[House Document 109-123]
[From the U.S. Government Publishing Office]



                                     

109th Congress, 2d Session - - - - - - - - - - - - House Document 109-123

 
                 REQUEST FOR FY 2007 BUDGET AMENDMENTS

                               __________

                             COMMUNICATION

                                  from

                   THE PRESIDENT OF THE UNITED STATES

                              transmitting

 A REQUEST FOR FY 2007 BUDGET AMENDMENTS FOR THE DEPARTMENT OF HEALTH 
                           AND HUMAN SERVICES




July 18, 2006.--Referred to the Committee on Appropriations and ordered 
                             to be printed
                                           The White House,
                                         Washington, July 18, 2006.
Hon. J. Dennis Hastert,
Speaker of the House of Representatives,
Washington, DC.
    Dear Mr. Speaker: I ask the Congress to consider the 
enclosed FY 2007 Budget amendments for the Department of Health 
and Human Services to enhance the preparedness and response 
capabilities of the agency based primarily on the findings of 
the Federal Response to Hurricane Katrina: Lessons Learned 
report of February 2006. The total discretionary budget 
authority in my FY 2007 Budget would not be increased by these 
requests.
    The details of this proposal are set forth in the enclosed 
letter from the Director of the Office of Management and 
Budget.
            Sincerely,
                                                    George W. Bush.
                [Estimate No. 9, 109th Congr., 2d Sess.]

                 Executive Office of the President,
                           Office of Management and Budget,
                                     Washington, DC, July 17, 2006.
The President,
The White House.
    Submitted for your consideration are FY 2007 Budget 
amendments for the Department of Health and Human Services. 
These amendments propose an increase in funding for the Office 
of Public Health and Emergency Preparedness, the Office of the 
National Coordinator for Health Information Technology, and the 
Commissioned Corps to strengthen the Department's preparedness 
and response capabilities, based on the findings of the Federal 
Response to Hurricane Katrina: Lessons Learned report of 
February 2006. The proposal also includes funding to strengthen 
the management of the bioterrorism countermeasure acquisition 
program.
    This request would be fully offset by proposed reductions 
to accounts within the agency. Overall, the total discretionary 
budget authority proposed in your Budget would not be increased 
by these amendments.
    I have reviewed these proposals and am satisfied that they 
are necessary at this time. Therefore, I join the Secretary of 
Health and Human Services in recommending that you transmit 
this request to the Congress.
            Sincerely,
                                                       Rob Portman.
    Enclosures.
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


                        Departmental Management


            PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

FY 2007 Budget Appendix Page: 465
FY 2007 Pending Request: $160,475,000
Proposed Amendment: $57,938,000
Revised Request: $218,413,000

    (In the appropriations language under the above heading, 
delete ``$160,475,000'' and substitute $218,413,000, of which 
not to exceed $22,338,000 may be available, notwithstanding 
clause (ii) of section 319F-2(c)(7)(B) of the Public Health 
Service Act, until September 30, 2008 to pay the costs 
described in such clause.) 
    This amendment would increase new budget authority by $57.9 
million for the Office of Public Health and Emergency 
Preparedness in the Public Health and Social Services Emergency 
Fund. This proposed funding, taken together with $6.8 million 
redirected from resources within the account, would provide a 
total of $64.7 million for improvements to strengthen 
preparedness and response based on the findings of the Federal 
Response to Hurricane Katrina: Lessons Learned report of 
February 2006.
    The requested amount also includes a $22.3 million increase 
to Project BioShield administrative funding. Of this amount, 
$11.3 million was proposed in the FY 2007 Budget to be funded 
in the Strategic National Stockpile account within the Centers 
for Disease Control and Prevention to administer Project 
BioShield.
    Overall, this amendment would be fully offset by proposed 
reductions to other accounts within the Department of Health 
and Human Services, as described in accompanying amendments.
    This proposal would increase FY 2007 outlays by $6.0 
million.
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


                        Departmental Management


                    GENERAL DEPARTMENTAL MANAGEMENT

FY 2007 Budget Appendix Page: 462-463
FY 2007 Pending Request: $362,568,000
Proposed Amendment: $13,512,000
Revised Request: $376,080,000

    This amendment would increase by $13.5 million the amount 
requested for the Commissioned Corps in General Departmental 
Management, for a total of $27.6 million. This funding would be 
used to create and equip two dedicated, full time health and 
medical response teams consistent with the findings of the 
Federal Response to Hurricane Katrina: Lessons Learned report 
of February 2006.
    The requested increase would be fully offset by proposed 
reductions to other accounts within the Department of Health 
and Human Services, as described in accompanying amendments. 
This proposal would increase FY 2007 outlays by $12.0 million.
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


                        Departmental Management


  OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY

FY 2007 Budget Appendix Page: 464
FY 2007 Pending Request: $87,872,000
Proposed Amendment: $2,000,000
Revised Request: $89,872,000

    This amendment would increase the Office of the National 
Coordinator for Health Information Technology by $2.0 million 
for standards development and testing of a medical disaster 
response Electronic Health Record in coordination with the 
Office of Public Health and Emergency Preparedness and other 
entities, as needed.
    The requested increase would be fully offset by proposed 
reductions to other accounts within the Department of Health 
and Human Services, as described in accompanying amendments.
    This amendment would increase FY 2007 outlays by $1.0 
million.
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


               Centers for Disease Control and Prevention


                DISEASE CONTROL, RESEARCH, AND TRAINING

FY 2007 Budget Appendix Page: 433
FY 2007 Pending Request: $5,833,952,000
Proposed Amendment: -$50,747,000
Revised Request: $5,783,205,000

    (In the appropriations language under the above heading, 
delete ``$5,833,952,000'' and substitute $5,783,205,000; and 
delete ``$592,648,000'' and substitute $581,335,000.)
    This amendment would decrease the pending request by $50.7 
million. This includes a reduction of $39.4 million for 
Upgrading State and Local Capacity and a reduction of $11.3 
million for the Strategic National Stockpile to administer 
Project BioShield under Section 319F-2(c)(7)(B)(ii) of the 
Public Health Service Act that is now proposed to be funded out 
of the Public Health and Social Services Emergency Fund.
    This amendment would partially offset proposed increases to 
the Public Health and Social Services Emergency Fund, the 
Office of the National Coordinator for Health Information 
Technology, and the General Departmental Management account 
within the Department of Health and Human Services, as 
described in accompanying amendments.
    The amendment would decrease FY 2007 outlays by $1.0 
million.
                DEPARTMENT OF HEALTH AND HUMAN SERVICES


              Health Resources and Services Administration


                     HEALTH RESOURCES AND SERVICES

FY 2007 Budget Appendix Page: 423-424
FY 2007 Pending Request: $6,308,855,000
Proposed Amendment: -$22,703,000
Revised Request: $6,286,152,000

    This proposal would decrease by $22.7 million the pending 
request for Bioterrorism Hospital Preparedness within the 
Health Resources and Services account. This request would 
partially offset proposed increases for preparedness 
improvement activities in the Public Health and Social Services 
Emergency Fund, the Office of the National Coordinator for 
Health Information Technology, and the General Departmental 
Management account within the Department of Health and Human 
Services, as described in accompanying amendments.
    This amendment would decrease FY 2007 outlays by $1.0 
million.

                                  
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