[Appendix]
[Detailed Budget Estimates by Agency]
[Department of Health and Human Services]
[From the U.S. Government Publishing 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 expenses
For necessary expenses of the Food and Drug Administration, including hire and purchase of passenger motor vehicles; for payment
of space rental and related costs pursuant to Public Law 92–313 for programs and activities of the Food and Drug Administration
which are included in this Act; for rental of special purpose space in the District of Columbia or elsewhere; 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; [$4,681,392,000] $4,755,944,000: Provided, That of the amount provided under this heading, [$851,481,000] $865,653,000 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; [$137,677,000] $144,859,000 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; [$318,363,000] $324,085,000 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; [$21,540,000] $22,079,000 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; [$22,818,000] $22,977,000 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; [$9,705,000] $10,367,000 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; [$599,000,000] $635,000,000 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 [2016] 2017 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 [2016] 2017, including any such fees collected prior to fiscal year [2016] 2017 but credited for fiscal year [2016] 2017, shall be subject to the fiscal year [2016] 2017 limitations: Provided further, That the Secretary may accept payment during fiscal year [2016] 2017 of user fees specified under this heading and authorized for fiscal year [2017] 2018, prior to the due date for such fees, and that amounts of such fees assessed for fiscal year [2017] 2018 for which the Secretary accepts payment in fiscal year [2016] 2017 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) $987,328,000 shall be for the Center for Food Safety and Applied Nutrition and
related field activities in the Office of Regulatory Affairs; (2) $1,394,136,000 shall be for the Center for Drug Evaluation
and Research and related field activities in the Office of Regulatory Affairs; (3) $354,901,000 shall be for the Center for
Biologics Evaluation and Research and for related field activities in the Office of Regulatory Affairs; (4) $187,825,000 shall
be for the Center for Veterinary Medicine and for related field activities in the Office of Regulatory Affairs; (5) $430,443,000
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) $564,117,000 shall be for the Center for
Tobacco Products and for related field activities in the Office of Regulatory Affairs; (8) not to exceed $171,418,000 shall
be for Rent and Related activities, of which $52,346,000 is for White Oak Consolidation, other than the amounts paid to the
General Services Administration for rent; (9) not to exceed $238,274,000 shall be for payments to the General Services Administration
for rent; and (10) $289,619,000 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. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2016.)
Buildings and facilities
For plans, construction, repair, improvement, extension, alteration, demolition, and purchase of fixed equipment or facilities of or used by the Food and Drug Administration, where not otherwise provided,
[$8,788,000] $11,788,000, to remain available until expended. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2016.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–9911–0–1–554
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
1
1
2
Receipts:
Current law:
1130
Cooperative Research and Development Agreements, FDA
2
3
3
2000
Total: Balances and receipts
3
4
5
Appropriations:
Current law:
2101
Salaries and Expenses
–2
–2
–2
5099
Balance, end of year
1
2
3
Program and Financing (in millions of dollars)
Identification code 075–9911–0–1–554
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Foods
903
987
1,013
0002
Drugs
482
492
492
0003
Devices and Radiological Products
321
323
326
0004
National Center for Toxicological Research
63
63
60
0005
Other Activities
173
182
178
0006
Other Rent and Rent Related Activities
116
121
115
0007
Rental Payments
169
177
170
0008
Buildings and Facilities
9
9
12
0009
CRADAs
2
2
2
0010
Animal Drugs and Feed
147
159
162
0011
Biologics
211
215
215
0012
Food and Drug Safety (no-year)
12
0013
Ebola (Emergency pursuant to 2011 BCA)
11
0799
Total direct obligations
2,619
2,730
2,745
0801
Reimbursable program (User fees)
1,898
2,009
2,074
0802
Reimbursable program (Federal sources)
43
0899
Total reimbursable obligations
1,941
2,009
2,074
0900
Total new obligations
4,560
4,739
4,819
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
973
947
948
1001
Discretionary unobligated balance brought fwd, Oct 1
973
947
1021
Recoveries of prior year unpaid obligations
16
1050
Unobligated balance (total)
989
947
948
Budget authority:
Appropriations, discretionary:
1100
Appropriation
2,622
2,730
2,743
1120
Appropriations transferred to other accts [075–0128]
–2
–2
1160
Appropriation, discretionary (total)
2,620
2,728
2,743
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
2
2
2
Spending authority from offsetting collections, discretionary:
1700
Collected
1,958
2,010
2,075
1700
Collected
59
1701
Change in uncollected payments, Federal sources
27
–59
1702
Offsetting collections (previously unavailable)
533
567
333
1725
Spending authority from offsetting collections precluded from obligation (limitation on obligations)
–630
–567
–333
1750
Spending auth from offsetting collections, disc (total)
1,888
2,010
2,075
Spending authority from offsetting collections, mandatory:
1800
Collected
8
1900
Budget authority (total)
4,518
4,740
4,820
1930
Total budgetary resources available
5,507
5,687
5,768
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
947
948
949
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
2,677
2,781
2,988
3010
Obligations incurred, unexpired accounts
4,560
4,739
4,819
3011
Obligations incurred, expired accounts
2
3020
Outlays (gross)
–4,373
–4,532
–4,683
3040
Recoveries of prior year unpaid obligations, unexpired
–16
3041
Recoveries of prior year unpaid obligations, expired
–69
3050
Unpaid obligations, end of year
2,781
2,988
3,124
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–51
–59
3070
Change in uncollected pymts, Fed sources, unexpired
–27
59
3071
Change in uncollected pymts, Fed sources, expired
19
3090
Uncollected pymts, Fed sources, end of year
–59
Memorandum (non-add) entries:
3100
Obligated balance, start of year
2,626
2,722
2,988
3200
Obligated balance, end of year
2,722
2,988
3,124
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
4,508
4,738
4,818
Outlays, gross:
4010
Outlays from new discretionary authority
2,062
3,602
3,676
4011
Outlays from discretionary balances
2,297
928
1,005
4020
Outlays, gross (total)
4,359
4,530
4,681
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–31
–59
4033
Non-Federal sources
–1,942
–2,010
–2,075
4040
Offsets against gross budget authority and outlays (total)
–1,973
–2,069
–2,075
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–27
59
4052
Offsetting collections credited to expired accounts
15
4060
Additional offsets against budget authority only (total)
–12
59
4070
Budget authority, net (discretionary)
2,523
2,728
2,743
4080
Outlays, net (discretionary)
2,386
2,461
2,606
Mandatory:
4090
Budget authority, gross
10
2
2
Outlays, gross:
4100
Outlays from new mandatory authority
1
2
2
4101
Outlays from mandatory balances
13
4110
Outlays, gross (total)
14
2
2
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–1
4123
Non-Federal sources
–7
4130
Offsets against gross budget authority and outlays (total)
–8
4160
Budget authority, net (mandatory)
2
2
2
4170
Outlays, net (mandatory)
6
2
2
4180
Budget authority, net (total)
2,525
2,730
2,745
4190
Outlays, net (total)
2,392
2,463
2,608
Memorandum (non-add) entries:
5090
Unexpired unavailable balance, SOY: Offsetting collections
541
638
638
5092
Unexpired unavailable balance, EOY: Offsetting collections
638
638
638
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
2,525
2,730
2,745
Outlays
2,392
2,463
2,608
Legislative proposal, subject to PAYGO:
Budget Authority
75
Outlays
15
Total:
Budget Authority
2,525
2,730
2,820
Outlays
2,392
2,463
2,623
[In millions of dollars]
2015
2016
2017
Distribution of discretionary budget authority by account:
Salaries and expenses
2,587
2,719
2,731
Buildings and facilities
9
9
12
Distribution of discretionary outlays by account:
Salaries and expenses
2,376
2,512
2,599
Buildings and facilities
10
8
7
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 2017 Budget provides funding to support food and medical
product safety, including implementation of the Food Safety Modernization Act , encourages development of innovative diagnostics
and therapeutics, including cancer diagnostics and treatments, and improves the integrity of operations and infrastructure.
Object Classification (in millions of dollars)
Identification code 075–9911–0–1–554
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
864
896
909
11.3
Other than full-time permanent
89
92
94
11.5
Other personnel compensation
37
39
40
11.7
Military personnel
63
63
64
11.8
Special personal services payments
1
1
1
11.9
Total personnel compensation
1,054
1,091
1,108
12.1
Civilian personnel benefits
318
329
335
12.2
Military personnel benefits
31
32
32
21.0
Travel and transportation of persons
47
50
50
22.0
Transportation of things
4
4
4
23.1
Rental payments to GSA
169
177
170
23.2
Rental payments to others
5
6
6
23.3
Communications, utilities, and miscellaneous charges
31
33
33
24.0
Printing and reproduction
2
2
2
25.1
Advisory and assistance services
69
70
70
25.2
Other services from non-Federal sources
345
365
364
25.3
Other goods and services from Federal sources
126
131
131
25.4
Operation and maintenance of facilities
81
86
86
25.5
Research and development contracts
17
16
16
25.7
Operation and maintenance of equipment
76
81
81
26.0
Supplies and materials
46
48
48
31.0
Equipment
71
75
75
32.0
Land and structures
1
1
1
41.0
Grants, subsidies, and contributions
125
132
132
42.0
Insurance claims and indemnities
1
1
1
99.0
Direct obligations
2,619
2,730
2,745
99.0
Reimbursable obligations
1,941
2,009
2,074
99.9
Total new obligations
4,560
4,739
4,819
Employment Summary
Identification code 075–9911–0–1–554
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
9,435
9,687
9,715
1101
Direct military average strength employment
696
696
696
2001
Reimbursable civilian full-time equivalent employment
5,052
5,520
5,629
2101
Reimbursable military average strength employment
373
373
373
3001
Allocation account civilian full-time equivalent employment
27
27
27
3101
Allocation account military average strength employment
1
1
1
Salaries and Expenses
(Legislative proposal, not subject to PAYGO)
In addition, contingent upon the enactment of authorizing legislation, the Secretary shall assess user fees with respect to
food facility registrations and inspections, food imports, food contact notification activities, cosmetic activities, and
international express courier import activities, and such fees shall be credited to this account and remain available until
expended.
Program and Financing (in millions of dollars)
Identification code 075–9911–2–1–554
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0801
Food Facility Registration and Inspection
61
0802
Food Import
105
0803
International Courier
6
0804
Food Contact Substance Notification
5
0805
Cosmetics
20
0806
Export Certification Fee Increase
4
0899
Total reimbursable obligations
201
0900
Total new obligations
201
Budgetary resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
201
1900
Budget authority (total)
201
1930
Total budgetary resources available
201
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
201
3020
Outlays (gross)
–201
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
201
Outlays, gross:
4010
Outlays from new discretionary authority
201
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4033
Non-Federal sources
–201
4040
Offsets against gross budget authority and outlays (total)
–201
4180
Budget authority, net (total)
4190
Outlays, net (total)
The FY 2017 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 $105 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
$61 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.
Object Classification (in millions of dollars)
Identification code 075–9911–2–1–554
2015 actual
2016 est.
2017 est.
Reimbursable obligations:
Personnel compensation:
11.1
Full-time permanent
29
11.3
Other than full-time permanent
4
11.5
Other personnel compensation
3
11.9
Total personnel compensation
36
12.1
Civilian personnel benefits
20
21.0
Travel and transportation of persons
2
23.1
Rental payments to GSA
6
25.1
Advisory and assistance services
10
25.2
Other services from non-Federal sources
61
25.3
Other goods and services from Federal sources
35
25.4
Operation and maintenance of facilities
3
25.5
Research and development contracts
2
25.7
Operation and maintenance of equipment
4
26.0
Supplies and materials
2
31.0
Equipment
3
41.0
Grants, subsidies, and contributions
17
99.0
Reimbursable obligations
201
99.9
Total new obligations
201
Employment Summary
Identification code 075–9911–2–1–554
2015 actual
2016 est.
2017 est.
2001
Reimbursable civilian full-time equivalent employment
242
Salaries and Expenses
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–9911–4–1–554
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0014
Cancer Initiative
15
0799
Total direct obligations
15
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1221
Appropriations transferred from other acct [075–9915]
75
1900
Budget authority (total)
75
1930
Total budgetary resources available
75
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
60
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
15
3020
Outlays (gross)
–15
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
75
Outlays, gross:
4100
Outlays from new mandatory authority
15
4180
Budget authority, net (total)
75
4190
Outlays, net (total)
15
Object Classification (in millions of dollars)
Identification code 075–9911–4–1–554
2015 actual
2016 est.
2017 est.
11.1
Direct obligations: Personnel compensation: Full-time permanent
7
11.9
Total personnel compensation
7
12.1
Civilian personnel benefits
2
23.1
Rental payments to GSA
1
25.1
Advisory and assistance services
1
25.2
Other services from non-Federal sources
2
25.3
Other goods and services from Federal sources
1
41.0
Grants, subsidies, and contributions
1
99.0
Direct obligations
15
99.9
Total new obligations
15
Employment Summary
Identification code 075–9911–4–1–554
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
51
Revolving Fund for Certification and Other Services
Program and Financing (in millions of dollars)
Identification code 075–4309–0–3–554
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0801
Revolving Fund for Certification and Other Services (Reimbursable)
7
9
10
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
5
5
5
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
7
9
9
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)
7
9
10
1900
Budget authority (total)
7
9
10
1930
Total budgetary resources available
12
14
15
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
5
5
5
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
2
1
1
3010
Obligations incurred, unexpired accounts
7
9
10
3020
Outlays (gross)
–8
–9
–10
3050
Unpaid obligations, end of year
1
1
1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
2
1
1
3200
Obligated balance, end of year
1
1
1
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
7
9
10
Outlays, gross:
4100
Outlays from new mandatory authority
1
9
10
4101
Outlays from mandatory balances
7
4110
Outlays, gross (total)
8
9
10
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–7
–9
–9
4180
Budget authority, net (total)
1
4190
Outlays, net (total)
1
1
Memorandum (non-add) entries:
5090
Unexpired unavailable balance, SOY: Offsetting collections
1
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 . 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
2015 actual
2016 est.
2017 est.
Reimbursable obligations:
11.1
Personnel compensation: Full-time permanent
3
5
5
12.1
Civilian personnel benefits
1
1
2
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
7
9
10
Employment Summary
Identification code 075–4309–0–3–554
2015 actual
2016 est.
2017 est.
2001
Reimbursable civilian full-time equivalent employment
36
37
37
Health Resources and Services Administration
Federal Funds
Primary health care
For 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 (in addition to the $3,600,000,000 previously appropriated to the Community Health Center Fund for fiscal year
2016)] $1,342,422,000: Provided, That no more than [$100,000] $1,000,000 shall be available until expended for carrying out the provisions of section 224(o) of the PHS Act: Provided further, That no more than $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 2016, not less than $200,000,000 shall be obligated in fiscal year 2016 to support new access points,
grants to expand medical services, behavioral health, oral health, pharmacy, or vision services, and not less than $150,000,000
shall be obligated in fiscal year 2016 for construction and capital improvement costs: Provided further, That the time limitation in section 330(e)(3) of the PHS Act shall not apply in fiscal year 2016].
Health workforce
For 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, [$786,895,000] $536,745,000: Provided, That $20,000,000, to remain available until expended, shall be for the National Health Service Corps Program: Provided further, That sections 747(c)(2) [, 751(j)(2),] and 762(k), and the proportional funding amounts in paragraphs (1) through (4) of section 756(e) of the PHS Act shall not apply
to funds made available under this heading: [Provided further, That for any program operating under section 751 of the PHS Act on or before January 1, 2009, the Secretary of Health and
Human Services (referred to in this title as 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.
maternal and child health
For 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, $845,117,000: Provided, That notwithstanding sections 502(a)(1) and 502(b)(1) of the Social Security Act, not more than $77,093,000 shall be available
for carrying out special projects of regional and national significance pursuant to section 501(a)(2) of such Act and $10,276,000
shall be available for projects described in subparagraphs (A) through (F) of section 501(a)(3) of such Act.
Ryan white HIV/AIDS program
For carrying out title XXVI of the PHS Act with respect to the Ryan White HIV/AIDS program, [$2,322,781,000] $2,297,781,000, of which $1,970,881,000 shall remain available to the Secretary of Health and Human Services (referred to in this title as the "Secretary") through September 30, [2018] 2019, for parts A and B of title XXVI of the PHS Act, and of which not less than $900,313,000 shall be for State AIDS Drug Assistance
Programs under the authority of section 2616 or 311(c) of such Act: Provided, That in addition to amounts provided herein, $34,000,000 shall be available under section 241 of the PHS Act to
carry out section 2691 of such Act, notwithstanding subsection (a) of such section 2691.
health care systems
For 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 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 health
For 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, and sections 711 and 1820 of the Social Security Act, [$149,571,000] $144,162,000, 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 shall be available for State Offices of Rural Health.
Family Planning
For 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 management
For program support in the Health Resources and Services Administration ("HRSA"), [$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 discretionary funds (pursuant to the Balanced Budget and Emergency
Deficit Control Act of 1985) which are appropriated for the current fiscal year for HRSA in this Act 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, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0350–0–1–550
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0009
Free Clinics Medical Malpractice
1
1
0010
Health Centers
1,392
1,392
1,242
0012
National Health Service Corps
20
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
NURSE Corps Scholarship and Loan Repayment Program
82
83
83
0017
Health Workforce
402
407
433
0018
Maternal and Child Health Block Grant
637
638
638
0019
Healthy Start
102
104
104
0020
Poison Control Centers
19
19
19
0021
Emergency Medical Services for Children
20
20
20
0022
James T.Walsh Universal Newborn Hearing Screening
18
18
18
0023
HIV/AIDS
2,318
2,323
2,298
0024
Organ Transplantation
24
24
24
0025
C.W. Bill Young Cell Transplantation Program
22
22
22
0026
Rural Health Policy Development
9
9
9
0027
Rural Health Outreach Grants
59
64
64
0028
Rural Hospital Flexibility Grants
42
42
26
0030
Telehealth
15
17
17
0031
Program Management
154
154
157
0032
Family Planning
286
286
300
0033
Loan Repayment/Faculty Fellowships
1
1
1
0035
Health Centers Tort Claims
102
100
100
0036
Heritable Disorders
14
14
14
0038
Children's Hospital Graduate Medical Education
265
295
0041
State Offices of Rural Health
10
10
10
0043
Radiation Exposure Screening and Education Program
2
2
2
0044
Traumatic Brain Injury
9
0045
Autism and Other Developmental Disorders
47
47
47
0046
National Cord Blood Inventory
11
11
11
0048
Sickle Cell Service Demonstrations
4
4
4
0049
340 B Drug Pricing Program/Office of Pharmacy Affairs
10
10
17
0050
Family to Family Health Information Centers ACA
5
5
5
0073
Health Centers ACA
3,309
3,695
3,695
0075
National Health Service Corps ACA
290
324
310
0076
School Based Health Centers ACA
1
0077
GME Payments THC ACA
121
60
60
0079
Rural & Community Access to Emergency Devices
5
0080
Prevention Fund
57
0082
Rural Opioid Overdose Reversal Grant Program
10
0300
Total direct programs
9,889
10,224
9,805
0799
Total direct obligations
9,889
10,224
9,805
0801
Health Resources and Services (Reimbursable)
48
48
61
0802
Reimbursable program: PHS evaluation
34
0899
Total reimbursable obligations
48
48
95
0900
Total new obligations
9,937
10,272
9,900
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
298
407
296
1001
Discretionary unobligated balance brought fwd, Oct 1
146
139
1012
Unobligated balance transfers between expired and unexpired accounts
70
1021
Recoveries of prior year unpaid obligations
25
1050
Unobligated balance (total)
393
407
296
Budget authority:
Appropriations, discretionary:
1100
Appropriation
6,105
6,140
5,733
Appropriations, mandatory:
1200
Appropriation
3,915
3,975
3,975
1220
Appropriations transferred to other acct [015–5606]
–5
–5
1230
Appropriations and/or unobligated balance of appropriations permanently reduced
–114
1260
Appropriations, mandatory (total)
3,801
3,970
3,970
Spending authority from offsetting collections, discretionary:
1700
Collected
25
35
75
1701
Change in uncollected payments, Federal sources
9
1750
Spending auth from offsetting collections, disc (total)
34
35
75
Spending authority from offsetting collections, mandatory:
1800
Offsetting collections (cash)(HPSL&NSL)
20
16
16
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)
20
16
17
1900
Budget authority (total)
9,960
10,161
9,795
1930
Total budgetary resources available
10,353
10,568
10,091
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–9
1941
Unexpired unobligated balance, end of year
407
296
191
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
6,232
7,398
7,995
3010
Obligations incurred, unexpired accounts
9,937
10,272
9,900
3011
Obligations incurred, expired accounts
1
3020
Outlays (gross)
–8,607
–9,675
–10,744
3040
Recoveries of prior year unpaid obligations, unexpired
–25
3041
Recoveries of prior year unpaid obligations, expired
–140
3050
Unpaid obligations, end of year
7,398
7,995
7,151
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–66
–36
–36
3070
Change in uncollected pymts, Fed sources, unexpired
–9
3071
Change in uncollected pymts, Fed sources, expired
39
3090
Uncollected pymts, Fed sources, end of year
–36
–36
–36
Memorandum (non-add) entries:
3100
Obligated balance, start of year
6,166
7,362
7,959
3200
Obligated balance, end of year
7,362
7,959
7,115
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
6,139
6,175
5,808
Outlays, gross:
4010
Outlays from new discretionary authority
1,902
2,323
2,176
4011
Outlays from discretionary balances
3,731
3,995
3,792
4020
Outlays, gross (total)
5,633
6,318
5,968
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–45
–13
–44
4033
Non-Federal sources
–21
–22
–22
4033
Non-Federal sources
–9
4040
Offsets against gross budget authority and outlays (total)
–66
–35
–75
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–9
4052
Offsetting collections credited to expired accounts
41
4060
Additional offsets against budget authority only (total)
32
4070
Budget authority, net (discretionary)
6,105
6,140
5,733
4080
Outlays, net (discretionary)
5,567
6,283
5,893
Mandatory:
4090
Budget authority, gross
3,821
3,986
3,987
Outlays, gross:
4100
Outlays from new mandatory authority
1,464
1,927
1,964
4101
Outlays from mandatory balances
1,510
1,430
2,812
4110
Outlays, gross (total)
2,974
3,357
4,776
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–20
–16
–16
4180
Budget authority, net (total)
9,906
10,110
9,704
4190
Outlays, net (total)
8,521
9,624
10,653
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 Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
9,906
10,110
9,704
Outlays
8,521
9,624
10,653
Legislative proposal, subject to PAYGO:
Budget Authority
495
Outlays
219
Total:
Budget Authority
9,906
10,110
10,199
Outlays
8,521
9,624
10,872
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
Identification code 075–0350–0–1–550
2015 actual
2016 est.
2017 est.
Guaranteed loan levels supportable by subsidy budget authority:
215001
Health centers: Facilities renovation loan guarantee levels
9
4
215002
Health centers: Managed care network development loan guarantee
1
215003
Health centers: Managed care plan loan guarantee levels
1
215999
Total loan guarantee levels
9
6
Guaranteed loan subsidy (in percent):
232001
Health centers: Facilities renovation loan guarantee levels
2.67
2.67
2.65
232002
Health centers: Managed care network development loan guarantee
0.00
0.00
9.48
232003
Health centers: Managed care plan loan guarantee levels
0.00
0.00
5.69
232999
Weighted average subsidy rate
0.00
2.67
4.30
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 workforce
training, maternal and child health care services, promotion of organ and bone marrow donation, rural health activities, 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 2017 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 2014–2015 data reported in the Annual Operating Report.
Health Professions Revolving Loan Programs Federal Capital Contribution
Program
Account Balance
HPSL
405,831,597
NSL
182,345,335
PCL
251,721,912
LDS
149,818,689
Total
989,717,533
Object Classification (in millions of dollars)
Identification code 075–0350–0–1–550
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
163
191
191
11.3
Other than full-time permanent
7
7
7
11.5
Other personnel compensation
3
3
3
11.7
Military personnel
18
19
19
11.9
Total personnel compensation
191
220
220
12.1
Civilian personnel benefits
52
61
61
12.2
Military personnel benefits
10
10
10
21.0
Travel and transportation of persons
3
3
3
23.1
Rental payments to GSA
23
23
23
23.2
Rental payments to others
1
1
1
23.3
Communications, utilities, and miscellaneous charges
6
6
6
25.1
Advisory and assistance services
11
10
10
25.2
Other services from non-Federal sources
180
179
181
25.3
Other goods and services from Federal sources
288
274
266
25.4
Operation and maintenance of facilities
1
1
1
25.6
Medical care
3
3
3
25.7
Operation and maintenance of equipment
11
11
10
26.0
Supplies and materials
1
1
1
31.0
Equipment
22
22
19
41.0
Grants, subsidies, and contributions
8,992
9,309
8,900
42.0
Insurance claims and indemnities
94
90
90
99.0
Direct obligations
9,889
10,224
9,805
99.0
Reimbursable obligations
48
48
95
99.9
Total new obligations
9,937
10,272
9,900
Employment Summary
Identification code 075–0350–0–1–550
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
1,576
1,800
1,780
1101
Direct military average strength employment
184
184
183
2001
Reimbursable civilian full-time equivalent employment
51
60
69
2101
Reimbursable military average strength employment
3
3
3
Health Resources and Services
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–0350–4–1–550
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0012
National Health Service Corps
50
0073
Health Centers
150
0081
Children's Hospital Graduate Medical Education
295
0300
Total direct programs
495
0900
Total new obligations
495
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
495
1930
Total budgetary resources available
495
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
495
3020
Outlays (gross)
–219
3050
Unpaid obligations, end of year
276
Memorandum (non-add) entries:
3200
Obligated balance, end of year
276
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
495
Outlays, gross:
4100
Outlays from new mandatory authority
219
4180
Budget authority, net (total)
495
4190
Outlays, net (total)
219
Object Classification (in millions of dollars)
Identification code 075–0350–4–1–550
2015 actual
2016 est.
2017 est.
11.1
Direct obligations: Personnel compensation: Full-time permanent
2
11.9
Total personnel compensation
2
12.1
Civilian personnel benefits
1
25.2
Other services from non-Federal sources
52
25.3
Other goods and services from Federal sources
7
31.0
Equipment
2
41.0
Grants, subsidies, and contributions
431
99.9
Total new obligations
495
Employment Summary
Identification code 075–0350–4–1–550
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
21
1101
Direct military average strength employment
1
Vaccine Injury Compensation
Program and Financing (in millions of dollars)
Identification code 075–0320–0–1–551
2015 actual
2016 est.
2017 est.
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
23
28
28
Budget authority:
Spending authority from offsetting collections, mandatory:
1800
Collected
5
1930
Total budgetary resources available
28
28
28
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
28
28
28
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
5
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–5
4180
Budget authority, net (total)
4190
Outlays, net (total)
–5
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
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Claims
4
1
1
0103
Admin Expense
3
2
0900
Total new obligations
4
4
3
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
3
3
1011
Unobligated balance transfer from other acct [075–0140]
4
1
3
1050
Unobligated balance (total)
7
4
3
1930
Total budgetary resources available
7
4
3
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
3
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
2
1
1
3010
Obligations incurred, unexpired accounts
4
4
3
3020
Outlays (gross)
–5
–4
–3
3050
Unpaid obligations, end of year
1
1
1
Memorandum (non-add) entries:
3100
Obligated balance, start of year
2
1
1
3200
Obligated balance, end of year
1
1
1
Budget authority and outlays, net:
Discretionary:
Outlays, gross:
4011
Outlays from discretionary balances
5
4
3
4180
Budget authority, net (total)
4190
Outlays, net (total)
5
4
3
The Covered Countermeasure Process Fund is established pursuant to the PHS Act, as amended by Division C of Public Law 109–148,
to serve as a source of funds to pay for compensation for injuries, illnesses or death, or losses resulting from the administration
to or use by an individual of a covered countermeasure for which a Secretarial Declaration has been issued, pursuant to section
319F-3(b) of the PHS Act. Additionally, authority is provided to address any unexpected claims that may arise under the Smallpox
Emergency Personnel Protection Act of 2003 (P.L. 108–20).
Object Classification (in millions of dollars)
Identification code 075–0343–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
1
1
1
25.2
Other services from non-Federal sources
1
1
1
42.0
Insurance claims and indemnities
2
2
1
99.0
Direct obligations
4
4
3
99.9
Total new obligations
4
4
3
Employment Summary
Identification code 075–0343–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
5
7
7
1101
Direct military average strength employment
1
1
1
Maternal, Infant, and Early Childhood Home Visiting Programs
Program and Financing (in millions of dollars)
Identification code 075–0321–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0010
Maternal, Infant, and Early Childhood Home Visiting Programs
430
413
403
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
27
16
3
1012
Unobligated balance transfers between expired and unexpired accounts
2
1021
Recoveries of prior year unpaid obligations
17
1050
Unobligated balance (total)
46
16
3
Budget authority:
Appropriations, mandatory:
1200
Appropriation
400
400
400
1930
Total budgetary resources available
446
416
403
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
16
3
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
703
750
770
3010
Obligations incurred, unexpired accounts
430
413
403
3020
Outlays (gross)
–364
–393
–395
3040
Recoveries of prior year unpaid obligations, unexpired
–17
3041
Recoveries of prior year unpaid obligations, expired
–2
3050
Unpaid obligations, end of year
750
770
778
Memorandum (non-add) entries:
3100
Obligated balance, start of year
703
750
770
3200
Obligated balance, end of year
750
770
778
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
400
400
400
Outlays, gross:
4100
Outlays from new mandatory authority
12
16
16
4101
Outlays from mandatory balances
352
377
379
4110
Outlays, gross (total)
364
393
395
4180
Budget authority, net (total)
400
400
400
4190
Outlays, net (total)
364
393
395
Public Law 114–10 provides resources to Maternal, Infant and Early Childhood Home Visiting Program through FY 2017 to provide
comprehensive services for at risk communities. These activities are administered by HRSA.
Object Classification (in millions of dollars)
Identification code 075–0321–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
2
3
3
11.7
Military personnel
1
1
1
11.9
Total personnel compensation
3
4
4
12.1
Civilian personnel benefits
1
1
1
25.1
Advisory and assistance services
20
20
20
41.0
Grants, subsidies, and contributions
406
388
378
99.9
Total new obligations
430
413
403
Employment Summary
Identification code 075–0321–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
20
24
24
1101
Direct military average strength employment
5
5
5
Health Center Guaranteed Loan Financing Account
Program and Financing (in millions of dollars)
Identification code 075–4442–0–3–551
2015 actual
2016 est.
2017 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
4180
Budget authority, net (total)
4190
Outlays, net (total)
Status of Guaranteed Loans (in millions of dollars)
Identification code 075–4442–0–3–551
2015 actual
2016 est.
2017 est.
Position with respect to appropriations act limitation on commitments:
2121
Limitation available from carry-forward
15
15
6
2143
Uncommitted limitation carried forward
–15
–6
2150
Total guaranteed loan commitments
9
6
2199
Guaranteed amount of guaranteed loan commitments
7
5
Cumulative balance of guaranteed loans outstanding:
2210
Outstanding, start of year
80
76
73
2231
Disbursements of new guaranteed loans
8
6
2251
Repayments and prepayments
–4
–10
–10
2263
Adjustments: Terminations for default that result in claim payments
–1
–1
2290
Outstanding, end of year
76
73
68
Memorandum:
2299
Guaranteed amount of guaranteed loans outstanding, end of year
75
73
68
Public Law 104–299 and Public Law 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
2014 actual
2015 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
Medical Facilities Guarantee and Loan Fund
Status of Direct Loans (in millions of dollars)
Identification code 075–9931–0–3–551
2015 actual
2016 est.
2017 est.
Cumulative balance of direct loans outstanding:
1210
Outstanding, start of year
6
6
6
1290
Outstanding, end of year
6
6
6
Titles VI and XVI of the PHS 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 the
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
2014 actual
2015 actual
ASSETS:
1601
Direct loans, gross
6
6
1999
Total assets
6
6
LIABILITIES:
2201
Non-Federal liabilities: Accounts payable
6
6
4999
Total liabilities and net position
6
6
Trust Funds
Vaccine injury compensation program trust fund
For 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] $9,200,000 shall be available from the Trust Fund to the Secretary. (Department of Health and Human Services Appropriations Act, 2016.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–8175–0–7–551
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
3,356
3,452
3,586
Receipts:
Current law:
1110
Deposits, Vaccine Injury Compensation Trust Fund
275
311
318
1140
Interest and Profits on Investments, Vaccine Injury Compensation Trust Fund
62
83
117
1199
Total current law receipts
337
394
435
1999
Total receipts
337
394
435
2000
Total: Balances and receipts
3,693
3,846
4,021
Appropriations:
Current law:
2101
Vaccine Injury Compensation Program Trust Fund
–18
–23
–27
2101
Vaccine Injury Compensation Program Trust Fund
–221
–237
–240
2102
Vaccine Injury Compensation Program Trust Fund
–2
2199
Total current law appropriations
–241
–260
–267
2999
Total appropriations
–241
–260
–267
5099
Balance, end of year
3,452
3,586
3,754
Program and Financing (in millions of dollars)
Identification code 075–8175–0–7–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Compensation: Claims for post - FY 1989 injuries
229
237
240
0103
Claims processing (Claims Court)
5
6
6
0104
Claims processing (HRSA)
8
8
9
0105
Claims processing (Dept. of Justice)
5
9
12
0191
Total, administrative expenses
18
23
27
0900
Total new obligations
247
260
267
Budgetary resources:
Unobligated balance:
1021
Recoveries of prior year unpaid obligations
3
1050
Unobligated balance (total)
3
Budget authority:
Appropriations, discretionary:
1101
Appropriation (special or trust fund)
18
23
27
1102
Appropriation (previously unavailable)
2
1160
Appropriation, discretionary (total)
20
23
27
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
221
237
240
Spending authority from offsetting collections, mandatory:
1800
Collected
3
1900
Budget authority (total)
244
260
267
1930
Total budgetary resources available
247
260
267
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
11
15
3010
Obligations incurred, unexpired accounts
247
260
267
3020
Outlays (gross)
–240
–275
–267
3040
Recoveries of prior year unpaid obligations, unexpired
–3
3050
Unpaid obligations, end of year
15
Memorandum (non-add) entries:
3100
Obligated balance, start of year
11
15
3200
Obligated balance, end of year
15
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
20
23
27
Outlays, gross:
4010
Outlays from new discretionary authority
14
23
27
4011
Outlays from discretionary balances
2
15
4020
Outlays, gross (total)
16
38
27
Mandatory:
4090
Budget authority, gross
224
237
240
Outlays, gross:
4100
Outlays from new mandatory authority
224
237
240
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–3
4180
Budget authority, net (total)
241
260
267
4190
Outlays, net (total)
237
275
267
Memorandum (non-add) entries:
5000
Total investments, SOY: Federal securities: Par value
3,360
3,453
3,615
5001
Total investments, EOY: Federal securities: Par value
3,453
3,615
3,810
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. 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
2015 actual
2016 est.
2017 est.
Direct obligations:
11.1
Personnel compensation: Full-time permanent
2
3
3
12.1
Civilian personnel benefits
1
1
1
25.3
Other goods and services from Federal sources
4
4
6
42.0
Insurance claims and indemnities
240
252
257
99.9
Total new obligations
247
260
267
Employment Summary
Identification code 075–8175–0–7–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
16
23
23
1101
Direct military average strength employment
2
2
2
Indian Health Service
Federal Funds
Indian health services
For expenses necessary to carry out the Act of August 5, 1954 (68 Stat. 674), the Indian Self-Determination and Education
Assistance Act, the Indian Health Care Improvement Act, and titles II and III of the Public Health Service Act with respect
to the Indian Health Service, [$3,566,387,000] $3,815,109,000, 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] $962,331,000 for Purchased/Referred Care, including [$51,500,000] $53,000,000 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, of the funds provided, [$2,000,000] $11,000,000 shall [be used] remain available until expended to supplement funds available for operational costs at tribal clinics operated under an Indian Self-Determination and Education
Assistance Act compact or contract where health care is delivered in space acquired through a full service lease, which is
not eligible for maintenance and improvement and equipment funds from the Indian Health Service [, and $2,000,000 shall be for accreditation emergencies]: 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] Substance Abuse and Suicide Prevention Program, for the [domestic violence prevention initiative] Domestic Violence Prevention Program, for the Zero Suicide Initiative, for aftercare pilots at Youth Regional Treatment Centers, to improve collections from public and private insurance at Indian Health Service and tribally operated facilities, and for
accreditation emergencies 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, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0390–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Clinical services
3,197
3,241
3,474
0002
Preventive health
154
156
166
0003
Urban health
44
45
48
0004
Indian health professions
48
48
49
0005
Tribal management
2
2
2
0006
Direct operations
68
68
70
0007
Self-governance
6
6
6
0008
Contract support costs
663
0009
Diabetes funds
150
150
150
0799
Total direct obligations
4,332
3,716
3,965
0801
Indian Health Services (Reimbursable)
1,335
1,194
1,194
0900
Total new obligations
5,667
4,910
5,159
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
668
740
968
1001
Discretionary unobligated balance brought fwd, Oct 1
63
63
1021
Recoveries of prior year unpaid obligations
99
1050
Unobligated balance (total)
767
740
968
Budget authority:
Appropriations, discretionary:
1100
Appropriation
4,182
3,566
3,815
Appropriations, mandatory:
1200
Appropriation
150
150
150
Spending authority from offsetting collections, discretionary:
1700
Collected
1,371
1,422
1,422
1900
Budget authority (total)
5,703
5,138
5,387
1930
Total budgetary resources available
6,470
5,878
6,355
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–63
1941
Unexpired unobligated balance, end of year
740
968
1,196
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
807
917
578
3010
Obligations incurred, unexpired accounts
5,667
4,910
5,159
3011
Obligations incurred, expired accounts
36
40
3020
Outlays (gross)
–5,472
–5,269
–5,345
3040
Recoveries of prior year unpaid obligations, unexpired
–99
3041
Recoveries of prior year unpaid obligations, expired
–22
–20
3050
Unpaid obligations, end of year
917
578
392
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–68
–67
–67
3071
Change in uncollected pymts, Fed sources, expired
1
3090
Uncollected pymts, Fed sources, end of year
–67
–67
–67
Memorandum (non-add) entries:
3100
Obligated balance, start of year
739
850
511
3200
Obligated balance, end of year
850
511
325
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
5,553
4,988
5,237
Outlays, gross:
4010
Outlays from new discretionary authority
4,570
4,346
4,551
4011
Outlays from discretionary balances
755
773
644
4020
Outlays, gross (total)
5,325
5,119
5,195
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–243
–271
–271
4033
Non-Federal sources
–1,130
–1,151
–1,151
4040
Offsets against gross budget authority and outlays (total)
–1,373
–1,422
–1,422
Additional offsets against gross budget authority only:
4052
Offsetting collections credited to expired accounts
2
4060
Additional offsets against budget authority only (total)
2
4070
Budget authority, net (discretionary)
4,182
3,566
3,815
4080
Outlays, net (discretionary)
3,952
3,697
3,773
Mandatory:
4090
Budget authority, gross
150
150
150
Outlays, gross:
4100
Outlays from new mandatory authority
47
144
144
4101
Outlays from mandatory balances
100
6
6
4110
Outlays, gross (total)
147
150
150
4180
Budget authority, net (total)
4,332
3,716
3,965
4190
Outlays, net (total)
4,099
3,847
3,923
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
4,332
3,716
3,965
Outlays
4,099
3,847
3,923
Legislative proposal, subject to PAYGO:
Budget Authority
25
Outlays
12
Total:
Budget Authority
4,332
3,716
3,990
Outlays
4,099
3,847
3,935
The Indian Health Services account provides medical care, public health services, and health professions training opportunities
to American Indians and Alaska Natives. More than $2 .7 billion, primarily through self-determination contracts and compacts,
will be administered by tribal governments in 2017.
Object Classification (in millions of dollars)
Identification code 075–0390–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
389
393
400
11.3
Other than full-time permanent
18
18
18
11.5
Other personnel compensation
56
57
58
11.7
Military personnel
71
72
73
11.9
Total personnel compensation
534
540
549
12.1
Civilian personnel benefits
148
150
153
12.2
Military personnel benefits
32
32
33
13.0
Benefits for former personnel
12
12
12
21.0
Patient travel
44
46
48
22.0
Transportation of things
6
6
6
23.1
Rental payments to GSA
15
16
17
23.2
Rental payments to others
1
1
1
23.3
Communications, utilities, and miscellaneous charges
10
10
11
25.1
Advisory and assistance services
5
5
5
25.2
Other services from non-Federal sources
95
101
130
25.3
Other goods and services from Federal sources
72
76
79
25.4
Operation and maintenance of facilities
2
6
6
25.6
Medical care
324
339
355
25.7
Operation and maintenance of equipment
11
13
12
25.8
Subsistence and support of persons
5
4
5
26.0
Supplies and materials
100
107
113
31.0
Equipment
12
13
14
41.0
Grants, subsidies, and contributions
2,876
2,211
2,387
42.0
Insurance claims and indemnities
28
28
29
99.0
Direct obligations
4,332
3,716
3,965
99.0
Reimbursable obligations
1,335
1,194
1,194
99.9
Total new obligations
5,667
4,910
5,159
Employment Summary
Identification code 075–0390–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
6,506
6,520
6,541
1101
Direct military average strength employment
989
991
986
2001
Reimbursable civilian full-time equivalent employment
5,469
5,469
5,476
2101
Reimbursable military average strength employment
832
832
825
Indian Health Services
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–0390–4–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Clinical services
15
0004
Indian health professions
10
0799
Total direct obligations
25
0900
Total new obligations
25
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
25
1930
Total budgetary resources available
25
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
25
3020
Outlays (gross)
–12
3050
Unpaid obligations, end of year
13
Memorandum (non-add) entries:
3200
Obligated balance, end of year
13
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
25
Outlays, gross:
4100
Outlays from new mandatory authority
12
4180
Budget authority, net (total)
25
4190
Outlays, net (total)
12
Object Classification (in millions of dollars)
Identification code 075–0390–4–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
25.1
Advisory and assistance services
15
25.3
Other goods and services from Federal sources
10
99.0
Direct obligations
25
99.9
Total new obligations
25
Contract support costs
For payments to tribes and tribal organizations for contract support costs associated with Indian Self-Determination and Education
Assistance Act agreements with the Indian Health Service for fiscal year [2016] 2017, such sums as may be necessary: Provided, That amounts obligated but not expended by a tribe or tribal organization for contract support costs for such agreements
for the current fiscal year shall be applied to contract support costs otherwise due for such agreements for subsequent fiscal
years: Provided further, That, notwithstanding any other provision of law, no amounts made available under this heading shall be available for transfer
to another budget account. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0344–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Contract Support Costs
718
800
0900
Total new obligations (object class 25.3)
718
800
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100
Appropriation
718
800
1930
Total budgetary resources available
718
800
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
718
800
3020
Outlays (gross)
–718
–800
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
718
800
Outlays, gross:
4010
Outlays from new discretionary authority
718
800
4180
Budget authority, net (total)
718
800
4190
Outlays, net (total)
718
800
The Contract Support Costs account provides for the reasonable and allowable costs for direct program expenses for the operation
of, and any additional administrative or other expense related to, the overhead incurred by tribes and tribal organizations
who operate health programs through self-determination contracts and compacts. An estimated $800 million in contract support
costs funds will be provided to tribal governments and tribal organizations in 2017.
Indian health facilities
For construction, repair, maintenance, improvement, and equipment of health and related auxiliary facilities, including quarters
for personnel; preparation of plans, specifications, and drawings; acquisition of sites, purchase and erection of modular
buildings, and purchases of trailers; and for provision of domestic and community sanitation facilities for Indians, as authorized
by section 7 of the Act of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act, and the Indian Health Care
Improvement Act, and for expenses necessary to carry out such Acts and titles II and III of the Public Health Service Act
with respect to environmental health and facilities support activities of the Indian Health Service, [$523,232,000] $569,906,000, 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, 2016.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–0391–0–1–551
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
Receipts:
Current law:
1130
Rent and Charges for Quarters, Indian Health Service
7
8
8
2000
Total: Balances and receipts
7
8
8
Appropriations:
Current law:
2101
Indian Health Facilities
–7
–8
–8
5099
Balance, end of year
Program and Financing (in millions of dollars)
Identification code 075–0391–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Sanitation and health facilities
114
204
235
0002
Maintenance
54
74
77
0003
Facilities and environmental health
207
222
234
0004
Equipment
23
23
24
0100
Total direct program
398
523
570
0799
Total direct obligations
398
523
570
0801
Indian Health Facilities (Reimbursable)
9
9
9
0900
Total new obligations
407
532
579
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
171
236
290
1001
Discretionary unobligated balance brought fwd, Oct 1
165
165
1021
Recoveries of prior year unpaid obligations
5
1050
Unobligated balance (total)
176
236
290
Budget authority:
Appropriations, discretionary:
1100
Appropriation
460
523
570
Appropriations, mandatory:
1201
Appropriation (special or trust fund)
7
8
8
Spending authority from offsetting collections, discretionary:
1700
Collected
55
56
1900
Budget authority (total)
467
586
634
1930
Total budgetary resources available
643
822
924
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
236
290
345
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
504
453
421
3010
Obligations incurred, unexpired accounts
407
532
579
3020
Outlays (gross)
–451
–564
–581
3040
Recoveries of prior year unpaid obligations, unexpired
–5
3041
Recoveries of prior year unpaid obligations, expired
–2
3050
Unpaid obligations, end of year
453
421
419
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
499
448
416
3200
Obligated balance, end of year
448
416
414
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
460
578
626
Outlays, gross:
4010
Outlays from new discretionary authority
243
212
227
4011
Outlays from discretionary balances
199
344
346
4020
Outlays, gross (total)
442
556
573
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–55
–56
4040
Offsets against gross budget authority and outlays (total)
–55
–56
Mandatory:
4090
Budget authority, gross
7
8
8
Outlays, gross:
4100
Outlays from new mandatory authority
3
8
8
4101
Outlays from mandatory balances
6
4110
Outlays, gross (total)
9
8
8
4180
Budget authority, net (total)
467
531
578
4190
Outlays, net (total)
451
509
525
The Indian Health Facilities account supports construction, repair and improvement, equipment, and environmental health and
facilities support for the Indian Health Service. More than $368 million, primarily through self-determination contracts and
compacts, will be administered by tribal governments in 2017.
Object Classification (in millions of dollars)
Identification code 075–0391–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
49
46
48
11.3
Other than full-time permanent
2
2
2
11.5
Other personnel compensation
2
2
2
11.7
Military personnel
23
23
23
11.9
Total personnel compensation
76
73
75
12.1
Civilian personnel benefits
16
16
16
12.2
Military personnel benefits
8
8
9
21.0
Travel and transportation of persons
2
3
3
22.0
Transportation of things
3
3
3
23.1
Rental payments to GSA
1
1
1
23.3
Communications, utilities, and miscellaneous charges
14
15
15
25.1
Advisory and assistance services
1
1
2
25.2
Other services from non-Federal sources
63
86
113
25.3
Other goods and services from Federal sources
3
3
3
25.4
Operation and maintenance of facilities
6
16
18
25.7
Operation and maintenance of equipment
3
13
14
25.8
Subsistence and support of persons
2
2
2
26.0
Supplies and materials
6
7
7
31.0
Equipment
14
23
24
32.0
Land and structures
32
89
93
41.0
Grants, subsidies, and contributions
148
164
172
99.0
Direct obligations
398
523
570
99.0
Reimbursable obligations
9
9
9
99.9
Total new obligations
407
532
579
Employment Summary
Identification code 075–0391–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
1,104
1,106
1,094
1101
Direct military average strength employment
171
169
181
2001
Reimbursable civilian full-time equivalent employment
32
32
32
ADMINISTRATIVE PROVISIONS—INDIAN HEALTH SERVICE
Administrative provisions—indian health service
Appropriations 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: Provided further, That the Indian Health Service shall develop a strategic plan for the Urban Indian Health program in consultation with urban
Indians and the National Academy of Public Administration, and shall publish such plan not later than one year after the date
of enactment of this Act]. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2016.)
Centers for Disease Control and Prevention
Federal Funds
Immunization and respiratory diseases
For 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, [$459,055,000] $411,716,000.
HIV/AIDS, viral hepatitis, sexually transmitted diseases, and tuberculosis prevention
For 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, [$1,122,278,000] $1,127,278,000.
Emerging and zoonotic infectious diseases
For 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, [$527,885,000] $577,485,000: Provided, That of the amounts available to pay for the transportation, medical care, treatment, and other related
costs of persons quarantined or isolated under federal or state quarantine law, up to $1,000,000 shall remain available until
expended.
Chronic disease prevention and health promotion
For carrying out titles II, III, XI, XV, XVII, and XIX of the PHS Act with respect to chronic disease prevention and health
promotion, [$838,146,000] $679,745,000: 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, $10,000,000 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 the proportional funding requirements under section 1503(a) of the PHS Act shall not apply to funds made available
under this heading.
Birth defects, developmental disabilities, disabilities and health
For carrying out titles II, III, XI, and XVII of the PHS Act with respect to birth defects, developmental disabilities, disabilities
and health, [$135,610,000] $67,644,000.
Public Health Scientific Services
For carrying out titles II, III, and XVII of the PHS Act with respect to health statistics, surveillance, health informatics,
and workforce development, [$491,597,000] $464,355,000.
Environmental health
For carrying out titles II, III, and XVII of the PHS Act with respect to environmental health, [$165,303,000] $167,825,000.
Injury prevention and control
For carrying out titles II, III, and XVII of the PHS Act with respect to injury prevention and control, [$236,059,000: Provided, That of the funds provided under this heading, $70,000,000 shall be available for an evidence-based opioid drug overdose
prevention program] $268,629,000.
National Institute for Occupational Safety and Health
For 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, [$339,121,000] $213,621,000: Provided, That in addition to the amounts provided herein, $72,000,000 shall be available from amounts available
under section 241 of the PHS Act.
Energy employees occupational illness compensation program
For necessary expenses to administer the Energy Employees Occupational Illness Compensation Program Act, $55,358,000, to remain
available until expended: Provided, That this amount shall be available consistent with the provision regarding administrative expenses in section 151(b) of
division B, title I of Public Law 106–554.
Global health
For carrying out titles II, III, and XVII of the PHS Act with respect to global health, [$427,121,000] $442,121,000, of which [$128,421,000] $128,421,000 for international HIV/AIDS shall remain available through September 30, [2017] 2018: Provided, That funds may be used for purchase and insurance of official motor vehicles in foreign countries.
public health preparedness and response
For 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, [$1,405,000,000] $1,402,166,000, of which [$575,000,000] $575,000,000 shall remain available until expended for the Strategic National Stockpile: Provided, That [in the event the Director of the CDC activates the Emergency Operations Center,] the Director of the 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 [90] 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].
cdc-wide activities and program support
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: 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, [2017] 2018: 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 discretionary funds (pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985)
which are appropriated for the current fiscal year for CDC in this Act 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, 2016.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–0943–0–1–999
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
Receipts:
Current law:
1130
Cooperative Research and Development Agreements, Centers for Disease Control
2
2
2
2000
Total: Balances and receipts
2
2
2
Appropriations:
Current law:
2101
CDC-Wide Activities and Program Support
–2
–2
–2
5099
Balance, end of year
Program and Financing (in millions of dollars)
Identification code 075–0943–0–1–999
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Birth Defects, Developmental Disabilities, Disability and Health (0958)
131
136
136
0002
CDC Wide Activities and Program Support (0943)
478
274
114
0004
Chronic Disease Prevention and Health Promotion (0948)
1,192
1,177
1,117
0005
Emerging and Zoonotics Infectious Diseases (0949)
405
580
629
0006
Energy Employee Illness Occupational Compensation Program Act (EEOICPA) (0954)
50
55
55
0007
Environmental Health (0947)
179
182
182
0008
Global Health (0955)
447
427
442
0012
HIV/AIDS, Viral Hepatitis, STD and TB Prevention (0950)
1,118
1,122
1,127
0013
Immunization and Respiratory Diseases (0951)
798
799
748
0015
Injury Prevention and Control (0952)
170
236
269
0016
Occupational Safety and Health (0953)
334
339
286
0019
Public Health Preparedness and Response (0956)
1,352
1,405
1,402
0020
Public Health Scientific Services (0959)
481
492
501
0021
Cooperative Research and Development Agreements (CRADA) (5146)
4
2
2
0022
Ebola (Emergency pursuant to 2011 BCA)
526
0799
Total direct obligations
7,665
7,226
7,010
0802
CDC-Wide Activities and Program Support (Reimbursable)
194
516
516
0809
Reimbursable program activities, subtotal
194
516
516
0900
Total new obligations
7,859
7,742
7,526
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
126
1,223
1,207
1001
Discretionary unobligated balance brought fwd, Oct 1
90
1,214
1010
Unobligated balance transfer to other accts [075–4553]
–2
1011
Unobligated balance transfer from other acct [075–0140]
15
1012
Unobligated balance transfers between expired and unexpired accounts
35
1021
Recoveries of prior year unpaid obligations
12
1050
Unobligated balance (total)
186
1,223
1,207
Budget authority:
Appropriations, discretionary:
1100
Appropriation
7,759
6,261
5,937
1121
Appropriations transferred from other acct [075–0140]
15
1160
Appropriation, discretionary (total)
7,774
6,261
5,937
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]
887
892
944
1230
Appropriations and/or unobligated balance of appropriations permanently reduced
–5
1260
Appropriations, mandatory (total)
939
949
1,001
Spending authority from offsetting collections, discretionary:
1700
Collected
130
512
512
1701
Change in uncollected payments, Federal sources
56
1750
Spending auth from offsetting collections, disc (total)
186
512
512
Spending authority from offsetting collections, mandatory:
1800
Collected
5
4
4
1900
Budget authority (total)
8,904
7,726
7,454
1930
Total budgetary resources available
9,090
8,949
8,661
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–8
1941
Unexpired unobligated balance, end of year
1,223
1,207
1,135
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
5,822
6,501
7,009
3010
Obligations incurred, unexpired accounts
7,859
7,742
7,526
3011
Obligations incurred, expired accounts
31
3020
Outlays (gross)
–7,016
–7,234
–7,982
3040
Recoveries of prior year unpaid obligations, unexpired
–12
3041
Recoveries of prior year unpaid obligations, expired
–183
3050
Unpaid obligations, end of year
6,501
7,009
6,553
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–215
–132
–132
3070
Change in uncollected pymts, Fed sources, unexpired
–56
3071
Change in uncollected pymts, Fed sources, expired
139
3090
Uncollected pymts, Fed sources, end of year
–132
–132
–132
Memorandum (non-add) entries:
3100
Obligated balance, start of year
5,607
6,369
6,877
3200
Obligated balance, end of year
6,369
6,877
6,421
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
7,960
6,773
6,449
Outlays, gross:
4010
Outlays from new discretionary authority
2,778
3,012
2,876
4011
Outlays from discretionary balances
3,466
3,616
4,286
4020
Outlays, gross (total)
6,244
6,628
7,162
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–252
–512
–512
4033
Non-Federal sources
–6
4040
Offsets against gross budget authority and outlays (total)
–258
–512
–512
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–56
4052
Offsetting collections credited to expired accounts
128
4060
Additional offsets against budget authority only (total)
72
4070
Budget authority, net (discretionary)
7,774
6,261
5,937
4080
Outlays, net (discretionary)
5,986
6,116
6,650
Mandatory:
4090
Budget authority, gross
944
953
1,005
Outlays, gross:
4100
Outlays from new mandatory authority
150
161
168
4101
Outlays from mandatory balances
622
445
652
4110
Outlays, gross (total)
772
606
820
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–5
–4
–4
4180
Budget authority, net (total)
8,713
7,210
6,938
4190
Outlays, net (total)
6,753
6,718
7,466
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
8,713
7,210
6,938
Outlays
6,753
6,718
7,466
Legislative proposal, subject to PAYGO:
Budget Authority
30
Outlays
12
Total:
Budget Authority
8,713
7,210
6,968
Outlays
6,753
6,718
7,478
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.
Object Classification (in millions of dollars)
Identification code 075–0943–0–1–999
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
681
806
824
11.3
Other than full-time permanent
112
112
113
11.5
Other personnel compensation
39
38
38
11.7
Military personnel
77
75
77
11.8
Special personal services payments
7
7
7
11.9
Total personnel compensation
916
1,038
1,059
12.1
Civilian personnel benefits
265
304
310
12.2
Military personnel benefits
52
51
52
13.0
Benefits for former personnel
1
1
21.0
Travel and transportation of persons
79
53
54
22.0
Transportation of things
13
12
12
23.1
Rental payments to GSA
6
33
34
23.2
Rental payments to others
2
1
1
23.3
Communications, utilities, and miscellaneous charges
26
52
53
24.0
Printing and reproduction
3
3
3
25.1
Advisory and assistance services
826
763
655
25.2
Other services from non-Federal sources
234
297
227
25.3
Other goods and services from Federal sources
752
353
276
25.4
Operation and maintenance of facilities
16
40
24
25.5
Research and development contracts
47
50
39
25.6
Medical care
34
31
23
25.7
Operation and maintenance of equipment
39
74
56
25.8
Subsistence and support of persons
1
1
1
26.0
Supplies and materials
461
468
488
31.0
Equipment
67
70
83
32.0
Land and structures
2
7
1
41.0
Grants, subsidies, and contributions
3,823
3,523
3,557
42.0
Insurance claims and indemnities
1
1
1
99.0
Direct obligations
7,665
7,226
7,010
99.0
Reimbursable obligations
194
516
516
99.9
Total new obligations
7,859
7,742
7,526
Employment Summary
Identification code 075–0943–0–1–999
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
8,181
8,193
8,193
1101
Direct military average strength employment
850
850
850
2001
Reimbursable civilian full-time equivalent employment
257
257
257
2101
Reimbursable military average strength employment
43
43
43
CDC-Wide Activities and Program Support
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–0943–4–1–999
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0024
Behavioral Health Init.
30
0900
Total new obligations (object class 41.0)
30
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation (Health Behavioral Int.)
30
1930
Total budgetary resources available
30
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
30
3020
Outlays (gross)
–12
3050
Unpaid obligations, end of year
18
Memorandum (non-add) entries:
3200
Obligated balance, end of year
18
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
30
Outlays, gross:
4100
Outlays from new mandatory authority
12
4180
Budget authority, net (total)
30
4190
Outlays, net (total)
12
buildings and facilities
(including transfer of funds)
For [acquisition of real property,] equipment, construction, demolition, and renovation of facilities, [$10,000,000] $31,221,000, [which shall] to remain available until September 30, [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: Provided further, That in addition, the prior year unobligated balance of any amounts assigned to former employees in accounts of CDC made
available for Individual Learning Accounts shall be credited to and merged with the amounts made available under this heading
to support the replacement of the mine safety research facility] 2021. (Department of Health and Human Services Appropriations Act, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0960–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Buildings and Facilities (0960)
8
10
31
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
2
2
Budget authority:
Appropriations, discretionary:
1100
Appropriation
10
10
31
1930
Total budgetary resources available
10
12
33
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
2
2
2
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
6
6
3010
Obligations incurred, unexpired accounts
8
10
31
3020
Outlays (gross)
–2
–10
–17
3050
Unpaid obligations, end of year
6
6
20
Memorandum (non-add) entries:
3100
Obligated balance, start of year
6
6
3200
Obligated balance, end of year
6
6
20
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
10
10
31
Outlays, gross:
4010
Outlays from new discretionary authority
2
4
12
4011
Outlays from discretionary balances
6
5
4020
Outlays, gross (total)
2
10
17
4180
Budget authority, net (total)
10
10
31
4190
Outlays, net (total)
2
10
17
Object Classification (in millions of dollars)
Identification code 075–0960–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
25.1
Advisory and assistance services
2
2
8
25.4
Operation and maintenance of facilities
5
5
10
31.0
Equipment
5
32.0
Land and structures
1
3
8
99.9
Total new obligations
8
10
31
CDC Working Capital Fund
Program and Financing (in millions of dollars)
Identification code 075–4553–0–4–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
CDC Working Capital Fund (Direct)
2
0801
CDC Working Capital Fund (Reimbursable)
521
545
545
0900
Total new obligations
523
545
545
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
27
52
52
1011
Unobligated balance transfer from other acct [075–0943]
2
1021
Recoveries of prior year unpaid obligations
1
1050
Unobligated balance (total)
30
52
52
Budget authority:
Spending authority from offsetting collections, discretionary:
1700
Collected
545
545
545
1930
Total budgetary resources available
575
597
597
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
52
52
52
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
150
175
9
3010
Obligations incurred, unexpired accounts
523
545
545
3020
Outlays (gross)
–497
–711
–545
3040
Recoveries of prior year unpaid obligations, unexpired
–1
3050
Unpaid obligations, end of year
175
9
9
Memorandum (non-add) entries:
3100
Obligated balance, start of year
150
175
9
3200
Obligated balance, end of year
175
9
9
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
545
545
545
Outlays, gross:
4010
Outlays from new discretionary authority
365
545
545
4011
Outlays from discretionary balances
132
166
4020
Outlays, gross (total)
497
711
545
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–545
–545
–545
4180
Budget authority, net (total)
4190
Outlays, net (total)
–48
166
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
2015 actual
2016 est.
2017 est.
25.3
Direct obligations: Other goods and services from Federal sources
2
Reimbursable obligations:
Personnel compensation:
11.1
Full-time permanent
137
157
157
11.3
Other than full-time permanent
3
3
3
11.5
Other personnel compensation
3
3
3
11.7
Military personnel
3
3
3
11.9
Total personnel compensation
146
166
166
12.1
Civilian personnel benefits
45
46
46
12.2
Military personnel benefits
1
1
1
21.0
Travel and transportation of persons
1
1
1
22.0
Transportation of things
1
1
1
23.1
Rental payments to GSA
33
33
33
23.3
Communications, utilities, and miscellaneous charges
35
35
35
25.1
Advisory and assistance services
25
25
25
25.2
Other services from non-Federal sources
73
78
78
25.3
Other goods and services from Federal sources
58
63
63
25.4
Operation and maintenance of facilities
37
37
37
25.7
Operation and maintenance of equipment
42
42
42
26.0
Supplies and materials
2
2
2
31.0
Equipment
14
7
7
32.0
Land and structures
8
8
8
99.0
Reimbursable obligations
521
545
545
99.9
Total new obligations
523
545
545
Employment Summary
Identification code 075–4553–0–4–551
2015 actual
2016 est.
2017 est.
2001
Reimbursable civilian full-time equivalent employment
1,486
1,486
1,486
2101
Reimbursable military average strength employment
28
28
28
Toxic substances and environmental public health
For 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 [2016] 2017, and existing profiles may be updated as necessary. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0944–0–1–551
2015 actual
2016 est.
2017 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
0799
Total direct obligations
77
75
75
0801
Agency for Toxic Substances and Disease Registry, Toxic Substanc (Reimbursable)
6
6
6
0900
Total new obligations
83
81
81
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
12
27
24
1001
Discretionary unobligated balance brought fwd, Oct 1
3
Budget authority:
Appropriations, discretionary:
1100
Appropriation
74
75
75
Appropriations, mandatory:
1200
Appropriation
20
1230
Appropriations and/or unobligated balance of appropriations permanently reduced
–1
1260
Appropriations, mandatory (total)
19
Spending authority from offsetting collections, discretionary:
1700
Collected
2
3
3
1701
Change in uncollected payments, Federal sources
3
1750
Spending auth from offsetting collections, disc (total)
5
3
3
1900
Budget authority (total)
98
78
78
1930
Total budgetary resources available
110
105
102
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
27
24
21
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
45
44
38
3010
Obligations incurred, unexpired accounts
83
81
81
3020
Outlays (gross)
–81
–87
–84
3041
Recoveries of prior year unpaid obligations, expired
–3
3050
Unpaid obligations, end of year
44
38
35
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–7
–5
–5
3070
Change in uncollected pymts, Fed sources, unexpired
–3
3071
Change in uncollected pymts, Fed sources, expired
5
3090
Uncollected pymts, Fed sources, end of year
–5
–5
–5
Memorandum (non-add) entries:
3100
Obligated balance, start of year
38
39
33
3200
Obligated balance, end of year
39
33
30
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
79
78
78
Outlays, gross:
4010
Outlays from new discretionary authority
52
53
53
4011
Outlays from discretionary balances
27
26
22
4020
Outlays, gross (total)
79
79
75
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–7
–3
–3
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–3
4052
Offsetting collections credited to expired accounts
5
4060
Additional offsets against budget authority only (total)
2
4070
Budget authority, net (discretionary)
74
75
75
4080
Outlays, net (discretionary)
72
76
72
Mandatory:
4090
Budget authority, gross
19
Outlays, gross:
4101
Outlays from mandatory balances
2
8
9
4180
Budget authority, net (total)
93
75
75
4190
Outlays, net (total)
74
84
81
Object Classification (in millions of dollars)
Identification code 075–0944–0–1–551
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
23
21
21
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
29
27
27
12.1
Civilian personnel benefits
8
7
8
12.2
Military personnel benefits
1
1
2
25.1
Advisory and assistance services
6
8
8
25.2
Other services from non-Federal sources
4
5
4
25.3
Other goods and services from Federal sources
11
11
10
25.7
Operation and maintenance of equipment
1
1
1
41.0
Grants, subsidies, and contributions
17
15
15
99.0
Direct obligations
77
75
75
99.0
Reimbursable obligations
6
6
6
99.9
Total new obligations
83
81
81
Employment Summary
Identification code 075–0944–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
219
229
229
1101
Direct military average strength employment
36
36
36
2001
Reimbursable civilian full-time equivalent employment
10
10
10
World Trade Center Health Program Fund
Program and Financing (in millions of dollars)
Identification code 075–0946–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Federal Share
261
300
335
0002
NYC
29
33
37
0900
Total new obligations
290
333
372
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
30
Budget authority:
Appropriations, mandatory:
1200
Appropriation (WTC (CDC Direct))
272
330
346
1200
Appropriation (WTC—NYC DHSS—CDC)
31
33
35
1230
Appropriations and/or unobligated balance of appropriations permanently reduced
–23
1260
Appropriations, mandatory (total)
280
363
381
Spending authority from offsetting collections, mandatory:
1800
Collected
10
1900
Budget authority (total)
290
363
381
1930
Total budgetary resources available
290
363
411
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
30
39
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
153
161
230
3010
Obligations incurred, unexpired accounts
290
333
372
3011
Obligations incurred, expired accounts
9
3020
Outlays (gross)
–261
–264
–301
3041
Recoveries of prior year unpaid obligations, expired
–30
3050
Unpaid obligations, end of year
161
230
301
Memorandum (non-add) entries:
3100
Obligated balance, start of year
153
161
230
3200
Obligated balance, end of year
161
230
301
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
290
363
381
Outlays, gross:
4100
Outlays from new mandatory authority
176
167
175
4101
Outlays from mandatory balances
85
97
126
4110
Outlays, gross (total)
261
264
301
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4123
Non-Federal sources
–23
Additional offsets against gross budget authority only:
4142
Offsetting collections credited to expired accounts
13
4160
Budget authority, net (mandatory)
280
363
381
4170
Outlays, net (mandatory)
238
264
301
4180
Budget authority, net (total)
280
363
381
4190
Outlays, net (total)
238
264
301
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 World Trade Center (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 WTC Health Program has been extended through FY 2090 under the James Zadroga 9/11 Health and
Compensation Reauthorization Act of 2015 (P.L. 114–113, Division O, Title III). The amounts included for 2016 and 2017 in
the Budget reflect estimated Federal obligations for the WTC Health Program.
Object Classification (in millions of dollars)
Identification code 075–0946–0–1–551
2015 actual
2016 est.
2017 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
12.1
Civilian personnel benefits
1
1
1
25.1
Advisory and assistance services
24
24
24
25.2
Other services from non-Federal sources
67
67
67
25.3
Other goods and services from Federal sources
11
11
11
25.6
Medical care
1
1
1
41.0
Grants, subsidies, and contributions
23
23
23
42.0
Insurance claims and indemnities
160
203
242
99.9
Total new obligations
290
333
372
Employment Summary
Identification code 075–0946–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
15
15
15
1101
Direct military average strength employment
4
4
4
National Institutes of Health
Federal Funds
national cancer institute
For carrying out section 301 and title IV of the PHS Act with respect to cancer, [$5,214,701,000] $5,097,287,000, of which up to [$16,000,000]$50,000,000 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, 2016.)
national heart, lung, and blood institute
For carrying out section 301 and title IV of the PHS Act with respect to cardiovascular, lung, and blood diseases, and blood
and blood products, [$3,115,538,000] $3,069,901,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of dental and craniofacial research
For carrying out section 301 and title IV of the PHS Act with respect to dental and craniofacial diseases, [$415,582,000] $404,560,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of diabetes and digestive and kidney diseases
For carrying out section 301 and title IV of the PHS Act with respect to diabetes and digestive and kidney disease, [$1,818,357,000] $1,786,086,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of neurological disorders and stroke
For carrying out section 301 and title IV of the PHS Act with respect to neurological disorders and stroke, [$1,696,139,000] $1,659,416,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of allergy and infectious diseases
For carrying out section 301 and title IV of the PHS Act with respect to allergy and infectious diseases, [$4,629,928,000] $4,700,548,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of general medical sciences
For carrying out section 301 and title IV of the PHS Act with respect to general medical sciences, [$2,512,073,000] $2,434,144,000, of which [$780,000,000] $847,489,000 shall be from funds available under section 241 of the PHS Act [: Provided, That not less than $320,840,000 is provided for the Institutional Development Awards program]. (Department of Health and Human Services Appropriations Act, 2016.)
eunice kennedy shriver national institute of child health and human development
For carrying out section 301 and title IV of the PHS Act with respect to child health and human development, [$1,339,802,000] $1,316,607,000. (Department of Health and Human Services Appropriations Act, 2016.)
national eye institute
For carrying out section 301 and title IV of the PHS Act with respect to eye diseases and visual disorders, [$715,903,000] $687,249,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of environmental health sciences
For carrying out section 301 and title IV of the PHS Act with respect to environmental health sciences, [$693,702,000] $681,613,000. (Department of Health and Human Services Appropriations Act, 2016.)
National institute of environmental health sciences
For necessary expenses for the National Institute of Environmental Health Sciences in carrying out activities set forth in
section 311(a) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (42 U.S.C. 9660(a)) and
section 126(g) of the Superfund Amendments and Reauthorization Act of 1986, $77,349,000. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2016.)
national institute on aging
For carrying out section 301 and title IV of the PHS Act with respect to aging, [$1,600,191,000] $1,265,133,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of arthritis and musculoskeletal and skin diseases
For carrying out section 301 and title IV of the PHS Act with respect to arthritis and musculoskeletal and skin diseases,
[$542,141,000] $532,753,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute on deafness and other communication disorders
For carrying out section 301 and title IV of the PHS Act with respect to deafness and other communication disorders, [$423,031,000] $416,146,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of nursing research
For carrying out section 301 and title IV of the PHS Act with respect to nursing research, [$146,485,000] $143,942,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute on alcohol abuse and alcoholism
For carrying out section 301 and title IV of the PHS Act with respect to alcohol abuse and alcoholism, [$467,700,000] $459,578,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute on drug abuse
For carrying out section 301 and title IV of the PHS Act with respect to drug abuse, [$1,077,488,000] $1,020,459,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of mental health
For carrying out section 301 and title IV of the PHS Act with respect to mental health, [$1,548,390,000] $1,459,700,000. (Department of Health and Human Services Appropriations Act, 2016.)
national human genome research institute
For carrying out section 301 and title IV of the PHS Act with respect to human genome research, [$518,956,000] $509,762,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute of biomedical imaging and bioengineering
For carrying out section 301 and title IV of the PHS Act with respect to biomedical imaging and bioengineering research, [$346,795,000] $334,025,000. (Department of Health and Human Services Appropriations Act, 2016.)
national center for complementary and integrative health
For carrying out section 301 and title IV of the PHS Act with respect to complementary and integrative health, [$130,789,000] $126,673,000. (Department of Health and Human Services Appropriations Act, 2016.)
national institute on minority health and health disparities
For carrying out section 301 and title IV of the PHS Act with respect to minority health and health disparities research,
[$279,718,000] $279,680,000. (Department of Health and Human Services Appropriations Act, 2016.)
john e. fogarty international center
For 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), [$70,447,000] $69,175,000. (Department of Health and Human Services Appropriations Act, 2016.)
national library of medicine
For carrying out section 301 and title IV of the PHS Act with respect to health information communications, [$394,664,000] $395,110,000: Provided, That of the amounts available for improvement of information systems, $4,000,000 shall be available until September 30,
[2017] 2018: Provided further, That in fiscal year [2016] 2017, 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, 2016.)
national center for advancing translational sciences
For carrying out section 301 and title IV of the PHS Act with respect to translational sciences, [$685,417,000] $660,131,000: Provided, That up to $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 $500,000,000 is provided to the Clinical and Translational Sciences Awards program]. (Department of Health and Human Services Appropriations Act, 2016.)
office of the director
For carrying out the responsibilities of the Office of the Director, NIH, [$1,558,600,000] $1,432,859,000, of which up to [$30,000,000] $40,000,000 may be used to carry out section [215] 213 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 Follow-on: Provided further, That NIH shall submit a spend plan on the next phase of the study in the previous proviso 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 [$663,039,000] $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 up to [$130,000,000] $20,000,000 of the funds provided to the Common Fund are available to support the trans-NIH Precision Medicine Initiative: [Provided further, That of the amount provided to the NIH, the Director of the NIH shall enter into an agreement with the National Academy
of Sciences, as part of the studies conducted under section 489 of the PHS Act, to conduct a comprehensive study on policies
affecting the next generation of researchers in the United States:] Provided further, That, [of the funds from Institute, Center, and Office of the Director accounts within "Department of Health and Human Services,
National Institutes of Health,"] in order to strengthen privacy protections for human research participants, NIH shall require investigators receiving NIH
funding, from amounts appropriated in this Act to NIH accounts, for new and competing research projects designed to generate and analyze large volumes of data derived from human research
participants to obtain a certificate of confidentiality: 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 discretionary 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, 2016.)
Buildings and facilities
For 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 , to remain available through September 30, [2020] 2021. (Department of Health and Human Services Appropriations Act, 2016.)
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–9915–0–1–552
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
1
Receipts:
Current law:
1130
Cooperative Research and Development Agreements, NIH
28
17
17
2000
Total: Balances and receipts
28
17
18
Appropriations:
Current law:
2101
National Institutes of Health
–28
–16
–16
5099
Balance, end of year
1
2
Program and Financing (in millions of dollars)
Identification code 075–9915–0–1–552
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
National Cancer Institute (0849)
4,952
5,203
5,078
0002
National Heart, Lung, and Blood Institute (0872)
2,996
3,107
3,050
0003
National Institute of Dental and Craniofacial Research (0873)
398
411
403
0004
National Institute of Diabetes and Digestive and Kidney Disease (0884)
1,749
1,965
1,921
0005
National Institute of Neurological Disorders and Stroke (0886)
1,605
1,694
1,645
0006
National Institute of Allergy and Infectious Diseases (0885)
4,604
4,708
4,680
0007
National Institute of General Medical Sciences (0851)
1,657
1,660
1,577
0008
National Institute of Child Health and Human Development (0844)
1,287
1,334
1,317
0009
National Eye Institute (0887)
677
705
686
0010
National Institute of Environmental Health Sciences (0862)
745
768
755
0011
National Institute on Aging (0843)
1,197
1,591
1,254
0012
National Institute of Arthritis and Musculoskeletal and Skin Disease (0888)
521
539
533
0013
National Institute on Deafness and Other Communication Disorder (0890)
405
420
416
0014
National Institute of Mental Health (0892)
1,434
1,512
1,449
0015
National Institute on Drug Abuse (0893)
1,016
1,046
1,010
0016
National Institute on Alcohol Abuse and Alcoholism (0894)
447
465
455
0017
National Institute of Nursing Research (0889)
141
143
142
0018
National Human Genome Research Institute (0891)
499
510
508
0019
National Institute of Biomedical Imaging and Bioengineering (0898)
327
340
334
0021
National Center for Complementary and Integrative Health (0896)
124
127
127
0022
National Institute on Minority Health and Health Disparities (0897)
270
278
278
0023
John E. Fogarty International Center (0819)
68
70
69
0024
National Library of Medicine (0807)
337
393
393
0025
Office of the Director (0846)
1,414
1,560
1,435
0026
Buildings and facilities (0838)
115
128
129
0027
Cooperative Research and Development Agreements
24
16
16
0028
National Center for Advancing Translational Sciences (0875)
633
685
656
0031
Type 1 Diabetes
150
150
150
0799
Total direct obligations
29,792
31,528
30,466
0801
Reimbursable - Other
3,440
3,349
3,543
0802
Royalties
95
105
105
0809
Reimbursable program activities, subtotal
3,535
3,454
3,648
0899
Total reimbursable obligations
3,535
3,454
3,648
0900
Total new obligations
33,327
34,982
34,114
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
725
722
539
1001
Discretionary unobligated balance brought fwd, Oct 1
725
722
1021
Recoveries of prior year unpaid obligations
75
1050
Unobligated balance (total)
800
722
539
Budget authority:
Appropriations, discretionary:
1100
Appropriation
29,672
31,368
30,301
1121
Appropriations transferred from other acct [075–5736]
13
13
13
1160
Appropriation, discretionary (total)
29,685
31,381
30,314
Appropriations, mandatory:
1200
Appropriation
150
150
150
1201
Appropriation (special or trust fund)
28
16
16
1260
Appropriations, mandatory (total)
178
166
166
Spending authority from offsetting collections, discretionary:
1700
Collected
3,247
3,252
3,559
1701
Change in uncollected payments, Federal sources
164
1750
Spending auth from offsetting collections, disc (total)
3,411
3,252
3,559
1900
Budget authority (total)
33,274
34,799
34,039
1930
Total budgetary resources available
34,074
35,521
34,578
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–25
1941
Unexpired unobligated balance, end of year
722
539
464
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
31,700
31,352
32,861
3001
Adjustments to unpaid obligations, brought forward, Oct 1
8
3010
Obligations incurred, unexpired accounts
33,327
34,982
34,114
3011
Obligations incurred, expired accounts
288
3020
Outlays (gross)
–33,380
–33,473
–35,314
3040
Recoveries of prior year unpaid obligations, unexpired
–75
3041
Recoveries of prior year unpaid obligations, expired
–516
3050
Unpaid obligations, end of year
31,352
32,861
31,661
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–1,559
–979
–979
3061
Adjustments to uncollected pymts, Fed sources, brought forward, Oct 1
–8
3070
Change in uncollected pymts, Fed sources, unexpired
–164
3071
Change in uncollected pymts, Fed sources, expired
752
3090
Uncollected pymts, Fed sources, end of year
–979
–979
–979
Memorandum (non-add) entries:
3100
Obligated balance, start of year
30,141
30,373
31,882
3200
Obligated balance, end of year
30,373
31,882
30,682
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
33,096
34,633
33,873
Outlays, gross:
4010
Outlays from new discretionary authority
9,274
11,725
11,744
4011
Outlays from discretionary balances
23,991
21,582
23,403
4020
Outlays, gross (total)
33,265
33,307
35,147
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–3,907
–3,252
–3,559
4033
Non-Federal sources
–179
4040
Offsets against gross budget authority and outlays (total)
–4,086
–3,252
–3,559
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–164
4052
Offsetting collections credited to expired accounts
839
4060
Additional offsets against budget authority only (total)
675
4070
Budget authority, net (discretionary)
29,685
31,381
30,314
4080
Outlays, net (discretionary)
29,179
30,055
31,588
Mandatory:
4090
Budget authority, gross
178
166
166
Outlays, gross:
4100
Outlays from new mandatory authority
1
52
52
4101
Outlays from mandatory balances
114
114
115
4110
Outlays, gross (total)
115
166
167
4180
Budget authority, net (total)
29,863
31,547
30,480
4190
Outlays, net (total)
29,294
30,221
31,755
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
29,863
31,547
30,480
Outlays
29,294
30,221
31,755
Legislative proposal, subject to PAYGO:
Budget Authority
1,825
Outlays
547
Total:
Budget Authority
29,863
31,547
32,305
Outlays
29,294
30,221
32,302
DISTRIBUTION OF PROGRAM LEVEL FUNDING AND OUTLAYS BY ACCOUNT (in millions of dollars)
2015*
2016
2017
Distribution of Program Level Funding by account:
National Cancer Institute
4,953
5,214
5,894
National Heart, Lung, and Blood Institute
2,996
3,114
3,114
National Institute of Dental and Craniofacial Research
398
414
413
National Institute of Diabetes and Digestive and Kidney Diseases
1,899
1,996
1,966
National Institute of Neurological Disorder and Stroke
1,605
1,695
1,695
National Institute of Allergy and Infectious Diseases
4,418
4,716
4,716
National Institute of General Medical Sciences
2,372
2,512
2,512
Eunice Kennedy Shriver National Institute of Child Health and Human Development
1,287
1,338
1,338
National Eye Institute
677
708
708
National Institute of Environmental Health Sciences
745
771
771
National Institute on Aging
1,198
1,598
1,598
National Institute of Arthritis and Musculoskeletal and Skin Diseases
522
542
542
National Institute on Deafness and Other Communication Disorders
405
423
423
National Institute of Nursing Research
141
146
146
National Institute on Alcohol Abuse and Alcoholism
447
467
467
National Institute on Drug Abuse
1,016
1,051
1,051
National Institute of Mental Health
1,434
1,519
1,519
National Human Genome Research Institute
499
513
513
National Institute of Biomedical Imaging and Bioengineering
327
344
344
National Center for Complementary and Integrative Health
124
130
130
National Institute on Minority Health and Health Disparities
271
281
281
John E. Fogarty International Center
68
70
70
National Library of Medicine
337
396
396
National Center for Advancing Translational Sciences
633
685
685
Office of the Director
1,414
1,571
1,716
Buildings and Facilities
129
129
129
Total Program Level, NIH
30,311
32,311
33,136
2015
2016
2017
Distribution of Outlays by account:
National Cancer Institute
4,914
5,083
5,902
National Heart, Lung, and Blood Institute
2,992
2,874
3,076
National Institute of Dental and Craniofacial Research
410
406
409
National Institute of Diabetes and Digestive and Kidney Diseases
1,843
2,084
1,795
National Institute of Neurological Disorders and Stroke
1,569
1,728
1,675
National Institute of Allergy and Infectious Diseases
4,361
3,987
4,625
National Institute of General Medical Sciences
1,592
1,698
1,735
Eunice Kennedy Shriver National Institute of Child Health and Human Development
1,322
1,345
1,325
National Eye Institute
677
660
700
National Institute of Environmental Health Sciences
716
752
699
National Institute on Aging
1,062
1,339
1,508
National Institute of Arthritis and Musculoskeletal and Skin Diseases
516
525
536
National Institute on Deafness and Other Communication Disorders
407
401
419
National Institute of Nursing Research
150
129
144
National Institute on Alcohol Abuse and Alcoholism
467
424
461
National Institute on Drug Abuse
1,030
933
1,038
National Institute of Mental Health
1,415
1,455
1,500
National Human Genome Research Institute
504
545
510
National Institute of Biomedical Imaging and Bioengineering
334
316
338
National Center for Complementary and Integrative Health
125
124
128
National Institute on Minority Health and Health Disparities
255
233
276
John E. Fogarty International Center
65
74
69
National Library of Medicine
393
290
388
National Center for Advancing Translational Sciences
591
570
674
Office of the Director
1,364
1,374
1,517
Buildings and Facilities
99
113
121
Total Outlays, NIH
29,173
29,462
30,835
*In addition, the FY 2015 appropriation (P.L. 113–235) provided NIH $239 million of emergency resources for Ebola response
and preparedness research activities.
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
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
915
969
977
11.3
Other than full-time permanent
463
472
476
11.5
Other personnel compensation
33
36
36
11.7
Military personnel
20
20
20
11.8
Special personal services payments
162
165
166
11.9
Total personnel compensation
1,593
1,662
1,675
12.1
Civilian personnel benefits
452
480
489
12.2
Military personnel benefits
13
14
14
21.0
Travel and transportation of persons
50
51
52
22.0
Transportation of things
5
5
5
23.1
Rental payments to GSA
22
22
23
23.3
Communications, utilities, and miscellaneous charges
25
26
27
24.0
Printing and reproduction
1
1
1
25.1
Advisory and assistance services
120
118
137
25.2
Other services from non-Federal sources
1,026
1,101
1,177
25.3
Other goods and services from Federal sources
2,952
3,069
3,235
25.4
Operation and maintenance of facilities
214
229
240
25.5
Research and development contracts
1,558
1,590
1,701
25.6
Medical care
28
28
28
25.7
Operation and maintenance of equipment
100
101
103
26.0
Supplies and materials
190
198
200
31.0
Equipment
154
162
165
41.0
Grants, subsidies, and contributions
21,289
22,675
21,191
99.0
Direct obligations
29,792
31,532
30,463
99.0
Reimbursable obligations
3,535
3,450
3,651
99.9
Total new obligations
33,327
34,982
34,114
Employment Summary
Identification code 075–9915–0–1–552
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
12,956
13,085
13,085
1101
Direct military average strength employment
185
185
185
2001
Reimbursable civilian full-time equivalent employment
4,577
4,624
4,624
2101
Reimbursable military average strength employment
105
106
106
National Institutes of Health
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–9915–4–1–552
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
National Cancer Institute (0849)
796
0002
National Heart, Lung, and Blood Institute (0872)
44
0003
National Institute of Dental and Craniofacial Research (0873)
9
0004
National Institute of Diabetes and Digestive and Kidney Disease (0884)
30
0005
National Institute of Neurological Disorders and Stroke (0886)
36
0006
National Institute of Allergy and Infectious Diseases (0885)
15
0007
National Institute of General Medical Sciences (0851)
78
0008
National Institute of Child Health and Human Development (0844)
22
0009
National Eye Institute (0887)
21
0010
National Institute of Environmental Health Sciences (0862)
12
0011
National Institute on Aging (0843)
333
0012
National Institute of Arthritis and Musculoskeletal and Skin Disease (0888)
9
0013
National Institute on Deafness and Other Communication Disorder (0890)
7
0014
National Institute of Mental Health (0892)
59
0015
National Institute on Drug Abuse (0893)
30
0016
National Institute on Alcohol Abuse and Alcoholism (0894)
8
0017
National Institute of Nursing Research (0889)
2
0018
National Human Genome Research Institute (0891)
4
0019
National Institute of Biomedical Imaging and Bioengineering (0898)
9
0021
National Center for Complementary and Integrative Health (0896)
1
0022
National Institute on Minority Health and Health Disparities (0897)
3
0023
John E. Fogarty International Center (0819)
1
0024
National Library of Medicine (0807)
1
0025
Office of the Director (0846)
270
0028
National Center for Advancing Translational Sciences (0875)
25
0900
Total new obligations (object class 41.0)
1,825
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
1,900
1220
Appropriations transferred to other acct [075–9911]
–75
1260
Appropriations, mandatory (total)
1,825
1930
Total budgetary resources available
1,825
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
1,825
3020
Outlays (gross)
–547
3050
Unpaid obligations, end of year
1,278
Memorandum (non-add) entries:
3200
Obligated balance, end of year
1,278
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
1,825
Outlays, gross:
4100
Outlays from new mandatory authority
547
4180
Budget authority, net (total)
1,825
4190
Outlays, net (total)
547
10-Year Pediatric Research Initiative Fund
Special and Trust Fund Receipts (in millions of dollars)
Identification code 075–5736–0–2–552
2015 actual
2016 est.
2017 est.
0100
Balance, start of year
38
26
13
Receipts:
Current law:
1140
Transfers from Presidential Election Campaign Fund
1
2000
Total: Balances and receipts
39
26
13
Appropriations:
Current law:
2101
10-Year Pediatric Research Initiative Fund
–13
–13
–13
5099
Balance, end of year
26
13
Program and Financing (in millions of dollars)
Identification code 075–5736–0–2–552
2015 actual
2016 est.
2017 est.
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1101
Appropriation (special or trust fund)
13
13
13
1120
Appropriations transferred to other accts [075–9915]
–13
–13
–13
4180
Budget authority, net (total)
4190
Outlays, net (total)
Substance Abuse and Mental Health Services Administration
Federal Funds
MENTAL HEALTH
For 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, [$1,133,948,000] $1,117,727,000: 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] $31,039,000 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 [2016] 2017: [Provided further, That of the amount appropriated under this heading, $46,887,000 shall be for the National Child Traumatic Stress Initiative
as described in section 582 of the PHS Act:] 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 10 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: Provided further, That of the funds made available under this heading, $15,000,000 shall be to carry out section 224 of the Protecting Access
to Medicare Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 note): Provided further, That up to 10 percent of the amounts made available to carry out the Children's Mental Health Services
program may be used to carry out demonstration grants or contracts for early interventions with persons not more than 25 years
of age at clinical high risk of developing a first episode of psychosis.
SUBSTANCE ABUSE TREATMENT
For 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, [$2,114,224,000] $2,077,148,000: 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: Provided further, That notwithstanding section 508 of the PHS Act, up to 25 percent of the amounts made available to carry
out such section may be used to carry out demonstration grants to provide intensive outpatient services and treatment as well
as any of the services listed in section 508(d).
SUBSTANCE ABUSE PREVENTION
For carrying out titles III and V of the PHS Act with respect to substance abuse prevention, [$211,219,000] $194,680,000: 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 SUPPORT
For 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 ("SAMHSA"), [$174,878,000] $99,228,000: Provided, That in addition to amounts provided herein, [$31,428,000] $56,828,000 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, [2017] 2018: 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 discretionary funds (pursuant to the Balanced Budget and Emergency
Deficit Control Act of 1985) which are appropriated for the current fiscal year for SAMHSA in this Act 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, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–1362–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0006
Mental Health
1,046
1,134
1,118
0007
Substance Abuse Treatment
2,103
2,114
2,077
0008
Substance Abuse Prevention
175
211
195
0009
Health Surveillance and Program Support
149
175
99
0011
Prevention Fund
12
12
28
0100
Total, direct program
3,485
3,646
3,517
0799
Total direct obligations
3,485
3,646
3,517
0802
Reimbursables
109
117
117
0810
Reimbursable: PHS Evaluation
134
134
214
0899
Total reimbursable obligations
243
251
331
0900
Total new obligations
3,728
3,897
3,848
Budgetary resources:
Budget authority:
Appropriations, discretionary:
1100
Appropriation
3,474
3,634
3,489
Appropriations, mandatory:
1221
Appropriations transferred from the Prevention and Public Health Fund [075–0116]
12
12
28
Spending authority from offsetting collections, discretionary:
1700
Collected
148
251
331
1701
Change in uncollected payments, Federal sources
95
1750
Spending auth from offsetting collections, disc (total)
243
251
331
1900
Budget authority (total)
3,729
3,897
3,848
1930
Total budgetary resources available
3,729
3,897
3,848
Memorandum (non-add) entries:
1940
Unobligated balance expiring
–1
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
3,495
3,727
3,563
3010
Obligations incurred, unexpired accounts
3,728
3,897
3,848
3011
Obligations incurred, expired accounts
9
3020
Outlays (gross)
–3,396
–4,061
–3,849
3041
Recoveries of prior year unpaid obligations, expired
–109
3050
Unpaid obligations, end of year
3,727
3,563
3,562
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–155
–126
–126
3070
Change in uncollected pymts, Fed sources, unexpired
–95
3071
Change in uncollected pymts, Fed sources, expired
124
3090
Uncollected pymts, Fed sources, end of year
–126
–126
–126
Memorandum (non-add) entries:
3100
Obligated balance, start of year
3,340
3,601
3,437
3200
Obligated balance, end of year
3,601
3,437
3,436
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
3,717
3,885
3,820
Outlays, gross:
4010
Outlays from new discretionary authority
1,103
1,189
1,163
4011
Outlays from discretionary balances
2,253
2,792
2,667
4020
Outlays, gross (total)
3,356
3,981
3,830
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–255
–249
–329
4033
Non-Federal sources
–2
–2
4040
Offsets against gross budget authority and outlays (total)
–255
–251
–331
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–95
4052
Offsetting collections credited to expired accounts
107
4060
Additional offsets against budget authority only (total)
12
4070
Budget authority, net (discretionary)
3,474
3,634
3,489
4080
Outlays, net (discretionary)
3,101
3,730
3,499
Mandatory:
4090
Budget authority, gross
12
12
28
Outlays, gross:
4100
Outlays from new mandatory authority
4
9
4101
Outlays from mandatory balances
40
76
10
4110
Outlays, gross (total)
40
80
19
4180
Budget authority, net (total)
3,486
3,646
3,517
4190
Outlays, net (total)
3,141
3,810
3,518
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
3,486
3,646
3,517
Outlays
3,141
3,810
3,518
Legislative proposal, subject to PAYGO:
Budget Authority
590
Outlays
183
Total:
Budget Authority
3,486
3,646
4,107
Outlays
3,141
3,810
3,701
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
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
47
51
52
11.3
Other than full-time permanent
3
3
3
11.5
Other personnel compensation
1
1
1
11.7
Military personnel
4
4
4
11.9
Total personnel compensation
55
59
60
12.1
Civilian personnel benefits
15
16
17
12.2
Military personnel benefits
2
2
2
21.0
Travel and transportation of persons
1
1
1
23.1
Rental payments to GSA
10
9
6
23.3
Communications, utilities, and miscellaneous charges
1
1
1
24.0
Printing and reproduction
2
2
1
25.1
Advisory and assistance services
29
37
35
25.2
Other services from non-Federal sources
168
172
143
25.3
Other goods and services from Federal sources
32
35
29
25.4
Operation and maintenance of facilities
2
2
2
26.0
Supplies and materials
2
1
41.0
Grants, subsidies, and contributions
3,166
3,309
3,220
99.0
Direct obligations
3,485
3,646
3,517
99.0
Reimbursable obligations
243
251
331
99.9
Total new obligations
3,728
3,897
3,848
Employment Summary
Identification code 075–1362–0–1–551
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
457
494
494
1101
Direct military average strength employment
38
41
41
2001
Reimbursable civilian full-time equivalent employment
104
114
114
2101
Reimbursable military average strength employment
20
16
16
Substance Abuse and Mental Health Services Administration
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 075–1362–4–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0006
Mental Health
115
0007
Substance Abuse Treatment
475
0100
Total, direct program
590
0799
Total direct obligations
590
0900
Total new obligations (object class 41.0)
590
Budgetary resources:
Budget authority:
Appropriations, mandatory:
1200
Appropriation
590
1930
Total budgetary resources available
590
Change in obligated balance:
Unpaid obligations:
3010
Obligations incurred, unexpired accounts
590
3020
Outlays (gross)
–183
3050
Unpaid obligations, end of year
407
Memorandum (non-add) entries:
3200
Obligated balance, end of year
407
Budget authority and outlays, net:
Mandatory:
4090
Budget authority, gross
590
Outlays, gross:
4100
Outlays from new mandatory authority
183
4180
Budget authority, net (total)
590
4190
Outlays, net (total)
183
Agency for Healthcare Research and Quality
Federal Funds
Healthcare research and quality
For 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, [$334,000,000] $363,698,000, of which $83,458,000 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 [2016] 2017: 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, 2017] expended. (Department of Health and Human Services Appropriations Act, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–1700–0–1–552
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Research on Health Costs, Quality and Outcomes
228
197
141
0002
Medical Expenditure Panel Survey
65
66
69
0003
Program Support
70
71
71
0799
Total direct obligations
363
334
281
0803
Research on Health Costs, Quality and Outcomes
18
18
102
0805
Program Support
1
0899
Total reimbursable obligations
19
18
102
0900
Total new obligations
382
352
383
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
18
16
13
1021
Recoveries of prior year unpaid obligations
2
1050
Unobligated balance (total)
20
16
13
Budget authority:
Appropriations, discretionary:
1100
Appropriation
364
334
280
Spending authority from offsetting collections, discretionary:
1700
Collected
1
15
15
1700
Collected
83
1701
Change in uncollected payments, Federal sources
13
1750
Spending auth from offsetting collections, disc (total)
14
15
98
1900
Budget authority (total)
378
349
378
1930
Total budgetary resources available
398
365
391
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
16
13
8
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
417
392
534
3010
Obligations incurred, unexpired accounts
382
352
383
3011
Obligations incurred, expired accounts
1
3020
Outlays (gross)
–375
–210
–492
3040
Recoveries of prior year unpaid obligations, unexpired
–2
3041
Recoveries of prior year unpaid obligations, expired
–31
3050
Unpaid obligations, end of year
392
534
425
Uncollected payments:
3060
Uncollected pymts, Fed sources, brought forward, Oct 1
–361
–156
–156
3070
Change in uncollected pymts, Fed sources, unexpired
–13
3071
Change in uncollected pymts, Fed sources, expired
218
3090
Uncollected pymts, Fed sources, end of year
–156
–156
–156
Memorandum (non-add) entries:
3100
Obligated balance, start of year
56
236
378
3200
Obligated balance, end of year
236
378
269
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
378
349
378
Outlays, gross:
4010
Outlays from new discretionary authority
136
132
196
4011
Outlays from discretionary balances
233
76
296
4020
Outlays, gross (total)
369
208
492
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030
Federal sources
–200
–15
–98
4040
Offsets against gross budget authority and outlays (total)
–200
–15
–98
Additional offsets against gross budget authority only:
4050
Change in uncollected pymts, Fed sources, unexpired
–13
4052
Offsetting collections credited to expired accounts
199
4060
Additional offsets against budget authority only (total)
186
4070
Budget authority, net (discretionary)
364
334
280
4080
Outlays, net (discretionary)
169
193
394
Mandatory:
Outlays, gross:
4101
Outlays from mandatory balances
6
2
4180
Budget authority, net (total)
364
334
280
4190
Outlays, net (total)
175
195
394
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
2015 actual
2016 est.
2017 est.
Direct obligations:
Personnel compensation:
11.1
Full-time permanent
31
33
33
11.3
Other than full-time permanent
3
3
3
11.5
Other personnel compensation
1
1
11.7
Military personnel
1
1
1
11.9
Total personnel compensation
36
37
38
12.1
Civilian personnel benefits
10
10
10
12.2
Military personnel benefits
1
1
1
23.1
Rental payments to GSA
5
4
4
23.3
Communications, utilities, and miscellaneous charges
1
1
1
24.0
Printing and reproduction
1
1
25.2
Other services from non-Federal sources
13
14
15
25.3
Other goods and services from Federal sources
19
20
20
25.5
Research and development contracts
158
129
92
31.0
Equipment
2
2
2
41.0
Grants, subsidies, and contributions
117
114
98
99.0
Direct obligations
363
333
281
99.0
Reimbursable obligations
19
19
102
99.9
Total new obligations
382
352
383
Employment Summary
Identification code 075–1700–0–1–552
2015 actual
2016 est.
2017 est.
1001
Direct civilian full-time equivalent employment
281
294
294
1101
Direct military average strength employment
6
6
6
2001
Reimbursable civilian full-time equivalent employment
5
6
6
3001
Allocation account civilian full-time equivalent employment
10
25
25
Centers for Medicare and Medicaid Services
Federal Funds
Grants to states for medicaid
For carrying out, except as otherwise provided, titles XI and XIX of the Social Security Act, [$243,545,410,000] $262,003,967,000, to remain available until expended.
[For making,] In addition, for carrying out such titles after May 31, [2016, 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] 2017 for the last quarter of fiscal year [2016] 2017 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 [2017] 2018, [$115,582,502,000] $125,219,452,000, 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, 2016.)
Program and Financing (in millions of dollars)
Identification code 075–0512–0–1–551
2015 actual
2016 est.
2017 est.
Obligations by program activity:
0001
Medicaid vendor payments
354,018
345,718
354,224
0002
State and local administration
20,284
18,870
18,976
0003
Vaccines for Children
3,845
4,161
4,386
0799
Total direct obligations
378,147
368,749
377,586
0801
Medicare Part B premiums
749
869
954
0802
Medicare Part D
3
3
0899
Total reimbursable obligations
749
872
957
0900
Total new obligations
378,896
369,621
378,543
Budgetary resources:
Unobligated balance:
1000
Unobligated balance brought forward, Oct 1
1,407
343
1021
Recoveries of prior year unpaid obligations
22,150
1050
Unobligated balance (total)
23,557
343
Budget authority:
Appropriations, discretionary:
1100
Appropriation
4
Appropriations, mandatory:
1200
Appropriation Medicaid
251,444
255,134
262,000
Advance appropriations, mandatory:
1270
Advance appropriation
103,472
113,272
115,582
Spending authority from offsetting collections, mandatory:
1800
Collected
766
872
957
1900
Budget authority (total)
355,682
369,278
378,543
1930
Total budgetary resources available
379,239
369,621
378,543
Memorandum (non-add) entries:
1941
Unexpired unobligated balance, end of year
343
Change in obligated balance:
Unpaid obligations:
3000
Unpaid obligations, brought forward, Oct 1
36,003
42,221
43,741
3010
Obligations incurred, unexpired accounts
378,896
369,621
378,543
3020
Outlays (gross)
–350,528
–368,101
–377,547
3040
Recoveries of prior year unpaid obligations, unexpired
–22,150
3050
Unpaid obligations, end of year
42,221
43,741
44,737
Memorandum (non-add) entries:
3100
Obligated balance, start of year
36,003
42,221
43,741
3200
Obligated balance, end of year
42,221
43,741
44,737
Budget authority and outlays, net:
Discretionary:
4000
Budget authority, gross
4
Outlays, gross:
4010
Outlays from new discretionary authority
4
Mandatory:
4090
Budget authority, gross
355,682
369,278
378,539
Outlays, gross:
4100
Outlays from new mandatory authority
316,021
327,399
377,543
4101
Outlays from mandatory balances
34,507
40,702
4110
Outlays, gross (total)
350,528
368,101
377,543
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4120
Federal sources
–749
–872
–957
4123
Non-Federal sources
–17
4130
Offsets against gross budget authority and outlays (total)
–766
–872
–957
4160
Budget authority, net (mandatory)
354,916
368,406
377,582
4170
Outlays, net (mandatory)
349,762
367,229
376,586
4180
Budget authority, net (total)
354,916
368,406
377,586
4190
Outlays, net (total)
349,762
367,229
376,590
Summary of Budget Authority and Outlays (in millions of dollars)
2015 actual
2016 est.
2017 est.
Enacted/requested:
Budget Authority
354,916
368,406
377,586
Outlays
349,762
367,229
376,590
Amounts included in the adjusted baseline:
Budget Authority
–14
Outlays
–14
Legislative proposal, not subject to PAYGO:
Budget Authority
28
Outlays
28
Legislative proposal, subject to PAYGO:
Budget Authority
8,982
Outlays
8,982
Total:
Budget Authority
354,916
368,406
386,582
Outlays
349,762
367,229
385,586
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
2015
2016
2017
Vaccine Purchase
3,558
3,973
4,072
Vaccine Stockpile
122
9
131
Ordering, Distribution, and Operations
127
131
134
Vaccine Management Contract Support
0
0
0
Evaluation Activities
44
48
50