research
                      14
                      14
                      15

                      0799
                      Total direct obligations
                      50
                      53
                      52

                      0801
                      Reimbursable program FPLS REIMB
                      23
                      30
                      30

                      0900
                      Total new obligations
                      73
                      83
                      82

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      7
                      5

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      52
                      52
                      52

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –3
                      –4

                      1260
                      Appropriations, mandatory (total)
                      49
                      48
                      52

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      23
                      30
                      30

                      1802
                      Offsetting collections (previously unavailable)

                      1

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –1
                      –1

                      1850
                      Spending auth from offsetting collections, mand (total)
                      22
                      30
                      30

                      1900
                      Budget authority (total)
                      71
                      78
                      82

                      1930
                      Total budgetary resources available
                      78
                      83
                      82

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      5

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      60
                      64
                      69

                      3010
                      Obligations incurred, unexpired accounts
                      73
                      83
                      82

                      3020
                      Outlays (gross)
                      –69
                      –78
                      –81

                      3050
                      Unpaid obligations, end of year
                      64
                      69
                      70

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –5
                      –5
                      –5

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –5
                      –5
                      –5

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      55
                      59
                      64

                      3200
                      Obligated balance, end of year
                      59
                      64
                      65

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      71
                      78
                      82

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      21
                      28
                      28

                      4101
                      Outlays from mandatory balances
                      48
                      50
                      53

                      4110
                      Outlays, gross (total)
                      69
                      78
                      81

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –11
                      –13
                      –13

                      4123
                      Non-Federal sources
                      –12
                      –17
                      –17

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –23
                      –30
                      –30

                      4160
                      Budget authority, net (mandatory)
                      48
                      48
                      52

                      4170
                      Outlays, net (mandatory)
                      46
                      48
                      51

                      4180
                      Budget authority, net (total)
                      48
                      48
                      52

                      4190
                      Outlays, net (total)
                      46
                      48
                      51

                      Memorandum (non-add) entries:

                      5090
                      Unavailable balance, SOY: Offsetting collections

                      1
                      1

                      5091
                      Unavailable balance, EOY: Offsetting collections
                      1
                      1
                      1

             This account provides funding for research and technical assistance activities established by the Personal Responsibility
                and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction Act of 2005 (P.L. 109–171).
                Since 2010, Welfare Research has been temporarily reauthorized by a series of Acts and is currently authorized through September
                30, 2014, in the Consolidated Appropriations Act, 2014 (P.L. 113–76).

          Object Classification (in millions of dollars)

                      Identification code 75–1553–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      7
                      7
                      7

                      12.1
                      Civilian personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      12
                      11
                      12

                      25.2
                      Other services from non-Federal sources
                      13
                      17
                      14

                      25.3
                      Other goods and services from Federal sources
                      9
                      9
                      10

                      25.7
                      Operation and maintenance of equipment
                      2

                      1

                      41.0
                      Grants, subsidies, and contributions
                      1
                      3
                      2

                      99.0
                      Direct obligations
                      50
                      53
                      52

                      99.0
                      Reimbursable obligations
                      23
                      30
                      30

                      99.9
                      Total new obligations
                      73
                      83
                      82

          Employment Summary

                      Identification code 75–1553–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      67
                      67
                      67

             Payments for Foster Care and PermanencyFor carrying out, except as otherwise provided, title IV-E of the Social Security Act, [$4,806,000,000] $4,832,000,000.

          For carrying out, except as otherwise provided, title IV-E of the Social Security Act, for the first quarter of fiscal year
             [2015, $2,200,000,000] 2016, $2,300,000,000.

          For [making] carrying out, after May 31 of the current fiscal year, [payments to States or other non-Federal entities under] except as otherwise provided, section 474 of title IV-E of the Social Security Act, 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. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–1545–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Foster care
                      4,133
                      4,269
                      4,289

                      0002
                      Independent living
                      140
                      140
                      140

                      0004
                      Adoption assistance
                      2,278
                      2,384
                      2,504

                      0005
                      Guardianship
                      77
                      85
                      99

                      0006
                      Tribal T&TA
                      3
                      3
                      3

                      0900
                      Total new obligations
                      6,631
                      6,881
                      7,035

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      4,531
                      4,809
                      4,835

                      1260
                      Appropriations, mandatory (total)
                      4,531
                      4,809
                      4,835

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      2,100
                      2,200
                      2,200

                      1280
                      Advanced appropriation, mandatory (total)
                      2,100
                      2,200
                      2,200

                      1900
                      Budget authority (total)
                      6,631
                      7,009
                      7,035

                      1930
                      Total budgetary resources available
                      6,631
                      7,009
                      7,035

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring

                      –128

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      979
                      716
                      782

                      3010
                      Obligations incurred, unexpired accounts
                      6,631
                      6,881
                      7,035

                      3011
                      Obligations incurred, expired accounts
                      4

                      3020
                      Outlays (gross)
                      –6,770
                      –6,803
                      –6,952

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –128
                      –12

                      3050
                      Unpaid obligations, end of year
                      716
                      782
                      865

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      979
                      716
                      782

                      3200
                      Obligated balance, end of year
                      716
                      782
                      865

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      6,631
                      7,009
                      7,035

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      6,066
                      6,246
                      6,387

                      4101
                      Outlays from mandatory balances
                      704
                      557
                      565

                      4110
                      Outlays, gross (total)
                      6,770
                      6,803
                      6,952

                      4180
                      Budget authority, net (total)
                      6,631
                      7,009
                      7,035

                      4190
                      Outlays, net (total)
                      6,770
                      6,803
                      6,952

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      6,631
                      7,009
                      7,035

                      Outlays
                      6,770
                      6,803
                      6,952

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      252

                      Outlays

                      3

                      Total:

                      Budget Authority
                      6,631
                      7,009
                      7,287

                      Outlays
                      6,770
                      6,803
                      6,955

             This account provides formula grants for Foster Care, Adoption Assistance, Guardianship Assistance, and the Chafee Foster
                Care Independence Program as well as technical assistance and implementation services for Tribal programs.

             Foster Care—The proposed level will support eligible low-income children who must be placed outside the home. An average of 150,800 children
                per month are estimated to be served in FY 2015.

             Adoption Assistance—The proposed funding level will support subsidies for families adopting eligible low-income children with special needs.
                An average of 452,000 children per month are estimated to be served in FY 2015.

             Guardianship Assistance—The proposed funding level will provide payments for relatives taking legal guardianship of eligible children who have been
                in foster care. An average of 21,100 children per month are estimated to be served in FY 2015.

             This account includes a new initiative to address over-prescription of psychotropic medications for children in foster care
                and a new requirement to use child support collected on behalf of children in foster care in the best interest of the child.

          Object Classification (in millions of dollars)

                      Identification code 75–1545–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      16
                      21
                      21

                      41.0
                      Grants, subsidies, and contributions
                      6,615
                      6,860
                      7,014

                      99.9
                      Total new obligations
                      6,631
                      6,881
                      7,035

          Employment Summary

                      Identification code 75–1545–0–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      4
                      4
                      4

             Payments for Foster Care and Permanency

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–1545–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Foster care

                      2

                      0007
                      Address over-prescription of psychotropic medications for children in foster care

                      50

                      0900
                      Total new obligations

                      52

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      252

                      1260
                      Appropriations, mandatory (total)

                      252

                      1900
                      Budget authority (total)

                      252

                      1930
                      Total budgetary resources available

                      252

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      200

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      52

                      3020
                      Outlays (gross)

                      –3

                      3050
                      Unpaid obligations, end of year

                      49

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      49

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      252

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      3

                      4180
                      Budget authority, net (total)

                      252

                      4190
                      Outlays, net (total)

                      3

          Object Classification (in millions of dollars)

                      Identification code 75–1545–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services

                      23

                      41.0
                      Grants, subsidies, and contributions

                      29

                      99.9
                      Total new obligations

                      52

          Employment Summary

                      Identification code 75–1545–4–1–609
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      2

             Administration for Community Living

             Federal Funds
             Aging and Disability Services Programs
             (including transfer of funds)For carrying out, to the extent not otherwise provided, the Older Americans Act of 1965 ("OAA"), titles III and XXIX of the PHS Act, section 119 of the Medicare Improvements for Patients and Providers Act of 2008, section 6021(d) of the Deficit Reduction Act of 2005, title XX-B of the Social Security Act, the Developmental Disabilities Assistance and Bill of Rights Act, parts 2 and 5 of
             subtitle D of title II of the Help America Vote Act of 2002, and for Department-wide coordination of policy and program activities
             that assist individuals with disabilities, [$1,610,143,000] $2,010,164,000, together with $52,115,000 to be transferred from the Federal Hospital Insurance Trust Fund and the Federal Supplementary
             Medical Insurance Trust Fund to carry out section 4360 of the Omnibus Budget Reconciliation Act of 1990: Provided, That, in addition to amounts provided herein, $12,860,000 shall be available from amounts available under section
                241 of the PHS Act to supplement funds otherwise available for carrying out titles III and XXIX of such Act: Provided further, That amounts appropriated under this heading may be used for grants to States under section 361 of the OAA only for disease
             prevention and health promotion programs and activities which have been demonstrated through rigorous evaluation to be evidence-based
             and effective: Provided further, That, notwithstanding section 206(g) of the OAA, up to one percent of amounts appropriated to carry out
                programs authorized under title III of such Act shall be available for conducting evaluations, training, and technical assistance:
                Provided further, That none of the funds provided shall be used to carry out sections 1701 and 1703 of the PHS Act (with respect to chronic
             disease self-management activity grants), except that such funds may be used for necessary expenses associated with administering
             any such grants awarded prior to the date of the enactment of this Act: Provided further, That notwithstanding any other provision of this Act, funds made available under this heading to carry out section 311 of
             the OAA may be transferred to the Secretary of Agriculture in accordance with such section: Provided further, That, of the amounts provided under this heading, $380,000,000 shall be available for carrying out title
                V of the OAA: Provided further, That with respect to the previous proviso, such funds shall be available through June 30,
                2016, and may be recaptured and reobligated in accordance with section 517(c) of the OAA: Provided further, That $3,000,000
                shall be available until September 30, 2016, for the White House Conference on Aging.  (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0142–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0101
                      Home and community-based supportive services
                      348
                      348
                      347

                      0102
                      Preventive health services
                      20
                      20
                      20

                      0103
                      National family caregiver support program
                      146
                      146
                      146

                      0104
                      Native American caregiver support program
                      6
                      6
                      6

                      0105
                      Congregate nutrition services
                      416
                      438
                      437

                      0106
                      Home-delivered nutrition services
                      205
                      216
                      216

                      0107
                      Nutrition services incentive program
                      144
                      158
                      160

                      0108
                      Native American nutrition and supportive services
                      26
                      26
                      26

                      0110
                      Aging network support activities
                      7
                      7
                      7

                      0111
                      Long-term care ombudsmen program
                      16
                      16
                      16

                      0112
                      Prevention of elder abuse and neglect
                      5
                      5
                      5

                      0113
                      Alzheimer's Disease Demo Grants ADSSP
                      4
                      4

                      0114
                      Program administration
                      22
                      30
                      30

                      0115
                      Lifespan respite care program
                      2
                      2

                      0116
                      Paralysis Resource Center

                      7

                      0117
                      Aging and Disability Resource Centers (ADRC)
                      6
                      6

                      0118
                      Chronic Disease Self-Management Education Program PPHF
                      7
                      8
                      8

                      0121
                      Senior Medicare Patrol program
                      9
                      9
                      9

                      0122
                      Elder Rights Support Activities
                      4
                      4
                      4

                      0123
                      Falls Prevention - PPHF

                      5
                      5

                      0124
                      Elder Justice Initiative

                      25

                      0126
                      National Clearinghouse Long-Term Care Information

                      1

                      0127
                      Alzheimer's Disease Communications Campaign PPHF

                      4
                      4

                      0128
                      Adult Protective Services - ACA
                      2

                      0129
                      Senior Community Service Employment Program

                      380

                      0132
                      State Aging & Disability Resource Centers - HCR
                      9
                      10

                      0133
                      Alzheimer's Disease Initiative - Services PPHF

                      11
                      11

                      0136
                      Voting Access for People With Disabilities (HAVA)

                      5
                      5

                      0138
                      State Councils on Developmental Disabilities

                      71
                      71

                      0139
                      Protection and Advocacy

                      39
                      39

                      0141
                      University Centers for Excellence in Developmental Disabilities

                      37
                      37

                      0142
                      Projects of National Significance

                      9
                      9

                      0145
                      Youth Transitions Initiative

                      5

                      0146
                      White House Conference on Aging

                      3

                      0147
                      Holocaust Survivor Assistance Fund

                      5

                      0300
                      Total, direct program
                      1,404
                      1,647
                      2,037

                      0799
                      Total direct obligations
                      1,404
                      1,647
                      2,037

                      0801
                      Reimbursable program - HCFAC and Other
                      11
                      11
                      12

                      0802
                      ADRC's MIPPA (TRA)
                      5
                      2

                      0803
                      Area Agencies on Aging - MIPPA (TRA)
                      7
                      4

                      0804
                      MIPPA - Natl Center Benefits Outreach Enrollment
                      5
                      3

                      0805
                      SHIP - (DISC and ATRA BBA)

                      55
                      52

                      0806
                      Alzheimers Disease Supportive Services Program - PHS

                      4

                      0807
                      Paralysis Resource Center PHS

                      7

                      0808
                      Lifespan Respite - PHS

                      2

                      0899
                      Total reimbursable obligations
                      28
                      75
                      77

                      0900
                      Total new obligations
                      1,432
                      1,722
                      2,114

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      1,471
                      1,610
                      2,010

                      1120
                      Appropriations transferred to other accts [12–3507]
                      –3
                      –2

                      1120
                      Appropriations transferred to other accts [75–0943]
                      –5

                      1120
                      Appropriations transferred to other accts [75–0350]
                      –1

                      1130
                      Appropriations permanently reduced
                      –77

                      1160
                      Appropriation, discretionary (total)
                      1,385
                      1,608
                      2,010

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      14
                      10

                      1221
                      PPHF Appropriations transferred from other accounts [75–0116]
                      9
                      28
                      28

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –4
                      –1

                      1260
                      Appropriations, mandatory (total)
                      19
                      37
                      28

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected

                      52
                      65

                      1750
                      Spending auth from offsetting collections, disc (total)

                      52
                      65

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      1
                      24
                      11

                      1801
                      Change in uncollected payments, Federal sources
                      26

                      1850
                      Spending auth from offsetting collections, mand (total)
                      27
                      24
                      11

                      1900
                      Budget authority (total)
                      1,431
                      1,721
                      2,114

                      1930
                      Total budgetary resources available
                      1,433
                      1,722
                      2,114

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      691
                      667
                      750

                      3010
                      Obligations incurred, unexpired accounts
                      1,432
                      1,722
                      2,114

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –1,448
                      –1,639
                      –1,959

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –9

                      3050
                      Unpaid obligations, end of year
                      667
                      750
                      905

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –18
                      –36
                      –36

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –26

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      8

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –36
                      –36
                      –36

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      673
                      631
                      714

                      3200
                      Obligated balance, end of year
                      631
                      714
                      869

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,385
                      1,660
                      2,075

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      885
                      1,033
                      1,291

                      4011
                      Outlays from discretionary balances
                      530
                      563
                      622

                      4020
                      Outlays, gross (total)
                      1,415
                      1,596
                      1,913

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources

                      –52
                      –65

                      Mandatory:

                      4090
                      Budget authority, gross
                      46
                      61
                      39

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      42
                      28

                      4101
                      Outlays from mandatory balances
                      30
                      1
                      18

                      4110
                      Outlays, gross (total)
                      33
                      43
                      46

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –8
                      –24
                      –11

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –26

                      4142
                      Offsetting collections credited to expired accounts
                      7

                      4150
                      Additional offsets against budget authority only (total)
                      –19

                      4160
                      Budget authority, net (mandatory)
                      19
                      37
                      28

                      4170
                      Outlays, net (mandatory)
                      25
                      19
                      35

                      4180
                      Budget authority, net (total)
                      1,404
                      1,645
                      2,038

                      4190
                      Outlays, net (total)
                      1,440
                      1,563
                      1,883

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      1,404
                      1,645
                      2,038

                      Outlays
                      1,440
                      1,563
                      1,883

                      Legislative proposal, subject to PAYGO:

                      Budget Authority

                      20

                      Outlays

                      20

                      Total:

                      Budget Authority
                      1,404
                      1,645
                      2,058

                      Outlays
                      1,440
                      1,563
                      1,903

             Note.—The reimbursable program (HCFAC) in the Administration for Community Living (ACL) reflects the actual distribution of
                the allocation account for 2013. Future allocations will be determined annually.

             This account provides funding for formula grant programs that provide nutrition, supportive services and caregiver support
                services, and protection and advocacy services through a network of aging- and disability-related organizations to help older
                Americans and people with disabilities, with the assistance of their families and caregivers, maintain their independence
                in their homes and communities. The Budget proposes to transfer the Senior Community Services Employment Program (SCSEP),
                authorized under title V of the Older Americans Act, from the Department of Labor to the Department of Health and Human Services
                (HHS), which administers the remainder of the Older Americans Act. SCSEP offers participants work-based community service
                training so that they can gain on-the-job experience and prepare to enter or to re-enter the workforce. As a part of the proposed
                transfer to HHS, the Department will make improving program performance a priority.

          Object Classification (in millions of dollars)

                      Identification code 75–0142–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      12
                      15
                      17

                      12.1
                      Civilian personnel benefits
                      3
                      4
                      5

                      23.1
                      Rental payments to GSA
                      2
                      2
                      3

                      25.1
                      Advisory and assistance services
                      11
                      26
                      44

                      25.3
                      Other goods and services from Federal sources
                      6
                      8
                      9

                      41.0
                      Grants, subsidies, and contributions
                      1,370
                      1,590
                      1,959

                      99.0
                      Direct obligations
                      1,404
                      1,645
                      2,037

                      99.0
                      Reimbursable obligations
                      28
                      77
                      77

                      99.9
                      Total new obligations
                      1,432
                      1,722
                      2,114

          Employment Summary

                      Identification code 75–0142–0–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      138
                      156
                      162

                      2001
                      Reimbursable civilian full-time equivalent employment
                      8
                      15
                      16

             Aging and Disability Services Programs

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0142–4–1–506
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0117
                      Aging and Disability Resource Centers (ADRC)

                      20

                      0900
                      Total new obligations (object class 41.0)

                      20

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      20

                      1260
                      Appropriations, mandatory (total)

                      20

                      1900
                      Budget authority (total)

                      20

                      1930
                      Total budgetary resources available

                      20

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      20

                      3020
                      Outlays (gross)

                      –20

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      20

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      20

                      4180
                      Budget authority, net (total)

                      20

                      4190
                      Outlays, net (total)

                      20

             Departmental Management

             Federal Funds
             General Departmental ManagementFor necessary expenses, not otherwise provided, for general departmental management, including hire of [six] passenger motor vehicles, and for carrying out titles III, XVII, XXI, and section 229 of the PHS Act, the United States-Mexico
             Border Health Commission Act, and research studies under section 1110 of the Social Security Act, [$458,056,000] $286,204,000, together with [$69,211,000] $118,728,000 from the amounts available under section 241 of the PHS Act to carry out national health or human services research and evaluation
             activities: Provided, That, of [this amount, $52,224,000 shall be for minority AIDS prevention and treatment activities: Provided further, That of the funds made available under this heading, $101,000,000 shall be for making competitive contracts and grants to
             public and private entities to fund medically accurate and age appropriate programs that reduce teen pregnancy and for the
             Federal costs associated with administering and evaluating such contracts and grants, of which not less than $72,200,000 shall
             be for replicating programs that have been proven effective through rigorous evaluation to reduce teenage pregnancy, behavioral
             risk factors underlying teenage pregnancy, or other associated risk factors, of which not less than $24,000,000 shall be available
             for research and demonstration grants to develop, replicate, refine, and test additional models and innovative strategies
             for preventing teenage pregnancy, and of which any remaining amounts shall be available for training and technical assistance,
             evaluation, outreach, and additional program support activities: Provided further, That of] the amounts provided under this heading from amounts available under section 241 of the PHS Act, [$8,455,000] $6,800,000 shall be available to carry out evaluations (including longitudinal evaluations) of teenage pregnancy prevention approaches, and $53,900,000 shall be for minority AIDS prevention and treatment activities: Provided further, That of the funds made available under this heading, $1,750,000 is for strengthening the Department's acquisition workforce
             capacity and capabilities, including[: Provided further, That with respect to the previous proviso, such funds shall be available] for training, [recruitment] recruiting, [retention] retaining, and hiring members of the acquisition workforce as defined by 41 U.S.C. 1703, [and] for information technology in support of acquisition workforce effectiveness, [or] and for management solutions to improve acquisition management[: Provided further, That of the funds made available under this heading, $5,000,000 shall be for making competitive grants to provide abstinence
             education (as defined by section 510(b)(2)(A)-(H) of the Social Security Act) to adolescents, and for Federal costs of administering
             the grant: Provided further, That grants made under the authority of section 510(b)(2)(A)-(H) of the Social Security Act shall be made only to public
             and private entities that 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 abstinence education
             was provided: Provided further, That funds provided in this Act for embryo adoption activities may be used to provide to individuals adopting embryos, through
             grants and other mechanisms, medical and administrative services deemed necessary for such adoptions: Provided further, That such services shall be provided consistent with 42 CFR 59.5(a)(4)]. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–9912–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      General Departmental Management
                      447
                      458
                      286

                      0004
                      Prevention & Public Health Fund (75–0116 MAND)

                      105

                      0799
                      Total direct obligations
                      447
                      458
                      391

                      0801
                      GDM (Collected)
                      173
                      158
                      158

                      0802
                      HCFAC (Mandatory)
                      9
                      9
                      15

                      0803
                      PHS Evaluation
                      69
                      69
                      119

                      0899
                      Total reimbursable obligations
                      251
                      236
                      292

                      0900
                      Total new obligations
                      698
                      694
                      683

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2

                      9

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      474
                      458
                      286

                      1120
                      Appropriations transferred to other accts [75–0943]
                      –2

                      1120
                      Appropriations transferred to other accts [75–0139]
                      –1

                      1130
                      Appropriations permanently reduced (SEQ)
                      –25

                      1160
                      Appropriation, discretionary (total)
                      446
                      458
                      286

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from other accts [75–0116]

                      105

                      1260
                      Appropriations, mandatory (total)

                      105

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected [PHS Evaluation & Collected]
                      113
                      236
                      277

                      1701
                      Change in uncollected payments, Federal sources
                      129

                      1750
                      Spending auth from offsetting collections, disc (total)
                      242
                      236
                      277

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected HCFAC (Mandatory)

                      9
                      9

                      1801
                      Change in uncollected payments, Federal sources
                      9

                      1850
                      Spending auth from offsetting collections, mand (total)
                      9
                      9
                      9

                      1900
                      Budget authority (total)
                      697
                      703
                      677

                      1930
                      Total budgetary resources available
                      699
                      703
                      686

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year

                      9
                      3

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      624
                      536
                      559

                      3010
                      Obligations incurred, unexpired accounts
                      698
                      694
                      683

                      3011
                      Obligations incurred, expired accounts
                      11

                      3020
                      Outlays (gross)
                      –776
                      –671
                      –736

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –21

                      3050
                      Unpaid obligations, end of year
                      536
                      559
                      506

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –232
                      –257
                      –257

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –138

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      113

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –257
                      –257
                      –257

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      392
                      279
                      302

                      3200
                      Obligated balance, end of year
                      279
                      302
                      249

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      688
                      694
                      563

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      351
                      332
                      278

                      4011
                      Outlays from discretionary balances
                      386
                      317
                      430

                      4020
                      Outlays, gross (total)
                      737
                      649
                      708

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources (PHS Evaluation & Collected)
                      –224
                      –236
                      –277

                      4033
                      Non-Federal sources
                      –2

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –226
                      –236
                      –277

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –129

                      4052
                      Offsetting collections credited to expired accounts
                      113

                      4060
                      Additional offsets against budget authority only (total)
                      –16

                      4070
                      Budget authority, net (discretionary)
                      446
                      458
                      286

                      4080
                      Outlays, net (discretionary)
                      511
                      413
                      431

                      Mandatory:

                      4090
                      Budget authority, gross
                      9
                      9
                      114

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      9
                      9
                      23

                      4101
                      Outlays from mandatory balances
                      30
                      13
                      5

                      4110
                      Outlays, gross (total)
                      39
                      22
                      28

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources (HCFAC Mandatory)
                      –9
                      –9
                      –9

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –9

                      4142
                      Offsetting collections credited to expired accounts
                      9

                      4160
                      Budget authority, net (mandatory)

                      105

                      4170
                      Outlays, net (mandatory)
                      30
                      13
                      19

                      4180
                      Budget authority, net (total)
                      446
                      458
                      391

                      4190
                      Outlays, net (total)
                      541
                      426
                      450

             Note.—The reimbursable program (HCFAC) in the General Department Management (GDM) account reflects estimates of the allocation
                account for 2015. Actual allocation will be determined annually.

             General Departmental Management (GDM) funds activities that provide leadership, policy, legal, and administrative guidance
                to HHS components, and support research to develop policy initiatives and improve existing HHS programs. GDM also funds the
                activities of the Office of the Assistant Secretary for Health, including adolescent health, disease prevention and health
                promotion, physical fitness and sports, minority health, research integrity, women's health, and programs funded through the
                Prevention and Public Health Fund. This includes funding the continuation of grants for medically accurate and age appropriate
                programs to reduce teen pregnancy, including funds for research, demonstration grants, and replication of programs that have
                been proven effective through rigorous evaluation to reduce teen pregnancy.

          Object Classification (in millions of dollars)

                      Identification code 75–9912–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      90
                      92
                      94

                      11.3
                      Other than full-time permanent
                      14
                      13
                      12

                      11.5
                      Other personnel compensation
                      2
                      3
                      3

                      11.7
                      Military personnel
                      3
                      3
                      6

                      11.9
                      Total personnel compensation
                      109
                      111
                      115

                      12.1
                      Civilian personnel benefits
                      28
                      28
                      28

                      12.2
                      Military personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      5
                      5
                      4

                      23.1
                      Rental payments to GSA
                      19
                      18
                      18

                      23.3
                      Communications, utilities, and miscellaneous charges
                      4
                      4
                      4

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      27
                      28
                      18

                      25.2
                      Other services from non-Federal sources
                      43
                      38
                      28

                      25.3
                      Other goods and services from Federal sources
                      78
                      70
                      43

                      25.4
                      Operation and maintenance of facilities
                      2
                      2
                      4

                      25.7
                      Operation and maintenance of equipment
                      5
                      4
                      4

                      26.0
                      Supplies and materials
                      2
                      1
                      1

                      31.0
                      Equipment
                      2
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      120
                      145
                      120

                      99.0
                      Direct obligations
                      447
                      458
                      391

                      99.0
                      Reimbursable obligations
                      251
                      236
                      292

                      99.9
                      Total new obligations
                      698
                      694
                      683

          Employment Summary

                      Identification code 75–9912–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,032
                      1,051
                      1,076

                      1101
                      Direct military average strength employment
                      39
                      37
                      43

                      2001
                      Reimbursable civilian full-time equivalent employment
                      483
                      469
                      462

                      2101
                      Reimbursable military average strength employment
                      23
                      17
                      9

             Office for Civil RightsFor expenses necessary for the Office for Civil Rights, [$38,798,000] 41,205,000. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0135–0–1–751
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      39
                      39
                      41

                      0801
                      Reimbursable program activity
                      3
                      7
                      7

                      0900
                      Total new obligations
                      42
                      46
                      48

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      41
                      39
                      41

                      1130
                      Appropriations permanently reduced
                      –2

                      1160
                      Appropriation, discretionary (total)
                      39
                      39
                      41

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      5
                      7
                      7

                      1850
                      Spending auth from offsetting collections, mand (total)
                      5
                      7
                      7

                      1900
                      Budget authority (total)
                      44
                      46
                      48

                      1930
                      Total budgetary resources available
                      44
                      46
                      48

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      13
                      10
                      10

                      3010
                      Obligations incurred, unexpired accounts
                      42
                      46
                      48

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –45
                      –46
                      –48

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      10
                      10
                      10

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      13
                      10
                      10

                      3200
                      Obligated balance, end of year
                      10
                      10
                      10

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      39
                      39
                      41

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      34
                      31
                      33

                      4011
                      Outlays from discretionary balances
                      10
                      8
                      8

                      4020
                      Outlays, gross (total)
                      44
                      39
                      41

                      Mandatory:

                      4090
                      Budget authority, gross
                      5
                      7
                      7

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      7
                      7

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –5
                      –7
                      –7

                      4180
                      Budget authority, net (total)
                      39
                      39
                      41

                      4190
                      Outlays, net (total)
                      40
                      39
                      41

             The Office for Civil Rights funds activities that carry out the Department's civil rights nondiscrimination and health information
                privacy and security compliance programs.

          Object Classification (in millions of dollars)

                      Identification code 75–0135–0–1–751
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      20
                      21
                      20

                      11.3
                      Other than full-time permanent
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      21
                      22
                      21

                      12.1
                      Civilian personnel benefits
                      6
                      6
                      6

                      23.1
                      Rental payments to GSA
                      3
                      3
                      3

                      25.2
                      Other services from non-Federal sources
                      2
                      1
                      2

                      25.3
                      Other goods and services from Federal sources
                      5
                      6
                      8

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      25.7
                      Operation and maintenance of equipment
                      1

                      99.0
                      Direct obligations
                      39
                      39
                      41

                      99.0
                      Reimbursable obligations
                      3
                      7
                      7

                      99.9
                      Total new obligations
                      42
                      46
                      48

          Employment Summary

                      Identification code 75–0135–0–1–751
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      207
                      203
                      196

                      1101
                      Direct military average strength employment
                      2
                      2
                      2

                      2001
                      Reimbursable civilian full-time equivalent employment
                      3
                      2
                      20

             Office of the National Coordinator for Health Information TechnologyFor expenses necessary for the Office of the National Coordinator for Health Information Technology, including grants, contracts,
             and cooperative agreements for the development and advancement of interoperable health information technology, [$15,556,000: Provided, That in addition to amounts provided herein, $44,811,000] $74,688,000 shall be available from amounts available under section 241 of the PHS Act. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0130–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Health information technology
                      16
                      16

                      0002
                      Recovery Act activities
                      4

                      0799
                      Total direct obligations
                      20
                      16

                      0801
                      Reimbursable program
                      15
                      24
                      17

                      0802
                      Reimbursable program: PHS evaluation
                      45
                      45
                      75

                      0899
                      Total reimbursable obligations
                      60
                      69
                      92

                      0900
                      Total new obligations
                      80
                      85
                      92

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2

                      1021
                      Recoveries of prior year unpaid obligations
                      4

                      1050
                      Unobligated balance (total)
                      6

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      16
                      16

                      1130
                      Appropriations permanently reduced
                      –1

                      1131
                      Unobligated balance of appropriations permanently reduced
                      –1

                      1160
                      Appropriation, discretionary (total)
                      14
                      16

                      Spending authority from offsetting collections, discretionary:

                      1700
                      PHS and Other
                      26
                      69
                      92

                      1701
                      Change in uncollected payments, Federal sources
                      34

                      1750
                      Spending auth from offsetting collections, disc (total)
                      60
                      69
                      92

                      1900
                      Budget authority (total)
                      74
                      85
                      92

                      1930
                      Total budgetary resources available
                      80
                      85
                      92

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      976
                      451
                      53

                      3010
                      Obligations incurred, unexpired accounts
                      80
                      85
                      92

                      3020
                      Outlays (gross)
                      –598
                      –483
                      –145

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –4

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –3

                      3050
                      Unpaid obligations, end of year
                      451
                      53

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –22
                      –34
                      –34

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –34

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      22

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –34
                      –34
                      –34

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      954
                      417
                      19

                      3200
                      Obligated balance, end of year
                      417
                      19
                      –34

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      74
                      85
                      92

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      48
                      83
                      92

                      4011
                      Outlays from discretionary balances
                      548
                      400
                      53

                      4020
                      Outlays, gross (total)
                      596
                      483
                      145

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –47
                      –69
                      –92

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –34

                      4052
                      Offsetting collections credited to expired accounts
                      21

                      4060
                      Additional offsets against budget authority only (total)
                      –13

                      4070
                      Budget authority, net (discretionary)
                      14
                      16

                      4080
                      Outlays, net (discretionary)
                      549
                      414
                      53

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      2

                      4180
                      Budget authority, net (total)
                      14
                      16

                      4190
                      Outlays, net (total)
                      551
                      414
                      53

             This program supports coordination, leadership, and development of Federal health information technology activities and Federal
                initiatives for the nationwide advancement of private and secure interoperable health information technology, in cooperation
                with participants in the health sector. The Office of the National Coordinator for Health Information Technology was established
                in the Health Information Technology for Economic and Clinical Health Act (P.L. 111–5, Title XIII), for the purpose of addressing
                strategic planning, coordination, and the analysis of key technical, economic and other issues related to the public and private
                adoption of health information technology.

          Object Classification (in millions of dollars)

                      Identification code 75–0130–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      23.1
                      Rental payments to GSA
                      3
                      3

                      25.1
                      Advisory and assistance services

                      1

                      25.2
                      Other services from non-Federal sources
                      10
                      6

                      25.3
                      Other goods and services from Federal sources
                      5
                      5

                      25.4
                      Operation and maintenance of facilities
                      2
                      1

                      99.0
                      Direct obligations
                      20
                      16

                      99.0
                      Reimbursable obligations
                      60
                      69
                      92

                      99.9
                      Total new obligations
                      80
                      85
                      92

          Employment Summary

                      Identification code 75–0130–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      170
                      184
                      190

                      1101
                      Direct military average strength employment
                      1
                      1
                      1

             Office of Medicare Hearings and AppealsFor expenses necessary for the Office of Medicare Hearings and Appeals, [$82,381,000] $100,000,000, to be transferred in appropriate part from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical
             Insurance Trust Fund. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0139–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      69
                      82
                      100

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1
                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1121
                      Appropriations transferred from other accts [75–9912]
                      1

                      1121
                      Appropriations transferred from other accts [75–0140]
                      1

                      1160
                      Appropriation, discretionary (total)
                      2

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      45
                      82
                      100

                      1701
                      Change in uncollected payments, Federal sources
                      23

                      1750
                      Spending auth from offsetting collections, disc (total)
                      68
                      82
                      100

                      1900
                      Budget authority (total)
                      70
                      82
                      100

                      1930
                      Total budgetary resources available
                      70
                      83
                      101

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      1
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      14
                      9

                      3010
                      Obligations incurred, unexpired accounts
                      69
                      82
                      100

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –73
                      –91
                      –100

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –2

                      3050
                      Unpaid obligations, end of year
                      9

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1

                      –23
                      –23

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –23

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –23
                      –23
                      –23

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      14
                      –14
                      –23

                      3200
                      Obligated balance, end of year
                      –14
                      –23
                      –23

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      70
                      82
                      100

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      65
                      82
                      100

                      4011
                      Outlays from discretionary balances
                      8
                      9

                      4020
                      Outlays, gross (total)
                      73
                      91
                      100

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –45
                      –82
                      –100

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –23

                      4070
                      Budget authority, net (discretionary)
                      2

                      4080
                      Outlays, net (discretionary)
                      28
                      9

                      4180
                      Budget authority, net (total)
                      2

                      4190
                      Outlays, net (total)
                      28
                      9

             This appropriation funds the operations of the Office of Medicare Hearings and Appeals (OMHA), as authorized by the Medicare
                Prescription Drug, Improvement, and Modernization Act of 2003. OMHA provides an independent and impartial forum for the adjudication
                of claims brought by or on behalf of Medicare beneficiaries related to their benefits and care.

          Object Classification (in millions of dollars)

                      Identification code 75–0139–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      40
                      45
                      55

                      12.1
                      Civilian personnel benefits
                      12
                      14
                      17

                      22.0
                      Transportation of things

                      1
                      1

                      23.1
                      Rental payments to GSA
                      6
                      7
                      7

                      23.3
                      Communications, utilities, and miscellaneous charges
                      3
                      4
                      4

                      25.1
                      Advisory and assistance services
                      1

                      25.2
                      Other services from non-Federal sources
                      1
                      1
                      2

                      25.3
                      Other goods and services from Federal sources
                      5
                      5
                      7

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      3

                      25.7
                      Operation and maintenance of equipment

                      1
                      1

                      26.0
                      Supplies and materials

                      1
                      1

                      31.0
                      Equipment

                      2
                      2

                      99.9
                      Total new obligations
                      69
                      82
                      100

          Employment Summary

                      Identification code 75–0139–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      492
                      514
                      629

             Public Health and Social Services Emergency FundFor expenses necessary to support activities related to countering potential biological, nuclear, radiological, chemical,
             and cybersecurity threats to civilian populations, and for other public health emergencies, [$857,290,000] $837,927,000, of which [$415,000,000] $415,000,000 shall remain available through September 30, [2015] 2016, for expenses necessary to support advanced research and development pursuant to section 319L of the PHS Act, and other administrative
             expenses of the Biomedical Advanced Research and Development Authority[, and of which up to $5,000,000 shall remain available through September 30, 2016, to support the delivery of medical countermeasures
             and shall be in addition to any other amounts available for such purpose]: Provided, That funds provided under this heading for the purpose of acquisition of security countermeasures shall be in addition to
             any other funds available for such purpose: Provided further, That products purchased with funds provided under this heading may, at the discretion of the Secretary, be deposited in
             the Strategic National Stockpile pursuant to section 319F-2 of the PHS Act: Provided further, That $5,000,000 of the amounts made available to support emergency operations shall remain available [through September 30, 2016.] until expended: Provided further, That, of the amounts made available to support advanced research and development, up to
                $20,000,000 shall be available for the purposes of establishing and funding, using for either such purpose contracts, grants,
                cooperative agreements, or other transactions as described in section 319L of the PHS Act (42 U.S.C. 247d-7e), a strategic
                investment corporation, which shall not be deemed to be a Federal agency for any purpose, to further the purposes of such
                section 319L to foster innovation in the development of medical countermeasures: Provided further, That, in addition to amounts
                provided herein, $14,877,000 shall be available from amounts available under section 241 of the PHS Act to supplement funds
                otherwise available for carrying out activities of the Office of the Assistant Secretary for Preparedness and Response.
          For [necessary] expenses necessary for procuring security countermeasures (as defined in section 319F-2(c)(1)(B) of the PHS Act), [$255,000,000] $415,000,000, to remain available until expended.

          For an additional amount for expenses necessary to prepare for [and] or respond to an influenza pandemic[, $115,009,000] or emerging infectious disease, including the development and purchase of vaccine, antivirals, necessary medical supplies,
                diagnostics, and other surveillance tools, $170,009,000; of which [$83,000,000] $140,000,000 shall be available until expended[, for activities including the development and purchase of vaccine, antivirals, necessary medical supplies, diagnostics, and
             other surveillance tools]: Provided [further], That, notwithstanding section 496(b) of the PHS Act, funds may be used for the construction or renovation of privately owned facilities
             for the production of pandemic influenza vaccines and other biologics, if the Secretary finds such construction or renovation
             necessary to secure sufficient supplies of such vaccines or biologics: Provided further, That funds appropriated in this paragraph may be transferred to other appropriation accounts of the Department
                of Health and Human Services, as determined by the Secretary to be appropriate, to be used for the purposes specified in this
                paragraph.
          [In addition, for expenses necessary for replacement of building leases and associated renovation costs for Public Health Service
             agencies and other components of HHS, including relocation and fit-out costs, $16,131,000, to remain available until expended.] (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0140–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Public Health and Social Services Emergency Fund
                      2,326
                      1,319
                      1,541

                      0801
                      Reimbursable program (FEMA)
                      44
                      80
                      80

                      0802
                      Reimbursable program activity (OPP)

                      15

                      0899
                      Total reimbursable obligations
                      44
                      80
                      95

                      0900
                      Total new obligations
                      2,370
                      1,399
                      1,636

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,349
                      850
                      771

                      1010
                      Unobligated balance transfer to other accts [75–0343]
                      –3
                      –3
                      –3

                      1021
                      Recoveries of prior year unpaid obligations
                      238

                      1050
                      Unobligated balance (total)
                      2,584
                      847
                      768

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      1,385
                      1,243
                      1,423

                      1120
                      Appropriations transferred to other accts [75–1534]
                      –500

                      1120
                      Appropriations transferred to other accts [75–1536]
                      –100

                      1120
                      Appropriations transferred to other accts [75–0128]
                      –5

                      1120
                      Appropriations transferred to other accts [75–9915]
                      –149

                      1120
                      Appropriations transferred to other accts [75–0943]
                      –2

                      1120
                      Appropriations transferred to other accts [75–0139]
                      –1

                      1130
                      Appropriations permanently reduced
                      –40

                      1160
                      Appropriation, discretionary (total)
                      588
                      1,243
                      1,423

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      27
                      80
                      95

                      1701
                      Change in uncollected payments, Federal sources
                      30

                      1750
                      Spending auth from offsetting collections, disc (total)
                      57
                      80
                      95

                      1900
                      Budget authority (total)
                      645
                      1,323
                      1,518

                      1930
                      Total budgetary resources available
                      3,229
                      2,170
                      2,286

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –9

                      1941
                      Unexpired unobligated balance, end of year
                      850
                      771
                      650

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      4,456
                      4,655
                      4,190

                      3010
                      Obligations incurred, unexpired accounts
                      2,370
                      1,399
                      1,636

                      3011
                      Obligations incurred, expired accounts
                      2

                      3020
                      Outlays (gross)
                      –1,880
                      –1,864
                      –2,000

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –238

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –55

                      3050
                      Unpaid obligations, end of year
                      4,655
                      4,190
                      3,826

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –241
                      –153
                      –153

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –30

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      118

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –153
                      –153
                      –153

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      4,215
                      4,502
                      4,037

                      3200
                      Obligated balance, end of year
                      4,502
                      4,037
                      3,673

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      645
                      1,323
                      1,518

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      177
                      439
                      445

                      4011
                      Outlays from discretionary balances
                      1,703
                      1,425
                      1,555

                      4020
                      Outlays, gross (total)
                      1,880
                      1,864
                      2,000

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –111
                      –80
                      –95

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –30

                      4052
                      Offsetting collections credited to expired accounts
                      84

                      4060
                      Additional offsets against budget authority only (total)
                      54

                      4070
                      Budget authority, net (discretionary)
                      588
                      1,243
                      1,423

                      4080
                      Outlays, net (discretionary)
                      1,769
                      1,784
                      1,905

                      4180
                      Budget authority, net (total)
                      588
                      1,243
                      1,423

                      4190
                      Outlays, net (total)
                      1,769
                      1,784
                      1,905

             The Public Health and Social Services Emergency Fund (PHSSEF) provides resources to support a comprehensive program to prepare
                for the health and medical consequences of bioterrorism or other public health emergencies. This account includes funding
                for the Office of the Assistant Secretary for Preparedness and Response, as authorized by the Pandemic and All-Hazards Preparedness
                Reauthorization Act. Funds will be used for hospital preparedness and other emergency preparedness activities including the
                National Disaster Medical System. The PHSSEF also supports the HHS Cybersecurity and Security and Strategic Information programs,
                and the Medical Reserve Corps.

             The PHSSEF also continues to support the advanced development and procurement of biodefense and pandemic influenza countermeasures.
             A Strategic Investor corporation will be estabished to invest in the private sector, specifically focusing on disruptive technologies
                including novel antimicrobials and multi-use platform technologies for diagnostics and medical countermeasures.

          Object Classification (in millions of dollars)

                      Identification code 75–0140–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      67
                      69
                      73

                      11.3
                      Other than full-time permanent
                      8
                      8
                      8

                      11.7
                      Military personnel
                      7
                      7
                      7

                      11.9
                      Total personnel compensation
                      82
                      84
                      88

                      12.1
                      Civilian personnel benefits
                      21
                      22
                      23

                      12.2
                      Military personnel benefits
                      3
                      3
                      3

                      21.0
                      Travel and transportation of persons
                      8
                      7
                      7

                      22.0
                      Transportation of things
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      18
                      18
                      18

                      23.3
                      Communications, utilities, and miscellaneous charges
                      4
                      8
                      10

                      25.1
                      Advisory and assistance services
                      414
                      210
                      297

                      25.2
                      Other services from non-Federal sources
                      249
                      138
                      131

                      25.3
                      Other goods and services from Federal sources
                      72
                      54
                      58

                      25.4
                      Operation and maintenance of facilities
                      22
                      23
                      25

                      25.5
                      Research and development contracts
                      241
                      104
                      146

                      25.7
                      Operation and maintenance of equipment
                      30
                      26
                      28

                      26.0
                      Supplies and materials
                      685
                      340
                      377

                      31.0
                      Equipment
                      20
                      16
                      17

                      41.0
                      Grants, subsidies, and contributions
                      456
                      265
                      312

                      99.0
                      Direct obligations
                      2,326
                      1,319
                      1,541

                      99.0
                      Reimbursable obligations
                      44
                      80
                      95

                      99.9
                      Total new obligations
                      2,370
                      1,399
                      1,636

          Employment Summary

                      Identification code 75–0140–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      600
                      665
                      689

                      1101
                      Direct military average strength employment
                      63
                      76
                      76

             Transfers from the Patient-Centered Outcomes Research Trust Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0145–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      AHRQ
                      44
                      68
                      120

                      0802
                      Office of the Secretary
                      7
                      25
                      25

                      0809
                      Reimbursable program activities, subtotal
                      51
                      93
                      145

                      0900
                      Total new obligations
                      51
                      93
                      145

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      28
                      49
                      92

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      72
                      136
                      132

                      1850
                      Spending auth from offsetting collections, mand (total)
                      72
                      136
                      132

                      1900
                      Budget authority (total)
                      72
                      136
                      132

                      1930
                      Total budgetary resources available
                      100
                      185
                      224

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      49
                      92
                      79

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      9
                      49
                      108

                      3010
                      Obligations incurred, unexpired accounts
                      51
                      93
                      145

                      3020
                      Outlays (gross)
                      –11
                      –34
                      –70

                      3050
                      Unpaid obligations, end of year
                      49
                      108
                      183

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      9
                      49
                      108

                      3200
                      Obligated balance, end of year
                      49
                      108
                      183

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      72
                      136
                      132

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      4
                      4

                      4101
                      Outlays from mandatory balances
                      10
                      30
                      66

                      4110
                      Outlays, gross (total)
                      11
                      34
                      70

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –72
                      –136
                      –132

                      4190
                      Outlays, net (total)
                      –61
                      –102
                      –62

             Public Law 111–148 established the Patient-Centered Outcomes Research Trust Fund (PCORTF). Beginning in FY 2011, a total of
                20 percent of the funds appropriated or credited to the PCORTF will be transferred each year to the Department of Health and
                Human Services (HHS). As authorized in section 937 of the Public Health Service Act, HHS will disseminate research findings
                from the Patient-Centered Outcomes Research Institute and other government-funded comparative clinical effectiveness research
                and build research and data capacity for comparative clinical effectiveness research. Transferred funds will be distributed
                to the Secretary of HHS and the Agency for Healthcare Research and Quality to carry out these activities.

          Object Classification (in millions of dollars)

                      Identification code 75–0145–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      99.0
                      Reimbursable obligations
                      7
                      25
                      25

                      Allocation Account - reimbursable:

                      11.1
                      Personnel compensation: Full-time permanent

                      2
                      3

                      25.5
                      Research and development contracts
                      44
                      25
                      28

                      41.0
                      Grants, subsidies, and contributions

                      41
                      89

                      99.0
                      Allocation account - reimbursable
                      44
                      68
                      120

                      99.9
                      Total new obligations
                      51
                      93
                      145

          Employment Summary

                      Identification code 75–0145–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      2
                      3
                      3

             Prevention and Wellness Fund, Recovery Act

             Program and Financing (in millions of dollars)

                      Identification code 75–0144–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      2

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –2

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2

             The Prevention and Wellness Fund is authorized under the American Recovery and Reinvestment Act (ARRA), (P.L. 111–5). The
                Prevention and Wellness Fund administered evidence-based clinical and community-based prevention and wellness strategies.

             Nonrecurring Expenses Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0125–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Nonrecurring Expenses Fund Projects
                      578
                      550
                      50

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      285
                      50

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      863
                      315

                      1050
                      Unobligated balance (total)
                      863
                      600
                      50

                      1930
                      Total budgetary resources available
                      863
                      600
                      50

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      285
                      50

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      505
                      539

                      3010
                      Obligations incurred, unexpired accounts
                      578
                      550
                      50

                      3020
                      Outlays (gross)
                      –73
                      –516
                      –178

                      3050
                      Unpaid obligations, end of year
                      505
                      539
                      411

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      505
                      539

                      3200
                      Obligated balance, end of year
                      505
                      539
                      411

                      Budget authority and outlays, net:

                      Discretionary:

                      Outlays, gross:

                      4011
                      Outlays from discretionary balances
                      73
                      516
                      178

                      4190
                      Outlays, net (total)
                      73
                      516
                      178

             The Nonrecurring Expenses Fund is a no-year account that captures expired unobligated balances from discretionary accounts
                prior to cancellation. The Fund will be used for capital acquisition, including facilities infrastructure and information
                technology infrastructure.

          Object Classification (in millions of dollars)

                      Identification code 75–0125–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.2
                      Other services from non-Federal sources

                      45

                      25.3
                      Other goods and services from Federal sources
                      88

                      25.7
                      Operation and maintenance of equipment
                      9

                      99.0
                      Direct obligations
                      97
                      45

                      25.2
                      Allocation Account - direct: Other services from non-Federal sources
                      481
                      505
                      50

                      99.9
                      Total new obligations
                      578
                      550
                      50

             Health Insurance Reform Implementation Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0119–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      160
                      87

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      240
                      87

                      1021
                      Recoveries of prior year unpaid obligations
                      7

                      1050
                      Unobligated balance (total)
                      247
                      87

                      1930
                      Total budgetary resources available
                      247
                      87

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      87

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      265
                      197
                      121

                      3010
                      Obligations incurred, unexpired accounts
                      160
                      87

                      3020
                      Outlays (gross)
                      –221
                      –163
                      –100

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –7

                      3050
                      Unpaid obligations, end of year
                      197
                      121
                      21

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      265
                      197
                      121

                      3200
                      Obligated balance, end of year
                      197
                      121
                      21

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      221
                      163
                      100

                      4190
                      Outlays, net (total)
                      221
                      163
                      100

             Section 1005 of the Health Care and Education Reconciliation Act of 2010 (P.L. 111–152) appropriated $1,000,000,000 to the
                Health Insurance Reform Implementation Fund within the Department of Health and Human Services. The Fund shall be used for
                Federal administrative expenses necessary to carry out the requirements of the Patient Protection and Affordable Care Act
                of 2010 (P.L. 111–148) and the Health Care and Education Reconciliation Act of 2010.

          Object Classification (in millions of dollars)

                      Identification code 75–0119–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      25.2
                      Direct obligations: Other services from non-Federal sources
                      158
                      25

                      Allocation Account - direct:

                      11.1
                      Personnel compensation: Full-time permanent

                      12.1
                      Civilian personnel benefits

                      25.2
                      Other services from non-Federal sources

                      62

                      99.0
                      Allocation account - direct

                      62

                      99.5
                      Below reporting threshold
                      2

                      99.9
                      Total new obligations
                      160
                      87

             Prevention and Public Health Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0116–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,000
                      1,000
                      1,000

                      1220
                      Appropriations transferred to other accts [75–0142]
                      –9
                      –28
                      –28

                      1220
                      Appropriations transferred to other accts [75–1700]
                      –6
                      –7

                      1220
                      Appropriations transferred to other accts [75–0943]
                      –463
                      –831
                      –809

                      1220
                      Appropriations transferred to other accts [75–0511]
                      –454

                      1220
                      Appropriations transferred to other accts [75–0350]
                      –2

                      1220
                      Appropriations transferred to other accts [75–1362]
                      –15
                      –62
                      –58

                      1220
                      Appropriations transferred to other accts [75–9912]

                      –105

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced [SEQ]
                      –51
                      –72

             The Affordable Care Act, (P.L. 111–148) established the Prevention and Public Health Fund to support prevention and public
                health activities. In FY 2015, $1.00 billion is available to support a range of public health efforts intended to prevent
                disease and reduce health care costs. The Secretary has authority to transfer to accounts within HHS.

             Pregnancy Assistance Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0117–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      24
                      23
                      25

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      25
                      25
                      25

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –1
                      –2

                      1260
                      Appropriations, mandatory (total)
                      24
                      23
                      25

                      1930
                      Total budgetary resources available
                      24
                      23
                      25

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      39
                      34
                      42

                      3010
                      Obligations incurred, unexpired accounts
                      24
                      23
                      25

                      3020
                      Outlays (gross)
                      –29
                      –15
                      –24

                      3050
                      Unpaid obligations, end of year
                      34
                      42
                      43

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      39
                      34
                      42

                      3200
                      Obligated balance, end of year
                      34
                      42
                      43

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      24
                      23
                      25

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      2
                      2

                      4101
                      Outlays from mandatory balances
                      28
                      13
                      22

                      4110
                      Outlays, gross (total)
                      29
                      15
                      24

                      4180
                      Budget authority, net (total)
                      24
                      23
                      25

                      4190
                      Outlays, net (total)
                      29
                      15
                      24

             For awarding competitive grants to States to assist pregnant and parenting teens and women.

          Object Classification (in millions of dollars)

                      Identification code 75–0117–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      23
                      22
                      24

                      99.9
                      Total new obligations
                      24
                      23
                      25

          Employment Summary

                      Identification code 75–0117–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      2

             Section 241 Evaluation Transactions Account

             Program and Financing (in millions of dollars)

                      Identification code 75–3902–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program activity

                      1,060
                      1,264

                      0809
                      Reimbursable program activities, subtotal

                      1,060
                      1,264

                      0900
                      Total new obligations (object class 25.3)

                      1,060
                      1,264

                      Budgetary Resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected

                      1,060
                      1,264

                      1750
                      Spending auth from offsetting collections, disc (total)

                      1,060
                      1,264

                      1930
                      Total budgetary resources available

                      1,060
                      1,264

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      1,060
                      1,264

                      3020
                      Outlays (gross)

                      –1,060
                      –1,264

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      1,060
                      1,264

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      1,060
                      1,264

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources

                      –1,060
                      –1,264

             The Public Health Service Act (PHS) Evaluation Transactions account supports the execution of section 241 of the PHS Act.

          Object Classification (in millions of dollars)

                      Identification code 75–3902–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      99.0
                      Reimbursable obligations

                      1,060
                      1,264

             Program Support Center

             Federal Funds
             Retirement Pay and Medical Benefits for Commissioned OfficersFor 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, and for medical care of dependents and retired
             personnel under the Dependents' Medical Care Act, such amounts as may be required during the current fiscal year. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0379–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Retirement payments
                      393
                      414
                      432

                      0002
                      Survivors' benefits
                      26
                      27
                      28

                      0003
                      Medical care
                      95
                      99
                      102

                      0900
                      Total new obligations
                      514
                      540
                      562

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      514
                      540
                      562

                      1260
                      Appropriations, mandatory (total)
                      514
                      540
                      562

                      1930
                      Total budgetary resources available
                      514
                      540
                      562

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      101
                      67
                      30

                      3001
                      Adjustments to unpaid obligations, brought forward, Oct 1
                      –31

                      3010
                      Obligations incurred, unexpired accounts
                      514
                      540
                      562

                      3020
                      Outlays (gross)
                      –497
                      –577
                      –561

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –20

                      3050
                      Unpaid obligations, end of year
                      67
                      30
                      31

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      70
                      67
                      30

                      3200
                      Obligated balance, end of year
                      67
                      30
                      31

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      514
                      540
                      562

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      453
                      513
                      534

                      4101
                      Outlays from mandatory balances
                      44
                      64
                      27

                      4110
                      Outlays, gross (total)
                      497
                      577
                      561

                      4180
                      Budget authority, net (total)
                      514
                      540
                      562

                      4190
                      Outlays, net (total)
                      497
                      577
                      561

             The number of beneficiaries using the Commissioned Corps system is estimated as follows:
             Retirement Pay, Survivor Benefits, and Medical Benefits

                         2013
                         2014
                         2015

                         Active Duty:

                         HHS
                         4964
                         4985
                         4985

                         DOJ, BOP
                         866
                         870
                         870

                         Homeland Security
                         494
                         494
                         494

                         EPA
                         65
                         65
                         65

                         All Other
                         376
                         384
                         384

                         Total Active Duty
                         6765
                         6798
                         6798

                         Retirees & Survivors:

                         Retirees
                         5714
                         5860
                         6010

                         Retiree family members and survivors
                         1029
                         1058
                         1088

                         Total Retirement Pay
                         6743
                         6918
                         7098

                         Total Beneficiaries (active duty, retirees, survivors)
                         13508
                         13716
                         13896

             This activity funds annuities of retired Public Health Service (PHS) commissioned officers and survivors of retirees, and
                medical benefits for 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
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      13.0
                      Benefits for former personnel
                      419
                      441
                      460

                      25.6
                      Medical care
                      95
                      99
                      102

                      99.9
                      Total new obligations
                      514
                      540
                      562

             HHS Accrual Contribution to the Uniformed Services Retiree Health Care Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–0170–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicare eligible accruals
                      28
                      27
                      28

                      0900
                      Total new obligations (object class 12.2)
                      28
                      27
                      28

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      29
                      27
                      28

                      1130
                      Appropriations permanently reduced
                      –1

                      1160
                      Appropriation, discretionary (total)
                      28
                      27
                      28

                      1930
                      Total budgetary resources available
                      28
                      27
                      28

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts
                      28
                      27
                      28

                      3020
                      Outlays (gross)
                      –28
                      –27
                      –28

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      28
                      27
                      28

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      28
                      27
                      28

                      4180
                      Budget authority, net (total)
                      28
                      27
                      28

                      4190
                      Outlays, net (total)
                      28
                      27
                      28

          Summary of Budget Authority and Outlays (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Enacted/requested:

                      Budget Authority
                      28
                      27
                      28

                      Outlays
                      28
                      27
                      28

                      Legislative proposal, not subject to PAYGO:

                      Budget Authority

                      –3

                      Outlays

                      –3

                      Total:

                      Budget Authority
                      28
                      27
                      25

                      Outlays
                      28
                      27
                      25

             The cost of medical benefits for Medicare-eligible beneficiaries is paid from the Department of Defense Medicare-Eligible
                Retiree Health Care Fund (10 U.S.C., ch. 56). Beginning in 2006, permanent indefinite authority is provided for a discretionary
                appropriation of the annual accrual payment into this fund (P.L. No. 108–375, section 725).

             HHS Accrual Contribution to the Uniformed Services Retiree Health Care Fund

             (Legislative proposal, not subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0170–2–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Medicare eligible accruals

                      –3

                      0900
                      Total new obligations (object class 12.2)

                      –3

                      Budgetary Resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation

                      –3

                      1160
                      Appropriation, discretionary (total)

                      –3

                      1930
                      Total budgetary resources available

                      –3

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –3

                      3020
                      Outlays (gross)

                      3

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –3

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      –3

                      4180
                      Budget authority, net (total)

                      –3

                      4190
                      Outlays, net (total)

                      –3

             Health Activities Funds

             Program and Financing (in millions of dollars)

                      Identification code 75–9913–0–1–552
                      2013 actual
                      2014 est.
                      2015 est.

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      1
                      1
                      1

                      1930
                      Total budgetary resources available
                      1
                      1
                      1

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      1
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1

             This display shows activities in support of scientific activities overseas that were supported by foreign currencies by the
                United States abroad.

             HHS Service and Supply Fund

             Program and Financing (in millions of dollars)

                      Identification code 75–9941–0–4–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Program Support Center
                      654
                      796
                      785

                      0802
                      OS activities
                      300
                      351
                      359

                      0900
                      Total new obligations
                      954
                      1,147
                      1,144

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      102
                      117
                      73

                      1021
                      Recoveries of prior year unpaid obligations
                      97

                      1050
                      Unobligated balance (total)
                      199
                      117
                      73

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      916
                      1,103
                      1,103

                      1701
                      Change in uncollected payments, Federal sources
                      –44

                      1750
                      Spending auth from offsetting collections, disc (total)
                      872
                      1,103
                      1,103

                      1930
                      Total budgetary resources available
                      1,071
                      1,220
                      1,176

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      117
                      73
                      32

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      510
                      515
                      70

                      3010
                      Obligations incurred, unexpired accounts
                      954
                      1,147
                      1,144

                      3020
                      Outlays (gross)
                      –852
                      –1,592
                      –1,103

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –97

                      3050
                      Unpaid obligations, end of year
                      515
                      70
                      111

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –285
                      –241
                      –241

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      44

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –241
                      –241
                      –241

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      225
                      274
                      –171

                      3200
                      Obligated balance, end of year
                      274
                      –171
                      –130

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      872
                      1,103
                      1,103

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      568
                      1,103
                      1,103

                      4011
                      Outlays from discretionary balances
                      284
                      489

                      4020
                      Outlays, gross (total)
                      852
                      1,592
                      1,103

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –911
                      –1,103
                      –1,103

                      4033
                      Non-Federal sources
                      –5

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –916
                      –1,103
                      –1,103

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      44

                      4080
                      Outlays, net (discretionary)
                      –64
                      489

                      4190
                      Outlays, net (total)
                      –64
                      489

             HHS Service and Supply Fund (SSF) provides a wide range of logistical and support services to components of the Department
                and other Federal agencies. The Program Support Center includes activities such as personnel and payroll support, information
                technology, financial management operations, and administrative services, including acquisitions management, building and
                property management, telecommunication services, medical supplies repackaging and distribution services, and the Federal Occupational
                Health Service. The Office of Secretary activities include the fund manager, departmental contracts, audit resolutions, Commissioned
                Corps force management, web management, claims, acquisition integration and modernization, small business, grants tracking,
                the physical access aspects of the Department's implementation of Homeland Security Presidential Directive 12, and commercial
                services management.

             Most Commissioned Corps officers work for agencies in the Department of Health and Human Services and are reflected in the
                agencies' personnel summaries. However, some officers are assigned to other Federal agencies. The allocation account section
                in the following personnel summary shows officers assigned to other agencies, which are paid directly by that agency, either
                through an allocation account or by directly citing that agency's appropriation.

          Object Classification (in millions of dollars)

                      Identification code 75–9941–0–4–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Reimbursable obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      92
                      103
                      103

                      11.3
                      Other than full-time permanent
                      4
                      2
                      2

                      11.5
                      Other personnel compensation
                      2
                      3
                      3

                      11.7
                      Military personnel
                      7
                      8
                      8

                      11.9
                      Total personnel compensation
                      105
                      116
                      116

                      12.1
                      Civilian personnel benefits
                      28
                      29
                      29

                      12.2
                      Military personnel benefits
                      4
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      22.0
                      Transportation of things
                      3
                      4
                      4

                      23.1
                      Rental payments to GSA
                      22
                      22
                      22

                      23.3
                      Communications, utilities, and miscellaneous charges
                      34
                      6
                      6

                      24.0
                      Printing and reproduction
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      29
                      32
                      31

                      25.2
                      Other services from non-Federal sources
                      554
                      706
                      707

                      25.3
                      Other goods and services from Federal sources
                      52
                      71
                      70

                      25.4
                      Operation and maintenance of facilities
                      13
                      16
                      16

                      25.6
                      Medical care
                      20
                      29
                      29

                      25.7
                      Operation and maintenance of equipment
                      60
                      74
                      73

                      26.0
                      Supplies and materials
                      24
                      32
                      32

                      31.0
                      Equipment
                      1
                      3
                      2

                      99.9
                      Total new obligations
                      954
                      1,147
                      1,144

          Employment Summary

                      Identification code 75–9941–0–4–551
                      2013 actual
                      2014 est.
                      2015 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,071
                      1,238
                      1,238

                      2101
                      Reimbursable military average strength employment
                      83
                      88
                      86

                      3101
                      Allocation account military average strength employment
                      1,736
                      1,748
                      1,748

          Trust Funds
             Miscellaneous Trust Funds

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 75–9971–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      0100
                      Balance, start of year

                      32

                      Receipts:

                      0220
                      Contributions, Indian Health Facilities
                      12
                      48
                      48

                      0221
                      Contributions, N.I.H., Unconditional Gift Fund
                      3
                      3
                      3

                      0222
                      Centers for Disease Control, Gifts and Donations
                      15
                      15
                      15

                      0223
                      Contributions, N.I.H., Conditional Gift Fund
                      31
                      27
                      27

                      0224
                      Contributions to the Indian Health Service Gift Fund
                      1
                      1
                      1

                      0299
                      Total receipts and collections
                      62
                      94
                      94

                      0400
                      Total: Balances and collections
                      62
                      94
                      126

                      Appropriations:

                      0500
                      Miscellaneous Trust Funds
                      –62
                      –62
                      –63

                      0799
                      Balance, end of year

                      32
                      63

          Program and Financing (in millions of dollars)

                      Identification code 75–9971–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0002
                      Gifts
                      39
                      39
                      39

                      0003
                      Contributions, Indian Health Facilities
                      12
                      12
                      12

                      0900
                      Total new obligations
                      51
                      51
                      51

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      133
                      149
                      160

                      1021
                      Recoveries of prior year unpaid obligations
                      5

                      1050
                      Unobligated balance (total)
                      138
                      149
                      160

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      62
                      62
                      63

                      1260
                      Appropriations, mandatory (total)
                      62
                      62
                      63

                      1930
                      Total budgetary resources available
                      200
                      211
                      223

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      149
                      160
                      172

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      75
                      67
                      66

                      3010
                      Obligations incurred, unexpired accounts
                      51
                      51
                      51

                      3020
                      Outlays (gross)
                      –54
                      –52
                      –57

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –5

                      3050
                      Unpaid obligations, end of year
                      67
                      66
                      60

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      75
                      67
                      66

                      3200
                      Obligated balance, end of year
                      67
                      66
                      60

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      62
                      62
                      63

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      22
                      5
                      6

                      4101
                      Outlays from mandatory balances
                      32
                      47
                      51

                      4110
                      Outlays, gross (total)
                      54
                      52
                      57

                      4180
                      Budget authority, net (total)
                      62
                      62
                      63

                      4190
                      Outlays, net (total)
                      54
                      52
                      57

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      25
                      28
                      28

                      5001
                      Total investments, EOY: Federal securities: Par value
                      28
                      28
                      28

             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
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      2
                      2
                      2

                      11.3
                      Other than full-time permanent
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      3
                      3
                      3

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      21.0
                      Travel and transportation of persons
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      3
                      3
                      3

                      25.2
                      Other services from non-Federal sources
                      6
                      6
                      6

                      25.3
                      Other goods and services from Federal sources
                      7
                      7
                      7

                      25.5
                      Research and development contracts
                      7
                      7
                      7

                      25.6
                      Medical care
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      5
                      4
                      4

                      31.0
                      Equipment
                      5
                      6
                      6

                      41.0
                      Grants, subsidies, and contributions
                      12
                      12
                      12

                      99.9
                      Total new obligations
                      51
                      51
                      51

          Employment Summary

                      Identification code 75–9971–0–7–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      27
                      27
                      27

             Office of the Inspector General

             Federal Funds
             Office of Inspector GeneralFor 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, [$71,000,000] $75,000,000: Provided, That of such amount, necessary sums shall be available for providing protective services to the Secretary and investigating
             non-payment of child support cases for which non-payment is a Federal offense under 18 U.S.C. 228. (Department of Health and Human Services Appropriations Act, 2014.)
          Program and Financing (in millions of dollars)

                      Identification code 75–0128–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0001
                      Direct program
                      49
                      74
                      78

                      0801
                      HCFAC Reimbursable program
                      213
                      197
                      197

                      0802
                      Direct Reimbursable program
                      18
                      21
                      21

                      0803
                      HCFAC Discretionary allocation adjustment
                      39
                      30
                      23

                      0899
                      Total reimbursable obligations
                      270
                      248
                      241

                      0900
                      Total new obligations
                      319
                      322
                      319

                      Budgetary Resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      10
                      21
                      16

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1

                      7

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      10

                      1021
                      Recoveries of prior year unpaid obligations
                      4

                      1050
                      Unobligated balance (total)
                      24
                      21
                      16

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      50
                      71
                      75

                      1121
                      Appropriations transferred from other accts [75–0140]
                      5

                      1130
                      Appropriations permanently reduced
                      –3

                      1160
                      Appropriation, discretionary (total)
                      52
                      71
                      75

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      51
                      49
                      49

                      1701
                      Change in uncollected payments, Federal sources
                      9

                      1750
                      Spending auth from offsetting collections, disc (total)
                      60
                      49
                      49

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      224
                      197
                      212

                      1801
                      Change in uncollected payments, Federal sources
                      –20

                      1802
                      Offsetting collections (previously unavailable)

                      1

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced

                      –1

                      1850
                      Spending auth from offsetting collections, mand (total)
                      204
                      197
                      212

                      1900
                      Budget authority (total)
                      316
                      317
                      336

                      1930
                      Total budgetary resources available
                      340
                      338
                      352

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      21
                      16
                      33

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      57
                      35
                      45

                      3010
                      Obligations incurred, unexpired accounts
                      319
                      322
                      319

                      3011
                      Obligations incurred, expired accounts
                      4

                      3020
                      Outlays (gross)
                      –333
                      –312
                      –342

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –4

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –8

                      3050
                      Unpaid obligations, end of year
                      35
                      45
                      22

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –61
                      –35
                      –35

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      11

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      15

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –35
                      –35
                      –35

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –4

                      10

                      3200
                      Obligated balance, end of year

                      10
                      –13

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      112
                      120
                      124

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      82
                      114
                      117

                      4011
                      Outlays from discretionary balances
                      29
                      6
                      8

                      4020
                      Outlays, gross (total)
                      111
                      120
                      125

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –68
                      –49
                      –49

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –9

                      4052
                      Offsetting collections credited to expired accounts
                      17

                      4060
                      Additional offsets against budget authority only (total)
                      8

                      4070
                      Budget authority, net (discretionary)
                      52
                      71
                      75

                      4080
                      Outlays, net (discretionary)
                      43
                      71
                      76

                      Mandatory:

                      4090
                      Budget authority, gross
                      204
                      197
                      212

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      184
                      179
                      193

                      4101
                      Outlays from mandatory balances
                      38
                      13
                      24

                      4110
                      Outlays, gross (total)
                      222
                      192
                      217

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –214
                      –185
                      –200

                      4123
                      Non-Federal sources
                      –10
                      –12
                      –12

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –224
                      –197
                      –212

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      20

                      4170
                      Outlays, net (mandatory)
                      –2
                      –5
                      5

                      4180
                      Budget authority, net (total)
                      52
                      71
                      75

                      4190
                      Outlays, net (total)
                      41
                      66
                      81

             The mission of the Office of Inspector General (OIG) is to protect the integrity of the U.S. Department of Health and Human
                Services (HHS) programs and the health and welfare of the people they serve. As established by the Inspector General Act of
                1978, OIG is an independent and objective organization that fights fraud, waste, and abuse and promotes efficiency, economy,
                and effectiveness in HHS programs and operations. OIG works to ensure that Federal dollars are used appropriately and that
                HHS programs well serve the people that use them. OIG fulfills its mission through a broad range of audits, evaluations, investigations,
                and enforcement and compliance activities. In addition to discretionary appropriations, OIG receives funds through the Health
                Care Fraud and Abuse Control (HCFAC) account created by the Health Insurance Portability and Accountability Act of 1996.

          Object Classification (in millions of dollars)

                      Identification code 75–0128–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      26
                      40
                      42

                      11.3
                      Other than full-time permanent
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      27
                      41
                      43

                      12.1
                      Civilian personnel benefits
                      9
                      14
                      15

                      21.0
                      Travel and transportation of persons
                      1
                      2
                      2

                      22.0
                      Transportation of things

                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      1
                      1
                      1

                      25.2
                      Other services from non-Federal sources

                      1
                      1

                      25.3
                      Other goods and services from Federal sources
                      9
                      10
                      11

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      26.0
                      Supplies and materials

                      1
                      1

                      31.0
                      Equipment
                      1
                      2
                      2

                      99.0
                      Direct obligations
                      49
                      74
                      78

                      99.0
                      Reimbursable obligations
                      270
                      248
                      241

                      99.9
                      Total new obligations
                      319
                      322
                      319

          Employment Summary

                      Identification code 75–0128–0–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment
                      245
                      379
                      397

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,415
                      1,198
                      1,048

             Office of Inspector General

             (Legislative proposal, subject to PAYGO)Program and Financing (in millions of dollars)

                      Identification code 75–0128–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program activity

                      85

                      Budgetary Resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      85

                      1850
                      Spending auth from offsetting collections, mand (total)

                      85

                      1900
                      Budget authority (total)

                      85

                      1930
                      Total budgetary resources available

                      85

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      85

                      3020
                      Outlays (gross)

                      –85

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      85

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      85

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –85

          Object Classification (in millions of dollars)

                      Identification code 75–0128–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      99.9
                      Total new obligations

                      85

          Employment Summary

                      Identification code 75–0128–4–1–551
                      2013 actual
                      2014 est.
                      2015 est.

                      1001
                      Direct civilian full-time equivalent employment

                      2001
                      Reimbursable civilian full-time equivalent employment

                      416

             General and Administrative Provisions

             GENERAL FUND RECEIPT ACCOUNTS

             (in millions of dollars)

                      2013 actual
                      2014 est.
                      2015 est.

                      Offsetting receipts from the public:

                      75–143500
                      General Fund Proprietary Interest Receipts, not Otherwise Classified: Enacted/requested
                      173
                      90
                      90

                      75–267403
                      Consumer Operated and Oriented Plan Direct Loan Program, Downward Reestimate of Subsidies: Enacted/requested

                      6

                      75–274530
                      Health Education Assistance Loans, Downward Reestimates of Subsidies: Enacted/requested

                      43

                      75–310700
                      Federal Share of Child Support Collections: Enacted/requested
                      841
                      759
                      700

                      Legislative proposal, subject to PAYGO

                      5

                      75–322000
                      All Other General Fund Proprietary Receipts Including Budget Clearing Accounts: Enacted/requested
                      41
                      34
                      34

                      General Fund Offsetting receipts from the public
                      1,055
                      932
                      829

                      Intragovernmental payments:

                      75–388500
                      Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts: Enacted/requested
                      1,147

                      General Fund Intragovernmental payments
                      1,147

             GENERAL PROVISIONS

             SEC. 201. Funds appropriated in this title shall be available for not to exceed $50,000 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]202. None of the discretionary funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism,
          at a rate in excess of Executive Level II.SEC. [204]203. None of the funds appropriated in this Act may be expended pursuant to section 241 of the PHS Act, except for funds specifically
          provided for in this Act, or for other taps and assessments made by any office located in HHS, prior to the preparation and
          submission of a report by the Secretary to the Committees on Appropriations of the House of Representatives and the Senate
          detailing the planned uses of such funds.SEC. [205]204. Notwithstanding section 241(a) of the PHS Act, such portion as the Secretary shall determine, but not more than [2.5] 3.0 percent, of any amounts appropriated for programs authorized under such Act shall be made available for the evaluation (directly,
          or by grants or contracts) and the implementation and effectiveness of programs funded in this title.'

          (transfer of funds)SEC. [206]205. Not to exceed 1 percent of any discretionary funds (pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985)
          which are appropriated for the current fiscal year for HHS 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 transfer authority granted by this section shall not be used to create any new program or to fund any project or
          activity for which no funds are provided in this Act: Provided further, That the Committees on Appropriations of the House of Representatives and the Senate are notified at least 15 days in advance
          of any transfer.'

          (transfer of funds)SEC. [207]206. The Director of the NIH, jointly with the Director of the Office of AIDS Research, may transfer up to 3 percent among institutes
          and centers from the total amounts identified by these two Directors as funding for research pertaining to the human immunodeficiency
          virus: Provided, That the Committees on Appropriations of the House of Representatives and the Senate are notified at least 15 days in advance
          of any transfer.'

          (transfer of funds)SEC. [208]207. Of the amounts made available in this Act for NIH, the amount for research related to the human immunodeficiency virus, as
          jointly determined by the Director of NIH 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 PHS Act.SEC. [209]208. None of the funds appropriated in this Act may be made available to any entity under title X of the PHS 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]209. Notwithstanding any other provision of law, no provider of services under title X of the PHS Act shall be exempt from any
          State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.SEC. [211]210. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to carry out the Medicare
          Advantage 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
          Advantage organization described in this section shall be responsible for informing enrollees where to obtain information
          about all Medicare covered services.SEC. [212]211. In order for HHS to carry out international health activities, including HIV/AIDS and other infectious disease, chronic and
          environmental disease, and other health activities abroad during fiscal year [2014] 2015:
          (1) The Secretary may exercise authority equivalent to that available to the Secretary of State in section 2(c) of the State Department
             Basic Authorities Act of 1956. The Secretary shall consult with the Secretary of State and relevant Chief of Mission to ensure
             that the authority provided in this section is exercised in a manner consistent with section 207 of the Foreign Service Act
             of 1980 and other applicable statutes administered by the Department of State.

          (2) The Secretary is authorized to provide such funds by advance or reimbursement to the Secretary of State as may be necessary
             to pay the costs of acquisition, lease, alteration, renovation, and management of facilities outside of the United States
             for the use of HHS. The Department of State shall cooperate fully with the Secretary to ensure that HHS has secure, safe,
             functional facilities that comply with applicable regulation governing location, setback, and other facilities requirements
             and serve the purposes established by this Act. The Secretary is authorized, in consultation with the Secretary of State,
             through grant or cooperative agreement, to make available to public or nonprofit private institutions or agencies in participating
             foreign countries, funds to acquire, lease, alter, or renovate facilities in those countries as necessary to conduct programs
             of assistance for international health activities, including activities relating to HIV/AIDS and other infectious diseases,
             chronic and environmental diseases, and other health activities abroad.

          (3) The Secretary is authorized to provide to personnel appointed or assigned by the Secretary to serve abroad, allowances and
             benefits similar to those provided under chapter 9 of title I of the Foreign Service Act of 1980, and 22 U.S.C. 4081 through
             4086 and subject to such regulations prescribed by the Secretary. The Secretary is further authorized to provide locality-based
             comparability payments (stated as a percentage) up to the amount of the locality-based comparability payment (stated as a
             percentage) that would be payable to such personnel under section 5304 of title 5, United States Code if such personnel's
             official duty station were in the District of Columbia. Leaves of absence for personnel under this subsection shall be on
             the same basis as that provided under subchapter I of chapter 63 of title 5, United States Code, or section 903 of the Foreign
             Service Act of 1980, to individuals serving in the Foreign Service.
          SEC. [213]212. (a) Authority.—Notwithstanding any other provision of law, the Director of NIH ("Director'') may use funds available under section 402(b)(7)
          or 402(b)(12) of the PHS Act to enter into transactions (other than contracts, cooperative agreements, or grants) to carry
          out research identified pursuant to such section 402(b)(7) (pertaining to the Common Fund) or research and activities described
          in such section 402(b)(12).
          (b) Peer Review.—In entering into transactions under subsection (a), the Director may utilize such peer review procedures (including consultation
             with appropriate scientific experts) as the Director determines to be appropriate to obtain assessments of scientific and
             technical merit. Such procedures shall apply to such transactions in lieu of the peer review and advisory council review procedures
             that would otherwise be required under sections 301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, and 494 of the PHS
             Act.
          SEC. [214]213. Funds which are available for Individual Learning Accounts for employees of CDC and the Agency for Toxic Substances and Disease
          Registry ("ATSDR'') may be transferred [to] between appropriate accounts of CDC, to be available only for Individual Learning Accounts: Provided, That such funds may be used for any individual full-time equivalent employee while such employee is employed either by CDC
          or ATSDR.SEC. [215]214. Not to exceed $45,000,000 of funds appropriated by this Act to the institutes and centers of the National Institutes of Health
          may be used for alteration, repair, or improvement of facilities, as necessary for the proper and efficient conduct of the
          activities authorized herein, at not to exceed $3,500,000 per project.'

          (transfer of funds)SEC. [216]215. Of the amounts made available for NIH, 1 percent of the amount made available for National Research Service Awards ("NRSA'')
          shall be made available to the Administrator of the Health Resources and Services Administration to make NRSA awards for research
          in primary medical care to individuals affiliated with entities who have received grants or contracts under section 747 of
          the PHS Act, and 1 percent of the amount made available for NRSA shall be made available to the Director of the Agency for
          Healthcare Research and Quality to make NRSA awards for health service research.[SEC. 217. None of the funds made available in this title may be used, in whole or in part, to advocate or promote gun control.][SEC. 218. (a) The Secretary shall establish a publicly accessible Web site to provide information regarding the uses of funds made available
          under section 4002 of the Patient Protection and Affordable Care Act of 2010 ("ACA'').
          (b) With respect to funds provided under section 4002 of the ACA, the Secretary shall include on the Web site established under
             subsection (a) at a minimum the following information:
             (1) In the case of each transfer of funds under section 4002(c), a statement indicating the program or activity receiving funds,
                the operating division or office that will administer the funds, and the planned uses of the funds, to be posted not later
                than the day after the transfer is made.

             (2) Identification (along with a link to the full text) of each funding opportunity announcement, request for proposals, or other
                announcement or solicitation of proposals for grants, cooperative agreements, or contracts intended to be awarded using such
                funds, to be posted not later than the day after the announcement or solicitation is issued.

             (3) Identification of each grant, cooperative agreement, or contract with a value of $25,000 or more awarded using such funds,
                including the purpose of the award and the identity of the recipient, to be posted not later than 5 days after the award is
                made.

             (4) A report detailing the uses of all funds transferred under section 4002(c) during the fiscal year, to be posted not later
                than 90 days after the end of the fiscal year.

          (c) With respect to awards made in fiscal years 2013 and 2014, the Secretary shall also include on the Web site established under
             subsection (a), semi-annual reports from each entity awarded a grant, cooperative agreement, or contract from such funds with
             a value of $25,000 or more, summarizing the activities undertaken and identifying any sub-grants or sub-contracts awarded
             (including the purpose of the award and the identity of the recipient), to be posted not later than 30 days after the end
             of each 6-month period.

          (d) In carrying out this section, the Secretary shall:
             (1) present the information required in subsection (b)(1) on a single webpage or on a single database;
             (2) ensure that all information required in this section is directly accessible from the single webpage or database; and
             (3) ensure that all information required in this section is able to be organized by program or State.]
          '

          (transfer of funds)[SEC. 219. (a) Within 45 days of enactment of this Act, the Secretary shall transfer funds appropriated under section 4002 of the Patient
          Protection and Affordable Care Act of 2010 ("ACA'') to the accounts specified, in the amounts specified, and for the activities
          specified under the heading "Prevention and Public Health Fund'' in the explanatory statement described in section 4 (in the
          matter preceding division A of this Consolidated Act) accompanying this Act.
          (b) Notwithstanding section 4002(c) of the ACA, the Secretary may not further transfer these amounts.
          (c) Funds transferred for activities authorized under section 2821 of the PHS Act shall be made available without reference to
             section 2821(b) of such Act.]SEC. [220]216. (a) The Biomedical Advanced Research and Development Authority ("BARDA'') may enter into a contract, for more than one but no
          more than 10 program years, for purchase of research services or of security countermeasures, as that term is defined in section
          319F-2(c)(1)(B) of the PHS Act (42 U.S.C. 247d-6b(c)(1)(B)), if—
          (1) funds are available and obligated—
             (A) for the full period of the contract or for the first fiscal year in which the contract is in effect; and
             (B) for the estimated costs associated with a necessary termination of the contract; and

          (2) the Secretary determines that a multi-year contract will serve the best interests of the Federal Government by encouraging
             full and open competition or promoting economy in administration, performance, and operation of BARDA's programs.

          (b) A contract entered into under this section:
             (1) shall include a termination clause as described by subsection (c) of section 3903 of title 41, United States Code; and
             (2) shall be subject to the congressional notice requirement stated in subsection (d) of such section.
          [SEC. 221. (a) The Secretary shall publish in the fiscal year 2015 budget justification and on Departmental Web sites information concerning
          the employment of full-time equivalent Federal employees or contractors for the purposes of implementing, administering, enforcing,
          or otherwise carrying out the provisions of the Patient Protection and Affordable Care Act of 2010 ("ACA''), and the amendments
          made by that Act, in the proposed fiscal year and the 4 prior fiscal years.
          (b) With respect to employees or contractors supported by all funds appropriated for purposes of carrying out the ACA (and the
             amendments made by that Act), the Secretary shall include, at a minimum, the following information:
             (1) For each such fiscal year, the section of such Act under which such funds were appropriated, a statement indicating the program,
                project, or activity receiving such funds, the Federal operating division or office that administers such program, and the
                amount of funding received in discretionary or mandatory appropriations.

             (2) For each such fiscal year, the number of full-time equivalent employees or contracted employees assigned to each authorized
                and funded provision detailed in accordance with paragraph (1).

          (c) In carrying out this section, the Secretary may exclude from the report employees or contractors who:
             (1) Are supported through appropriations enacted in laws other than the ACA and work on programs that existed prior to the passage
                of the ACA;

             (2) spend less than 50 percent of their time on activities funded by or newly authorized in the ACA;
             (3) or who work on contracts for which FTE reporting is not a requirement of their contract, such as fixed-price contracts.]
          [SEC. 222. In addition to the amounts otherwise available for "Centers for Medicare and Medicaid Services, Program Management'', the
          Secretary of Health and Human Services may transfer up to $305,000,000 to such account from the Federal Hospital Insurance
          Trust Fund and the Federal Supplementary Medical Insurance Trust Fund to support program management activity related to the
          Medicare Program: Provided, That except for the foregoing purpose, such funds may not be used to support any provision of Public Law 111–148 or Public
          Law 111–152 (or any amendment made by either such Public Law) or to supplant any other amounts within such account.]SEC. [223]217. In lieu of the timeframe specified in section 338E(c)(2) of the PHS Act, terminations described in such section may occur
          up to 60 days after the execution of a contract awarded in fiscal year [2014] 2015 under section 338B of such Act.[SEC. 224. The Secretary shall publish, as part of the fiscal year 2015 budget of the President submitted under section 1105(a) of title
          31, United States Code, information that details the uses of all funds used by the Centers for Medicare and Medicaid Services
          specifically for Health Insurance Marketplaces for each fiscal year since the enactment of the Patient Protection and Affordable
          Care Act (Public Law 111–148) and the proposed uses for such funds for fiscal year 2015. Such information shall include, for
          each such fiscal year—
          (1) the section(s) of such Act under which such funds were appropriated or used;
          (2) the program, project, or activity for which such funds were used;
          (3) the amount of funds that were used for the Health Insurance Marketplaces within each such program, project, or activity; and
          (4) the milestones completed for data hub functionality and implementation readiness.][SEC. 225. Activities authorized under part A of title IV and section 1108(b) of the Social Security Act (except for activities authorized
          in section 403(b)) shall continue through September 30, 2014, in the manner authorized for fiscal year 2013, and out of any
          money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary
          for such purpose.][SEC. 226. The Secretary shall include in the fiscal year 2016 budget justification an analysis of how section 2713 of the PHS Act will
          impact eligibility for discretionary HHS programs.]SEC. 218.  In the event of a public health emergency declared under section 319 of the PHS Act, the Secretary of HHS may, during the
                duration of the emergency, transfer discretionary funds (pursuant to the Balanced Budget and Emergency Deficit Control Act
                of 1985) which are appropriated in this Act for the current fiscal year for HHS between appropriations for costs of responding
                to and aiding in recovery from such public health emergency: Provided, That no appropriation may be reduced by more than 10
                percent under this section: Provided further, That the Committees on Appropriations of the House of Representatives and the
                Senate shall be promptly notified of such transfers: Provided further, That this transfer authority is in addition to any
                other transfer authority  (Department of Health and Human Services Appropriations Act, 2014.)