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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; [$4,443,356,000] $4,665,400,000: Provided, That of the amount provided under this heading, [$798,000,000] $826,072,000 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; [$128,282,000] $134,475,000 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; [$312,116,000] $320,029,000 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; [$21,014,000] $21,540,000 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; [$22,464,000] $22,140,000 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; [$6,944,000] $7,429,000 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; [$566,000,000] $599,000,000 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: Provided further, That in addition to 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 [2015] 2016 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 [2015] 2016, including any such fees collected prior to fiscal year [2015] 2016 but credited for fiscal year [2015] 2016, shall be subject to the fiscal year [2015] 2016 limitations: Provided further, That the Secretary may accept payment during fiscal year [2015] 2016 of user fees specified under this heading and authorized for fiscal year [2016] 2017, prior to the due date for such fees, and that amounts of such fees assessed for fiscal year [2016] 2017 for which the Secretary accepts payment in fiscal year [2015] 2016 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) $903,403,000 shall be for the Center for Food Safety and Applied Nutrition and
             related field activities in the Office of Regulatory Affairs; (2) $1,337,948,000 shall be for the Center for Drug Evaluation
             and Research and related field activities in the Office of Regulatory Affairs; (3) $344,267,000 shall be for the Center for
             Biologics Evaluation and Research and for related field activities in the Office of Regulatory Affairs; (4) $173,976,000 shall
             be for the Center for Veterinary Medicine and for related field activities in the Office of Regulatory Affairs; (5) $420,548,000
             shall be for the Center for Devices and Radiological Health and for related field activities in the Office of Regulatory Affairs;
             (6) $63,331,000 shall be for the National Center for Toxicological Research; (7) $531,527,000 shall be for the Center for
             Tobacco Products and for related field activities in the Office of Regulatory Affairs; (8) not to exceed $163,079,000 shall
             be for Rent and Related activities, of which $47,116,000 is for White Oak Consolidation, other than the amounts paid to the
             General Services Administration for rent; (9) not to exceed $227,674,000 shall be for payments to the General Services Administration
             for rent; and (10) $277,603,000 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 of the amounts that are made available under this heading for "other activities", and that are not derived from user
             fees, $1,500,000 shall be transferred to and merged with the appropriation for "Department of Health and Human Services—Office
             of Inspector General" for oversight of the programs and operations of the Food and Drug Administration and shall be in addition
             to funds otherwise made available for oversight of the Food and Drug Administration:] 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,
             priority review user fees authorized by 21 U.S.C. 360n and 360ff, 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 distributor 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), and third-party auditor fees authorized by 21 U.S.C. 384d(C)(8) shall be credited to this account, to remain available until expended.
          [For an additional amount for "Salaries and Expenses", to prevent, prepare for, and respond to the Ebola virus domestically
             and internationally, and to develop necessary medical countermeasures and vaccines, including the review, regulations, post
             market surveillance of vaccines and therapies, and administrative activities, $25,000,000, to remain available until expended:
             Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced
             Budget and Emergency Deficit Control Act of 1985: Provided further, That of the amounts provided, $4,800,000 is for the Center for Biologics Evaluation and Research; $2,400,000 is for the
             Center for Devices and Radiological Health; $400,000 is for the Office of the Commissioner; $1,900,000 is for the Center for
             Drug Evaluation and Research; $500,000 is for the Office of Regulatory Affairs; and $15,000,000 is for the Medical Countermeasures
             Initiative.]
             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, 2015.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–9911–0–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year
                      1
                      1
                      2

                      Receipts:

                      0220
                      Cooperative Research and Development Agreements, FDA
                      2
                      3
                      3

                      0400
                      Total: Balances and collections
                      3
                      4
                      5

                      Appropriations:

                      0500
                      Salaries and Expenses
                      –2
                      –2
                      –2

                      0799
                      Balance, end of year
                      1
                      2
                      3

          Program and Financing (in millions of dollars)

                      Identification code 075–9911–0–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Foods
                      883
                      903
                      987

                      0002
                      Drugs
                      466
                      482
                      485

                      0003
                      Devices and Radiological Products
                      321
                      321
                      328

                      0004
                      National Center for Toxicological Research
                      62
                      63
                      59

                      0005
                      Other Activities
                      172
                      175
                      181

                      0006
                      Other Rent and Rent Related Activities
                      133
                      116
                      137

                      0007
                      Rental Payments
                      162
                      169
                      177

                      0008
                      Buildings and Facilities
                      8
                      9
                      9

                      0009
                      CRADAs
                      2
                      2
                      2

                      0010
                      Animal Drugs and Feed
                      142
                      148
                      166

                      0011
                      Biologics
                      211
                      211
                      215

                      0012
                      Food and Drug Safety (no-year)
                      24

                      0799
                      Total direct obligations
                      2,586
                      2,599
                      2,746

                      0801
                      Reimbursable program (User fees)
                      1,707
                      1,901
                      2,177

                      0802
                      Reimbursable program (Federal sources)
                      38

                      0803
                      Reimbursable program (Refund Sequester collections - User fee)
                      8

                      0899
                      Total reimbursable obligations
                      1,753
                      1,901
                      2,177

                      0900
                      Total new obligations
                      4,339
                      4,500
                      4,923

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      670
                      974
                      997

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      4

                      1021
                      Recoveries of prior year unpaid obligations
                      4

                      1050
                      Unobligated balance (total)
                      674
                      974
                      997

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      2,561
                      2,597
                      2,744

                      1100
                      Appropriation- Emergency pursuant to  2011 BCA [EBOLA]

                      25

                      1120
                      Appropriations transferred to other accts [075–0128]

                      –2

                      1160
                      Appropriation, discretionary (total)
                      2,561
                      2,620
                      2,744

                      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
                      1,931
                      1,901
                      1,978

                      1701
                      Change in uncollected payments, Federal sources
                      22

                      1702
                      Offsetting collections (previously unavailable)
                      605
                      333
                      333

                      1725
                      Spending authority from offsetting collections precluded from obligation (limitation on obligations)
                      –494
                      –333
                      –333

                      1750
                      Spending auth from offsetting collections, disc (total)
                      2,064
                      1,901
                      1,978

                      Spending authority from offsetting collections, mandatory:

                      1802
                      Offsetting collections (previously unavailable)
                      12

                      1850
                      Spending auth from offsetting collections, mand (total)
                      12

                      1900
                      Budget authority (total)
                      4,639
                      4,523
                      4,724

                      1930
                      Total budgetary resources available
                      5,313
                      5,497
                      5,721

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      974
                      997
                      798

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      2,319
                      2,676
                      2,334

                      3010
                      Obligations incurred, unexpired accounts
                      4,339
                      4,500
                      4,923

                      3011
                      Obligations incurred, expired accounts
                      6

                      3020
                      Outlays (gross)
                      –3,915
                      –4,842
                      –4,752

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –4

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –69

                      3050
                      Unpaid obligations, end of year
                      2,676
                      2,334
                      2,505

                      Uncollected payments:

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

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –22

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      22

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

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2,268
                      2,625
                      2,283

                      3200
                      Obligated balance, end of year
                      2,625
                      2,283
                      2,454

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      4,625
                      4,521
                      4,722

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,513
                      3,430
                      3,579

                      4011
                      Outlays from discretionary balances
                      1,401
                      1,410
                      1,171

                      4020
                      Outlays, gross (total)
                      3,914
                      4,840
                      4,750

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –33
                      –1
                      –1

                      4033
                      Non-Federal sources
                      –1,915
                      –1,900
                      –1,977

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –1,948
                      –1,901
                      –1,978

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –22

                      4052
                      Offsetting collections credited to expired accounts
                      17

                      4060
                      Additional offsets against budget authority only (total)
                      –5

                      4070
                      Budget authority, net (discretionary)
                      2,672
                      2,620
                      2,744

                      4080
                      Outlays, net (discretionary)
                      1,966
                      2,939
                      2,772

                      Mandatory:

                      4090
                      Budget authority, gross
                      14
                      2
                      2

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      2
                      2

                      4180
                      Budget authority, net (total)
                      2,686
                      2,622
                      2,746

                      4190
                      Outlays, net (total)
                      1,967
                      2,941
                      2,774

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections
                      664
                      541
                      541

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      541
                      541
                      541

             [In millions of dollars]

                         2014
                         2015
                         2016

                         Distribution of discretionary budget authority by account:

                         Salaries and expenses
                         2,575
                         2,611
                         2,734

                         Buildings and facilities
                         8
                         9
                         9

                         Distribution of discretionary outlays by account:

                         Salaries and expenses
                         1,726
                         2,930
                         2,763

                         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 responsibility 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 2016 Budget provides funding to support food and medical
                product safety, including implementation of the Food Safety Modernization Act and the Food and Drug Administration Safety
                and Innovation Act, encourage development of innovative diagnostics and theraputics, promote development of medical countermeasures,
                and maintain the integrity of operations and infrastructure. In addition, the FY 2015 funding level for FDA includes $25 million
                in one-time emergency funding for the U.S. Government response to contain, treat, and prevent the spread of Ebola.

              The President is again asking Congress to revive an authority enabling him to submit fast-track proposals to reorganize or
                consolidate Federal programs and agencies in order to reduce the size of Government or cut costs. The Budget includes a variety
                of proposed reforms across government designed to drive efficiency and accountability, prevent duplication, and make government
                work better and smarter for the American people. One of these reorganizations the President would propose with this authority
                is to consolidate the USDA's Food Safety Inspection Service and the food safety components of the Food and Drug Administration
                at HHS to create a new agency at HHS. This consolidation could deliver a "one-stop" shop for most of the issues that mean
                the most for consumers and industry and provide centralized leadership to allocate resources strategically across all food
                products. The Budget schedules for these agencies and programs continue to reflect them in their current alignment.

          Object Classification (in millions of dollars)

                      Identification code 075–9911–0–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      819
                      842
                      883

                      11.3
                      Other than full-time permanent
                      95
                      98
                      102

                      11.5
                      Other personnel compensation
                      55
                      56
                      59

                      11.7
                      Military personnel
                      64
                      66
                      67

                      11.8
                      Special personal services payments
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      1,034
                      1,063
                      1,112

                      12.1
                      Civilian personnel benefits
                      290
                      298
                      312

                      12.2
                      Military personnel benefits
                      34
                      35
                      35

                      21.0
                      Travel and transportation of persons
                      44
                      43
                      46

                      22.0
                      Transportation of things
                      3
                      3
                      3

                      23.1
                      Rental payments to GSA
                      162
                      169
                      177

                      23.2
                      Rental payments to others
                      2
                      2
                      2

                      23.3
                      Communications, utilities, and miscellaneous charges
                      49
                      47
                      51

                      24.0
                      Printing and reproduction
                      1
                      1
                      2

                      25.1
                      Advisory and assistance services
                      51
                      49
                      53

                      25.2
                      Other services from non-Federal sources
                      399
                      388
                      417

                      25.3
                      Other goods and services from Federal sources
                      140
                      135
                      145

                      25.4
                      Operation and maintenance of facilities
                      110
                      107
                      115

                      25.5
                      Research and development contracts
                      21
                      20
                      21

                      25.7
                      Operation and maintenance of equipment
                      32
                      31
                      33

                      26.0
                      Supplies and materials
                      41
                      40
                      43

                      31.0
                      Equipment
                      66
                      63
                      68

                      32.0
                      Land and structures
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      105
                      101
                      109

                      42.0
                      Insurance claims and indemnities
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      2,586
                      2,597
                      2,746

                      99.0
                      Reimbursable obligations
                      1,753
                      1,903
                      2,177

                      99.9
                      Total new obligations
                      4,339
                      4,500
                      4,923

          Employment Summary

                      Identification code 075–9911–0–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      9,246
                      9,420
                      9,537

                      1101
                      Direct military average strength employment
                      696
                      712
                      712

                      2001
                      Reimbursable civilian full-time equivalent employment
                      4,338
                      5,392
                      5,855

                      2101
                      Reimbursable military average strength employment
                      327
                      335
                      335

                      3001
                      Allocation account civilian full-time equivalent employment
                      38
                      38
                      38

                      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 shall assess an increase in export certification user fees otherwise
                appropriated under this heading, and such fees shall be credited to this account and remain available until expended.
          Program and Financing (in millions of dollars)

                      Identification code 075–9911–2–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Food Facility Registration and Inspection

                      60

                      0802
                      Food Import

                      103

                      0803
                      International Courier

                      6

                      0804
                      Food Contact Substance Notification

                      5

                      0805
                      Cosmetics

                      20

                      0806
                      Export Certification fee increase

                      4

                      0900
                      Total new obligations

                      198

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected

                      198

                      1750
                      Spending auth from offsetting collections, disc (total)

                      198

                      1930
                      Total budgetary resources available

                      198

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      198

                      3020
                      Outlays (gross)

                      –198

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      198

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      198

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4033
                      Non-Federal sources

                      –198

             The FY 2016 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 $103 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 proposes user fees
                to support activities related to cosmetics and food contact notification activities, and fees to support inspection-related
                activities at domestic courier facilities. The Budget also includes a proposal to allow FDA to increase the funding cap for
                the export certification fee from $175 to $600 per certification to ensure that FDA can efficiently implement the export certification
                program.

          Object Classification (in millions of dollars)

                      Identification code 075–9911–2–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Reimbursable obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      152

                      11.3
                      Other than full-time permanent

                      30

                      11.5
                      Other personnel compensation

                      8

                      11.9
                      Total personnel compensation

                      190

                      25.1
                      Advisory and assistance services

                      8

                      99.9
                      Total new obligations

                      198

          Employment Summary

                      Identification code 075–9911–2–1–554
                      2014 actual
                      2015 est.
                      2016 est.

                      2001
                      Reimbursable civilian full-time equivalent employment

                      242

             Revolving Fund for Certification and Other Services

             Program and Financing (in millions of dollars)

                      Identification code 075–4309–0–3–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Revolving Fund for Certification and Other Services (Reimbursable)
                      8
                      9
                      10

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      5
                      4
                      3

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      8
                      8
                      9

                      1802
                      Offsetting collections (previously unavailable)

                      1
                      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)
                      7
                      8
                      10

                      1900
                      Budget authority (total)
                      7
                      8
                      10

                      1930
                      Total budgetary resources available
                      12
                      12
                      13

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      4
                      3
                      3

                      Change in obligated balance:

                      Unpaid obligations:

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

                      3010
                      Obligations incurred, unexpired accounts
                      8
                      9
                      10

                      3020
                      Outlays (gross)
                      –8
                      –10
                      –10

                      3050
                      Unpaid obligations, end of year
                      2
                      1
                      1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2
                      2
                      1

                      3200
                      Obligated balance, end of year
                      2
                      1
                      1

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      7
                      8
                      10

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      8
                      10

                      4101
                      Outlays from mandatory balances
                      8
                      2

                      4110
                      Outlays, gross (total)
                      8
                      10
                      10

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –8
                      –8
                      –9

                      4180
                      Budget authority, net (total)
                      –1

                      1

                      4190
                      Outlays, net (total)

                      2
                      1

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections

                      1
                      1

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      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 075–4309–0–3–554
                      2014 actual
                      2015 est.
                      2016 est.

                      Reimbursable obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      4
                      5
                      6

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      1
                      1
                      1

                      25.7
                      Operation and maintenance of equipment
                      1
                      1
                      1

                      31.0
                      Equipment
                      1
                      1
                      1

                      99.9
                      Total new obligations
                      8
                      9
                      10

          Employment Summary

                      Identification code 075–4309–0–3–554
                      2014 actual
                      2015 est.
                      2016 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      36
                      37
                      37

             Health Resources and Services Administration

             Federal Funds
             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, [$1,491,522,000] $1,491,522,000: Provided, That no more than [$100,000] $100,000 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 [$99,893,000] $99,893,000 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 2015, not less than $165,000,000 shall be obligated in fiscal year 2015 as base grant adjustments, not
             less than $350,000,000 shall be obligated in fiscal year 2015 to support new access points including approved and unfunded
             applications from fiscal year 2014, grants to expand medical services, behavioral health, oral health, pharmacy, and vision
             services, and up to $150,000,000 shall be obligated in fiscal year 2015 for construction and capital improvement costs].
             Health workforceFor carrying out titles III, VII, and VIII of the PHS Act with respect to the health workforce, sections 1128E and 1921(b) of the Social Security Act, and the Health Care Quality Improvement Act of 1986, [$751,600,000] $856,820,000: Provided, That $287,370,000, 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 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, of the amount appropriated under this heading, $100,000,000 shall be for payments to children's hospitals
                pursuant to section 340E of the PHS Act, all of which shall be for payments for direct graduate medical education as described
                in section 340E(c).
             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, [$851,738,000] $851,738,000: Provided, That notwithstanding sections 502(a)(1) and 502(b)(1) of the Social Security Act, not more than [$77,093,000] $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] $10,276,000 shall be available for projects described in subparagraphs (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, [$2,318,781,000] $2,322,781,000, of which [$1,970,881,000] $1,970,881,000 shall remain available to the Secretary through September 30, [2017] 2018, 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.
             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] $110,193,000, 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, [$147,471,000] $127,562,000, of which [$41,609,000] $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 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] $300,000,000: 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, [$154,000,000] $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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0350–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0009
                      Free Clinics Medical Malpractice
                      1

                      0010
                      Health Centers
                      1,397
                      1,392
                      1,392

                      0012
                      National Health Service Corps

                      287

                      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
                      80
                      82
                      82

                      0017
                      Health Professions
                      387
                      403
                      386

                      0018
                      Maternal and Child Health Block Grant
                      632
                      637
                      637

                      0019
                      Healthy Start
                      101
                      102
                      102

                      0020
                      Poison Control Centers
                      19
                      19
                      19

                      0021
                      EMS for Children
                      20
                      20
                      20

                      0022
                      Universal Newborn Hearing Screening
                      18
                      18
                      18

                      0023
                      HIV/AIDS
                      2,290
                      2,319
                      2,323

                      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
                      57
                      59
                      59

                      0028
                      Rural Health Flexibility Grants
                      40
                      42
                      26

                      0030
                      Telehealth
                      14
                      15
                      15

                      0031
                      Program Management
                      153
                      154
                      157

                      0032
                      Family Planning
                      286
                      286
                      300

                      0033
                      Loan Repayment/Faculty Fellowship
                      1
                      1
                      1

                      0035
                      Health Centers Tort Claim Fund
                      81
                      100
                      100

                      0036
                      Heritable Disorders
                      12
                      14
                      14

                      0038
                      Childrens' GME
                      264
                      265
                      100

                      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
                      47
                      47
                      47

                      0046
                      Cord Blood Stem Cell Bank
                      11
                      11
                      11

                      0048
                      Sickle Cell
                      4
                      4
                      4

                      0049
                      Drug Pricing Program
                      10
                      10
                      17

                      0050
                      Family to Family Health Information Centers ACA
                      5
                      3

                      0073
                      Health Centers ACA
                      2,152
                      2,968
                      178

                      0074
                      Health Centers Construction ACA
                      38

                      0075
                      National Health Service Corps ACA
                      281
                      287

                      0076
                      School Based Health Centers ACA
                      1
                      3

                      0077
                      GME Payments THC ACA
                      60
                      105

                      0079
                      Rural Health AED
                      3
                      5

                      0300
                      Total direct programs
                      8,563
                      9,471
                      6,395

                      0799
                      Total direct obligations
                      8,563
                      9,471
                      6,395

                      0801
                      Health Resources and Services (Reimbursable)
                      56
                      57
                      64

                      0802
                      Reimbursable program: PHS evaluation
                      25

                      0899
                      Total reimbursable obligations
                      81
                      57
                      64

                      0900
                      Total new obligations
                      8,644
                      9,528
                      6,459

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      361
                      298
                      726

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      123

                      1021
                      Recoveries of prior year unpaid obligations
                      26

                      1050
                      Unobligated balance (total)
                      387
                      298
                      726

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      6,054
                      6,105
                      6,218

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –10

                      1120
                      Appropriations transferred to other accts [075–1503]
                      –5

                      1160
                      Appropriation, discretionary (total)
                      6,039
                      6,105
                      6,218

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      2,510
                      3,799

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

                      1260
                      Appropriations, mandatory (total)
                      2,433
                      3,799

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      30
                      35
                      43

                      1701
                      Change in uncollected payments, Federal sources
                      38

                      1702
                      Offsetting collections (previously unavailable)
                      1

                      1750
                      Spending auth from offsetting collections, disc (total)
                      69
                      35
                      43

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Offsetting collections (cash)(HPSL&NSL)
                      17
                      17
                      17

                      1802
                      Offsetting collections (previously unavailable)

                      1
                      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)
                      16
                      17
                      18

                      1900
                      Budget authority (total)
                      8,557
                      9,956
                      6,279

                      1930
                      Total budgetary resources available
                      8,944
                      10,254
                      7,005

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –2

                      1941
                      Unexpired unobligated balance, end of year
                      298
                      726
                      546

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,239
                      6,233
                      6,952

                      3010
                      Obligations incurred, unexpired accounts
                      8,644
                      9,528
                      6,459

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –8,530
                      –8,809
                      –8,215

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –26

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –95

                      3050
                      Unpaid obligations, end of year
                      6,233
                      6,952
                      5,196

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –74
                      –67
                      –67

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –38

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      45

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –67
                      –67
                      –67

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,165
                      6,166
                      6,885

                      3200
                      Obligated balance, end of year
                      6,166
                      6,885
                      5,129

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      6,108
                      6,140
                      6,261

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,259
                      2,310
                      2,367

                      4011
                      Outlays from discretionary balances
                      3,642
                      3,492
                      3,816

                      4020
                      Outlays, gross (total)
                      5,901
                      5,802
                      6,183

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –43
                      –15
                      –15

                      4033
                      Non-Federal sources
                      –28
                      –20
                      –20

                      4033
                      Non-Federal sources

                      –8

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –71
                      –35
                      –43

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –38

                      4052
                      Offsetting collections credited to expired accounts
                      41

                      4060
                      Additional offsets against budget authority only (total)
                      3

                      4070
                      Budget authority, net (discretionary)
                      6,040
                      6,105
                      6,218

                      4080
                      Outlays, net (discretionary)
                      5,830
                      5,767
                      6,140

                      Mandatory:

                      4090
                      Budget authority, gross
                      2,449
                      3,816
                      18

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1,241
                      1,486
                      18

                      4101
                      Outlays from mandatory balances
                      1,388
                      1,521
                      2,014

                      4110
                      Outlays, gross (total)
                      2,629
                      3,007
                      2,032

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –17
                      –17
                      –17

                      4180
                      Budget authority, net (total)
                      8,472
                      9,904
                      6,219

                      4190
                      Outlays, net (total)
                      8,442
                      8,757
                      8,155

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections
                      1
                      1
                      1

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      1
                      1

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

                      Identification code 075–0350–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Guaranteed loan levels supportable by subsidy budget authority:

                      215001
                      Health centers: Facilities renovation loan guarantee levels
                      3
                      6
                      4

                      215999
                      Total loan guarantee levels
                      3
                      6
                      4

                      Guaranteed loan subsidy (in percent):

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

                      232999
                      Weighted average subsidy rate
                      2.81
                      2.67
                      2.67

             Resources displayed here support categorical grants and contracts managed by Health Resources and Services Administration
                (HRSA). These activities include support for 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 2016 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 075–0350–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      158
                      175
                      159

                      11.3
                      Other than full-time permanent
                      6
                      6
                      6

                      11.5
                      Other personnel compensation
                      3
                      3
                      3

                      11.7
                      Military personnel
                      18
                      18
                      13

                      11.9
                      Total personnel compensation
                      185
                      202
                      181

                      12.1
                      Civilian personnel benefits
                      48
                      53
                      48

                      12.2
                      Military personnel benefits
                      10
                      10
                      7

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      23.1
                      Rental payments to GSA
                      22
                      26
                      22

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      7
                      6
                      5

                      25.1
                      Advisory and assistance services
                      14
                      13
                      13

                      25.2
                      Other services from non-Federal sources
                      136
                      134
                      125

                      25.3
                      Other goods and services from Federal sources
                      254
                      250
                      170

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      25.6
                      Medical care
                      3
                      3
                      3

                      25.7
                      Operation and maintenance of equipment
                      42
                      42
                      41

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      31.0
                      Equipment
                      3
                      3
                      3

                      41.0
                      Grants, subsidies, and contributions
                      7,762
                      8,632
                      5,680

                      42.0
                      Insurance claims and indemnities
                      72
                      92
                      92

                      99.0
                      Direct obligations
                      8,563
                      9,471
                      6,395

                      99.0
                      Reimbursable obligations
                      81
                      57
                      64

                      99.9
                      Total new obligations
                      8,644
                      9,528
                      6,459

          Employment Summary

                      Identification code 075–0350–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,555
                      1,688
                      1,500

                      1101
                      Direct military average strength employment
                      182
                      182
                      131

                      2001
                      Reimbursable civilian full-time equivalent employment
                      58
                      62
                      68

                      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 075–0350–4–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Targeted Support GME

                      400

                      0073
                      Health Centers

                      2,700

                      0075
                      National Health Service Corps

                      523

                      0300
                      Total direct programs

                      3,623

                      0900
                      Total new obligations

                      3,623

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      3,623

                      1260
                      Appropriations, mandatory (total)

                      3,623

                      1900
                      Budget authority (total)

                      3,623

                      1930
                      Total budgetary resources available

                      3,623

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      3,623

                      3020
                      Outlays (gross)

                      –1,652

                      3050
                      Unpaid obligations, end of year

                      1,971

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      1,971

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      3,623

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      1,652

                      4180
                      Budget authority, net (total)

                      3,623

                      4190
                      Outlays, net (total)

                      1,652

          Object Classification (in millions of dollars)

                      Identification code 075–0350–4–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      28

                      11.3
                      Other than full-time permanent

                      1

                      11.7
                      Military personnel

                      5

                      11.9
                      Total personnel compensation

                      34

                      12.1
                      Civilian personnel benefits

                      9

                      12.2
                      Military personnel benefits

                      3

                      23.1
                      Rental payments to GSA

                      4

                      23.3
                      Communications, utilities, and miscellaneous charges

                      1

                      25.2
                      Other services from non-Federal sources

                      14

                      25.3
                      Other goods and services from Federal sources

                      77

                      41.0
                      Grants, subsidies, and contributions

                      3,481

                      99.9
                      Total new obligations

                      3,623

          Employment Summary

                      Identification code 075–0350–4–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      264

                      1101
                      Direct military average strength employment

                      50

             Vaccine Injury Compensation

             Program and Financing (in millions of dollars)

                      Identification code 075–0320–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      19
                      23
                      23

                      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
                      23
                      23
                      23

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      23
                      23
                      23

                      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 075–0343–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Claims
                      5
                      3
                      2

                      0103
                      Admin Expense

                      2
                      1

                      0900
                      Total new obligations
                      5
                      5
                      3

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      2

                      1011
                      Unobligated balance transfer from other acct [075–0140]
                      5
                      3
                      3

                      1050
                      Unobligated balance (total)
                      7
                      5
                      3

                      1930
                      Total budgetary resources available
                      7
                      5
                      3

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      2
                      2
                      3

                      3010
                      Obligations incurred, unexpired accounts
                      5
                      5
                      3

                      3020
                      Outlays (gross)
                      –5
                      –4
                      –4

                      3050
                      Unpaid obligations, end of year
                      2
                      3
                      2

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2
                      2
                      3

                      3200
                      Obligated balance, end of year
                      2
                      3
                      2

                      Budget authority and outlays, net:

                      Discretionary:

                      Outlays, gross:

                      4011
                      Outlays from discretionary balances
                      5
                      4
                      4

                      4190
                      Outlays, net (total)
                      5
                      4
                      4

             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 075–0343–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1

                      25.2
                      Other services from non-Federal sources
                      1
                      1
                      1

                      42.0
                      Insurance claims and indemnities
                      2
                      3
                      1

                      99.0
                      Direct obligations
                      4
                      4
                      2

                      99.5
                      Below reporting threshold
                      1
                      1
                      1

                      99.9
                      Total new obligations
                      5
                      5
                      3

          Employment Summary

                      Identification code 075–0343–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      4
                      6
                      6

                      1101
                      Direct military average strength employment
                      2
                      2
                      2

             Maternal, Infant, and Early Childhood Home Visiting Programs
          Program and Financing (in millions of dollars)

                      Identification code 075–0321–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0010
                      Maternal, Infant, and Early Childhood Home Visiting Programs
                      394
                      422

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      25
                      27
                      5

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      25

                      1050
                      Unobligated balance (total)
                      50
                      27
                      5

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      400
                      400

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

                      1260
                      Appropriations, mandatory (total)
                      371
                      400

                      1930
                      Total budgetary resources available
                      421
                      427
                      5

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      27
                      5
                      5

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      654
                      703
                      803

                      3010
                      Obligations incurred, unexpired accounts
                      394
                      422

                      3020
                      Outlays (gross)
                      –320
                      –322
                      –367

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –25

                      3050
                      Unpaid obligations, end of year
                      703
                      803
                      436

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      654
                      703
                      803

                      3200
                      Obligated balance, end of year
                      703
                      803
                      436

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      371
                      400

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      6
                      16

                      4101
                      Outlays from mandatory balances
                      314
                      306
                      367

                      4110
                      Outlays, gross (total)
                      320
                      322
                      367

                      4180
                      Budget authority, net (total)
                      371
                      400

                      4190
                      Outlays, net (total)
                      320
                      322
                      367

             P.L. 113–93 provides resources to Maternal, Infant and Early Childhood Home Visiting Program through 2015 to provide comprehensive
                services for at risk communities. The 2016 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 075–0321–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      2
                      2

                      11.7
                      Military personnel
                      1
                      1

                      11.9
                      Total personnel compensation
                      3
                      3

                      12.1
                      Civilian personnel benefits
                      1
                      1

                      25.1
                      Advisory and assistance services
                      19
                      19

                      41.0
                      Grants, subsidies, and contributions
                      371
                      399

                      99.9
                      Total new obligations
                      394
                      422

          Employment Summary

                      Identification code 075–0321–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      18
                      18

                      1101
                      Direct military average strength employment
                      4
                      4

             Maternal, Infant, and Early Childhood Home Visiting Programs

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

                      Identification code 075–0321–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0010
                      Maternal, Infant, and Early Childhood Home Visiting Programs

                      500

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      500

                      1260
                      Appropriations, mandatory (total)

                      500

                      1930
                      Total budgetary resources available

                      500

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      500

                      3020
                      Outlays (gross)

                      –20

                      3050
                      Unpaid obligations, end of year

                      480

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      480

                      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

              P.L. 113–93 provides resources to Maternal, Infant and Early Childhood Home Visiting Program through 2015 to provide comprehensive
                services for at risk communities. The 2016 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 075–0321–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      2

                      11.7
                      Military personnel

                      1

                      11.9
                      Total personnel compensation

                      3

                      12.1
                      Civilian personnel benefits

                      1

                      25.1
                      Advisory and assistance services

                      19

                      41.0
                      Grants, subsidies, and contributions

                      477

                      99.9
                      Total new obligations

                      500

          Employment Summary

                      Identification code 075–0321–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      18

                      1101
                      Direct military average strength employment

                      4

             Health Center Guaranteed Loan Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 075–4442–0–3–551
                      2014 actual
                      2015 est.
                      2016 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 075–4442–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Position with respect to appropriations act limitation on commitments:

                      2121
                      Limitation available from carry-forward
                      18
                      15
                      9

                      2143
                      Uncommitted limitation carried forward
                      –15
                      –9
                      –5

                      2150
                      Total guaranteed loan commitments
                      3
                      6
                      4

                      2199
                      Guaranteed amount of guaranteed loan commitments
                      3
                      5
                      3

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      77
                      80
                      75

                      2231
                      Disbursements of new guaranteed loans
                      3
                      6
                      4

                      2251
                      Repayments and prepayments

                      –10
                      –10

                      2263
                      Adjustments: Terminations for default that result in claim payments

                      –1
                      –1

                      2290
                      Outstanding, end of year
                      80
                      75
                      68

                      Memorandum:

                      2299
                      Guaranteed amount of guaranteed loans outstanding, end of year
                      80
                      75
                      68

             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. 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 075–4442–0–3–551
                      2013 actual
                      2014 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

             Program and Financing (in millions of dollars)

                      Identification code 075–0340–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0709
                      Administrative expenses
                      2

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3

                      1120
                      Appropriations transferred to other accts [091–0202]
                      –1

                      1160
                      Appropriation, discretionary (total)
                      2

                      1900
                      Budget authority (total)
                      2

                      1930
                      Total budgetary resources available
                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1

                      3010
                      Obligations incurred, unexpired accounts
                      2

                      3020
                      Outlays (gross)
                      –3

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2

                      4011
                      Outlays from discretionary balances
                      1

                      4020
                      Outlays, gross (total)
                      3

                      4180
                      Budget authority, net (total)
                      2

                      4190
                      Outlays, net (total)
                      3

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

                      Identification code 075–0340–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Guaranteed loan reestimates:

                      235001
                      HEAL Loan guarantee
                      –43

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

          Object Classification (in millions of dollars)

                      Identification code 075–0340–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1

                      25.3
                      Other goods and services from Federal sources
                      1

                      99.9
                      Total new obligations
                      2

          Employment Summary

                      Identification code 075–0340–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      10

             Health Education Assistance Loans Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 075–4304–0–3–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0711
                      Default claim payments on principal
                      2

                      0742
                      Downward reestimate paid to receipt account
                      18

                      0743
                      Interest on downward reestimates
                      26

                      0900
                      Total new obligations
                      46

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      108

                      1010
                      Unobligated balance transfer to other accts [091–4300]
                      –62

                      1050
                      Unobligated balance (total)
                      46

                      Financing authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      5

                      1810
                      Spending authority from offsetting collections transferred to other accounts [091–4300]
                      –5

                      1930
                      Total budgetary resources available
                      46

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts
                      46

                      3020
                      Financing disbursements (gross)
                      –46

                      Financing authority and disbursements, net:

                      Mandatory:

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      46

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4123
                      Recoveries of defaulted loans
                      –5

                      4180
                      Financing authority, net (total)
                      –5

                      4190
                      Financing disbursements, net (total)
                      41

          Status of Guaranteed Loans (in millions of dollars)

                      Identification code 075–4304–0–3–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      350

                      Adjustments:

                      2261
                      Terminations for default that result in loans receivable
                      –2

                      2264
                      Other adjustments, net
                      –348

                      2290
                      Outstanding, end of year

                      Addendum:

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

                      2310
                      Outstanding, start of year
                      192

                      2364
                      Other adjustments, net
                      –192

                      2390
                      Outstanding, end of year

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

          Balance Sheet (in millions of dollars)

                      Identification code 075–4304–0–3–552
                      2013 actual
                      2014 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      108

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

                      1501
                      Defaulted guaranteed loans receivable, gross
                      192

                      1505
                      Allowance for subsidy cost (-)
                      –144

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

                      1999
                      Total assets
                      156

                      LIABILITIES:

                      2204
                      Non-Federal liabilities: Liabilities for loan guarantees
                      156

                      4999
                      Total liabilities and net position
                      156

             Health Education Assistance Loans Liquidating Account

             Program and Financing (in millions of dollars)

                      Identification code 075–4305–0–3–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1

                      1220
                      Appropriations transferred to other accts [091–4299]
                      –1

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      6

                      1810
                      Spending authority from offsetting collections transferred to other accounts [091–4299]
                      –6

                      Budget authority and outlays, net:

                      Mandatory:

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –6

                      4180
                      Budget authority, net (total)
                      –6

                      4190
                      Outlays, net (total)
                      –6

          Status of Guaranteed Loans (in millions of dollars)

                      Identification code 075–4305–0–3–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Cumulative balance of guaranteed loans outstanding:

                      2210
                      Outstanding, start of year
                      49

                      2264
                      Adjustments: Other adjustments, net
                      –49

                      2290
                      Outstanding, end of year

                      Addendum:

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

                      2310
                      Outstanding, start of year
                      331

                      2364
                      Other adjustments, net
                      –331

                      2390
                      Outstanding, end of year

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

          Balance Sheet (in millions of dollars)

                      Identification code 075–4305–0–3–552
                      2013 actual
                      2014 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      1

                      1701
                      Defaulted guaranteed loans, gross
                      331

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

                      1799
                      Value of assets related to loan guarantees
                      83

                      1999
                      Total assets
                      84

                      LIABILITIES:

                      2104
                      Federal liabilities: Resources payable to Treasury
                      82

                      2204
                      Non-Federal liabilities: Liabilities for loan guarantees
                      2

                      2999
                      Total liabilities
                      84

                      4999
                      Total liabilities and net position
                      84

             Medical Facilities Guarantee and Loan Fund

             Status of Direct Loans (in millions of dollars)

                      Identification code 075–9931–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year
                      7
                      6
                      6

                      1251
                      Repayments: Repayments and prepayments
                      –1

                      1290
                      Outstanding, end of year
                      6
                      6
                      6

             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 075–9931–0–3–551
                      2013 actual
                      2014 actual

                      ASSETS:

                      1601
                      Direct loans, gross
                      7
                      6

                      1999
                      Total assets
                      7
                      6

                      LIABILITIES:

                      2201
                      Non-Federal liabilities: Accounts payable
                      7
                      6

                      4999
                      Total liabilities and net position
                      7
                      6

          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 [$7,500,000] $7,500,000 shall be available from the Trust Fund to the Secretary. (Department of Health and Human Services Appropriations Act, 2015.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–8175–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year
                      3,244
                      3,356
                      3,403

                      Receipts:

                      0200
                      Deposits, Vaccine Injury Compensation Trust Fund
                      243
                      242
                      250

                      0240
                      Interest and Profits on Investments, Vaccine Injury Compensation Trust Fund
                      108
                      56
                      90

                      0299
                      Total receipts and collections
                      351
                      298
                      340

                      0400
                      Total: Balances and collections
                      3,595
                      3,654
                      3,743

                      Appropriations:

                      0500
                      Vaccine Injury Compensation Program Trust Fund
                      –18
                      –21
                      –23

                      0501
                      Vaccine Injury Compensation Program Trust Fund
                      –221
                      –230
                      –237

                      0599
                      Total appropriations
                      –239
                      –251
                      –260

                      0799
                      Balance, end of year
                      3,356
                      3,403
                      3,483

          Program and Financing (in millions of dollars)

                      Identification code 075–8175–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Compensation: Claims for post - FY 1989 injuries
                      224
                      230
                      237

                      0103
                      Claims processing (Claims Court)
                      4
                      5
                      6

                      0104
                      Claims processing (HRSA)
                      6
                      8
                      8

                      0105
                      Claims processing (Dept. of Justice)
                      8
                      8
                      9

                      0191
                      Total, administrative expenses
                      18
                      21
                      23

                      0900
                      Total new obligations
                      242
                      251
                      260

                      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
                      21
                      23

                      1160
                      Appropriation, discretionary (total)
                      18
                      21
                      23

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      221
                      230
                      237

                      1260
                      Appropriations, mandatory (total)
                      221
                      230
                      237

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      2

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

                      1900
                      Budget authority (total)
                      241
                      251
                      260

                      1930
                      Total budgetary resources available
                      242
                      251
                      260

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      16
                      12
                      1

                      3010
                      Obligations incurred, unexpired accounts
                      242
                      251
                      260

                      3020
                      Outlays (gross)
                      –245
                      –262
                      –260

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3050
                      Unpaid obligations, end of year
                      12
                      1
                      1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      16
                      12
                      1

                      3200
                      Obligated balance, end of year
                      12
                      1
                      1

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      18
                      21
                      23

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      18
                      21
                      23

                      4011
                      Outlays from discretionary balances
                      4
                      11

                      4020
                      Outlays, gross (total)
                      22
                      32
                      23

                      Mandatory:

                      4090
                      Budget authority, gross
                      223
                      230
                      237

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      223
                      230
                      237

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –2

                      4180
                      Budget authority, net (total)
                      239
                      251
                      260

                      4190
                      Outlays, net (total)
                      243
                      262
                      260

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      3,244
                      3,360
                      3,428

                      5001
                      Total investments, EOY: Federal securities: Par value
                      3,360
                      3,428
                      3,530

             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 075–8175–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      2
                      3

                      12.1
                      Civilian personnel benefits
                      1
                      1
                      1

                      25.3
                      Other goods and services from Federal sources
                      4
                      3
                      4

                      42.0
                      Insurance claims and indemnities
                      235
                      245
                      252

                      99.9
                      Total new obligations
                      242
                      251
                      260

          Employment Summary

                      Identification code 075–8175–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      18
                      18
                      24

                      1101
                      Direct military average strength employment
                      1
                      1
                      1

             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, [$4,182,147,000] $4,463,260,000,  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, [$914,139,000] $984,475,000 for Purchased/Referred Care, including $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, and to improve collections from public and private insurance at IHS and tribally operated facilities 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0390–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Clinical services
                      3,131
                      3,197
                      3,414

                      0002
                      Preventive health
                      148
                      154
                      163

                      0003
                      Urban health
                      41
                      44
                      44

                      0004
                      Indian health professions
                      32
                      48
                      48

                      0005
                      Tribal management
                      1
                      2
                      2

                      0006
                      Direct operations
                      61
                      68
                      68

                      0007
                      Self-governance
                      4
                      6
                      6

                      0008
                      Contract support costs
                      605
                      663
                      718

                      0009
                      Diabetes funds
                      147
                      150

                      0799
                      Total direct obligations
                      4,170
                      4,332
                      4,463

                      0801
                      Indian Health Services (Reimbursable)
                      1,239
                      1,106
                      1,131

                      0900
                      Total new obligations
                      5,409
                      5,438
                      5,594

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      576
                      670
                      735

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      576

                      1021
                      Recoveries of prior year unpaid obligations
                      130

                      1050
                      Unobligated balance (total)
                      706
                      670
                      735

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,983
                      4,182
                      4,463

                      1120
                      Appropriations transferred to other accts [075–0390]
                      –55

                      1121
                      Appropriations transferred from other acct [075–0390]
                      55

                      1160
                      Appropriation, discretionary (total)
                      3,983
                      4,182
                      4,463

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      150
                      150

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

                      1260
                      Appropriations, mandatory (total)
                      147
                      150

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1,255
                      1,171
                      1,172

                      1701
                      Change in uncollected payments, Federal sources
                      1

                      1750
                      Spending auth from offsetting collections, disc (total)
                      1,256
                      1,171
                      1,172

                      1900
                      Budget authority (total)
                      5,386
                      5,503
                      5,635

                      1930
                      Total budgetary resources available
                      6,092
                      6,173
                      6,370

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –13

                      1941
                      Unexpired unobligated balance, end of year
                      670
                      735
                      776

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      834
                      805
                      549

                      3010
                      Obligations incurred, unexpired accounts
                      5,409
                      5,438
                      5,594

                      3011
                      Obligations incurred, expired accounts
                      17

                      3020
                      Outlays (gross)
                      –5,305
                      –5,694
                      –5,721

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –130

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –20

                      3050
                      Unpaid obligations, end of year
                      805
                      549
                      422

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –67
                      –68
                      –68

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –1

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

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      767
                      737
                      481

                      3200
                      Obligated balance, end of year
                      737
                      481
                      354

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      5,239
                      5,353
                      5,635

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      4,462
                      4,720
                      4,961

                      4011
                      Outlays from discretionary balances
                      702
                      830
                      754

                      4020
                      Outlays, gross (total)
                      5,164
                      5,550
                      5,715

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –354
                      –374
                      –375

                      4033
                      Non-Federal sources
                      –903
                      –797
                      –797

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –1,257
                      –1,171
                      –1,172

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –1

                      4052
                      Offsetting collections credited to expired accounts
                      2

                      4060
                      Additional offsets against budget authority only (total)
                      1

                      4070
                      Budget authority, net (discretionary)
                      3,983
                      4,182
                      4,463

                      4080
                      Outlays, net (discretionary)
                      3,907
                      4,379
                      4,543

                      Mandatory:

                      4090
                      Budget authority, gross
                      147
                      150

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      50
                      144

                      4101
                      Outlays from mandatory balances
                      91

                      6

                      4110
                      Outlays, gross (total)
                      141
                      144
                      6

                      4180
                      Budget authority, net (total)
                      4,130
                      4,332
                      4,463

                      4190
                      Outlays, net (total)
                      4,048
                      4,523
                      4,549

             The Indian Health Services account provides medical care, public health services, and health professions training opportunities
                to American Indians and Alaska Natives. An estimated $3.066 billion primarily through self-determination contracts and compacts,
                will be administered by tribal governments in 2016.

          Object Classification (in millions of dollars)

                      Identification code 075–0390–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      396
                      386
                      393

                      11.3
                      Other than full-time permanent
                      17
                      18
                      18

                      11.5
                      Other personnel compensation
                      55
                      56
                      56

                      11.7
                      Military personnel
                      71
                      72
                      73

                      11.9
                      Total personnel compensation
                      539
                      532
                      540

                      12.1
                      Civilian personnel benefits
                      143
                      141
                      143

                      12.2
                      Military personnel benefits
                      31
                      31
                      32

                      13.0
                      Benefits for former personnel
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      4

                      21.0
                      Patient travel
                      34
                      40
                      42

                      22.0
                      Transportation of things
                      5
                      6
                      6

                      23.1
                      Rental payments to GSA
                      14
                      14
                      15

                      23.2
                      Rental payments to others
                      2
                      2
                      2

                      23.3
                      Communications, utilities, and miscellaneous charges
                      10
                      10
                      11

                      25.1
                      Advisory and assistance services
                      8
                      4
                      4

                      25.2
                      Other services from non-Federal sources
                      92
                      95
                      121

                      25.3
                      Other goods and services from Federal sources
                      49
                      52
                      55

                      25.4
                      Operation and maintenance of facilities
                      2
                      2
                      3

                      25.6
                      Medical care
                      316
                      328
                      344

                      25.7
                      Operation and maintenance of equipment
                      12
                      12
                      13

                      25.8
                      Subsistence and support of persons
                      3
                      4
                      4

                      26.0
                      Supplies and materials
                      91
                      98
                      105

                      31.0
                      Equipment
                      10
                      10
                      11

                      41.0
                      Grants, subsidies, and contributions
                      2,802
                      2,948
                      3,009

                      42.0
                      Insurance claims and indemnities
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      4,170
                      4,332
                      4,463

                      99.0
                      Reimbursable obligations
                      1,239
                      1,106
                      1,131

                      99.9
                      Total new obligations
                      5,409
                      5,438
                      5,594

          Employment Summary

                      Identification code 075–0390–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      6,833
                      7,314
                      7,367

                      1101
                      Direct military average strength employment
                      1,085
                      1,112
                      1,111

                      2001
                      Reimbursable civilian full-time equivalent employment
                      5,270
                      5,300
                      5,306

                      2101
                      Reimbursable military average strength employment
                      836
                      806
                      800

             Indian Health Services

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

                      Identification code 075–0390–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0009
                      Diabetes funds

                      150

                      0900
                      Total new obligations (object class 41.0)

                      150

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      150

                      1260
                      Appropriations, mandatory (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, [$460,234,000] $639,725,000, 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, 2015.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–0391–0–1–551
                      2014 actual
                      2015 est.
                      2016 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 075–0391–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Sanitation and health facilities
                      164
                      164
                      300

                      0002
                      Maintenance
                      54
                      54
                      89

                      0003
                      Facilities and environmental health
                      211
                      220
                      227

                      0004
                      Equipment
                      23
                      23
                      24

                      0100
                      Total direct program
                      452
                      461
                      640

                      0799
                      Total direct obligations
                      452
                      461
                      640

                      0801
                      Indian Health Facilities (Reimbursable)
                      49
                      55
                      55

                      0900
                      Total new obligations
                      501
                      516
                      695

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      155
                      170
                      177

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      7

                      1021
                      Recoveries of prior year unpaid obligations
                      7

                      1050
                      Unobligated balance (total)
                      162
                      170
                      177

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      452
                      460
                      640

                      1160
                      Appropriation, discretionary (total)
                      452
                      460
                      640

                      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
                      49
                      55
                      55

                      1750
                      Spending auth from offsetting collections, disc (total)
                      49
                      55
                      55

                      1900
                      Budget authority (total)
                      509
                      523
                      703

                      1930
                      Total budgetary resources available
                      671
                      693
                      880

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      170
                      177
                      185

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      522
                      504
                      478

                      3010
                      Obligations incurred, unexpired accounts
                      501
                      516
                      695

                      3020
                      Outlays (gross)
                      –511
                      –542
                      –599

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –7

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      504
                      478
                      574

                      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
                      517
                      499
                      473

                      3200
                      Obligated balance, end of year
                      499
                      473
                      569

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      501
                      515
                      695

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      254
                      193
                      247

                      4011
                      Outlays from discretionary balances
                      249
                      341
                      344

                      4020
                      Outlays, gross (total)
                      503
                      534
                      591

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –49
                      –55
                      –55

                      Mandatory:

                      4090
                      Budget authority, gross
                      8
                      8
                      8

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      8
                      8

                      4101
                      Outlays from mandatory balances
                      5

                      4110
                      Outlays, gross (total)
                      8
                      8
                      8

                      4180
                      Budget authority, net (total)
                      460
                      468
                      648

                      4190
                      Outlays, net (total)
                      462
                      487
                      544

             The Indian Health Facilities account supports construction, repair and improvement, equipment, and environmental health and
                facilities support for the Indian Health Service. An estimated $333.2 million primarily through self-determination contracts
                and compacts, will be administered by tribal governments in 2016.

          Object Classification (in millions of dollars)

                      Identification code 075–0391–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      48
                      51
                      52

                      11.3
                      Other than full-time permanent
                      2
                      2
                      2

                      11.5
                      Other personnel compensation
                      2
                      2
                      2

                      11.7
                      Military personnel
                      24
                      25
                      25

                      11.9
                      Total personnel compensation
                      76
                      80
                      81

                      12.1
                      Civilian personnel benefits
                      15
                      16
                      16

                      12.2
                      Military personnel benefits
                      9
                      9
                      9

                      21.0
                      Travel and transportation of persons
                      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
                      15
                      16
                      17

                      25.1
                      Advisory and assistance services
                      2
                      2
                      2

                      25.2
                      Other services from non-Federal sources
                      70
                      70
                      106

                      25.3
                      Other goods and services from Federal sources
                      2
                      2
                      2

                      25.4
                      Operation and maintenance of facilities
                      9
                      8
                      26

                      25.7
                      Operation and maintenance of equipment
                      4
                      3
                      21

                      26.0
                      Supplies and materials
                      6
                      7
                      7

                      31.0
                      Equipment
                      9
                      9
                      9

                      32.0
                      Land and structures
                      89
                      87
                      191

                      41.0
                      Grants, subsidies, and contributions
                      141
                      145
                      148

                      99.0
                      Direct obligations
                      454
                      461
                      640

                      99.0
                      Reimbursable obligations
                      47
                      55
                      55

                      99.9
                      Total new obligations
                      501
                      516
                      695

          Employment Summary

                      Identification code 075–0391–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,008
                      1,056
                      1,054

                      1101
                      Direct military average strength employment
                      160
                      163
                      170

                      2001
                      Reimbursable civilian full-time equivalent employment
                      29
                      29
                      29

             ADMINISTRATIVE PROVISIONS—INDIAN HEALTH SERVICE

             administrative provisions—Indian health serviceAppropriations 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: 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
             [approved by] 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. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2015.)
             Centers for Disease Control and Prevention

             Federal Funds
             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, [$573,105,000] $537,766,000. (Department of Health and Human Services Appropriations Act, 2015.)
             HIV/AIDS, viral hepatitis, sexually transmitted diseases, and tuberculosis preventionFor carrying out titles II, III, XVII, and XXIII of the PHS Act with respect to HIV/AIDS, viral hepatitis, sexually transmitted
             diseases, and tuberculosis prevention, [$1,117,609,000] $1,161,747,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$352,990,000] $644,687,000: Provided, That of the [funds available under this heading, $30,000,000 shall be for the Advanced Molecular Detection initiative] 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. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$747,220,000] $577,854,000: Provided, That funds appropriated under this account may be available for making grants under section 1509 of the PHS Act for not
             less than 21 States, tribes, or tribal organizations: [Provided further, That of the funds available under this heading, $7,500,000 shall be available to continue and expand community specific
             extension and outreach programs 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:] Provided further, That the proportional funding requirements under section 1503(a) of the PHS Act shall not apply to funds made available
             under this heading. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$131,781,000] $63,815,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$481,061,000] $474,559,000. (Department of Health and Human Services Appropriations Act, 2015.)
             Environmental healthFor carrying out titles II, III, and XVII of the PHS Act with respect to environmental health, [$166,404,000] $141,500,000. (Department of Health and Human Services Appropriations Act, 2015.)
             Injury prevention and controlFor carrying out titles II, III, and XVII of the PHS Act with respect to injury prevention and control, [$170,447,000: Provided, That of the funds provided under this heading, $20,000,000 shall be available for an evidence-based prescription drug overdose
             prevention program] $256,977,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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 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, [$334,863,000] $283,418,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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. (Department of Health and Human Services Appropriations Act, 2015.)
             Global healthFor carrying out titles II, III, and XVII of the PHS Act with respect to global health, [$416,517,000] $448,092,000, of which [$128,421,000] $128,421,000 for international HIV/AIDS shall remain available through September 30, [2016] 2017: Provided, That funds may be used for purchase and insurance of official motor vehicles in foreign countries [: Provided further, That these funds are in addition to amounts provided in section 137 of Public Law 113–164]. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$1,352,551,000] $1,381,818,000, of which [$534,343,000] $571,043,000 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 Centers for Disease Control and Prevention (CDC) or the Administrator of the Agency for Toxic Substances and Disease Registry may detail [CDC] staff without reimbursement for up to [45] 180 days to support [the work] an activation 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 funds appropriated under this heading may be used to support a contract for the operation and maintenance of an aircraft
             in direct support of activities throughout CDC to ensure the agency is prepared to address public health preparedness emergencies]. (Department of Health and Human Services Appropriations Act, 2015.)
             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 for activities funded in other appropriations included in this Act for the Centers for Disease Control and Prevention,
             [$113,570,000] $113,570,000: 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 and the Respirator Certification Program shall be available through September 30, [2016] 2017: 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 the Director may transfer funds between any of the accounts of CDC 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, 2015.)
             [(including transfer of funds)][For an additional amount for "CDC-Wide Activities and Program Support", $1,771,000,000, to remain available until September
             30, 2019, to prevent, prepare for, and respond to Ebola domestically and internationally; for the transportation, medical
             care, treatment, and other related costs of persons quarantined or isolated under Federal or State quarantine law; and to
             carry out titles II, III, and XVII of the Public Health Service ("PHS") Act with respect to domestic preparedness and global
             health: Provided, That no less than $10,000,000 shall be for worker-based training to prevent and reduce exposure of hospital employees, emergency
             first responders and other workers who are at risk of exposure to Ebola through their work duties: Provided further, That $597,000,000 shall be used to support national public health institutes and global health security: Provided further, That $155,000,000 shall be to support the Public Health Emergency Preparedness program: Provided further, That products purchased with these funds may, at the discretion of the Secretary of Health and Human Services, be deposited
             in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That funds may be used for purchase and insurance of official motor vehicles in foreign countries: Provided further, That such funds may be transferred by the Director of the Centers for Disease Control and Prevention ("CDC") to other accounts
             of the CDC for the purposes provided in this paragraph: Provided further, That the Director of the CDC shall notify the Committees on Appropriations of the House of Representatives and the Senate
             promptly after any transfer under the preceding proviso: Provided further, That the transfer authority provided in this paragraph is in addition to any other transfer authority provided by law: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced
             Budget and Emergency Deficit Control Act of 1985.] (Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.)
             Buildings and facilitiesFor [acquisition of real property,] equipment, construction, and renovation of facilities, $10,000,000, [which shall] to remain available until September 30, [2019] 2020: Provided, That funds [previously set-aside by CDC for repair and upgrade of the Lake Lynn Experimental Mine and Laboratory shall be used to acquire
             a replacement mine safety research facility] made available by prior appropriations Acts for CDC for construction and renovation of facilities may also be used, in fiscal
                year 2016, for the construction of a replacement freezer building in the Fort Collins, Colorado area. (Department of Health and Human Services Appropriations Act, 2015.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–0943–0–1–999
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      Receipts:

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

                      0400
                      Total: Balances and collections
                      2
                      2
                      2

                      Appropriations:

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

                      0799
                      Balance, end of year

          Program and Financing (in millions of dollars)

                      Identification code 075–0943–0–1–999
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

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

                      0002
                      CDC Wide Activities and Program Support (0943)
                      299
                      274
                      114

                      0004
                      Chronic Disease Prevention and Health Promotion (0948)
                      1,183
                      1,198
                      1,058

                      0005
                      Emerging and Zoonotics Infectious Diseases (0949)
                      391
                      405
                      699

                      0006
                      Energy Employee Illness Occupational Compensation Program Act (EEOICPA) (0954)
                      53
                      50
                      55

                      0007
                      Environmental Health (0947)
                      179
                      179
                      179

                      0008
                      Global Health (0955)
                      403
                      447
                      448

                      0012
                      HIV/AIDS, Viral Hepatitis, STD and TB Prevention (0950)
                      1,116
                      1,118
                      1,162

                      0013
                      Immunization and Respiratory Diseases (0951)
                      769
                      798
                      748

                      0015
                      Injury Prevention and Control (0952)
                      150
                      170
                      257

                      0016
                      Occupational Safety and Health (0953)
                      220
                      335
                      283

                      0019
                      Public Health Preparedness and Response (0956)
                      1,401
                      1,353
                      1,382

                      0020
                      Public Health Scientific Services (0959)
                      394
                      481
                      539

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

                      0022
                      Ebola (Emergency pursuant to 2011 BCA)

                      1,771

                      0023
                      Buidling and Facilities (0960)

                      10
                      10

                      0799
                      Total direct obligations
                      6,692
                      8,723
                      7,068

                      0801
                      PHS Evalauation
                      211

                      0802
                      CDC-Wide Activities and Program Support (Reimbursable)
                      211
                      635
                      635

                      0809
                      Reimbursable program activities, subtotal
                      422
                      635
                      635

                      0899
                      Total reimbursable obligations
                      422
                      635
                      635

                      0900
                      Total new obligations
                      7,114
                      9,358
                      7,703

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      166
                      124
                      108

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      166

                      1010
                      Unobligated balance transfer to other accts [075–4553]
                      –23

                      1021
                      Recoveries of prior year unpaid obligations
                      12

                      1050
                      Unobligated balance (total)
                      155
                      124
                      108

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      5,807
                      7,769
                      6,096

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –13

                      1120
                      Appropriations transferred to other accts [075–1503]
                      –2

                      1120
                      Appropriations transferred to other accts [075–0140]
                      –1

                      1160
                      Appropriation, discretionary (total)
                      5,791
                      7,769
                      6,096

                      Appropriations, mandatory:

                      1200
                      Appropriation (075–0954 - EEOICPA)
                      55
                      55
                      55

                      1201
                      Appropriation (075–5146 CRADA)
                      2
                      2
                      2

                      1221
                      Appropriations transferred from other acct [075–0116]
                      831
                      886
                      914

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –6
                      –5

                      1260
                      Appropriations, mandatory (total)
                      882
                      938
                      971

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      340
                      633
                      633

                      1701
                      Change in uncollected payments, Federal sources
                      76

                      1750
                      Spending auth from offsetting collections, disc (total)
                      416
                      633
                      633

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      4
                      2
                      2

                      1850
                      Spending auth from offsetting collections, mand (total)
                      4
                      2
                      2

                      1900
                      Budget authority (total)
                      7,093
                      9,342
                      7,702

                      1930
                      Total budgetary resources available
                      7,248
                      9,466
                      7,810

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –10

                      1941
                      Unexpired unobligated balance, end of year
                      124
                      108
                      107

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      5,779
                      5,822
                      7,284

                      3010
                      Obligations incurred, unexpired accounts
                      7,114
                      9,358
                      7,703

                      3011
                      Obligations incurred, expired accounts
                      21

                      3020
                      Outlays (gross)
                      –6,843
                      –7,896
                      –8,380

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –12

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –237

                      3050
                      Unpaid obligations, end of year
                      5,822
                      7,284
                      6,607

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –429
                      –215
                      –215

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –76

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      290

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –215
                      –215
                      –215

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      5,350
                      5,607
                      7,069

                      3200
                      Obligated balance, end of year
                      5,607
                      7,069
                      6,392

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      6,207
                      8,402
                      6,729

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,706
                      3,744
                      3,078

                      4011
                      Outlays from discretionary balances
                      3,457
                      3,442
                      4,521

                      4020
                      Outlays, gross (total)
                      6,163
                      7,186
                      7,599

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –615
                      –633
                      –633

                      4033
                      Non-Federal sources
                      –4

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –619
                      –633
                      –633

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –76

                      4052
                      Offsetting collections credited to expired accounts
                      279

                      4060
                      Additional offsets against budget authority only (total)
                      203

                      4070
                      Budget authority, net (discretionary)
                      5,791
                      7,769
                      6,096

                      4080
                      Outlays, net (discretionary)
                      5,544
                      6,553
                      6,966

                      Mandatory:

                      4090
                      Budget authority, gross
                      886
                      940
                      973

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      153
                      224
                      230

                      4101
                      Outlays from mandatory balances
                      527
                      486
                      551

                      4110
                      Outlays, gross (total)
                      680
                      710
                      781

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –4
                      –2
                      –2

                      4180
                      Budget authority, net (total)
                      6,673
                      8,707
                      7,067

                      4190
                      Outlays, net (total)
                      6,220
                      7,261
                      7,745

             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 FY 2015 funding level for CDC includes $1,771 million
                in one-time emergency funding for the U.S. Government response to contain, treat, and prevent the spread of Ebola.

          Object Classification (in millions of dollars)

                      Identification code 075–0943–0–1–999
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      629
                      914
                      740

                      11.3
                      Other than full-time permanent
                      104
                      100
                      101

                      11.5
                      Other personnel compensation
                      28
                      29
                      30

                      11.7
                      Military personnel
                      72
                      67
                      68

                      11.8
                      Special personal services payments
                      4
                      1
                      1

                      11.9
                      Total personnel compensation
                      837
                      1,111
                      940

                      12.1
                      Civilian personnel benefits
                      234
                      302
                      256

                      12.2
                      Military personnel benefits
                      50
                      46
                      46

                      21.0
                      Travel and transportation of persons
                      39
                      64
                      58

                      22.0
                      Transportation of things
                      15
                      20
                      18

                      23.1
                      Rental payments to GSA
                      5
                      37
                      38

                      23.2
                      Rental payments to others
                      1
                      14
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      23
                      40
                      40

                      24.0
                      Printing and reproduction
                      3
                      7
                      4

                      25.1
                      Advisory and assistance services
                      656
                      843
                      959

                      25.2
                      Other services from non-Federal sources
                      203
                      341
                      384

                      25.3
                      Other goods and services from Federal sources
                      705
                      542
                      608

                      25.4
                      Operation and maintenance of facilities
                      16
                      106
                      119

                      25.5
                      Research and development contracts
                      45
                      541
                      112

                      25.6
                      Medical care
                      2
                      44
                      49

                      25.7
                      Operation and maintenance of equipment
                      37
                      45
                      51

                      25.8
                      Subsistence and support of persons

                      1
                      1

                      26.0
                      Supplies and materials
                      506
                      624
                      584

                      31.0
                      Equipment
                      59
                      72
                      63

                      32.0
                      Land and structures
                      5
                      14
                      14

                      41.0
                      Grants, subsidies, and contributions
                      3,251
                      3,909
                      2,723

                      99.0
                      Direct obligations
                      6,692
                      8,723
                      7,068

                      99.0
                      Reimbursable obligations
                      422
                      635
                      635

                      99.9
                      Total new obligations
                      7,114
                      9,358
                      7,703

          Employment Summary

                      Identification code 075–0943–0–1–999
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      7,714
                      7,722
                      7,765

                      1101
                      Direct military average strength employment
                      803
                      803
                      803

                      2001
                      Reimbursable civilian full-time equivalent employment
                      716
                      716
                      716

                      2101
                      Reimbursable military average strength employment
                      87
                      87
                      87

             CDC Working Capital Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–4553–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Direct program activity
                      21

                      0801
                      CDC Working Capital Fund (Reimbursable)
                      474
                      530
                      530

                      0900
                      Total new obligations
                      495
                      530
                      530

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      27
                      27

                      1011
                      Unobligated balance transfer from other acct [075–0943]
                      23

                      1050
                      Unobligated balance (total)
                      23
                      27
                      27

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      499
                      530
                      530

                      1750
                      Spending auth from offsetting collections, disc (total)
                      499
                      530
                      530

                      1900
                      Budget authority (total)
                      499
                      530
                      530

                      1930
                      Total budgetary resources available
                      522
                      557
                      557

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      27
                      27
                      27

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      150

                      3010
                      Obligations incurred, unexpired accounts
                      495
                      530
                      530

                      3020
                      Outlays (gross)
                      –345
                      –680
                      –530

                      3050
                      Unpaid obligations, end of year
                      150

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      150

                      3200
                      Obligated balance, end of year
                      150

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      499
                      530
                      530

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      345
                      530
                      530

                      4011
                      Outlays from discretionary balances

                      150

                      4020
                      Outlays, gross (total)
                      345
                      680
                      530

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –499
                      –530
                      –530

                      4190
                      Outlays, net (total)
                      –154
                      150

             Implemented in fiscal year 2014, CDC's 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 075–4553–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      1

                      25.2
                      Other services from non-Federal sources
                      1

                      25.4
                      Operation and maintenance of facilities
                      17

                      25.7
                      Operation and maintenance of equipment
                      1

                      31.0
                      Equipment
                      1

                      99.0
                      Direct obligations
                      21

                      Reimbursable obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      135
                      155
                      155

                      11.3
                      Other than full-time permanent
                      2
                      2
                      2

                      11.5
                      Other personnel compensation
                      2
                      2
                      2

                      11.7
                      Military personnel
                      3
                      3
                      3

                      11.9
                      Total personnel compensation
                      142
                      162
                      162

                      12.1
                      Civilian personnel benefits
                      42
                      42
                      42

                      12.2
                      Military personnel benefits
                      1
                      1
                      1

                      21.0
                      Travel and transportation of persons
                      1
                      2
                      2

                      22.0
                      Transportation of things
                      1
                      1
                      1

                      23.1
                      Rental payments to GSA
                      35
                      50
                      50

                      23.3
                      Communications, utilities, and miscellaneous charges
                      26
                      26
                      26

                      25.1
                      Advisory and assistance services
                      20
                      41
                      41

                      25.2
                      Other services from non-Federal sources
                      81
                      81
                      81

                      25.3
                      Other goods and services from Federal sources
                      46
                      46
                      46

                      25.4
                      Operation and maintenance of facilities
                      21
                      21
                      21

                      25.6
                      Medical care
                      1
                      1
                      1

                      25.7
                      Operation and maintenance of equipment
                      38
                      46
                      46

                      26.0
                      Supplies and materials
                      1
                      2
                      2

                      31.0
                      Equipment
                      10
                      7
                      7

                      32.0
                      Land and structures
                      8
                      1
                      1

                      99.0
                      Reimbursable obligations
                      474
                      530
                      530

                      99.9
                      Total new obligations
                      495
                      530
                      530

          Employment Summary

                      Identification code 075–4553–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      15

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,458
                      1,458
                      1,458

                      2101
                      Reimbursable military average strength employment
                      31
                      31
                      31

             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)
             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) of CERCLA during fiscal year [2015] 2016, and existing profiles may be updated as necessary. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0944–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Agency for Toxic Substances and Disease Registry, Toxic Substanc (Direct)
                      74
                      75
                      75

                      0002
                      Health Reform Prog. Grants Environ. Hazzards
                      3

                      0003
                      Affordable Care Act

                      19

                      0799
                      Total direct obligations
                      77
                      94
                      75

                      0801
                      Agency for Toxic Substances and Disease Registry, Toxic Substanc (Reimbursable)
                      3
                      3
                      3

                      0900
                      Total new obligations
                      80
                      97
                      78

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      14
                      12
                      12

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1

                      12

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      75
                      75
                      75

                      1160
                      Appropriation, discretionary (total)
                      75
                      75
                      75

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      19

                      1260
                      Appropriations, mandatory (total)

                      19

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1
                      3
                      3

                      1701
                      Change in uncollected payments, Federal sources
                      2

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

                      1900
                      Budget authority (total)
                      78
                      97
                      78

                      1930
                      Total budgetary resources available
                      92
                      109
                      90

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      12
                      12
                      12

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      43
                      46
                      52

                      3010
                      Obligations incurred, unexpired accounts
                      80
                      97
                      78

                      3020
                      Outlays (gross)
                      –76
                      –91
                      –90

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      46
                      52
                      40

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –10
                      –7
                      –7

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

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      5

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –7
                      –7
                      –7

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      33
                      39
                      45

                      3200
                      Obligated balance, end of year
                      39
                      45
                      33

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      78
                      78
                      78

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      51
                      55
                      55

                      4011
                      Outlays from discretionary balances
                      23
                      23
                      22

                      4020
                      Outlays, gross (total)
                      74
                      78
                      77

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –6
                      –3
                      –3

                      Additional offsets against gross budget authority only:

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

                      4052
                      Offsetting collections credited to expired accounts
                      5

                      4060
                      Additional offsets against budget authority only (total)
                      3

                      4070
                      Budget authority, net (discretionary)
                      75
                      75
                      75

                      4080
                      Outlays, net (discretionary)
                      68
                      75
                      74

                      Mandatory:

                      4090
                      Budget authority, gross

                      19

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      13

                      4101
                      Outlays from mandatory balances
                      2

                      13

                      4110
                      Outlays, gross (total)
                      2
                      13
                      13

                      4180
                      Budget authority, net (total)
                      75
                      94
                      75

                      4190
                      Outlays, net (total)
                      70
                      88
                      87

          Object Classification (in millions of dollars)

                      Identification code 075–0944–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      22
                      22
                      22

                      11.3
                      Other than full-time permanent
                      2
                      2
                      2

                      11.5
                      Other personnel compensation
                      1
                      1
                      1

                      11.7
                      Military personnel
                      3
                      3
                      3

                      11.9
                      Total personnel compensation
                      28
                      28
                      28

                      12.1
                      Civilian personnel benefits
                      8
                      8
                      8

                      12.2
                      Military personnel benefits
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      6
                      6
                      6

                      25.2
                      Other services from non-Federal sources
                      5
                      5
                      5

                      25.3
                      Other goods and services from Federal sources
                      11
                      9
                      9

                      25.7
                      Operation and maintenance of equipment
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      17
                      36
                      17

                      99.0
                      Direct obligations
                      77
                      94
                      75

                      99.0
                      Reimbursable obligations
                      3
                      3
                      3

                      99.9
                      Total new obligations
                      80
                      97
                      78

          Employment Summary

                      Identification code 075–0944–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      235
                      235
                      235

                      1101
                      Direct military average strength employment
                      35
                      35
                      35

                      2001
                      Reimbursable civilian full-time equivalent employment
                      7
                      7

                      2101
                      Reimbursable military average strength employment
                      2

             World Trade Center Health Program Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0946–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Federal Share
                      236
                      261
                      285

                      0002
                      NYC
                      26
                      27
                      32

                      0900
                      Total new obligations
                      262
                      288
                      317

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      168

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (WTC (CDC Direct))
                      247
                      431
                      285

                      1200
                      Appropriation (WTC—NYC DHSS—CDC)
                      28
                      48
                      32

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –21
                      –23

                      1260
                      Appropriations, mandatory (total)
                      254
                      456
                      317

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      8

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

                      1900
                      Budget authority (total)
                      262
                      456
                      317

                      1930
                      Total budgetary resources available
                      262
                      456
                      485

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      168
                      168

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      163
                      154
                      149

                      3010
                      Obligations incurred, unexpired accounts
                      262
                      288
                      317

                      3011
                      Obligations incurred, expired accounts
                      3

                      3020
                      Outlays (gross)
                      –196
                      –293
                      –261

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –78

                      3050
                      Unpaid obligations, end of year
                      154
                      149
                      205

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      163
                      154
                      149

                      3200
                      Obligated balance, end of year
                      154
                      149
                      205

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      262
                      456
                      317

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      131
                      210
                      146

                      4101
                      Outlays from mandatory balances
                      65
                      83
                      115

                      4110
                      Outlays, gross (total)
                      196
                      293
                      261

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –19

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      11

                      4160
                      Budget authority, net (mandatory)
                      254
                      456
                      317

                      4170
                      Outlays, net (mandatory)
                      177
                      293
                      261

                      4180
                      Budget authority, net (total)
                      254
                      456
                      317

                      4190
                      Outlays, net (total)
                      177
                      293
                      261

             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 2015 and 2016 Budget reflect estimated Federal obligations for the WTC Health Program.

          Object Classification (in millions of dollars)

                      Identification code 075–0946–0–1–551
                      2014 actual
                      2015 est.
                      2016 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
                      24
                      24
                      24

                      25.2
                      Other services from non-Federal sources
                      71
                      71
                      71

                      25.3
                      Other goods and services from Federal sources
                      5
                      5
                      5

                      25.6
                      Medical care
                      2
                      2
                      2

                      41.0
                      Grants, subsidies, and contributions
                      23
                      23
                      23

                      42.0
                      Insurance claims and indemnities
                      134
                      160
                      189

                      99.9
                      Total new obligations
                      262
                      288
                      317

          Employment Summary

                      Identification code 075–0946–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      18
                      18
                      18

                      1101
                      Direct military average strength employment
                      5
                      5
                      5

             National Institutes of Health

             Federal Funds
             National cancer instituteFor carrying out section 301 and title IV of the PHS Act with respect to cancer, [$4,950,396,000] $5,098,479,000, of which up to [$8,000,000] $16,000,000 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, 2015.)
             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, [$2,997,870,000] $3,071,906,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$399,886,000] $406,746,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$1,749,681,000] $1,788,133,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$1,605,205,000] $1,660,375,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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] $4,614,779,000. (Department of Health and Human Services Appropriations Act, 2015.)
          [For an additional amount for National Institute of Allergy and Infectious Diseases to prevent, prepare for, and respond to
             Ebola domestically and internationally, including expenses related to carrying out section 301 and title IV of the PHS Act,
             $238,000,000, to remain available until September 30, 2016: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced
             Budget and Emergency Deficit Control Act of 1985.] (Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.)
             National institute of general medical sciencesFor carrying out section 301 and title IV of the PHS Act with respect to general medical sciences, [$2,371,476,000] $2,433,780,000, of which [$715,000,000] $847,489,000 shall be from funds available under section 241 of the PHS Act [: Provided, That not less than $273,325,000 is provided for the Institutional Development Awards program]. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$1,286,571,000] $1,318,061,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National eye instituteFor carrying out section 301 and title IV of the PHS Act with respect to eye diseases and visual disorders, [$684,191,000] $695,154,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National institute of environmental health sciencesFor carrying out section 301 and title IV of the PHS Act with respect to environmental health sciences, [$667,502,000] $681,782,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National institute of environmental health sciencesFor necessary expenses for the National Institute of Environmental Health Sciences in carrying out activities set forth in
             section 311(a) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (42 U.S.C. 9660(a)) and
             section 126(g) of the Superfund Amendments and Reauthorization Act of 1986, [$77,349,000] $77,349,000. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2015.)
             National institute on agingFor carrying out section 301 and title IV of the PHS Act with respect to aging, [$1,199,468,000] $1,267,078,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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,
             [$521,665,000] $533,232,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$405,302,000] $416,241,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National institute of nursing researchFor carrying out section 301 and title IV of the PHS Act with respect to nursing research, [$140,953,000] $144,515,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$447,408,000] $459,833,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National institute on drug abuseFor carrying out section 301 and title IV of the PHS Act with respect to drug abuse, [$1,028,614,000] $1,047,397,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National institute of mental healthFor carrying out section 301 and title IV of the PHS Act with respect to mental health, [$1,463,036,000] $1,489,417,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National human genome research instituteFor carrying out section 301 and title IV of the PHS Act with respect to human genome research, [$499,356,000] $515,491,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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, [$330,192,000] $337,314,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National center for complementary and integrative healthFor carrying out section 301 and title IV of the PHS Act with respect to complementary and integrative health, [$124,681,000: Provided, That these funds may be used to support the transition enacted in section 224 of this Act] $127,521,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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,
             [$269,154,000] $281,549,000. (Department of Health and Human Services Appropriations Act, 2015.)
             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), [$67,786,000] $69,505,000. (Department of Health and Human Services Appropriations Act, 2015.)
             National library of medicineFor carrying out section 301 and title IV of the PHS Act with respect to health information communications, [$336,939,000] $394,090,000: Provided, That of the amounts available for improvement of information systems, $4,000,000 shall be available until September 30,
             [2016] 2017: Provided further, That in fiscal year [2015] 2016, 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"). (Department of Health and Human Services Appropriations Act, 2015.)
             NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCESFor carrying out section 301 and title IV of the PHS Act with respect to translational sciences, [$635,230,000] $660,131,000: Provided, That up to [$9,835,000] $25,835,000 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, 2015.)
             Office of the director
             (including transfer of funds)For carrying out the responsibilities of the Office of the Director, NIH, [$1,401,134,000] $1,430,028,000, of which up to [$25,000,000] $30,000,000 may 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 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") or research related to the Study's goals and mission,
             and any funds in excess of the estimated need shall be transferred to and merged with the accounts for the various Institutes
             and Centers to support activity related to the goals and objectives of the NCS: Provided further, That NIH shall submit a spend plan on the NCS's next phase to the Committees on Appropriations of the House of Representatives
             and the Senate not later than 90 days after the date of enactment of this Act]: Provided further, That [$533,039,000] $553,039,000 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 NIH shall contract with the National Academy of Sciences for a Blue Ribbon Commission on Scientific Literacy and Standing:
             Provided further, That NIH shall submit to Congress an NIH-wide 5-year scientific strategic plan as outlined in sections 402(b)(3) and 402(b)(4)
             of the PHS Act no later than 1 year after enactment of this 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.

          In addition to other funds appropriated for the Common Fund established under section 402A(c) of the PHS Act, $12,600,000
             is appropriated to the Common Fund from the 10-year Pediatric Research Initiative Fund described in section 9008 of title
             26, United States Code, for the purpose of carrying out section 402(b)(7)(B)(ii) of the PHS Act (relating to pediatric research),
             as authorized in the Gabriella Miller Kids First Research Act. (Department of Health and Human Services Appropriations Act, 2015.)
             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,
             [$128,863,000] $128,863,000, to remain available [through September 30, 2019] until expended. (Department of Health and Human Services Appropriations Act, 2015.)
          Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–9915–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      Receipts:

                      0220
                      Cooperative Research and Development Agreements, NIH
                      16
                      17
                      17

                      0400
                      Total: Balances and collections
                      16
                      17
                      17

                      Appropriations:

                      0500
                      National Institutes of Health
                      –16
                      –17
                      –16

                      0799
                      Balance, end of year

                      1

          Program and Financing (in millions of dollars)

                      Identification code 075–9915–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      National Cancer Institute (0849)
                      4,933
                      4,887
                      5,099

                      0002
                      National Heart, Lung, and Blood Institute (0872)
                      2,989
                      2,988
                      3,072

                      0003
                      National Institute of Dental and Craniofacial Research (0873)
                      398
                      400
                      407

                      0004
                      National Institute of Diabetes and Digestive and Kidney Disease (0884)
                      1,745
                      1,750
                      1,638

                      0005
                      National Institute of Neurological Disorders and Stroke (0886)
                      1,589
                      1,605
                      1,660

                      0006
                      National Institute of Allergy and Infectious Diseases (0885)
                      4,401
                      4,359
                      4,616

                      0007
                      National Institute of General Medical Sciences (0851)
                      2,366
                      2,371
                      1,586

                      0008
                      National Institute of Child Health and Human Development (0844)
                      1,283
                      1,287
                      1,318

                      0009
                      National Eye Institute (0887)
                      676
                      684
                      695

                      0010
                      National Institute of Environmental Health Sciences (0862)
                      743
                      745
                      759

                      0011
                      National Institute on Aging (0843)
                      1,172
                      1,199
                      1,267

                      0012
                      National Institute of Arthritis and Musculoskeletal and Skin Disease (0888)
                      520
                      522
                      533

                      0013
                      National Institute on Deafness and Other Communication Disorder (0890)
                      404
                      405
                      416

                      0014
                      National Institute of Mental Health (0892)
                      1,420
                      1,463
                      1,489

                      0015
                      National Institute on Drug Abuse (0893)
                      1,018
                      1,029
                      1,047

                      0016
                      National Institute on Alcohol Abuse and Alcoholism (0894)
                      446
                      447
                      460

                      0017
                      National Institute of Nursing Research (0889)
                      141
                      141
                      145

                      0018
                      National Human Genome Research Institute (0891)
                      498
                      499
                      515

                      0019
                      National Institute of Biomedical Imaging and Bioengineering (0898)
                      327
                      330
                      337

                      0021
                      National Center for Complementary and Integrative Health (0896)
                      124
                      125
                      128

                      0022
                      National Institute on Minority Health and Health Disparities (0897)
                      268
                      269
                      282

                      0023
                      John E. Fogarty International Center (0819)
                      68
                      68
                      70

                      0024
                      National Library of Medicine (0807)
                      328
                      337
                      394

                      0025
                      Office of the Director (0846)
                      1,417
                      1,414
                      1,431

                      0026
                      Buildings and facilities (0838)
                      98
                      129
                      129

                      0027
                      Cooperative Research and Development Agreements
                      11
                      11
                      11

                      0028
                      National Center for Advancing Translational Sciences (0875)
                      634
                      635
                      660

                      0031
                      Type 1 Diabetes
                      139
                      150
                      150

                      0799
                      Total direct obligations
                      30,156
                      30,249
                      30,314

                      0801
                      Reimbursable - Other
                      3,313
                      3,423
                      3,400

                      0802
                      Royalties
                      104
                      102
                      105

                      0809
                      Reimbursable program activities, subtotal
                      3,417
                      3,525
                      3,505

                      0899
                      Total reimbursable obligations
                      3,417
                      3,525
                      3,505

                      0900
                      Total new obligations
                      33,573
                      33,774
                      33,819

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      740
                      723

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      740

                      1021
                      Recoveries of prior year unpaid obligations
                      10

                      1050
                      Unobligated balance (total)
                      750
                      723

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      30,003
                      29,432
                      30,301

                      1100
                      Appropriation - Emergency pursuant to 2011 BCA

                      238

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –75

                      1120
                      Appropriations transferred to other accts [075–0140]
                      –6

                      1121
                      Appropriations transferred from other acct [075–5736]

                      13
                      13

                      1160
                      Appropriation, discretionary (total)
                      29,922
                      29,683
                      30,314

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      150
                      150

                      1201
                      Appropriation (special or trust fund)
                      16
                      17
                      16

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

                      1260
                      Appropriations, mandatory (total)
                      155
                      167
                      16

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      2,562
                      3,201
                      3,489

                      1701
                      Change in uncollected payments, Federal sources
                      971

                      1750
                      Spending auth from offsetting collections, disc (total)
                      3,533
                      3,201
                      3,489

                      1900
                      Budget authority (total)
                      33,610
                      33,051
                      33,819

                      1930
                      Total budgetary resources available
                      34,360
                      33,774
                      33,819

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –64

                      1941
                      Unexpired unobligated balance, end of year
                      723

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      31,109
                      31,701
                      32,709

                      3010
                      Obligations incurred, unexpired accounts
                      33,573
                      33,774
                      33,819

                      3011
                      Obligations incurred, expired accounts
                      952

                      3020
                      Outlays (gross)
                      –33,441
                      –32,766
                      –33,386

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –10

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –482

                      3050
                      Unpaid obligations, end of year
                      31,701
                      32,709
                      33,142

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –1,254
                      –1,559
                      –1,559

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –971

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      666

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –1,559
                      –1,559
                      –1,559

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      29,855
                      30,142
                      31,150

                      3200
                      Obligated balance, end of year
                      30,142
                      31,150
                      31,583

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      33,455
                      32,884
                      33,803

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      10,229
                      11,215
                      11,674

                      4011
                      Outlays from discretionary balances
                      23,164
                      21,384
                      21,582

                      4020
                      Outlays, gross (total)
                      33,393
                      32,599
                      33,256

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –3,955
                      –3,201
                      –3,489

                      4033
                      Non-Federal sources
                      –138

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –4,093
                      –3,201
                      –3,489

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –971

                      4052
                      Offsetting collections credited to expired accounts
                      1,531

                      4060
                      Additional offsets against budget authority only (total)
                      560

                      4070
                      Budget authority, net (discretionary)
                      29,922
                      29,683
                      30,314

                      4080
                      Outlays, net (discretionary)
                      29,300
                      29,398
                      29,767

                      Mandatory:

                      4090
                      Budget authority, gross
                      155
                      167
                      16

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      53
                      16

                      4101
                      Outlays from mandatory balances
                      48
                      114
                      114

                      4110
                      Outlays, gross (total)
                      48
                      167
                      130

                      4180
                      Budget authority, net (total)
                      30,077
                      29,850
                      30,330

                      4190
                      Outlays, net (total)
                      29,348
                      29,565
                      29,897

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

                         2014
                         2015*
                         2016

                         Distribution of Discretionary Budget Authority by account:

                         National Cancer Institute
                         4,933
                         4,950
                         5,098

                         National Heart, Lung, and Blood Institute
                         2,989
                         2,998
                         3,072

                         National Institute of Dental and Craniofacial Research
                         398
                         400
                         407

                         National Institute of Diabetes and Digestive and Kidney Diseases
                         1,745
                         1,750
                         1,788

                         National Institute of Neurological Disorder and Stroke
                         1,589
                         1,605
                         1,660

                         National Institute of Allergy and Infectious Diseases
                         4,401
                         4,597
                         4,615

                         National Institute of General Medical Sciences
                         2,366
                         1,656
                         1,586

                         Eunice Kennedy Shriver National Institute of Child Health and Human Development
                         1,283
                         1,287
                         1,318

                         National Eye Institute
                         676
                         684
                         695

                         National Institute of Environmental Health Sciences
                         743
                         745
                         759

                         National Institute on Aging
                         1,172
                         1,199
                         1,267

                         National Institute of Arthritis and Musculoskeletal and Skin Diseases
                         520
                         522
                         533

                         National Institute on Deafness and Other Communication Disorders
                         404
                         405
                         416

                         National Institute of Nursing Research
                         141
                         141
                         145

                         National Institute on Alcohol Abuse and Alcoholism
                         446
                         447
                         460

                         National Institute on Drug Abuse
                         1,018
                         1,029
                         1,047

                         National Institute of Mental Health
                         1,420
                         1,463
                         1,489

                         National Human Genome Research Institute
                         498
                         499
                         515

                         National Institute of Biomedical Imaging and Bioengineering
                         327
                         330
                         337

                         National Center for Complementary and Integrative Health
                         124
                         125
                         128

                         National Institute on Minority Health and Health Disparities
                         268
                         269
                         282

                         John E. Fogarty International Center
                         68
                         68
                         70

                         National Library of Medicine
                         328
                         337
                         394

                         National Center for Advancing Translational Sciences
                         634
                         635
                         660

                         Office of the Director
                         1,417
                         1,414
                         1,443

                         Buildings and Facilities
                         98
                         129
                         129

                         Total Budget Authority, NIH
                         30,006
                         29,684
                         30,313

                         2014
                         2015
                         2016

                         Distribution of Discretionary Outlays by account:

                         National Cancer Institute
                         4,659
                         5,005
                         4,995

                         National Heart, Lung, and Blood Institute
                         2,874
                         2,824
                         3,010

                         National Institute of Dental and Craniofacial Research
                         374
                         424
                         400

                         National Institute of Diabetes and Digestive and Kidney Diseases
                         1,789
                         2,010
                         1,757

                         National Institute of Neurological Disorders and Stroke
                         1,515
                         1,676
                         1,617

                         National Institute of Allergy and Infectious Diseases
                         4,415
                         3,961
                         4,465

                         National Institute of General Medical Sciences
                         2,338
                         2,413
                         2,381

                         Eunice Kennedy Shriver National Institute of Child Health and Human Development
                         1,213
                         1,348
                         1,295

                         National Eye Institute
                         671
                         652
                         682

                         National Institute of Environmental Health Sciences
                         710
                         718
                         750

                         National Institute on Aging
                         1,088
                         1,125
                         1,205

                         National Institute of Arthritis and Musculoskeletal and Skin Diseases
                         509
                         515
                         524

                         National Institute on Deafness and Other Communication Disorders
                         398
                         399
                         408

                         National Institute of Nursing Research
                         130
                         138
                         141

                         National Institute on Alcohol Abuse and Alcoholism
                         419
                         442
                         450

                         National Institute on Drug Abuse
                         959
                         927
                         1,023

                         National Institute of Mental Health
                         1,330
                         1,419
                         1,447

                         National Human Genome Research Institute
                         483
                         541
                         506

                         National Institute of Biomedical Imaging and Bioengineering
                         320
                         321
                         329

                         National Center for Complementary and Integrative Health
                         119
                         122
                         125

                         National Institute on Minority Health and Health Disparities
                         255
                         255
                         271

                         John E. Fogarty International Center
                         63
                         72
                         68

                         National Library of Medicine
                         326
                         316
                         367

                         National Center for Advancing Translational Sciences
                         569
                         556
                         597

                         Office of the Director
                         1,364
                         1,383
                         1,399

                         Buildings and Facilities
                         111
                         107
                         97

                         National Center for Research Resources
                         108
                         78
                         28

                         Total Outlays, NIH
                         29,109
                         29,748
                         30,337

             *The FY 2015 funding level includes $238 million in one-time emergency funding for the U.S. Government response to contain,
             treat, and prevent the spread of Ebola.
             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 075–9915–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      907
                      923
                      923

                      11.3
                      Other than full-time permanent
                      457
                      461
                      465

                      11.5
                      Other personnel compensation
                      33
                      34
                      34

                      11.7
                      Military personnel
                      20
                      20
                      20

                      11.8
                      Special personal services payments
                      158
                      158
                      161

                      11.9
                      Total personnel compensation
                      1,575
                      1,596
                      1,603

                      12.1
                      Civilian personnel benefits
                      428
                      442
                      449

                      12.2
                      Military personnel benefits
                      14
                      14
                      15

                      21.0
                      Travel and transportation of persons
                      45
                      45
                      45

                      22.0
                      Transportation of things
                      5
                      5
                      5

                      23.1
                      Rental payments to GSA
                      14
                      14
                      15

                      23.3
                      Communications, utilities, and miscellaneous charges
                      24
                      24
                      25

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      158
                      168
                      160

                      25.2
                      Other services from non-Federal sources
                      902
                      896
                      874

                      25.3
                      Other goods and services from Federal sources
                      2,981
                      3,009
                      3,020

                      25.4
                      Operation and maintenance of facilities
                      142
                      173
                      173

                      25.5
                      Research and development contracts
                      1,774
                      1,691
                      1,626

                      25.6
                      Medical care
                      28
                      28
                      28

                      25.7
                      Operation and maintenance of equipment
                      103
                      104
                      105

                      26.0
                      Supplies and materials
                      182
                      178
                      170

                      31.0
                      Equipment
                      152
                      154
                      150

                      41.0
                      Grants, subsidies, and contributions
                      21,628
                      21,706
                      21,850

                      99.0
                      Direct obligations
                      30,156
                      30,248
                      30,314

                      99.0
                      Reimbursable obligations
                      3,417
                      3,526
                      3,505

                      99.9
                      Total new obligations
                      33,573
                      33,774
                      33,819

          Employment Summary

                      Identification code 075–9915–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      13,086
                      13,160
                      13,160

                      1101
                      Direct military average strength employment
                      189
                      190
                      190

                      2001
                      Reimbursable civilian full-time equivalent employment
                      4,666
                      4,692
                      4,692

                      2101
                      Reimbursable military average strength employment
                      107
                      108
                      108

             National Institutes of Health

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

                      Identification code 075–9915–4–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Type 1 Diabetes

                      150

                      0900
                      Total new obligations (object class 41.0)

                      150

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      150

                      1260
                      Appropriations, mandatory (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

             10-Year Pediatric Research Initiative Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–5736–0–2–552
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      38
                      25

                      Receipts:

                      0240
                      Transfers from Presidential Election Campaign Fund
                      38

                      0400
                      Total: Balances and collections
                      38
                      38
                      25

                      Appropriations:

                      0500
                      10-Year Pediatric Research Initiative Fund

                      –13
                      –13

                      0799
                      Balance, end of year
                      38
                      25
                      12

          Program and Financing (in millions of dollars)

                      Identification code 075–5736–0–2–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)

                      13
                      13

                      1120
                      Appropriations transferred to other accts [075–9915]

                      –13
                      –13

             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, [$1,045,936,000] $1,013,628,000: 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 in this Act for fiscal year [2015 : Provided further, That of the amount appropriated under this heading, $45,887,000 shall be for the National Child Traumatic Stress Initiative
             as described in section 582 of the PHS Act] 2016: Provided further, That 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, [$2,102,658,000] $2,031,357,000: 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, [$175,219,000] $194,450,000: 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, [$150,232,000] $156,228,000: Provided, That in addition to amounts provided herein, [$31,428,000] $58,917,000 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] 2017: 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1362–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0006
                      Mental Health
                      1,052
                      1,046
                      1,014

                      0007
                      Substance Abuse Treatment
                      2,047
                      2,103
                      2,031

                      0008
                      Substance Abuse Prevention
                      175
                      175
                      195

                      0009
                      Health Surveillance and Program Support
                      150
                      150
                      156

                      0011
                      Prevention Fund
                      62
                      12
                      58

                      0100
                      Total, direct program
                      3,486
                      3,486
                      3,454

                      0799
                      Total direct obligations
                      3,486
                      3,486
                      3,454

                      0802
                      Reimbursables
                      105
                      111
                      111

                      0810
                      Reimbursable:  PHS Evaluation
                      133
                      134
                      211

                      0899
                      Total reimbursable obligations
                      238
                      245
                      322

                      0900
                      Total new obligations
                      3,724
                      3,731
                      3,776

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,435
                      3,474
                      3,396

                      1120
                      Appropriations transferred to other accts [075–0140]
                      –1

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –9

                      1160
                      Appropriation, discretionary (total)
                      3,425
                      3,474
                      3,396

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from the Prevention and Public Health Fund [075–0116]
                      62
                      12
                      58

                      1260
                      Appropriations, mandatory (total)
                      62
                      12
                      58

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      125
                      245
                      322

                      1701
                      Change in uncollected payments, Federal sources
                      112

                      1750
                      Spending auth from offsetting collections, disc (total)
                      237
                      245
                      322

                      1900
                      Budget authority (total)
                      3,724
                      3,731
                      3,776

                      1930
                      Total budgetary resources available
                      3,724
                      3,731
                      3,776

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      3,219
                      3,493
                      3,059

                      3010
                      Obligations incurred, unexpired accounts
                      3,724
                      3,731
                      3,776

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –3,416
                      –4,165
                      –3,787

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –35

                      3050
                      Unpaid obligations, end of year
                      3,493
                      3,059
                      3,048

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –143
                      –155
                      –155

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –112

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      100

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –155
                      –155
                      –155

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      3,076
                      3,338
                      2,904

                      3200
                      Obligated balance, end of year
                      3,338
                      2,904
                      2,893

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3,662
                      3,719
                      3,718

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,213
                      1,565
                      1,612

                      4011
                      Outlays from discretionary balances
                      2,163
                      2,480
                      2,139

                      4020
                      Outlays, gross (total)
                      3,376
                      4,045
                      3,751

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –223
                      –243
                      –320

                      4033
                      Non-Federal sources

                      –2
                      –2

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –223
                      –245
                      –322

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –112

                      4052
                      Offsetting collections credited to expired accounts
                      98

                      4060
                      Additional offsets against budget authority only (total)
                      –14

                      4070
                      Budget authority, net (discretionary)
                      3,425
                      3,474
                      3,396

                      4080
                      Outlays, net (discretionary)
                      3,153
                      3,800
                      3,429

                      Mandatory:

                      4090
                      Budget authority, gross
                      62
                      12
                      58

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      4
                      22

                      4101
                      Outlays from mandatory balances
                      37
                      116
                      14

                      4110
                      Outlays, gross (total)
                      40
                      120
                      36

                      4180
                      Budget authority, net (total)
                      3,487
                      3,486
                      3,454

                      4190
                      Outlays, net (total)
                      3,193
                      3,920
                      3,465

             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 075–1362–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      48
                      50
                      50

                      11.3
                      Other than full-time permanent
                      3
                      3
                      3

                      11.5
                      Other personnel compensation
                      1
                      1
                      1

                      11.7
                      Military personnel
                      3
                      4
                      3

                      11.9
                      Total personnel compensation
                      55
                      58
                      57

                      12.1
                      Civilian personnel benefits
                      15
                      15
                      15

                      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
                      10
                      12

                      23.3
                      Communications, utilities, and miscellaneous charges

                      1
                      2

                      24.0
                      Printing and reproduction
                      2
                      1
                      1

                      25.1
                      Advisory and assistance services
                      29
                      26
                      26

                      25.2
                      Other services from non-Federal sources
                      170
                      156
                      153

                      25.3
                      Other goods and services from Federal sources
                      40
                      33
                      33

                      25.4
                      Operation and maintenance of facilities
                      2
                      1
                      1

                      25.5
                      Research and development contracts

                      1
                      1

                      31.0
                      Equipment
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      3,163
                      3,180
                      3,149

                      99.0
                      Direct obligations
                      3,486
                      3,486
                      3,454

                      99.0
                      Reimbursable obligations
                      238
                      245
                      322

                      99.9
                      Total new obligations
                      3,724
                      3,731
                      3,776

          Employment Summary

                      Identification code 075–1362–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      484
                      499
                      492

                      1101
                      Direct military average strength employment
                      35
                      36
                      33

                      2001
                      Reimbursable civilian full-time equivalent employment
                      80
                      110
                      117

                      2101
                      Reimbursable military average strength employment
                      16
                      20
                      23

             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, $363,698,000, of which $87,888,000 shall be from funds available under section 241 of the PHS Act: Provided, That section 947(c) of the PHS Act shall not apply in fiscal year [2015] 2016: Provided further, 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, 2016] expended. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1700–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Research on Health Costs, Quality and Outcomes
                      7
                      229
                      135

                      0002
                      Medical Expenditure Panel Survey

                      65
                      69

                      0003
                      Program Support

                      70
                      72

                      0799
                      Total direct obligations
                      7
                      364
                      276

                      0803
                      Research on Health Costs, Quality and Outcomes
                      252
                      21
                      109

                      0804
                      Medical Expenditure Panel Survey
                      64

                      0805
                      Program Support
                      69

                      0899
                      Total reimbursable obligations
                      385
                      21
                      109

                      0900
                      Total new obligations
                      392
                      385
                      385

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      22
                      19
                      19

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      22
                      19

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      23
                      19
                      19

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation

                      364
                      276

                      1160
                      Appropriation, discretionary (total)

                      364
                      276

                      Appropriations, mandatory:

                      1221
                      Appropriations transferred from other acct [075–0116]
                      7

                      1260
                      Appropriations, mandatory (total)
                      7

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      154
                      21
                      109

                      1700
                      Collected

                      361

                      1701
                      Change in uncollected payments, Federal sources
                      227
                      –361

                      1750
                      Spending auth from offsetting collections, disc (total)
                      381
                      21
                      109

                      1900
                      Budget authority (total)
                      388
                      385
                      385

                      1930
                      Total budgetary resources available
                      411
                      404
                      404

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      19
                      19
                      19

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      487
                      416
                      313

                      3010
                      Obligations incurred, unexpired accounts
                      392
                      385
                      385

                      3020
                      Outlays (gross)
                      –436
                      –488
                      –237

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –26

                      3050
                      Unpaid obligations, end of year
                      416
                      313
                      461

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –388
                      –361

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –227
                      361

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      254

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –361

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      99
                      55
                      313

                      3200
                      Obligated balance, end of year
                      55
                      313
                      461

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      381
                      385
                      385

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      135
                      87
                      159

                      4011
                      Outlays from discretionary balances
                      293
                      395
                      76

                      4020
                      Outlays, gross (total)
                      428
                      482
                      235

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –394
                      –21
                      –109

                      4030
                      Federal sources

                      –361

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –394
                      –382
                      –109

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –227
                      361

                      4052
                      Offsetting collections credited to expired accounts
                      240

                      4060
                      Additional offsets against budget authority only (total)
                      13
                      361

                      4070
                      Budget authority, net (discretionary)

                      364
                      276

                      4080
                      Outlays, net (discretionary)
                      34
                      100
                      126

                      Mandatory:

                      4090
                      Budget authority, gross
                      7

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      8
                      6
                      2

                      4180
                      Budget authority, net (total)
                      7
                      364
                      276

                      4190
                      Outlays, net (total)
                      42
                      106
                      128

             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 075–1700–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      32
                      32

                      11.3
                      Other than full-time permanent

                      3
                      3

                      11.5
                      Other personnel compensation

                      1
                      1

                      11.7
                      Military personnel

                      1
                      1

                      11.9
                      Total personnel compensation

                      37
                      37

                      12.1
                      Civilian personnel benefits

                      10
                      10

                      12.2
                      Military personnel benefits

                      1
                      1

                      23.1
                      Rental payments to GSA

                      5
                      5

                      23.3
                      Communications, utilities, and miscellaneous charges

                      1
                      1

                      24.0
                      Printing and reproduction

                      1
                      1

                      25.2
                      Other services from non-Federal sources

                      13
                      15

                      25.3
                      Other goods and services from Federal sources

                      19
                      20

                      25.5
                      Research and development contracts
                      7
                      162
                      98

                      31.0
                      Equipment

                      2
                      2

                      41.0
                      Grants, subsidies, and contributions

                      113
                      86

                      99.0
                      Direct obligations
                      7
                      364
                      276

                      99.0
                      Reimbursable obligations
                      385
                      21
                      109

                      99.9
                      Total new obligations
                      392
                      385
                      385

          Employment Summary

                      Identification code 075–1700–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      294
                      294

                      1101
                      Direct military average strength employment

                      6
                      6

                      2001
                      Reimbursable civilian full-time equivalent employment
                      293
                      6
                      6

                      2101
                      Reimbursable military average strength employment
                      8

             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, [$234,608,916,000] $243,545,410,000, to remain available until expended.

          [For making,] In addition, for carrying out such titles after May 31,  [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] 2016 for the last quarter of fiscal year [2015] 2016 for unanticipated costs incurred for the current fiscal year, such sums as may be necessary, to remain available until expended.

          [For making payments to States or in the case of section 1928 on behalf of States under title XIX of the Social Security Act] In addition, for carrying out such titles for the first quarter of fiscal year [2016, $113,272,140,000] 2017, $115,582,502,000, 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0512–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments
                      306,134
                      316,151
                      335,076

                      0002
                      State and local administration
                      18,640
                      19,222
                      17,767

                      0003
                      Vaccines for Children
                      3,557
                      3,981
                      4,109

                      0799
                      Total direct obligations
                      328,331
                      339,354
                      356,952

                      0801
                      Medicare Part B premiums
                      688
                      360

                      0802
                      Medicare Part D

                      5

                      0899
                      Total reimbursable obligations
                      688
                      360
                      5

                      0900
                      Total new obligations
                      329,019
                      339,714
                      356,957

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,283
                      1,408
                      135

                      1021
                      Recoveries of prior year unpaid obligations
                      21,597

                      1050
                      Unobligated balance (total)
                      23,880
                      1,408
                      135

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation

                      12

                      1160
                      Appropriation, discretionary (total)

                      12

                      Appropriations, mandatory:

                      1200
                      Appropriation Medicaid
                      199,508
                      234,609
                      243,545

                      1260
                      Appropriations, mandatory (total)
                      199,508
                      234,609
                      243,545

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      106,336
                      103,472
                      113,272

                      1280
                      Advanced appropriation, mandatory (total)
                      106,336
                      103,472
                      113,272

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      703
                      360
                      5

                      1850
                      Spending auth from offsetting collections, mand (total)
                      703
                      360
                      5

                      1900
                      Budget authority (total)
                      306,547
                      338,441
                      356,834

                      1930
                      Total budgetary resources available
                      330,427
                      339,849
                      356,969

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1,408
                      135
                      12

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      30,756
                      36,003
                      46,762

                      3010
                      Obligations incurred, unexpired accounts
                      329,019
                      339,714
                      356,957

                      3020
                      Outlays (gross)
                      –302,175
                      –328,955
                      –344,464

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –21,597

                      3050
                      Unpaid obligations, end of year
                      36,003
                      46,762
                      59,255

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      30,756
                      36,003
                      46,762

                      3200
                      Obligated balance, end of year
                      36,003
                      46,762
                      59,255

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      12

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      12

                      Mandatory:

                      4090
                      Budget authority, gross
                      306,547
                      338,441
                      356,822

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      270,817
                      294,752
                      344,452

                      4101
                      Outlays from mandatory balances
                      31,358
                      34,203

                      4110
                      Outlays, gross (total)
                      302,175
                      328,955
                      344,452

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –688
                      –360
                      –5

                      4123
                      Non-Federal sources
                      –15

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –703
                      –360
                      –5

                      4160
                      Budget authority, net (mandatory)
                      305,844
                      338,081
                      356,817

                      4170
                      Outlays, net (mandatory)
                      301,472
                      328,595
                      344,447

                      4180
                      Budget authority, net (total)
                      305,844
                      338,081
                      356,829

                      4190
                      Outlays, net (total)
                      301,472
                      328,595
                      344,459

             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
                         2014
                         2015
                         2016

                         Vaccine Purchase
                         3,262
                         3,688
                         3,797

                         Vaccine Stockpile
                         136
                         122
                         132

                         Ordering, Distribution, and Operations
                         116
                         127
                         133

                         Vaccine Management Contract Support
                         0
                         0
                         0

                         Evaluation Activities
                         43
                         44
                         48

                         Total Obligations
                         3,557
                         3,981
                         4,109

          Object Classification (in millions of dollars)

                      Identification code 075–0512–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions
                      328,331
                      339,354
                      356,952

                      99.0
                      Reimbursable obligations
                      688
                      360
                      5

                      99.9
                      Total new obligations
                      329,019
                      339,714
                      356,957

             Grants to States for Medicaid

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

                      Identification code 075–0512–7–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicaid vendor payments

                      1

                      0900
                      Total new obligations (object class 41.0)

                      1

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      1

                      1260
                      Appropriations, mandatory (total)

                      1

                      1930
                      Total budgetary resources available

                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      1

                      3020
                      Outlays (gross)

                      –1

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      1

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      1

                      4180
                      Budget authority, net (total)

                      1

                      4190
                      Outlays, net (total)

                      1

             Grants to States for Medicaid

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

                      Identification code 075–0512–2–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicaid Vendor Payments

                      54

                      0900
                      Total new obligations (object class 41.0)

                      54

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      54

                      1260
                      Appropriations, mandatory (total)

                      54

                      1930
                      Total budgetary resources available

                      54

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      54

                      3020
                      Outlays (gross)

                      –54

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      54

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      54

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –370
                      –775

                      4180
                      Budget authority, net (total)

                      –370
                      –721

                      4190
                      Outlays, net (total)

                      –370
                      –721

             Please see the narrative in the Program Integrity Administrative Expenses (Social Security Administration) account 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 075–0512–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicaid Vendor Payments

                      4,485
                      6,491

                      0100
                      Direct program activities, subtotal

                      4,485
                      6,491

                      0801
                      Part B Premiums

                      370
                      775

                      0809
                      Reimbursable program activities, subtotal

                      370
                      775

                      0900
                      Total new obligations

                      4,855
                      7,266

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      4,485
                      6,491

                      1260
                      Appropriations, mandatory (total)

                      4,485
                      6,491

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      370
                      775

                      1850
                      Spending auth from offsetting collections, mand (total)

                      370
                      775

                      1900
                      Budget authority (total)

                      4,855
                      7,266

                      1930
                      Total budgetary resources available

                      4,855
                      7,266

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      4,855
                      7,266

                      3020
                      Outlays (gross)

                      –4,855
                      –7,266

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      4,855
                      7,266

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      4,855
                      7,266

                      4180
                      Budget authority, net (total)

                      4,855
                      7,266

                      4190
                      Outlays, net (total)

                      4,855
                      7,266

             This schedule reflects the Administration's Medicaid proposals.

          Object Classification (in millions of dollars)

                      Identification code 075–0512–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions

                      4,485
                      6,491

                      99.0
                      Reimbursable obligations

                      370
                      775

                      99.9
                      Total new obligations

                      4,855
                      7,266

             State Grants and Demonstrations

             Program and Financing (in millions of dollars)

                      Identification code 075–0516–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0011
                      Emergency health services for undocumented aliens
                      6
                      2
                      2

                      0012
                      Medicaid integrity program
                      101
                      112
                      84

                      0018
                      Money follows the person (MFP) demonstration
                      367
                      428
                      1,649

                      0019
                      MFP evaluations and technical support
                      1
                      1
                      1

                      0023
                      Grants to improve outreach and enrollment
                      3
                      4

                      0025
                      Medicaid emergency psychiatric demonstration
                      25
                      34

                      0026
                      Incentives for prevention of chronic diseases in Medicaid
                      21
                      8

                      0027
                      Demonstration Programs to Improve Mental Health Services

                      1
                      25

                      0900
                      Total new obligations
                      524
                      590
                      1,761

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,489
                      2,415
                      2,319

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      26

                      1050
                      Unobligated balance (total)
                      1,516
                      2,415
                      2,319

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,533
                      494
                      559

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –110

                      1260
                      Appropriations, mandatory (total)
                      1,423
                      494
                      559

                      1900
                      Budget authority (total)
                      1,423
                      494
                      559

                      1930
                      Total budgetary resources available
                      2,939
                      2,909
                      2,878

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2,415
                      2,319
                      1,117

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      715
                      696
                      714

                      3010
                      Obligations incurred, unexpired accounts
                      524
                      590
                      1,761

                      3011
                      Obligations incurred, expired accounts
                      3

                      3020
                      Outlays (gross)
                      –510
                      –572
                      –593

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –26

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –10

                      3050
                      Unpaid obligations, end of year
                      696
                      714
                      1,882

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      715
                      696
                      714

                      3200
                      Obligated balance, end of year
                      696
                      714
                      1,882

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,423
                      494
                      559

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      129
                      47

                      4101
                      Outlays from mandatory balances
                      510
                      443
                      546

                      4110
                      Outlays, gross (total)
                      510
                      572
                      593

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –2

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      2

                      4160
                      Budget authority, net (mandatory)
                      1,423
                      494
                      559

                      4170
                      Outlays, net (mandatory)
                      508
                      572
                      593

                      4180
                      Budget authority, net (total)
                      1,423
                      494
                      559

                      4190
                      Outlays, net (total)
                      508
                      572
                      593

             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), the Health
                Care and Education Reconciliation Act of 2010 (P.L. 111–152), and the Protecting Access to Medicare Act of 2014 (P.L. 113–93).

             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 075–0516–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent - Medicaid Integrity Program
                      7
                      10
                      13

                      12.1
                      Civilian personnel benefits - Medicaid Integrity Program
                      3
                      4
                      5

                      41.0
                      Grants, subsidies, and contributions - Emergency services for undocumented aliens
                      6
                      2
                      2

                      41.0
                      Grants, subsidies, and contributions - Medicaid Integrity Program
                      91
                      98
                      66

                      41.0
                      Grants, subsidies, and contributions - Money follows the person (MFP) demonstrations
                      367
                      428
                      1,649

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

                      41.0
                      Grants, subsidies, and contributions - Grants to improve outreach and enrollment
                      3
                      4

                      41.0
                      Grants, subsidies, and contributions - Medicaid emergency psychiatric demonstration
                      25
                      34

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

                      8

                      41.0
                      Grants, subsidies, and contributions - Demos to Improve Mental Health

                      1
                      25

                      41.0
                      Grants, subsidies, and contributions - Incentives for prevention of chronic diseases in Medicaid
                      21

                      99.9
                      Total new obligations
                      524
                      590
                      1,761

          Employment Summary

                      Identification code 075–0516–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      80
                      91
                      97

             State Grants and Demonstrations

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

                      Identification code 075–0516–4–1–551
                      2014 actual
                      2015 est.
                      2016 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

                      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, [$259,212,000,000] $283,171,800,000.

          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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0580–0–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)
                      194,565
                      194,775
                      198,530

                      0002
                      Part D benefits (Rx Drug)
                      58,596
                      63,342
                      82,453

                      0003
                      Part D Federal administration (Rx Drug)
                      373
                      418
                      691

                      0004
                      General Fund Transfers to HI
                      1,651
                      1,103
                      1,493

                      0006
                      Federal Bureau of Investigation (HCFAC)
                      127
                      129
                      141

                      0007
                      Federal payments from taxation of OASDI benefits (HI)
                      18,066
                      20,225
                      23,480

                      0008
                      Criminal fines (HCFAC)
                      345
                      950
                      990

                      0009
                      Civil monetary penalties and damages (HCFAC - DOJ and CMS administration)
                      24
                      31
                      32

                      0010
                      Asset Forfeiture
                      25
                      28
                      29

                      0011
                      State Low Income Determinations

                      6
                      5

                      0900
                      Total new obligations
                      273,772
                      281,007
                      307,844

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite, annual)
                      255,185
                      259,212
                      283,172

                      1200
                      Appropriation (indefinite, permanent)
                      18,066
                      20,225
                      23,480

                      1200
                      Appropriation (HCFAC for FBI)
                      127
                      129
                      141

                      1200
                      Appropriation (indefinite for HCFAC)
                      394
                      1,009
                      1,051

                      1200
                      Appropriation (indefinite, annual)

                      432

                      1260
                      Appropriations, mandatory (total)
                      273,772
                      281,007
                      307,844

                      1930
                      Total budgetary resources available
                      273,772
                      281,007
                      307,844

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      5,277
                      16,313
                      17,600

                      3010
                      Obligations incurred, unexpired accounts
                      273,772
                      281,007
                      307,844

                      3011
                      Obligations incurred, expired accounts
                      2,920

                      3020
                      Outlays (gross)
                      –265,656
                      –279,720
                      –307,844

                      3050
                      Unpaid obligations, end of year
                      16,313
                      17,600
                      17,600

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      5,277
                      16,313
                      17,600

                      3200
                      Obligated balance, end of year
                      16,313
                      17,600
                      17,600

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      273,772
                      281,007
                      307,844

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      260,113
                      264,220
                      307,844

                      4101
                      Outlays from mandatory balances
                      5,543
                      15,500

                      4110
                      Outlays, gross (total)
                      265,656
                      279,720
                      307,844

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –19

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      19

                      4160
                      Budget authority, net (mandatory)
                      273,772
                      281,007
                      307,844

                      4170
                      Outlays, net (mandatory)
                      265,637
                      279,720
                      307,844

                      4180
                      Budget authority, net (total)
                      273,772
                      281,007
                      307,844

                      4190
                      Outlays, net (total)
                      265,637
                      279,720
                      307,844

             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 administrative expenses that are
                properly chargeable to the general fund.

          Object Classification (in millions of dollars)

                      Identification code 075–0580–0–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions
                      271,621
                      279,351
                      305,514

                      42.0
                      Insurance claims and indemnities
                      204
                      187
                      158

                      94.0
                      Financial transfers (Federal admin)
                      1,947
                      1,469
                      2,172

                      99.9
                      Total new obligations
                      273,772
                      281,007
                      307,844

             Payments to Health Care Trust Funds

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

                      Identification code 075–0580–7–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)

                      –11
                      7,970

                      0900
                      Total new obligations (object class 41.0)

                      –11
                      7,970

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite annual)

                      –11
                      7,970

                      1260
                      Appropriations, mandatory (total)

                      –11
                      7,970

                      1930
                      Total budgetary resources available

                      –11
                      7,970

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –11
                      7,970

                      3020
                      Outlays (gross)

                      11
                      –7,970

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –11
                      7,970

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –11
                      7,970

                      4180
                      Budget authority, net (total)

                      –11
                      7,970

                      4190
                      Outlays, net (total)

                      –11
                      7,970

             Payments to Health Care Trust Funds

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

                      Identification code 075–0580–2–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Federal contribution to match premiums (SMI)

                      370
                      1,264

                      0002
                      Part D benefits (Rx drug)

                      –560

                      0900
                      Total new obligations (object class 41.0)

                      370
                      704

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation (definite, annual)

                      370
                      704

                      1260
                      Appropriations, mandatory (total)

                      370
                      704

                      1930
                      Total budgetary resources available

                      370
                      704

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      370
                      704

                      3020
                      Outlays (gross)

                      –370
                      –704

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      370
                      704

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      370
                      704

                      4180
                      Budget authority, net (total)

                      370
                      704

                      4190
                      Outlays, net (total)

                      370
                      704

             Quality Improvement Organizations

             Program and Financing (in millions of dollars)

                      Identification code 075–0519–0–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      QIO contracts
                      1,282
                      559
                      329

                      0002
                      QIO support contracts
                      130
                      211
                      230

                      0900
                      Total new obligations
                      1,412
                      770
                      559

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      64
                      770
                      559

                      1801
                      Change in uncollected payments, Federal sources
                      1,635

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –50

                      1850
                      Spending auth from offsetting collections, mand (total)
                      1,649
                      770
                      559

                      1930
                      Total budgetary resources available
                      1,649
                      770
                      559

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –237

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      627
                      1,461
                      1,461

                      3010
                      Obligations incurred, unexpired accounts
                      1,412
                      770
                      559

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –579
                      –770
                      –559

                      3050
                      Unpaid obligations, end of year
                      1,461
                      1,461
                      1,461

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –1,059
                      –2,189
                      –2,189

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –1,635

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      505

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –2,189
                      –2,189
                      –2,189

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –432
                      –728
                      –728

                      3200
                      Obligated balance, end of year
                      –728
                      –728
                      –728

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,649
                      770
                      559

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      88
                      299
                      139

                      4101
                      Outlays from mandatory balances
                      491
                      471
                      420

                      4110
                      Outlays, gross (total)
                      579
                      770
                      559

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Baseline Program [Text]
                      –570
                      –770
                      –559

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –1,635

                      4142
                      Offsetting collections credited to expired accounts
                      506

                      4150
                      Additional offsets against budget authority only (total)
                      –1,129

                      4160
                      Budget authority, net (mandatory)
                      –50

                      4170
                      Outlays, net (mandatory)
                      9

                      4180
                      Budget authority, net (total)
                      –50

                      4190
                      Outlays, net (total)
                      9

                      Memorandum (non-add) entries:

                      5091
                      Expiring unavailable balance: Offsetting collections
                      –50

                      5093
                      Expired unavailable balance, SOY: Offsetting collections

                      50
                      50

                      5095
                      Expired unavailable balance, EOY: Offsetting collections

                      50
                      50

             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 075–0519–0–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      24
                      47
                      52

                      23.3
                      Communications, utilities, and miscellaneous charges
                      7
                      2
                      2

                      25.2
                      Other services from non-Federal sources
                      1,362
                      715
                      500

                      25.3
                      Other goods and services from Federal sources
                      11
                      4
                      3

                      25.4
                      Operation and maintenance of facilities
                      8
                      2
                      2

                      99.9
                      Total new obligations
                      1,412
                      770
                      559

          Employment Summary

                      Identification code 075–0519–0–1–571
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      196
                      224
                      225

             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] $4,245,186,000, 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;] 1893(h) of the Social Security Act, 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, 2020] 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 [2015] 2016 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. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0511–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Program operations
                      2,970
                      3,005
                      3,046

                      0002
                      Federal administration
                      789
                      804
                      838

                      0003
                      State survey and certification
                      381
                      440
                      469

                      0004
                      Research, demonstrations, and evaluation projects
                      88
                      95
                      64

                      0006
                      High-risk pool grants
                      20

                      0007
                      ARRA Medicare/Medicaid HIT
                      108
                      139
                      100

                      0008
                      Consumer Assistance Grants
                      5
                      1

                      0100
                      Total direct program
                      4,361
                      4,484
                      4,517

                      0799
                      Total direct obligations
                      4,361
                      4,484
                      4,517

                      0801
                      Clinical laboratory improvement amendments
                      58
                      46
                      50

                      0802
                      Sale of data
                      7
                      7
                      7

                      0803
                      Coordination of benefits
                      32
                      28
                      30

                      0804
                      Medicare advantage/Prescription drug plan
                      70
                      71
                      82

                      0805
                      Provider enrollment
                      38
                      28
                      32

                      0806
                      Recovery audit contractors
                      469
                      437
                      750

                      0808
                      Marketplace User Fees
                      252
                      850
                      1,514

                      0810
                      Risk Adjustment Administrative Expenses

                      19
                      21

                      0811
                      Risk Corridors

                      5,450
                      6,390

                      0812
                      Reimbursable program activity
                      200

                      0813
                      Other reimbursable program activity
                      20
                      4
                      4

                      0899
                      Total reimbursable obligations
                      1,146
                      6,940
                      8,880

                      0900
                      Total new obligations
                      5,507
                      11,424
                      13,397

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      836
                      916
                      724

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      196

                      1020
                      Adjustment of unobligated bal brought forward, Oct 1
                      –10

                      1021
                      Recoveries of prior year unpaid obligations
                      25

                      1050
                      Unobligated balance (total)
                      851
                      916
                      724

                      Budget authority:

                      Appropriations, discretionary:

                      1121
                      Appropriations transferred from other acct [075–9915]
                      75

                      1121
                      Appropriations transferred from other acct [075–1362]
                      9

                      1121
                      Appropriations transferred from other acct [075–0350]
                      10

                      1121
                      Appropriations transferred from other acct [075–0943]
                      13

                      1121
                      Appropriations transferred from other acct [075–1536]
                      5

                      1121
                      Appropriations transferred from other acct [075–0142]
                      4

                      1121
                      Appropriations transferred from other acct [075–9912]
                      1

                      1121
                      Appropriations transferred from other acct [075–0140]
                      2

                      1160
                      Appropriation, discretionary (total)
                      119

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      253
                      193
                      68

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –18
                      –14

                      1260
                      Appropriations, mandatory (total)
                      235
                      179
                      68

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1,935
                      9,433
                      10,643

                      1701
                      Change in uncollected payments, Federal sources
                      2,251

                      1702
                      Offsetting collections (previously unavailable)
                      4

                      1750
                      Spending auth from offsetting collections, disc (total)
                      4,190
                      9,433
                      10,643

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      870
                      1,700
                      2,437

                      1801
                      Change in uncollected payments, Federal sources
                      579

                      1802
                      Offsetting collections (previously unavailable)
                      1
                      34
                      73

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –97
                      –114

                      1850
                      Spending auth from offsetting collections, mand (total)
                      1,353
                      1,620
                      2,510

                      1900
                      Budget authority (total)
                      5,897
                      11,232
                      13,221

                      1930
                      Total budgetary resources available
                      6,748
                      12,148
                      13,945

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –325

                      1941
                      Unexpired unobligated balance, end of year
                      916
                      724
                      548

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      4,198
                      4,117
                      3,741

                      3010
                      Obligations incurred, unexpired accounts
                      5,507
                      11,424
                      13,397

                      3011
                      Obligations incurred, expired accounts
                      27

                      3020
                      Outlays (gross)
                      –5,462
                      –11,800
                      –13,442

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –25

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –128

                      3050
                      Unpaid obligations, end of year
                      4,117
                      3,741
                      3,696

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –4,097
                      –4,465
                      –4,465

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –2,830

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      2,462

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –4,465
                      –4,465
                      –4,465

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      101
                      –348
                      –724

                      3200
                      Obligated balance, end of year
                      –348
                      –724
                      –769

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      4,309
                      9,433
                      10,643

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,037
                      9,433
                      10,643

                      4011
                      Outlays from discretionary balances
                      2,223

                      4020
                      Outlays, gross (total)
                      4,260
                      9,433
                      10,643

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –4,260
                      –3,976
                      –4,246

                      4033
                      Non-Federal sources
                      –12
                      –5,457
                      –6,397

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –4,272
                      –9,433
                      –10,643

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –2,251

                      4052
                      Offsetting collections credited to expired accounts
                      2,337

                      4060
                      Additional offsets against budget authority only (total)
                      86

                      4070
                      Budget authority, net (discretionary)
                      123

                      4080
                      Outlays, net (discretionary)
                      –12

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,588
                      1,799
                      2,578

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      394
                      1,737
                      2,513

                      4101
                      Outlays from mandatory balances
                      808
                      630
                      286

                      4110
                      Outlays, gross (total)
                      1,202
                      2,367
                      2,799

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –414
                      –137
                      –28

                      4123
                      Non-Federal sources
                      –501
                      –1,563
                      –2,409

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –915
                      –1,700
                      –2,437

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –579

                      4142
                      Offsetting collections credited to expired accounts
                      45

                      4150
                      Additional offsets against budget authority only (total)
                      –534

                      4160
                      Budget authority, net (mandatory)
                      139
                      99
                      141

                      4170
                      Outlays, net (mandatory)
                      287
                      667
                      362

                      4180
                      Budget authority, net (total)
                      262
                      99
                      141

                      4190
                      Outlays, net (total)
                      275
                      667
                      362

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections
                      10
                      43
                      123

                      5091
                      Expiring unavailable balance: Offsetting collections
                      –59

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      43
                      123
                      50

                      5093
                      Expired unavailable balance, SOY: Offsetting collections

                      59
                      59

                      5095
                      Expired unavailable balance, EOY: Offsetting collections

                      59
                      59

             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 075–0511–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      453
                      471
                      491

                      11.3
                      Other than full-time permanent
                      13
                      12
                      12

                      11.5
                      Other personnel compensation
                      8
                      8
                      8

                      11.7
                      Military personnel
                      12
                      16
                      16

                      11.9
                      Total personnel compensation
                      486
                      507
                      527

                      12.1
                      Civilian personnel benefits
                      147
                      140
                      152

                      12.2
                      Military personnel benefits
                      6
                      8
                      8

                      21.0
                      Travel and transportation of persons
                      5
                      6
                      7

                      22.0
                      Transportation of things
                      1

                      23.1
                      Rental payments to GSA
                      12
                      8
                      8

                      23.3
                      Communications, utilities, and miscellaneous charges
                      70

                      24.0
                      Printing and reproduction
                      41
                      2
                      4

                      25.2
                      Other services from non-Federal sources
                      2,768
                      2,391
                      2,392

                      25.3
                      Other goods and services from Federal sources
                      63
                      9
                      9

                      25.4
                      Operation and maintenance of facilities
                      3

                      25.5
                      Research and development contracts
                      2
                      20
                      19

                      25.6
                      Medical care
                      571
                      1,265
                      1,302

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      31.0
                      Equipment
                      2

                      41.0
                      Grants, subsidies, and contributions
                      126
                      77
                      38

                      42.0
                      Insurance claims and indemnities
                      57
                      50
                      50

                      99.0
                      Direct obligations
                      4,361
                      4,484
                      4,517

                      99.0
                      Reimbursable obligations
                      1,146
                      6,940
                      8,880

                      99.9
                      Total new obligations
                      5,507
                      11,424
                      13,397

          Employment Summary

                      Identification code 075–0511–0–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      4,327
                      4,302
                      4,503

                      1001
                      Direct civilian full-time equivalent employment
                      127
                      97
                      8

                      1101
                      Direct military average strength employment
                      168
                      168
                      168

                      2001
                      Reimbursable civilian full-time equivalent employment
                      103
                      122
                      125

             Program Management

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

                      Identification code 075–0511–4–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Program operations

                      1,025

                      0002
                      Federal administration

                      5

                      0100
                      Total direct program

                      1,030

                      0799
                      Total direct obligations

                      1,030

                      0801
                      Federal Payment Levy Program

                      2

                      0802
                      Home Health Civil Monetary Penalties

                      1

                      0803
                      Appeals Filing Fees

                      4

                      0804
                      Provider Application Fees

                      9

                      0805
                      Registration Fees

                      14

                      0806
                      RAC Recoveries for Preventative Action

                      177

                      0899
                      Total reimbursable obligations

                      207

                      0900
                      Total new obligations

                      1,237

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      401

                      1260
                      Appropriations, mandatory (total)

                      401

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      836

                      1850
                      Spending auth from offsetting collections, mand (total)

                      836

                      1900
                      Budget authority (total)

                      1,237

                      1930
                      Total budgetary resources available

                      1,237

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      1,237

                      3020
                      Outlays (gross)

                      –322

                      3050
                      Unpaid obligations, end of year

                      915

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      915

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      1,237

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      322

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –811

                      4123
                      Non-Federal sources

                      –25

                      4130
                      Offsets against gross budget authority and outlays (total)

                      –836

                      4160
                      Budget authority, net (mandatory)

                      401

                      4170
                      Outlays, net (mandatory)

                      –514

                      4180
                      Budget authority, net (total)

                      401

                      4190
                      Outlays, net (total)

                      –514

          Object Classification (in millions of dollars)

                      Identification code 075–0511–4–1–550
                      2014 actual
                      2015 est.
                      2016 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

                      1,027

                      99.0
                      Direct obligations

                      1,030

                      99.0
                      Reimbursable obligations

                      207

                      99.9
                      Total new obligations

                      1,237

          Employment Summary

                      Identification code 075–0511–4–1–550
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      20

             Children's Health Insurance Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0515–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Grants to States and U.S. Territories
                      9,760
                      9,756
                      8,800

                      0002
                      Performance bonus payments
                      312

                      0003
                      Child health quality improvement
                      39
                      8
                      10

                      0900
                      Total new obligations (object class 41.0)
                      10,111
                      9,764
                      8,810

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      281
                      3,159
                      8,162

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      9,534

                      1021
                      Recoveries of prior year unpaid obligations
                      16

                      1050
                      Unobligated balance (total)
                      9,831
                      3,159
                      8,162

                      Budget authority:

                      Appropriations, discretionary:

                      1130
                      Appropriations permanently reduced

                      –3,330

                      1160
                      Appropriation, discretionary (total)

                      –3,330

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      19,147
                      21,061
                      5,700

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –6,317
                      –6,294

                      1260
                      Appropriations, mandatory (total)
                      12,830
                      14,767
                      5,700

                      1900
                      Budget authority (total)
                      12,830
                      14,767
                      2,370

                      1930
                      Total budgetary resources available
                      22,661
                      17,926
                      10,532

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –9,391

                      1941
                      Unexpired unobligated balance, end of year
                      3,159
                      8,162
                      1,722

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,117
                      6,707
                      5,913

                      3010
                      Obligations incurred, unexpired accounts
                      10,111
                      9,764
                      8,810

                      3020
                      Outlays (gross)
                      –9,319
                      –10,558
                      –14,010

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –16

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –186

                      3050
                      Unpaid obligations, end of year
                      6,707
                      5,913
                      713

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,117
                      6,707
                      5,913

                      3200
                      Obligated balance, end of year
                      6,707
                      5,913
                      713

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –3,330

                      Mandatory:

                      4090
                      Budget authority, gross
                      12,830
                      14,767
                      5,700

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3,626
                      4,100
                      5,700

                      4101
                      Outlays from mandatory balances
                      5,693
                      6,458
                      8,310

                      4110
                      Outlays, gross (total)
                      9,319
                      10,558
                      14,010

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –5

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      5

                      4160
                      Budget authority, net (mandatory)
                      12,830
                      14,767
                      5,700

                      4170
                      Outlays, net (mandatory)
                      9,314
                      10,558
                      14,010

                      4180
                      Budget authority, net (total)
                      12,830
                      14,767
                      2,370

                      4190
                      Outlays, net (total)
                      9,314
                      10,558
                      14,010

             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. The Budget proposes a four-year extension of CHIP funding through 2019.

             Children's Health Insurance Fund

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

                      Identification code 075–0515–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Grants to State and U.S. Territories

                      510

                      0900
                      Total new obligations (object class 41.0)

                      510

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      510

                      1260
                      Appropriations, mandatory (total)

                      510

                      1930
                      Total budgetary resources available

                      510

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      510

                      3020
                      Outlays (gross)

                      –510

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      510

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      510

                      4180
                      Budget authority, net (total)

                      510

                      4190
                      Outlays, net (total)

                      510

              This schedule reflects the Administration's Children's Health Insurance Program (CHIP) proposals.

             Center for Medicare and Medicaid Innovation

             Program and Financing (in millions of dollars)

                      Identification code 075–0522–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Administration
                      190
                      340
                      348

                      0002
                      Innovation Activities
                      990
                      1,501
                      1,298

                      0900
                      Total new obligations
                      1,180
                      1,841
                      1,646

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      8,180
                      7,010
                      5,169

                      1021
                      Recoveries of prior year unpaid obligations
                      10

                      1050
                      Unobligated balance (total)
                      8,190
                      7,010
                      5,169

                      1930
                      Total budgetary resources available
                      8,190
                      7,010
                      5,169

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      7,010
                      5,169
                      3,523

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      941
                      1,114
                      1,664

                      3010
                      Obligations incurred, unexpired accounts
                      1,180
                      1,841
                      1,646

                      3020
                      Outlays (gross)
                      –997
                      –1,291
                      –1,590

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –10

                      3050
                      Unpaid obligations, end of year
                      1,114
                      1,664
                      1,720

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      941
                      1,114
                      1,664

                      3200
                      Obligated balance, end of year
                      1,114
                      1,664
                      1,720

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      997
                      1,291
                      1,590

                      4190
                      Outlays, net (total)
                      997
                      1,291
                      1,590

             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 075–0522–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      35
                      55
                      49

                      12.1
                      Civilian personnel benefits
                      10
                      16
                      14

                      23.3
                      Communications, utilities, and miscellaneous charges
                      3
                      5
                      4

                      25.2
                      Other services from non-Federal sources
                      452
                      705
                      631

                      41.0
                      Grants, subsidies, and contributions
                      564
                      879
                      786

                      42.0
                      Insurance claims and indemnities
                      116
                      181
                      162

                      99.9
                      Total new obligations
                      1,180
                      1,841
                      1,646

          Employment Summary

                      Identification code 075–0522–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      355
                      518
                      625

             Child Enrollment Contingency Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–5551–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      6

                      Receipts:

                      0240
                      Interest, Child Enrollment Contingency Fund
                      3
                      6

                      0400
                      Total: Balances and collections
                      3
                      6
                      6

                      Appropriations:

                      0500
                      Child Enrollment Contingency Fund

                      2,105

                      0501
                      Child Enrollment Contingency Fund
                      –3

                      0502
                      Child Enrollment Contingency Fund

                      –50

                      0599
                      Total appropriations
                      –3

                      2,055

                      0799
                      Balance, end of year

                      6
                      2,061

          Program and Financing (in millions of dollars)

                      Identification code 075–5551–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Grants to States and US Territories

                      50

                      0900
                      Total new obligations (object class 41.0)

                      50

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2,096
                      2,099
                      2,105

                      Budget authority:

                      Appropriations, discretionary:

                      1134
                      Appropriations precluded from obligation

                      –2,105

                      1160
                      Appropriation, discretionary (total)

                      –2,105

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      56

                      1201
                      Appropriation (special or trust fund)
                      3

                      1260
                      Appropriations, mandatory (total)
                      3
                      56

                      1900
                      Budget authority (total)
                      3
                      56
                      –2,105

                      1930
                      Total budgetary resources available
                      2,099
                      2,155

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2,099
                      2,105

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      12
                      9
                      9

                      3010
                      Obligations incurred, unexpired accounts

                      50

                      3020
                      Outlays (gross)
                      –3
                      –50

                      3050
                      Unpaid obligations, end of year
                      9
                      9
                      9

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      12
                      9
                      9

                      3200
                      Obligated balance, end of year
                      9
                      9
                      9

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –2,105

                      Mandatory:

                      4090
                      Budget authority, gross
                      3
                      56

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      3
                      50

                      4180
                      Budget authority, net (total)
                      3
                      56
                      –2,105

                      4190
                      Outlays, net (total)
                      3
                      50

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      2,098
                      2,101
                      2,105

                      5001
                      Total investments, EOY: Federal securities: Par value
                      2,101
                      2,105
                      2,105

             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 Budget proposes a four-year extension of CHIP funding, including an extension of the
                contingency fund through 2019.

             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.

             Child Enrollment Contingency Fund

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

                      Identification code 075–5551–4–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      50

                      1260
                      Appropriations, mandatory (total)

                      50

                      1930
                      Total budgetary resources available

                      50

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      50

                      Change in obligated balance:

                      Unpaid obligations:

                      3020
                      Outlays (gross)

                      –50

                      3050
                      Unpaid obligations, end of year

                      –50

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      –50

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      50

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      50

                      4180
                      Budget authority, net (total)

                      50

                      4190
                      Outlays, net (total)

                      50

              This schedule reflects the Administration's Children's Health Insurance Program (CHIP) proposals.

             Medicare Health Information Technology Incentive Payments, Recovery Act

             Program and Financing (in millions of dollars)

                      Identification code 075–0508–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Incentive payments to hospitals
                      4,075
                      2,100
                      2,656

                      0802
                      Incentive payments to eligible professionals
                      2,734
                      870
                      940

                      0900
                      Total new obligations (object class 42.0)
                      6,809
                      2,970
                      3,596

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1,871
                      161
                      161

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected from the HI Trust Fund
                      3,849
                      2,100
                      2,656

                      1800
                      Collected from the SMI Trust Fund
                      2,660
                      870
                      940

                      1801
                      Change in uncollected payments, Federal sources
                      –1,277

                      1823
                      New and/or unobligated balance of spending authority from offsetting collections temporarily reduced
                      –133

                      1850
                      Spending auth from offsetting collections, mand (total)
                      5,099
                      2,970
                      3,596

                      1930
                      Total budgetary resources available
                      6,970
                      3,131
                      3,757

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      161
                      161
                      161

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      305
                      729
                      729

                      3010
                      Obligations incurred, unexpired accounts
                      6,809
                      2,970
                      3,596

                      3020
                      Outlays (gross)
                      –6,385
                      –2,970
                      –3,596

                      3050
                      Unpaid obligations, end of year
                      729
                      729
                      729

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –2,442
                      –1,165
                      –1,165

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      1,277

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –1,165
                      –1,165
                      –1,165

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –2,137
                      –436
                      –436

                      3200
                      Obligated balance, end of year
                      –436
                      –436
                      –436

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      5,099
                      2,970
                      3,596

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      4,209
                      2,520
                      3,356

                      4101
                      Outlays from mandatory balances
                      2,176
                      450
                      240

                      4110
                      Outlays, gross (total)
                      6,385
                      2,970
                      3,596

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –6,509
                      –2,970
                      –3,596

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      1,277

                      4160
                      Budget authority, net (mandatory)
                      –133

                      4170
                      Outlays, net (mandatory)
                      –124

                      4180
                      Budget authority, net (total)
                      –133

                      4190
                      Outlays, net (total)
                      –124

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections

                      133
                      133

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      133
                      133
                      133

             Rate Review Grants

             Program and Financing (in millions of dollars)

                      Identification code 075–0112–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Premium rate review grants
                      25
                      7

                      0900
                      Total new obligations (object class 41.0)
                      25
                      7

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      29

                      15

                      1021
                      Recoveries of prior year unpaid obligations
                      3
                      22
                      25

                      1050
                      Unobligated balance (total)
                      32
                      22
                      40

                      1930
                      Total budgetary resources available
                      32
                      22
                      40

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –7

                      1941
                      Unexpired unobligated balance, end of year

                      15
                      40

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      161
                      156
                      87

                      3010
                      Obligations incurred, unexpired accounts
                      25
                      7

                      3020
                      Outlays (gross)
                      –27
                      –54
                      –40

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –3
                      –22
                      –25

                      3050
                      Unpaid obligations, end of year
                      156
                      87
                      22

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      161
                      156
                      87

                      3200
                      Obligated balance, end of year
                      156
                      87
                      22

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      27
                      54
                      40

                      4190
                      Outlays, net (total)
                      27
                      54
                      40

             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
                or other insurance reform activities consistent with Section 2794 (c)(2)(B). The program provides $250,000,000 over the five-year
                period beginning with fiscal year 2010.

             Pre-Existing Condition Insurance Plan Program

             Program and Financing (in millions of dollars)

                      Identification code 075–0113–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Pre-Existing Condition Insurance Plan Program (Direct)
                      286

                      0002
                      Administration
                      25

                      0799
                      Total direct obligations
                      311

                      0801
                      Premiums from Fallback States
                      114

                      0900
                      Total new obligations
                      425

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      367
                      166
                      383

                      1021
                      Recoveries of prior year unpaid obligations
                      140
                      217

                      1050
                      Unobligated balance (total)
                      507
                      383
                      383

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      84

                      1850
                      Spending auth from offsetting collections, mand (total)
                      84

                      1900
                      Budget authority (total)
                      84

                      1930
                      Total budgetary resources available
                      591
                      383
                      383

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      166
                      383
                      383

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      585
                      251
                      1

                      3010
                      Obligations incurred, unexpired accounts
                      425

                      3020
                      Outlays (gross)
                      –619
                      –33

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –140
                      –217

                      3050
                      Unpaid obligations, end of year
                      251
                      1
                      1

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      585
                      251
                      1

                      3200
                      Obligated balance, end of year
                      251
                      1
                      1

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      84

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      84

                      4101
                      Outlays from mandatory balances
                      535
                      33

                      4110
                      Outlays, gross (total)
                      619
                      33

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –84

                      4190
                      Outlays, net (total)
                      535
                      33

             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 Affordable Care Act (P.L. 111–148).  The PCIP
                program ended in FY 2014 as new insurance options became available to the enrolled population, and outlays reflected in subsequent
                fiscal years reflect program close out and claims run out costs.

          Object Classification (in millions of dollars)

                      Identification code 075–0113–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2

                      25.2
                      Other services from non-Federal sources
                      23

                      41.0
                      Grants, subsidies, and contributions
                      286

                      99.0
                      Direct obligations
                      311

                      99.0
                      Reimbursable obligations
                      114

                      99.9
                      Total new obligations
                      425

          Employment Summary

                      Identification code 075–0113–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      7

             Early Retiree Reinsurance Program

             Program and Financing (in millions of dollars)

                      Identification code 075–0114–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0002
                      Administration
                      8
                      1

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      20
                      13
                      24

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      1
                      12

                      1850
                      Spending auth from offsetting collections, mand (total)
                      1
                      12

                      1900
                      Budget authority (total)
                      1
                      12

                      1930
                      Total budgetary resources available
                      21
                      25
                      24

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      13
                      24
                      24

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      19
                      13
                      12

                      3010
                      Obligations incurred, unexpired accounts
                      8
                      1

                      3020
                      Outlays (gross)
                      –14
                      –2

                      3050
                      Unpaid obligations, end of year
                      13
                      12
                      12

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      19
                      13
                      12

                      3200
                      Obligated balance, end of year
                      13
                      12
                      12

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      1
                      12

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      14
                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –1
                      –12

                      4190
                      Outlays, net (total)
                      13
                      –10

             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 075–0114–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      1

                      25.2
                      Other services from non-Federal sources
                      6

                      99.9
                      Total new obligations
                      8
                      1

          Employment Summary

                      Identification code 075–0114–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      4
                      5

             Affordable Insurance Exchange Grants

             Program and Financing (in millions of dollars)

                      Identification code 075–0115–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Planning and establishment grants
                      743
                      449

                      0002
                      Administration
                      41
                      47
                      52

                      0900
                      Total new obligations
                      784
                      496
                      52

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      1
                      1

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      846
                      535
                      51

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –61
                      –39

                      1260
                      Appropriations, mandatory (total)
                      785
                      496
                      51

                      1930
                      Total budgetary resources available
                      785
                      497
                      52

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      3,016
                      1,976
                      328

                      3010
                      Obligations incurred, unexpired accounts
                      784
                      496
                      52

                      3020
                      Outlays (gross)
                      –1,803
                      –2,144
                      –380

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –21

                      3050
                      Unpaid obligations, end of year
                      1,976
                      328

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      3,016
                      1,976
                      328

                      3200
                      Obligated balance, end of year
                      1,976
                      328

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      785
                      496
                      51

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      92

                      51

                      4101
                      Outlays from mandatory balances
                      1,711
                      2,144
                      329

                      4110
                      Outlays, gross (total)
                      1,803
                      2,144
                      380

                      4180
                      Budget authority, net (total)
                      785
                      496
                      51

                      4190
                      Outlays, net (total)
                      1,803
                      2,144
                      380

             This program provides funding for Planning and Establishment Grants to States for their activities to implement Health Insurance
                Marketplaces. The Marketplaces facilitate the purchase of qualified health plans in the individual market and allow small
                businesses to offer qualified health plans to their employees through the Small Business Health Options Program (SHOP). 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. The
                final round of grants was awarded to States in December 2014.

          Object Classification (in millions of dollars)

                      Identification code 075–0115–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      11
                      13
                      13

                      25.2
                      Other services from non-Federal sources
                      30
                      34
                      39

                      41.0
                      Grants, subsidies, and contributions
                      743
                      449

                      99.9
                      Total new obligations
                      784
                      496
                      52

          Employment Summary

                      Identification code 075–0115–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      51
                      65
                      66

             Risk Adjustment Program Payments

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–5733–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      269

                      Receipts:

                      0200
                      Receipts, Risk Adjustment Program

                      3,679
                      5,641

                      0400
                      Total: Balances and collections

                      3,679
                      5,910

                      Appropriations:

                      0500
                      Risk Adjustment Program Payments

                      –3,679
                      –5,641

                      0501
                      Risk Adjustment Program Payments

                      –269

                      0502
                      Risk Adjustment Program Payments

                      269

                      0599
                      Total appropriations

                      –3,410
                      –5,910

                      0799
                      Balance, end of year

                      269

          Program and Financing (in millions of dollars)

                      Identification code 075–5733–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Risk Adjustment Program Payments (Direct)

                      3,410
                      5,910

                      0900
                      Total new obligations (object class 41.0)

                      3,410
                      5,910

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      3,679
                      5,641

                      1203
                      Appropriation (previously unavailable)

                      269

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced

                      –269

                      1260
                      Appropriations, mandatory (total)

                      3,410
                      5,910

                      1930
                      Total budgetary resources available

                      3,410
                      5,910

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      3,410
                      5,910

                      3020
                      Outlays (gross)

                      –3,410
                      –5,910

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      3,410
                      5,910

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      3,410
                      5,910

                      4180
                      Budget authority, net (total)

                      3,410
                      5,910

                      4190
                      Outlays, net (total)

                      3,410
                      5,910

             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 075–5735–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      731

                      Receipts:

                      0200
                      Contributions, Transitional Reinsurance Program

                      10,020
                      6,025

                      0400
                      Total: Balances and collections

                      10,020
                      6,756

                      Appropriations:

                      0500
                      Transitional Reinsurance Program

                      –10,020
                      –6,025

                      0501
                      Transitional Reinsurance Program

                      –731

                      0502
                      Transitional Reinsurance Program

                      731

                      0599
                      Total appropriations

                      –9,289
                      –6,756

                      0799
                      Balance, end of year

                      731

          Program and Financing (in millions of dollars)

                      Identification code 075–5735–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Transitional reinsurance payments

                      9,269
                      6,731

                      0002
                      Administrative expenses

                      20
                      25

                      0900
                      Total new obligations

                      9,289
                      6,756

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      10,020
                      6,025

                      1203
                      Appropriation (previously unavailable)

                      731

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced

                      –731

                      1260
                      Appropriations, mandatory (total)

                      9,289
                      6,756

                      1930
                      Total budgetary resources available

                      9,289
                      6,756

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      9,289
                      6,756

                      3020
                      Outlays (gross)

                      –9,289
                      –6,756

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      9,289
                      6,756

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      9,289
                      6,756

                      4180
                      Budget authority, net (total)

                      9,289
                      6,756

                      4190
                      Outlays, net (total)

                      9,289
                      6,756

             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 contributing entities a per enrollee fee to fund the reinsurance program, 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 075–5735–0–2–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions - Transitional Reinsurance

                      9,269
                      6,731

                      41.0
                      Grants, subsidies, and contributions - Administration

                      20
                      25

                      99.9
                      Total new obligations

                      9,289
                      6,756

             Consumer Operated and Oriented Plan Program Contingency Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0524–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0701
                      Direct loan subsidy
                      165
                      42

                      0709
                      Administrative expenses
                      9
                      11
                      3

                      0900
                      Total new obligations
                      174
                      53
                      3

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      230
                      56
                      3

                      1930
                      Total budgetary resources available
                      230
                      56
                      3

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      56
                      3

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      7
                      154
                      75

                      3010
                      Obligations incurred, unexpired accounts
                      174
                      53
                      3

                      3020
                      Outlays (gross)
                      –27
                      –132
                      –52

                      3050
                      Unpaid obligations, end of year
                      154
                      75
                      26

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      7
                      154
                      75

                      3200
                      Obligated balance, end of year
                      154
                      75
                      26

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      27
                      132
                      52

                      4190
                      Outlays, net (total)
                      27
                      132
                      52

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

                      Identification code 075–0524–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct loan levels supportable by subsidy budget authority:

                      115001
                      Startup Loans
                      39

                      115002
                      Solvency Loans
                      358
                      88

                      115999
                      Total direct loan levels
                      397
                      88

                      Direct loan subsidy (in percent):

                      132001
                      Startup Loans
                      35.66
                      0.00
                      0.00

                      132002
                      Solvency Loans
                      42.08
                      48.22
                      0.00

                      132999
                      Weighted average subsidy rate
                      41.45
                      48.22
                      0.00

                      Direct loan subsidy budget authority:

                      133001
                      Startup Loans
                      14

                      133002
                      Solvency Loans
                      151
                      42

                      133999
                      Total subsidy budget authority
                      165
                      42

                      Direct loan subsidy outlays:

                      134001
                      Startup Loans
                      12
                      3

                      134002
                      Solvency Loans
                      5
                      118
                      47

                      134999
                      Total subsidy outlays
                      17
                      121
                      47

                      Direct loan reestimates:

                      135001
                      Startup Loans

                      –1

                      135999
                      Total direct loan reestimates

                      –1

                      Administrative expense data:

                      3580
                      Outlays from balances
                      10
                      11
                      5

             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 075–0524–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      4
                      3

                      23.1
                      Rental payments to GSA
                      1
                      1

                      25.2
                      Other services from non-Federal sources
                      4
                      7
                      3

                      41.0
                      Grants, subsidies, and contributions
                      165
                      42

                      99.9
                      Total new obligations
                      174
                      53
                      3

          Employment Summary

                      Identification code 075–0524–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      15
                      18

             Consumer Operated and Oriented Plan Program Account

             Program and Financing (in millions of dollars)

                      Identification code 075–0118–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0705
                      Reestimates of direct loan subsidy
                      18
                      23

                      0706
                      Interest on reestimates of direct loan subsidy
                      1
                      2

                      0709
                      Administrative expenses

                      9

                      0900
                      Total new obligations
                      19
                      25
                      9

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      9
                      9
                      9

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      19
                      25

                      1260
                      Appropriations, mandatory (total)
                      19
                      25

                      1930
                      Total budgetary resources available
                      28
                      34
                      9

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      9
                      9

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      547
                      282
                      119

                      3010
                      Obligations incurred, unexpired accounts
                      19
                      25
                      9

                      3020
                      Outlays (gross)
                      –284
                      –188
                      –116

                      3050
                      Unpaid obligations, end of year
                      282
                      119
                      12

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      547
                      282
                      119

                      3200
                      Obligated balance, end of year
                      282
                      119
                      12

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      19
                      25

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      19
                      25

                      4101
                      Outlays from mandatory balances
                      265
                      163
                      116

                      4110
                      Outlays, gross (total)
                      284
                      188
                      116

                      4180
                      Budget authority, net (total)
                      19
                      25

                      4190
                      Outlays, net (total)
                      284
                      188
                      116

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

                      Identification code 075–0118–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct loan subsidy outlays:

                      134002
                      Startup Loans
                      13

                      134003
                      Solvency
                      251
                      162
                      111

                      134999
                      Total subsidy outlays
                      264
                      162
                      111

                      Direct loan reestimates:

                      135002
                      Startup Loans
                      –6
                      –5

                      135003
                      Solvency
                      19
                      26

                      135999
                      Total direct loan reestimates
                      13
                      21

                      Administrative expense data:

                      3580
                      Outlays from balances
                      1

                      4

             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.

          Object Classification (in millions of dollars)

                      Identification code 075–0118–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      5

                      25.2
                      Other services from non-Federal sources

                      4

                      41.0
                      Grants, subsidies, and contributions
                      19
                      25

                      99.9
                      Total new obligations
                      19
                      25
                      9

          Employment Summary

                      Identification code 075–0118–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      18

             Consumer Operated and Oriented Plan Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 075–4418–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0713
                      Payment of interest to Treasury
                      25
                      46
                      53

                      0742
                      Downward reestimate paid to receipt account
                      6
                      5

                      0900
                      Total new obligations
                      31
                      51
                      53

                      Budgetary resources:

                      Financing authority:

                      Borrowing authority, mandatory:

                      1400
                      Borrowing authority
                      3
                      41
                      43

                      1440
                      Borrowing authority, mandatory (total)
                      3
                      41
                      43

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      292
                      199
                      121

                      1801
                      Change in uncollected payments, Federal sources
                      –264
                      –163
                      –111

                      1825
                      Spending authority from offsetting collections applied to repay debt

                      –26

                      1850
                      Spending auth from offsetting collections, mand (total)
                      28
                      10
                      10

                      1900
                      Financing authority (total)
                      31
                      51
                      53

                      1930
                      Total budgetary resources available
                      31
                      51
                      53

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,243
                      641
                      267

                      3010
                      Obligations incurred, unexpired accounts
                      31
                      51
                      53

                      3020
                      Financing disbursements (gross)
                      –633
                      –425
                      –307

                      3050
                      Unpaid obligations, end of year
                      641
                      267
                      13

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –545
                      –281
                      –118

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      264
                      163
                      111

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –281
                      –118
                      –7

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      698
                      360
                      149

                      3200
                      Obligated balance, end of year
                      360
                      149
                      6

                      Financing authority and disbursements, net:

                      Mandatory:

                      4090
                      Financing authority, gross
                      31
                      51
                      53

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      633
                      425
                      307

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –282
                      –189
                      –111

                      4122
                      Interest on uninvested funds
                      –10
                      –10
                      –10

                      4130
                      Offsets against gross financing auth and disbursements (total)
                      –292
                      –199
                      –121

                      Additional offsets against financing authority only (total):

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      264
                      163
                      111

                      4160
                      Financing authority, net (mandatory)
                      3
                      15
                      43

                      4170
                      Financing disbursements, net (mandatory)
                      341
                      226
                      186

                      4180
                      Financing authority, net (total)
                      3
                      15
                      43

                      4190
                      Financing disbursements, net (total)
                      341
                      226
                      186

          Status of Direct Loans (in millions of dollars)

                      Identification code 075–4418–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year
                      714
                      1,315
                      1,689

                      1231
                      Disbursements: Direct loan disbursements
                      601
                      374
                      254

                      1251
                      Repayments: Repayments and prepayments

                      1263
                      Write-offs for default: Direct loans

                      1290
                      Outstanding, end of year
                      1,315
                      1,689
                      1,943

          Balance Sheet (in millions of dollars)

                      Identification code 075–4418–0–3–551
                      2013 actual
                      2014 actual

                      Group heading

                      0000
                      Group heading

                      ASSETS:

                      Federal assets:

                      1101
                      Fund balances with Treasury
                      118
                      99

                      Investments in US securities:

                      1106
                      Receivables, net
                      25
                      6

                      Net value of assets related to post-1991 direct loans receivable:

                      1401
                      Direct loans receivable, gross
                      714
                      1,315

                      1405
                      Allowance for subsidy cost (-)
                      –309
                      –570

                      1499
                      Net present value of assets related to direct loans
                      405
                      745

                      1999
                      Total assets
                      548
                      850

                      LIABILITIES:

                      2103
                      Federal liabilities: Debt
                      548
                      850

                      4999
                      Total liabilities and net position
                      548
                      850

             Consumer Operated and Oriented Plan Program Contingency Fund Financing Account

             Program and Financing (in millions of dollars)

                      Identification code 075–4482–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      Credit program obligations:

                      0710
                      Direct loan obligations
                      398
                      88

                      0713
                      Payment of interest to Treasury
                      1
                      7
                      8

                      0742
                      Downward reestimate paid to receipt account

                      1

                      0900
                      Total new obligations
                      399
                      96
                      8

                      Budgetary resources:

                      Financing authority:

                      Borrowing authority, mandatory:

                      1400
                      Borrowing authority
                      255
                      52
                      7

                      1422
                      Borrowing authority applied to repay debt
                      –22

                      1440
                      Borrowing authority, mandatory (total)
                      233
                      52
                      7

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      19
                      122
                      48

                      1801
                      Change in uncollected payments, Federal sources
                      147
                      –78
                      –47

                      1850
                      Spending auth from offsetting collections, mand (total)
                      166
                      44
                      1

                      1900
                      Financing authority (total)
                      399
                      96
                      8

                      1930
                      Total budgetary resources available
                      399
                      96
                      8

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      4
                      355
                      155

                      3010
                      Obligations incurred, unexpired accounts
                      399
                      96
                      8

                      3020
                      Financing disbursements (gross)
                      –48
                      –296
                      –110

                      3050
                      Unpaid obligations, end of year
                      355
                      155
                      53

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –2
                      –149
                      –71

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –147
                      78
                      47

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –149
                      –71
                      –24

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      2
                      206
                      84

                      3200
                      Obligated balance, end of year
                      206
                      84
                      29

                      Financing authority and disbursements, net:

                      Mandatory:

                      4090
                      Financing authority, gross
                      399
                      96
                      8

                      Financing disbursements:

                      4110
                      Financing disbursements, gross
                      48
                      296
                      110

                      Offsets against gross financing authority and disbursements:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –18
                      –121
                      –47

                      4122
                      Interest on uninvested funds
                      –1
                      –1
                      –1

                      4130
                      Offsets against gross financing auth and disbursements (total)
                      –19
                      –122
                      –48

                      Additional offsets against financing authority only (total):

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –147
                      78
                      47

                      4160
                      Financing authority, net (mandatory)
                      233
                      52
                      7

                      4170
                      Financing disbursements, net (mandatory)
                      29
                      174
                      62

                      4180
                      Financing authority, net (total)
                      233
                      52
                      7

                      4190
                      Financing disbursements, net (total)
                      29
                      174
                      62

          Status of Direct Loans (in millions of dollars)

                      Identification code 075–4482–0–3–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Position with respect to appropriations act limitation on obligations:

                      1121
                      Limitation available from carry-forward
                      398
                      88

                      1143
                      Unobligated limitation carried forward (P.L. xx) (-)

                      1150
                      Total direct loan obligations
                      398
                      88

                      Cumulative balance of direct loans outstanding:

                      1210
                      Outstanding, start of year
                      2
                      49
                      337

                      1231
                      Disbursements: Direct loan disbursements
                      47
                      288
                      102

                      1251
                      Repayments: Repayments and prepayments

                      1263
                      Write-offs for default: Direct loans

                      1290
                      Outstanding, end of year
                      49
                      337
                      439

          Balance Sheet (in millions of dollars)

                      Identification code 075–4482–0–3–551
                      2013 actual
                      2014 actual

                      ASSETS:

                      1101
                      Federal assets: Fund balances with Treasury
                      3
                      6

                      Net value of assets related to post-1991 direct loans receivable:

                      1401
                      Direct loans receivable, gross
                      2
                      49

                      1402
                      Interest receivable

                      1

                      1405
                      Allowance for subsidy cost (-)
                      –1
                      –19

                      1499
                      Net present value of assets related to direct loans
                      1
                      31

                      1999
                      Total assets
                      4
                      37

                      LIABILITIES:

                      2104
                      Federal liabilities: Resources payable to Treasury
                      4
                      37

                      4999
                      Total liabilities and net position
                      4
                      37

          Trust Funds
             Federal Hospital Insurance Trust Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–8005–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year
                      179,985
                      171,674
                      150,555

                      Receipts:

                      0200
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)
                      205,296
                      214,828
                      224,562

                      0201
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)

                      1,103

                      0202
                      FHI Trust Fund, Receipts from Railroad Retirement Board
                      581
                      594
                      608

                      0203
                      FHI Trust Fund, Transfers from General Fund (SECA Taxes)
                      18,230
                      18,436
                      18,975

                      0204
                      FHI Trust Fund, Civil Penalties and Damages
                      807
                      1,033
                      1,134

                      0220
                      FHI Trust Fund, Other Proprietary Interest from the Public
                      2
                      2
                      2

                      0221
                      FHI Trust Fund, Basic Premium, Medicare Advantage
                      278
                      277
                      297

                      0222
                      FHI Trust Fund, Medicare Refunds
                      8,445
                      8,900
                      8,950

                      0223
                      Affordable Care Act Medicare Shared Savings Models (HI)
                      2
                      2
                      2

                      0224
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible
                      3,259
                      3,444
                      3,508

                      0225
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible

                      –45

                      0240
                      FHI Trust Fund, Federal Employer Contributions (FICA)
                      3,451
                      3,452
                      3,517

                      0241
                      FHI Trust Fund, Postal Service Employer Contributions (FICA)
                      601
                      622
                      635

                      0242
                      FHI Trust Fund, Interest Received by Trust Funds
                      8,929
                      8,795
                      8,885

                      0243
                      FHI Trust Fund, Interest Received by Trust Funds

                      7
                      69

                      0244
                      FHI Trust Fund, Taxation on OASDI Benefits
                      18,066
                      20,225
                      23,480

                      0245
                      FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account
                      255
                      129
                      141

                      0246
                      FHI Trust Fund, Transfers from General Fund (criminal Fines)
                      344
                      950
                      990

                      0247
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)
                      24
                      23
                      24

                      0248
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)

                      1

                      0249
                      FHI Trust Fund, Transfers from General Fund (asset Forfeitures)
                      25
                      28
                      29

                      0250
                      FHI Trust Fund, Interest Payments by Railroad Retirement Board
                      31
                      30
                      32

                      0251
                      FHI Trust Fund, Payments from the General Fund (uninsured and Program Management)
                      2,572
                      1,104
                      1,494

                      0299
                      Total receipts and collections
                      271,198
                      282,881
                      298,393

                      0400
                      Total: Balances and collections
                      451,183
                      454,555
                      448,948

                      Appropriations:

                      0500
                      Federal Hospital Insurance Trust Fund
                      –2,547
                      –2,508
                      –2,740

                      0501
                      Federal Hospital Insurance Trust Fund
                      –266,983
                      –278,986
                      –292,623

                      0502
                      Federal Hospital Insurance Trust Fund
                      –14,127
                      –21,126
                      –2,581

                      0503
                      Federal Hospital Insurance Trust Fund
                      5,442

                      0504
                      Federal Hospital Insurance Trust Fund
                      263

                      0505
                      Federal Hospital Insurance Trust Fund

                      –7
                      –69

                      0506
                      Federal Hospital Insurance Trust Fund

                      7
                      79

                      0507
                      Federal Hospital Insurance Trust Fund

                      –1,059

                      0508
                      Federal Hospital Insurance Trust Fund

                      3,600

                      0509
                      Federal Hospital Insurance Trust Fund

                      6
                      –32

                      0510
                      Federal Hospital Insurance Trust Fund

                      –6
                      32

                      0511
                      Health Care Fraud and Abuse Control Account
                      –294
                      –672
                      –706

                      0512
                      Health Care Fraud and Abuse Control Account
                      –1,314
                      –760
                      –1,196

                      0513
                      Health Care Fraud and Abuse Control Account
                      51
                      52

                      0514
                      Health Care Fraud and Abuse Control Account

                      781

                      0599
                      Total appropriations
                      –279,509
                      –304,000
                      –296,514

                      0799
                      Balance, end of year
                      171,674
                      150,555
                      152,434

          Program and Financing (in millions of dollars)

                      Identification code 075–8005–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, HI
                      271,406
                      297,100
                      291,975

                      0002
                      HIT Incentive Payments
                      3,849
                      2,100
                      2,656

                      0003
                      Administration, HI
                      2,343
                      2,766
                      2,946

                      0004
                      Quality improvement organizations, HI
                      1,131
                      580
                      430

                      0799
                      Total direct obligations
                      278,729
                      302,546
                      298,007

                      0801
                      Federal Hospital Insurance Trust Fund (Reimbursable)
                      5

                      0900
                      Total new obligations
                      278,734
                      302,546
                      298,007

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      74

                      1021
                      Recoveries of prior year unpaid obligations
                      777

                      1050
                      Unobligated balance (total)
                      777

                      74

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      2,547
                      2,508
                      2,740

                      1160
                      Appropriation, discretionary (total)
                      2,547
                      2,508
                      2,740

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      266,983
                      278,986
                      292,623

                      1203
                      Appropriation (previously unavailable)
                      14,127
                      21,126
                      2,581

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –5,442

                      1234
                      Appropriations precluded from obligation
                      –263

                      1260
                      Appropriations, mandatory (total)
                      275,405
                      300,112
                      295,204

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      5

                      1850
                      Spending auth from offsetting collections, mand (total)
                      5

                      1900
                      Budget authority (total)
                      277,957
                      302,620
                      297,944

                      1930
                      Total budgetary resources available
                      278,734
                      302,620
                      298,018

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      74
                      11

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      24,942
                      29,103
                      52,046

                      3010
                      Obligations incurred, unexpired accounts
                      278,734
                      302,546
                      298,007

                      3020
                      Outlays (gross)
                      –273,796
                      –279,603
                      –297,850

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –777

                      3050
                      Unpaid obligations, end of year
                      29,103
                      52,046
                      52,203

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      24,942
                      29,103
                      52,046

                      3200
                      Obligated balance, end of year
                      29,103
                      52,046
                      52,203

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,547
                      2,508
                      2,740

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,732
                      1,854
                      2,007

                      4011
                      Outlays from discretionary balances
                      898
                      602
                      600

                      4020
                      Outlays, gross (total)
                      2,630
                      2,456
                      2,607

                      Mandatory:

                      4090
                      Budget authority, gross
                      275,410
                      300,112
                      295,204

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      249,544
                      249,716
                      266,863

                      4101
                      Outlays from mandatory balances
                      21,622
                      27,431
                      28,380

                      4110
                      Outlays, gross (total)
                      271,166
                      277,147
                      295,243

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –5

                      4180
                      Budget authority, net (total)
                      277,952
                      302,620
                      297,944

                      4190
                      Outlays, net (total)
                      273,791
                      279,603
                      297,850

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      206,010
                      202,207
                      203,805

                      5001
                      Total investments, EOY: Federal securities: Par value
                      202,207
                      203,805
                      201,218

             The Hospital Insurance (HI) program funds the costs of hospital and related care for individuals age 65 or older and for eligible
                disabled people.

              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; and encouraging beneficiaries to seek high-value services.
                The status of the trust fund is as follows.

          Status of Funds (in millions of dollars)

                      Identification code 075–8005–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Unexpended balance, start of year:

                      0100
                      Balance, start of year
                      206,314
                      202,362
                      203,869

                      0199
                      Total balance, start of year
                      206,314
                      202,362
                      203,869

                      Cash income during the year:

                      Current law:

                      Receipts:

                      1200
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)
                      205,296
                      214,828
                      224,562

                      1200
                      FHI Trust Fund, Receipts from Railroad Retirement Board
                      581
                      594
                      608

                      1200
                      FHI Trust Fund, Transfers from General Fund (SECA Taxes)
                      18,230
                      18,436
                      18,975

                      1200
                      FHI Trust Fund, Civil Penalties and Damages
                      807
                      1,033
                      1,134

                      Offsetting receipts (proprietary):

                      1220
                      FHI Trust Fund, Other Proprietary Interest from the Public
                      2
                      2
                      2

                      1220
                      FHI Trust Fund, Basic Premium, Medicare Advantage
                      278
                      277
                      297

                      1220
                      FHI Trust Fund, Medicare Refunds
                      8,445
                      8,900
                      8,950

                      1220
                      Affordable Care Act Medicare Shared Savings Models (HI)
                      2
                      2
                      2

                      1220
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible
                      3,259
                      3,444
                      3,508

                      Offsetting receipts (intragovernmental):

                      1240
                      FHI Trust Fund, Federal Employer Contributions (FICA)
                      3,451
                      3,452
                      3,517

                      1240
                      FHI Trust Fund, Postal Service Employer Contributions (FICA)
                      601
                      622
                      635

                      1240
                      FHI Trust Fund, Interest Received by Trust Funds
                      8,929
                      8,795
                      8,885

                      1240
                      FHI Trust Fund, Taxation on OASDI Benefits
                      18,066
                      20,225
                      23,480

                      1240
                      FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account
                      255
                      129
                      141

                      1240
                      FHI Trust Fund, Transfers from General Fund (criminal Fines)
                      344
                      950
                      990

                      1240
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)
                      24
                      23
                      24

                      1240
                      FHI Trust Fund, Transfers from General Fund (asset Forfeitures)
                      25
                      28
                      29

                      1240
                      FHI Trust Fund, Interest Payments by Railroad Retirement Board
                      31
                      30
                      32

                      1240
                      FHI Trust Fund, Payments from the General Fund (uninsured and Program Management)
                      2,572
                      1,104
                      1,494

                      Offsetting collections:

                      1280
                      Federal Hospital Insurance Trust Fund
                      5

                      1299
                      Income under present law
                      271,203
                      282,874
                      297,265

                      Proposed legislation:

                      Receipts:

                      2200
                      FHI Trust Fund, Transfers from General Fund (FICA Taxes)

                      1,103

                      Offsetting receipts (proprietary receipts):

                      2220
                      FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible

                      –45

                      Offsetting receipts (intragovernmental):

                      2240
                      FHI Trust Fund, Interest Received by Trust Funds

                      7
                      69

                      2240
                      FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties)

                      1

                      Offsetting collections:

                      2280
                      Federal Hospital Insurance Trust Fund

                      5

                      2299
                      Income under proposed legislation

                      7
                      1,133

                      3299
                      Total cash income
                      271,203
                      282,881
                      298,398

                      Cash outgo during year:

                      Current law:

                      4500
                      Federal Hospital Insurance Trust Fund
                      –273,796
                      –279,603
                      –297,850

                      4500
                      Health Care Fraud and Abuse Control Account
                      –1,358
                      –1,771
                      –1,829

                      4500
                      Health Care Fraud and Abuse Control Account

                      781

                      4599
                      Outgo under current law (-)
                      –275,154
                      –281,374
                      –298,898

                      Proposed legislation:

                      5500
                      Federal Hospital Insurance Trust Fund

                      10

                      5500
                      Federal Hospital Insurance Trust Fund

                      2,536

                      5599
                      Outgo under proposed legislation (-)

                      2,546

                      6599
                      Total cash outgo (-)
                      –275,154
                      –281,374
                      –296,352

                      Manual Adjustments:

                      7695
                      Rounding adjustment
                      –1

                      7699
                      Total adjustments
                      –1

                      Unexpended balance, end of year:

                      8700
                      Uninvested balance (net), end of year
                      155
                      64
                      4,697

                      8701
                      Federal Hospital Insurance Trust Fund
                      202,207
                      203,805
                      201,218

                      8799
                      Total balance, end of year
                      202,362
                      203,869
                      205,915

          Object Classification (in millions of dollars)

                      Identification code 075–8005–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      41.0
                      Payment for Quality Improvement Organization (QIO) activities
                      1,131
                      580
                      430

                      42.0
                      Insurance claims and indemnities (benefits)
                      271,406
                      297,100
                      291,975

                      94.0
                      Financial transfers
                      6,192
                      4,866
                      5,602

                      99.0
                      Direct obligations
                      278,729
                      302,546
                      298,007

                      42.0
                      Allocation Account - reimbursable: Insurance claims and indemnities
                      5

                      99.9
                      Total new obligations
                      278,734
                      302,546
                      298,007

             Federal Hospital Insurance Trust Fund

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

                      Identification code 075–8005–7–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –6
                      32

                      1203
                      Appropriation (previously unavailable)

                      6
                      –32

             Federal Hospital Insurance Trust Fund

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

                      Identification code 075–8005–2–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, HI

                      –10

                      0900
                      Total new obligations (object class 94.0)

                      –10

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      7
                      69

                      1234
                      Appropriations precluded from obligation

                      –7
                      –79

                      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

             Federal Hospital Insurance Trust Fund

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

                      Identification code 075–8005–4–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, HI

                      –2,650

                      0003
                      Administration, HI

                      104

                      0799
                      Total direct obligations

                      –2,546

                      0801
                      Appeals Fees

                      5

                      0900
                      Total new obligations

                      –2,541

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      1,059

                      1203
                      Appropriation (previously unavailable)

                      –3,600

                      1260
                      Appropriations, mandatory (total)

                      –2,541

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      5

                      1850
                      Spending auth from offsetting collections, mand (total)

                      5

                      1900
                      Budget authority (total)

                      –2,536

                      1930
                      Total budgetary resources available

                      –2,536

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      5

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –2,541

                      3020
                      Outlays (gross)

                      2,536

                      3050
                      Unpaid obligations, end of year

                      –5

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      –5

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –2,536

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –2,536

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources

                      –5

                      4180
                      Budget authority, net (total)

                      –2,541

                      4190
                      Outlays, net (total)

                      –2,541

          Object Classification (in millions of dollars)

                      Identification code 075–8005–4–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      42.0
                      Insurance claims and indemnities (benefits)

                      –2,650

                      94.0
                      Financial transfers

                      104

                      99.0
                      Direct obligations

                      –2,546

                      99.0
                      Reimbursable obligations

                      5

                      99.9
                      Total new obligations

                      –2,541

             Health care fraud and abuse control accountIn addition to amounts otherwise available for program integrity and program management, [$672,000,000] $706,000,000,  to remain available through September 30, [2016] 2017, 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 [$477,120,000] $474,175,000 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 of Services program integrity activities; of which [$67,200,000] $118,631,000 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 $67,200,000 shall be for the Medicaid and Children's Health Insurance Program ("CHIP") program integrity activities,] and of which [$60,480,000] $113,194,000 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 [2015] 2016 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: Provided further, That of the amount provided under this heading, $311,000,000 is provided to meet the terms of section 251(b)(2)(C)(ii) of
             the Balanced Budget and Emergency Deficit Control Act of 1985, as amended, and [$361,000,000] $395,000,000 is additional new budget authority specified for purposes of section 251(b)(2)(C) of such Act. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–8393–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicare integrity program
                      895
                      864
                      895

                      0002
                      FBI fraud and abuse control
                      135
                      129
                      141

                      0003
                      Other fraud and abuse control
                      276
                      279
                      306

                      0004
                      Predictive Modeling
                      12

                      0005
                      Undistributed Savings, HCFAC and SSA

                      –565
                      –146

                      0091
                      Total Mandatory
                      1,318
                      707
                      1,196

                      0101
                      CMS discretionary
                      216
                      451
                      474

                      0102
                      Other discretionary
                      66
                      221
                      232

                      0191
                      Total Discretionary
                      282
                      672
                      706

                      0900
                      Total new obligations
                      1,600
                      1,379
                      1,902

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      166
                      165
                      166

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      10

                      1021
                      Recoveries of prior year unpaid obligations
                      43

                      1050
                      Unobligated balance (total)
                      209
                      165
                      166

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      294
                      672
                      706

                      1160
                      Appropriation, discretionary (total)
                      294
                      672
                      706

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      1,314
                      760
                      1,196

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –51
                      –52

                      1260
                      Appropriations, mandatory (total)
                      1,263
                      708
                      1,196

                      1900
                      Budget authority (total)
                      1,557
                      1,380
                      1,902

                      1930
                      Total budgetary resources available
                      1,766
                      1,545
                      2,068

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      165
                      166
                      166

                      Special and non-revolving trust funds:

                      1951
                      Unobligated balance expiring
                      1

                      1952
                      Expired unobligated balance, start of year
                      36
                      20
                      44

                      1953
                      Expired unobligated balance, end of year
                      19
                      44
                      44

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,153
                      1,312
                      920

                      3010
                      Obligations incurred, unexpired accounts
                      1,600
                      1,379
                      1,902

                      3020
                      Outlays (gross)
                      –1,358
                      –1,771
                      –1,829

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –43

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –40

                      3050
                      Unpaid obligations, end of year
                      1,312
                      920
                      993

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,153
                      1,312
                      920

                      3200
                      Obligated balance, end of year
                      1,312
                      920
                      993

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      294
                      672
                      706

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      71
                      672
                      706

                      4011
                      Outlays from discretionary balances
                      218
                      5

                      4020
                      Outlays, gross (total)
                      289
                      677
                      706

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,263
                      708
                      1,196

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      174
                      345
                      775

                      4101
                      Outlays from mandatory balances
                      895
                      749
                      348

                      4110
                      Outlays, gross (total)
                      1,069
                      1,094
                      1,123

                      4180
                      Budget authority, net (total)
                      1,557
                      1,380
                      1,902

                      4190
                      Outlays, net (total)
                      1,358
                      1,771
                      1,829

             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 075–8393–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent (CMS)
                      34
                      51
                      51

                      12.1
                      Civilian personnel benefits (CMS)
                      9
                      14
                      14

                      23.3
                      Communications, utilities, and miscellaneous charges
                      9
                      13
                      13

                      25.1
                      Advisory and assistance services (predictive modeling)
                      12

                      25.2
                      Other services (CMS/Medicaid)
                      22
                      52
                      54

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/DOJ)
                      88
                      166
                      177

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/OIG)
                      217
                      299
                      322

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/AoA)
                      7
                      9
                      11

                      25.3
                      Other purchases of goods and services from Government accounts (HHS/OGC)
                      13
                      10
                      11

                      25.3
                      Other goods and services from Federal sources (HHS/CMS)
                      13
                      13
                      14

                      25.3
                      Other goods and services from Government accounts (HHS/FDA)
                      3
                      3
                      3

                      25.6
                      Medical care  (CMS)
                      1,038
                      1,185
                      1,237

                      92.0
                      Undistributed

                      –565
                      –146

                      94.0
                      Financial transfers (FBI)
                      135
                      129
                      141

                      99.9
                      Total new obligations
                      1,600
                      1,379
                      1,902

          Employment Summary

                      Identification code 075–8393–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      387
                      470
                      472

             Health Care Fraud and Abuse Control Account

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

                      Identification code 075–8393–7–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –781

                      1260
                      Appropriations, mandatory (total)

                      –781

                      1900
                      Budget authority (total)

                      –781

                      1930
                      Total budgetary resources available

                      –781

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      –781

                      Change in obligated balance:

                      Unpaid obligations:

                      3020
                      Outlays (gross)

                      781

                      3050
                      Unpaid obligations, end of year

                      781

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      781

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –781

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –781

                      4180
                      Budget authority, net (total)

                      –781

                      4190
                      Outlays, net (total)

                      –781

             Federal Supplementary Medical Insurance Trust Fund

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–8004–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year
                      37,018
                      35,073
                      30,392

                      Receipts:

                      0200
                      Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI
                      3,209
                      2,940
                      3,000

                      0220
                      Other Proprietary Interest from the Public, FSMI Fund
                      5
                      3
                      3

                      0221
                      Premiums Collected for Medicare Prescription Drug Account, FSMI
                      3,564
                      4,064
                      5,000

                      0222
                      Premiums Collected for Medicare Prescription Drug Account, FSMI

                      –40

                      0223
                      Payments from States, Medicare Prescription Drug Account, FSMI
                      8,727
                      8,851
                      9,546

                      0224
                      Payments from States, Medicare Prescription Drug Account, FSMI

                      –80

                      0225
                      Basic Premium, Medicare Advantage, FSMI Trust Fund
                      301
                      327
                      355

                      0226
                      Medicare Refunds, SMI
                      5,030
                      4,400
                      4,500

                      0227
                      Affordable Care Act Medicare Shared Savings Models, SMI
                      1
                      1
                      1

                      0228
                      Premiums Collected for the Aged, FSMI Fund
                      54,415
                      57,042
                      59,263

                      0229
                      Premiums Collected for the Aged, FSMI Fund

                      –10

                      0230
                      Premiums Collected for the Aged, FSMI Fund

                      29

                      0231
                      Premiums Collected for the Aged, FSMI Fund

                      2,095

                      0232
                      Premiums Collected for the Disabled, FSMI Fund
                      10,458
                      10,298
                      10,386

                      0233
                      Premiums Collected for the Disabled, FSMI Fund

                      –3

                      0234
                      Premiums Collected for the Disabled, FSMI Fund

                      364

                      0240
                      Federal Contributions, FSMI Fund
                      191,431
                      194,775
                      198,530

                      0241
                      Federal Contributions, FSMI Fund

                      370
                      1,264

                      0242
                      Federal Contributions, FSMI Fund

                      –11
                      7,970

                      0243
                      Interest Received by Trust Fund, FSMI Fund
                      2,450
                      2,654
                      2,813

                      0244
                      Interest Received by Trust Fund, FSMI Fund

                      –142
                      –352

                      0245
                      Federal Contribution, State Low-income Determinations, Prescription Drug Account, FSMI

                      5

                      0246
                      Interest, Medicare Prescription Drug Account, FSMI
                      10
                      10
                      12

                      0247
                      Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI
                      400
                      418
                      691

                      0248
                      Federal Contributions for Benefits, Prescription Drug Account, SMI
                      52,520
                      62,061
                      82,453

                      0249
                      Federal Contributions for Benefits, Prescription Drug Account, SMI

                      –560

                      0250
                      Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund
                      1
                      1
                      1

                      0299
                      Total receipts and collections
                      332,522
                      348,062
                      387,236

                      0400
                      Total: Balances and collections
                      369,540
                      383,135
                      417,628

                      Appropriations:

                      0500
                      Federal Supplementary Medical Insurance Trust Fund
                      –2,989
                      –2,826
                      –2,995

                      0501
                      Federal Supplementary Medical Insurance Trust Fund
                      –258,781
                      –269,138
                      –275,219

                      0502
                      Federal Supplementary Medical Insurance Trust Fund
                      –7,365

                      –9,188

                      0503
                      Federal Supplementary Medical Insurance Trust Fund
                      5,288

                      0504
                      Federal Supplementary Medical Insurance Trust Fund

                      1,069

                      0505
                      Federal Supplementary Medical Insurance Trust Fund

                      –370
                      –694

                      0506
                      Federal Supplementary Medical Insurance Trust Fund

                      –51

                      0507
                      Federal Supplementary Medical Insurance Trust Fund

                      –576

                      0508
                      Federal Supplementary Medical Insurance Trust Fund

                      –260

                      0509
                      Federal Supplementary Medical Insurance Trust Fund

                      51

                      0510
                      Federal Supplementary Medical Insurance Trust Fund

                      153
                      –10,077

                      0511
                      Federal Supplementary Medical Insurance Trust Fund

                      –5,490
                      –1,168

                      0512
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –370
                      –548
                      –573

                      0513
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –70,674
                      –75,333
                      –97,773

                      0514
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      424

                      0515
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

                      680

                      0599
                      Total appropriations
                      –334,467
                      –352,743
                      –397,583

                      0799
                      Balance, end of year
                      35,073
                      30,392
                      20,045

          Program and Financing (in millions of dollars)

                      Identification code 075–8004–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, SMI
                      257,694
                      266,544
                      283,235

                      0002
                      Transfer to Medicaid for payment of SMI premiums
                      688
                      360

                      0003
                      HIT Incentive Payments
                      2,660
                      870
                      940

                      0004
                      Administration, SMI
                      2,525
                      2,967
                      3,115

                      0005
                      Quality Improvement Organizations, SMI
                      282
                      154
                      112

                      0799
                      Total direct obligations
                      263,849
                      270,895
                      287,402

                      0801
                      Federal Supplementary Medical Insurance Trust Fund (Reimbursable)
                      18

                      0900
                      Total new obligations
                      263,867
                      270,895
                      287,402

                      Budgetary resources:

                      Unobligated balance:

                      1021
                      Recoveries of prior year unpaid obligations
                      2

                      1050
                      Unobligated balance (total)
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      2,989
                      2,826
                      2,995

                      1160
                      Appropriation, discretionary (total)
                      2,989
                      2,826
                      2,995

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      258,781
                      269,138
                      275,219

                      1203
                      Appropriation (previously unavailable)
                      7,365

                      9,188

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –5,288

                      1234
                      Appropriations precluded from obligation

                      –1,069

                      1260
                      Appropriations, mandatory (total)
                      260,858
                      268,069
                      284,407

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      18

                      1850
                      Spending auth from offsetting collections, mand (total)
                      18

                      1900
                      Budget authority (total)
                      263,865
                      270,895
                      287,402

                      1930
                      Total budgetary resources available
                      263,867
                      270,895
                      287,402

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      24,692
                      22,625
                      22,691

                      3010
                      Obligations incurred, unexpired accounts
                      263,867
                      270,895
                      287,402

                      3020
                      Outlays (gross)
                      –265,932
                      –270,829
                      –287,308

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –2

                      3050
                      Unpaid obligations, end of year
                      22,625
                      22,691
                      22,785

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      24,692
                      22,625
                      22,691

                      3200
                      Obligated balance, end of year
                      22,625
                      22,691
                      22,785

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,989
                      2,826
                      2,995

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,714
                      1,920
                      2,050

                      4011
                      Outlays from discretionary balances
                      1,355
                      844
                      826

                      4020
                      Outlays, gross (total)
                      3,069
                      2,764
                      2,876

                      Mandatory:

                      4090
                      Budget authority, gross
                      260,876
                      268,069
                      284,407

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      241,825
                      248,409
                      258,319

                      4101
                      Outlays from mandatory balances
                      21,038
                      19,656
                      26,113

                      4110
                      Outlays, gross (total)
                      262,863
                      268,065
                      284,432

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –18

                      4180
                      Budget authority, net (total)
                      263,847
                      270,895
                      287,402

                      4190
                      Outlays, net (total)
                      265,914
                      270,829
                      287,308

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      67,385
                      68,391
                      64,722

                      5001
                      Total investments, EOY: Federal securities: Par value
                      68,391
                      64,722
                      53,886

             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 Budget includes a package of proposals that strengthen Medicare by more closely aligning payments with the costs of providing
                care, encouraging health care providers to deliver better care and better outcomes for their patients, and improving access
                to care for beneficiaries. This includes investments to reform Medicare physician payments and accelerate physician participation
                in high-quality and efficient healthcare delivery systems.  The Budget also makes structural changes that will reduce Federal
                subsidies to high income beneficiaries and create incentives for beneficiaries to seek high value services.The status of the
                trust fund is as follows.

          Status of Funds (in millions of dollars)

                      Identification code 075–8004–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Unexpended balance, start of year:

                      0100
                      Balance, start of year
                      69,818
                      71,328
                      66,743

                      0199
                      Total balance, start of year
                      69,818
                      71,328
                      66,743

                      Cash income during the year:

                      Current law:

                      Receipts:

                      1200
                      Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI
                      3,209
                      2,940
                      3,000

                      Offsetting receipts (proprietary):

                      1220
                      Other Proprietary Interest from the Public, FSMI Fund
                      5
                      3
                      3

                      1220
                      Premiums Collected for Medicare Prescription Drug Account, FSMI
                      3,564
                      4,064
                      5,000

                      1220
                      Payments from States, Medicare Prescription Drug Account, FSMI
                      8,727
                      8,851
                      9,546

                      1220
                      Basic Premium, Medicare Advantage, FSMI Trust Fund
                      301
                      327
                      355

                      1220
                      Medicare Refunds, SMI
                      5,030
                      4,400
                      4,500

                      1220
                      Affordable Care Act Medicare Shared Savings Models, SMI
                      1
                      1
                      1

                      1220
                      Premiums Collected for the Aged, FSMI Fund

                      2,095

                      1220
                      Premiums Collected for the Aged, FSMI Fund
                      54,415
                      57,042
                      59,263

                      1220
                      Premiums Collected for the Disabled, FSMI Fund

                      364

                      1220
                      Premiums Collected for the Disabled, FSMI Fund
                      10,458
                      10,298
                      10,386

                      Offsetting receipts (intragovernmental):

                      1240
                      Federal Contributions, FSMI Fund

                      –11
                      7,970

                      1240
                      Federal Contributions, FSMI Fund
                      191,431
                      194,775
                      198,530

                      1240
                      Interest Received by Trust Fund, FSMI Fund

                      –142
                      –352

                      1240
                      Interest Received by Trust Fund, FSMI Fund
                      2,450
                      2,654
                      2,813

                      1240
                      Federal Contribution, State Low-income Determinations, Prescription Drug Account, FSMI

                      5

                      1240
                      Interest, Medicare Prescription Drug Account, FSMI
                      10
                      10
                      12

                      1240
                      Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI
                      400
                      418
                      691

                      1240
                      Federal Contributions for Benefits, Prescription Drug Account, SMI
                      52,520
                      62,061
                      82,453

                      1240
                      Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund
                      1
                      1
                      1

                      Offsetting collections:

                      1280
                      Federal Supplementary Medical Insurance Trust Fund
                      18

                      1299
                      Income under present law
                      332,540
                      347,692
                      386,636

                      Proposed legislation:

                      Offsetting receipts (proprietary receipts):

                      2220
                      Premiums Collected for Medicare Prescription Drug Account, FSMI

                      –40

                      2220
                      Payments from States, Medicare Prescription Drug Account, FSMI

                      –80

                      2220
                      Premiums Collected for the Aged, FSMI Fund

                      –10

                      2220
                      Premiums Collected for the Aged, FSMI Fund

                      29

                      2220
                      Premiums Collected for the Disabled, FSMI Fund

                      –3

                      Offsetting receipts (intragovernmental):

                      2240
                      Federal Contributions, FSMI Fund

                      370
                      1,264

                      2240
                      Federal Contributions for Benefits, Prescription Drug Account, SMI

                      –560

                      Offsetting collections:

                      2280
                      Federal Supplementary Medical Insurance Trust Fund

                      4

                      2299
                      Income under proposed legislation

                      370
                      604

                      3299
                      Total cash income
                      332,540
                      348,062
                      387,240

                      Cash outgo during year:

                      Current law:

                      4500
                      Federal Supplementary Medical Insurance Trust Fund
                      –265,932
                      –270,829
                      –287,308

                      4500
                      Federal Supplementary Medical Insurance Trust Fund

                      –5,337
                      –11,245

                      4500
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund
                      –65,098
                      –75,851
                      –98,337

                      4599
                      Outgo under current law (-)
                      –331,030
                      –352,017
                      –396,890

                      Proposed legislation:

                      5500
                      Federal Supplementary Medical Insurance Trust Fund

                      –370
                      –745

                      5500
                      Federal Supplementary Medical Insurance Trust Fund

                      –260
                      –529

                      5500
                      Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

                      680

                      5599
                      Outgo under proposed legislation (-)

                      –630
                      –594

                      6599
                      Total cash outgo (-)
                      –331,030
                      –352,647
                      –397,484

                      Unexpended balance, end of year:

                      8700
                      Uninvested balance (net), end of year
                      2,937
                      7,510
                      9,270

                      8701
                      Federal Supplementary Medical Insurance Trust Fund

                      –5,489
                      –6,657

                      8701
                      Federal Supplementary Medical Insurance Trust Fund
                      68,391
                      64,722
                      53,886

                      8799
                      Total balance, end of year
                      71,328
                      66,743
                      56,499

          Object Classification (in millions of dollars)

                      Identification code 075–8004–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      41.0
                      Payment for Quality Improvement Organization (QIO) activity
                      282
                      154
                      112

                      42.0
                      Insurance claims and indemnities
                      261,042
                      267,774
                      284,175

                      94.0
                      Financial transfers
                      2,525
                      2,967
                      3,115

                      99.0
                      Direct obligations
                      263,849
                      270,895
                      287,402

                      42.0
                      Allocation Account - reimbursable: Insurance claims and indemnities
                      18

                      99.9
                      Total new obligations
                      263,867
                      270,895
                      287,402

             Federal Supplementary Medical Insurance Trust Fund

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

                      Identification code 075–8004–7–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefits

                      5,337
                      11,245

                      0900
                      Total new obligations (object class 42.0)

                      5,337
                      11,245

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –153
                      10,077

                      1234
                      Appropriations precluded from obligation

                      5,490
                      1,168

                      1260
                      Appropriations, mandatory (total)

                      5,337
                      11,245

                      1900
                      Budget authority (total)

                      5,337
                      11,245

                      1930
                      Total budgetary resources available

                      5,337
                      11,245

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      5,337
                      11,245

                      3020
                      Outlays (gross)

                      –5,337
                      –11,245

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      5,337
                      11,245

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      5,337
                      11,245

                      4180
                      Budget authority, net (total)

                      5,337
                      11,245

                      4190
                      Outlays, net (total)

                      5,337
                      11,245

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value

                      –5,489

                      5001
                      Total investments, EOY: Federal securities: Par value

                      –5,489
                      –6,657

             Federal Supplementary Medical Insurance Trust Fund

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

                      Identification code 075–8004–2–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, SMI

                      –30

                      0002
                      Transfer to Medicaid for payment of SMI premiums

                      370
                      775

                      0900
                      Total new obligations (object class 42.0)

                      370
                      745

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      370
                      694

                      1203
                      Appropriation (previously unavailable)

                      51

                      1260
                      Appropriations, mandatory (total)

                      370
                      745

                      1900
                      Budget authority (total)

                      370
                      745

                      1930
                      Total budgetary resources available

                      370
                      745

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      370
                      745

                      3020
                      Outlays (gross)

                      –370
                      –745

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      370
                      745

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      370
                      745

                      4180
                      Budget authority, net (total)

                      370
                      745

                      4190
                      Outlays, net (total)

                      370
                      745

             Federal Supplementary Medical Insurance Trust Fund

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

                      Identification code 075–8004–4–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Benefit payments, SMI

                      260
                      –300

                      0004
                      Administration, SMI

                      821

                      0799
                      Total direct obligations

                      260
                      521

                      0801
                      Federal Supplementary Medical Insurance Trust Fund (Reimbursable)

                      4

                      0900
                      Total new obligations

                      260
                      525

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      576

                      1203
                      Appropriation (previously unavailable)

                      260

                      1234
                      Appropriations precluded from obligation

                      –51

                      1260
                      Appropriations, mandatory (total)

                      260
                      525

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      4

                      1850
                      Spending auth from offsetting collections, mand (total)

                      4

                      1900
                      Budget authority (total)

                      260
                      529

                      1930
                      Total budgetary resources available

                      260
                      529

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      4

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      260
                      525

                      3020
                      Outlays (gross)

                      –260
                      –529

                      3050
                      Unpaid obligations, end of year

                      –4

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      –4

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      260
                      529

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      260
                      529

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources

                      –4

                      4180
                      Budget authority, net (total)

                      260
                      525

                      4190
                      Outlays, net (total)

                      260
                      525

          Object Classification (in millions of dollars)

                      Identification code 075–8004–4–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      42.0
                      Insurance claims and indemnities

                      260
                      –300

                      94.0
                      Financial transfers

                      821

                      99.0
                      Direct obligations

                      260
                      521

                      42.0
                      Allocation Account - reimbursable: Insurance claims and indemnities

                      4

                      99.9
                      Total new obligations

                      260
                      525

             Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–8308–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Prescription Drug Benefits
                      71,153
                      75,321
                      97,764

                      0002
                      Administrative Costs
                      373
                      560
                      581

                      0900
                      Total new obligations
                      71,526
                      75,881
                      98,345

                      Budgetary resources:

                      Unobligated balance:

                      1021
                      Recoveries of prior year unpaid obligations
                      906

                      1050
                      Unobligated balance (total)
                      906

                      Budget authority:

                      Appropriations, discretionary:

                      1101
                      Appropriation (special or trust fund)
                      370
                      548
                      573

                      1160
                      Appropriation, discretionary (total)
                      370
                      548
                      573

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      70,674
                      75,333
                      97,773

                      1232
                      Appropriations and/or unobligated balance of appropriations temporarily reduced
                      –424

                      1260
                      Appropriations, mandatory (total)
                      70,250
                      75,333
                      97,773

                      1900
                      Budget authority (total)
                      70,620
                      75,881
                      98,346

                      1930
                      Total budgetary resources available
                      71,526
                      75,881
                      98,346

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      1

                      Special and non-revolving trust funds:

                      1952
                      Expired unobligated balance, start of year
                      440
                      179
                      664

                      1953
                      Expired unobligated balance, end of year
                      179
                      664
                      664

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      7,397
                      12,966
                      12,996

                      3010
                      Obligations incurred, unexpired accounts
                      71,526
                      75,881
                      98,345

                      3011
                      Obligations incurred, expired accounts
                      53

                      3020
                      Outlays (gross)
                      –65,098
                      –75,851
                      –98,337

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –906

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –6

                      3050
                      Unpaid obligations, end of year
                      12,966
                      12,996
                      13,004

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      7,397
                      12,966
                      12,996

                      3200
                      Obligated balance, end of year
                      12,966
                      12,996
                      13,004

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      370
                      548
                      573

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      228
                      376
                      396

                      4011
                      Outlays from discretionary balances
                      170
                      154
                      154

                      4020
                      Outlays, gross (total)
                      398
                      530
                      550

                      Mandatory:

                      4090
                      Budget authority, gross
                      70,250
                      75,333
                      97,773

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      57,371
                      63,231
                      90,273

                      4101
                      Outlays from mandatory balances
                      7,329
                      12,090
                      7,514

                      4110
                      Outlays, gross (total)
                      64,700
                      75,321
                      97,787

                      4180
                      Budget authority, net (total)
                      70,620
                      75,881
                      98,346

                      4190
                      Outlays, net (total)
                      65,098
                      75,851
                      98,337

             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 075–8308–0–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.2
                      Other services from non-Federal sources
                      373
                      560
                      581

                      42.0
                      Insurance claims and indemnities
                      71,153
                      75,321
                      97,764

                      99.9
                      Total new obligations
                      71,526
                      75,881
                      98,345

             Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund

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

                      Identification code 075–8308–4–7–571
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Prescription Drug Benefits

                      –680

                      0900
                      Total new obligations (object class 42.0)

                      –680

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)

                      –680

                      1260
                      Appropriations, mandatory (total)

                      –680

                      1900
                      Budget authority (total)

                      –680

                      1930
                      Total budgetary resources available

                      –680

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –680

                      3020
                      Outlays (gross)

                      680

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      –680

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      –680

                      4180
                      Budget authority, net (total)

                      –680

                      4190
                      Outlays, net (total)

                      –680

             Administration for Children and Families

             Federal Funds
             Temporary Assistance for Needy Families

             Program and Financing (in millions of dollars)

                      Identification code 075–1552–0–1–609
                      2014 actual
                      2015 est.
                      2016 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
                      147
                      148
                      150

                      0900
                      Total new obligations
                      16,721
                      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
                      16,739
                      16,739

                      1220
                      Appropriations transferred to other accts [075–1552]
                      –36

                      1221
                      Appropriations transferred from other acct [075–1552]
                      36

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –2
                      –2

                      1260
                      Appropriations, mandatory (total)
                      16,737
                      16,737
                      16,739

                      1930
                      Total budgetary resources available
                      16,737
                      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
                      4,795
                      5,250
                      5,355

                      3010
                      Obligations incurred, unexpired accounts
                      16,721
                      16,720
                      16,722

                      3011
                      Obligations incurred, expired accounts
                      39

                      3020
                      Outlays (gross)
                      –16,305
                      –16,615
                      –16,860

                      3050
                      Unpaid obligations, end of year
                      5,250
                      5,355
                      5,217

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      4,795
                      5,250
                      5,355

                      3200
                      Obligated balance, end of year
                      5,250
                      5,355
                      5,217

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      16,737
                      16,737
                      16,739

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      12,998
                      13,376
                      13,378

                      4101
                      Outlays from mandatory balances
                      3,307
                      3,239
                      3,482

                      4110
                      Outlays, gross (total)
                      16,305
                      16,615
                      16,860

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –39

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      39

                      4160
                      Budget authority, net (mandatory)
                      16,737
                      16,737
                      16,739

                      4170
                      Outlays, net (mandatory)
                      16,266
                      16,615
                      16,860

                      4180
                      Budget authority, net (total)
                      16,737
                      16,737
                      16,739

                      4190
                      Outlays, net (total)
                      16,266
                      16,615
                      16,860

             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 and Further Continuing Appropriations Act, 2015 (P.L. 113–235).

          Object Classification (in millions of dollars)

                      Identification code 075–1552–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      2
                      2

                      23.1
                      Rental payments to GSA
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      27
                      27
                      27

                      25.2
                      Other services from non-Federal sources
                      15
                      13
                      15

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      16,676
                      16,676
                      16,676

                      99.9
                      Total new obligations
                      16,721
                      16,720
                      16,722

          Employment Summary

                      Identification code 075–1552–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      15
                      18
                      19

             Temporary Assistance for Needy Families

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

                      Identification code 075–1552–4–1–609
                      2014 actual
                      2015 est.
                      2016 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:

                      1221
                      Appropriations transferred from other acct [075–1522]

                      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 075–1522–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Contingency fund
                      610
                      583
                      583

                      0002
                      Commission
                      4

                      0900
                      Total new obligations
                      614
                      583
                      583

                      Budgetary resources:

                      Unobligated balance:

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      2

                      1050
                      Unobligated balance (total)
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1120
                      Appropriations transferred to other accts [075–1553]

                      –15

                      1120
                      Appropriations transferred to other accts [013–0401]

                      –10

                      1160
                      Appropriation, discretionary (total)

                      –25

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      612
                      608
                      608

                      1220
                      Appropriations transferred to other accts [075–1553]

                      –15

                      1220
                      Appropriations transferred to other accts [013–0401]

                      –10

                      1260
                      Appropriations, mandatory (total)
                      612
                      583
                      608

                      1900
                      Budget authority (total)
                      612
                      583
                      583

                      1930
                      Total budgetary resources available
                      614
                      583
                      583

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      275
                      132
                      85

                      3010
                      Obligations incurred, unexpired accounts
                      614
                      583
                      583

                      3011
                      Obligations incurred, expired accounts
                      2

                      3020
                      Outlays (gross)
                      –624
                      –630
                      –610

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –135

                      3050
                      Unpaid obligations, end of year
                      132
                      85
                      58

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      275
                      132
                      85

                      3200
                      Obligated balance, end of year
                      132
                      85
                      58

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –25

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      –22

                      Mandatory:

                      4090
                      Budget authority, gross
                      612
                      583
                      608

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      546
                      525
                      547

                      4101
                      Outlays from mandatory balances
                      78
                      105
                      85

                      4110
                      Outlays, gross (total)
                      624
                      630
                      632

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –3

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      3

                      4160
                      Budget authority, net (mandatory)
                      612
                      583
                      608

                      4170
                      Outlays, net (mandatory)
                      621
                      630
                      632

                      4180
                      Budget authority, net (total)
                      612
                      583
                      583

                      4190
                      Outlays, net (total)
                      621
                      630
                      610

             This account provides a funding reserve to assist states that meet certain criteria intended to reflect economic distress
                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). The Consolidated and Further Continuing Appropriations Act, 2015 (P.L.
                113–235) most recently temporarily reauthorized this account. In FY 2016, the Budget includes a general provision to transfer
                $15 million from the Contingency Fund to Welfare Research, and to transfer $10 to support the Census Survey of Income and
                Program Participation, consistent with the FY 2015 appropriations funding. The Budget also includes a proposal to redirect
                $10 million for TANF program improvements, including technical assistance for state programs, research, and evaluation. The
                Budget also re-purposes $573 million for the Pathways to Jobs initiative.

          Object Classification (in millions of dollars)

                      Identification code 075–1522–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      41.0
                      Grants, subsidies, and contributions
                      610
                      583
                      583

                      94.0
                      Financial transfers
                      4

                      99.9
                      Total new obligations
                      614
                      583
                      583

             Contingency Fund

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

                      Identification code 075–1522–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Contingency fund

                      –10

                      0900
                      Total new obligations (object class 41.0)

                      –10

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1220
                      Appropriations transferred to other accts [075–1552]

                      –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, 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), [$2,438,523,000] $2,944,905,898, to remain available until expended; and for such purposes for the first quarter of fiscal year [2016, $1,160,000,000] 2017, $1,300,000,000, to remain available until expended.

          For carrying out, after May 31 of the current fiscal year, 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1501–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      State child support administrative costs
                      3,655
                      3,611
                      3,741

                      0002
                      Child support incentive payments
                      606
                      583
                      520

                      0003
                      Access and visitation grants
                      10
                      10
                      10

                      0091
                      Subtotal, child support enforcement
                      4,271
                      4,204
                      4,271

                      0102
                      Payments to territories
                      32
                      33
                      33

                      0103
                      Repatriation
                      1
                      1
                      1

                      0191
                      Subtotal, other payments
                      33
                      34
                      34

                      0799
                      Total direct obligations
                      4,304
                      4,238
                      4,305

                      0801
                      Offset obligations (CSE grants to States)
                      20
                      16
                      2

                      0900
                      Total new obligations
                      4,324
                      4,254
                      4,307

                      Budgetary resources:

                      Unobligated balance:

                      1021
                      Recoveries of prior year unpaid obligations
                      173
                      200
                      200

                      1050
                      Unobligated balance (total)
                      173
                      200
                      200

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      3,031
                      2,788
                      2,945

                      1260
                      Appropriations, mandatory (total)
                      3,031
                      2,788
                      2,945

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      1,100
                      1,250
                      1,160

                      1280
                      Advanced appropriation, mandatory (total)
                      1,100
                      1,250
                      1,160

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      20
                      16
                      2

                      1850
                      Spending auth from offsetting collections, mand (total)
                      20
                      16
                      2

                      1900
                      Budget authority (total)
                      4,151
                      4,054
                      4,107

                      1930
                      Total budgetary resources available
                      4,324
                      4,254
                      4,307

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      922
                      941
                      685

                      3010
                      Obligations incurred, unexpired accounts
                      4,324
                      4,254
                      4,307

                      3020
                      Outlays (gross)
                      –4,132
                      –4,310
                      –4,220

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –173
                      –200
                      –200

                      3050
                      Unpaid obligations, end of year
                      941
                      685
                      572

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      922
                      941
                      685

                      3200
                      Obligated balance, end of year
                      941
                      685
                      572

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      4,151
                      4,054
                      4,107

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3,529
                      3,616
                      3,435

                      4101
                      Outlays from mandatory balances
                      603
                      694
                      785

                      4110
                      Outlays, gross (total)
                      4,132
                      4,310
                      4,220

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –20
                      –16
                      –2

                      4180
                      Budget authority, net (total)
                      4,131
                      4,038
                      4,105

                      4190
                      Outlays, net (total)
                      4,112
                      4,294
                      4,218

             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 075–1501–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      41.0
                      Direct obligations: Grants, subsidies, and contributions
                      4,304
                      4,238
                      4,305

                      99.0
                      Reimbursable obligations
                      20
                      16
                      2

                      99.9
                      Total new obligations
                      4,324
                      4,254
                      4,307

             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 075–1501–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      State child support administrative costs

                      110

                      0900
                      Total new obligations (object class 41.0)

                      110

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      110

                      1260
                      Appropriations, mandatory (total)

                      110

                      1930
                      Total budgetary resources available

                      110

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      110

                      3020
                      Outlays (gross)

                      –110

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      110

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      110

                      4180
                      Budget authority, net (total)

                      110

                      4190
                      Outlays, net (total)

                      110

          Employment Summary

                      Identification code 075–1501–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      2

             Low income home energy assistanceFor making payments under subsections (b) and (d) of section 2602 of the Low Income Home Energy Assistance Act of 1981, [$3,390,304,000] $3,190,304,000: Provided, That all but [$491,000,000] $462,000,000 of this amount shall be allocated as though the total appropriation for such payments for fiscal year [2015] 2016 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: Provided further, That notwithstanding section 2605(k) of the Low-Income Home Energy Assistance Act of 1981, a state receiving
                an allotment for fiscal year 2016 shall use not less than 10 percent of such allotment for residential weatherization or other
                energy-related home repair activities, and may use up to 40 percent of such allotment for such purpose without regard to the
                waiver process specified in such section: Provided further, That section 2607B(b)(1) of such Act shall be applied by substituting
                "up to 100 percent" for "not more than 25 percent".
          For competitive grants to states that partner with other entities as determined appropriate by the Secretary, to further the
                purposes of section 2602 of the Low Income Home Energy Assistance Act of 1981 and to foster innovation in the provision of
                energy assistance to low-income households and for conducting a national evaluation of such grants, $200,000,000, to remain
                available until expended.  (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1502–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      LIHEAP Block Grant
                      3,401
                      3,390
                      3,190

                      0003
                      Utility Innovation Fund

                      200

                      0900
                      Total new obligations
                      3,401
                      3,390
                      3,390

                      Budgetary resources:

                      Unobligated balance:

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      11

                      1050
                      Unobligated balance (total)
                      11

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      3,425
                      3,390
                      3,390

                      1120
                      Appropriations transferred to other accts [075–1503]
                      –34

                      1160
                      Appropriation, discretionary (total)
                      3,391
                      3,390
                      3,390

                      1930
                      Total budgetary resources available
                      3,402
                      3,390
                      3,390

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      1,361
                      1,202
                      1,637

                      3010
                      Obligations incurred, unexpired accounts
                      3,401
                      3,390
                      3,390

                      3020
                      Outlays (gross)
                      –3,537
                      –2,955
                      –3,400

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –23

                      3050
                      Unpaid obligations, end of year
                      1,202
                      1,637
                      1,627

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      1,361
                      1,202
                      1,637

                      3200
                      Obligated balance, end of year
                      1,202
                      1,637
                      1,627

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      3,391
                      3,390
                      3,390

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      2,397
                      2,136
                      2,136

                      4011
                      Outlays from discretionary balances
                      1,140
                      819
                      1,264

                      4020
                      Outlays, gross (total)
                      3,537
                      2,955
                      3,400

                      4180
                      Budget authority, net (total)
                      3,391
                      3,390
                      3,390

                      4190
                      Outlays, net (total)
                      3,537
                      2,955
                      3,400

             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 a new Energy Assistance Innovation
                Fund to provide competitive grants to foster innovation in energy assistance to low-income households. The Budget also proposes to establish a contingency fund providing additional mandatory funds to respond to increases in
                the number of low-income households, spikes in the price of natural gas, electricity, or oil, and extreme cold at the beginning
                of winter.

          Object Classification (in millions of dollars)

                      Identification code 075–1502–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      2
                      2
                      2

                      25.3
                      Other goods and services from Federal sources
                      1

                      1

                      41.0
                      Grants, subsidies, and contributions
                      3,398
                      3,388
                      3,387

                      99.9
                      Total new obligations
                      3,401
                      3,390
                      3,390

             Low Income Home Energy Assistance

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

                      Identification code 075–1502–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Mandatory LIHEAP Contingency Fund

                      1,130

                      0900
                      Total new obligations (object class 41.0)

                      1,130

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriations, mandatory

                      1,130

                      1260
                      Appropriations, mandatory (total)

                      1,130

                      1930
                      Total budgetary resources available

                      1,130

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      1,130

                      3020
                      Outlays (gross)

                      –825

                      3050
                      Unpaid obligations, end of year

                      305

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      305

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      1,130

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      825

                      4180
                      Budget authority, net (total)

                      1,130

                      4190
                      Outlays, net (total)

                      825

             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, [$1,559,884,000] $1,609,612,000, of which [$1,533,394,000] $1,576,877,000 shall remain available through September 30, [2017] 2018 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, at any point after January 1, 2016, and before October 1, 2016, if the Secretary of Health and Human
                Services has transferred at least 3 percent under this heading to the Office of Refugee Resettlement to support higher than
                expected caseloads, and if the Secretary of Health and Human Services, in consultation with the Secretary of Homeland Security,
                determines that the percentage increase in the cumulative number of unaccompanied children transferred to the custody of the
                Secretary of Health and Human Services pursuant to such section 235 for the current fiscal year over the number transferred
                through the comparable date in the previous fiscal year (the caseload ratio) exceeds the trigger percentage specified in the
                next proviso, an additional $100,000,000 shall be available under this heading to carry out such sections 462 and 235: Provided
                further, That the trigger percentage referenced in the previous proviso is calculated by taking the unobligated balances for
                the Unaccompanied Children program at the end of the previous fiscal year, adding the difference between the amounts appropriated
                under this heading for the Unaccompanied Children program for the current fiscal year and obligations for such program for
                the previous fiscal year, dividing the result by the obligations for such program for the previous fiscal year, and adding
                five percentage points to the resulting amount (expressed as a percentage): Provided further, That for every 25 percentage
                point increment in the caseload ratio above the trigger percentage, an additional $100,000,000 shall be available under this
                heading to carry out such sections 462 and 235: Provided further, That the total additional amount available pursuant to the
                three preceding provisos shall not exceed $400,000,000: Provided further, That the limitation in section 206 of this Act regarding transfers increasing any appropriation shall apply to transfers
             to appropriations under this heading by substituting "10 percent" for "3 percent".  (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1503–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Refugee and entrant assistance
                      592
                      585
                      629

                      0002
                      Assistance for treatment of torture victims
                      11
                      11
                      11

                      0003
                      Unaccompanied alien children
                      910
                      948
                      967

                      0005
                      Trafficking Victims program
                      14
                      16
                      22

                      0900
                      Total new obligations
                      1,527
                      1,560
                      1,629

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1
                      4
                      4

                      1021
                      Recoveries of prior year unpaid obligations
                      1

                      1050
                      Unobligated balance (total)
                      2
                      4
                      4

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Base Appropriation
                      1,486
                      1,560
                      1,610

                      1100
                      UC Contingency Fund

                      19

                      1121
                      Appropriations transferred from other acct [075–1536]
                      2

                      1121
                      Appropriations transferred from other acct [075–0350]
                      5

                      1121
                      Appropriations transferred from other acct [075–1502]
                      34

                      1121
                      Appropriations transferred from other acct [075–0140]
                      1

                      1121
                      Appropriations transferred from other acct [075–0943]
                      2

                      1160
                      Appropriation, discretionary (total)
                      1,530
                      1,560
                      1,629

                      1930
                      Total budgetary resources available
                      1,532
                      1,564
                      1,633

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      4
                      4
                      4

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      537
                      775
                      1,161

                      3010
                      Obligations incurred, unexpired accounts
                      1,527
                      1,560
                      1,629

                      3020
                      Outlays (gross)
                      –1,278
                      –1,174
                      –1,592

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –10

                      3050
                      Unpaid obligations, end of year
                      775
                      1,161
                      1,198

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      537
                      775
                      1,161

                      3200
                      Obligated balance, end of year
                      775
                      1,161
                      1,198

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,530
                      1,560
                      1,629

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      925
                      780
                      814

                      4011
                      Outlays from discretionary balances
                      353
                      394
                      778

                      4020
                      Outlays, gross (total)
                      1,278
                      1,174
                      1,592

                      4180
                      Budget authority, net (total)
                      1,530
                      1,560
                      1,629

                      4190
                      Outlays, net (total)
                      1,278
                      1,174
                      1,592

             This account provides funds to States and non-governmental organizations to administer the refugee and entrant assistance
                programs. Funds support cash and medical assistance and social services for refugees, asylees, and other arrivals eligible
                for refugee benefits. The account also includes funding for the rehabilitation of victims of torture and human trafficking
                , and for the care and placement of unaccompanied children. The President's 2016 Budget includes funding to expand efforts
                to prevent human trafficking and provide direct services to domestic victims.

          Object Classification (in millions of dollars)

                      Identification code 075–1503–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      5
                      7
                      8

                      12.1
                      Civilian personnel benefits
                      1
                      2
                      2

                      23.1
                      Rental payments to GSA
                      2
                      4
                      5

                      25.1
                      Advisory and assistance services
                      88
                      44
                      47

                      25.2
                      Other services from non-Federal sources
                      4
                      17
                      18

                      25.3
                      Other goods and services from Federal sources
                      7
                      57
                      57

                      41.0
                      Grants, subsidies, and contributions
                      1,420
                      1,429
                      1,492

                      99.9
                      Total new obligations
                      1,527
                      1,560
                      1,629

          Employment Summary

                      Identification code 075–1503–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      60
                      96
                      112

             Promoting Safe and Stable FamiliesFor carrying out, except as otherwise provided, section 436 of the Social Security Act, $345,000,000 and, for carrying out,
             except as otherwise provided, section 437 of such Act, [$59,765,000] $89,765,000: Provided, That of funds available to carry out such section 437, $59,765,000 shall be allocated consistent with subsection
                (b) of such section: Provided further, That $20,000,000 shall be used to increase the amount available for activities described
                in paragraph (c)(1) of such section, with paragraph (d)(1) of such section not applying to such funds: Provided further, That
                $7,000,000 shall be used to increase the amount available for activities described in paragraph (c)(3) of such section with
                respect to rural areas, with funds allocated on the basis described in such paragraph adjusted by the percentage of the population
                that were defined as rural in the 2010 Decennial Census, and with paragraph (d)(1) of such section not applying to such funds:
                Provided further, That $3,000,000 shall be used to increase the amount available for activities described in (b)(1) of such
                section: Provided further, That for purposes of funds provided under this heading, an Indian Tribe or Tribal Consortium may
                apply the term "adoption" in a manner that includes customary adoptions. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1512–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Grants to States and Tribes
                      342
                      339
                      394

                      0002
                      Research, training and technical assistance
                      8
                      8
                      11

                      0003
                      State court improvement activities
                      30
                      30
                      30

                      0004
                      Family Connection Grants
                      9
                      7

                      0005
                      PREP
                      77
                      92

                      0006
                      Abstinence Education
                      36
                      50

                      0900
                      Total new obligations
                      502
                      526
                      435

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      8
                      1
                      12

                      1012
                      Unobligated balance transfers between expired and unexpired accounts

                      6

                      1021
                      Recoveries of prior year unpaid obligations

                      1

                      1050
                      Unobligated balance (total)
                      8
                      8
                      12

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      60
                      60
                      90

                      1160
                      Appropriation, discretionary (total)
                      60
                      60
                      90

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      485
                      470
                      345

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –34

                      1260
                      Appropriations, mandatory (total)
                      451
                      470
                      345

                      1900
                      Budget authority (total)
                      511
                      530
                      435

                      1930
                      Total budgetary resources available
                      519
                      538
                      447

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –16

                      1941
                      Unexpired unobligated balance, end of year
                      1
                      12
                      12

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      624
                      609
                      616

                      3010
                      Obligations incurred, unexpired accounts
                      502
                      526
                      435

                      3020
                      Outlays (gross)
                      –507
                      –518
                      –522

                      3040
                      Recoveries of prior year unpaid obligations, unexpired

                      –1

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –10

                      3050
                      Unpaid obligations, end of year
                      609
                      616
                      529

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      624
                      609
                      616

                      3200
                      Obligated balance, end of year
                      609
                      616
                      529

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      60
                      60
                      90

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      18
                      19
                      28

                      4011
                      Outlays from discretionary balances
                      41
                      42
                      42

                      4020
                      Outlays, gross (total)
                      59
                      61
                      70

                      Mandatory:

                      4090
                      Budget authority, gross
                      451
                      470
                      345

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      89
                      99
                      97

                      4101
                      Outlays from mandatory balances
                      359
                      358
                      355

                      4110
                      Outlays, gross (total)
                      448
                      457
                      452

                      4180
                      Budget authority, net (total)
                      511
                      530
                      435

                      4190
                      Outlays, net (total)
                      507
                      518
                      522

             This account provides funds for a broad range of child welfare services, including family preservation and family support
                services, through Promoting Safe and Stable Families. The Budget includes a five-year reauthorization of the Personal Responsibility
                Education Program (PREP), a continuation of Family Connection Grants through FY 2016, and a $30 million increase in discretionary
                appropriations for Promoting Safe and Stable Families to increase capacity for tribal child welfare systems and child welfare
                services in rural communities.

          Object Classification (in millions of dollars)

                      Identification code 075–1512–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      1

                      25.1
                      Advisory and assistance services
                      12
                      13
                      9

                      25.3
                      Other goods and services from Federal sources
                      4
                      4
                      3

                      41.0
                      Grants, subsidies, and contributions
                      485
                      508
                      423

                      99.9
                      Total new obligations
                      502
                      526
                      435

          Employment Summary

                      Identification code 075–1512–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      10
                      12
                      2

             Promoting Safe and Stable Families

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

                      Identification code 075–1512–4–1–506
                      2014 actual
                      2015 est.
                      2016 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

                      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 075–1512–4–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      1

                      25.1
                      Advisory and assistance services

                      5

                      25.3
                      Other goods and services from Federal sources

                      1

                      41.0
                      Grants, subsidies, and contributions

                      83

                      99.9
                      Total new obligations

                      90

          Employment Summary

                      Identification code 075–1512–4–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      11

             Child Care Entitlement to States

             Program and Financing (in millions of dollars)

                      Identification code 075–1550–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Mandatory child care
                      1,178
                      1,178
                      1,178

                      0002
                      Matching child care
                      1,689
                      1,674
                      1,666

                      0003
                      Training and technical assistance
                      7
                      7
                      15

                      0004
                      Child care tribal grants
                      56
                      58
                      58

                      0900
                      Total new obligations
                      2,930
                      2,917
                      2,917

                      Budgetary resources:

                      Unobligated balance:

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      15

                      1050
                      Unobligated balance (total)
                      15

                      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
                      2,932
                      2,917
                      2,917

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –2

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      755
                      831
                      791

                      3010
                      Obligations incurred, unexpired accounts
                      2,930
                      2,917
                      2,917

                      3011
                      Obligations incurred, expired accounts
                      16

                      3020
                      Outlays (gross)
                      –2,854
                      –2,957
                      –2,950

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –16

                      3050
                      Unpaid obligations, end of year
                      831
                      791
                      758

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      755
                      831
                      791

                      3200
                      Obligated balance, end of year
                      831
                      791
                      758

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      2,917
                      2,917
                      2,917

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2,161
                      2,363
                      2,363

                      4101
                      Outlays from mandatory balances
                      693
                      594
                      587

                      4110
                      Outlays, gross (total)
                      2,854
                      2,957
                      2,950

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –16

                      Additional offsets against gross budget authority only:

                      4142
                      Offsetting collections credited to expired accounts
                      16

                      4160
                      Budget authority, net (mandatory)
                      2,917
                      2,917
                      2,917

                      4170
                      Outlays, net (mandatory)
                      2,838
                      2,957
                      2,950

                      4180
                      Budget authority, net (total)
                      2,917
                      2,917
                      2,917

                      4190
                      Outlays, net (total)
                      2,838
                      2,957
                      2,950

             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 and Further
                Continuing Appropriations Act, 2015 (P.L. 113–235). The Budget includes an $82 billion investment over ten years above current
                law to expand access to high-quality child care.

          Object Classification (in millions of dollars)

                      Identification code 075–1550–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      6
                      6
                      6

                      25.2
                      Other services from non-Federal sources
                      10
                      10
                      10

                      25.3
                      Other goods and services from Federal sources
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      2,913
                      2,900
                      2,900

                      99.9
                      Total new obligations
                      2,930
                      2,917
                      2,917

             Child Care Entitlement to States

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

                      Identification code 075–1550–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0002
                      Matching child care

                      3,574

                      0003
                      Training and technical assistance

                      18

                      0004
                      Child care tribal grants

                      73

                      0900
                      Total new obligations

                      3,665

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      3,665

                      1260
                      Appropriations, mandatory (total)

                      3,665

                      1930
                      Total budgetary resources available

                      3,665

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      3,665

                      3020
                      Outlays (gross)

                      –2,969

                      3050
                      Unpaid obligations, end of year

                      696

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      696

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      3,665

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      2,969

                      4180
                      Budget authority, net (total)

                      3,665

                      4190
                      Outlays, net (total)

                      2,969

          Object Classification (in millions of dollars)

                      Identification code 075–1550–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services

                      18

                      41.0
                      Grants, subsidies, and contributions

                      3,647

                      99.9
                      Total new obligations

                      3,665

             Payments to states for the child care and development block grantFor carrying out the Child Care and Development Block Grant Act of [1990] 2014 ("CCDBG Act"), [$2,435,000,000] $2,805,149,000 shall be used to supplement, not supplant State general revenue funds for child care assistance for low-income families:
             Provided, That [$19,357,000 shall be available for child care resource and referral and school-aged child care activities, of which $996,000
             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] in addition to amounts reserved by section 658O(5) of such Act, $100,000,000 shall be available for allocation by the Secretary
                for grants to States, territories, tribes, and local governments to develop, implement, and evaluate models of child care
                provision for specific populations of working families and to address unique challenges to securing stable and high quality
                child care as identified by the Secretary: Provided further, That, in addition to the amounts required to be reserved by the States under section 658G of the CCDBG Act, [$305,906,000 shall be reserved by the States for activities authorized under section 658G, of which$112,187,000] $125,562,000 shall be for activities that improve the quality of infant and toddler care: Provided further, That [$9,851,000] $14,000,000 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 the reservation of funds specified in paragraphs (4) and (5) of section 658O(a) of such Act shall
                also be applied to funds appropriated in this or any other Act, including section 418 of the Social Security Act (42 U.S.C.
                618), to carry out such section 418. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1515–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Block grant payments to States
                      2,348
                      2,425
                      2,691

                      0002
                      Child care pilots for working families

                      100

                      0004
                      Research and evaluation fund
                      10
                      10
                      14

                      0900
                      Total new obligations
                      2,358
                      2,435
                      2,805

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      2,360
                      2,435
                      2,805

                      1120
                      Appropriations transferred to other accts [075–0140]
                      –2

                      1160
                      Appropriation, discretionary (total)
                      2,358
                      2,435
                      2,805

                      1930
                      Total budgetary resources available
                      2,358
                      2,435
                      2,805

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      581
                      713
                      676

                      3010
                      Obligations incurred, unexpired accounts
                      2,358
                      2,435
                      2,805

                      3011
                      Obligations incurred, expired accounts
                      12

                      3020
                      Outlays (gross)
                      –2,238
                      –2,472
                      –2,777

                      3050
                      Unpaid obligations, end of year
                      713
                      676
                      704

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      581
                      713
                      676

                      3200
                      Obligated balance, end of year
                      713
                      676
                      704

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      2,358
                      2,435
                      2,805

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      1,714
                      1,972
                      2,272

                      4011
                      Outlays from discretionary balances
                      524
                      500
                      505

                      4020
                      Outlays, gross (total)
                      2,238
                      2,472
                      2,777

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –12

                      Additional offsets against gross budget authority only:

                      4052
                      Offsetting collections credited to expired accounts
                      12

                      4070
                      Budget authority, net (discretionary)
                      2,358
                      2,435
                      2,805

                      4080
                      Outlays, net (discretionary)
                      2,226
                      2,472
                      2,777

                      4180
                      Budget authority, net (total)
                      2,358
                      2,435
                      2,805

                      4190
                      Outlays, net (total)
                      2,226
                      2,472
                      2,777

             This program provides grants to States for child care subsidies for low-income working families and activities to improve
                child care quality. In FY 2016, it includes a new competitive pilot program to develop and evaluate effective strategies for
                meeting the child care needs of working families.

          Object Classification (in millions of dollars)

                      Identification code 075–1515–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      1

                      25.1
                      Advisory and assistance services
                      11
                      11
                      15

                      25.2
                      Other services from non-Federal sources
                      10
                      10
                      10

                      41.0
                      Grants, subsidies, and contributions
                      2,337
                      2,414
                      2,779

                      99.9
                      Total new obligations
                      2,358
                      2,435
                      2,805

          Employment Summary

                      Identification code 075–1515–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      3

             Social services block grantFor making grants to States pursuant to section 2002 of the Social Security Act and supplementing research and evaluation related to activities funded by such grants, $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: Provided further, That notwithstanding section 2003(c) of such Act, the amount specified for allocation under such section
                for fiscal year 2016 shall be $1,691,500,000. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1534–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Social Services Block Grant
                      1,577
                      1,576
                      1,700

                      0002
                      Health Profession Opportunity Grants
                      79
                      85

                      0900
                      Total new obligations
                      1,656
                      1,661
                      1,700

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      30
                      30
                      30

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,785
                      1,785
                      1,700

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –129
                      –124

                      1260
                      Appropriations, mandatory (total)
                      1,656
                      1,661
                      1,700

                      1900
                      Budget authority (total)
                      1,656
                      1,661
                      1,700

                      1930
                      Total budgetary resources available
                      1,686
                      1,691
                      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
                      862
                      769
                      476

                      3010
                      Obligations incurred, unexpired accounts
                      1,656
                      1,661
                      1,700

                      3020
                      Outlays (gross)
                      –1,748
                      –1,954
                      –1,761

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      769
                      476
                      415

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      862
                      769
                      476

                      3200
                      Obligated balance, end of year
                      769
                      476
                      415

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      1,656
                      1,661
                      1,700

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1,311
                      1,312
                      1,411

                      4101
                      Outlays from mandatory balances
                      437
                      642
                      350

                      4110
                      Outlays, gross (total)
                      1,748
                      1,954
                      1,761

                      4180
                      Budget authority, net (total)
                      1,656
                      1,661
                      1,700

                      4190
                      Outlays, net (total)
                      1,748
                      1,954
                      1,761

          Object Classification (in millions of dollars)

                      Identification code 075–1534–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1
                      1

                      25.1
                      Advisory and assistance services
                      4
                      4

                      25.5
                      Research and development contracts

                      9

                      41.0
                      Grants, subsidies, and contributions
                      1,651
                      1,656
                      1,691

                      99.9
                      Total new obligations
                      1,656
                      1,661
                      1,700

          Employment Summary

                      Identification code 075–1534–0–1–506
                      2014 actual
                      2015 est.
                      2016 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 075–1534–4–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0002
                      Health Profession Opportunity Grants

                      85

                      0003
                      Upward Mobility Project

                      300

                      0900
                      Total new obligations

                      385

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      385

                      1260
                      Appropriations, mandatory (total)

                      385

                      1900
                      Budget authority (total)

                      385

                      1930
                      Total budgetary resources available

                      385

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      385

                      3020
                      Outlays (gross)

                      –304

                      3050
                      Unpaid obligations, end of year

                      81

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      81

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      385

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      304

                      4180
                      Budget authority, net (total)

                      385

                      4190
                      Outlays, net (total)

                      304

          Object Classification (in millions of dollars)

                      Identification code 075–1534–4–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      1

                      25.1
                      Advisory and assistance services

                      4

                      41.0
                      Grants, subsidies, and contributions

                      380

                      99.9
                      Total new obligations

                      385

          Employment Summary

                      Identification code 075–1534–4–1–506
                      2014 actual
                      2015 est.
                      2016 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] 429, 473A, 477(i), 1110, 1114A 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-A 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, [$10,346,115,000] $11,911,242,000,  of which $37,943,000, to remain available through September 30, [2016] 2017, shall be for grants to States for adoption and legal guardianship incentive payments, as [authorized] defined by section 473A of the Social Security Act and may be made for adoptions completed before September 30, 2015: Provided, That [$8,598,095,000] $10,117,706,000 shall be for making payments under the Head Start Act: Provided further, That of the amount in the previous proviso, [$8,073,095,000] $8,364,706,000 shall be available for payments under section 640 of the Head Start Act, of which $284,482,375 shall be available for a cost of living adjustment notwithstanding section 640(a)(3)(A): Provided further, That notwithstanding such section 640, of the amount in the second preceding proviso, $1,078,000,000 (of
                which up to one percent may be reserved for research and evaluation) shall be allocated by the Secretary to supplement funding
                available to increase the hours of program operations to no less than 6 hours per day and to no less than 170 days per year
                and for training and technical assistance for such activities: 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 such section 640 [of the Head Start Act] , of the amount provided for making payments under the Head Start Act, and in addition to funds otherwise available under
             such section 640 [for such purposes, $500,000,000] , $650,000,000 shall be available [through March 31, 2016] for 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 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,  [with such funds in this Act and Public Law 113–76 not included in the calculation of the "base grant" for the current or any
             subsequent fiscal year as such term is used in section 640(a)(7)(A) of the Head Start Act] for training and technical assistance for such activities, and for up to $15,000,000 in Federal costs of administration and
                evaluation, 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 shall be available for the Federal
             costs of administration and evaluation activities of the program described in such proviso:] Provided further, That funds described in the preceding two provisos shall not be included in the calculation of "base grant" in subsequent fiscal
                years, as such term is used in section 640(a)(7)(A) of such Act: Provided further, That [$710,383,000] $674,000,000 shall be for making payments under the CSBG Act: Provided further, That [$36,733,000 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 $6,500,000 shall be for section 680(a)(3)(B) 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: Provided further, That section 303(a)(2)(A)(i) of the Family Violence Prevention and Services Act shall not apply to amounts provided herein:] 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, in addition to the reservation set forth in section 674(b)
                of the CSBG Act, the Secretary may reserve up to 1 percent of the amount for making payments under such Act for research and
                evaluation activities funded under such Act: Provided further, That the Secretary shall issue performance standards for nonprofit
                organizations receiving funds from state and territorial grantees under the CSBG Act, and such states and territories shall
                assure the implementation of such standards prior to September 30, 2016, and include information on such implementation in
                the report required by section 678E(2) of such Act: Provided further, That, to the extent funds for the Assets for Independence (AFI) 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 the 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, up to $3,000,000 of the
                funds provided for such Act shall be available for research and evaluation: Provided further, That up to 30 percent of funds
                appropriated for the AFI Act under this heading shall be for grants under sections 402 and 403 of such Act, notwithstanding
                sections 404(8), 410(a), and 410(d) of such Act: Provided further, That, notwithstanding section 404(5)(A)(i) of such Act,
                contributions to an individual development account shall be allowable through any mechanism allowed by the financial institution
                at which the account is held: Provided further, That, of the amounts available for carrying out the Runaway and Homeless Youth
                Act, up to $2,330,000 may be reserved for activities under section 386(a) of such Act notwithstanding section 388 of such
                Act: 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1536–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0101
                      Head Start
                      8,105
                      8,598
                      10,118

                      0102
                      Head Start Emergency Hurricane Sandy funding
                      20

                      0103
                      Runaway and homeless youth (basic centers)
                      53
                      53
                      54

                      0104
                      Transitional living
                      44
                      44
                      50

                      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
                      28
                      29
                      49

                      0111
                      Community-based child abuse prevention
                      40
                      40
                      40

                      0112
                      Child welfare services
                      269
                      269
                      269

                      0113
                      Child welfare training, research, or demonstration projects
                      25
                      16
                      16

                      0114
                      Adoption opportunities
                      40
                      39
                      42

                      0115
                      Abandoned infants assistance
                      11
                      11
                      11

                      0116
                      Adoption incentives
                      38
                      38
                      38

                      0117
                      Independent living training vouchers
                      43
                      43
                      43

                      0124
                      Native American programs
                      47
                      47
                      50

                      0125
                      Social services and income maintenance research
                      2
                      5
                      18

                      0128
                      Federal administration
                      196
                      200
                      212

                      0129
                      Center for faith-based and community initiatives
                      1
                      1

                      0131
                      Disaster human services case management
                      2
                      2
                      2

                      0191
                      Direct program activities, subtotal
                      9,006
                      9,477
                      11,056

                      0301
                      Community services block grant
                      667
                      674
                      674

                      0303
                      Rural community facilities
                      6
                      7

                      0304
                      Community services discretionary (JOLI & CED)
                      30
                      30

                      0306
                      Assets for independence
                      19
                      19
                      19

                      0308
                      Domestic violence hotline
                      5
                      5
                      12

                      0309
                      Family violence prevention and services
                      133
                      134
                      150

                      0391
                      Direct program activities, subtotal
                      860
                      869
                      855

                      0400
                      Total, direct program
                      9,866
                      10,346
                      11,911

                      0799
                      Total direct obligations
                      9,866
                      10,346
                      11,911

                      0801
                      Children and Families Services Programs (Reimbursable)
                      26
                      26
                      26

                      0809
                      Reimbursable program activities, subtotal
                      26
                      26
                      26

                      0900
                      Total new obligations
                      9,892
                      10,372
                      11,937

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      89
                      562
                      561

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      89
                      562

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      10,347
                      10,346
                      11,911

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –5

                      1120
                      Appropriations transferred to other accts [075–1503]
                      –2

                      1120
                      Appropriations transferred to other accts [075–0140]
                      –1

                      1160
                      Appropriation, discretionary (total)
                      10,339
                      10,346
                      11,911

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      22
                      24
                      24

                      1701
                      Change in uncollected payments, Federal sources
                      5

                      1750
                      Spending auth from offsetting collections, disc (total)
                      27
                      24
                      24

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      1
                      1

                      1801
                      Change in uncollected payments, Federal sources
                      2

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

                      1900
                      Budget authority (total)
                      10,368
                      10,371
                      11,936

                      1930
                      Total budgetary resources available
                      10,457
                      10,933
                      12,497

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –3

                      1941
                      Unexpired unobligated balance, end of year
                      562
                      561
                      560

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      6,218
                      6,646
                      6,703

                      3010
                      Obligations incurred, unexpired accounts
                      9,892
                      10,372
                      11,937

                      3011
                      Obligations incurred, expired accounts
                      2

                      3020
                      Outlays (gross)
                      –9,407
                      –10,315
                      –10,753

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –59

                      3050
                      Unpaid obligations, end of year
                      6,646
                      6,703
                      7,887

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –16
                      –10
                      –10

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –7

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      13

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

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      6,202
                      6,636
                      6,693

                      3200
                      Obligated balance, end of year
                      6,636
                      6,693
                      7,877

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      10,366
                      10,370
                      11,935

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      3,960
                      4,371
                      5,029

                      4011
                      Outlays from discretionary balances
                      5,446
                      5,944
                      5,724

                      4020
                      Outlays, gross (total)
                      9,406
                      10,315
                      10,753

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –34
                      –18
                      –18

                      4033
                      Non-Federal sources

                      –6
                      –6

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –34
                      –24
                      –24

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –5

                      4052
                      Offsetting collections credited to expired accounts
                      12

                      4060
                      Additional offsets against budget authority only (total)
                      7

                      4070
                      Budget authority, net (discretionary)
                      10,339
                      10,346
                      11,911

                      4080
                      Outlays, net (discretionary)
                      9,372
                      10,291
                      10,729

                      Mandatory:

                      4090
                      Budget authority, gross
                      2
                      1
                      1

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –1
                      –1
                      –1

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –2

                      4142
                      Offsetting collections credited to expired accounts
                      1

                      4150
                      Additional offsets against budget authority only (total)
                      –1

                      4170
                      Outlays, net (mandatory)

                      –1
                      –1

                      4180
                      Budget authority, net (total)
                      10,339
                      10,346
                      11,911

                      4190
                      Outlays, net (total)
                      9,372
                      10,290
                      10,728

             The request totals $11.9 billion, including $10.1 billion for priority investments in early learning to improve outcomes for
                children. This funding will expand access to high quality early care and education for young children. The Budget also requests
                an additional $23 million for family violence prevention and services, $15 million to provide comprehensive services to youth
                in the child welfare system who are victims of or at-risk of human trafficking, including an evaluation component to help
                build a research base of effective interventions for this population, $9 million to improve services for homeless youth, $5
                million for child protection investigations, $3 million to support energy assistance evaluations, and $3 million for Native
                American language acquisition. This request discontinues funding for the Rural Communities Facilities and the Community Economic
                Development programs.

          Object Classification (in millions of dollars)

                      Identification code 075–1536–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      104
                      119
                      122

                      11.3
                      Other than full-time permanent
                      5
                      5
                      5

                      11.7
                      Military personnel
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      110
                      125
                      128

                      12.1
                      Civilian personnel benefits
                      30
                      35
                      36

                      21.0
                      Travel and transportation of persons
                      3
                      4
                      4

                      23.1
                      Rental payments to GSA
                      14
                      16
                      17

                      23.2
                      Rental payments to others
                      1
                      1
                      1

                      23.3
                      Communications, utilities, and miscellaneous charges
                      3
                      2
                      2

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      204
                      225
                      230

                      25.2
                      Other services from non-Federal sources
                      4
                      3
                      4

                      25.3
                      Other goods and services from Federal sources
                      55
                      48
                      46

                      25.4
                      Operation and maintenance of facilities
                      1
                      2
                      2

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      9,439
                      9,883
                      11,439

                      99.0
                      Direct obligations
                      9,866
                      10,346
                      11,911

                      99.0
                      Reimbursable obligations
                      26
                      26
                      26

                      99.9
                      Total new obligations
                      9,892
                      10,372
                      11,937

          Employment Summary

                      Identification code 075–1536–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      1,038
                      1,167
                      1,186

                      1101
                      Direct military average strength employment
                      7
                      8
                      8

                      2001
                      Reimbursable civilian full-time equivalent employment
                      19
                      19
                      10

             Children's Research and Technical Assistance

             Program and Financing (in millions of dollars)

                      Identification code 075–1553–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Training and technical assistance
                      13
                      15
                      12

                      0002
                      Federal parent locator service
                      22
                      27
                      26

                      0004
                      Welfare research
                      14
                      15
                      15

                      0799
                      Total direct obligations
                      49
                      57
                      53

                      0801
                      Reimbursable program FPLS REIMB
                      23
                      30
                      31

                      0900
                      Total new obligations
                      72
                      87
                      84

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      5
                      6
                      1

                      1021
                      Recoveries of prior year unpaid obligations
                      2
                      2
                      2

                      1050
                      Unobligated balance (total)
                      7
                      8
                      3

                      Budget authority:

                      Appropriations, discretionary:

                      1121
                      Appropriations transferred from other acct [075–1522]

                      15

                      1160
                      Appropriation, discretionary (total)

                      15

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      52
                      37
                      37

                      1200
                      Appropriation [Pop-up]

                      1
                      1

                      1221
                      Appropriations transferred from other acct [075–1522]

                      15

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –4
                      –3

                      1260
                      Appropriations, mandatory (total)
                      48
                      50
                      38

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      23
                      30
                      30

                      1802
                      Offsetting collections (previously unavailable)
                      1
                      1
                      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)
                      23
                      30
                      31

                      1900
                      Budget authority (total)
                      71
                      80
                      84

                      1930
                      Total budgetary resources available
                      78
                      88
                      87

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      6
                      1
                      3

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      64
                      63
                      69

                      3010
                      Obligations incurred, unexpired accounts
                      72
                      87
                      84

                      3020
                      Outlays (gross)
                      –71
                      –79
                      –82

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

                      3050
                      Unpaid obligations, end of year
                      63
                      69
                      69

                      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
                      59
                      58
                      64

                      3200
                      Obligated balance, end of year
                      58
                      64
                      64

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      15

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      2

                      Mandatory:

                      4090
                      Budget authority, gross
                      71
                      80
                      69

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      22
                      26
                      26

                      4101
                      Outlays from mandatory balances
                      49
                      53
                      54

                      4110
                      Outlays, gross (total)
                      71
                      79
                      80

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –12
                      –13
                      –13

                      4123
                      Non-Federal sources
                      –11
                      –17
                      –17

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –23
                      –30
                      –30

                      4160
                      Budget authority, net (mandatory)
                      48
                      50
                      39

                      4170
                      Outlays, net (mandatory)
                      48
                      49
                      50

                      4180
                      Budget authority, net (total)
                      48
                      50
                      54

                      4190
                      Outlays, net (total)
                      48
                      49
                      52

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections
                      1
                      1
                      1

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      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).
                For fiscal years 2010–2014, Welfare Research had been temporarily reauthorized ; for FY 2015, the Consolidated and Further
                Continuing Appropriations Act, 2015 (P.L. 113–235) provided funds for Welfare Research via a transfer from the TANF Contingency
                Fund. The Budget includes a general provision to transfer $15 million from the TANF Contingency Fund in FY 2016 to Welfare
                Research.

          Object Classification (in millions of dollars)

                      Identification code 075–1553–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      6
                      7
                      7

                      12.1
                      Civilian personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons

                      1

                      23.1
                      Rental payments to GSA
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      11
                      12
                      12

                      25.2
                      Other services from non-Federal sources
                      14
                      19
                      13

                      25.3
                      Other goods and services from Federal sources
                      7
                      8
                      9

                      25.7
                      Operation and maintenance of equipment
                      3
                      4
                      4

                      41.0
                      Grants, subsidies, and contributions
                      3
                      2
                      2

                      99.0
                      Direct obligations
                      49
                      57
                      53

                      99.0
                      Reimbursable obligations
                      23
                      30
                      31

                      99.9
                      Total new obligations
                      72
                      87
                      84

          Employment Summary

                      Identification code 075–1553–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      63
                      67
                      72

             Children's Research and Technical Assistance

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

                      Identification code 075–1553–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program FPLS REIMB

                      2

                      0900
                      Total new obligations

                      2

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      2

                      1850
                      Spending auth from offsetting collections, mand (total)

                      2

                      1900
                      Budget authority (total)

                      2

                      1930
                      Total budgetary resources available

                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      2

                      3020
                      Outlays (gross)

                      –2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      2

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –2

          Object Classification (in millions of dollars)

                      Identification code 075–1553–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      25.1
                      Reimbursable obligations: Advisory and assistance services

                      2

                      99.0
                      Reimbursable obligations

                      2

             Payments for foster care and permanencyFor carrying out, except as otherwise provided, title IV-E of the Social Security Act, [$4,832,000,000] $5,298,000,000.

          For carrying out, except as otherwise provided, title IV-E of the Social Security Act, for the first quarter of fiscal year
             [2016] 2017, $2,300,000,000.

          For carrying out, after May 31 of the current fiscal year, 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–1545–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Foster care
                      4,746
                      4,581
                      4,772

                      0002
                      Independent living
                      140
                      140
                      140

                      0004
                      Adoption assistance
                      2,450
                      2,510
                      2,563

                      0005
                      Guardianship
                      90
                      109
                      123

                      0006
                      Tribal T&TA
                      3
                      3
                      3

                      0900
                      Total new obligations
                      7,429
                      7,343
                      7,601

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      5,229
                      5,143
                      5,301

                      1260
                      Appropriations, mandatory (total)
                      5,229
                      5,143
                      5,301

                      Advance appropriations, mandatory:

                      1270
                      Advance appropriation
                      2,200
                      2,200
                      2,300

                      1280
                      Advanced appropriation, mandatory (total)
                      2,200
                      2,200
                      2,300

                      1900
                      Budget authority (total)
                      7,429
                      7,343
                      7,601

                      1930
                      Total budgetary resources available
                      7,429
                      7,343
                      7,601

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      716
                      1,231
                      1,495

                      3010
                      Obligations incurred, unexpired accounts
                      7,429
                      7,343
                      7,601

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –6,868
                      –7,079
                      –7,412

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –47

                      3050
                      Unpaid obligations, end of year
                      1,231
                      1,495
                      1,684

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      716
                      1,231
                      1,495

                      3200
                      Obligated balance, end of year
                      1,231
                      1,495
                      1,684

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      7,429
                      7,343
                      7,601

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      6,277
                      6,210
                      6,433

                      4101
                      Outlays from mandatory balances
                      591
                      869
                      979

                      4110
                      Outlays, gross (total)
                      6,868
                      7,079
                      7,412

                      4180
                      Budget authority, net (total)
                      7,429
                      7,343
                      7,601

                      4190
                      Outlays, net (total)
                      6,868
                      7,079
                      7,412

             This account provides formula grants for Foster Care, Adoption Assistance, Guardianship Assistance Program, 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 168,900 children
                per month are estimated to be served in FY 2016.

             Adoption Assistance—The proposed funding level will support subsidies for families adopting eligible low-income children with special needs.
                An average of 444,200 children per month are estimated to be served in FY 2016.

             Guardianship Assistance Program—The proposed funding level will provide payments for relatives taking legal guardianship of eligible children who have been
                in foster care. An average of 25,100 children per month are estimated to be served in FY 2016.

             This account includes new investments to promote family-based care and increase oversight on the use of congregate care, to
                provide federal reimbursement for prevention and permanency interventions, and to provide additional support for new direct
                Tribal IV-E programs. Additionally, this account incldues a re-proposal from the FY 2015 President's Budget to address the
                over-prescription of psychotropic medications for children in foster care, and a re-proposal of a requirement to use child
                support collected on behalf of children in foster care in the best interest of the child. In addition, the Budget proposes
                to allow the title IV-E agencies that have extended foster care to age 21 to use existing Chafee Foster Care Independence
                Program funds to serve young people formerly in foster care through age 23.

          Object Classification (in millions of dollars)

                      Identification code 075–1545–0–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services
                      25
                      27
                      39

                      41.0
                      Grants, subsidies, and contributions
                      7,404
                      7,316
                      7,562

                      99.9
                      Total new obligations
                      7,429
                      7,343
                      7,601

          Employment Summary

                      Identification code 075–1545–0–1–609
                      2014 actual
                      2015 est.
                      2016 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 075–1545–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Foster care

                      181

                      0002
                      Demonstration to Address the Over-Prescription of Psychotropic Drugs for Children in Foster Care

                      50

                      0900
                      Total new obligations

                      231

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation

                      430

                      1260
                      Appropriations, mandatory (total)

                      430

                      1900
                      Budget authority (total)

                      430

                      1930
                      Total budgetary resources available

                      430

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year

                      199

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      231

                      3020
                      Outlays (gross)

                      –181

                      3050
                      Unpaid obligations, end of year

                      50

                      Memorandum (non-add) entries:

                      3200
                      Obligated balance, end of year

                      50

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      430

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      181

                      4180
                      Budget authority, net (total)

                      430

                      4190
                      Outlays, net (total)

                      181

          Object Classification (in millions of dollars)

                      Identification code 075–1545–4–1–609
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.1
                      Advisory and assistance services

                      23

                      41.0
                      Grants, subsidies, and contributions

                      208

                      99.9
                      Total new obligations

                      231

          Employment Summary

                      Identification code 075–1545–4–1–609
                      2014 actual
                      2015 est.
                      2016 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, the Assistive Technology Act of 1998, titles II and VII (and section 14 with respect to such titles) of the Rehabilitation
                Act of 1973, and for Department-wide coordination of policy and program activities that assist individuals with disabilities, [$1,621,141,000] $2,043,540,000, 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 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 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:] 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 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. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0142–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0101
                      Home and community-based supportive services
                      348
                      348
                      386

                      0102
                      Preventive health services
                      20
                      20
                      20

                      0103
                      National family caregiver support program
                      145
                      145
                      150

                      0104
                      Native American caregiver support program
                      6
                      6
                      7

                      0105
                      Congregate nutrition services
                      438
                      438
                      458

                      0106
                      Home-delivered nutrition services
                      216
                      216
                      236

                      0107
                      Nutrition services incentive program
                      153
                      160
                      160

                      0108
                      Native American nutrition and supportive services
                      26
                      26
                      29

                      0109
                      Nutrition Innovation Demonstrations

                      20

                      0110
                      Aging network support activities
                      7
                      10
                      10

                      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
                      4

                      0114
                      Program administration
                      29
                      30
                      40

                      0115
                      Lifespan respite care program
                      2
                      2
                      5

                      0116
                      Paralysis Resource Center
                      7
                      7
                      7

                      0117
                      Aging and Disability Resource Centers (ADRC)
                      6
                      6
                      20

                      0118
                      Chronic Disease Self-Management Education Program PPHF
                      8
                      8
                      8

                      0119
                      Family Support

                      15

                      0121
                      Senior Medicare Patrol program
                      9
                      9
                      9

                      0122
                      Elder Rights Support Activities
                      4
                      8
                      29

                      0123
                      Falls Prevention - PPHF
                      5
                      5
                      5

                      0126
                      National Clearinghouse Long-Term Care Information

                      1

                      0127
                      Alzheimer's Disease Communications Campaign PPHF
                      4
                      4
                      4

                      0132
                      State Aging & Disability Resource Centers - HCR
                      9

                      0133
                      Alzheimer's Disease Initiative - Services PPHF
                      11
                      11
                      11

                      0136
                      Voting Access for People With Disabilities (HAVA)
                      5
                      5
                      5

                      0138
                      State Councils on Developmental Disabilities
                      71
                      71
                      71

                      0139
                      Protection and Advocacy
                      39
                      39
                      39

                      0141
                      University Centers for Excellence in Developmental Disabilities
                      37
                      37
                      38

                      0142
                      Projects of National Significance
                      9
                      9
                      15

                      0144
                      Limb Loss Resource Center

                      3
                      3

                      0145
                      National Institute on Disability, Independent Living & Rehab Research

                      108

                      0146
                      Independent Living - State Grants

                      23

                      0147
                      Independent Living - Centers (CILs)

                      83

                      0148
                      Assistive Technology

                      31

                      0300
                      Total, direct program
                      1,639
                      1,648
                      2,071

                      0799
                      Total direct obligations
                      1,639
                      1,648
                      2,071

                      0801
                      Reimbursable program - HCFAC and Other
                      10
                      9
                      9

                      0802
                      ADRC's MIPPA (TRA)
                      5
                      3

                      0803
                      Area Agencies on Aging - MIPPA (TRA)
                      8
                      4

                      0804
                      MIPPA - Natl Center Benefits Outreach Enrollment
                      5
                      2

                      0805
                      SHIP - (DISC and ATRA BBA)
                      52
                      52
                      52

                      0899
                      Total reimbursable obligations
                      80
                      70
                      61

                      0900
                      Total new obligations
                      1,719
                      1,718
                      2,132

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      1

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      1,610
                      1,621
                      2,043

                      1120
                      Appropriations transferred to other accts [012–3507]
                      –3
                      –3

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –4

                      1160
                      Appropriation, discretionary (total)
                      1,603
                      1,618
                      2,043

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      10

                      1221
                      PPHF Appropriations transferred from other accounts [075–0116]
                      28
                      28
                      28

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –1

                      1260
                      Appropriations, mandatory (total)
                      37
                      28
                      28

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1
                      52
                      52

                      1701
                      Change in uncollected payments, Federal sources
                      53

                      1750
                      Spending auth from offsetting collections, disc (total)
                      54
                      52
                      52

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      12
                      19
                      9

                      1801
                      Change in uncollected payments, Federal sources
                      13

                      1850
                      Spending auth from offsetting collections, mand (total)
                      25
                      19
                      9

                      1900
                      Budget authority (total)
                      1,719
                      1,717
                      2,132

                      1930
                      Total budgetary resources available
                      1,721
                      1,718
                      2,132

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1

                      1941
                      Unexpired unobligated balance, end of year
                      1

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      665
                      895
                      871

                      3010
                      Obligations incurred, unexpired accounts
                      1,719
                      1,718
                      2,132

                      3020
                      Outlays (gross)
                      –1,484
                      –1,742
                      –1,940

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –5

                      3050
                      Unpaid obligations, end of year
                      895
                      871
                      1,063

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –37
                      –94
                      –94

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –66

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      9

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –94
                      –94
                      –94

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      628
                      801
                      777

                      3200
                      Obligated balance, end of year
                      801
                      777
                      969

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,657
                      1,670
                      2,095

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      952
                      997
                      1,256

                      4011
                      Outlays from discretionary balances
                      493
                      732
                      657

                      4020
                      Outlays, gross (total)
                      1,445
                      1,729
                      1,913

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –2
                      –52
                      –52

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –53

                      4052
                      Offsetting collections credited to expired accounts
                      1

                      4060
                      Additional offsets against budget authority only (total)
                      –52

                      4070
                      Budget authority, net (discretionary)
                      1,603
                      1,618
                      2,043

                      4080
                      Outlays, net (discretionary)
                      1,443
                      1,677
                      1,861

                      Mandatory:

                      4090
                      Budget authority, gross
                      62
                      47
                      37

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      3
                      5
                      3

                      4101
                      Outlays from mandatory balances
                      36
                      8
                      24

                      4110
                      Outlays, gross (total)
                      39
                      13
                      27

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –20
                      –19
                      –9

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –13

                      4142
                      Offsetting collections credited to expired accounts
                      8

                      4150
                      Additional offsets against budget authority only (total)
                      –5

                      4160
                      Budget authority, net (mandatory)
                      37
                      28
                      28

                      4170
                      Outlays, net (mandatory)
                      19
                      –6
                      18

                      4180
                      Budget authority, net (total)
                      1,640
                      1,646
                      2,071

                      4190
                      Outlays, net (total)
                      1,462
                      1,671
                      1,879

             Note.—The reimbursable program (HCFAC) in the Administration for Community Living (ACL) reflects the actual distribution of
                the allocation account for 2014 and 2015. 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.  Beginning in 2016, this account also provides funding for three additional programs transferred
                from the Department of Education by the Workforce Innovation and Opportunity Act that further ACL's mission. These include
                Assistive Technology, Independent Living and the National Institute for Disability, Independent Living and Rehabilition Research.

          Object Classification (in millions of dollars)

                      Identification code 075–0142–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      16
                      16
                      22

                      12.1
                      Civilian personnel benefits
                      5
                      5
                      6

                      23.1
                      Rental payments to GSA
                      2
                      2
                      4

                      25.1
                      Advisory and assistance services
                      20
                      16
                      30

                      25.3
                      Other goods and services from Federal sources
                      7
                      5
                      9

                      41.0
                      Grants, subsidies, and contributions
                      1,590
                      1,604
                      2,000

                      99.0
                      Direct obligations
                      1,640
                      1,648
                      2,071

                      99.0
                      Reimbursable obligations
                      79
                      70
                      61

                      99.9
                      Total new obligations
                      1,719
                      1,718
                      2,132

          Employment Summary

                      Identification code 075–0142–0–1–506
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      138
                      147
                      202

                      2001
                      Reimbursable civilian full-time equivalent employment
                      11
                      19
                      19

             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, [$448,034,000] $472,196,000, together with [$64,828,000] $66,078,000 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] of the funds made available under this heading, $53,900,000 shall be for minority AIDS prevention and treatment activities: Provided further, That of the funds made available under this heading, [$101,000,000] $104,790,000 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 more than 10 percent of the available funds shall be for training and technical assistance, evaluation,
             outreach, and additional program support activities, and of the remaining amount 75 percent 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, and 25 percent shall be available for research and demonstration grants
             to develop, replicate, refine, and test additional models and innovative strategies for preventing teenage pregnancy: Provided further, That of the amounts provided under this heading from amounts available under section 241 of the PHS Act, $6,800,000 shall
             be available to carry out evaluations (including longitudinal evaluations) of teenage pregnancy prevention approaches:  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 [: Provided further, That with respect to the previous proviso, such funds shall be available for], including training, recruiting, retaining, and hiring members of the acquisition workforce as defined by 41 U.S.C. 1703, for information
             technology in support of acquisition workforce effectiveness 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)] Provided further, That funds made available under this heading may also be used for activities to encourage innovative approaches
                to increase efficiency and effectiveness in the Department's programs.
          In addition, to supplement the Department's activities related to implementation of the Digital Accountability and Transparency
                Act (DATA Act; Public Law 113–101; 31 U.S.C. 6101 note), $10,320,000, of which $500,000 shall be available to support the
                Department's implementation of a uniform procurement instrument identifier, as described in 48 C.F.R. subpart 4.16.
          In addition, for a Digital Service team for HHS, $10,000,000. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–9912–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      General Departmental Management
                      458
                      448
                      493

                      0801
                      GDM (Collected)
                      149
                      158
                      158

                      0802
                      HCFAC (Mandatory)
                      13
                      10
                      13

                      0803
                      PHS Evaluation
                      62
                      65
                      66

                      0804
                      CMS Trust Funds (Mandatory)

                      6

                      0899
                      Total reimbursable obligations
                      224
                      239
                      237

                      0900
                      Total new obligations
                      682
                      687
                      730

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      2
                      2
                      23

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      2
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      458
                      448
                      493

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –1

                      1160
                      Appropriation, discretionary (total)
                      457
                      448
                      493

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      119
                      244
                      239

                      1701
                      Change in uncollected payments, Federal sources
                      96

                      1750
                      Spending auth from offsetting collections, disc (total)
                      215
                      244
                      239

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      16
                      13

                      1801
                      Change in uncollected payments, Federal sources
                      13

                      1850
                      Spending auth from offsetting collections, mand (total)
                      13
                      16
                      13

                      1900
                      Budget authority (total)
                      685
                      708
                      745

                      1930
                      Total budgetary resources available
                      687
                      710
                      768

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –3

                      1941
                      Unexpired unobligated balance, end of year
                      2
                      23
                      38

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      534
                      533
                      472

                      3010
                      Obligations incurred, unexpired accounts
                      682
                      687
                      730

                      3011
                      Obligations incurred, expired accounts
                      11

                      3020
                      Outlays (gross)
                      –672
                      –748
                      –734

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –22

                      3050
                      Unpaid obligations, end of year
                      533
                      472
                      468

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –257
                      –243
                      –243

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –109

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      123

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –243
                      –243
                      –243

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      277
                      290
                      229

                      3200
                      Obligated balance, end of year
                      290
                      229
                      225

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      672
                      692
                      732

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      321
                      331
                      348

                      4011
                      Outlays from discretionary balances
                      333
                      396
                      372

                      4020
                      Outlays, gross (total)
                      654
                      727
                      720

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –244
                      –244
                      –239

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –96

                      4052
                      Offsetting collections credited to expired accounts
                      125

                      4060
                      Additional offsets against budget authority only (total)
                      29

                      4070
                      Budget authority, net (discretionary)
                      457
                      448
                      493

                      4080
                      Outlays, net (discretionary)
                      410
                      483
                      481

                      Mandatory:

                      4090
                      Budget authority, gross
                      13
                      16
                      13

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      12
                      16
                      13

                      4101
                      Outlays from mandatory balances
                      6
                      5
                      1

                      4110
                      Outlays, gross (total)
                      18
                      21
                      14

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –16
                      –13

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –13

                      4170
                      Outlays, net (mandatory)
                      18
                      5
                      1

                      4180
                      Budget authority, net (total)
                      457
                      448
                      493

                      4190
                      Outlays, net (total)
                      428
                      488
                      482

             Note.—The reimbursable program (HCFAC) in the General Department Management (GDM) account reflects estimates of the allocation
                account for 2016. 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. FY 2016 Budget includes funding for staffing costs
                to build a Digital Service team that will focus on transforming the agency's digital services with the greatest impact to
                citizens and businesses so they are easier to use and maintain. The Budget also includes funding to implement the Digital
                Accountability and Transparency Act of 2014 to improve transparency of Federal spending and Government-wide financial data
                standards. The Department of Health and Human Services plays a crucial role in the implementation of the Act and has been
                designated as the leader for the grants standardization.

          Object Classification (in millions of dollars)

                      Identification code 075–9912–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      92
                      94
                      101

                      11.3
                      Other than full-time permanent
                      13
                      12
                      13

                      11.5
                      Other personnel compensation
                      3
                      3
                      3

                      11.7
                      Military personnel
                      3
                      5
                      4

                      11.9
                      Total personnel compensation
                      111
                      114
                      121

                      12.1
                      Civilian personnel benefits
                      28
                      29
                      33

                      12.2
                      Military personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      5
                      4
                      4

                      23.1
                      Rental payments to GSA
                      17
                      17
                      17

                      23.3
                      Communications, utilities, and miscellaneous charges
                      2
                      2
                      2

                      24.0
                      Printing and reproduction
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      22
                      18
                      27

                      25.2
                      Other services from non-Federal sources
                      43
                      34
                      24

                      25.3
                      Other goods and services from Federal sources
                      65
                      63
                      98

                      25.4
                      Operation and maintenance of facilities
                      6
                      6
                      6

                      25.7
                      Operation and maintenance of equipment
                      5
                      5
                      5

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      31.0
                      Equipment
                      1
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      149
                      151
                      151

                      99.0
                      Direct obligations
                      458
                      448
                      493

                      99.0
                      Reimbursable obligations
                      224
                      239
                      237

                      99.9
                      Total new obligations
                      682
                      687
                      730

          Employment Summary

                      Identification code 075–9912–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      974
                      1,002
                      1,100

                      1101
                      Direct military average strength employment
                      31
                      43
                      36

                      2001
                      Reimbursable civilian full-time equivalent employment
                      469
                      527
                      511

                      2101
                      Reimbursable military average strength employment
                      19
                      9
                      9

             General Departmental Management

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

                      Identification code 075–9912–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0805
                      RAC Collected (Mandatory)

                      2

                      0900
                      Total new obligations

                      2

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      2

                      1850
                      Spending auth from offsetting collections, mand (total)

                      2

                      1900
                      Budget authority (total)

                      2

                      1930
                      Total budgetary resources available

                      2

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      2

                      3020
                      Outlays (gross)

                      –2

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      2

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      2

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –2

          Object Classification (in millions of dollars)

                      Identification code 075–9912–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      25.3
                      Reimbursable obligations: Other goods and services from Federal sources

                      2

                      99.0
                      Reimbursable obligations

                      2

             Office for civil rightsFor expenses necessary for the Office for Civil Rights, [$38,798,000] $42,705,000. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0135–0–1–751
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Office for Civil Rights (Direct)
                      39
                      39
                      43

                      0801
                      Office for Civil Rights (Reimbursable)
                      4
                      8
                      6

                      0900
                      Total new obligations
                      43
                      47
                      49

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1

                      6
                      3

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      2

                      1050
                      Unobligated balance (total)
                      2
                      6
                      3

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      39
                      39
                      43

                      1160
                      Appropriation, discretionary (total)
                      39
                      39
                      43

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      8
                      5
                      6

                      1850
                      Spending auth from offsetting collections, mand (total)
                      8
                      5
                      6

                      1900
                      Budget authority (total)
                      47
                      44
                      49

                      1930
                      Total budgetary resources available
                      49
                      50
                      52

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      6
                      3
                      3

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      9
                      9
                      11

                      3010
                      Obligations incurred, unexpired accounts
                      43
                      47
                      49

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –43
                      –45
                      –51

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      9
                      11
                      9

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      9
                      9
                      11

                      3200
                      Obligated balance, end of year
                      9
                      11
                      9

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      39
                      39
                      43

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      35
                      31
                      34

                      4011
                      Outlays from discretionary balances
                      6
                      6
                      9

                      4020
                      Outlays, gross (total)
                      41
                      37
                      43

                      Mandatory:

                      4090
                      Budget authority, gross
                      8
                      5
                      6

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      5
                      6

                      4101
                      Outlays from mandatory balances
                      2
                      3
                      2

                      4110
                      Outlays, gross (total)
                      2
                      8
                      8

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4123
                      Non-Federal sources
                      –8
                      –5
                      –6

                      4180
                      Budget authority, net (total)
                      39
                      39
                      43

                      4190
                      Outlays, net (total)
                      35
                      40
                      45

             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 075–0135–0–1–751
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      21
                      18
                      19

                      11.3
                      Other than full-time permanent
                      1
                      2
                      2

                      11.9
                      Total personnel compensation
                      22
                      20
                      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
                      1

                      25.3
                      Other goods and services from Federal sources
                      6
                      9
                      12

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      39
                      39
                      43

                      99.0
                      Reimbursable obligations
                      4
                      8
                      6

                      99.9
                      Total new obligations
                      43
                      47
                      49

          Employment Summary

                      Identification code 075–0135–0–1–751
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      200
                      193
                      197

                      1101
                      Direct military average strength employment
                      2
                      2
                      2

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1
                      1
                      1

             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, [$60,367,000] $91,800,000 shall be available from amounts available under section 241 of the PHS Act. (Department of Health and Human Services Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0130–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Health information technology
                      15
                      60

                      0002
                      Recovery Act activities
                      9

                      0799
                      Total direct obligations
                      24
                      60

                      0801
                      Office of the National Coordinator for Health Information Techno (Reimbursable)
                      19
                      22
                      22

                      0802
                      Reimbursable program: PHS evaluation
                      45

                      92

                      0899
                      Total reimbursable obligations
                      64
                      22
                      114

                      0900
                      Total new obligations
                      88
                      82
                      114

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      1
                      2
                      2

                      1021
                      Recoveries of prior year unpaid obligations
                      10

                      1050
                      Unobligated balance (total)
                      11
                      2
                      2

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      16
                      60

                      1160
                      Appropriation, discretionary (total)
                      16
                      60

                      Spending authority from offsetting collections, discretionary:

                      1700
                      PHS and Other
                      28
                      22
                      125

                      1700
                      Collected

                      49

                      1701
                      Change in uncollected payments, Federal sources
                      35
                      –49

                      1750
                      Spending auth from offsetting collections, disc (total)
                      63
                      22
                      125

                      1900
                      Budget authority (total)
                      79
                      82
                      125

                      1930
                      Total budgetary resources available
                      90
                      84
                      127

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      2
                      2
                      13

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      452
                      189
                      101

                      3010
                      Obligations incurred, unexpired accounts
                      88
                      82
                      114

                      3011
                      Obligations incurred, expired accounts
                      2

                      3020
                      Outlays (gross)
                      –342
                      –170
                      –174

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –10

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –1

                      3050
                      Unpaid obligations, end of year
                      189
                      101
                      41

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –34
                      –49

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –35
                      49

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      20

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –49

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      418
                      140
                      101

                      3200
                      Obligated balance, end of year
                      140
                      101
                      41

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      79
                      82
                      125

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      39
                      70
                      106

                      4011
                      Outlays from discretionary balances
                      301
                      100
                      68

                      4020
                      Outlays, gross (total)
                      340
                      170
                      174

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –48
                      –22
                      –125

                      4030
                      Federal sources

                      –49

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –48
                      –71
                      –125

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –35
                      49

                      4052
                      Offsetting collections credited to expired accounts
                      20

                      4060
                      Additional offsets against budget authority only (total)
                      –15
                      49

                      4070
                      Budget authority, net (discretionary)
                      16
                      60

                      4080
                      Outlays, net (discretionary)
                      292
                      99
                      49

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      2

                      4180
                      Budget authority, net (total)
                      16
                      60

                      4190
                      Outlays, net (total)
                      294
                      99
                      49

             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 075–0130–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent

                      15

                      11.3
                      Other than full-time permanent

                      5

                      11.5
                      Other personnel compensation

                      1

                      11.9
                      Total personnel compensation

                      21

                      12.1
                      Civilian personnel benefits

                      6

                      21.0
                      Travel and transportation of persons

                      1

                      23.1
                      Rental payments to GSA
                      3
                      4

                      23.3
                      Communications, utilities, and miscellaneous charges

                      1

                      25.1
                      Advisory and assistance services
                      1
                      1

                      25.2
                      Other services from non-Federal sources
                      6
                      14

                      25.3
                      Other goods and services from Federal sources
                      5
                      12

                      25.4
                      Operation and maintenance of facilities
                      1

                      41.0
                      Grants, subsidies, and contributions
                      8

                      99.0
                      Direct obligations
                      24
                      60

                      99.0
                      Reimbursable obligations
                      64
                      22
                      114

                      99.9
                      Total new obligations
                      88
                      82
                      114

          Employment Summary

                      Identification code 075–0130–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      185

                      1101
                      Direct military average strength employment
                      1

                      2001
                      Reimbursable civilian full-time equivalent employment
                      170

                      200

             Office of Medicare Hearings and Appeals

             Program and Financing (in millions of dollars)

                      Identification code 075–0139–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Office of Medicare Hearings and Appeals (Direct)
                      82
                      87
                      140

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      65
                      87
                      140

                      1701
                      Change in uncollected payments, Federal sources
                      17

                      1750
                      Spending auth from offsetting collections, disc (total)
                      82
                      87
                      140

                      1900
                      Budget authority (total)
                      82
                      87
                      140

                      1930
                      Total budgetary resources available
                      82
                      87
                      140

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      9
                      16

                      3010
                      Obligations incurred, unexpired accounts
                      82
                      87
                      140

                      3020
                      Outlays (gross)
                      –73
                      –103
                      –140

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –2

                      3050
                      Unpaid obligations, end of year
                      16

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –23
                      –18
                      –18

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –17

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      22

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –18
                      –18
                      –18

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –14
                      –2
                      –18

                      3200
                      Obligated balance, end of year
                      –2
                      –18
                      –18

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      82
                      87
                      140

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      68
                      87
                      140

                      4011
                      Outlays from discretionary balances
                      5
                      16

                      4020
                      Outlays, gross (total)
                      73
                      103
                      140

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –87
                      –87
                      –140

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –17

                      4052
                      Offsetting collections credited to expired accounts
                      22

                      4060
                      Additional offsets against budget authority only (total)
                      5

                      4080
                      Outlays, net (discretionary)
                      –14
                      16

                      4190
                      Outlays, net (total)
                      –14
                      16

             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 075–0139–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      40
                      51
                      75

                      12.1
                      Civilian personnel benefits
                      12
                      16
                      24

                      22.0
                      Transportation of things

                      2

                      23.1
                      Rental payments to GSA
                      7
                      7
                      10

                      23.3
                      Communications, utilities, and miscellaneous charges
                      3
                      3
                      4

                      25.1
                      Advisory and assistance services
                      5

                      25.2
                      Other services from non-Federal sources
                      1
                      1
                      1

                      25.3
                      Other goods and services from Federal sources
                      5
                      6
                      15

                      25.4
                      Operation and maintenance of facilities
                      6
                      1
                      4

                      25.7
                      Operation and maintenance of equipment
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      1
                      1
                      1

                      31.0
                      Equipment
                      1

                      3

                      99.9
                      Total new obligations
                      82
                      87
                      140

          Employment Summary

                      Identification code 075–0139–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      468
                      564
                      903

             Office of Medicare Hearings and Appeals

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

                      Identification code 075–0139–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Reimbursable program activity

                      130

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected

                      130

                      1850
                      Spending auth from offsetting collections, mand (total)

                      130

                      1930
                      Total budgetary resources available

                      130

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      130

                      3020
                      Outlays (gross)

                      –130

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross

                      130

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority

                      130

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources

                      –130

          Object Classification (in millions of dollars)

                      Identification code 075–0139–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Reimbursable obligations:

                      11.1
                      Personnel compensation: Full-time permanent

                      50

                      12.1
                      Civilian personnel benefits

                      18

                      22.0
                      Transportation of things

                      9

                      23.1
                      Rental payments to GSA

                      11

                      23.3
                      Communications, utilities, and miscellaneous charges

                      2

                      25.3
                      Other goods and services from Federal sources

                      14

                      25.4
                      Operation and maintenance of facilities

                      6

                      25.7
                      Operation and maintenance of equipment

                      4

                      26.0
                      Supplies and materials

                      1

                      31.0
                      Equipment

                      15

                      99.9
                      Total new obligations

                      130

          Employment Summary

                      Identification code 075–0139–4–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment

                      572

             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, [$848,154,000] $983,546,760, of which [$415,000,000] $521,732,000 shall remain available through September 30, [2016] 2017, 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: 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, 2017] until expended: Provided further, That [these funds are] in addition to amounts provided [in section 136 of Public Law 113–164] herein, $30,000,000 shall be made available under section 241 of the PHS Act for necessary expenses to initiate a longitudinal
                health insurance study, with such reimbursable amounts advanced and available until September 30, 2020.

          For expenses necessary for procuring security countermeasures (as defined in section 319F-2(c)(1)(B) of the PHS Act), [$255,000,000] $646,425,000, to remain available until expended.

          For an additional amount for expenses necessary to prepare for or respond to an influenza pandemic [, $71,915,000] 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 [$39,906,000] $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, 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.

          For an additional amount for expenses necessary to provide immediate response to an urgent need, including a disease outbreak,
                a disaster, and an urgent or emergency public health care need, $90,000,000, to be available until expended: Provided, That
                funds may be used for state and local emergency response: Provided further, That, in addition to amounts provided herein,
                $20,000,000 shall be made available for preparedness or response activities, including for equipment and training, and shall
                be available until expended: Provided further, That the funds in this paragraph may be transferred at the discretion of the
                Secretary for the purposes provided in this paragraph to other accounts within the Department of Health and Human Services. (Department of Health and Human Services Appropriations Act, 2015.)
             [(INCLUDING TRANSFER OF FUNDS)][For an additional amount for "Public Health and Social Services Emergency Fund" to prevent, prepare for, and respond to Ebola
             domestically or internationally, and to develop necessary medical countermeasures and vaccines including the development and
             purchase of vaccines, therapeutics, diagnostics, necessary medical supplies, and administrative activities, $733,000,000,
             to remain available until September 30, 2019: Provided, That products purchased with these funds may, at the discretion of the Secretary of Health and Human Services, be deposited
             in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That, notwithstanding section 496(b) of the PHS Act, funds may be used for the renovation and alteration of privately owned
             facilities to improve preparedness and response capability at the State and local level: Provided further, That sections 319C-1(h)(3) and 319C-2(h) of the PHS Act shall not apply to funds appropriated under this heading: Provided further, That reimbursement of domestic transportation and treatment costs (other than costs paid or reimbursed by the individual's
             health coverage) for an individual treated in the United States for Ebola, before or after the date of enactment of this Act,
             shall be deemed to be a use of resources of the Secretary in implementation of a plan under section 311(c)(1) of the PHS Act
             (42 U.S.C. 243(c)(1)), and funds made available by this title shall be available for that purpose, at the discretion of the
             Secretary: Provided further, That funds appropriated in this paragraph may be used for the purposes specified in this paragraph and to the fund authorized
             by section 319F-4 of the PHS Act: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced
             Budget and Emergency Deficit Control Act of 1985.] (Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0140–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Public Health and Social Services Emergency Fund
                      1,529
                      1,392
                      1,507

                      0801
                      Reimbursable program (FEMA)
                      24
                      80
                      80

                      0802
                      Reimbursable program activity (OPP)
                      2
                      2
                      32

                      0899
                      Total reimbursable obligations
                      26
                      82
                      112

                      0900
                      Total new obligations
                      1,555
                      1,474
                      1,619

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      851
                      627
                      1,168

                      1010
                      Unobligated balance transfer to other accts [075–0343]
                      –5
                      –3
                      –3

                      1021
                      Recoveries of prior year unpaid obligations
                      60

                      1050
                      Unobligated balance (total)
                      906
                      624
                      1,165

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      1,243
                      1,233
                      1,910

                      1100
                      Appropriation - Emergency Pursuant to 2011 BCA

                      733

                      1120
                      Appropriations transferred to other accts [075–1503]
                      –1

                      1120
                      Appropriations transferred to other accts [075–0511]
                      –2

                      1121
                      Appropriations transferred from other acct [075–9915]
                      6

                      1121
                      Appropriations transferred from other acct [075–0943]
                      1

                      1121
                      Appropriations transferred from other acct [075–1362]
                      1

                      1121
                      Appropriations transferred from other acct [075–1515]
                      2

                      1121
                      Appropriations transferred from other acct [075–1536]
                      1

                      1160
                      Appropriation, discretionary (total)
                      1,251
                      1,966
                      1,910

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      1
                      81
                      95

                      1701
                      Change in uncollected payments, Federal sources
                      25

                      1750
                      Spending auth from offsetting collections, disc (total)
                      26
                      81
                      95

                      1900
                      Budget authority (total)
                      1,277
                      2,047
                      2,005

                      1930
                      Total budgetary resources available
                      2,183
                      2,671
                      3,170

                      Memorandum (non-add) entries:

                      1940
                      Unobligated balance expiring
                      –1
                      –29

                      1941
                      Unexpired unobligated balance, end of year
                      627
                      1,168
                      1,551

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      4,655
                      4,095
                      3,467

                      3010
                      Obligations incurred, unexpired accounts
                      1,555
                      1,474
                      1,619

                      3020
                      Outlays (gross)
                      –2,015
                      –2,062
                      –2,401

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –60

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –40
                      –40

                      3050
                      Unpaid obligations, end of year
                      4,095
                      3,467
                      2,685

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –153
                      –126
                      –126

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –25

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      52

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –126
                      –126
                      –126

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      4,502
                      3,969
                      3,341

                      3200
                      Obligated balance, end of year
                      3,969
                      3,341
                      2,559

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,277
                      2,047
                      2,005

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      251
                      507
                      544

                      4011
                      Outlays from discretionary balances
                      1,764
                      1,555
                      1,857

                      4020
                      Outlays, gross (total)
                      2,015
                      2,062
                      2,401

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –45
                      –81
                      –95

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –25

                      4052
                      Offsetting collections credited to expired accounts
                      44

                      4060
                      Additional offsets against budget authority only (total)
                      19

                      4070
                      Budget authority, net (discretionary)
                      1,251
                      1,966
                      1,910

                      4080
                      Outlays, net (discretionary)
                      1,970
                      1,981
                      2,306

                      4180
                      Budget authority, net (total)
                      1,251
                      1,966
                      1,910

                      4190
                      Outlays, net (total)
                      1,970
                      1,981
                      2,306

             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.

             The FY 2015 funding level includes $733 million in one-time emergency funding for the U.S. Government response to contain,
                treat, and prevent the spread of Ebola.

          Object Classification (in millions of dollars)

                      Identification code 075–0140–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      68
                      75
                      77

                      11.3
                      Other than full-time permanent
                      6
                      6
                      6

                      11.7
                      Military personnel
                      7
                      7
                      7

                      11.9
                      Total personnel compensation
                      81
                      88
                      90

                      12.1
                      Civilian personnel benefits
                      22
                      22
                      23

                      12.2
                      Military personnel benefits
                      3
                      3
                      3

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      22.0
                      Transportation of things
                      5
                      4
                      4

                      23.1
                      Rental payments to GSA
                      17
                      17
                      18

                      23.3
                      Communications, utilities, and miscellaneous charges
                      15
                      8
                      17

                      25.1
                      Advisory and assistance services
                      367
                      205
                      200

                      25.2
                      Other services from non-Federal sources
                      224
                      140
                      140

                      25.3
                      Other goods and services from Federal sources
                      36
                      33
                      52

                      25.4
                      Operation and maintenance of facilities
                      20
                      20
                      20

                      25.5
                      Research and development contracts
                      104
                      118
                      302

                      25.7
                      Operation and maintenance of equipment
                      15
                      15
                      15

                      26.0
                      Supplies and materials
                      336
                      336
                      336

                      31.0
                      Equipment
                      17
                      16
                      20

                      41.0
                      Grants, subsidies, and contributions
                      265
                      365
                      265

                      99.0
                      Direct obligations
                      1,529
                      1,392
                      1,507

                      99.0
                      Reimbursable obligations
                      26
                      82
                      112

                      99.9
                      Total new obligations
                      1,555
                      1,474
                      1,619

          Employment Summary

                      Identification code 075–0140–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      619
                      682
                      698

                      1101
                      Direct military average strength employment
                      77
                      75
                      75

             Transfers from the Patient-Centered Outcomes Research Trust Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0145–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      AHRQ
                      50
                      130
                      116

                      0802
                      Office of the Secretary
                      12
                      31
                      29

                      0809
                      Reimbursable program activities, subtotal
                      62
                      161
                      145

                      0900
                      Total new obligations
                      62
                      161
                      145

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      49
                      69
                      47

                      Budget authority:

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      82
                      139
                      145

                      1850
                      Spending auth from offsetting collections, mand (total)
                      82
                      139
                      145

                      1900
                      Budget authority (total)
                      82
                      139
                      145

                      1930
                      Total budgetary resources available
                      131
                      208
                      192

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      69
                      47
                      47

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      49
                      65
                      193

                      3010
                      Obligations incurred, unexpired accounts
                      62
                      161
                      145

                      3020
                      Outlays (gross)
                      –46
                      –33
                      –88

                      3050
                      Unpaid obligations, end of year
                      65
                      193
                      250

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      49
                      65
                      193

                      3200
                      Obligated balance, end of year
                      65
                      193
                      250

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      82
                      139
                      145

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2
                      4
                      4

                      4101
                      Outlays from mandatory balances
                      44
                      29
                      84

                      4110
                      Outlays, gross (total)
                      46
                      33
                      88

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –82
                      –139
                      –145

                      4190
                      Outlays, net (total)
                      –36
                      –106
                      –57

             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 coordinate Federal health programs to 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 075–0145–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      25.5
                      Reimbursable obligations: Research and development contracts
                      12
                      31
                      29

                      99.0
                      Reimbursable obligations
                      12
                      31
                      29

                      Allocation Account - reimbursable:

                      11.1
                      Personnel compensation: Full-time permanent
                      2
                      2
                      2

                      25.5
                      Research and development contracts
                      18
                      49
                      44

                      41.0
                      Grants, subsidies, and contributions
                      30
                      79
                      70

                      99.0
                      Allocation account - reimbursable
                      50
                      130
                      116

                      99.9
                      Total new obligations
                      62
                      161
                      145

          Employment Summary

                      Identification code 075–0145–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      2
                      3
                      3

                      3001
                      Allocation account civilian full-time equivalent employment
                      13
                      25
                      25

             Prevention and Wellness Fund, Recovery Act

             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 075–0125–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Nonrecurring Expenses Fund Projects
                      545
                      600
                      100

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      286
                      425
                      175

                      1012
                      Unobligated balance transfers between expired and unexpired accounts
                      682
                      350

                      1021
                      Recoveries of prior year unpaid obligations
                      2

                      1050
                      Unobligated balance (total)
                      970
                      775
                      175

                      1930
                      Total budgetary resources available
                      970
                      775
                      175

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      425
                      175
                      75

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      505
                      372
                      493

                      3010
                      Obligations incurred, unexpired accounts
                      545
                      600
                      100

                      3020
                      Outlays (gross)
                      –676
                      –479
                      –402

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –2

                      3050
                      Unpaid obligations, end of year
                      372
                      493
                      191

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      505
                      372
                      493

                      3200
                      Obligated balance, end of year
                      372
                      493
                      191

                      Budget authority and outlays, net:

                      Discretionary:

                      Outlays, gross:

                      4011
                      Outlays from discretionary balances
                      676
                      479
                      402

                      4190
                      Outlays, net (total)
                      676
                      479
                      402

             The Nonrecurring Expenses Fund is a no-year account that receives transfers of expired unobligated balances from discretionary
                accounts prior to cancellation. The Fund is used for capital acquisition, including facilities infrastructure and information
                technology infrastructure.

          Object Classification (in millions of dollars)

                      Identification code 075–0125–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      11.1
                      Personnel compensation: Full-time permanent
                      1

                      25.2
                      Other services from non-Federal sources
                      5
                      50
                      10

                      25.3
                      Other goods and services from Federal sources
                      13
                      100
                      6

                      99.0
                      Direct obligations
                      19
                      150
                      16

                      Allocation Account - direct:

                      25.2
                      Other services from non-Federal sources
                      525
                      448
                      83

                      25.3
                      Other goods and services from Federal sources
                      1
                      2
                      1

                      99.0
                      Allocation account - direct
                      526
                      450
                      84

                      99.9
                      Total new obligations
                      545
                      600
                      100

          Employment Summary

                      Identification code 075–0125–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      8

             Health Insurance Reform Implementation Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0119–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Health Insurance Reform Implementation Fund (Direct)
                      70
                      26

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      87
                      26

                      1021
                      Recoveries of prior year unpaid obligations
                      9

                      1050
                      Unobligated balance (total)
                      96
                      26

                      1930
                      Total budgetary resources available
                      96
                      26

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      26

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      197
                      88
                      14

                      3010
                      Obligations incurred, unexpired accounts
                      70
                      26

                      3020
                      Outlays (gross)
                      –170
                      –100
                      –14

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –9

                      3050
                      Unpaid obligations, end of year
                      88
                      14

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      197
                      88
                      14

                      3200
                      Obligated balance, end of year
                      88
                      14

                      Budget authority and outlays, net:

                      Mandatory:

                      Outlays, gross:

                      4101
                      Outlays from mandatory balances
                      170
                      100
                      14

                      4190
                      Outlays, net (total)
                      170
                      100
                      14

             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 075–0119–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      21.0
                      Travel and transportation of persons

                      1

                      25.2
                      Other services from non-Federal sources
                      20
                      25

                      99.0
                      Direct obligations
                      20
                      26

                      25.2
                      Allocation Account - direct: Other services from non-Federal sources
                      50

                      99.9
                      Total new obligations
                      70
                      26

             Prevention and Public Health Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0116–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      1,000
                      1,000
                      1,000

                      1220
                      Appropriations transferred to other accts [075–0142]
                      –28
                      –28
                      –28

                      1220
                      Appropriations transferred to other accts [075–1700]
                      –7

                      1220
                      Appropriations transferred to other accts [075–0943]
                      –831
                      –886
                      –914

                      1220
                      Appropriations transferred to other accts [075–1362]
                      –62
                      –12
                      –58

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced [SEQ]
                      –72
                      –74

             The Affordable Care Act, (P.L. 111–148) established the Prevention and Public Health Fund to support prevention and public
                health activities. In FY 2016, $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 075–0117–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Pregnancy Assistance Fund (Direct)
                      23
                      23
                      25

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      25
                      25
                      25

                      1230
                      Appropriations and/or unobligated balance of appropriations permanently reduced
                      –2
                      –2

                      1260
                      Appropriations, mandatory (total)
                      23
                      23
                      25

                      1930
                      Total budgetary resources available
                      23
                      23
                      25

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      34
                      32
                      47

                      3010
                      Obligations incurred, unexpired accounts
                      23
                      23
                      25

                      3020
                      Outlays (gross)
                      –20
                      –8
                      –29

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –5

                      3050
                      Unpaid obligations, end of year
                      32
                      47
                      43

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      34
                      32
                      47

                      3200
                      Obligated balance, end of year
                      32
                      47
                      43

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      23
                      23
                      25

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      1
                      2
                      2

                      4101
                      Outlays from mandatory balances
                      19
                      6
                      27

                      4110
                      Outlays, gross (total)
                      20
                      8
                      29

                      4180
                      Budget authority, net (total)
                      23
                      23
                      25

                      4190
                      Outlays, net (total)
                      20
                      8
                      29

             For awarding competitive grants to States to assist pregnant and parenting teens and women.

          Object Classification (in millions of dollars)

                      Identification code 075–0117–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      25.3
                      Other goods and services from Federal sources
                      1
                      1

                      41.0
                      Grants, subsidies, and contributions
                      22
                      22
                      25

                      99.9
                      Total new obligations
                      23
                      23
                      25

          Employment Summary

                      Identification code 075–0117–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      2
                      2
                      2

             Section 241 Evaluation Transactions Account

             Program and Financing (in millions of dollars)

                      Identification code 075–3902–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Section 241 Evaluation Transactions Account (Reimbursable)
                      1,060
                      415
                      481

                      0809
                      Reimbursable program activities, subtotal
                      1,060
                      415
                      481

                      0900
                      Total new obligations
                      1,060
                      415
                      481

                      Budgetary resources:

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      430
                      415
                      481

                      1701
                      Change in uncollected payments, Federal sources
                      630

                      1750
                      Spending auth from offsetting collections, disc (total)
                      1,060
                      415
                      481

                      1930
                      Total budgetary resources available
                      1,060
                      415
                      481

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1

                      596
                      30

                      3010
                      Obligations incurred, unexpired accounts
                      1,060
                      415
                      481

                      3020
                      Outlays (gross)
                      –464
                      –981
                      –481

                      3050
                      Unpaid obligations, end of year
                      596
                      30
                      30

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1

                      –630
                      –630

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –630

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –630
                      –630
                      –630

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year

                      –34
                      –600

                      3200
                      Obligated balance, end of year
                      –34
                      –600
                      –600

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,060
                      415
                      481

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      464
                      415
                      481

                      4011
                      Outlays from discretionary balances

                      566

                      4020
                      Outlays, gross (total)
                      464
                      981
                      481

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –429
                      –415
                      –481

                      4033
                      Non-Federal sources
                      –1

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –430
                      –415
                      –481

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –630

                      4080
                      Outlays, net (discretionary)
                      34
                      566

                      4190
                      Outlays, net (total)
                      34
                      566

             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 075–3902–0–1–552
                      2014 actual
                      2015 est.
                      2016 est.

                      25.3
                      Reimbursable obligations: Other goods and services from Federal sources
                      1,060
                      415
                      481

                      99.0
                      Reimbursable obligations
                      1,060
                      415
                      481

             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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0379–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Retirement payments
                      407
                      423
                      441

                      0002
                      Survivors' benefits
                      27
                      28
                      29

                      0003
                      Medical care
                      106
                      111
                      116

                      0900
                      Total new obligations
                      540
                      562
                      586

                      Budgetary resources:

                      Budget authority:

                      Appropriations, mandatory:

                      1200
                      Appropriation
                      540
                      562
                      586

                      1260
                      Appropriations, mandatory (total)
                      540
                      562
                      586

                      1930
                      Total budgetary resources available
                      540
                      562
                      586

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      66
                      65
                      31

                      3010
                      Obligations incurred, unexpired accounts
                      540
                      562
                      586

                      3011
                      Obligations incurred, expired accounts
                      1

                      3020
                      Outlays (gross)
                      –538
                      –596
                      –585

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –4

                      3050
                      Unpaid obligations, end of year
                      65
                      31
                      32

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      66
                      65
                      31

                      3200
                      Obligated balance, end of year
                      65
                      31
                      32

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      540
                      562
                      586

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      482
                      534
                      557

                      4101
                      Outlays from mandatory balances
                      56
                      62
                      28

                      4110
                      Outlays, gross (total)
                      538
                      596
                      585

                      4180
                      Budget authority, net (total)
                      540
                      562
                      586

                      4190
                      Outlays, net (total)
                      538
                      596
                      585

             The number of beneficiaries using the Commissioned Corps system is estimated as follows:
             Retirement Pay, Survivor Benefits, and Medical Benefits

                         2014
                         2015
                         2016

                         Active Duty:

                         HHS
                         5000
                         5023
                         5016

                         DOJ, BOP
                         882
                         885
                         885

                         Homeland Security
                         494
                         566
                         566

                         EPA
                         63
                         57
                         57

                         All Other
                         366
                         372
                         375

                         Total Active Duty
                         6805
                         6903
                         6899

                         Retirees & Survivors:

                         Retirees
                         5860
                         6010
                         6130

                         Retiree family members and survivors
                         1058
                         1088
                         1097

                         Total Retirement Pay
                         6918
                         7098
                         7227

                         Total Beneficiaries (active duty, retirees, survivors)
                         13723
                         14001
                         14126

             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 075–0379–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      13.0
                      Benefits for former personnel
                      441
                      451
                      470

                      25.6
                      Medical care
                      99
                      111
                      116

                      99.9
                      Total new obligations
                      540
                      562
                      586

             HHS Accrual Contribution to the Uniformed Services Retiree Health Care Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–0170–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicare eligible accruals
                      27
                      28
                      29

                      0900
                      Total new obligations (object class 12.2)
                      27
                      28
                      29

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      27
                      28
                      29

                      1160
                      Appropriation, discretionary (total)
                      27
                      28
                      29

                      1930
                      Total budgetary resources available
                      27
                      28
                      29

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts
                      27
                      28
                      29

                      3020
                      Outlays (gross)
                      –27
                      –28
                      –29

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      27
                      28
                      29

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      27
                      28
                      29

                      4180
                      Budget authority, net (total)
                      27
                      28
                      29

                      4190
                      Outlays, net (total)
                      27
                      28
                      29

             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 075–0170–2–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Medicare eligible accruals

                      –1

                      0900
                      Total new obligations (object class 12.2)

                      –1

                      Budgetary resources:

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation

                      –1

                      1160
                      Appropriation, discretionary (total)

                      –1

                      1930
                      Total budgetary resources available

                      –1

                      Change in obligated balance:

                      Unpaid obligations:

                      3010
                      Obligations incurred, unexpired accounts

                      –1

                      3020
                      Outlays (gross)

                      1

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross

                      –1

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority

                      –1

                      4180
                      Budget authority, net (total)

                      –1

                      4190
                      Outlays, net (total)

                      –1

             HHS Service and Supply Fund

             Program and Financing (in millions of dollars)

                      Identification code 075–9941–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0801
                      Program Support Center
                      689
                      765
                      776

                      0802
                      OS activities
                      353
                      422
                      426

                      0900
                      Total new obligations
                      1,042
                      1,187
                      1,202

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      117
                      130
                      130

                      1021
                      Recoveries of prior year unpaid obligations
                      40

                      1050
                      Unobligated balance (total)
                      157
                      130
                      130

                      Budget authority:

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      884
                      1,187
                      1,202

                      1700
                      Collected from uncollected FY14 pmts - line 3090

                      372

                      1701
                      Change in uncollected payments, Federal sources
                      131

                      1701
                      Change in uncollected payments, Federal sources

                      –372

                      1750
                      Spending auth from offsetting collections, disc (total)
                      1,015
                      1,187
                      1,202

                      1930
                      Total budgetary resources available
                      1,172
                      1,317
                      1,332

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      130
                      130
                      130

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      515
                      621

                      3010
                      Obligations incurred, unexpired accounts
                      1,042
                      1,187
                      1,202

                      3020
                      Outlays (gross)
                      –896
                      –1,808
                      –1,202

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –40

                      3050
                      Unpaid obligations, end of year
                      621

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –241
                      –372

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –131
                      372

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –372

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      274
                      249

                      3200
                      Obligated balance, end of year
                      249

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      1,015
                      1,187
                      1,202

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      568
                      1,187
                      1,202

                      4011
                      Outlays from discretionary balances
                      328
                      621

                      4020
                      Outlays, gross (total)
                      896
                      1,808
                      1,202

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –875
                      –1,187
                      –1,202

                      4030
                      Federal sources

                      –372

                      4033
                      Non-Federal sources
                      –9

                      4040
                      Offsets against gross budget authority  and outlays (total)
                      –884
                      –1,559
                      –1,202

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –131
                      372

                      4080
                      Outlays, net (discretionary)
                      12
                      249

                      4190
                      Outlays, net (total)
                      12
                      249

             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 075–9941–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Reimbursable obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      103
                      106
                      108

                      11.3
                      Other than full-time permanent
                      2
                      2
                      2

                      11.5
                      Other personnel compensation
                      3
                      3
                      3

                      11.7
                      Military personnel
                      8
                      8
                      8

                      11.9
                      Total personnel compensation
                      116
                      119
                      121

                      12.1
                      Civilian personnel benefits
                      29
                      29
                      31

                      12.2
                      Military personnel benefits
                      2
                      2
                      2

                      21.0
                      Travel and transportation of persons
                      2
                      2
                      2

                      22.0
                      Transportation of things
                      4
                      4
                      4

                      23.1
                      Rental payments to GSA
                      22
                      24
                      24

                      23.3
                      Communications, utilities, and miscellaneous charges
                      6
                      6
                      6

                      24.0
                      Printing and reproduction
                      3
                      3
                      3

                      25.1
                      Advisory and assistance services
                      27
                      32
                      31

                      25.2
                      Other services from non-Federal sources
                      656
                      745
                      754

                      25.3
                      Other goods and services from Federal sources
                      51
                      70
                      71

                      25.4
                      Operation and maintenance of facilities
                      16
                      16
                      16

                      25.6
                      Medical care
                      24
                      29
                      29

                      25.7
                      Operation and maintenance of equipment
                      49
                      71
                      73

                      26.0
                      Supplies and materials
                      32
                      32
                      32

                      31.0
                      Equipment
                      3
                      3
                      3

                      99.9
                      Total new obligations
                      1,042
                      1,187
                      1,202

          Employment Summary

                      Identification code 075–9941–0–4–551
                      2014 actual
                      2015 est.
                      2016 est.

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,131
                      1,232
                      1,236

                      2101
                      Reimbursable military average strength employment
                      79
                      75
                      75

                      3101
                      Allocation account military average strength employment
                      1,742
                      1,823
                      1,826

          Trust Funds
             Miscellaneous Trust Funds

             Special and Trust Fund Receipts (in millions of dollars)

                      Identification code 075–9971–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      0100
                      Balance, start of year

                      31

                      Receipts:

                      0220
                      Contributions, Indian Health Facilities
                      14
                      48
                      48

                      0221
                      Contributions, N.I.H., Unconditional Gift Fund
                      4
                      3
                      3

                      0222
                      Centers for Disease Control, Gifts and Donations
                      10
                      15
                      15

                      0223
                      Contributions, N.I.H., Conditional Gift Fund
                      49
                      27
                      27

                      0224
                      Contributions to the Indian Health Service Gift Fund
                      1
                      1
                      1

                      0299
                      Total receipts and collections
                      78
                      94
                      94

                      0400
                      Total: Balances and collections
                      78
                      94
                      125

                      Appropriations:

                      0500
                      Miscellaneous Trust Funds
                      –78
                      –63
                      –94

                      0799
                      Balance, end of year

                      31
                      31

          Program and Financing (in millions of dollars)

                      Identification code 075–9971–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0002
                      Gifts
                      77
                      39
                      39

                      0003
                      Contributions, Indian Health Facilities

                      12
                      12

                      0900
                      Total new obligations
                      77
                      51
                      51

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      149
                      154
                      166

                      1021
                      Recoveries of prior year unpaid obligations
                      4

                      1050
                      Unobligated balance (total)
                      153
                      154
                      166

                      Budget authority:

                      Appropriations, mandatory:

                      1201
                      Appropriation (special or trust fund)
                      78
                      63
                      94

                      1260
                      Appropriations, mandatory (total)
                      78
                      63
                      94

                      1930
                      Total budgetary resources available
                      231
                      217
                      260

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      154
                      166
                      209

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      67
                      76
                      70

                      3010
                      Obligations incurred, unexpired accounts
                      77
                      51
                      51

                      3020
                      Outlays (gross)
                      –64
                      –57
                      –64

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –4

                      3050
                      Unpaid obligations, end of year
                      76
                      70
                      57

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      67
                      76
                      70

                      3200
                      Obligated balance, end of year
                      76
                      70
                      57

                      Budget authority and outlays, net:

                      Mandatory:

                      4090
                      Budget authority, gross
                      78
                      63
                      94

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      2
                      6
                      9

                      4101
                      Outlays from mandatory balances
                      62
                      51
                      55

                      4110
                      Outlays, gross (total)
                      64
                      57
                      64

                      4180
                      Budget authority, net (total)
                      78
                      63
                      94

                      4190
                      Outlays, net (total)
                      64
                      57
                      64

                      Memorandum (non-add) entries:

                      5000
                      Total investments, SOY: Federal securities: Par value
                      28
                      25
                      25

                      5001
                      Total investments, EOY: Federal securities: Par value
                      25
                      25
                      25

             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 075–9971–0–7–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      6
                      3
                      3

                      11.3
                      Other than full-time permanent
                      3
                      1
                      1

                      11.9
                      Total personnel compensation
                      9
                      4
                      4

                      12.1
                      Civilian personnel benefits
                      3
                      1
                      1

                      21.0
                      Travel and transportation of persons
                      1
                      1
                      1

                      25.1
                      Advisory and assistance services
                      5
                      3
                      3

                      25.2
                      Other services from non-Federal sources
                      15
                      10
                      10

                      25.3
                      Other goods and services from Federal sources
                      4
                      3
                      3

                      25.5
                      Research and development contracts
                      5
                      3
                      3

                      25.6
                      Medical care
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      6
                      4
                      4

                      31.0
                      Equipment
                      6
                      4
                      4

                      41.0
                      Grants, subsidies, and contributions
                      22
                      17
                      17

                      99.9
                      Total new obligations
                      77
                      51
                      51

          Employment Summary

                      Identification code 075–9971–0–7–551
                      2014 actual
                      2015 est.
                      2016 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] $83,000,000: 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, 2015.)
          Program and Financing (in millions of dollars)

                      Identification code 075–0128–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Obligations by program activity:

                      0001
                      Office of Inspector General (Direct)
                      74
                      76
                      83

                      0801
                      HCFAC Reimbursable program
                      197
                      194
                      207

                      0802
                      Direct Reimbursable program
                      15
                      21
                      21

                      0803
                      HCFAC Discretionary allocation adjustment
                      29
                      54
                      94

                      0899
                      Total reimbursable obligations
                      241
                      269
                      322

                      0900
                      Total new obligations
                      315
                      345
                      405

                      Budgetary resources:

                      Unobligated balance:

                      1000
                      Unobligated balance brought forward, Oct 1
                      20
                      22
                      36

                      1001
                      Discretionary unobligated balance brought fwd, Oct 1
                      7
                      5

                      1021
                      Recoveries of prior year unpaid obligations
                      3

                      1050
                      Unobligated balance (total)
                      23
                      22
                      36

                      Budget authority:

                      Appropriations, discretionary:

                      1100
                      Appropriation
                      71
                      71
                      83

                      1121
                      Appropriations transferred from other acct [075–9911]

                      2

                      1160
                      Appropriation, discretionary (total)
                      71
                      73
                      83

                      Spending authority from offsetting collections, discretionary:

                      1700
                      Collected
                      27
                      88
                      140

                      1701
                      Change in uncollected payments, Federal sources
                      16

                      1750
                      Spending auth from offsetting collections, disc (total)
                      43
                      88
                      140

                      Spending authority from offsetting collections, mandatory:

                      1800
                      Collected
                      181
                      198
                      215

                      1801
                      Change in uncollected payments, Federal sources
                      20

                      1802
                      Offsetting collections (previously unavailable)

                      1
                      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)
                      200
                      198
                      216

                      1900
                      Budget authority (total)
                      314
                      359
                      439

                      1930
                      Total budgetary resources available
                      337
                      381
                      475

                      Memorandum (non-add) entries:

                      1941
                      Unexpired unobligated balance, end of year
                      22
                      36
                      70

                      Change in obligated balance:

                      Unpaid obligations:

                      3000
                      Unpaid obligations, brought forward, Oct 1
                      34
                      32
                      32

                      3010
                      Obligations incurred, unexpired accounts
                      315
                      345
                      405

                      3011
                      Obligations incurred, expired accounts
                      3

                      3020
                      Outlays (gross)
                      –315
                      –345
                      –436

                      3040
                      Recoveries of prior year unpaid obligations, unexpired
                      –3

                      3041
                      Recoveries of prior year unpaid obligations, expired
                      –2

                      3050
                      Unpaid obligations, end of year
                      32
                      32
                      1

                      Uncollected payments:

                      3060
                      Uncollected pymts, Fed sources, brought forward, Oct 1
                      –35
                      –60
                      –60

                      3070
                      Change in uncollected pymts, Fed sources, unexpired
                      –36

                      3071
                      Change in uncollected pymts, Fed sources, expired
                      11

                      3090
                      Uncollected pymts, Fed sources, end of year
                      –60
                      –60
                      –60

                      Memorandum (non-add) entries:

                      3100
                      Obligated balance, start of year
                      –1
                      –28
                      –28

                      3200
                      Obligated balance, end of year
                      –28
                      –28
                      –59

                      Budget authority and outlays, net:

                      Discretionary:

                      4000
                      Budget authority, gross
                      114
                      161
                      223

                      Outlays, gross:

                      4010
                      Outlays from new discretionary authority
                      99
                      146
                      203

                      4011
                      Outlays from discretionary balances
                      14
                      11
                      17

                      4020
                      Outlays, gross (total)
                      113
                      157
                      220

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4030
                      Federal sources
                      –37
                      –88
                      –140

                      Additional offsets against gross budget authority only:

                      4050
                      Change in uncollected pymts, Fed sources, unexpired
                      –16

                      4052
                      Offsetting collections credited to expired accounts
                      10

                      4060
                      Additional offsets against budget authority only (total)
                      –6

                      4070
                      Budget authority, net (discretionary)
                      71
                      73
                      83

                      4080
                      Outlays, net (discretionary)
                      76
                      69
                      80

                      Mandatory:

                      4090
                      Budget authority, gross
                      200
                      198
                      216

                      Outlays, gross:

                      4100
                      Outlays from new mandatory authority
                      175
                      180
                      197

                      4101
                      Outlays from mandatory balances
                      27
                      8
                      19

                      4110
                      Outlays, gross (total)
                      202
                      188
                      216

                      Offsets against gross budget authority and outlays:

                      Offsetting collections (collected) from:

                      4120
                      Federal sources
                      –170
                      –186
                      –203

                      4123
                      Non-Federal sources
                      –12
                      –12
                      –12

                      4130
                      Offsets against gross budget authority and outlays (total)
                      –182
                      –198
                      –215

                      Additional offsets against gross budget authority only:

                      4140
                      Change in uncollected pymts, Fed sources, unexpired
                      –20

                      4142
                      Offsetting collections credited to expired accounts
                      1

                      4150
                      Additional offsets against budget authority only (total)
                      –19

                      4160
                      Budget authority, net (mandatory)
                      –1

                      1

                      4170
                      Outlays, net (mandatory)
                      20
                      –10
                      1

                      4180
                      Budget authority, net (total)
                      70
                      73
                      84

                      4190
                      Outlays, net (total)
                      96
                      59
                      81

                      Memorandum (non-add) entries:

                      5090
                      Unexpired unavailable balance, SOY: Offsetting collections

                      1
                      1

                      5092
                      Unexpired unavailable balance, EOY: Offsetting collections
                      1
                      1

             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 075–0128–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      Direct obligations:

                      Personnel compensation:

                      11.1
                      Full-time permanent
                      40
                      42
                      47

                      11.3
                      Other than full-time permanent
                      1
                      1
                      1

                      11.5
                      Other personnel compensation
                      1
                      1
                      1

                      11.9
                      Total personnel compensation
                      42
                      44
                      49

                      12.1
                      Civilian personnel benefits
                      14
                      15
                      17

                      21.0
                      Travel and transportation of persons
                      1
                      3
                      2

                      22.0
                      Transportation of things
                      1
                      1

                      23.1
                      Rental payments to GSA
                      4
                      4
                      4

                      23.3
                      Communications, utilities, and miscellaneous charges
                      2
                      1
                      1

                      25.2
                      Other services from non-Federal sources
                      1
                      1
                      1

                      25.3
                      Other goods and services from Federal sources
                      6
                      6
                      7

                      25.4
                      Operation and maintenance of facilities
                      1
                      1
                      1

                      26.0
                      Supplies and materials
                      1

                      1

                      31.0
                      Equipment
                      1
                      1
                      1

                      99.0
                      Direct obligations
                      74
                      77
                      84

                      99.0
                      Reimbursable obligations
                      241
                      268
                      321

                      99.9
                      Total new obligations
                      315
                      345
                      405

          Employment Summary

                      Identification code 075–0128–0–1–551
                      2014 actual
                      2015 est.
                      2016 est.

                      1001
                      Direct civilian full-time equivalent employment
                      376
                      376
                      414

                      2001
                      Reimbursable civilian full-time equivalent employment
                      1,198
                      1,215
                      1,407

             General and Administrative Provisions

             GENERAL FUND RECEIPT ACCOUNTS

             (in millions of dollars)

                      2014 actual
                      2015 est.
                      2016 est.

                      Offsetting receipts from the public:

                      075–274530
                      Health Education Assistance Loans, Downward Reestimates of Subsidies
                      43

                      075–267403
                      Consumer Operated and Oriented Plan Direct Loan Program, Downward Reestimate of Subsidies
                      6
                      5

                      075–322000
                      All Other General Fund Proprietary Receipts Including Budget Clearing Accounts
                      102
                      34
                      34

                      075–143500
                      General Fund Proprietary Interest Receipts, not Otherwise Classified
                      201
                      90
                      90

                      075–310700
                      Federal Share of Child Support Collections
                      743
                      664
                      664

                      Legislative proposal, subject to PAYGO

                      5

                      General Fund Offsetting receipts from the public
                      1,095
                      793
                      793

                      Intragovernmental payments:

                      075–388500
                      Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts
                      –865

                      General Fund Intragovernmental payments
                      –865

             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 funds appropriated in this title shall be used to pay the salary of an individual, through a discretionary 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 [2015] 2016:
          (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 Centers for Disease Control and Prevention may acquire, lease, construct, alter, renovate, equip, furnish, or manage facilities
                   outside of the United States, as necessary to conduct such programs, in consultation with the Secretary of State, either directly
                   for the use of the United States Government or for the use, pursuant to grants, direct assistance, or cooperative agreements,
                   of public or nonprofit private institutions or agencies in participating foreign countries.
          ([3]4) 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 sections 736,
          739, or 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 through 2015, 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 2016 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 [2015] 2016 under section 338B of such Act.[SEC. 224. Title IV of the PHS Act is amended by:
          (1) Striking "National Center for Complementary and Alternative Medicine" in each place it appears and replacing it with "National
             Center for Complementary and Integrative Health";

          (2) Striking "alternative medicine" in each place it appears and replacing it with "integrative health";
          (3) Striking all references to "alternative and complementary medical treatment" or "complementary and alternative treatment"
             in each place either appears and inserting "complementary and integrative health";

          (4) Striking references to "alternative medical treatment" in each place it appears and inserting "integrative health treatment";
             and

          (5) Striking section 485D(c) and inserting:
             "(c) In carrying out subsection (a), the Director of the Center shall, as appropriate, study the integration of new and non-traditional
                approaches to health care treatment and consumption, including but not limited to non-traditional treatment, diagnostic and
                prevention systems, modalities, and disciplines.".]
          SEC. [225]218. In addition to amounts provided herein, payments made for research organisms or substances, authorized under section 301(a)
          of the PHS Act, shall be retained and credited to the appropriations accounts of the Institutes and Centers of the NIH making
          the substance or organism available under section 301(a). Amounts credited to the account under this authority shall be available
          for obligation through September 30, [2016] 2017.[SEC. 226. The Secretary shall publish, as part of the fiscal year 2016 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 2016. Such information shall include, for
          each such fiscal year—
          (1) the amount of funds used for each activity specified under the heading "Health Insurance Marketplace Transparency" in the
             explanatory statement described in section 4 (in the matter preceding division A of this Consolidated Act) accompanying this
             Act; and

          (2) the milestones completed for data hub functionality and implementation readiness.][SEC. 227. None of the funds made available by this Act from the Federal Hospital Insurance Trust Fund or the Federal Supplemental Medical
          Insurance Trust Fund, or transferred from other accounts funded by this Act to the" Centers for Medicare and Medicaid Services—Program
          Management" account, may be used for payments under section 1342(b)(1) of Public Law 111–148 (relating to risk corridors).][SEC. 228. (a) Subject to the succeeding provisions of this section, activities authorized under part A of title IV and section 1108(b) of
          the Social Security Act shall continue through September 30, 2015, in the manner authorized for fiscal year 2014, 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. Grants and payments may be made pursuant to this authority through September 30, 2015, at the
          level provided for such activities for fiscal year 2014, except as provided in subsections (b) and (c).
          (b) In the case of the Contingency Fund for State Welfare Programs established under section 403(b) of the Social Security Act—
             (1) the amount appropriated for section 403(b) of such Act shall be $608,000,000 for each of fiscal years 2015 and 2016;
             (2) the requirement to reserve funds provided for in section 403(b)(2) of such Act shall not apply during fiscal years 2015 and
                2016; and

             (3) grants and payments may only be made from such Fund for fiscal year 2015 after the application of subsection (d).

          (c) In the case of research, evaluations, and national studies funded under section 413(h)(1) of the Social Security Act, no funds
             shall be appropriated under that section for fiscal year 2015 or any fiscal year thereafter.

          (d) Of the amount made available under subsection (b)(1) for section 403(b) of the Social Security Act for fiscal year 2015—
             (1) $15,000,000 is hereby transferred and made available to carry out section 413(h) of the Social Security Act; and
             (2) $10,000,000 is hereby transferred and made available to the Bureau of the Census to conduct activities using the Survey of
                Income and Program Participation to obtain information to enable interested parties to evaluate the impact of the amendments
                made by title I of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.

          (e) Section 413(h)(1) of the Social Security Act (42 U.S.C. 613(h)(1)) is amended, in the matter preceding subparagraph (A), by
             striking "Out of any money in the Treasury of the United States not otherwise appropriated, there are appropriated $15,000,000
             for fiscal year 2012" and inserting "Funds made available to carry out this section for a fiscal year shall be used".

          (f) Section 414 of the Social Security Act (42 U.S.C. 614) is repealed.
          (g) Expenditures made pursuant to Public Law 113–164 for section 403(b) of the Social Security Act for fiscal year 2015 shall
             be charged to the appropriation provided by subsection (b)(1) for such fiscal year.][SEC. 229. The remaining unobligated balances of the amount appropriated for fiscal year 2015 by section 510(d) of the Social Security
          Act (42 U.S.C. 710(d)) for which no application has been received by the Funding Opportunity Announcement deadline, shall
          be made available to States that require the implementation of each element described in subparagraphs (A) through (H) of
          the definition of abstinence education in section 510(b)(2). The remaining unobligated balances shall be reallocated to such
          States that submit a valid application consistent with the original formula for this funding.][SEC. 230. Hereafter, for each fiscal year through fiscal year 2025, the Director of the National Institutes of Health shall prepare
          and submit directly to the President for review and transmittal to Congress, after reasonable opportunity for comment, but
          without change, by the Secretary of Health and Human Services and the Advisory Council on Alzheimer's Research, Care, and
          Services, an annual budget estimate (including an estimate of the number and type of personnel needs for the Institutes) for
          the initiatives of the National Institutes of Health pursuant to the National Alzheimer's Plan, as required under section
          2(d)(2) of Public Law 111–375.]SEC. 219.   In the event of a public health emergency declared under section 319 of the PHS Act, the Secretary may, during the duration
                of the emergency, transfer discretionary funds (as defined pursuant to the Balanced Budget and Emergency Deficit Control Act
                of 1985) which are appropriated in this Act for the current fiscal year for the Department of Health and Human Services 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. SEC. 220. (a)   The amount appropriated for the Contingency Fund for State Welfare Programs established under section 403(b) of the Social
                Security Act (42 U.S.C. 603(b)) shall be $608,000,000 for fiscal year 2017. (b)   Of the amount made available by Public Law 113–235 for section 403(b) for fiscal year 2016— (1)   $15,000,000 is hereby transferred to the Children's Research and Technical Assistance account in the Administration for Children
                      and Families of the Department of Health and Human Services and made available to carry out section 413(h) of the Social Security
                      Act (42 U.S.C. 613(h)); and
             (2)   $10,000,000 is hereby transferred to the Current Surveys and Programs account in the Bureau of the Census of the Department
                      of Commerce and made available to the Bureau of the Census to conduct activities using the Survey of Income and Program Participation
                      to obtain information to enable interested parties to evaluate the impact of the amendments made by title I of the Personal
                      Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104–193).
          SEC. 221.   Subsection 1864(e) of the Social Security Act (42 U.S.C. 1395aa(e)) is amended to read as follows—
             "(e) FEES FOR CONDUCTING REVISIT SURVEYS.—The Secretary may impose fees upon facilities or entities referred to in this section
                      for conducting revisit surveys in cases where such facilities or entities have been cited for deficiencies during initial
                      certification, recertification, or substantiated complaint surveys. Such fees shall be established and collected in accordance
                      with regulations prescribed by the Secretary that provide for a gradual phase-in of the fee amounts, and collected funds shall
                      be available to supplement funding appropriated for such surveys. Fee amounts assessed upon an entity in an entity class shall
                      not exceed the estimated average cost of performing such surveys for an entity in such class. Such fees shall be collected
                      and available only to the extent and in such amounts as provided in advance in appropriations acts.".
          SEC. 222.   The following unobligated balances of amounts appropriated prior to fiscal year 2007 for "Department of Health and Human
                Services, Health Resources and Services Administration" are hereby permanently cancelled: (a)  $281,003 appropriated to carry out section 1610(b) of the PHS Act;
          (b)  $3,611 appropriated to carry out section 1602(c) of the PHS Act;
          (c)  $105,576 appropriated in section 167 of Division H of Public Law 108–199; and
          (d)  $55,793 appropriated to carry out the National Cord Blood Stem Cell Bank Program.  (Department of Health and Human Services Appropriations Act, 2015.)[SEC. 601. For purposes of preventing, preparing for, and responding to Ebola domestically or internationally, the Secretary of Health
          and Human Services may use funds provided in this title—
          (1) for the CDC to acquire, lease, construct, alter, renovate, equip, furnish, or manage facilities outside of the United States,
             as necessary to conduct such programs, in consultation with the Secretary of State, either directly for the use of the United
             States Government or for the use, pursuant to grants, direct assistance, or cooperative agreements, of public or nonprofit
             private institutions or agencies in participating foreign countries;

          (2) for the CDC to obtain by contract (in accordance with section 3109 of title 5, but without regard to the limitations in such
             section on the period of service and on pay) the personal services of experts or consultants who have scientific or other
             professional qualifications, except that in no case shall the compensation provided to any such expert or consultant exceed
             the daily equivalent of the annual rate of compensation for Executive Level II employees; and

          (3) to use available resources to provide Federal assistance as necessary for repatriation notwithstanding the limitation on temporary
             assistance in section 1113(d) of the Social Security Act.][SEC. 602. The Secretary shall provide notice to the Committees on Appropriations of the House of Representatives and the Senate within
          15 days of the use of the provisions in section 601.][SEC. 603. A grant awarded by the Department of Health and Human Services with funds made available by this title may be made conditional
          on agreement by the awardee to comply with existing and future guidance from the Secretary regarding control of the spread
          of the Ebola virus.]'

          [(transfer of funds)][SEC. 604. Funds appropriated in this title may be transferred to, and merged with, other appropriation accounts of the Centers for Disease
          Control and Prevention, the Assistant Secretary for Preparedness and Response, or the National Institutes of Health for the
          purposes specified in this title following consultation with the Office of Management and Budget: Provided, That the Committees on Appropriations of the House of Representatives and the Senate shall be notified 10 days in advance
          of any such transfer: Provided further, That, upon a determination that all or part of the funds transferred from an appropriation are not necessary, such amounts
          may be transferred back to that appropriation: Provided further, That none of the funds made available by this title may be transferred pursuant to the authority in section 206 of this
          Act or section 241(a) of the PHS Act.] (Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.)