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DEPARTMENT OF HEALTH AND HUMAN SERVICES
24.40

FOOD AND DRUG ADMINISTRATION

Unobligated balance available, end of year:
Uninvested balance ...................................................

67

38

38

882

878

878

91

108

113

Total new budget authority (gross) ..........................

973

986

991

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

281
961
–951
–11

Federal Funds
General and special funds:
SALARIES

AND

EXPENSES

For necessary expenses of the Food and Drug Administration, including hire and purchase of passenger motor vehicles; for rental
of special purpose space in the District of Columbia or elsewhere;
and 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;
ø$904,694,000¿ $911,284,000, of which not to exceed ø$84,723,000¿
$87,528,000 in fees pursuant to section 736 of the Federal Food,
Drug, and Cosmetic Act may be credited to this appropriation and
remain available until expended: Provided, That fees derived from
applications received during fiscal year ø1996¿ 1997 shall be subject
to the fiscal year ø1996¿ 1997 limitationø: 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¿.
In addition, fees pursuant to section 354 of the Public Health Service Act may be credited to this account, to remain available until
expended.
BUILDINGS

AND

70.00

72.40

279
305
1,015
991
–985
–994
–6 ...................

279

305

302

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

686
174
91

685
192
108

685
196
113

87.00

Total outlays (gross) .................................................

951

985

994

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.40
Non-Federal sources .............................................

–17
–74

–10
–98

–12
–101

88.90

Total, offsetting collections (cash) ..................

–91

–108

–113

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

882
860

878
877

878
881

FACILITIES

For plans, construction, repair, improvement, extension, alteration,
and purchase of fixed equipment or facilities of or used by the Food
and Drug Administration, where not otherwise provided,
ø$12,150,000¿ $8,350,000, to remain available until expended (7
U.S.C. 2209b).
RENTAL PAYMENTS (FDA)
(INCLUDING TRANSFERS OF FUNDS)

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, $46,294,000: Provided, That
in the event the Food and Drug Administration should require modification of space needs, a share of the salaries and expenses appropriation may be transferred to this appropriation, or a share of this
appropriation may be transferred to the salaries and expenses appropriation, but such transfers shall not exceed 5 percent of the funds
made available for rental payments (FDA) to or from this account.
(Agriculture, Rural Development, Food and Drug Administration, and
Related Agencies Appropriations Act, 1996.)
Program and Financing (in millions of dollars)
Identification code 75–9911–0–1–554

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Direct program:
00.01
Foods .........................................................................
00.02
Drugs .........................................................................
00.03
Devices and radiological products ............................
00.04
National center for toxicological research ................
00.05
Program management ...............................................
00.06
Rental payments .......................................................
00.07
Buildings and facilities .............................................
00.08
CRADAs ......................................................................
00.09
Contingency Fund ......................................................

216
222
225
364
362
362
157
157
157
38
38
38
42
42
42
46
46
46
5
40
8
1 ................... ...................
1 ................... ...................

00.91
01.01

Total direct program .............................................
Reimbursable program ..................................................

870
91

907
108

878
113

10.00

Total obligations ........................................................

961

1,015

991

Budgetary resources available for obligation:
21.40 Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

54
973

67
986

38
991

1,027
–961

1,053
–1,015

1,029
–991

23.90
23.95

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

Total budgetary resources available for obligation
New obligations .............................................................

[In millions of dollars]

1995

Distribution of budget authority by account:
Salaries and expenses ............................................................
Rental payments (FDA) ...........................................................
Buildings and facilities ..........................................................
Distribution of outlays by account:
Salaries and expenses ............................................................
Rental payments (FDA) ...........................................................
Buildings and facilities ..........................................................

1996

1997

818
46
18

820
46
12

824
46
8

806
37
17

808
46
23

820
46
15

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
1995 actual
1996 est.
1997 est.
Budget Authority .....................................................................
882
878
878
Outlays ....................................................................................
860
877
881
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

882
860

878
877

878
881

The Food and Drug Administration (FDA) administers laws
concerning misbranded and adulterated foods, drugs, human
biologics, medical devices, cosmetics, and man-made sources
of radiation. The buildings and facilities appropriation provides funds for projects related to the repair, construction,
alteration, and improvement of all buildings and facilities
of FDA.
471

472

FOOD AND DRUG ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
87.00

RENTAL PAYMENTS (FDA)—Continued
(INCLUDING TRANSFERS OF FUNDS)—Continued

Object Classification (in millions of dollars)
1995 actual

Identification code 75–9911–0–1–554

11.1
11.3
11.5
11.9
12.1
21.0
22.0
23.1
23.2
23.3
24.0
25.1
25.2
25.3
25.4
25.5
25.7
26.0
31.0
32.0
41.0
42.0

1996 est.

Total outlays (gross) ................................................. ................... ...................

39

Offsets:
Against gross budget authority and outlays:
88.40
Offsetting collections (cash) from: Non-Federal
sources .................................................................. ................... ...................

General and special funds—Continued

–39

1997 est.

89.00
90.00

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

402
28
15

417
29
15

427
29
16

Total personnel compensation .........................
445
Civilian personnel benefits .......................................
95
Travel and transportation of persons .......................
18
Transportation of things ...........................................
1
Rental payments to GSA ...........................................
42
Rental payments to others ........................................
7
Communications, utilities, and miscellaneous
charges .................................................................
26
Printing and reproduction .........................................
3
Advisory and assistance services .............................
6
Other services ............................................................
19
Purchases of goods and services from Government
accounts ................................................................
39
Operation and maintenance of facilities ..................
19
Research and development contracts .......................
37
Operation and maintenance of equipment ...............
30
Supplies and materials .............................................
22
Equipment .................................................................
39
Land and structures .................................................. ...................
Grants, subsidies, and contributions ........................
20
Insurance claims and indemnities ...........................
2

461
99
17
1
42
6

472
101
17
1
42
5

24
3
7
36

24
3
6
19

40
37
18
18
34
33
31
28
20
20
37
33
10 ...................
19
18
2
1

99.0
99.0

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

870
91

907
108

878
113

99.9

Total obligations ........................................................

961

1,015

991

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ........................................................................... ................... ................... ...................

Object Classification (in millions of dollars)
1995 actual

Identification code 75–9911–2–1–554

99.0
99.9

1996 est.

1997 est.

Reimbursable obligations: Subtotal, reimbursable obligations ....................................................................... ................... ...................

39

Total obligations ........................................................ ................... ...................

39

Personnel Summary
1995 actual

Identification code 75–9911–2–1–554

2001

1996 est.

1997 est.

Total compensable workyears: Full-time equivalent
employment ............................................................... ................... ...................

109

Public enterprise funds:
REVOLVING FUND

FOR

CERTIFICATION

AND

OTHER SERVICES

Program and Financing (in millions of dollars)
Identification code 75–4309–0–3–554

1995 actual

1996 est.

1997 est.

1995 actual

Identification code 75–9911–0–1–554

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................

SALARIES

AND

1996 est.

3
1

4
1

4
1

10.00

Personnel Summary

Obligations by program activity:
Operating expenses:
00.01
Color additives ..........................................................
00.02
Insulin ........................................................................
Total obligations ........................................................

4

5

5

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New budget authority (gross) ........................................

2
5

3
5

3
5

7
–4

8
–5

8
–5

3

3

2

5

5

5

1
4
–3

1
5
–4

2
5
–4

1

2

3

1997 est.

21.90
8,721
87

8,690
87

8,487
87

481

532

626

EXPENSES

23.90
23.95
24.90

68.00

(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
Identification code 75–9911–2–1–554

1995 actual

1996 est.

1997 est.

15
24

10.00

39

68.00

73.10
73.20

New budget authority (gross), detail:
Spending authority from offsetting collections (gross):
Offsetting collections (cash) .....................................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Fund balance .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.90 Unpaid obligations, end of year: Obligated balance:
Fund balance: Uninvested balance ...........................
72.90

Obligations by program activity:
Direct program:
00.01
Foods ......................................................................... ................... ...................
00.02
Devices and radiological products ............................ ................... ...................

22.00
23.95

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................

Total obligations ........................................................ ................... ...................

39
–39

New budget authority (gross), detail:
Spending authority from offsetting collections (gross):
Offsetting collections (cash) ..................................... ................... ...................

Outlays (gross), detail:
Outlays from new permanent authority .........................

3

3

4

87.00

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ................... ...................
New obligations ............................................................. ................... ...................

86.97

Total outlays (gross) .................................................

3

4

4

Offsets:
Against gross budget authority and outlays:
88.40
Offsetting collections (cash) from: Non-Federal
sources ..................................................................

–5

–5

–5

39

Change in unpaid obligations:
New obligations ............................................................. ................... ...................
Total outlays (gross) ...................................................... ................... ...................

Outlays (gross), detail:
86.97 Outlays from new permanent authority ......................... ................... ...................

39
–39

39

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ...........................................................................
–2
–1
–1

FDA certifies batches of insulin and color additives for use
in foods, drugs, and cosmetics. It also lists color additives
for use in foods, drugs, medical devices, and cosmetics (21

HEALTH RESOURCES AND SERVICES ADMINISTRATION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Object Classification (in millions of dollars)
1995 actual

Identification code 75–4309–0–3–554

11.1
12.1
23.1
31.0
99.0
99.9

1996 est.

Personnel compensation: Full-time permanent .............
2
Civilian personnel benefits ............................................
1
Rental payments to GSA ................................................
1
Equipment ...................................................................... ...................
Subtotal, reimbursable obligations ...............................
4
Total obligations ........................................................

1997 est.

2
1
1
1
5
5

4

2
1
1
1
5
5

Personnel Summary
1995 actual

Identification code 75–4309–0–3–554

2001

Total compensable workyears: Full-time equivalent
employment ...............................................................

40

1996 est.

42

1997 est.

42

HEALTH RESOURCES AND SERVICES
ADMINISTRATION
Federal Funds

65
65
9
...................
4
5
4

...................
...................
...................
...................
...................
4
...................

...................
...................
...................
8
...................
...................
...................

00.12
00.13
00.14
00.15
00.16
00.17
00.18
00.19
00.20
00.21
00.23
00.24
00.25
00.26
00.27
00.28
00.29
00.30
00.31
00.33
00.34
00.35

Migrant health centers ..............................................
Health care for the homeless ...................................
Public housing health services .................................
Programs for special populations .............................
Black lung clinics .....................................................
Alzheimer’s demonstration grants ............................
Native Hawaiian health care ....................................
Payment to Hawaii for the treatment of Hansen’s
disease ..................................................................
Hansen’s disease center ...........................................
Health professions clusters .......................................
Health professions curriculum assistance ................
National Health Service Corps ..................................
National Health Service Corps recruitment ..............
Nursing loan repayment ............................................
Maternal and child health block grant ....................
Healthy start ..............................................................
Emergency medical services cluster .........................
Pediatric emergency medical services ......................
Bone marrow donor program ....................................
Health care facilities .................................................
Organ transplantation ...............................................
Family planning .........................................................
Buildings and facilities .............................................
Program management ...............................................
Rural health research ...............................................
Rural health cluster ..................................................
Health services outreach demonstration ..................
HIV .............................................................................
Malpractice claims fund ...........................................
Other HRSA activities ................................................

3
21
...................
278
42
78
2
684
104
...................
10
...................
10
3
193
1
121
9
...................
26
656
...................
2

...................
16
...................
278
39
78
...................
684
50
...................
10
15
...................
2
193
1
112
...................
...................
26
663
1
...................

...................
16
366
...................
...................
...................
...................
681
75
9
...................
15
...................
2
198
1
113
8
30
...................
831
6
1

00.91
01.01

U.S.C. 346a, 356, 357, 376). These services are financed wholly by fees paid by the industries affected.

00.03
00.04
00.05
00.06
00.07
00.09
00.10
00.11

473

Total direct program .............................................
Reimbursable obligations (Cash) ..................................

3,008
151

2,928
156

3,119
65

10.00

Total obligations ........................................................

3,159

3,084

3,184

General and special funds:
HEALTH RESOURCES

AND

SERVICES

For carrying out titles II, III, VII, VIII, X, XII, XIX, and XXVI
of the Public Health Service Act, section 427(a) of the Federal Coal
Mine Health and Safety Act, title V of the Social Security Act, the
Health Care Quality Improvement Act of 1986, as amended, Public
Law 101–527, and the Native Hawaiian Health Care Act of 1988,
as amended, $3,113,483,000, of which $297,000 shall remain available
until expended for interest subsidies on loan guarantees made prior
to fiscal year 1981 under part B of title VII of the Public Health
Service Act, and of which $52,000,000 shall be used only for State
AIDS Drug Assistance Programs authorized by section 2616 of the
Public Health Service Act and shall be distributed to States as authorized by section 2618(b)(2) of such Act: Provided, That when the Department of Health and Human Services administers or operates an
employee health program for any Federal department or agency, payment for the full estimated cost shall be made by way of reimbursement or in advance to this appropriation: Provided further, That
of the funds made available under this heading, $828,000 shall be
available until expended for facilities renovations at the Gillis W.
Long Hansen’s Disease Center: Provided further, That in addition
to fees authorized by section 427(b) of the Health Care Quality Improvement Act, fees shall be collected for the full disclosure of information under the Act sufficient to recover the full costs of operating
the National Practitioner Data Bank, and shall remain available until
expended to carry out that Act: Provided further, That no more than
$5,000,000 is available for carrying out the provisions of Public Law
104–73: Provided further, That funds made available for activities
authorized by part A of title XXVI of the Public Health Service Act
are available only for those metropolitan areas previously funded in
FY 1996 or with a cumulative total of more than 2,000 cases of
AIDS, as reported to the Centers for Disease Control and Prevention
as of March 31, 1996, and have a population of 500,000 or more:
Provided further, the Secretary shall use amounts available for section
2603(b) of the Public Health Service Act as necessary to ensure that
FY 1997 grant awards made under section 2603(a) of such Act to
eligible areas that received such grants in FY 1996 are not less than
the FY 1996 level.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–0350–0–1–550

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Direct program:
00.01
Consolidated health centers ..................................... ...................
756
759
00.02
Community health centers ........................................
613 ................... ...................

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................
21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

Total new budget authority (gross) ..........................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

17
22
19
3,164
3,081
3,175
–1 ................... ...................
3,180
–3,159

3,103
–3,084

3,194
–3,184

22

19

10

3,011

2,927

3,113

153

154

62

3,164

3,081

3,175

72.40

2,512
3,053
3,233
3,159
3,084
3,184
–2,605
–2,904
–2,980
–12 ................... ...................
3,053

3,233

3,437

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

1,093
1,359
153

1,116
1,634
154

1,186
1,732
62

87.00

Total outlays (gross) .................................................

2,605

2,904

2,980

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.40
Non-Federal sources .............................................

–142
–11

–146
–8

–56
–6

88.90

Total, offsetting collections (cash) ..................

–153

–154

–62

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

3,011
2,452

2,927
2,750

3,113
2,918

474

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
33.0
41.0
42.0

General and special funds—Continued
HEALTH RESOURCES

AND

SERVICES—Continued

[Dollars in millions]

1995

Distribution of budget authority by account:
Health resources and services ...............................................
Health centers malpractice claims ........................................
Distribution of outlays by account:
Health resources and services ...............................................
Health centers malpractice claims ........................................

1996

Investments and loans ..............................................
8
Grants, subsidies, and contributions ........................
2,766
Insurance claims and indemnities ........................... ...................

2,927
0

3,113
0

2,452
0

2,749
1

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

3,008
151

2,928
156

3,119
65

99.9

Total obligations ........................................................

3,159

3,084

3,184

2,912
6

Personnel Summary
Identification code 75–0350–0–1–550

Summary of Budget Authority and Outlays
[In millions of dollars]

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

1996 est.

2,927
2,750

1997 est.

3,113
2,918

153 ....................
50
58

3,011
2,452

3,080
2,800

Cumulative balance of direct loans outstanding:
Outstanding, start of year .............................................
Disbursements: Direct loan disbursements ...................
Repayments: Repayments and prepayments .................
Write-offs for default:
1263
Direct loans ...............................................................
1264
Other adjustments, net .............................................

1210
1231
1251

1290

Outstanding, end of year ..........................................

1995 actual

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
1011
Exempt Full-time equivalent employment .................
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................

3,113
2,976

1995 actual

1996 est.

1997 est.

1,655
10
170

1,650
10
168

1,650
10
168

289

335

205

VACCINE INJURY COMPENSATION
For payment of claims resolved by the United States Court of Federal Claims related to the administration of vaccines before October
1, 1988, $110,000,000, to remain available until expended.

Status of Direct Loans (in millions of dollars)
Identification code 75–0350–0–1–550

8
2,874
6

99.0
99.0

1997

3,006
5

Enacted/requested:
1995 actual
Budget Authority .....................................................................
3,011
Outlays ....................................................................................
2,452
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................

8
2,690
1

1996 est.

531
17
–15

797
17
–14

1997 est.

800
18
–14

–2 ................... ...................
266 ................... ...................
797

800

Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–0320–0–1–551

1995 actual

1996 est.

1997 est.

Status of Guaranteed Loans (in millions of dollars)

Obligations by program activity:
Total obligations (object class 42.0) ............................

67

110

110

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

804

26
110

69
110

69
110

136
–67

179
–110

179
–110

69

69

69

110

110

110

4
67
–68

2
110
–68

45
110
–68

2

45

87

10.00

21.40

Identification code 75–0350–0–1–550

1995 actual

1996 est.

1997 est.

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year .............................................
2251 Repayments and prepayments ......................................

13
–2

11
–1

10
–1

2290

Outstanding, end of year ..........................................

11

10

9

2299

Memorandum:
Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

11

10

9

Activities displayed here support categorical health resources and services grants and the Medical Malpractice
Claims Fund, which pays malpractice claims filed against
employees of federally-supported health centers.

23.90
23.95
24.40

40.05

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................
New budget authority (gross), detail:
Appropriation (indefinite) ...............................................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
72.40

Object Classification (in millions of dollars)
Identification code 75–0350–0–1–550

11.1
11.3
11.5
11.9
12.1
13.0
21.0
22.0
23.1
23.3
24.0
25.1
25.2
25.3
26.0
31.0

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................
Total personnel compensation .........................
Civilian personnel benefits .......................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Supplies and materials .............................................
Equipment .................................................................

1995 actual

1996 est.

1997 est.

89
2
4

86
2
3

91
2
3

95
23
3
2
1
9

91
23
1
2
1
9

96
24
1
2
1
9

4
1
24
29

4
1
27
25

4
1
25
25

36
3
4

42
2
1

36
3
4

86.90
86.93

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................

87.00

Total outlays (gross) .................................................

68

68

68

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

110
68

110
68

110
68

38 ................... ...................
30
68
68

The Vaccine Improvement 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. Payment of claims associated
with vaccine related injury or death occurring after October
1, 1988 are reflected in the Vaccine Improvement Trust Fund
account.

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Credit accounts:
HEALTH PROFESSIONS GRADUATE STUDENT LOAN INSURANCE
PROGRAM ACCOUNT
For the cost of guaranteed loans, such sums as may be necessary
to carry out the purpose of the program, as authorized by title VII
of the Public Health Service Act, as amended: Provided, That such
costs, including the cost of modifying such loans, shall be as defined
in section 502 of the Congressional Budget Act of 1974: Provided
further, That these funds are available to subsidize gross obligations
for the total loan principal any part of which is to be guaranteed
at not to exceed $140,000,000. In addition, for administrative expenses
to carry out the guaranteed loan program, $2,695,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Identification code 75–0340–0–1–552

1995 actual

1996 est.

students to help pay for the costs of their training. As required by the Federal Credit Reform Act of 1990, this account
records, for the HEAL program, the subsidy costs associated
with HEAL loan guarantees committed in 1992 and beyond
(including modifications of HEAL loan guarantees that resulted from obligations or commitments in any year), as well
as administrative expenses of the program. The subsidy
amounts are estimated on a present value basis; the administrative expenses are estimated on a cash basis.
Object Classification (in millions of dollars)

1997 est.

00.02
00.09

Obligations by program activity:
Guaranteed loan subsidy ...............................................
Administrative expenses subject to limitation ..............

22
4

10.00

Total obligations ........................................................

26

5

11.1
25.2
41.0
99.5

Personnel compensation: Full-time permanent .............
Other services ................................................................
Grants, subsidies, and contributions ............................
Below reporting threshold ..............................................
Total obligations ........................................................

1 ...................
4
4

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

1995 actual

Identification code 75–0340–0–1–552

99.9

Program and Financing (in millions of dollars)

4

26
–26

5
–5

4
–4

3

3

3

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
60.05
Appropriation (indefinite) ..........................................
62.00
Transferred from other accounts ..............................

22
1

Appropriation (total) .............................................

23

2

1

70.00

Total new budget authority (gross) ..........................

26

5

1996 est.

1997 est.

1
2
2
2
2
2
22
1 ...................
1 ................... ...................
26

5

4

Personnel Summary
Identification code 75–0340–0–1–552

Total compensable workyears:
1001 Full-time equivalent employment ..................................
1011 Exempt Full-time equivalent employment .....................

1 ...................
1
1

63.00

475

1995 actual

18
5

1996 est.

1997 est.

25
7

25
7

4

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

HEALTH PROFESSIONS GRADUATE STUDENT LOAN GUARANTEED
LOAN FINANCING ACCOUNT
Program and Financing (in millions of dollars)
Identification code 75–4304–0–3–552

1 ...................
5
4
–5
–4

1 ................... ...................

Outlays (gross), detail:
86.90 Outlays from new current authority ..............................
86.97 Outlays from new permanent authority .........................

3
23

3
1

3
1

87.00

25

5

Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

26
25

5
5

4
4

1997 est.

2

3

7

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New financing authority (gross) ....................................

153
52

202
31

230
28

205
–2

233
–3

258
–7

202

230

251

–1

–1

–1

52

31

28

21.90

23.90
23.95
24.90

4

Total outlays (gross) .................................................

1996 est.

Obligations by program activity:
Total obligations ............................................................

10.00
1
26
–25

1995 actual

61.00
68.00

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................
New financing authority (gross), detail:
Transferred to other accounts .......................................
Spending authority from offsetting collections: Offsetting collections (cash) ..............................................

70.00

Total new financing authority (gross) ......................

52

31

28

73.10
73.20

Change in unpaid obligations:
New obligations .............................................................
Total financing disbursements (gross) .........................

2
–2

3
–3

7
–7

87.00

Outlays (gross), detail:
Total financing disbursements (gross) .........................

2

3

7

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
millions of dollars)
Identification code 75–0340–0–1–552

1995 actual

1996 est.

1997 est.

Guaranteed loan levels supportable by subsidy budget
authority:
2150 Loan guarantee levels ...................................................

275

210

140

2159

275

210

140

0.01

0.34

0.34

Total loan guarantee levels ......................................
Guaranteed loan subsidy (in percent):
2320 Subsidy rate ...................................................................
Guaranteed loan subsidy budget authority:
2330 Subsidy budget authority ...............................................

22

1 ...................

Total subsidy budget authority .................................
Guaranteed loan subsidy outlays:
2340 Subsidy outlays ..............................................................

22

1 ...................

22

1 ...................

2349

22

Offsets:
Against gross financing authority and financing disbursements:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.25
Interest on uninvested funds ...............................
88.40
Premium income ...................................................

–22 ................... ...................
–11
–16
–18
–19
–15
–10

88.90

Total, offsetting collections (cash) ..................

–52

89.00
90.00

Net financing authority and financing disbursements:
Financing authority ........................................................
Financing disbursements ...............................................

1 ...................

2339

Total subsidy outlays ................................................

The Health Education Assistance Loan (HEAL) program
guarantees loans from private lenders to health professions

–31

–28

–1 ................... ...................
–51
–28
–21

476

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

Credit accounts—Continued

HEALTH PROFESSIONS GRADUATE STUDENT LOAN INSURANCE FUND
LIQUIDATING ACCOUNT

HEALTH PROFESSIONS GRADUATE STUDENT LOAN GUARANTEED
LOAN FINANCING ACCOUNT—Continued

Program and Financing (in millions of dollars)

Status of Guaranteed Loans (in millions of dollars)

1995 actual

1996 est.

1997 est.

00.01
00.02

1996 est.

Obligations by program activity:
Operating expenses: death and disability .....................
Capital investment ........................................................

4
33

5
31

5
31

10.00

1995 actual

Identification code 75–4304–0–3–552

Identification code 75–4305–0–3–552

Total obligations ........................................................

37

36

36

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New budget authority (gross) ........................................

26
34

24
16

4
31

60
–37

40
–36

35
–36

1997 est.

Position with respect to appropriations act limitation
on commitments:
2111 Limitation on guaranteed loans made by private lenders ..............................................................................

275

210

140

2150

275

210

140

Total guaranteed loan commitments ........................

Cumulative balance of guaranteed loans outstanding:
2210 Outstanding, start of year .............................................
889
1,163
2231 Disbursements of new guaranteed loans ......................
275
210
Adjustments:
2261
Terminations for default that result in loans receivable .......................................................................
–1
–3
2263
Terminations for default that result in claim payments .................................................................... ................... ...................
2290

Outstanding, end of year ..........................................

2299

Memorandum:
Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

1,163

1,370

1,370
140

23.90
23.95
24.90

–7
–1
1,502

60.05
68.00

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................
New budget authority (gross), detail:
Appropriation (indefinite) ...............................................
Spending authority from offsetting collections: Offsetting collections (cash) ..............................................

1,163

Outstanding, end of year ......................................

1,370

1

4

18 ...................

14

16

16

17

34

16

31

73.10
73.20

Change in unpaid obligations:
New obligations .............................................................
Total outlays (gross) ......................................................

37
–37

36
–36

36
–36

86.97
86.98

Outlays (gross), detail:
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

17
20

16
20

31
4

87.00

Total outlays (gross) .................................................

37

36

36

Offsets:
Against gross budget authority and outlays:
88.40
Offsetting collections (cash) from: Non-Federal
sources ..................................................................

–16

–16

–17

18 ...................
20
20

14
19

11

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

Status of Guaranteed Loans (in millions of dollars)
Identification code 75–4305–0–3–552

Balance Sheet (in millions of dollars)

ASSETS:
Federal assets:
1101
Fund balances with Treasury .............
Investments in US securities:
1106
Receivables, net .............................
Non-Federal assets:
1201
Investments in non-Federal securities,
net ..................................................
1206
Receivables, net ..................................

4 ...................

Total new budget authority (gross) ..........................

1,502

As required by the Federal Credit Reform Act of 1990,
this non-budgetary account records all cash flows to and from
the Government resulting from Health Education Assistance
Loan (HEAL) guarantees committed in 1992 and beyond (including modifications of loan guarantees that resulted from
commitments in any year). The amounts in this account are
a means of financing and are not included in the budget
totals.

Identification code 75–4304–0–3–552

24

70.00

Addendum:
Cumulative balance of defaulted guaranteed loans
that result in loans receivable:
2310
Outstanding, start of year ........................................ ...................
1
4
2331
Disbursements for guaranteed loan claims .............
1
3
7
2351
Repayments of loans receivable ............................... ................... ................... ...................
2390

21.90

1994 actual

1995 actual

1996 est.

1997 est.

115

153

202

230

24

22

..................

Cumulative balance of guaranteed loans outstanding:
Outstanding, start of year .............................................
Repayments and prepayments ......................................
Adjustments:
2261
Terminations for default that result in loans receivable .......................................................................
2263
Terminations for default that result in claim payments ....................................................................
2210
2251

1995 actual

1996 est.

1997 est.

1,721
–39

1,657
–43

1,589
–48

–21

–20

–20

..................

..................
16

11
19

16
15

18
10

Total assets ........................................
LIABILITIES:
2204 Non-Federal liabilities: Liabilities for
loan guarantees ..................................

155

205

233

889

–5

–5

Outstanding, end of year ..........................................

1,657

1,589

1,516

2299

Memorandum:
Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

1,657

1,589

1,516

353
33
–6
8

388
31
–9
13

423
31
–9
13

388

423

458

258

2999

–4

2290

1999

1,163

1,370

1,502

Total liabilities ....................................
NET POSITION:
3300 Cumulative results of operations ............

889

1,163

1,370

1,502

–734

–958

–1,137

–1,244

Addendum:
Cumulative balance of defaulted guaranteed loans
that result in loans receivable:
2310
Outstanding, start of year ........................................
2331
Disbursements for guaranteed loan claims .............
2351
Repayments of loans receivable ...............................
2361
Write-offs of loans receivable ...................................

3999

Total net position ................................

–734

–958

–1,137

–1,244

2390

4999

Total liabilities and net position ............

155

205

233

258

Outstanding, end of year ......................................

1 Includes

carryover commitments from prior years.
Note.—The adjustment to loans receivable represents interest, which had not previously been reflected in cumulative
outstanding balances.

As required by the Federal Credit Reform Act of 1990,
this account records, for the Health Education Assistance
Loan program (HEAL), all cash flows to and from the Govern-

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

ment resulting from HEAL loan guarantees committed prior
to 1992. This account is shown on a cash basis. All new
activity in this program in 1992 and beyond (including modifications of loan guarantees that resulted from obligations
or commitments in any year) is recorded in corresponding
program and financing accounts.
1995 actual

Dollar volume of loans insured ($ in millions) ..........................
Number of students ....................................................................
Average value of loans ...............................................................

1996 est.

275
25,650
$10,720

210
19,090
$11,000

1997 est.

140
12,727
$11,000

Statement of Operations (in millions of dollars)
1994 actual

1995 actual

1996 est.

1997 est.

0101
0102

Revenue ...................................................
Expense ....................................................

56
–44

87
–36

64
–36

40
–36

0109

Net loss ...................................................

12

51

28

4

1994 actual

ASSETS:
1101 Federal assets: Fund balances with
Treasury ...............................................
Net value of assets related to pre–1992
direct loans receivable and acquired defaulted guaranteed loans
receivable:
1701
Defaulted guaranteed loans, gross ....
1702
Interest receivable ..............................
1703
Allowance for estimated uncollectible
loans and interest (–) ....................
1704
Defaulted guaranteed loans and interest receivable, net .....................
1799
1801

Value of assets related to loan
guarantees .................................
Other Federal assets: Cash and other
monetary assets ..................................

1999

Total assets ........................................
LIABILITIES:
2104 Federal liabilities: Resources payable to
Treasury ...............................................
2201 Non-Federal liabilities: Accounts payable
2999

Identification code 75–9931–0–3–550

1995 actual

1996 est.

1997 est.

00.01
01.01

Obligations by program activity:
Operating expenses: Interest subsidies, private ...........
Capital investment: Direct loans ...................................

9
1

8
1

8
1

Total obligations ........................................................

10

9

9

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New budget authority (gross) ........................................
22.60 Redemption of debt .......................................................

55
21
–12

55
20
–12

55
19
–12

64
–10

63
–9

62
–9

55

55

55

21.90

23.90
23.95
24.90

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................

1995 actual

22

20

1996 est.

1997 est.

20

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

9

8

7

12

12

11

70.00

Balance Sheet (in millions of dollars)
Identification code 75–4305–0–3–552

Program and Financing (in millions of dollars)

10.00

DATA ON LOANS

Identification code 75–4305–0–3–552

477

Total new budget authority (gross) ..........................

21

20

19

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

7
10
–9

8
9
–8

10
9
–8

8

10

10

Outlays (gross), detail:
Outlays from new current authority ..............................
9
8
Outlays from current balances ...................................... ................... ...................

7
1

4
72.40

353
..................

388
5

423
..................

458
..................

..................

–3

..................

..................

353

390

423

458

353

390

423

458

44

37

36

36

419

447

479

498

5
39

4
33

5
31

5
31

Total liabilities ....................................
NET POSITION:
3300 Cumulative results of operations ............

44

37

36

36

375

410

443

462

3999

Total net position ................................

375

410

443

Total liabilities and net position ............

419

447

479

498

87.00

Total outlays (gross) .................................................

9

8

8

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
Non-Federal sources:
88.40
Interest repaid on loans not sold ....................
88.40
Principal collections from FFB .........................
88.40
Interest collections from FFB ...........................

–1
–10
–1

–1
–10
–1

–1
–9
–1

88.90

Total, offsetting collections (cash) ..................

–12

–12

–11

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

9
–3

8
–4

8
–3

462

4999

86.90
86.93

Object Classification (in millions of dollars)
1995 actual

Identification code 75–4305–0–3–552

25.2
42.0

Other services ................................................................
Insurance claims and indemnities ................................

99.9

Total obligations ........................................................

Status of Direct Loans (in millions of dollars)
1996 est.

1997 est.

1 ................... ...................
36
36
36
37

36

36

AND

Cumulative balance of direct loans outstanding:
Outstanding, start of year .............................................
Disbursements: Purchase of loans assets from the
public .........................................................................
1251 Repayments: Repayments and prepayments .................
1264 Write-offs for default: Other adjustments, net .............
1210
1232

1290

HEALTH LOAN FUNDS
MEDICAL FACILITIES GUARANTEE

Identification code 75–9931–0–3–550

Outstanding, end of year ..........................................

1995 actual

1996 est.

64

45

1997 est.

34

2
1
1
–12
–12
–11
–9 ................... ...................
45

34

24

LOAN FUND
Status of Guaranteed Loans (in millions of dollars)

FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES

For carrying out subsections (d) and (e) of section 1602 of the
Public Health Service Act, $7,000,000, together with any amounts
received by the Secretary in connection with loans and loan guarantees
under title VI of the Public Health Service Act, to be available without
fiscal year limitation for the payment of interest subsidies. During
the fiscal year, no commitments for direct loans or loan guarantees
shall be made.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Identification code 75–9931–0–3–550

1995 actual

1996 est.

1997 est.

2210
2251

Cumulative balance of guaranteed loans outstanding:
Outstanding, start of year .............................................
Repayments and prepayments ......................................

309
–48

261
–39

222
–31

2290

Outstanding, end of year ..........................................

261

222

191

2299

Memorandum:
Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

261

222

191

478

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
01.04
01.05

Claims processing (Public Health Service) ...............
Claims processing (Dept. of Justice) ........................

3
2

3
4

3
4

FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES—Continued

01.91

Total, administrative expenses .............................

7

9

9

Title VII, part C of the Public Health Service Act established a revolving fund from which health professions schools
could borrow in order to provide loans to their students.
Public Law 89–751, the Allied Health Professions Personnel
Training Act of 1966, amended the Public Health Service
Act to authorize the Federal Government to pay the difference
between the interest paid by students to the schools and
the interest payable by the schools to the Government National Mortgage Association (GNMA) and the Treasury.
Title VI and subsequently title XVI of the Public Health
Service Act established a loan and loan guarantee fund for
medical facilities with a maximum amount allowable for the
Government’s liability. Direct loans were made available for
public facilities and guaranteed loans for private, nonprofit
facilities. Funds under this authority were established in the
amount of $50 million for use in fulfilling guarantees in event
of default, $30 million as a revolving fund for direct loans
and an amount for interest subsidy payments on guaranteed
loans. Default and interest subsidy funds are replenished as
necessary through the annual appropriation process.

10.00

Total obligations ........................................................

51

66

66

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

51
–51

66
–66

66
–66

40.26
40.27

New budget authority (gross), detail:
Appropriation (trust fund, definite) ...............................
Appropriation (trust fund, indefinite) ............................

7
44

9
57

9
57

43.00

Appropriation (total) ..................................................

51

66

66

70.00

Total new budget authority (gross) ..........................

51

66

66

73.10
73.20

Change in unpaid obligations:
New obligations .............................................................
Total outlays (gross) ......................................................

51
–51

66
–66

66
–66

86.90

Outlays (gross), detail:
Outlays from new current authority ..............................

51

66

66

87.00

Total outlays (gross) .................................................

51

66

66

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

51
51

66
66

66
66

Credit accounts—Continued
MEDICAL FACILITIES GUARANTEE

AND

LOAN FUND—Continued

Object Classification (in millions of dollars)
1995 actual

Identification code 75–9931–0–3–550

1996 est.

1997 est.

33.0
41.0
43.0

Investments and loans ..................................................
Grants, subsidies, and contributions ............................
Interest and dividends ...................................................

1
8
1

1
7
1

1
7
1

99.9

Total obligations ........................................................

10

9

9

The Vaccine Improvement 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)

Trust Funds

1995 actual

Identification code 20–8175–0–7–551

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation Program 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
Public Health Service Act, to remain available until expended: Provided, That for necessary administrative expenses, not to exceed
$3,000,000 shall be available from the Trust Fund to the Secretary
of Health and Human Services.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

25.2
25.3

1996 est.

1997 est.

3

3

3

42.0

Other services ................................................................
Purchases of goods and services from Government
accounts ....................................................................
Insurance claims and indemnities ................................

4
44

6
57

6
57

99.9

Total obligations ........................................................

51

66

66

INDIAN HEALTH SERVICE
Federal Funds
General and special funds:

Unavailable Collections (in millions of dollars)

INDIAN HEALTH SERVICES
Identification code 20–8175–0–7–551

1995 actual

1996 est.

1997 est.

Balance, start of year:
Balance, start of year ....................................................
Receipts:
02.01 Deposits .........................................................................
02.03 Interest income ..............................................................

824

945

1,041

138
34

123
39

123
43

02.99

Total receipts .............................................................

172

162

166

Total: Balances and collections ....................................
Appropriation:
05.01 Vaccine injury compensation program trust fund ........

996

1,107

1,207

–51

–66

–66

05.99
07.99

–51
945

–66
1,041

–66
1,141

01.99

04.00

Subtotal appropriation ...................................................
Total balance, end of year ............................................

Program and Financing (in millions of dollars)
Identification code 20–8175–0–7–551

Obligations by program activity:
Compensation: Claims for post—FY 1989 injuries ......
Administrative expenses:
01.03
Claims processing (Claims Court) ............................

00.01

1995 actual

1996 est.

1997 est.

44

57

57

2

2

2

For expenses necessary to carry out the Act of August 5, 1954 (68
Stat. 674), the Indian Self-Determination 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, $1,898,941,000, together
with payments received during the fiscal year pursuant to 42 U.S.C.
238(b) 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 Health 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 $12,000,000 shall remain available until
expended, for the Indian Catastrophic Health Emergency Fund: Provided further, That $357,533,000 for contract medical care shall remain available for obligation until September 30, 1998: Provided further, That of the funds provided, not less than $11,789,100 shall
be used to carry out the loan repayment program under section 108
of the Indian Health Care Improvement Act: Provided further, That
funds provided in this Act may be used for one-year contracts and
grants which are to be performed in two fiscal years, so long as
the total obligation is recorded in the year for which the funds are

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
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 be available
for two fiscal years after the fiscal year in which they were collected
for the purpose of achieving compliance with the applicable conditions
and requirements of titles XVIII and XIX of the Social Security Act
(exclusive of planning, design, or construction of new facilities): Provided further, That from the funds provided under this heading, not
otherwise earmarked, amounts may be made available for the Indian
Self-Determination Fund, for the transitional costs of initial or expanded tribal contracts, compacts, grants or cooperative agreements
with the Indian Health Service under the provisions of the Indian
Self-Determination Act, of which $7,500,000 shall remain available
until expended: Provided further, That funding contained herein, and
in any earlier appropriations Acts for scholarship programs under
the Indian Health Care Improvement Act (25 U.S.C. 1613) shall remain available for obligation until September 30, 1998: 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.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in the three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L.
104–99.

88.40

Non-Federal sources .............................................

–196

–198

–208

88.90

Total, offsetting collections (cash) ..................

–207

–210

–221

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

1,707
1,710

1,748
1,620

1,899
1,752

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
1995 actual
Budget Authority .....................................................................
1,707
Outlays ....................................................................................
1,710
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Clinical services .............................................................
Preventive health ...........................................................
Urban health ..................................................................
Indian health professions ..............................................
Tribal management ........................................................
Direct operations ............................................................
Self-governance .............................................................
Contract support costs ..................................................

1,370
77
23
27
5
50
9
145

1,406
78
23
26
2
49
9
153

1,497
82
27
29
2
52
9
201

00.91
04.01

Total direct program .................................................
Reimbursable program ..................................................

1,706
208

1,748
210

1,899
221

10.00

Total obligations ........................................................

1,914

1,958

2,120

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

Total new budget authority (gross) ..........................

1995 actual

Identification code 75–0390–0–1–551

11.1
11.3
11.5

1,899
1,752

13 ....................
9
2
1,761
1,629

1,899
1,754

1996 est.

1997 est.

363
17
29

385
18
29

425
19
30

409
119
32
10
10
2

432
125
32
11
10
2

474
133
34
14
10
2

1,969
–1,914

2,013
–1,958

2,175
–2,120

55

55

55

1,707

1,748

24
2
2
421

24
2
2
430

24
2
2
523

25.4
25.6
25.7
25.8
26.0
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Rental payments to others ........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Operation and maintenance of facilities ..................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Subsistence and support of persons ........................
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

6
8
226
7
8
98
16
307

7
8
231
8
8
99
16
301

7
8
230
8
8
101
17
302

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

1,707
207

1,748
210

1,899
221

99.9

59
55
55
1,914
1,958
2,120
–4 ................... ...................

11.9
12.1
21.0
22.0
23.1
23.2
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

Total obligations ........................................................

1,914

1,958

2,120

24.0
25.1
25.2
25.3

1,899

207

210

221

1,914

1,958

2,120

Personnel Summary
Identification code 75–0390–0–1–551

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

1997 est.

99.0
99.0

21.40

23.90
23.95
24.40

1,748
1,620

Object Classification (in millions of dollars)

00.01
00.02
00.03
00.04
00.05
00.06
00.07
00.08

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................

1,707
1,710

1996 est.

The Indian Health Services account provides medical care,
public health services, and health professions training opportunities to American Indians and Alaska Natives.

Program and Financing (in millions of dollars)
Identification code 75–0390–0–1–551

479

622
602
729
1,914
1,958
2,120
–1,919
–1,829
–1,973
–16 ................... ...................
602

729

876

Outlays (gross), detail:
86.90 Outlays from new current authority ..............................
86.93 Outlays from current balances ......................................
86.97 Outlays from new permanent authority .........................

1,233
477
207

1,234
386
210

Total outlays (gross) .................................................

1,919

1,829

1,973

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................

–11

–12

–13

1996 est.

1997 est.

10,763
192
18

10,777
191
18

10,791
191
18

2,520
58

2,520
58

2,520
58

1,341
411
221

87.00

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
1011
Exempt Full-time equivalent employment .................
Reimbursable:
Total compensable workyears:
2001
Full-time equivalent employment ..............................
2005
Full-time equivalent of overtime and holiday hours

1995 actual

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

480

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

General and special funds—Continued

The Indian health facilities account supports construction,
repair and improvement, equipment, and environmental
health and facilities support for the Indian health services.

INDIAN HEALTH FACILITIES—Continued
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, $275,251,000 to remain available until expended: Provided, That notwithstanding any other provision of law, funds appropriated for the planning, design, construction
or renovation of health facilities for the benefit of an Indian tribe
or tribes may be used to purchase land for sites to construct, improve,
or enlarge health or related facilities.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in the three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L.
104–99.

Unavailable Collections (in millions of dollars)
Identification code 75–0391–0–1–551

1995 actual

1996 est.

1997 est.

Balance, start of year:
01.99 Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.01 Rent and charges for quarters, Indian Health Service,
HRSA, HHS .................................................................
4
4
4
Appropriation:
05.01 Indian health facilities ..................................................
–4
–4
–4
07.99 Total balance, end of year ............................................ ................... ................... ...................

Object Classification (in millions of dollars)
1995 actual

Identification code 75–0391–0–1–551

11.9
12.1
21.0
22.0
23.3
25.1
25.2
25.4
25.6
25.8
26.0
31.0
32.0
41.0
43.0

Total personnel compensation ..............................
53
58
54
Civilian personnel benefits ............................................
16
18
18
Travel and transportation of persons ............................
4
5
4
Transportation of things ................................................
4
4
4
Communications, utilities, and miscellaneous charges
7
8
8
Advisory and assistance services ..................................
1 ................... ...................
Other services ................................................................
102
41
19
Operation and maintenance of facilities ......................
59
23
31
Medical care .................................................................. ................... ...................
1
Subsistence and support of persons .............................
14
5
35
Supplies and materials .................................................
8
10
8
Equipment ......................................................................
4
4
4
Land and structures ......................................................
75
64
57
Grants, subsidies, and contributions ............................
14
28
27
Interest and dividends ...................................................
10
12
10

99.9

Total obligations ........................................................

1996 est.

1001
1005

1997 est.

00.01
01.01
02.01
05.01

Obligations by program activity:
Construction ...................................................................
Maintenance ...................................................................
Facilities and environmental health ..............................
Equipment ......................................................................

188
84
93
6

116
51
99
14

128
43
95
13

10.00

Total obligations ........................................................

371

280

279

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

149
258

36 ...................
244
279

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

407
–371

280
–280

280
–279

36 ................... ...................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
60.25
Appropriation (special fund, indefinite) ....................

253

239

275

4

4

4

70.00

Total new budget authority (gross) ..........................

258

244

279

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

345
371
–302

413
280
–303

390
279
–291

413

390

378

Outlays (gross), detail:
Outlays from new current authority ..............................
124
Outlays from current balances ......................................
178
Outlays from new permanent authority ......................... ...................
Outlays from permanent balances ................................ ...................

80
219
2
2

92
196
2
2

72.40

86.90
86.93
86.97
86.98
87.00

Total outlays (gross) .................................................

302

303

291

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

257
302

244
303

279
291

45
6
2

371

49
6
3

280

46
5
3

279

Personnel Summary
Identification code 75–0391–0–1–551

1995 actual

1997 est.

11.1
11.3
11.5

Program and Financing (in millions of dollars)
Identification code 75–0391–0–1–551

1996 est.

Personnel compensation:
Full-time permanent ..................................................
Other than full-time permanent ...............................
Other personnel compensation ..................................

Total compensable workyears:
Full-time equivalent employment ..................................
Full-time equivalent of overtime and holiday hours

1995 actual

1,471
36

1996 est.

1,460
36

1997 est.

1,446
35

ADMINISTRATIVE PROVISIONS, INDIAN HEALTH SERVICE
Appropriations in this Act to the Indian Health Service shall be
available for services as authorized by 5 U.S.C. 3109 but 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; and for uniforms or allowances therefor
as authorized by 5 U.S.C. 5901–5902; and for expenses of attendance
at meetings which are concerned with the functions or activities for
which the appropriation is made or which will contribute to improved
conduct, supervision, or management of those functions or activities:
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. 2651–53) shall
be credited to the account of the facility providing the service and
shall be available without fiscal year limitation: Provided further,
That notwithstanding any other law or regulation, funds transferred
from the Department of Housing and Urban Development to the Indian Health Service shall be administered under Public Law 86–
121 (the Indian Sanitation Facilities Act) and Public Law 93–638,
as amended: Provided further, That funds appropriated to the Indian
Health Service in this Act, except those used for administrative and
program direction purposes, shall not be subject to limitations directed
at curtailing Federal travel and transportation: Provided further, That
the Indian Health Service shall neither bill nor charge those Indians
who may have the economic means to pay unless and until such
time as Congress has agreed upon a specific policy to do so and
has directed the Indian Health Service to implement such a policy:
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 III 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 III of such Act and thereafter shall remain

CENTERS FOR DISEASE CONTROL AND PREVENTION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
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 for such costs that has been included in an appropriations
Act and enacted into law: Provided further, That funds made available in this Act are to be apportioned to the Indian Health Service
as appropriated in this Act, and accounted for in the appropriation
structure set forth in this Act: Provided further, That the appropriation structure for the Indian Health Service may not be altered without
advance notice to the House and Senate Committees on Appropriations.

CENTERS FOR DISEASE CONTROL AND
PREVENTION
Federal Funds
General and special funds:
DISEASE CONTROL, RESEARCH,

AND

TRAINING

To carry out titles, II, III, VII, XI, XV, XVII, and XIX of the Public
Health Service Act, sections 101–103, and 201–203 of the Federal
Mine Safety and Health Act of 1977, and sections 20–22 of the Occupational Safety and Health Act of 1970; including insurance of official
motor vehicles in foreign countries; and hire, maintenance, and operation of aircraft, $2,198,258,000, of which $8,353,000 shall remain
available until expended for equipment, construction, and renovation
of facilities, and of which $32,000,000 shall be available until expended for mine safety and health research; and in addition, such
sums as may be derived from authorized user fees, which shall be
credited to this account: Provided, That for fiscal year 1997 and
subsequent fiscal years training of private persons shall be made
subject to reimbursement or advances to this appropriation for not
in excess of the full cost of such training: Provided further, That
funds appropriated under this heading for fiscal year 1997 and subsequent fiscal years shall be available for payment of the costs of medical care, related expenses, and burial expenses hereafter incurred by
or on behalf of any person who had participated in the study of
untreated syphilis initiated in Tuskegee, Alabama, in 1932, in such
amounts and subject to such terms and conditions as prescribed by
the Secretary of Health and Human Services and for payment, in
such amounts and subject to such terms and conditions, of such costs
and expenses hereafter incurred by or on behalf of such person’s wife
or offspring determined by the Secretary to have suffered injury or
disease from syphilis contracted from such person: Provided further,
That for fiscal year 1997 and subsequent fiscal years amounts received
by the National Center for Health Statistics from reimbursements
and interagency agreements and the sale of data tapes may be credited
to this appropriation and shall remain available until expended: Provided further, That in addition to amounts provided herein, up to
$53,063,000 shall be available from amounts available under section
241 of the Public Health Service Act, to carry out the National Center
for Health Statistics surveys.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

VIOLENT CRIME REDUCTION PROGRAMS
For Education and Prevention Grants to reduce sexual assaults
against women and to establish Community Programs on Domestic
Violence, as authorized by sections 40151, 40261, and 40293 of Public
Law 103–322 (including administrative costs), $31,642,000, to remain
available until expended, which shall be derived from the Violent
Crime Reduction Trust Fund.
Unavailable Collections (in millions of dollars)
Identification code 75–0943–0–1–999

1995 actual

1996 est.

05.01
07.99

481

Appropriation:
Disease control, research, and training ........................
–1
–1
–1
Total balance, end of year ............................................ ................... ................... ...................

Program and Financing (in millions of dollars)
Identification code 75–0943–0–1–999

Obligations by program activity:
Direct program:
00.01
Preventive health block grant ...................................
00.02
Prevention centers .....................................................
00.03
Sexually transmitted diseases ..................................
00.04
STD TB Performance Partnership ..............................
00.05
Immunization .............................................................
00.06
Immunization Performance Partnership ....................
00.07
Infectious diseases ....................................................
00.08
Chronic and environmental diseases ........................
00.09
Chronic Disease Disability Performance Partnership
00.10
Occupational Safety and Health ...............................
00.11
Mine Safety and Health ............................................
00.12
Epidemic services ......................................................
00.13
Health statistics ........................................................
00.14
HIV .............................................................................
00.15
HIV Performance Partnership ....................................
00.16
Buildings and facilities .............................................
00.17
Program management ...............................................
00.18
Violence Prevention Activities ...................................
00.19
Violent crime reduction programs .............................

1995 actual

158
8
105
...................
464
...................
173
320
...................
132
...................
73
54
590
...................
6
3
...................
...................

1996 est.

1997 est.

145
145
8
7
106
22
...................
185
468
311
...................
177
183
104
348
230
...................
117
129
137
...................
32
68
67
38
35
585
320
...................
298
48
8
3
3
32 ...................
...................
32

00.91
01.01

Total direct program .............................................
Reimbursable program ..................................................

2,086
134

2,161
173

2,230
173

10.00

Total obligations ........................................................

2,220

2,334

2,403

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

48
2,218

46 ...................
2,288
2,403

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

2,266
–2,220

2,334
–2,334

2,403
–2,403

46 ................... ...................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
2,083
2,115
42.00
Transferred from other accounts .............................. ................... ...................

2,198
32

43.00
60.25
68.00
70.00

Appropriation (total) .............................................
Permanent:
Appropriation (special fund, indefinite) ....................
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

2,083

2,115

2,230

1

1

1

134

173

173

Total new budget authority (gross) ..........................

2,218

2,288

2,403

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
72.40

86.90
86.93
86.97
86.98
87.00

1,834
2,124
2,315
2,220
2,334
2,403
–1,920
–2,142
–2,237
–10 ................... ...................
2,124

2,315

2,483

Outlays (gross), detail:
Outlays from new current authority ..............................
836
Outlays from current balances ......................................
1,084
Outlays from new permanent authority ......................... ...................
Outlays from permanent balances ................................ ...................

701
1,267
173
1

740
1,323
173
1

Total outlays (gross) .................................................

1,920

2,142

2,237

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.40
Non-Federal sources .............................................

–133
–1

–171
–2

–171
–2

88.90

Total, offsetting collections (cash) ..................

–134

–173

–173

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

2,084
1,786

2,115
1,969

2,230
2,064

1997 est.

Balance, start of year:
01.99 Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.01 Cooperative Research and Development Agreements,
Centers for Disease Control ......................................
1
1
1

482

CENTERS FOR DISEASE CONTROL AND PREVENTION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

General and special funds—Continued

ALLOCATIONS RECEIVED FROM OTHER ACCOUNTS

VIOLENT CRIME REDUCTION PROGRAMS—Continued

Note.—Obligations incurred under allocations from other accounts are included in the
schedules of the parent appropriation as follows:
Environmental Protection Agency: ‘‘Hazardous substance response trust fund.’’

[Dollars in millions]

1995

Distribution of budget authority by account:
Disease control, research and training ..................................
Violent crime reduction programs ..........................................
Distribution of outlays by account:
Disease control, research and training ..................................
Violent crime reduction programs ..........................................

1996

1997

2,084
0

2,115
0

2,198
32

1,786
0

1,969
0

2,053
11

NATIONAL INSTITUTES OF HEALTH
Federal Funds
General and special funds:

Summary of Budget Authority and Outlays

NATIONAL CANCER INSTITUTE

[In millions of dollars]

For carrying out section 301 and title IV (except section 417B(d))
of the Public Health Service Act with respect to cancer, $2,060,392,000.

1995 actual
Enacted/requested:
Budget Authority .....................................................................
2,084
Outlays ....................................................................................
1,786
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

2,084
1,786

1996 est.

1997 est.

2,116
1,969

2,231
2,064

8 ....................
3
3
2,124
1,972

2,231
2,067

The Centers for Disease Control and Prevention (CDC) supports a number of categorical programs including grants for
immunizations, control of sexually transmitted diseases, HIV
prevention, and control of other infectious and chronic diseases. CDC also supports the Preventive Health Block Grant.
Beginning in FY 1997, CDC also includes funding for mine
safety and health research previously conducted by the former
Bureau of Mines. This display also includes amounts derived
from the Violent Crime Reduction Trust Fund.
Object Classification (in millions of dollars)
1995 actual

Identification code 75–0943–0–1–999

11.1
11.3
11.5
11.9
12.1
13.0
21.0
22.0
23.1
23.2
23.3
24.0
25.1
25.2
25.5
25.7
26.0
31.0
32.0
41.0

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

242
11
12

NATIONAL HEART, LUNG,

233
12
12

1997 est.

262
12
12

Total personnel compensation .........................
265
257
286
Civilian personnel benefits .......................................
68
66
74
Benefits for former personnel ...................................
8
3 ...................
Travel and transportation of persons .......................
16
16
17
Transportation of things ...........................................
3
3
3
Rental payments to GSA ...........................................
14
15
15
Rental payments to others ........................................
1
1
1
Communications, utilities, and miscellaneous
charges .................................................................
17
12
13
Printing and reproduction .........................................
5
4
4
Advisory and assistance services .............................
2
2
2
Other services ............................................................
68
62
53
Research and development contracts .......................
175
177
198
Operation and maintenance of equipment ............... ................... ...................
10
Supplies and materials .............................................
99
116
137
Equipment .................................................................
34
36
42
Land and structures ..................................................
1
46
6
Grants, subsidies, and contributions ........................
1,310
1,345
1,369

99.0
99.0
99.5

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................
Below reporting threshold ..............................................

2,086
133
1

2,161
172
1

2,230
172
1

99.9

Total obligations ........................................................

2,220

2,334

NATIONAL INSTITUTE

NATIONAL INSTITUTE

OF

NATIONAL INSTITUTE

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
1011
Exempt Full-time equivalent employment .................
Reimbursable:
Total compensable workyears:
2001
Full-time equivalent employment ..............................
2005
Full-time equivalent of overtime and holiday hours

1995 actual

1996 est.

1997 est.

5,294
36
60

5,707
36
60

684
2

884
2

884
2

AND

KIDNEY

OF

NEUROLOGICAL DISORDERS

AND

STROKE

OF

ALLERGY

AND

INFECTIOUS DISEASES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to allergy and infectious diseases,
$584,362,000.
NATIONAL INSTITUTE

OF

GENERAL MEDICAL SCIENCES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to general medical sciences, $936,573,000.
NATIONAL INSTITUTE

OF

CHILD HEALTH

AND

HUMAN DEVELOPMENT

For carrying out section 301 and title IV of the Public Health
Service Act with respect to child health and human development,
$543,441,000.
NATIONAL EYE INSTITUTE
For carrying out section 301 and title IV of the Public Health
Service Act with respect to eye diseases and visual disorders,
$310,072,000.
NATIONAL INSTITUTE

OF

ENVIRONMENTAL HEALTH SCIENCES

For carrying out section 301 and 311, and title IV of the Public
Health Service Act with respect to environmental health sciences,
$289,114,000.
NATIONAL INSTITUTE

ON

AGING

For carrying out section 301 and title IV of the Public Health
Service Act with respect to aging, $461,541,000.
OF

ARTHRITIS AND MUSCULOSKELETAL
SKIN DISEASES

AND

For carrying out section 301 and title IV of the Public Health
Service Act with respect to arthritis, and musculoskeletal and skin
diseases, $243,169,000.
NATIONAL INSTITUTE

5,487
32
60

DIABETES AND DIGESTIVE
DISEASES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to neurological disorders and stroke,
$671,148,000.

NATIONAL INSTITUTE

Identification code 75–0943–0–1–999

DENTAL RESEARCH

OF

For carrying out section 301 and title IV of the Public Health
Service Act with respect to diabetes and digestive and kidney diseases,
$772,975,000.

2,403

Personnel Summary

BLOOD INSTITUTE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to dental disease, $174,463,000.

NATIONAL INSTITUTE
1996 est.

AND

For carrying out section 301 and title IV of the Public Health
Service Act with respect to cardiovascular, lung, and blood diseases,
and blood and blood products, $1,320,555,000.

ON

DEAFNESS AND OTHER COMMUNICATION
DISORDERS

For carrying out section 301 and title IV of the Public Health
Service Act with respect to deafness and other communication disorders, $179,090,000.
NATIONAL INSTITUTE

OF

NURSING RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to nursing research, $51,951,000.

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
NATIONAL INSTITUTE

ALCOHOL ABUSE

ON

AND

ALCOHOLISM

For carrying out section 301 and title IV of the Public Health
Service Act with respect to alcohol abuse, and alcoholism,
$192,280,000.
NATIONAL INSTITUTE

ON

DRUG ABUSE

Receipts:
Cooperative Research and Development Agreements,
NIH .............................................................................
8
8
8
Appropriation:
05.01 National Institutes of Health .........................................
–8
–8
–8
07.99 Total balance, end of year ............................................ ................... ................... ...................
02.01

For carrying out section 301 and title IV of the Public Health
Service Act with respect to drug abuse, $312,014,000.
NATIONAL INSTITUTE

OF

MENTAL HEALTH

NATIONAL CENTER

FOR

RESEARCH RESOURCES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to research resources and general research
support grants, $309,344,000: Provided, That none of these funds shall
be used to pay recipients of the general research support grants program any amount for indirect expenses in connection with such grants.
NATIONAL CENTER

FOR

HUMAN GENOME RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to human genome research, $177,788,000.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E. Fogarty International
Center, $15,790,000.
NATIONAL LIBRARY

OF

MEDICINE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to health information communications,
$143,268,000, of which $4,000,000 shall be available until expended
for improvement of information systems: Provided, That in fiscal year
1997 and thereafter, the Library 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.
OFFICE

OF THE

DIRECTOR

(INCLUDING TRANSFER OF FUNDS)

OF

Obligations by program activity:
National Cancer Institute ..............................................
National Heart, Lung, and Blood Institute ....................
National Institute of Dental Research ...........................
National Institute of Diabetes and Digestive and Kidney Disease ...............................................................
00.05 National Institute of Neurological Disorders and Stroke
00.06 National Institute of Allergy and Infectious Diseases
00.07 National Institute of General Medical Sciences ............
00.08 National Institute of Child Health and Human Development .......................................................................
00.09 National Eye Institute ....................................................
00.10 National Institute of Environmental Health Sciences
00.11 National Institute on Aging ...........................................
00.12 National Institute of Arthritis and Musculoskeletal and
Skin Disease ..............................................................
00.13 National Institute on Deafness and Other Communication Disorder ..............................................................
00.14 National Institute of Nursing Research .........................
00.15 National Institute of Alcohol Abuse and Alcoholism
00.16 National Institute on Drug Abuse ..................................
00.17 National Institute of Mental Health ..............................
00.18 National Center for Research Resources .......................
00.19 National Center for Human Genome Research .............
00.20 John E. Fogarty International Center .............................
00.21 National Library of Medicine .........................................
00.22 Office of the Director .....................................................
00.23 Office of AIDS Research ................................................
00.24 Buildings and facilities .................................................
00.25 Cooperative research and development agreements ....
01.01 Reimbursements ............................................................
00.01
00.02
00.03
00.04

10.00

For carrying out the responsibilities of the Office of the Director,
National Institutes of Health, $226,913,000: Provided, That funding
shall be available for the purchase of not to exceed five passenger
motor vehicles for replacement only: Provided further, That the Director may direct up to 1 percent of the total amount made available
in this Act to all National Institutes of Health appropriations to activities the Director may so designate: Provided further, That no such
appropriation shall be increased or decreased by more than 1 percent
by any such transfers and that the Congress is promptly notified
of the transfer: Provided further, That NIH is authorized to collect
third party payments for the cost of clinical services that are incurred
in National Institutes of Health research facilities and that such payments shall be credited to the National Institutes of Health Management Fund: Provided further, That all funds credited to the NIH
Management Fund shall remain available for one fiscal year after
the fiscal year in which they are deposited.
OFFICE

Program and Financing (in millions of dollars)
Identification code 75–9915–0–1–552

For carrying out section 301 and title IV of the Public Health
Service Act with respect to mental health, $578,149,000.

AIDS RESEARCH

483

Total obligations ........................................................

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................

1995 actual

1996 est.

1997 est.

1,939
1,266
165

2,271
1,363
187

2,080
1,328
178

741
631
556
895

786
686
1,190
967

788
676
606
956

541
301
357
436

625
326
370
460

572
322
371
467

231

246

247

169
181
50
61
183
201
293
461
547
669
294
399
153
171
25
36
138
153
272
321
1,333 ...................
154
302
6
8
5
5

183
59
194
315
588
318
179
27
155
286
1,432
422
8
23

11,681

12,445

12,780

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
60.25
Appropriation (special fund, indefinite) ....................
Spending authority from offsetting collections:
68.00
Offsetting collections (cash) ................................
68.10
Change in orders on hand from Federal sources

267
153 ...................
11,569
12,292
12,780
–2 ................... ...................
11,834
–11,681

12,445
–12,445

12,780
–12,780

153 ................... ...................

11,240

11,939

12,406

8

8

8

264
345
366
57 ................... ...................

(INCLUDING TRANSFER OF FUNDS)

For carrying out part D of title XXIII of the Public Health Service
Act, $1,431,908,000: Provided, That the Director of the Office of AIDS
Research shall transfer from this appropriation the amounts necessary
to carry out subsection 2353(d) of the Act.
BUILDINGS

AND

FACILITIES

For the study, construction, and acquisition of equipment for, facilities of or used by the National Institutes of Health, including the
acquisition of real property, $420,000,000, to remain available until
expended.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Unavailable Collections (in millions of dollars)
Identification code 75–9915–0–1–552

01.99

1995 actual

1996 est.

1997 est.

Balance, start of year:
Balance, start of year .................................................... ................... ................... ...................

68.90

Spending authority from offsetting collections
(total) ...........................................................

321

345

366

Total new budget authority (gross) ..........................

11,569

12,292

12,780

Change in unpaid obligations:
Unpaid obligations, start of year:
72.40
Obligated balance: Appropriation .............................
72.95
Orders on hand from Federal sources ......................

7,283
4,137

7,714
4,194

8,890
4,194

70.00

72.99
73.10
73.20
73.40
74.40
74.95

Total unpaid obligations, start of year ................
New obligations .............................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts ..................................
Unpaid obligations, end of year:
Obligated balance: Appropriation .............................
Orders on hand from Federal sources ......................

74.99

86.90

11,420
11,908
13,084
11,681
12,445
12,780
–11,147
–11,269
–12,323
–46 ................... ...................
7,714
4,194

8,890
4,194

9,347
4,194

Total unpaid obligations, end of year ..................

11,908

13,084

13,541

Outlays (gross), detail:
Outlays from new current authority ..............................

5,515

5,090

5,259

484

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
Buildings and Facilities ..........................................................

AND

FACILITIES—Continued

Program and Financing (in millions of dollars)—Continued
1995 actual

Identification code 75–9915–0–1–552

1996 est.

Outlays from current balances ......................................
Outlays from new permanent authority .........................

5,360
272

5,826
353

6,690
374

87.00

Total outlays (gross) .................................................

11,147

11,269

12,323

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

10,875
8

10,916
8

11,949
8

10,883

10,924

11,957

This program funds biomedical research and research training. These accounts will continue to be appropriated separately, and are being displayed in a consolidated format to
improve the readability of the presentation. Detailed information will continue to be available through the Department
of Health and Human Services.

–264
–345
–366
–57 ................... ...................

Object Classification (in millions of dollars)

11,947
10,924

12,414
11,957

1995

1996

1997

1,912
1,259
162

2,251
1,356
183

2,060
1,321
174

726
627
535
880
512
291
266
432

771
682
1,170
947
595
314
289
454

773
671
584
937
543
310
289
462

228

242

243

167
177
48
56
181
199
290
458
542
661
287
390
153
170
15
25
125
141
214
261
1,334 ....................
54
146

179
52
192
312
578
309
178
16
143
227
1,432
420

Subtotal ..........................................................................
Cooperative Research and Development Agreements ............

11,240
8

11,939
8

12,406
8

Total Budget Authority, NIH ...........................................

11,248

11,947

11.1
11.3
11.5
11.8
11.9
12.1
13.0
21.0
22.0
23.1
23.2
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................
Special personal services payments ....................

25.4
25.5
25.6
25.7
25.8
26.0
31.0
41.0
42.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Rental payments to others ........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Operation and maintenance of facilities ..................
Research and development contracts .......................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Subsistence and support of persons ........................
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

99.0
99.0
99.5

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................
Below reporting threshold ..............................................

99.9

Total obligations ........................................................

24.0
25.1
25.2
25.3

12,414

1995

1996

1997

1,809
1,220
157

2,085
1,262
162

2,024
1,300
172

712
608
516
857
519
281
271
424

706
637
1,025
877
543
301
261
410

756
660
567
922
534
307
284
451

221

224

239

163
166
54
46
172
180
271
421
511
609
277
366
134
154
15
22
124
132
175
222
1,280 ....................

176
50
185
303
564
315
171
15
140
212
1,380

1996 est.

1997 est.

439
94
21
78

449
99
21
84

464
102
22
88

632
132
5
19
4
6
6

653
136
2
18
4
6
6

676
141
2
19
4
6
4

42
17
16
347

42
14
18
529

43
15
18
637

847
84
727
5
33
21
126
92
8,195
3

795
74
831
4
27
7
129
82
8,722
2

824
74
769
4
27
7
128
81
8,933
2

11,359
12,101
12,414
321
344
366
1 ................... ...................
11,681

12,445

12,780

Personnel Summary
1995 actual

Identification code 75–9915–0–1–552

[Dollars in millions]

Distribution of outlays by account:
National Cancer Institute .......................................................
National Heart, Lung, and Blood Institute .............................
National Institute of Dental Research ....................................
National Institute of Diabetes and Digestive and Kidney
Diseases .............................................................................
National Institute of Neurological Disorders and Stroke .......
National Institute of Allergy and Infectious Diseases ...........
National Institute of General Medical Sciences .....................
National Institute of Child Health and Human Development
National Eye Institute .............................................................
National Institute of Environmental Health Sciences ............
National Institute on Aging ....................................................
National Institute of Arthritis and Musculoskeletal and Skin
Diseases .............................................................................
National Institute on Deafness and Other Communication
Disorders .............................................................................
National Institute of Nursing Research ..................................
National Institute on Alcohol Abuse and Alcoholism .............
National Institute on Drug Abuse ...........................................
National Institute of Mental Health .......................................
National Center for Research Resources ................................
National Center for Human Genome Research ......................
John E. Fogarty International Center ......................................
National Library of Medicine ..................................................
Office of the Director ..............................................................
Office of AIDS Research .........................................................

1995 actual

Identification code 75–9915–0–1–552

11,248
10,883

[Dollars in millions]

Distribution of budget authority by account:
National Cancer Institute .......................................................
National Heart, Lung, and Blood Institute .............................
National Institute of Dental Research ....................................
National Institute of Diabetes and Digestive and Kidney
Diseases .............................................................................
National Institute of Neurological Disorder and Stroke .........
National Institute of Allergy and Infectious Diseases ...........
National Institute of General Medical Sciences .....................
National Institute of Child Health and Human Development
National Eye Institute .............................................................
National Institute of Environmental Health Sciences ............
National Institute on Aging ....................................................
National Institute of Arthritis and Musculoskeletal and Skin
Diseases .............................................................................
National Institute on Deafness and Other Communication
Disorders .............................................................................
National Institute of Nursing Research ..................................
National Institute on Alcohol Abuse and Alcoholism .............
National Institute on Drug Abuse ...........................................
National Institute of Mental Health .......................................
National Center for Research Resources ................................
National Center for Human Genome Research ......................
John E. Fogarty International Center ......................................
National Library of Medicine ..................................................
Office of the Director ..............................................................
Office of AIDS Research .........................................................
Buildings and Facilities ..........................................................

222

1997 est.

86.93
86.97

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
88.95 Change in orders on hand from Federal sources .........

105

Total Outlays, NIH ..........................................................

BUILDINGS

103

Subtotal Outlays ............................................................
Cooperative Research and Development Agreements ............

General and special funds—Continued

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................

1996 est.

1997 est.

15,275
211

15,388
200

15,388
200

86

86

86

SUBSTANCE ABUSE AND MENTAL HEALTH
SERVICES ADMINISTRATION
Federal Funds
General and special funds:
SUBSTANCE ABUSE

AND

MENTAL HEALTH SERVICES

For carrying out the Public Health Service Act with respect to substance abuse and mental health services, section 612 of Public Law
100–77, as amended, and the Protection and Advocacy for Mentally
Ill Individuals Act of 1986, $2,098,011,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

AGENCY FOR HEALTH CARE POLICY AND RESEARCH
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Program and Financing (in millions of dollars)
1995 actual

Identification code 75–1362–0–1–550

Object Classification (in millions of dollars)
1996 est.

1997 est.

Obligations by program activity:
Mental health and substance abuse activities ............
Mental health partnership .............................................
Substance abuse partnership ........................................
Program management ...................................................

588
305
1,241
61

223
275
1,234
57

496
275
1,272
55

00.91
01.01

Total direct program .................................................
Reimbursable program ..................................................

2,195
19

1,789
20

2,098
20

10.00

Total obligations ........................................................

2,214

1,809

2,118

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

11.1
11.3
11.5

2
2,214

2
1,809

2
2,118

2,216
–2,214

1,811
–1,809

2,120
–2,118

2

2

2

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
42.00
Transferred from other accounts ..............................
Appropriation (total) .............................................
Permanent:
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

2,195

1,789

2,098

19

20

20

Total new budget authority (gross) ..........................

2,214

1,809

2,118

70.00

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

31
2
1

32
2
1

33
2
1

34
7
2
3

35
7
1
3

36
7
1
3

2
4
51
103

2
2
33
70

2
2
43
90

31.0
41.0
42.0

18
2
1,967
2

8
1
1,625
2

16
1
1,895
2

99.0
99.0

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

2,195
19

1,789
20

2,098
20

Total obligations ........................................................

2,214

1,809

2,118

24.0
25.1
25.2
25.3

Personnel Summary
1995 actual

Identification code 75–1362–0–1–550

68.00

1997 est.

Total personnel compensation .........................
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Equipment .................................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

2,181
1,789
2,098
14 ................... ...................

43.00

11.9
12.1
21.0
23.1
23.3

1996 est.

99.9

21.40

23.90
23.95
24.40

1995 actual

Identification code 75–1362–0–1–550

00.01
00.02
00.03
00.04

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

485

1,514
1,250
969
2,214
1,809
2,118
–2,463
–2,090
–2,015
–15 ................... ...................
1,250

969

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
Reimbursable:
Total compensable workyears:
2001
Full-time equivalent employment ..............................
2011
Exempt Full-time equivalent employment .................

1996 est.

1997 est.

628
2

647
2

647
2

2
74

2
74

2
74

AGENCY FOR HEALTH CARE POLICY AND
RESEARCH

1,072

Federal Funds
General and special funds:

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

1,183
1,261
19

967
1,103
20

1,134
861
20

87.00

Total outlays (gross) .................................................

2,463

2,090

2,015

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources

–19

–20

–20

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

2,195
2,444

1,789
2,070

2,098
1,995

89.00
90.00

Summary of Budget Authority and Outlays
[In millions of dollars]

1995 actual
Enacted/requested:
Budget Authority .....................................................................
2,195
Outlays ....................................................................................
2,444
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

2,195
2,444

1996 est.

1,789
2,070

1997 est.

HEALTH CARE POLICY

AND

Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

2,098
1,995

Program and Financing (in millions of dollars)
Identification code 75–1700–0–1–552

65 ....................
35
29

1,854
2,105

2,098
2,024

This program provides Federal support for treatment and
prevention in the areas of alcoholism, drug abuse, and mental
health.

RESEARCH

For carrying out titles III and IX of the Public Health Service
Act, and part A of title XI of the Social Security Act, $84,000,000,
together with not to exceed $5,796,000 to be transferred from the
Federal Hospital Insurance and the Federal Supplementary Medical
Insurance Trust Funds, as authorized by sections 1142 and 201(g)
of the Social Security Act; in addition, amounts received from Freedom
of Information Act fees, reimbursable and interagency agreements,
and the sale of data tapes shall be credited to this appropriation
and shall remain available until expended; and in addition,
$53,984,000 from amounts available pursuant to section 241 of the
Public Health Service Act, to be transferred and credited to this appropriation for authorized purposes under this heading: Provided, That
$44,700,000 of the funds provided shall be for the Medical Expenditure Panel Survey.

1995 actual

1996 est.

1997 est.

01.01
01.02
01.03
01.04

Obligations by program activity:
Research on Health Care Systems and Access ............
Health Insurance and Expenditure Survey ....................
Research on Health Care Outcomes and Quality ..........
Program support ............................................................

49
10
74
2

25
10
25
2

29
10
43
2

01.91
04.01

Total direct program .................................................
Reimbursable program ..................................................

135
33

62
74

84
69

10.00

Total obligations ........................................................

168

136

153

486

AGENCY FOR HEALTH CARE POLICY AND RESEARCH—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

General and special funds—Continued

99.0

Reimbursable obligations ..............................................

33

74

69

HEALTH CARE POLICY

99.9

Total obligations ........................................................

168

136

153

AND

RESEARCH—Continued

Program and Financing (in millions of dollars)—Continued
Personnel Summary
1995 actual

Identification code 75–1700–0–1–552

1996 est.

1997 est.
1995 actual

Identification code 75–1700–0–1–552

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................
23.95 New obligations .............................................................
New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

Total new budget authority (gross) ..........................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

168
–168

136
–136

153
–153

135

62

84

33

74
136

153

72.40

158
159
98
168
136
153
–166
–197
–153
–1 ................... ...................
159

98

98

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

23
110
33

12
111
74

14
69
69

87.00

Total outlays (gross) .................................................

166

197

153

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources

–33

–74

–69

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

135
133

62
123

84
84

89.00
90.00

1996 est.

1997 est.

69

168

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
1995 actual
Budget Authority .....................................................................
135
Outlays ....................................................................................
133
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................

1996 est.

1997 est.

62
123

84
83

15 ....................
3
8

170
1

183
1

183
1

84

84

84

ASSISTANT SECRETARY FOR HEALTH
Activities of the Office of the Assistant Secretary for Health
have been transferred to the Office of the Secretary effective
in FY 1996 and are now displayed in the Departmental Management or Program Support Center bureaus.

HEALTH CARE FINANCING ADMINISTRATION
Federal Funds
General and special funds:
GRANTS

TO

STATES

FOR

MEDICAID

For carrying out, except as otherwise provided, titles XI and XIX
of the Social Security Act, $75,056,618,000, to remain available until
expended.
For making, after May 31, 1997, payments to States under title
XIX for the last quarter of fiscal year 1997 for unanticipated cost
incurred for the current fiscal year, such sums as may be necessary.
For making payments to States under title XIX for the first quarter
of fiscal year 1998, $27,988,993,000, to remain available until expended.
Payment under 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.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

135
133

77
126

84
91

Identification code 75–0512–0–1–551

1995 actual

1996 est.

1997 est.

00.01
00.02
00.03

Obligations by program activity:
Medicaid vendor payments ............................................
State and local administration .....................................
Vaccine purchases .........................................................

85,278
3,835
420

90,481
4,198
213

97,653
4,172
469

10.00

This activity supports research and information dissemination on health care services and technology, medical effectiveness, and patient outcomes.

Total obligations (object class 41.0) ........................

89,533

94,892

102,294

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

13,033
89,241

12,740
83,252

1,101
101,193

102,274
–89,533

95,992
–94,892

102,294
–102,294

Object Classification (in millions of dollars)
Identification code 75–1700–0–1–552

11.1
11.3
11.9
12.1
23.1
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Total personnel compensation .........................
Civilian personnel benefits .......................................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Research and development contracts .......................
Equipment .................................................................
Grants, subsidies, and contributions ........................

1995 actual

1996 est.

1997 est.

9
1

9
1

10
1

10
2
1

10
3
3

11
3
3

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

12,740

1,101 ...................

25.5
31.0
41.0
99.0

Subtotal, direct obligations ..................................

5
36
1
73
135

2
25
1
13
62

2
22
1
37
84

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
65.00
Advance appropriation (definite) ..............................

62,641

56,204

75,057

26,600

27,048

26,136

70.00

Total new budget authority (gross) ..........................

89,241

83,252

101,193

72.40

24.0
25.2
25.3

1 ................... ...................
2
2
2
4
3
3

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................

4,144

4,606

4,606

HEALTH CARE FINANCING ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
73.10
73.20
74.40

New obligations .............................................................
Total outlays (gross) ......................................................
Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

89,533
–89,070

94,892
–94,892

102,294
–102,294

4,606

4,606

4,606

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

45,293
17,177
26,600

50,498
17,346
27,048

70,450
5,707
26,136

87.00

Total outlays (gross) .................................................

89,070

94,892

102,294

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

89,241
89,070

83,252
94,892

101,193
102,294

Summary of Budget Authority and Outlays

STATES

FOR

89,241
89,070

83,252
94,892

1997 est.

36,955
406
56
130

61,331
358
61
149

59,456
405
76
142

3,913
–1

4,069
–10

4,349
1

Total obligations ........................................................

41,459

65,958

64,429

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

41,459
–41,459

65,958
–65,958

64,429
–64,429

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
60.05
Appropriation (indefinite) ..........................................

37,547

61,899

60,079

3,912

4,059

4,350

70.00

Total new budget authority (gross) ..........................

41,459

65,958

64,429

73.10
73.20
73.40

Change in unpaid obligations:
New obligations .............................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts ..................................

41,459
65,958
64,429
–41,492
–65,958
–64,429
33 ................... ...................

86.90
86.93
86.97

101,193
102,293
3,277
3,277
104,470
105,570

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

37,547
61,899
60,079
33 ................... ...................
3,912
4,059
4,350

87.00

Total outlays (gross) .................................................

41,492

65,958

64,429

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

41,459
41,492

65,958
65,958

64,429
64,429

MEDICAID

(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
1995 actual

Identification code 75–0512–4–1–551

Obligations by program activity:
Supplementary medical insurance (SMI) .......................
Hospital Insurance for uninsured (HI) ...........................
Federal uninsured payment (HI) ....................................
Program management (HI) ............................................
Federal payments from taxation of OASDI benefits
(HI) .............................................................................
00.07 SECA tax credits (HI) .....................................................

00.01
00.02
00.03
00.04
00.06

1996 est.

1997 est.

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

TO

1995 actual

Identification code 75–0580–0–1–571

10.00

[In millions of dollars]

Enacted/requested:
1995 actual
1996 est.
Budget Authority .....................................................................
89,241
83,252
Outlays ....................................................................................
89,070
94,892
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

GRANTS

Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)

86.90
86.93
86.97

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

487

1996 est.

1997 est.

10.00

Obligations by program activity:
Total obligations (object class 41.0) ............................ ................... ...................

3,277

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ................... ...................
New obligations ............................................................. ................... ...................

3,277
–3,277

40.00

New budget authority (gross), detail:
Appropriation .................................................................. ................... ...................

3,277

Summary of Budget Authority and Outlays
[In millions of dollars]

Change in unpaid obligations:
73.10 New obligations ............................................................. ................... ...................
73.20 Total outlays (gross) ...................................................... ................... ...................

3,277
–3,277

86.90

Outlays (gross), detail:
Outlays from new current authority .............................. ................... ...................

3,277

87.00

Total outlays (gross) ................................................. ................... ...................

3,277

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ................... ...................
Outlays ........................................................................... ................... ...................

3,277
3,277

This schedule reflects the effects of the Medicaid, Medicare,
and Veterans’ reform proposals contained in the Administration’s balanced budget proposal on the Grants to States for
Medicaid account.

Enacted/requested:
1995 actual
1996 est.
Budget Authority .....................................................................
41,459
65,958
Outlays ....................................................................................
41,492
65,958
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

41,459
41,492

65,958
65,958

1997 est.

64,429
64,429
7,867
7,867
72,296
72,296

Payments are made (1) to the Federal Supplementary Medical Insurance Trust Fund; and (2) to the Federal Hospital
Insurance Trust Fund for individuals aged 65 and over who
meet certain transitional insured status requirements, and
for civil service employees and annuitants who worked before
1983 and who were employed during January 1983. Beginning
in 1992, amounts were included for non-Medicare activities
of HCFA Program Management.
Object Classification (in millions of dollars)

PAYMENTS

TO

HEALTH CARE TRUST FUNDS

For payment to the Federal Hospital Insurance and the Federal
Supplementary Medical Insurance Trust Funds, as provided under
sections 217(g) and 1844 of the Social Security Act, sections 103(c)
and 111(d) of the Social Security Amendments of 1965, section 278(d)
of Public Law 97–248, and for administrative expenses incurred pursuant to section 201(g) of the Social Security Act, $60,079,000,000.

Identification code 75–0580–0–1–571

1995 actual

1996 est.

1997 est.

41.0
42.0
92.0

Grants, subsidies, and contributions ............................
Insurance claims and indemnities ................................
Undistributed .................................................................

40,867
462
130

65,390
419
149

63,806
481
142

99.9

Total obligations ........................................................

41,459

65,958

64,429

488

HEALTH CARE FINANCING ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
New budget authority (gross), detail:
Spending authority from offsetting collections:
68.00
Offsetting collections (cash) .....................................
68.10
Change in orders on hand from Federal sources

General and special funds—Continued
PAYMENTS

TO

HEALTH CARE TRUST FUNDS

(Legislative proposal, not subject to PAYGO)

68.90

Program and Financing (in millions of dollars)
Identification code 75–0580–2–1–571

10.00

1995 actual

1996 est.

Obligations by program activity:
Total obligations (object class 42.0) ............................ ................... ...................

1997 est.

7,867

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................ ................... ...................
23.95 New obligations ............................................................. ................... ...................

7,867
–7,867

New budget authority (gross), detail:
Appropriation .................................................................. ................... ...................

7,867

2,142
2,165
2,245
47 ................... ...................

Spending authority from offsetting collections
(total) ................................................................

2,189

2,165

2,245

Total new budget authority (gross) ..........................

2,189

2,165

2,245

Change in unpaid obligations:
Unpaid obligations, start of year:
72.40
Obligated balance: Appropriation .............................
72.95
Orders on hand from Federal sources ......................

428
27

445
74

445
74

70.00

74.40
74.95

Change in unpaid obligations:
73.10 New obligations ............................................................. ................... ...................
73.20 Total outlays (gross) ...................................................... ................... ...................

7,867
–7,867

86.90

Outlays (gross), detail:
Outlays from new current authority .............................. ................... ...................

7,867

87.00

Total outlays (gross) ................................................. ................... ...................

Total unpaid obligations, start of year ................
New obligations .............................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts ..................................
Unpaid obligations, end of year:
Obligated balance: Appropriation .............................
Orders on hand from Federal sources ......................

74.99

Total unpaid obligations, end of year ..................

86.97
86.98

Outlays (gross), detail:
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

87.00

40.00

72.99
73.10
73.20
73.40

455
519
519
2,194
2,165
2,245
–2,145
–2,165
–2,245
15 ................... ...................

Total outlays (gross) .................................................

2,145

2,165

2,245

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.40
Non-Federal sources .............................................

–2,109
–33

–2,128
–37

–2,202
–43

88.90
88.95

–2,142
–2,165
–2,245
–47 ................... ...................

445
74

445
74

445
74

519

519

519

7,867

Net budget authority and outlays:
89.00 Budget authority ............................................................ ................... ...................
90.00 Outlays ........................................................................... ................... ...................

7,867
7,867

This schedule reflects the effects of the Medicare reform
proposals contained in the Administration’s balanced budget
proposal on the Payments to Health Care Trust Funds account.

89.00
90.00

PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles XI, XVIII,
and XIX of the Social Security Act, title XIII of the Public Health
Service Act, the Clinical Laboratory Improvement Amendments of
1988, section 4360 of Public Law 101–508, and section 4005(e) of
Public Law 100–203, not to exceed $2,202,284,000, to be transferred
from the Federal Hospital Insurance and the Federal Supplementary
Medical Insurance Trust Funds, as authorized by section 201(g) of
the Social Security Act; together with all funds collected in accordance
with section 353 of the Public Health Service Act, the latter funds
to remain available until expended: Provided, That all funds derived
in accordance with 31 U.S.C. 9701 from organizations established
under title XIII of the Public Health Service Act are to be credited
to and available for carrying out the purposes of this appropriation.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Total, offsetting collections (cash) ..................
Change in orders on hand from Federal sources .........

2,110
2,165
2,245
35 ................... ...................

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ...........................................................................
3 ................... ...................

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, not subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Adjustment to 1996 continuing resolution levels:
Budget Authority .....................................................................
Outlays ....................................................................................

1995 actual

1996 est.

1997 est.

.................... .................... ....................
3 .................... ....................
.................... .................... ....................
.................... .................... ....................
.................... ....................
.................... ....................

1,544
1,544

.................... .................... ....................
.................... .................... ....................

Total:
Budget Authority ..................................................................... .................... ....................
Outlays ....................................................................................
3 ....................

1,544
1,544

Program and Financing (in millions of dollars)
Identification code 75–0511–0–1–550

1995 actual

1996 est.

1997 est.

00.01
00.02
00.03
00.04
00.05
00.06

Obligations by program activity:
Research, demonstrations, and evaluation projects .....
Medicare contractors .....................................................
Medicare anti-fraud and abuse ....................................
State certification ..........................................................
Administrative costs ......................................................
Clinical laboratories improvement amendment (CLIA)

76
1,189
396
145
354
34

50
1,208
396
146
328
37

55
1,218
396
174
359
43

10.00

Total obligations ........................................................

2,194

2,165

2,245

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

19
2,189

15
2,165

15
2,245

2,208
–2,194

2,180
–2,165

2,260
–2,245

15

15

15

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

Program management activities include funding for research, Medicare contractors, survey and certification, CLIA,
and administrative costs.
Object Classification (in millions of dollars)
Identification code 75–0511–0–1–550

1995 actual

1996 est.

1997 est.

11.1
11.3
11.5

Personnel compensation:
Full-time permanent ..................................................
Other than full-time permanent ...............................
Other personnel compensation ..................................

206
5
3

223
5
1

233
5
2

11.9
12.1
21.0
23.1
23.3
24.0
25.1
25.2
25.6

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Printing and reproduction ..............................................
Advisory and assistance services ..................................
Other services ................................................................
Medical care ..................................................................

214
37
9
16
6
29
1
250
1,585

229
38
3
25
4
3
21
254
1,564

240
41
4
23
4
3
27
274
1,614

HEALTH CARE FINANCING ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
26.0
31.0
41.0
99.5
99.9

Supplies and materials .................................................
2 ................... ...................
Equipment ......................................................................
8 ................... ...................
Grants, subsidies, and contributions ............................
37
23
14
Below reporting threshold .............................................. ...................
1
1
Total obligations ........................................................

2,194

2,165

2,245

Personnel Summary
Identification code 75–0511–0–1–550

1001
1005

1995 actual

Total compensable workyears:
Full-time equivalent employment ..................................
Full-time equivalent of overtime and holiday hours

1996 est.

1997 est.

70.00

Total new budget authority (gross) .......................... ...................

440

2,044

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

440
–440

2,044
–2,044

86.90
86.97
86.98

Outlays (gross), detail:
Outlays from new current authority .............................. ................... ...................
1,544
Outlays from new permanent authority ......................... ...................
440
500
Outlays from permanent balances ................................ ................... ................... ...................

87.00
4,099
9

4,100
9

4,100
9

Total outlays (gross) ................................................. ...................

440

2,044

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources ...................

–440

–500

Net budget authority and outlays:
Budget authority ............................................................ ................... ...................
Outlays ........................................................................... ................... ...................

1,544
1,544

PROGRAM MANAGEMENT
89.00
90.00

(Legislative proposal, not subject to PAYGO)

489

Program and Financing (in millions of dollars)
Identification code 75–0511–2–1–550

1995 actual

1996 est.

1997 est.

10.00

Obligations by program activity:
Total obligations (object class 25.2) ............................ ...................

–396

–396

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

–396
396

–396
396

68.00

This schedule reflects the effects on the Program Management account of the Administration’s proposals to: (1) shift
spending on Medicare anti-fraud activities from discretionary
to mandatory, (2) create a five-year demonstration program
to finance health insurance for the temporarily unemployed
and (3) create a State grant to foster the development of
purchasing cooperatives.
Object Classification (in millions of dollars)

New budget authority (gross), detail:
Spending authority from offsetting collections (gross):
Offsetting collections (cash) ..................................... ...................

–396

–396

Identification code 75–0511–4–1–550

25.2
41.0

Change in unpaid obligations:
73.10 New obligations ............................................................. ...................
73.20 Total outlays (gross) ...................................................... ...................

–396
396

–396
396

86.97

Outlays (gross), detail:
Outlays from new permanent authority ......................... ...................

–396

Total outlays (gross) ................................................. ...................

–396

–396

1996 est.

1997 est.

Other services ................................................................ ...................
440
Grants, subsidies, and contributions ............................ ................... ...................

500
1,544

–396

87.00

1995 actual

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources ...................

89.00
90.00

396

396

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ........................................................................... ................... ................... ...................

This schedule reflects the effects on the Program Management account of the Administration’s proposal to shift spending on Medicare anti-fraud activities from discretionary to
mandatory.

99.9

Total obligations ........................................................ ...................

HEALTH MAINTENANCE ORGANIZATION LOAN
FUND

440

2,044

LOAN GUARANTEE

AND

For carrying out subsections (d) and (e) of section 1308 of the
Public Health Service Act, any amounts received by the Secretary
in connection with loans and loan guarantees under title XIII of
such Act, to be available without fiscal year limitation for the payment
of outstanding obligations. During fiscal year 1997, no commitments
for direct loans or loan guarantees shall be made.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–4420–0–3–551

1995 actual

1996 est.

1997 est.

(Legislative proposal, subject to PAYGO)

00.05
00.06

Obligations by program activity:
Interest payments to FFB ..............................................
Premium payments to FFB ............................................

Program and Financing (in millions of dollars)

10.00

Total obligations (object class 43.0) ........................

2

1

1

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New budget authority (gross) ........................................
22.60 Redemption of debt .......................................................

9
22
–18

11
4
–3

10
3
–2

13
–2

12
–1

11
–1

11

10

10

PROGRAM MANAGEMENT

Identification code 75–0511–4–1–550

1995 actual

1996 est.

1997 est.

1
1
1
1 ................... ...................

21.90

00.01
00.02
00.03

Obligations by program activity:
Health insurance for the temporarily unemployed ........ ................... ...................
Grants for health insurance cooperatives ..................... ................... ...................
Payment safeguards ...................................................... ...................
440

1,519
25
500

10.00

Total obligations ........................................................ ...................

440

2,044

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

440
–440

2,044
–2,044

New budget authority (gross), detail:
Current:
40.00
Appropriation ............................................................. ................... ...................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) ..................................... ...................
440

1,544

500

23.90
23.95
24.90

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

Total new budget authority (gross) ..........................

15 ................... ...................

7

4

3

22

4

3

490

HEALTH CARE FINANCING ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

General and special funds—Continued
HEALTH MAINTENANCE ORGANIZATION LOAN
FUND—Continued

LOAN GUARANTEE

AND

00.04
00.05

41
42
319 ...................

10.00

Total obligations ........................................................

109,861

127,003

138,208

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

109,861
–109,861

127,003
–127,003

138,208
–138,208

60.27
60.28
60.45
60.75

New budget authority (gross), detail:
Appropriation (trust fund, indefinite) ............................
114,847
120,459
127,166
Appropriation (unavailable balances) ........................... ...................
6,544
11,042
Portion precluded from obligation .................................
–4,984 ................... ...................
Procurement reduction pursuant to P.L. 103–[333]
–2 ................... ...................

Program and Financing (in millions of dollars)—Continued
1995 actual

Identification code 75–4420–0–3–551

Research, HI ...................................................................
58
Quinquennial adjustment for military service credits ...................

1996 est.

1997 est.

73.10
73.20

Change in unpaid obligations:
New obligations .............................................................
Total outlays (gross) ......................................................

2
–3

1
–1

1
–1

86.93

Outlays (gross), detail:
Outlays from current balances ......................................

3

1

1

87.00

Total outlays (gross) .................................................

3

1

1

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
Non-Federal sources:
88.40
Interest .............................................................
–7
88.40
Other ................................................................. ...................

–1
–3

–1
–2

88.90

Total, offsetting collections (cash) ..................

–4

–3

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

63.00

Appropriation (total) ..................................................

109,861

127,003

138,208

70.00

Total new budget authority (gross) ..........................

109,861

127,003

138,208

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
U.S. Securities: Par value .........................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.41 Unpaid obligations, end of year: Obligated balance:
U.S. Securities: Par value .........................................

19,712
109,861
–114,883

14,689
127,003
–126,642

15,051
138,208
–138,372

14,689

15,051

14,887

72.41

–7

86.90
86.93
86.97
86.98

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

1,142
158
96,546
17,037

1,076
151
110,876
14,539

1,183
134
122,139
14,916

87.00

Total outlays (gross) .................................................

114,883

126,642

138,372

89.00
90.00

15 ................... ...................
–4
–3
–2

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

109,861
114,883

127,003
126,642

138,208
138,372

Trust Funds
FEDERAL HOSPITAL INSURANCE TRUST FUND
Unavailable Collections (in millions of dollars)
Identification code 20–8005–0–7–571

1995 actual

1996 est.

Balance, start of year:
Balance, start of year ....................................................
109,844
114,828
108,391
Receipts:
02.01 Transfers from general fund (FICA taxes) .....................
88,934
94,695
100,843
02.02 Receipts from Railroad Retirement Board ....................
358
369
369
02.03 Transfers from general fund (SECA taxes) ...................
6,732
6,771
7,558
02.04 Federal employer contributions (FICA) ...........................
1,824
1,744
1,798
02.05 Postal service employer contributions (FICA) ................
564
549
562
02.06 Refunds .......................................................................... ...................
13 ...................
02.07 Interest received by trust funds ....................................
10,833
10,479
9,735
02.08 Other proprietary receipts from the public ...................
1 ................... ...................
02.09 Interest received by trust funds, legislative proposal ...................
–4
172
02.10 Taxation on OASDI benefits ...........................................
3,913
4,069
4,349
02.12 Interest payments by Railroad Retirement Board .........
38
39
34
02.13 Payments from the general fund (uninsured and program management) ...................................................
591
558
624
02.14 Payments for military service credits ............................
61
73
70
02.15 Premiums collected for uninsured individuals not otherwise eligible ...........................................................
998
1,100
1,224
02.17 Premiums collected for uninsured individuals not otherwise eligible, proposed legislation ......................... ................... ...................
–123
01.99

02.99

Total receipts .............................................................

Summary of Budget Authority and Outlays

1997 est.

114,847

120,455

127,215

Total: Balances and collections ....................................
224,691
Appropriation:
05.01 Federal hospital insurance trust fund ..........................
–109,863
05.02 Federal hospital insurance trust fund, adjustment to
1996 Continuing Resolution level ............................. ...................
05.03 Federal hospital insurance trust fund, proposed legislation ......................................................................... ...................
05.04 Federal hospital insurance trust fund, legislative proposal, not subject to PAYGO ..................................... ...................

235,283

....................
....................

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

109,861
114,883

1995 actual

1996 est.

1997 est.

109,861
114,883

127,003
126,642

138,208
138,372

....................
....................

–77
–77

–77
–77

....................
....................

–74
–74

–14,107
–14,107

40 ....................
40 ....................
126,892
126,531

124,024
124,188

The Hospital Insurance (HI) program funds the costs of
hospital and related care for individuals age 65 or older and
for eligible disabled people.
The status of the trust fund is as follows:

235,606

–127,003

[In millions of dollars]

Enacted/requested:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, not subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Adjustment to 1996 continuing resolution levels:
Budget Authority .....................................................................
Outlays ....................................................................................

–138,208

04.00

–40 ...................
74

14,107

77

–124,024
111,582

Identification code 20–8005–0–7–571

Unexpended balance, start of year:
0100 Treasury balance ............................................................
0101 U.S. Securities: Par value ..............................................

Subtotal appropriation ...................................................
Total balance, end of year ............................................

–109,863
114,828

Program and Financing (in millions of dollars)
Identification code 20–8005–0–7–571

00.01
00.02
00.03

Obligations by program activity:
Benefit payments, HI .....................................................
Administration, HI ..........................................................
Peer review organizations, HI ........................................

1995 actual

108,512
1,247
44

1996 est.

1997 est.

840
128,715

–344
129,862

1
123,441

Total balance, start of year ......................................
129,555
Cash income during the year:
Governmental receipts:
0200
FHI Trust Fund, Transfers from general fund (FICA
taxes) ....................................................................
88,934
0201
FHI Trust Fund, Transfers from general fund (SECA
taxes) ....................................................................
6,732
0202
Refunds ..................................................................... ...................
0205
FHI Trust Fund, Receipts from Railroad Retirement
Board .....................................................................
358
Proprietary receipts:
0221
FHI Trust Fund, Premiums collected for uninsured
individuals not otherwise eligible ........................
998

129,518

123,442

94,695

100,843

0199

05.99
07.99

1995 actual

77

–126,892
108,391

Status of Funds (in millions of dollars)

1996 est.

124,841
1,169
633

1997 est.

136,799
1,283
84

6,771
7,558
13 ...................
369

369

1,100

1,224

HEALTH CARE FINANCING ADMINISTRATION—Continued
Trust Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
0222
0223
0240
0241
0242
0243
0244
0245
0246
0248
0249
0250
0251
0297
0298

FHI Trust Fund, Premiums collected for uninsured
individuals not otherwise eligible ........................ ................... ...................
–123
Proprietary receipts ...................................................
1 ................... ...................
Intragovernmental transactions:
FHI Trust Fund, Federal employer contributions
(FICA) ....................................................................
1,824
1,744
1,798
FHI Trust Fund, Postal service employer contributions (FICA) ...........................................................
564
549
562
FHI Trust Fund, Federal payment for transitional
coverage for uninsured Federal employees ..........
56
61
76
FHI Trust Fund, Federal payment for transitional
coverage for the uninsured ..................................
406
358
405
FHI Trust Fund, Federal payment for SECA tax
credits ...................................................................
–1
–10
1
FHI Trust Fund, General Fund transfer, Program
management (HI) ..................................................
130
149
142
FHI Trust Fund, Federal payments for OASDI taxes
3,913
4,069
4,349
FHI Trust fund, Interest payment from Railroad
Retirement Board ..................................................
38
39
34
FHI Trust Fund, Interest on investments ..................
10,833
10,479
9,735
FHI Trust Fund, Interest on investments .................. ...................
–4
172
FHI Trust Fund, Transfer from Department of Defense for military service credits .........................
61
73
70
Income under present law .............................................
114,847
120,459
127,166
Income under proposed legislation ............................... ...................
–4
49

0299

Total cash income .....................................................
Cash outgo during year:
0500 Benefit payments ...........................................................
0501 Benefit payments (proposed legislation) .......................
0502 Administration ................................................................
Cash outgo during the year (–) Budget Acct:
0503
Administration (proposed legislation) .......................
0503
Administration (proposed legislation) .......................
0503
Administration (proposed legislation) .......................
0504 Peer review organizations ..............................................
0505 Research ........................................................................
0507 Quinquennial Adjustment for Military Service Credits
0597 Outgo under present law (–) .........................................
0598 Outgo under proposed legislation (–) ...........................
0599
0625

Total cash outgo (–) ......................................................
Balances expired or permanently cancelled ..................
Unexpended balance, end of year:
0700 Uninvested balance .......................................................
0701 U.S. Securities: Par value ..............................................
0799

Total balance, end of year ........................................

114,847

120,455
–124,841
205
–1,174

–136,799
14,256
–1,272

...................
...................
...................
–181
–54
...................
–114,883
...................

77
77
–131
–149
–40 ...................
–255
–256
–53
–45
–319 ...................
–126,642
–138,372
111
14,184

New obligations ............................................................. ...................

77

77

60.28

New budget authority (gross), detail:
Appropriation (unavailable balances) ........................... ...................

–77

–77

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

–77
77

–77
77

86.90

Outlays (gross), detail:
Outlays from new current authority .............................. ...................

–77

–77

87.00

Total outlays (gross) ................................................. ...................

–77

–77

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ...................
Outlays ........................................................................... ...................

–77
–77

–77
–77

This schedule reflects the effects on the Hospital Insurance
Trust Fund of the Administration’s proposal to shift spending
on Medicare anti-fraud activities from discretionary to mandatory.
Object Classification (in millions of dollars)
Identification code 20–8005–2–7–571

25.3
92.0
99.9

–344
129,862

1
123,441
123,442

126,469

1995 actual

1996 est.

1997 est.

1996 est.

1997 est.

Purchases of goods and services from Government
accounts .................................................................... ...................
Reimbursement for administrative expenses for other
than SSA LAE ............................................................ ...................

–67

–67

–10

–10

Total obligations ........................................................ ...................

–77

–77

(Legislative proposal, subject to PAYGO)

1
126,468

129,518

1995 actual

FEDERAL HOSPITAL INSURANCE TRUST FUND

–114,883
–126,531
–124,188
–2 ................... ...................

Object Classification (in millions of dollars)
Identification code 20–8005–0–7–571

23.95

127,215

–113,402
...................
–1,246

491

Program and Financing (in millions of dollars)
Identification code 20–8005–4–7–571

00.01
00.02
00.06

1995 actual

1996 est.

Obligations by program activity:
Benefit payments, HI ..................................................... ................... ...................
Administration, HI .......................................................... ...................
131
Benefits—program integrity .......................................... ...................
–205

1997 est.

–13,640
149
–616

41.0
42.0
92.0
92.0
93.0
99.5
99.9

Total obligations ........................................................ ...................

–74

–14,107

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

–74
74

–14,107
14,107

60.27
60.28

New budget authority (gross), detail:
Appropriation (trust fund, indefinite) ............................ ...................
Appropriation (unavailable balances) ........................... ...................

–4
–70

49
–14,156

63.00

Appropriation (total) .................................................. ...................

–74

–14,107

70.00

Total new budget authority (gross) .......................... ...................

–74

–14,107

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

–74
74

–14,107
14,107

86.90
86.97

Outlays (gross), detail:
Outlays from new current authority .............................. ...................
Outlays from new permanent authority ......................... ...................

131
–205

149
–14,256

(Legislative proposal, not subject to PAYGO)

41.0

10.00

FEDERAL HOSPITAL INSURANCE TRUST FUND

25.3

87.00

Total outlays (gross) ................................................. ...................

–74

–14,107

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ...................
Outlays ........................................................................... ...................

–74
–74

–14,107
–14,107

Purchases of goods and services from Government
accounts ....................................................................
728
671
722
Grants, subsidies, and contributions:
Payment for health insurance experiments and
demonstration projects .........................................
58
41
42
Payment for peer review organization (PRO) activities ........................................................................
44
633
84
Insurance claims and indemnities ................................
108,512
124,841
136,799
Undistributed:
Quinquennial Adjustment for Military Service Credits .......................................................................... ...................
319 ...................
Reimbursement for administrative expenses for
other than SSA LAE ..............................................
45
39
39
Administrative expenses: Portion of limitation on salaries and expenses: Social Security Administration
475
459
522
Below reporting threshold ..............................................
–1 ................... ...................
Total obligations ........................................................

109,861

127,003

138,208

Program and Financing (in millions of dollars)
Identification code 20–8005–2–7–571

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Total obligations ............................................................ ...................

–77

–77

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................ ...................

–77

–77

10.00

This schedule reflects the effects of the Medicare reform
proposals contained in the Administration’s balanced budget
proposal on the Hospital Insurance Trust Fund.

492

HEALTH CARE FINANCING ADMINISTRATION—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

86.90
86.93
86.97
86.98

Object Classification (in millions of dollars)
Identification code 20–8005–4–7–571

25.3

42.0
42.0
92.0
99.9

Purchases of goods and services from Government
accounts ....................................................................
Insurance claims and indemnities:
Insurance claims and indemnities ...........................
Insurance claims and indemnities ...........................
Reimbursement for administrative expenses for other
than SSA LAE ............................................................

1995 actual

...................

1996 est.

74

1,679
123
64,165
4,904

1,757
127
71,369
4,931

Total outlays (gross) .................................................

65,213

70,871

78,184

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

66,953
65,213

70,903
70,871

78,177
78,184

84

...................
–205
................... ...................

–616
–13,640

...................

57

65

Total obligations ........................................................ ...................

–74

–14,107

Unavailable Collections (in millions of dollars)
Identification code 20–8004–0–7–571

Balance, start of year:
Balance, start of year ....................................................
Receipts:
02.01 Federal contributions .....................................................
02.02 Interest received by trust fund ......................................
02.03 Other proprietary receipts from the public ...................
02.05 Premiums collected for the aged ..................................
02.06 Premiums collected for the disabled ............................
02.07 Federal contributions, proposed legislation ..................
02.08 Interest received by trust fund, proposed legislation
02.09 Premiums collected for the aged, proposed legislation
02.10 Premiums collected for the disabled, proposed legislation ............................................................................
01.99

Total receipts .............................................................

1995 actual

17,632

1996 est.

8,848

1997 est.

19,777

36,988
61,331
59,456
1,935
1,786
2,203
3 ................... ...................
17,126
16,622
16,813
2,117
2,120
2,250
................... ...................
7,867
...................
–1
–2
................... ...................
–146
................... ...................

–19

58,169

81,858

88,422

Total: Balances and collections ....................................
75,801
Appropriation:
05.01 Federal supplementary medical insurance trust fund
–66,953
05.02 Federal supplementary medical insurance trust fund,
adjustment to 1996 Continuing Resolution level ...................
05.03 Federal supplementary medical insurance trust fund,
proposed legislation .................................................. ...................
05.04 Federal supplementary medical insurance trust fund,
legislative proposal, not subject to PAYGO .............. ...................

90,706

108,199

–70,903

–78,177

04.00

05.99
07.99

1,619
103
60,308
3,183

1997 est.

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

02.99

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

87.00

FEDERAL HOSPITAL INSURANCE TRUST FUND—Continued

Subtotal appropriation ...................................................
Total balance, end of year ............................................

–66,953
8,848

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, not subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Adjustment to 1996 continuing resolution levels:
Budget Authority .....................................................................
Outlays ....................................................................................

....................
....................

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

66,953
65,213

–8,071

337

–85,911
22,288

Identification code 20–8004–0–7–571

0100
0101

Unexpended balance, start of year:
Treasury balance ............................................................
U.S. Securities: U.S. securities: Par value ....................

0199

Program and Financing (in millions of dollars)
Identification code 20–8004–0–7–571

1995 actual

1996 est.

1997 est.

Obligations by program activity:
00.01 Benefit payments, SMI ...................................................
00.02 Administration, SMI .......................................................
00.03 Peer review organizations, SMI ......................................
00.04 Research, SMI ................................................................

65,182
1,750
2
19

69,055
1,806
33
9

76,287
1,872
4
13

10.00

Total obligations ........................................................

66,953

70,903

78,177

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

66,953
–66,953

70,903
–70,903

78,177
–78,177

60.27
60.28
60.45

New budget authority (gross), detail:
Appropriation (trust fund, indefinite) ............................
58,169
81,859
80,722
Appropriation (unavailable balances) ...........................
8,784 ................... ...................
Portion precluded from obligation ................................. ...................
–10,956
–2,545

63.00

Appropriation (total) ..................................................

66,953

70,903

78,177

70.00

Total new budget authority (gross) ..........................

66,953

70,903

78,177

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
U.S. Securities: Par value .........................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.41 Unpaid obligations, end of year: Obligated balance:
U.S. Securities: Par value .........................................
72.41

3,287
66,953
–65,213

5,027
70,903
–70,871

5,059
78,177
–78,184

5,027

5,059

5,052

1997 est.

70,903
70,871

78,177
78,184

....................
....................

–337
–337

–337
–337

....................
....................

327
327

8,071
8,071

36 ....................
36 ....................
70,929
70,897

85,911
85,918

Status of Funds (in millions of dollars)

337

–70,929
19,777

1996 est.

66,953
65,213

The Supplementary Medical Insurance (SMI) program is
a voluntary program which affords protection against the
costs of physician and certain other medical services. The
program also covers treatment of end-stage renal disease for
eligible enrollees. SMI costs are financed by premium payments from enrollees and contributions from the general revenues.
The status of the trust fund is as follows:

–36 ...................
–327

1995 actual

Total balance, start of year ......................................
Cash income during the year:
Proprietary receipts:
0221
Premiums collected for the aged, FSMI Fund ..........
0222
Premiums collected for the aged, proposed law,
FSMI Fund .............................................................
Proprietary receipts Receipt Acct:
0223
Premiums collected for the disabled, FSMI Fund
0223
Premiums collected for the disabled, proposed
law, FSMI Fund .................................................
0224
Proprietary receipts ...................................................
Intragovernmental transactions:
0240
Federal contributions, FSMI Fund .............................
0241
Federal Contributions, proposed law, FSMI Fund
0242
Interest received by trust fund, FSMI Fund ..............
0243
Interest received by trust fund, proposed law, FSMI
Fund ......................................................................
0297 Income under present law .............................................
0298 Income under proposed legislation ...............................
0299

Total cash income .....................................................
Cash outgo during year:
Cash outgo during the year (–) Budget Acct:
0501
Cash outgo for benefit payments & ESRD ...............
0501
Benefit payments, proposed legislation ....................
0502 Cash outgo for administration ......................................
Cash outgo during the year (–) Budget Acct:
0503
Administration, proposed legislation ........................
0503
Administration, proposed legislation ........................
0503
Administration, proposed legislation ........................
0504 Cash outgo for peer review organizations ....................
Cash outgo during the year (–) Budget Acct:
0505
Cash outgo for research ...........................................
0505
Cash outgo for research ...........................................
0597 Outgo under present law (–) .........................................

1995 actual

1996 est.

1997 est.

–570
21,489

361
13,513

1
24,834

20,919

13,874

24,835

17,126

16,622

16,813

................... ...................

–146

2,117

2,120

2,250

................... ...................
–19
3 ................... ...................
36,988
61,331
................... ...................
1,935
1,786

59,456
7,867
2,203

...................
58,169
...................

–1
81,859
–1

–2
80,722
7,700

58,169

81,858

88,422

–63,482
...................
–1,704

–69,055
86
–1,790

–76,287
–7,601
–1,869

...................
...................
...................
–9

337
337
–413
–470
–32 ...................
–13
–14

–18
...................
–65,213

–13
–14
–4 ...................
–70,871
–78,184

ADMINISTRATION FOR CHILDREN AND FAMILIES
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
0598

Outgo under proposed legislation (–) ........................... ...................

0599

Total cash outgo (–) ......................................................
Unexpended balance, end of year:
0700 Treasury balance ............................................................
0701 U.S. Securities: U.S. securities: Par value ....................

0799

Total balance, end of year ........................................

493

–26

–7,734

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

–65,213

–70,897

–85,918

(Legislative proposal, subject to PAYGO)

361
13,513

1
24,834

1
27,338

13,874

24,835

27,339

Program and Financing (in millions of dollars)

00.01
00.02
00.05

Object Classification (in millions of dollars)

1995 actual

Identification code 20–8004–4–7–571

1996 est.

1997 est.

Obligations by program activity:
Benefit payments, SMI ................................................... ................... ...................
Administration, SMI ....................................................... ...................
413
Benefits—program integrity .......................................... ...................
–86

7,860
470
–259

10.00

Total obligations ........................................................ ...................

327

8,071

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

327
–327

8,071
–8,071

60.27
60.28

New budget authority (gross), detail:
Appropriation (trust fund, indefinite) ............................ ...................
Appropriation (unavailable balances) ........................... ...................

–1
328

7,700
371

63.00

Appropriation (total) .................................................. ...................

327

8,071

70.00

Total new budget authority (gross) .......................... ...................

327

8,071

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

327
–327

8,071
–8,071

(Legislative proposal, not subject to PAYGO)

86.90
86.97

Outlays (gross), detail:
Outlays from new current authority .............................. ...................
Outlays from new permanent authority ......................... ...................

413
–86

470
7,601

Program and Financing (in millions of dollars)

87.00

Total outlays (gross) ................................................. ...................

327

8,071

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ...................
Outlays ........................................................................... ...................

327
327

8,071
8,071

Identification code 20–8004–0–7–571

25.3

41.0
41.0
42.0
93.0

99.9

Purchases of goods and services from Government
accounts ....................................................................
Grants, subsidies, and contributions:
Payment for peer review organization (PRO) activity
Payment for health insurance experiments and
demonstration projects .........................................
Insurance claims and indemnities ................................
Administrative expenses: Portion of limitation on salaries and expenses: Social Security Administration
Total obligations ........................................................

1995 actual

1996 est.

1997 est.

1,393

1,457

1,475

2

33

4

19
65,182

9
69,055

13
76,287

357

349

397

66,953

70,903

78,177

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

Identification code 20–8004–2–7–571

1995 actual

Obligations by program activity:
10.00 Total obligations ............................................................ ...................
Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................ ...................
23.95 New obligations ............................................................. ...................

1996 est.

–337

–337
337

1997 est.

–337

–337
337

This schedule reflects the effects of the Medicare reform
proposals contained in the Administration’s balanced budget
proposal on the Supplementary Medical Insurance Trust
Fund.
Object Classification (in millions of dollars)

New budget authority (gross), detail:
60.28 Appropriation (unavailable balances) ........................... ...................

–337

–337

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

–337
337

–337
337

86.90

Outlays (gross), detail:
Outlays from new current authority .............................. ...................

–337

–337

25.3

42.0
42.0
92.0
99.9

87.00

Total outlays (gross) ................................................. ...................

–337

Net budget authority and outlays:
Budget authority ............................................................ ...................
Outlays ........................................................................... ...................

–337
–337

–337
–337

Purchases of goods and services from Government
accounts ....................................................................
Insurance claims and indemnities:
Insurance claims and indemnities ...........................
Insurance claims and indemnities ...........................
Reimbursement for Administrative Expenses for Other
Than SSA LAE ............................................................

1996 est.

...................

1997 est.

366

416

...................
–86
................... ...................

–259
7,860

...................

47

54

Total obligations ........................................................ ...................

327

8,071

–337

89.00
90.00

1995 actual

Identification code 20–8004–4–7–571

This schedule reflects the effects on the Supplementary
Medical Insurance Trust Fund of the Administration’s proposal to shift spending on Medicare anti-fraud activities from
discretionary to mandatory.
Object Classification (in millions of dollars)
Identification code 20–8004–2–7–571

25.3

1995 actual

1996 est.

1997 est.

92.0

Purchases of goods and services from Government
accounts .................................................................... ...................
Undistributed ................................................................. ...................

–329
–8

–329
–8

99.9

Total obligations ........................................................ ...................

–337

–337

ADMINISTRATION FOR CHILDREN AND
FAMILIES
Federal Funds
General and special funds:
FAMILY SUPPORT PAYMENTS

TO

STATES

For making payments to States or other non-Federal entities, except
as otherwise provided, under titles I, IV–A (other than section
402(g)(6)) and D, X, XI, XIV, and XVI of the Social Security Act,
and the Act of July 5, 1960 (24 U.S.C. ch. 9), $13,301,000,000, to
remain available until expended.
For making, after May 31 of the current fiscal year, payments to
States or other non-Federal entities under titles I, IV–A and D, X,
XI, XIV, and XVI of the Social Security Act, for the last three months
of the current year for unanticipated costs, incurred for the current
fiscal year, such sums as may be necessary.
For making payments to States or other non-Federal entities under
titles I, IV–A (other than section 402(g)(6)) and D, X, XI, XIV, and
XVI of the Social Security Act and the Act of July 5, 1960 (24 U.S.C.

494

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

General and special funds—Continued
FAMILY SUPPORT PAYMENTS

TO

LOW INCOME HOME ENERGY ASSISTANCE

STATES—Continued

ch. 9) for the first quarter of fiscal year 1998, $4,700,000,000, to
remain available until expended.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–1501–0–1–609

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Aid to families with dependent children (AFDC) payments:
Benefit payments:
00.01
Properly issued payments .....................................
11,436
00.02
Erroneously issued payments ...............................
743
00.03
Collection of excess State errors .......................... ...................

10,698
683
–41

11,022
691
–52

00.91
01.02
01.03
01.04
01.05
01.06
01.07
01.08

11,340
25
1,687
1
820
249
335
1,679

11,661
25
1,867
1
879
268
300
1,875

Subtotal, benefit payments .......................................
12,179
Payments to territories ..................................................
25
Emergency assistance ...................................................
984
Repatriation ................................................................... ...................
AFDC day care ...............................................................
655
Transitional day care .....................................................
200
At-risk day care .............................................................
297
State welfare administrative costs ...............................
1,780

For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981: (1) $1,000,000,000, to be available in the
period October 1, 1996 through September 30, 1997; (2) an additional
$300,000,000, which is hereby designated by Congress to be emergency
requirements pursuant to section 251(b)(2)(D)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended, and which
shall be made available only after submission to Congress of a formal
budget request by the President that includes designation of the entire
amount of the request as an emergency requirement as defined in
that Act; and (3) $1,000,000,000, to be available for the period October
1, 1997 through September 30, 1998.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)

01.91

Subtotal, other payments ..........................................

3,941

4,796

5,215

02.00
02.01
02.02
02.03

Subtotal, AFDC ..........................................................
Gross Federal share of collections ................................
Federal incentive payments to States ...........................
State child support administrative costs ......................

16,120
–1,212
390
2,124

16,136
–1,282
429
1,916

16,876
–1,366
459
2,132

1995 actual

Identification code 75–1502–0–1–609

1996 est.

1997 est.

10.00

Obligations by program activity:
Total obligations (object class 41.0) ............................

1,419

1,000

1,000

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

1,419
–1,419

1,000
–1,000

1,000
–1,000

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
65.00
Advance appropriation (definite) ..............................

1,319

1,000

1,000

70.00

1,419

1,000

1,000

Total new budget authority (gross) ..........................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

100 ................... ...................

72.40

02.91
03.01

Subtotal, CSE ............................................................
Federal administration ...................................................

10.00

Total obligations (object class 41.0) ........................

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

1,302
1,063
1,225
1 ................... ...................
17,423

17,199

18,101

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

37
17,491
17,528
–17,423

105 ...................
17,094
18,101
17,199
–17,199

18,101
–18,101

105 ................... ...................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
40.05
Appropriation (indefinite) ..........................................

12,762
12,694
13,301
529 ................... ...................

43.00

13,291

12,694

13,301

65.00

Appropriation (total) .............................................
Permanent:
Advance appropriation (definite) ..............................

4,200

4,400

4,800

70.00

Total new budget authority (gross) ..........................

17,491

17,094

18,101

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

1,400
17,423
–17,133

1,690
17,199
–17,366

1,523
18,101
–17,956

1,690

1,523

1,667

86.90
86.93
86.97
86.98
87.00
88.95

89.00
90.00

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

11,957
1,354
3,822

11,597
1,765
4,004

11,632
1,523
4,800

87.00

Total outlays (gross) .................................................

17,133

17,366

17,956

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

17,491
17,133

17,094
17,366

18,101
17,956

346

94

69

100 ................... ...................
85 ................... ...................
1,013
940
940
221
312
83

Total outlays (gross) .................................................
1,419
1,252
1,025
Change in orders on hand from Federal sources ......... ................... ................... ...................
Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

1,419
1,419

1,000
1,252

1,000
1,025

This program makes grants to States and Indian tribes
to aid low-income households with high energy costs through
payments to eligible households, energy suppliers, and weatherization providers.
REFUGEE

72.40

347
346
94
1,419
1,000
1,000
–1,419
–1,252
–1,025
–1 ................... ...................

AND

ENTRANT ASSISTANCE

For making payments for refugee and entrant assistance activities
authorized by title IV of the Immigration and Nationality Act and
section 501 of the Refugee Education Assistance Act of 1980 (Public
Law 96–422), $381,536,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

øREFUGEE RESETTLEMENT ASSISTANCE¿
øFor necessary expenses for the targeted assistance program authorized by title IV of the Immigration and Nationality Act and
section 501 of the Refugee Education Assistance Act of 1980 and
administered by the Office of Refugee Resettlement of the Department of Health and Human Services, in addition to amounts otherwise available for such purposes, $5,000,000.¿ (Foreign Operations,
Export Financing, and Related Appropriations Act, 1996.)

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
73.10
73.20
74.40

Program and Financing (in millions of dollars)
1995 actual

Identification code 75–1503–0–1–609

Obligations by program activity:
10.00 Total obligations ............................................................

396

40.00

1997 est.

405

382
86.90
86.93

Budgetary resources available for obligation:
21.40 Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................
23.90
23.95
24.40

1996 est.

2
2
2
406
405
382
–10 ................... ...................

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

398
–396

407
–405

384
–382

2

2

405

382

150
–38

225
–132

240
–201

171

264

303

Outlays (gross), detail:
Outlays from new current authority .............................. ...................
Outlays from current balances ......................................
38

34
98

36
165

87.00

Total outlays (gross) .................................................

38

132

201

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

150
38

225
132

240
201

2

406

New obligations .............................................................
Total outlays (gross) ......................................................
Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

495

Object Classification (in millions of dollars)

New budget authority (gross), detail:
Appropriation ..................................................................

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

297
297
303
396
405
382
–393
–399
–389
–3 ................... ...................
297

303

Identification code 75–1512–0–1–506

25.1
25.3
41.0

Advisory and assistance services ..................................
Purchases of goods and services from Government
accounts ....................................................................
Grants, subsidies, and contributions ............................

99.9

Total obligations ........................................................

1995 actual

1996 est.

3

1997 est.

6

6

2 ................... ...................
145
219
234
150

225

240

296

86.90
86.93

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................

219
174

229
170

216
173

87.00

Total outlays (gross) .................................................

393

399

389

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

406
393

405
399

382
389

States are subsidized for administering the refugee assistance program.

PAYMENTS

TO

STATES FOR THE JOB OPPORTUNITIES
SKILLS TRAINING PROGRAM

AND

BASIC

For carrying out the Job Opportunities and Basic Skills Training
Program (JOBS), as authorized by part F of title IV of the Social
Security Act, $1,000,000,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)

Object Classification (in millions of dollars)
Identification code 75–1509–0–1–504
1995 actual

Identification code 75–1503–0–1–609

25.3

1996 est.

3
393

3
402

3
379

99.9

Total obligations ........................................................

396

405

382

For carrying
$240,000,000.

out

Section

430

AND

of

SUPPORT

the

Social

Security

Program and Financing (in millions of dollars)
1995 actual

1997 est.

1996 est.

10.00

Obligations by program activity:
Total obligations (object class 41.0) ............................

1,012

22.00
22.30

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Unobligated balance expiring ........................................

1,300
–288

Total budgetary resources available for obligation
New obligations .............................................................

1,012
–1,012

990
–990

1,000
–1,000

40.00

New budget authority (gross), detail:
Appropriation ..................................................................

1,300

1,000

1,000

Act,

Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Identification code 75–1512–0–1–506

1996 est.

23.90
23.95

41.0

Purchases of goods and services from Government
accounts ....................................................................
Grants, subsidies, and contributions ............................

FAMILY PRESERVATION

1995 actual

1997 est.

1997 est.

00.01
00.02
00.03

Obligations by program activity:
Grants to States and Tribes ..........................................
Training and technical assistance ................................
State court assessment activities .................................

139
6
5

209
6
10

224
6
10

10.00

Total obligations ........................................................

150

225

240

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

150
–150

225
–225

240
–240

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

990

1,000

1,000
1,000
–10 ...................

72.40

281
314
345
1,012
990
1,000
–953
–959
–988
–26 ................... ...................
314

345

357

86.90
86.93

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................

759
194

743
216

750
238

87.00

Total outlays (gross) .................................................

953

959

988

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

1,300
953

1,000
959

1,000
988

New budget authority (gross), detail:
40.00 Appropriation ..................................................................

150

225

240

89.00
90.00

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................

59

171

264

This appropriation funds employment, training, and education activities created by the Family Support Act of 1988.

72.40

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

496

THE BUDGET FOR FISCAL YEAR 1997

86.93

Outlays (gross), detail:
Outlays from current balances ......................................

933

935

946

87.00

Total outlays (gross) .................................................

933

935

946

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

935
933

935
935

1,049
946

General and special funds—Continued
STATE LEGALIZATION IMPACT-ASSISTANCE GRANTS
Program and Financing (in millions of dollars)
1995 actual

Identification code 75–1508–0–1–506

1996 est.

1997 est.

00.01
00.03

Obligations by program activity:
Grants to States ............................................................
Citizenship grants ..........................................................

191 ................... ...................
4 ................... ...................

10.00

Total obligations (object class 41.0) ........................

195 ................... ...................

This appropriation helps low-income families pay for child
care and related services.
Object Classification (in millions of dollars)

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................
23.95 New obligations .............................................................

195 ................... ...................
–195 ................... ...................

Identification code 75–1515–0–1–609

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
60.05
Appropriation (indefinite) ..........................................

4 ................... ...................

25.1
25.2
41.0
99.5

191 ................... ...................

99.9

70.00

1995 actual

1996 est.

1997 est.

195 ................... ...................

Total new budget authority (gross) ..........................

Total obligations ........................................................

935

935

1,049

SOCIAL SERVICES BLOCK GRANT

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
72.40

86.93
86.97
86.98

Advisory and assistance services ..................................
2
2
3
Other services ................................................................
1 ................... ...................
Grants, subsidies, and contributions ............................
932
932
1,046
Below reporting threshold .............................................. ...................
1 ...................

363
4
1
195 ................... ...................
–358
–3
–1
–196 ................... ...................
4

1 ...................

Outlays (gross), detail:
Outlays from current balances ...................................... ...................
3
1
Outlays from new permanent authority .........................
191 ................... ...................
Outlays from permanent balances ................................
167 ................... ...................

For making grants to States pursuant to section 2002 of the Social
Security Act, $2,800,000,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–1534–0–1–506

1995 actual

1996 est.

1997 est.

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

PAYMENTS

TO

STATES

FOR THE
BLOCK

00.01
00.02

Obligations by program activity:
Block grant ....................................................................
Empowerment zone ........................................................

195 ................... ...................
358
3
1

Total outlays (gross) .................................................

1

00.91
01.01

Total direct program .................................................
Reimbursable .................................................................

10.00

87.00

Total obligations (object class 41.0) ........................

3,446

3,160

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

1,000
2,806

360 ...................
2,800
2,800

358

CHILD CARE
GRANT

AND

3

DEVELOPMENT

For carrying out sections 658A through 658R of the Omnibus Budget Reconciliation Act of 1981 (The Child Care and Development Block
Grant Act of 1990), $1,048,825,000, which shall be available for obligation under the same statutory terms and conditions applicable in
the prior fiscal year.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–1515–0–1–609

1995 actual

1996 est.

3,440
3,160
2,800
6 ................... ...................
2,800

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

932
3

932
3

1,046
3

10.00

Total obligations ........................................................

935

935

1,049

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

935
–935

935
–935

1,049
–1,049

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

2,800
2,800
360 ...................

3,806
–3,446

3,160
–3,160

2,800
–2,800

360 ................... ...................

2,800

2,800

2,800

6 ................... ...................

1997 est.

Obligations by program activity:
00.01 Block grant payments to States ....................................
00.02 Advisory and assistance services ..................................

New budget authority (gross), detail:
40.00 Appropriation ..................................................................

2,800
640

Total new budget authority (gross) ..........................

2,806

2,800

2,800

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

319
3,446
–2,803

962
3,160
–3,183

939
2,800
–2,839

962

939

900

72.40

935

1,049

1,413
935
–933

1,415
935
–935

1,415
1,049
–946

1,415

1,415

1,518

72.40

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

87.00

935

86.90
86.93
86.97

Total outlays (gross) .................................................

Offsets:
Against gross budget authority and outlays:
88.45
Offsetting collections (cash) from: Offsetting governmental collections ............................................

2,519
2,520
2,520
278
663
319
6 ................... ...................
2,803

3,183

2,839

–6 ................... ...................

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

03.02
2,800
2,797

2,800
3,183

2,800
2,839

Social services block grant.—The proposed level will support
grants to States for social services to: (1) prevent, reduce,
or eliminate dependency; (2) prevent neglect, abuse, or exploitation of children and adults; (3) prevent or reduce inappropriate institutional care; (4) secure admission or referral for
institutional care when other forms of care are not appropriate; and (5) provide services to individuals in institutions.
CHILDREN

AND

FAMILIES SERVICES PROGRAMS

For carrying out, except as otherwise provided, the Runaway and
Homeless Youth Act, the Developmental Disabilities Assistance and
Bill of Rights Act, the Head Start Act, the Child Abuse Prevention
and Treatment Act, chapters 1 and 2 of subtitle B of title III of
the Anti-Drug Abuse Act of 1988, the Family Violence Prevention
and Services Act, the Native American Programs Act of 1974, title
II of Public Law 95–266 (adoption opportunities), the Abandoned Infants Assistance Act of 1988, part B(1) of title IV and section 1110
of the Social Security Act; for making payments under the Community
Services Block Grant Act; and for necessary administrative expenses
to carry out said Acts and titles I, IV, X, XI, XIV, XVI, and XX
of the Social Security Act, the Act of July 5, 1960 (24 U.S.C. ch.
9), the Omnibus Budget Reconciliation Act of 1981, title IV of the
Immigration and Nationality Act, section 501 of the Refugee Education Assistance Act of 1980, Public Law 100–77, sections 30401,
40211, 40241, and title III of Public Law 103–322, and section 126
and titles IV and V of Public Law 100–485, $5,251,328,000, of which
$30,000,000 for the Teen Pregnancy Prevention Program under section
1110 of the Social Security Act shall remain available until expended.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
Identification code 75–1536–0–1–506

1995 actual

1996 est.

1997 est.

Obligations by program activity:
Head Start ......................................................................
3,534
3,397
3,981
Social services programs:
Children, youth, and families:
01.01
Child development associate scholarships ..........
1 ................... ...................
01.03
Runaway and homeless youth ..............................
40
40 ...................
01.04
Runaway youth transitional living ........................
14
14 ...................
01.05
Runaway youth activities—drugs ........................
14 ................... ...................
01.06
Comprehensive runaway and homeless youth ..... ................... ...................
69
01.07
Child abuse state grants .....................................
23
23
23
01.08
Child abuse discretionary grants .........................
15
15 ...................
01.09
Community based resource centers .....................
31 ...................
51
01.10
Teen pregnancy prevention initiative ................... ................... ...................
30
01.11
Abandoned infants assistance .............................
14
12
14
01.12
Dependent care grants .........................................
13 ................... ...................
01.13
Temporary child care and crisis nurseries ...........
12
10 ...................
01.14
Child welfare services ..........................................
292
292
292
01.15
Child welfare training ...........................................
4
2 ...................
01.16
Child welfare research and demonstration ..........
6 ................... ...................
01.17
Adoption opportunities ..........................................
13
11 ...................
01.18
Drug abuse preventions for youth gangs .............
10 ................... ...................
01.19
Family violence grants ..........................................
33
33
33
01.20
Social services and income maintenance research ...............................................................
15 ...................
10
01.21
Family support centers .........................................
7 ................... ...................
01.22
Child welfare innovative programs ...................... ................... ...................
39
Developmental disabilities:
01.23
State grants and advocacy ..................................
97
67
97
01.24
Special projects and university affiliated projects
24
13
24
01.25
Native american programs ...................................
38
35
38
00.01

01.91
02.01
02.03

Subtotal social services programs .......................
ACF Federal administration ...........................................
White House Conference on Aging ................................

02.91

Subtotal, administrative activities ............................

162

151

160

02.93

Total direct program .................................................
Community services programs:
Community services block grants .............................

4,412

4,115

4,861

389

390

390

03.01

716
567
720
161
151
160
1 ................... ...................

497

03.03
03.04

Community services emergency services for the
homeless ...............................................................
Community food and nutrition ..................................
Community services discretionary .............................

03.91
04.01

Subtotal, community services ...................................
Reimbursable program ..................................................

458
24

429
22

390
22

10.00

Total obligations ........................................................

4,894

4,566

5,273

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................

20 ................... ...................
9 ................... ...................
40
39 ...................

21.40

23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

Total new budget authority (gross) ..........................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

9
13
13
4,903
4,566
5,273
–4 ................... ...................
4,908
–4,894

4,579
–4,566

5,286
–5,273

13

13

13

4,874

4,545

5,251

28

22

22

4,903

4,566

5,273

72.40

86.90
86.93
86.97
86.98
87.00

3,211
3,308
3,067
4,894
4,566
5,273
–4,754
–4,807
–4,867
–45 ................... ...................
3,308

3,067

3,473

Outlays (gross), detail:
Outlays from new current authority ..............................
2,093
2,006
2,261
Outlays from current balances ......................................
2,633
2,780
2,584
Outlays from new permanent authority .........................
28
22
22
Outlays from permanent balances ................................ ................... ................... ...................
Total outlays (gross) .................................................

4,754

4,807

4,867

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources

–28

–22

–22

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

4,875
4,726

4,544
4,785

5,251
4,845

89.00
90.00

Summary of Budget Authority and Outlays
[In millions of dollars]

1995 actual
Enacted/requested:
Budget Authority .....................................................................
4,874
Outlays ....................................................................................
4,726
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

4,874
4,726

1996 est.

4,545
4,786

1997 est.

5,251
4,845

272 ....................
112
142

4,817
4,898

5,251
4,987

Head Start.—The proposed level will enable Head Start
projects to continue comprehensive early childhood education
services.
Social Services.—The proposed level will continue to support State, local, and private efforts to provide developmental
and other services for children, grants to improve support
networks for persons with developmental disabilities, and economic development assistance to Native American populations.

498

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
73.20
74.40

General and special funds—Continued
CHILDREN

AND

FAMILIES SERVICES PROGRAMS—Continued

Object Classification (in millions of dollars)

11.1
11.3
11.5
11.9
12.1
13.0
21.0
22.0
23.1
23.2
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

–7

–12

12

29

1996 est.

96
1
1

1997 est.

96
1
1

100
1
1

25.5
25.7
26.0
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Rental payments to others ........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Research and development contracts .......................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

99.0
99.0
99.5

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................
Below reporting threshold ..............................................

4,871
24
–1

4,545
22
–1

5,252
22
–1

99.9

Total obligations ........................................................

4,894

4,566

Outlays (gross), detail:
Outlays from new current authority .............................. ...................
Outlays from current balances ...................................... ...................

2
5

6
6

Total outlays (gross) ................................................. ...................

7

12

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
11
Outlays ........................................................................... ...................

8
7

29
12

5,273

24.0
25.1
25.2
25.3

98
98
102
16
17
18
3
1
1
4
2
4
1
1
1
13
13
14
1 ................... ...................

86.90
86.93
87.00

1995 actual

Identification code 75–1536–0–1–506

Total outlays (gross) ...................................................... ...................
Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
11

3
1
70
3

2
1
60
5

2
1
65
9

23
19
20
3 ................... ...................
5
1
1
1
1
1
4
1
1
4,622
4,323
5,012

Personnel Summary
Identification code 75–1536–0–1–506

1001
1005

Total compensable workyears:
Full-time equivalent employment ..................................
Full-time equivalent of overtime and holiday hours

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
1995 actual
Budget Authority .....................................................................
11
Outlays .................................................................................... ....................
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................
Total:
Budget Authority .....................................................................
11
Outlays .................................................................................... ....................

1996 est.

1,803
3

1997 est.

1,803
2

1,803
3

Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)

Obligations by program activity:
00.02 Community schools ........................................................
00.03 Battered women’s shelters and domestic violence hotline .............................................................................

10

1996 est.

1997 est.

8

14

1 ...................

15

10.00

Total obligations ........................................................

11

8

29

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

11
–11

8
–8

29
–29

New budget authority (gross), detail:
42.00 Transferred from other accounts ...................................

11

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation ............................................................. ...................
73.10 New obligations .............................................................
11

29
12

5 ....................
1
3
13
8

29
15

25.1
41.0

Advisory and assistance services ..................................
Grants, subsidies, and contributions ............................

99.9

Total obligations ........................................................

TO

STATES

FOR

FOSTER CARE

1996 est.

1997 est.

1 ...................
10
8
11

AND

1
28
29

8

ADOPTION ASSISTANCE

For making payments to States or other non-Federal entities, under
title IV–E of the Social Security Act, $4,445,000,000; and in addition,
for the first quarter of fiscal year 1998, $1,111,000,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)

For activities authorized by sections 30401, 40211, and 40241 of
Public Law 103–322, $29,000,000, to remain available until expended,
which shall be derived from the Violent Crime Reduction Trust Fund,
of which $13,600,000 shall be for the Community Schools Youth Services and Supervision Grant Program; $15,000,000 for grants for Battered Women’s Shelters; and $400,000 for the National Domestic Violence Hotline.

1995 actual

1995 actual

Identification code 75–8605–0–1–754

VIOLENT CRIME REDUCTION PROGRAMS

Identification code 75–8605–0–1–754

1997 est.

8
7

Object Classification (in millions of dollars)

PAYMENTS
1995 actual

1996 est.

Identification code 75–1545–0–1–506

1995 actual

1996 est.

1997 est.

00.01
00.02
00.03

Obligations by program activity:
Foster care .....................................................................
Independent living .........................................................
Adoption assistance .......................................................

2,899
70
434

3,742
70
510

3,807
70
568

10.00

Total obligations (object class 41.0) ........................

3,403

4,322

4,445

22.00
22.30

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Unobligated balance expiring ........................................

23.90
23.95

Total budgetary resources available for obligation
New obligations .............................................................

3,403
–3,403

4,322
–4,322

4,445
–4,445

40.00

New budget authority (gross), detail:
Appropriation ..................................................................

3,597

4,322

4,445

760
3,403
–3,244

919
4,322
–3,740

1,501
4,445
–4,144

919

1,501

1,802

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

3,597
4,322
4,445
–194 ................... ...................

72.40

29

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................

2,762
481

3,108
632

3,086
1,058

87.00

8

86.90
86.93

Total outlays (gross) .................................................

3,244

3,740

4,144

89.00

Net budget authority and outlays:
Budget authority ............................................................

3,597

4,322

4,445

72.40

11
8

12
29

DEPARTMENTAL MANAGEMENT
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
90.00

Outlays ...........................................................................

3,244

3,740

4,144

Foster care.—The proposed level will support eligible lowincome children who must be placed outside the home. An
average of 285,000 children per month will be served in 1997.
Adoption assistance.—The proposed funding level will support subsidies for families adopting eligible low-income children with special needs. An average of 131,000 children per
month will be served in 1997.

ADMINISTRATION ON AGING

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

876
951

781
742

1,328
994

Summary of Budget Authority and Outlays
[In millions of dollars]

Enacted/requested:
1995 actual
Budget Authority .....................................................................
876
Outlays ....................................................................................
952
Adjustment to 1996 continuing resolution levels:
Budget Authority ..................................................................... ....................
Outlays .................................................................................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

Federal Funds

499

1996 est.

781
743

1997 est.

1,328
994

47 ....................
33
12

876
952

828
776

1,328
1,006

General and special funds:
AGING SERVICES PROGRAMS
For carrying out, to the extent not otherwise provided, the Older
Americans Act of 1965, as amended, and section 10404 of Public
Law 101–239 (volunteer senior aides demonstration), $828,137,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

01.01
01.02
01.03
01.04
01.05
01.06
01.07
01.08
01.09
01.10
01.12
01.13
01.14
01.15

1995 actual

Object Classification (in millions of dollars)
1995 actual

Identification code 75–0142–0–1–506

11.1

Program and Financing (in millions of dollars)
Identification code 75–0142–0–1–506

Administration on Aging.—The proposed level will continue
to provide supportive and nutrition services, research, training and demonstration projects for the elderly.

1996 est.

1997 est.

Obligations by program activity:
Supportive services and centers ...................................
307
294
295
Preventive health ...........................................................
17 ...................
17
Ombudsman services .....................................................
4 ...................
4
Elder abuse prevention ..................................................
5 ...................
5
Congregate meals ..........................................................
377
358
357
Home-delivered meals ...................................................
94
89
94
In-home services ............................................................
9
9
9
Grants to Indian tribes ..................................................
17
16
16
Research, training and discretionary projects ..............
26 ...................
12
Federal administration ...................................................
16
15
17
Pension counseling ........................................................
2 ...................
2
White House Conference on Aging ................................
3 ................... ...................
Transfer from USDA for nutrition program .................... ................... ...................
150
DOL transfer for senior community service employment
program ..................................................................... ................... ...................
350

10.00

Total obligations ........................................................

877

781

Budgetary resources available for obligation:
New budget authority (gross) ........................................
New obligations .............................................................

877
–877

781
–781

11.9
12.1
23.1
25.1
25.2
41.0
99.5

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Rental payments to GSA ................................................
Advisory and assistance services ..................................
Other services ................................................................
Grants, subsidies, and contributions ............................
Below reporting threshold ..............................................

99.9

Total obligations ........................................................

1996 est.

10

10

1997 est.

11

10
10
11
2
1
2
1
1
1
3 ................... ...................
6
2
2
851
766
1,311
4
1
1
877

781

1,328

Personnel Summary
1995 actual

Identification code 75–0142–0–1–506

Total compensable workyears:
1001 Full-time equivalent employment ..................................
1005 Full-time equivalent of overtime and holiday hours

1,328
–1,328

1996 est.

177
1

158
1

1997 est.

177
1

1,328

22.00
23.95

Personnel compensation:
Full-time permanent ..................................................

DEPARTMENTAL MANAGEMENT
Federal Funds
General and special funds:

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
876
781
42.00
Transferred from other accounts .............................. ................... ...................
43.00
68.00
70.00

Appropriation (total) .............................................
Permanent:
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

876

Total new budget authority (gross) ..........................

877

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

86.90
86.93
86.97

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................
Outlays from new permanent authority .........................

87.00

Total outlays (gross) .................................................

781

GENERAL DEPARTMENTAL MANAGEMENT
828
500
1,328

1 ................... ...................
781

1,328

290
877
–951

216
781
–742

253
1,328
–994

216

253

587

698
555
775
254
188
219
1 ................... ...................
951

742

994

For necessary expenses, not otherwise provided, for general departmental management, including hire of six medium sedans, and for
carrying out titles III, XVII, and XX of the Public Health Service
Act, $136,163,000, together with $9,187,000, to be transferred and
expended as authorized by section 201(g)(1) of the Social Security
Act from the Hospital Insurance Trust Fund and the Supplemental
Medical Insurance Trust Fund.
OFFICE

OF

OFFICE
Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources

–1 ................... ...................

CONSUMER AFFAIRS

For necessary expenses of the Office of Consumer Affairs, including
services authorized by 5 U.S.C. 3109, $1,811,000: Provided, That notwithstanding any other provision of law, that Office may accept and
deposit to this account, during fiscal year 1997, gifts for the purpose
of defraying its costs of printing, publishing, and distributing
consumer information and educational materials; may expend up to
$1,100,000 of those gifts for those purposes, in addition to amounts
otherwise appropriated; and the balance shall remain available for
expenditure for such purposes to the extent authorized in subsequent
appropriations Acts: Provided further, That none of the funds provided
under this heading may be made available for any other activities
within the Department of Health and Human Services.
FOR

CIVIL RIGHTS

For expenses necessary of the Office for Civil Rights, $18,188,000,
together with not to exceed $3,602,000, to be transferred and expended
as authorized by section 201(g)(1) of the Social Security Act from

500

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
Office for Civil Rights .............................................................
Policy research ........................................................................

General and special funds—Continued
OFFICE

FOR

CIVIL RIGHTS—Continued

the Hospital Insurance Trust Fund and the Supplemental Medical
Insurance Trust Fund.
POLICY RESEARCH
For carrying out, to the extent not otherwise provided, research
studies under section 1110 of the Social Security Act, $9,000,000.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

Program and Financing (in millions of dollars)
1995 actual

Identification code 75–9912–0–1–999

1996 est.

1997 est.

00.01
00.02
00.03
00.04
00.05

Obligations by program activity:
General departmental management ..............................
U.S Office of Consumer Affairs .....................................
Office for Civil Rights ....................................................
Policy research ...............................................................
Emergency supplemental ...............................................

173
2
22
9
1

140
145
2
2
19
22
9
9
7 ...................

00.91
01.01

Subtotal, direct activities ..........................................
Reimbursable activities .................................................

207
88

177
92

178
92

10.00

Total obligations ........................................................

295

269

18
15

16
17

19
7

Departmental Management (DM) is a consolidated display
of accounts that fund activities which provide leadership, policy, legal, and administrative guidance to HHS components;
carry out the Department’s civil rights and nondiscrimination
enforcement programs; present consumer needs and viewpoints in the Federal government; and support research to
develop policy initiatives and improve existing HHS programs. These accounts will continue to be appropriated separately, and are being displayed in a consolidated format to
improve the readability of the presentation. Detailed information will continue to be available through the Department
of Health and Human Services.
DM also incorporates the activities of the former Office
of the Assistant Secretary for Health, including adolescent
family life, disease prevention and health promotion, physical
fitness and sports, minority health, research integrity, women’s health, and emergency preparedness.
These schedules include six months of resources for general
departmental management, civil rights, and policy research
activities transferred to the independent Social Security Administration on March 31, 1995.

270

Object Classification (in millions of dollars)
Budgetary resources available for obligation:
21.40 Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................
22.30 Unobligated balance expiring ........................................
23.90
23.95
24.40

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

1995 actual

Identification code 75–9912–0–1–999

8
7 ...................
295
262
270
–1 ................... ...................
302
–295

269
–269

270
–270

11.1
11.3
11.5

1996 est.

97
5
1

1997 est.

90
5
1

82
5
1

70.00

Total new budget authority (gross) ..........................

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

184

160

165

111

102

104

295

262

270

187
108
61
295
269
270
–363
–316
–259
–11 ................... ...................
108

61

72

Outlays (gross), detail:
86.90 Outlays from new current authority ..............................
86.93 Outlays from current balances ......................................
86.97 Outlays from new permanent authority .........................

151
101
111

123
90
102

Total outlays (gross) .................................................

363

316

259

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources

–111

–102

–104

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

184
252

160
214

99.0
99.0

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

207
88

184
85

178
92

Total obligations ........................................................

295

269

270

24.0
25.1
25.2
25.3

127
30
104

87.00

25.5
25.7
26.0
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Research and development contracts .......................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

99.9

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

7 ................... ...................

11.9
12.1
13.0
21.0
23.1
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

103
96
88
18
17
16
4 ................... ...................
2
1
1
14
11
12
4
1
4
12

4
1
3
15

3
1
4
14

16
3
4
1
2
19

9
3
4
1
1
18

10
2
3
1
4
19

166
155

Personnel Summary
1995 actual

Identification code 75–9912–0–1–999

89.00
90.00

1996 est.

1997 est.

1,810
8

1,356
8

1,356
8

141

141

141

PROGRAM SUPPORT CENTER

[Dollars in millions]

1995

Distribution of budget authority by account:
General departmental management .......................................
Office of Consumer Affairs .....................................................
Office for Civil Rights .............................................................
Policy research ........................................................................
Distribution of outlays by account:
General departmental management .......................................
Office of Consumer Affairs .....................................................

Direct:
Total compensable workyears:
1001
Full-time equivalent employment ..............................
1005
Full-time equivalent of overtime and holiday hours
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................

1996

1997

155
2
18
9

133
2
16
9

136
2
18
9

145
2

159
3

127
2

General and special funds:
RETIREMENT PAY

AND

MEDICAL BENEFITS
OFFICERS

FOR

COMMISSIONED

For retirement pay and medical benefits of Public Health Service
Commissioned Officers as authorized by law, and for payments under
the Retired Serviceman’s Family Protection Plan and Survivor Benefit
Plan and for medical care of dependents and retired personnel under

PROGRAM SUPPORT CENTER—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
the Dependents’ Medical Care Act (10 U.S.C. ch. 55), and for payments
pursuant to section 229(b) of the Social Security Act (42 U.S.C.
429(b)), such amounts as may be required during the current fiscal
year.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

73.10
73.20
74.40

501

New obligations ............................................................. ................... ................... ...................
Total outlays (gross) ......................................................
–1
–1
–1
Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
12
11
10

86.93

Outlays (gross), detail:
Outlays from current balances ......................................

87.00

Total outlays (gross) .................................................

1 ................... ...................
1

1

1

Program and Financing (in millions of dollars)
Identification code 75–0379–0–1–551

1995 actual

1996 est.

1997 est.

89.00
90.00

00.01
00.02
00.03
00.04

Obligations by program activity:
Retirement payments .....................................................
Survivors’ benefits .........................................................
Medical care ..................................................................
Military service credits ..................................................

112
8
22
2

130
9
25
3

136
11
26
3

10.00

Total obligations ........................................................

144

167

176

22.00
22.30

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Unobligated balance expiring ........................................

23.90
23.95

Total budgetary resources available for obligation
New obligations .............................................................

144
–144

167
–167

176
–176

New budget authority (gross), detail:
40.05 Appropriation (indefinite) ...............................................

159

167

176

00.01
00.02
00.03

25
14
14
144
167
176
–152
–167
–176
–3 ................... ...................

10.00

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ...........................................................................
1
1
1

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts ..................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................

This display shows activities in support of St. Elizabeths
Hospital and scientific activities overseas that were supported
by foreign currencies by the United States abroad.
Intragovernmental funds:

159
167
176
–15 ................... ...................

HHS SERVICE

AND

SUPPLY FUND

Program and Financing (in millions of dollars)
Identification code 75–9941–0–4–999

1995 actual

1996 est.

Obligations by program activity:
Program support center .................................................
145
184
Federal employee occupational health .......................... ................... ...................
OS activities ...................................................................
83
62

1997 est.

244
90
7

72.40

14

14

14

86.90
86.93

Outlays (gross), detail:
Outlays from new current authority ..............................
Outlays from current balances ......................................

138
14

159
8

168
8

87.00

Total outlays (gross) .................................................

152

167

176

Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

159
152

167
167

176
176

This activity funds annuities of retired Public Health Service (PHS) commissioned officers and survivors of retirees, and
medical care to active duty PHS commissioned officers, retirees, and dependents of members and retirees of the PHS
Commissioned Corps.

1995 actual

1996 est.

1997 est.

139
25

228

246

341

Budgetary resources available for obligation:
Unobligated balance available, start of year: Fund
balance ......................................................................
22.00 New budget authority (gross) ........................................
22.10 Resources available from recoveries of prior year obligations .......................................................................

32
217

30
246

30
341

21.90

23.90
23.95
24.90

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year: Fund
balance ......................................................................

New budget authority (gross), detail:
Spending authority from offsetting collections:
68.00
Offsetting collections (cash) .....................................
68.10
Change in orders on hand from Federal sources

13.0
25.2
25.3

Benefits for former personnel ........................................
Other services ................................................................
Purchases of goods and services from Government
accounts ....................................................................

120
22

147
26

2

3

3

99.9

Total obligations ........................................................

144

167

176

68.90

22.00

1997 est.

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ................... ................... ...................

New budget authority (gross), detail:
70.00 Total new budget authority (gross) ............................... ................... ................... ...................

72.40

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................

13

12

371
–341

30

30

30

205
246
341
12 ................... ...................
246

341

Total new budget authority (gross) ..........................

217

246

341

75
57

68
69

58
69

70.00

72.99
73.10
73.20
73.45

Total unpaid obligations, start of year ................
New obligations .............................................................
Total outlays (gross) ......................................................
Adjustments in unexpired accounts ..............................
Unpaid obligations, end of year:
Obligated balance: Fund balance: Uninvested balance ......................................................................
Orders on hand from Federal sources ......................

74.90

11

132
137
127
228
246
341
–214
–256
–341
–9 ................... ...................

68
69

58
69

58
69

Total unpaid obligations, end of year ..................

137

127

127

86.97
86.98

Outlays (gross), detail:
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

196
18

246
341
10 ...................

87.00

Total outlays (gross) .................................................

214

256

Program and Financing (in millions of dollars)
1996 est.

276
–246

217

74.99

HEALTH ACTIVITIES FUNDS

1995 actual

258
–228

Spending authority from offsetting collections
(total) ................................................................

74.95

Identification code 75–9913–0–1–550

9 ................... ...................

Change in unpaid obligations:
Unpaid obligations, start of year:
72.90
Obligated balance: Fund balance .............................
72.95
Orders on hand from Federal sources ......................

Object Classification (in millions of dollars)
Identification code 75–0379–0–1–551

Total obligations ........................................................

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
88.95 Change in orders on hand from Federal sources .........

89.00

341

–205
–246
–341
–12 ................... ...................

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................

502

PROGRAM SUPPORT CENTER—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997

Intragovernmental funds—Continued
HHS SERVICE

AND

Program and Financing (in millions of dollars)

SUPPLY FUND—Continued

Program and Financing (in millions of dollars)—Continued
1995 actual

Identification code 75–9941–0–4–999

90.00

Outlays ...........................................................................

9

1996 est.

1997 est.

10 ...................

The HHS Service and Supply Fund (SSF) provides common
centralized services to HHS components. Beginning in FY
1995, all PHS SSF activities are reflected in the Program
Support Center. For FY 1995 and FY 1996, all OS Working
Capital Fund (WCF) activities are included in the OS Activities line. The WCF will be terminated in FY 1997 and both
PSC and OS activities will be funded through the SSF. The
OS Activity line includes the Fund Manager, Departmental
Contracts Information System, Audit Resolution, OS Graphics, and the Regional Health Administrators. For FY 1995
and FY 1996, Federal Occupational Health funds operate
through the Health Resources and Services Administration
general fund account, but will be funded through the SSF
in FY 1997.
Object Classification (in millions of dollars)

11.1
11.3
11.5
11.9
12.1
13.0
21.0
22.0
23.1
23.3
24.0
25.1
25.2
25.3

Personnel compensation:
Full-time permanent ..................................................
Other than full-time permanent ...............................
Other personnel compensation ..................................

1996 est.

1997 est.

00.02
00.03

Obligations by program activity:
Gifts ...............................................................................
Contributions, Indian health facilities ..........................

11
37

20
33

20
33

10.00

Total obligations ........................................................

48

53

53

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

37
53

42
53

42
53

90
–48

95
–53

95
–53

42

42

42

53

53

53

93
48
–46

95
53
–47

101
53
–50

95

101

104

21.40

23.90
23.95
24.40

60.27

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................
New budget authority (gross), detail:
Appropriation (trust fund, indefinite) ............................

Change in unpaid obligations:
Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
73.10 New obligations .............................................................
73.20 Total outlays (gross) ......................................................
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation .............................................................
72.40

86.97
86.98

1995 actual

Identification code 75–9941–0–4–999

1995 actual

Identification code 75–9971–0–7–551

63
2
2

1996 est.

64
2
2

Outlays (gross), detail:
Outlays from new permanent authority .........................
Outlays from permanent balances ................................

9
37

9
38

9
40

87.00

Total outlays (gross) .................................................

46

47

50

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

53
46

53
47

53
50

1997 est.

74
3
2

26.0
31.0
99.0

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Benefits for former personnel ........................................
Travel and transportation of persons ............................
Transportation of things ................................................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Printing and reproduction ..............................................
Advisory and assistance services ..................................
Other services ................................................................
Purchases of goods and services from Government
accounts ....................................................................
Supplies and materials .................................................
Equipment ......................................................................
Subtotal, reimbursable obligations ...............................

67
68
79
13
13
15
4 ................... ...................
1
2
3
1
2
2
13
11
11
8
12
14
2
2
2
4
4
4
51
59
130
25
34
5
228

29
39
5
246

30
46
5
341

99.9

Total obligations ........................................................

228

246

341

[Dollars in millions]

1995

Distribution of budget authority by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................
Distribution of outlays by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................

1996

1997

20
33

20
33

20
33

16
30

16
31

17
33

Gifts to the Public Health Service are for the benefit of
patients and for research. Contributions are made for the
construction, improvement, extension, and provision of sanitation facilities.
Object Classification (in millions of dollars)

Personnel Summary
Identification code 75–9941–0–4–999

2001
2005

Total compensable workyears:
Full-time equivalent employment ..................................
Full-time equivalent of overtime and holiday hours

1,456
14

1996 est.

1,308
14

1997 est.

1,438
17

Unavailable Collections (in millions of dollars)
1995 actual

11.3
11.5
11.8
11.9
12.1
21.0
22.0
25.2
25.3

MISCELLANEOUS TRUST FUNDS

Identification code 75–9971–0–7–551

1995 actual

Identification code 75–9971–0–7–551
1995 actual

1996 est.

Balance, start of year:
Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.01 Contributions, Indian health facilities, Health Services
Administration ...........................................................
32
33
33
02.02 Gifts and contributions, Miscellaneous trust funds
19
19
19
02.03 Interest, Miscellaneous trust funds ...............................
1
1
1
Total receipts .............................................................
53
53
53
Appropriation:
05.01 Miscellaneous trust funds .............................................
–53
–53
–53
07.99 Total balance, end of year ............................................ ................... ................... ...................

1996 est.

1997 est.

3
1
1

3
1
1

3
1
1

5
1
1
1
8

5
1
1
1
11

5
1
1
1
11

26.0
31.0
32.0
41.0

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
Transportation of things ................................................
Other services ................................................................
Purchases of goods and services from Government
accounts ....................................................................
Supplies and materials .................................................
Equipment ......................................................................
Land and structures ......................................................
Grants, subsidies, and contributions ............................

5
4
2
20
1

7
4
2
20
1

7
4
2
20
1

99.9

Total obligations ........................................................

48

53

53

1997 est.

01.99

Personnel compensation:
Other than full-time permanent ...............................
Other personnel compensation ..................................
Special personal services payments .........................

Personnel Summary

02.99

Identification code 75–9971–0–7–551

Total compensable workyears:
1001 Full-time equivalent employment ..................................

1995 actual

100

1996 est.

100

1997 est.

100

OFFICE OF THE INSPECTOR GENERAL
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
1005

Full-time equivalent of overtime and holiday hours

20

20

20

OFFICE OF THE INSPECTOR GENERAL
OF

INSPECTOR GENERAL

For necessary expenses of the Office of Inspector General in carrying
out the Inspector General Act of 1978, as amended, $56,139,000, together with not to exceed $18,810,000, to be transferred and expended
as authorized by section 201(g)(1) of the Social Security Act from
the Hospital Insurance Trust Fund and the Supplemental Medical
Insurance Trust Fund.
Note.—A regular 1996 appropriation for this account had not been enacted at the time
this budget was prepared. The 1996 amounts included in this budget are based on the
levels provided in three continuing resolutions: P.L. 104–91, P.L. 104–92, and P.L. 104–
99.

1995 actual

Object Classification (in millions of dollars)
1995 actual

Identification code 75–0128–0–1–609

11.1
11.5

1996 est.

1997 est.

56
49
51
1 ................... ...................

99.0
99.0

Subtotal, direct obligations ..................................
Reimbursable obligations ..............................................

91
5

74
7

75
7

82
–81

83
–82

99.9

Total obligations ........................................................

96

81

82

1

1

91
5

74
7

75
7

10.00

Total obligations ........................................................

96

81

82

Budgetary resources available for obligation:
Unobligated balance available, start of year:
Uninvested balance ...................................................
22.00 New budget authority (gross) ........................................

1
96

1
81

97
–96
1

21.40

11.9
12.1
13.0
21.0
23.1
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other personnel compensation .............................

1
82

1997 est.

Obligations by program activity:
Direct program ...............................................................
Reimbursable program ..................................................

Total budgetary resources available for obligation
New obligations .............................................................
Unobligated balance available, end of year:
Uninvested balance ...................................................

32
31

25.6
26.0
31.0

1996 est.

00.01
01.01

23.90
23.95
24.40

31
24

Total personnel compensation .........................
Civilian personnel benefits .......................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Other services ............................................................
Purchases of goods and services from Government
accounts ................................................................
Medical care ..............................................................
Supplies and materials .............................................
Equipment .................................................................

Program and Financing (in millions of dollars)
Identification code 75–0128–0–1–609

60
70

The Office of Inspector General identifies and recommends
actions to correct fraud, waste, and abuse in HHS administered and assisted programs and operations through audits
and investigations.

General and special funds:
OFFICE

Total:
Budget Authority .....................................................................
Outlays ....................................................................................

503

25.2
25.3

60

56

36

25

96

81

1
1

1
1

8
5
5
1 ................... ...................
1 ................... ...................
2 ................... ...................

1995 actual

82

1996 est.

1997 est.

26

70.00

2
1

Personnel Summary
Identification code 75–0128–0–1–609

New budget authority (gross), detail:
Current:
40.00
Appropriation .............................................................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

57
49
51
11
11
11
1 ................... ...................
3
2
1
4
5
5

Total new budget authority (gross) ..........................

Change in unpaid obligations:
72.40 Unpaid obligations, start of year: Obligated balance:
Appropriation .............................................................
9 ...................
73.10 New obligations .............................................................
96
81
73.20 Total outlays (gross) ......................................................
–105
–74
74.40 Unpaid obligations, end of year: Obligated balance:
Appropriation ............................................................. ...................
7

56

Total compensable workyears:
1001 Full-time equivalent employment ..................................
1005 Full-time equivalent of overtime and holiday hours

OFFICE

OF THE

1,051
927
927
5 ................... ...................

INSPECTOR GENERAL

(Legislative proposal, not subject to PAYGO)
7
82
–81

Program and Financing (in millions of dollars)
Identification code 75–0128–2–1–609

8

1995 actual

1996 est.

1997 est.

10.00
Outlays (gross), detail:
86.90 Outlays from new current authority ..............................
86.93 Outlays from current balances ......................................
86.97 Outlays from new permanent authority .........................
87.00

Total outlays (gross) .................................................

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

60
49
10 ...................
36
25
105

–36

60
70

74

–25

49
6
26
81

–26

Obligations by program activity:
Total obligations ............................................................ ...................

–43

–43

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

–43
43

–43
43

–25

–24

–18

–19

New budget authority (gross), detail:
Current:
40.00
Appropriation ............................................................. ...................
Permanent:
68.00
Spending authority from offsetting collections: Offsetting collections (cash) ..................................... ...................

56
55

Summary of Budget Authority and Outlays

70.00

Total new budget authority (gross) .......................... ...................

–43

–43

73.10
73.20

56
49

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

–43
43

–43
43

86.90
86.97

Outlays (gross), detail:
Outlays from new current authority .............................. ...................
Outlays from new permanent authority ......................... ...................

–25
–18

–24
–19

87.00

Total outlays (gross) ................................................. ...................

–43

–43

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources ...................

18

19

[In millions of dollars]

Enacted/requested:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, not subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................

1995 actual

1996 est.

1997 est.

60
70

56
49

56
55

....................
....................

–25
–25

–24
–24

.................... .................... ....................
.................... .................... ....................

504

OFFICE OF THE INSPECTOR GENERAL—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 1997
87.00

OFFICE

OF THE

INSPECTOR GENERAL—Continued

Program and Financing (in millions of dollars)—Continued
1995 actual

Identification code 75–0128–2–1–609

1996 est.

Net budget authority and outlays:
89.00 Budget authority ............................................................ ...................
90.00 Outlays ........................................................................... ...................

–25
–25

–24
–24

Object Classification (in millions of dollars)

11.1
12.1
21.0
23.1
23.3
25.3

1995 actual

99.9

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Purchases of goods and services from Government
accounts ....................................................................

1996 est.

1997 est.

...................
...................
...................
...................
...................

–29
–6
–1
–3
–1

–29
–6
–1
–3
–1

...................

–3

–3

Total obligations ........................................................ ...................

–43

–43

Personnel Summary
1995 actual

Identification code 75–0128–2–1–609

1001

1996 est.

Total compensable workyears: Full-time equivalent
employment ............................................................... ...................

–430

84

97

–84

–97

1997 est.

This schedule reflects the effects of a legislative proposal
to shift base funding for Medicare anti-fraud and abuse activities from discretionary to mandatory.

Identification code 75–0128–2–1–609

Total outlays (gross) ................................................. ...................

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources ...................

General and special funds—Continued

1997 est.

–430

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ........................................................................... ................... ................... ...................

The Budget reflects a legislative proposal to authorize mandatory funding for the Department of Health and Human
Services and the Department of Justice to expand efforts to
combat Medicare fraud and abuse. This schedule reflects an
estimated distribution of these funds. Final distribution will
be determined by the Secretary of HHS and the Attorney
General.
Object Classification (in millions of dollars)
1995 actual

Identification code 75–0128–4–1–609

11.1
12.1
21.0
23.1
23.3
25.1
25.2
25.3
26.0
31.0
99.9

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Advisory and assistance services ..................................
Other services ................................................................
Purchases of goods and services from Government
accounts ....................................................................
Supplies and materials .................................................
Equipment ......................................................................

1996 est.

1997 est.

...................
...................
...................
...................
...................
...................
...................

41
15
2
4
2
9
2

51
17
3
4
2
9
2

...................
...................
...................

6
1
2

6
1
2

Total obligations ........................................................ ...................

84

97

Personnel Summary
OFFICE

OF THE

INSPECTOR GENERAL

Identification code 75–0128–4–1–609

(Legislative proposal, subject to PAYGO)

1001

Program and Financing (in millions of dollars)
Identification code 75–0128–4–1–609

1995 actual

1996 est.

1996 est.

430

1997 est.

430

1997 est.

10.00

Obligations by program activity:
Total obligations ............................................................ ...................

84

97

22.00
23.95

Budgetary resources available for obligation:
New budget authority (gross) ........................................ ...................
New obligations ............................................................. ...................

84
–84

97
–97

New budget authority (gross), detail:
Spending authority from offsetting collections (gross):
Offsetting collections (cash) ..................................... ...................

84

97

73.10
73.20

Change in unpaid obligations:
New obligations ............................................................. ...................
Total outlays (gross) ...................................................... ...................

84
–84

97
–97

86.97

Outlays (gross), detail:
Outlays from new permanent authority ......................... ...................

84

97

68.00

1995 actual

Total compensable workyears: Full-time equivalent
employment ............................................................... ...................

GENERAL PROVISIONS
SEC. 201. Funds appropriated in this title shall be available for
not to exceed $37,000 for official reception and representation expenses
when specifically approved by the Secretary.
SEC. 202. The Secretary shall make available through assignment
not more than 60 employees of the Public Health Service to assist
in child survival activities and to work in AIDS programs through
and with funds provided by the Agency for International Development,
the United Nations International Children’s Emergency Fund, or the
World Health Organization.
SEC. 203. None of the funds appropriated in this title for the National Institutes of Health and the Substance Abuse and Mental
Health Services Administration shall be used to pay the salary of
an individual, through a grant or other extramural mechanism, at
a rate in excess of $125,000 per year.


Federal Reserve Bank of St. Louis, One Federal Reserve Bank Plaza, St. Louis, MO 63102