Full text of Budget of the United States Government - Appendix : Fiscal Year 2003 : Department of Health and Human Services

View original document

The full text on this page is automatically extracted from the file linked above and may contain errors and inconsistencies.

DEPARTMENT OF HEALTH AND HUMAN SERVICES
from amounts made available in Public Law 107–38.¿ (Emergency
Supplemental Act, 2002.)

FOOD AND DRUG ADMINISTRATION
Federal Funds

Unavailable Collections (in millions of dollars)

General and special funds:
SALARIES

AND

For necessary expenses of the Food and Drug Administration, including hire and purchase of passenger motor vehicles; for payment
of space rental and related costs pursuant to Public Law 92–313
for programs and activities of the Food and Drug Administration
which are included in this Act; for rental of special purpose space
in the District of Columbia or elsewhere; 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$1,345,386,000, of which
not to exceed $161,716,000 to be derived from prescription drug user
fees authorized by 21 U.S.C. 379(h), including any such fees assessed
prior to the current fiscal year but credited during the current year,
in accordance with section 736(g)(4), shall be credited to this appropriation and remain available until expended: Provided, That fees
derived from applications received during fiscal year 2002 shall be
subject to the fiscal year 2002 limitation: Provided further, That
none of these funds shall be used to develop, establish, or operate
any program of user fees authorized by 31 U.S.C. 9701: Provided
further, That of the total amount appropriated: (1) $312,049,000 shall
be for the Center for Food Safety and Applied Nutrition and related
field activities in the Office of Regulatory Affairs; (2) $352,647,000
shall be for the Center for Drug Evaluation and Research and related
field activities in the Office of Regulatory Affairs, of which no less
than $13,207,000 shall be available for grants and contracts awarded
under section 5 of the Orphan Drug Act (21 U.S.C. 360ee); (3)
$155,875,000 shall be for the Center for Biologics Evaluation and
Research and for related field activities in the Office of Regulatory
Affairs; (4) $82,967,000 shall be for the Center for Veterinary Medicine and for related field activities in the Office of Regulatory Affairs;
(5) $179,521,000 shall be for the Center for Devices and Radiological
Health and for related field activities in the Office of Regulatory
Affairs; (6) $37,082,000 shall be for the National Center for Toxicological Research; (7) $29,798,000 shall be for Rent and Related
activities, other than the amounts paid to the General Services Administration, of which $4,000,000 for costs related to occupancy of
new facilities at White Oak, Maryland, shall remain available until
September 30, 2003; (8) $105,116,000 shall be for payments to the
General Services Administration for rent and related costs; and (9)
$90,331,000 shall be for other activities, including the Office of the
Commissioner; the Office of Management and Systems; the Office
of the Senior Associate Commissioner; the Office of International
and Constituent Relations; the Office of Policy, Legislation, and Planning; and central services for these offices: Provided further, That
funds may be transferred from one specified activity to another with
the prior approval of the Committees on Appropriations of both
Houses of Congress¿ $1,424,136,000.
In addition, mammography user fees authorized by 42 U.S.C. 263(b)
may be credited to this account, to remain available until expended.
In addition, export certification user fees authorized by 21 U.S.C.
381 may be credited to this account, to remain available until expended. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2002; additional authorizing legislation required.)
BUILDINGS

AND

2001 actual

Identification code 75–9911–0–1–554

EXPENSES

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$34,281,000¿ $8,000,000, to remain available until expended (7
U.S.C. 2209b). (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2002.)
øFor emergency expenses to respond to the September 11, 2001,
terrorist attacks on the United States, for ‘‘Salaries and Expenses’’,
$151,100,000, to remain available until expended, to be obligated

2002 est.

2003 est.

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Cooperative research and development agreements ....
2
2
2
Appropriations:
05.00 Salaries and expenses ...................................................
¥2
¥2
¥2
07.99

Balance, end of year ..................................................... ................... ................... ...................

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9911–0–1–554

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
Other activities ..........................................................
00.06
Other rent and rent related activities ......................
00.07
Rental payments .......................................................
00.08
Buildings and facilities .............................................
00.09
CRADAs ......................................................................
00.10
Contingency fund ......................................................
09.01 Reimbursable program ..................................................
10.00

Total new obligations ................................................

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
New budget authority (gross) ........................................
Resources available from recoveries of prior year obligations .......................................................................
22.22 Unobligated balance transferred from other accounts
21.40
22.00
22.10

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

2002 est.

2003 est.

302
422
430
410
508
536
173
190
199
38
45
43
72
93
81
31
30
36
87
99
99
33
34
8
1
2
2
2 ................... ...................
207
212
44
1,356

1,635

1,478

91
1,337

75
1,635

75
1,478

2 ................... ...................
1 ................... ...................
1,431
¥1,356
75

1,710
¥1,635
75

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
1,169
1,270
1,432
40.15
Appropriation (emergency) ........................................ ...................
151 ...................
40.35
Appropriation rescinded ............................................
¥25 ................... ...................
43.00
60.20

68.00
68.10

Appropriation (total discretionary) ........................
Mandatory:
Appropriation (special fund) .....................................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................

68.90
70.00

1,144

1,421

1,432

183

212

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

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

191

212

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

1,337

1,635

1,478

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Recoveries of prior year obligations ..............................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
73.45
74.00

365
387
477
1,356
1,635
1,478
¥1,318
¥1,545
¥1,486
¥11 ................... ...................
¥2 ................... ...................
¥8 ................... ...................
5 ................... ...................
387
477
469

427
VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00001

Fmt 3616

1,553
¥1,478
75

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

428

FOOD AND DRUG ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

SALARIES

AND

EXPENSES—Continued

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–9911–0–1–554

2002 est.

2003 est.

Outlays (gross), detail:
86.90 Outlays from new discretionary authority .....................
86.93 Outlays from discretionary balances .............................
86.97 Outlays from new mandatory authority .........................

1,075
242
1

1,271
274
2

1,128
356
2

87.00

1,318

1,545

1,486

¥195

¥212

¥44

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

Offsets:
Against gross budget authority and outlays:
88.40
Offsetting collections (cash) from: Non-Federal
sources ..................................................................
Against gross budget authority only:
88.95
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
88.96
Portion of offsetting collections (cash) credited to
expired accounts ...................................................
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

¥8 ................... ...................
12 ................... ...................

1,146
1,123

1,423
1,333

11.9
12.1
21.0
22.0
23.1
23.2
23.3

636
199
26
5
99
6

681
213
28
7
99
6

22
3
15
42

30
3
17
83

29
3
17
78

50
28
26
26
18
40
29
27
2

53
51
44
35
42
43
29
28
26
25
70
62
26 ...................
27
27
2
2

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

1,149
207

1,423
212

1,434
44

Total new obligations ................................................

1,356

1,635

1,478

24.0
25.1
25.2
25.3

1,434
1,442

Personnel Summary
2001 actual

Identification code 75–9911–0–1–554

[In millions of dollars]
2001

Distribution of budget authority by account:
Salaries and expenses ............................................................
Buildings and facilities ..........................................................
Distribution of outlays by account:
Salaries and expenses ............................................................
Buildings and facilities ..........................................................

530
175
22
3
87
4

25.4
25.5
25.7
26.0
31.0
32.0
41.0
42.0

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 ............................................................
Other purchases of goods and services from Government accounts .................................................
Operation and maintenance of facilities ..................
Research and development contracts .......................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

99.9

General and special funds—Continued

2002

2003

1,111
33

1,387
34

1,424
8

1,108
15

1,316
17

1,425
17

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs
(in millions of dollars)

Direct:
1001 Total compensable workyears: Full-time equivalent
employment ...............................................................
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................
Allocation account:
3001 Total compensable workyears: Full-time equivalent
employment ...............................................................

2002 est.

2003 est.

7,795

8,779

9,116

1,233

1,254

152

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

f
2001 actual

89.00
90.00

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

2002 est.

2003 est.

SALARIES
1,099
1,076

1,371
1,281

AND

EXPENSES

(Legislative proposal, not subject to PAYGO)

1,379
1,387

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

2001 actual

Identification code 75–9911–2–1–554

2002 est.

2003 est.

(in millions of dollars)

Enacted/requested:
2001 actual
2002 est.
2003 est.
Budget Authority .....................................................................
1,146
1,423
1,434
Outlays ....................................................................................
1,123
1,335
1,442
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

1,146
1,123

1,423
1,335

1,434
1,442

The Food and Drug Administration assures the safety of
the nation’s foods, medicines, medical devices and other products through regulations, pre-market product and manufacturer reviews and post-market inspections. The budget includes funding for counter terrorism activities that specifically
deal with the protection of products regulated by the FDA
(such as drugs, vaccines, foods, and animal feed), and the
availability of medical products for public health preparedness
in the event of an attack. The budget also requests funding
for food safety, Bovine Spongiform Encephalopathy (‘‘Mad
Cow’’ disease) prevention, blood safety, and patient safety.

09.01

Obligations by program activity:
Reimbursable program .................................................. ................... ...................

272

10.00

Total new obligations ................................................ ................... ...................

272

22.00
23.95

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

272
¥272

New budget authority (gross), detail:
Discretionary:
68.00
Spending authority from offsetting collections
(gross): Offsetting collections (cash) ................... ................... ...................

272

73.10
73.20

Change in obligated balances:
Total new obligations .................................................... ................... ...................
Total outlays (gross) ...................................................... ................... ...................

272
¥272

86.90

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

272

¥272

Object Classification (in millions of dollars)
2001 actual

Identification code 75–9911–0–1–554

11.1
11.3
11.5

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2002 est.

2003 est.

477
35
18

582
34
20

626
35
20

PO 00000

Frm 00002

Fmt 3616

89.00
90.00

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

The budget includes a total of $272,038,000 in prescription
drug user fees. Authorizing language for these fees will be
proposed to authorize the collection and spending of the fees
subject to appropriations language.

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Object Classification (in millions of dollars)
2001 actual

Identification code 75–9911–2–1–554

99.0
99.9

2002 est.

HEALTH RESOURCES AND SERVICES
ADMINISTRATION

2003 est.

Reimbursable obligations: Reimbursable obligations ... ................... ...................

Federal Funds

272

Total new obligations ................................................ ................... ...................

272

General and special funds:
HEALTH RESOURCES

Personnel Summary
2001 actual

Identification code 75–9911–2–1–554

2001

2002 est.

2003 est.

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

1,242

Public enterprise funds:
REVOLVING FUND

FOR

CERTIFICATION

AND

OTHER SERVICES

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–4309–0–3–554

2002 est.

2003 est.

10.00

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

21.40
22.00

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

3
5

4
5

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

8
¥4
4

9
¥5
4

New budget authority (gross), detail:
Mandatory:
69.00
Offsetting collections (cash) .....................................

72.40
73.10
73.20
74.40

86.97

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

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

¥5

89.00
90.00

1
1 ...................
4
5
5
¥4
¥5
¥5
1 ................... ...................

FDA certifies color additives for use in foods, drugs, and
cosmetics. It also lists color additives for use in foods, drugs,
medical devices, and cosmetics (21 U.S.C. 346a, 356, 357,
376). These services are financed wholly by fees paid by the
industries affected.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–4309–0–3–554

2002 est.

2003 est.

11.1
12.1
25.2

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Other services ................................................................

2
1
1

2
1
2

99.9

Total new obligations ................................................

Personnel Summary
2001 actual

Identification code 75–4309–0–3–554

2001

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

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2002 est.

429

2003 est.

PO 00000

Frm 00003

Fmt 3616

AND

SERVICES

For carrying out titles II, III, IV, 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 (including section 510), and
sections 1128E and 1820 of the Social Security Act, the Health Care
Quality Improvement Act of 1986, as amended, the Native Hawaiian
Health Care Act of 1988, as amended, the Cardiac Arrest Survival
Act of 2000, and the Poison Control Center Enhancement and Awareness Act, ø$6,081,237,000, of which $311,978,000 shall be available
for construction and renovation of health care and other facilities,
and¿ $5,381,836,000, of which ø$40,000,000¿ $25,000,000 from general revenues, notwithstanding section 1820(j) of the Social Security
Act, shall be available for carrying out the Medicare rural hospital
flexibility grants program under section 1820 of such Act: Provided,
That of the funds made available under this heading, $250,000 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 of 1986, 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
fees collected for the full disclosure of information under the ‘‘Health
Care Fraud and Abuse Data Collection Program’’, authorized by section 1128E(d)(2) of the Social Security Act, shall be sufficient to
recover the full costs of operating the program, and shall remain
available until expended to carry out that Act: Provided further, That
no more than ø$15,000,000¿ $25,000,000 is available for carrying
out the provisions of Public Law 104–73: Provided further, That of
the funds made available under this heading, ø$265,085,000¿
$265,877,000 shall be for the program under title X of the Public
Health Service Act to provide for voluntary family planning projects:
Provided further, That amounts provided to said projects under such
title shall not be expended for abortions, that all pregnancy counseling shall be nondirective, and that such amounts shall not be
expended for any activity (including the publication or distribution
of literature) that in any way tends to promote public support or
opposition to any legislative proposal or candidate for public office:
Provided further, That $639,000,000 shall be for State AIDS Drug
Assistance Programs authorized by section 2616 of the Public Health
Service Act: øProvided further, That of the amount provided under
this heading, $80,000 shall be for the Wausau Health Foundation
in Wausau, Wisconsin, for a survey and analysis of local health professionals’ career paths to better understand entry into and exit from
health professions, $100,000 shall be for the University of San Diego
Institute for the Advancement of Health Policy to assess through
teaching, research and delivery of services the impact of public policy
on families from vulnerable populations, $200,000 shall be for the
Luna County, New Mexico and the Columbus Volunteer Fire Department to provide emergency medical services to immigrants, $350,000
shall be for the Clinical Pharmacy Training Program at the University of Hawaii at Hilo, $475,000 shall be for the American Federation
of Negro Affairs, $500,000 shall be for the University of Washington
Center for Health Workforce Studies in Seattle, Washington, for a
demonstration project to collect and analyze health workforce data,
$800,000 shall be for the University of Iowa for the training of Certified Registered Nurse Anesthetists, $1,000,000 shall be for the
Washington Health Foundation for a comprehensive demonstration
project on improving nurse retention, and $1,100,000 shall be for
the Iowa Department of Public Health to create a Center for Health
Care Workforce Shortage: Provided further, That, notwithstanding
section 502(a)(1) of the Social Security Act, not to exceed $115,236,000
is available for carrying out special projects of regional and national
significance pursuant to section 501(a)(2) of such Act, of which
$50,000 is for the Center for Great Expectations, Somerville, New
Jersey to provide prenatal health care, education and counseling for
pregnant teens, $565,000 is for the Milwaukee Health Department
for a pilot program providing health care services to at-risk children
in day care, and $4,000,000 is for the Columbia Hospital for Women
Medical Center in Washington, D.C., to support community outreach
programs for women:¿ Provided further, That ø$10,000,000¿
$73,044,000 is available for special projects of regional and national

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

430

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
HEALTH RESOURCES

AND

SERVICES—Continued

significance under section 501(a)(2) of the Social Security Act, which
shall not be counted toward compliance with the allocation required
in section 502(a)(1) of such Act, and which shall be used only for
making competitive grants to provide abstinence education (as defined in section 510(b)(2) of such Act) to adolescents and for evaluations (including longitudinal evaluations) of activities under the
grants and for Federal costs of administering the grants: Provided
further, That grants under the immediately preceding proviso shall
be made only to public and private entities which agree that, with
respect to an adolescent to whom the entities provide abstinence
education under such grant, the entities will not provide to that
adolescent any other education regarding sexual conduct, except that,
in the case of an entity expressly required by law to provide health
information or services the adolescent shall not be precluded from
seeking health information or services from the entity in a different
setting than the setting in which the abstinence education was provided: Provided further, That the funds expended for such evaluations
may not exceed 3.5 percent of such amount. (Department of Health
and Human Services Appropriations Act, 2002; additional authorizing
legislation required.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0350–0–1–550

Obligations by program activity:
Direct program:
00.02
Loan guarantee subsidy ............................................
00.10
Health centers ...........................................................
00.11
National Health Service Corps ..................................
00.12
National Health Service Corps recruitment ..............
00.13
Hansen’s disease center ...........................................
00.14
Payment to Hawaii for the treatment of Hansen’s
disease ..................................................................
00.15
Black lung clinics .....................................................
00.16
Nursing loan repayment ............................................
00.17
Health professions .....................................................
00.18
Maternal and child health block grant ....................
00.19
Healthy start ..............................................................
00.20
Universal newborn hearing .......................................
00.21
Emergency medical services for children .................
00.22
Poison control centers ...............................................
00.23
HIV/AIDS .....................................................................
00.24
Organ transplantation ...............................................
00.25
Health care facilities .................................................
00.26
Bone marrow donor registry ......................................
00.27
Rural health policy development ..............................
00.28
Rural health outreach grants ...................................
00.29
Rural health flexibility grants ...................................
00.30
Telehealth ..................................................................
00.31
Program management ...............................................
00.32
Family planning .........................................................
00.33
Abstinence education ................................................
00.34
State access program ...............................................
00.35
Community access program ......................................
00.36
Health centers tort claim fund .................................
00.37
Trauma EMS ..............................................................
00.39
Childrens’ GME ..........................................................
00.40
Denali commission ....................................................
00.41
Community based abstinence grants .......................
00.42
State offices of rural health .....................................
00.43
Adoption awareness ..................................................
00.44
Rural access to emergency devices ..........................
00.45
Radiation Exposure Compensation Act .....................
00.46
Traumatic brain injury ..............................................
00.47
Healthy communities innovation initiative ...............

...................
1,164
43
84
19

2002 est.

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
5,567
6,098
5,381
40.71
Reduction pursuant to P.L. Labor HHS 107–116 ...................
¥1 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥1 ................... ...................
42.00
Transferred from other accounts ..............................
3 ................... ...................
43.00
55.00

5,569
20

6,097
5,381
30 ...................

50 ...................

69.00

Appropriation (total discretionary) ........................
Advance appropriation ..............................................
Mandatory:
Appropriation .............................................................
Discretionary:
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
Mandatory:
Offsetting collections (cash)(HIPDB) .........................

70.00

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

5,793

6,338

5,548

60.00
68.00

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Recoveries of prior year obligations ..............................
Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
73.45
74.10

2003 est.

1
1,329
49
99
19

1
1,433
48
143
19

2
2
6
6
7
10
352
378
714
732
90
99
8
10
19
19
20
21
1,808
1,911
15
20
250
312
22
22
13
17
60
51
25
40
36
39
150
161
255
266
43
50
15
15
125
105
21
15
3
3
235
285
10
20
20
40
4
8
10 ...................
...................
13
...................
4
...................
7
................... ...................

2
6
15
94
732
99
...................
...................
...................
1,911
25
...................
22
6
38
25
6
156
266
...................
...................
...................
25
...................
200
...................
73
4
...................
2
4
7
20

03.00
09.01

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

5,648
155

6,178
162

5,382
167

10.00

Total new obligations ................................................

5,803

6,340

5,549

21.40
22.00
22.10

49
5,793

33
6,338

31
5,548

23.90
23.95
23.98
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................
Unobligated balance carried forward, end of year .......

14:04 Jan 23, 2002

Jkt 189685

156

161

3,459
4,557
5,314
5,803
6,340
5,549
¥4,758
¥5,583
¥5,765
2 ................... ...................
¥1 ................... ...................
52 ................... ...................
4,557
5,314
5,098

86.90
86.93
86.97
86.98

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

2,175
2,522
18
43

2,137
3,384
19
43

1,958
3,763
6
38

87.00

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

4,758

5,583

5,765

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

¥189
¥17

¥140
¥21

¥143
¥24

88.90

¥206

¥161

¥167

88.96

89.00
90.00

Total, offsetting collections (cash) ..................
Against gross budget authority only:
Portion of offsetting collections (cash) credited to
expired accounts ...................................................
Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

52 ................... ...................

5,639
4,552

6,177
5,422

5,381
5,598

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs
(in millions of dollars)
2001 actual

89.00
90.00

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

5,624
4,537

2002 est.

6,161
5,406

2003 est.

5,365
5,582

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

Enacted/requested:
2001 actual
2002 est.
Budget Authority .....................................................................
5,639
6,177
Outlays ....................................................................................
4,552
5,422
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

5,639
4,552

6,177
5,422

2003 est.

5,381
5,598
50
14
5,431
5,612

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

1 ................... ...................
2001 actual

Identification code 75–0350–0–1–550

VerDate 11-MAY-2000

150

5,843
6,371
5,579
¥5,803
¥6,340
¥5,549
¥8 ................... ...................
33
31
30

PO 00000

Frm 00004

Fmt 3616

Guaranteed loan levels supportable by subsidy budget
authority:
215001 Health centers: Facilities renovation loan guarantee
levels .........................................................................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

2002 est.

2003 est.

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
215002 Health centers: Managed care network development
loan guarantee levels ................................................ ...................
215003 Health centers: Managed care plan loan guarantee
levels .........................................................................
2
215901 Total loan guarantee levels ...........................................
Guaranteed loan subsidy (in percent):
232001 Health centers: Facilities renovation loan guarantee
levels .........................................................................
232002 Health centers: Managed care network development
loan guarantee levels ................................................
232003 Health centers: Managed care plan loan guarantee
levels .........................................................................

Personnel Summary
1

3.28

4.08

3.49

7.71

9.27

9.02

2.34

5.00

7.65

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

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

234901 Total subsidy outlays ..................................................... ...................

Administrative expense data:
351001 Administrative expenses ................................................
1
1
1
358001 Outlays from balances ................................................... ................... ................... ...................
359001 Outlays for administrative expenses .............................
1
1
1

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. The 2003 Budget includes a Healthy Communities Innovation Initiative that
is an innovative service demonstration program to prevent
diabetes, asthma, and obesity at the community level.

2001 actual

11.1
11.3
11.5
11.9
12.1
13.0
21.0
23.1
23.3

Direct:
Total compensable workyears: Full-time equivalent
employment ...............................................................
1,709
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................
267
Allocation account:
3001 Total compensable workyears: Full-time equivalent
employment ............................................................... ...................

2002 est.

277

HEALTH RESOURCES

AND

SERVICES

(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0350–4–1–550

2002 est.

2003 est.

Obligations by program activity:
Direct program:
00.33
Abstinence education ................................................ ................... ...................

10.00

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

22.00
23.95

50
¥50

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................

73.10
73.20
74.40

50
¥14
36

86.97

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

89.00
90.00

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

50
14

2003 est.

VACCINE INJURY COMPENSATION
Program and Financing (in millions of dollars)

114
6
4

118
44
3
5
13

126
51
2
5
13

124
50
2
3
11

10.00

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

21.40
22.00

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

43
11
3
1 ................... ...................

4
2
61
74

6
3
60
81

5
2
52
83

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

Direct obligations ..................................................
Reimbursable obligations ..............................................

5,649
154

6,178
162

99.9

Total new obligations ................................................

5,803

PO 00000

Jkt 189685

1,712

116
6
4

99.0
99.0

14:04 Jan 23, 2002

1,783

109
5
4

25.4
25.5
25.6
25.7
26.0
31.0
41.0
42.0

VerDate 11-MAY-2000

2003 est.

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 ............................................................
Other purchases of goods and services from Government accounts .................................................
Operation and maintenance of facilities ..................
Research and development contracts .......................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

24.0
25.1
25.2
25.3

2002 est.

1001

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

2001 actual

Identification code 75–0350–0–1–550

232901 Weighted average subsidy rate .....................................
3.01
4.76
5.88
Guaranteed loan subsidy budget authority:
233001 Health centers: Facilities renovation loan guarantee
levels ......................................................................... ...................
1
1
233002 Health centers: Managed care network development
loan guarantee levels ................................................ ................... ................... ...................
233003 Health centers: Managed care plan loan guarantee
levels ......................................................................... ................... ................... ...................
233901 Total subsidy budget authority ......................................
Guaranteed loan subsidy outlays:
234001 Health centers: Facilities renovation loan guarantee
levels .........................................................................
234002 Health centers: Managed care network development
loan guarantee levels ................................................
234003 Health centers: Managed care plan loan guarantee
levels .........................................................................

431

107
123
99
1
1
1
1 ................... ...................
1
1
1
5
5
5
2
2
2
6
5
5
5,183
5,679
4,912
19
15
25

2001 actual

Identification code 75–0320–0–1–551

New budget authority (gross), detail:
Mandatory:
69.00
Offsetting collections (cash) .....................................

72.40
73.10
73.20
74.40

5,382
167

86.97
86.98

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

6,340

5,549

87.00

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

Frm 00005

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

44
¥33
11

2002 est.

2003 est.

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

11
3
¥8 ...................
3
3

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

3
3
33
8
¥33
¥11
3 ...................

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

1 ................... ...................
33
11 ...................
33

11 ...................

432

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
23.90
24.40

VACCINE INJURY COMPENSATION—Continued
Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–0320–0–1–551

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

2002 est.

2003 est.

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. Given sufficient carry-over funds
from prior years’ appropriations to pay for the balance of
the pre-1988 backlog of claims yet to be adjudicated, no appropriation is requested in 2003 to cover payment of pre-1988
claims. Payment of claims associated with vaccine related
injury or death occurring after October 1, 1988 are reflected
in the Vaccine improvement trust fund account.
f

TO THE

RICKY RAY HEMOPHILIA RELIEF FUND

4
4

1
¥1

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

¥1

2001 actual

2002 est.

89.00
90.00

2003 est.

10.00

Obligations by program activity:
Total new obligations (object class 92.0) .....................

580 ................... ...................

22.00
23.95

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

580 ................... ...................

73.10
73.20

Change in obligated balances:
Total new obligations ....................................................
Total outlays (gross) ......................................................

580 ................... ...................
¥580 ................... ...................

86.97

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

580 ................... ...................

89.00
90.00

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

580 ................... ...................
580 ................... ...................

The Ricky Ray hemophilia relief fund was established pursuant to Public Law 105–369 and serves as a source of funds
to pay claims to eligible individuals on behalf of persons with
HIV and a blood clotting disorder, who were treated with
an anti-hemophiliac factor between July 1982 and December
1987.

2150
2199

Total guaranteed loan commitments ........................
Guaranteed amount of guaranteed loan commitments

21
17

17
14

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

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

P.L. 104–299 and P.L. 104–208 authorize HRSA to guarantee up to $80 million in private loans to health centers
for the costs of developing and operating managed care networks or plans and for the construction, renovation and modernization of medical facilities. This program has used $21
million of its available $160 million in loan guarantee authority, HRSA plans to use approximately $38 million of the remaining existing loan guarantee limit over 2002 and 2003.
As required by the Federal Credit Reform Act of 1990, this
financing account records all cash flows to and from the Government resulting from the Health center loan guarantee program. The program account for this activity is displayed in
the Health resources and services account (75–0350) as a
line in the program and financing schedule.
Balance Sheet (in millions of dollars)
2000 actual

Identification code 75–4442–0–3–551

1101

ASSETS:
Federal assets: Fund balances with
Treasury ...............................................

2002 est.

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ................... ...................
New financing authority (gross) .................................... ...................
1

PO 00000

2002 est.

2003 est.

2999

Program and Financing (in millions of dollars)
2001 actual

2001 actual

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

HEALTH CENTER GUARANTEED LOAN FINANCING ACCOUNT

Jkt 189685

7
6

Cumulative balance of guaranteed loans outstanding:
Outstanding, start of year .............................................
5
12
33
Disbursements of new guaranteed loans ......................
7
21
17
Repayments and prepayments ...................................... ................... ................... ...................
Adjustments: Terminations for default that result in
claim payments ......................................................... ................... ................... ...................

1999

Credit accounts:

14:04 Jan 23, 2002

2003 est.

2290

Identification code 75–4442–0–3–551

2002 est.

Position with respect to appropriations act limitation
on commitments:
2111 Limitation on guaranteed loans made by private lenders .............................................................................. ................... ................... ...................
2121 Limitation available from carry-forward .......................
134
127
106
2143 Uncommitted limitation carried forward .......................
¥127
¥106
¥89

2299

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................

VerDate 11-MAY-2000

2001 actual

Identification code 75–4442–0–3–551

580 ................... ...................
¥580 ................... ...................

21.40
22.00

Net financing authority and financing disbursements:
Financing authority ........................................................ ................... ................... ...................
Financing disbursements ............................................... ...................
¥2
¥2

Status of Guaranteed Loans (in millions of dollars)

2210
2231
2251
2263

Program and Financing (in millions of dollars)
Identification code 75–0355–0–1–551

1
3

¥1 ................... ...................

Net budget authority and outlays:
89.00 Budget authority ............................................................ ................... ................... ...................
90.00 Outlays ...........................................................................
32
11 ...................

PAYMENT

Total budgetary resources available for obligation ...................
Unobligated balance carried forward, end of year ....... ...................

New financing authority (gross), detail:
Discretionary:
68.00
Spending authority from offsetting collections
(gross): (Federal sources: From program account) .................................................................... ...................
87.00 Total financing disbursements (gross) ......................... ...................

General and special funds—Continued

Frm 00006

Total liabilities ....................................
NET POSITION:
3300 Cumulative results of operations ............
3
1

Fmt 3616

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

3999

2003 est.

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

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

4999

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

Sfmt 3633

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT
Such sums as may be necessary to carry out the purpose of the
program, as authorized by title VII of the Public Health Service
Act, as amended. For administrative expenses to carry out the guaranteed loan program, including section 709 of the Public Health Service Act, ø$3,792,000¿ $3,914,000. (Department of Health and Human
Services Appropriations Act, 2002.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0340–0–1–552

2002 est.

2003 est.

00.09

Obligations by program activity:
Administrative expenses subject to limitation ..............

Total new obligations ................................................

The Health education assistance loan (HEAL) program
guarantees loans from private lenders to health professions
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 administrative expenses are estimated on a cash basis.

10.00

433

Object Classification (in millions of dollars)
2001 actual

Identification code 75–0340–0–1–552

2002 est.

2003 est.

4
¥4

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................

4
¥4

99.0
99.5

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

Direct obligations ..................................................
Below reporting threshold ..............................................

3
1

99.9

22.00
23.95

Direct obligations:
Personnel compensation: Full-time permanent ........
Other purchases of goods and services from Government accounts .................................................

Total new obligations ................................................

11.1
25.3

1
1 ...................
4
4
4
¥4
¥5
¥4
1 ................... ...................

Personnel Summary

1001

86.90
86.93

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

3
1

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

87.00

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

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

4
4

4
5

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

4
4

2002 est.

2003 est.

89.00
90.00

2001 actual

Identification code 75–0340–0–1–552

HEALTH EDUCATION ASSISTANCE LOANS FINANCING ACCOUNT

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–4304–0–3–552

2002 est.

2003 est.

00.01
00.02

Obligations by program activity:
Death and disability claims ..........................................
Default claims ...............................................................

2
15

2
27

2
30

Guaranteed loan levels supportable by subsidy budget
authority:
215001 HEAL Loan guarantee .................................................... ................... ................... ...................

10.00

Total new obligations ................................................

215901 Total loan guarantee levels ........................................... ................... ................... ...................
Guaranteed loan subsidy (in percent):
232001 Loan guarantee ..............................................................
0.00
0.00
0.00

21.40
22.00

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

301
36

321
32

323
34

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

337
¥17
321

353
¥29
323

357
¥32
324

New financing authority (gross), detail:
Discretionary:
68.00
Spending authority from offsetting collections
(gross): Offsetting collections (cash) ...................

in obligated balances:
new obligations ....................................................
financing disbursements (gross) .........................
financing disbursements (gross) .........................

17
¥17
17

29
¥29
29

32
¥32
32

237901 Total downward reestimate subsidy budget authority ................... ................... ...................
Guaranteed loan downward reestimate subsidy outlays:
238001 Downward Reestimates .................................................. ................... ................... ...................

Offsets:
Against gross financing authority and financing disbursements:
Offsetting collections (cash) from:
88.25
Interest on uninvested funds ...............................
88.40
Recoveries of defaulted loans ..............................

¥32
¥4

¥27
¥5

¥28
¥6

238901 Total downward reestimate subsidy outlays ................. ................... ................... ...................

88.90

¥36

¥32

¥34

Administrative expense data:
351001 Budget authority ............................................................
358001 Outlays from balances ...................................................
359001 Outlays from new authority ...........................................

89.00
90.00

(in millions of dollars)
2001 actual

Identification code 75–0340–0–1–552

2002 est.

2003 est.

232901 Weighted average subsidy rate .....................................
0.00
0.00
0.00
Guaranteed loan subsidy budget authority:
233001 Loan guarantee .............................................................. ................... ................... ...................
233901 Total subsidy budget authority ...................................... ................... ................... ...................
Guaranteed loan subsidy outlays:
234001 Loan guarantee .............................................................. ................... ................... ...................
234901 Total subsidy outlays ..................................................... ................... ................... ...................
235901 Total upward reestimate budget authority .................... ................... ................... ...................
Guaranteed loan upward reestimate subsidy outlays:
236001 Subsidy outlays—Upward Reestimates ........................ ................... ................... ...................
236901 Total upward reestimate subsidy outlays ..................... ................... ................... ...................
Guaranteed loan downward reestimate subsidy budget
authority:
237001 Downward Reestimate ................................................... ................... ................... ...................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

4
1
3

PO 00000

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

Frm 00007

Fmt 3616

73.10
73.20
87.00

Change
Total
Total
Total

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

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

434

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
69.00 Offsetting collections (cash) .........................................

HEALTH EDUCATION ASSISTANCE LOANS FINANCING ACCOUNT—
Continued
Status of Guaranteed Loans (in millions of dollars)
2001 actual

Identification code 75–4304–0–3–552

2002 est.

7
20

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

72.40
73.10
73.20
74.40

22
14
¥16
21

21
30
¥30
20

20
27
¥27
20

86.97
86.98

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

87.00

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

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

¥25

¥20

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

10
¥9

10
10

7
7

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

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

10
20

2003 est.

10
25

70.00

Credit accounts—Continued

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

1,535
¥5

1,513
¥6

1,478
¥7

¥14

¥27

¥30

¥3

¥2

1,513

1,478

1,439
89.00
90.00

1,513

1,478

1,439

Status of Guaranteed Loans (in millions of dollars)
2001 actual

Identification code 75–4305–0–3–552

53
14
¥4

63
27
¥5

85
30
¥6

109

This account records all cash flows to and from the Government resulting from HEAL loan guarantees committed between 1992 and 1998.

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

2000 actual

2001 actual

2002 est.

2003 est.

ASSETS:
1101 Federal assets: Fund balances with
Treasury ...............................................
1206 Non-Federal assets: Receivables, net .....

301
42

321
51

323
51

324
51

1999

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

343

372

374

375

2999

343

372

374

375

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

343

372

374

375

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

3999

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

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

4999

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

343

372

374

375

2002 est.

2003 est.

722
¥41

668
¥39

618
¥40

¥12

¥8

¥7

¥1

¥3

2290

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

668

618

568

2299

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

668

618

568

Balance Sheet (in millions of dollars)
Identification code 75–4304–0–3–552

10
30
27
6 ................... ...................

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 ...................................
2364
Other adjustments, net .............................................
2390

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

500
497
464
12
8
7
¥17
¥17
¥17
¥24
¥24
¥24
26 ................... ...................
497

464

430

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

This account records all cash flows to and from the Government resulting from HEAL loan guarantees committed prior
to 1992.

HEALTH EDUCATION ASSISTANCE LOANS LIQUIDATING ACCOUNT

Statement of Operations (in millions of dollars)

Program and Financing (in millions of dollars)
2000 actual

2001 actual

0101
0102

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

28
–28

14
–14

30
–30

27
–27

0105

Net income or loss (–) ............................

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

2002 est.

2003 est.

Identification code 75–4305–0–3–552
2001 actual

Identification code 75–4305–0–3–552

Obligations by program activity:
00.01 Death and disability claims ..........................................
00.02 Defaulted loans ..............................................................
00.03 Debt collection ...............................................................
10.00

Total new obligations ................................................

22.00
22.40

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Capital transfer to general fund ...................................

23.90
23.95

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

2002 est.

2003 est.

2
9
3

6
20
4

6
15
6

2002 est.

2003 est.

Balance Sheet (in millions of dollars)

14:04 Jan 23, 2002

Jkt 189685

2001 actual

22
381

21
376

20
376

1999

VerDate 11-MAY-2000

2000 actual

ASSETS:
1101 Federal assets: Fund balances with
Treasury ...............................................
1206 Non-Federal assets: Receivables, net .....

403

397

396

Identification code 75–4305–0–3–552

35
30
27
¥20 ................... ...................
15
¥14

PO 00000

30
¥30

Frm 00008

27
¥27

Fmt 3616

Sfmt 3633

Total assets ........................................

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Trust Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

2204

LIABILITIES:
Non-Federal liabilities: Liabilities for
loan guarantees ..................................

403

397

396

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

403

397

396

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

3999

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

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

4999

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

403

397

396

2999

Object Classification (in millions of dollars)
2001 actual

Identification code 75–4305–0–3–552

2002 est.

2003 est.

25.2
42.0

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

3
11

8
22

8
19

99.9

Total new obligations ................................................

MEDICAL FACILITIES GUARANTEE

AND

LOAN FUND

435

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. Unobligated balances will be used to pay defaults and
interest subsidy payments.
f

FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9931–0–3–551

2002 est.

Trust Funds

2003 est.

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

21.40
22.00
22.60

23.90
24.40

Total budgetary resources available for obligation
Unobligated balance carried forward, end of year .......

67
67

71
71

75
75

New budget authority (gross), detail:
Mandatory:
69.00
Offsetting collections (cash) .....................................

Change in obligated balances:
Obligated balance, start of year ...................................
Obligated balance, end of year .....................................

1
1

72.40
74.40

65
67
71
3
4
4
¥1 ................... ...................

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
ø$2,992,000¿ $2,991,000 shall be available from the Trust Fund to
the Secretary of Health and Human Services. (Department of Health
and Human Services Appropriations Act, 2002.)
Unavailable Collections (in millions of dollars)
2001 actual

Identification code 20–8175–0–7–551

01.99

Balance, start of year ....................................................
Receipts:
02.00 Deposits .........................................................................
02.40 Interest income ..............................................................

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

¥2
¥1

¥1
¥3

88.90

¥3

¥4

1,718

112
58

123
60

125
63

Total receipts and collections ...................................

170

183

188

Total: Balances and collections ....................................
Appropriations:
05.00 Vaccine injury compensation program trust fund ........

1,716

1,810

1,906

¥89

¥92

¥96

05.99

Total appropriations ..................................................

¥89

¥92

¥96

07.99

Balance, end of year .....................................................

1,627

1,718

1,810

02.99

Status of Direct Loans (in millions of dollars)
2001 actual

Identification code 75–9931–0–3–551

1290

Program and Financing (in millions of dollars)
2002 est.

2003 est.

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

11
¥2

9
¥4

5
¥5

5 ...................

Status of Guaranteed Loans (in millions of dollars)

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

2290

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

2299

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

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

Obligations by program activity:
Compensation: Claims for post—FY 1989 injuries ......
Administrative expenses:
01.03
Claims processing (Claims Court) ............................
01.04
Claims processing (Public Health Service) ...............
01.05
Claims processing (Dept. of Justice) ........................
00.01

2002 est.

2003 est.

3
3
4

24
¥5
19

2002 est.

19
¥6
13

01.91

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

10.00

2001 actual

Identification code 75–9931–0–3–551

2210
2251

2001 actual

Identification code 20–8175–0–7–551

Cumulative balance of direct loans outstanding:
1210 Outstanding, start of year .............................................
1251 Repayments: Repayments and prepayments .................

2003 est.

1,627

04.00
Total, offsetting collections (cash) ..................

2002 est.

1,546

Total new obligations ................................................

21.40
22.00

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

1
89

1 ...................
92
96

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

2003 est.

13
¥6

PO 00000

Frm 00009

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

90
93
96
¥89
¥93
¥96
1 ................... ...................

436

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 20–8175–0–7–551

2002 est.

2003 est.

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
Mandatory:
60.26
Appropriation (trust fund) .........................................

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
New budget authority (gross) ........................................
Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

31
145
3
582 ................... ...................
613
¥468
145

145
3
¥142
¥3
3 ...................

70.00

21.40
22.00
23.90
23.95
24.40

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND—Continued

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

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) .........................................

582 ................... ...................

72.40
73.10
73.20
74.40

11
3 ...................
468
142
3
¥475
¥146
¥3
3 ................... ...................

86.97
86.98

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

442 ................... ...................
31
146
3

72.40
73.10
73.20
74.40

Change in obligated balances:
Obligated balance, start of year ................................... ...................
1 ...................
Total new obligations ....................................................
89
93
96
Total outlays (gross) ......................................................
¥89
¥93
¥96
Obligated balance, end of year .....................................
1 ................... ...................

86.90
86.97

Outlays (gross), detail:
Outlays from new discretionary authority .....................
Outlays from new mandatory authority .........................

10
79

10
82

10
86

87.00

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

87.00

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

89.00
90.00

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

582 ................... ...................
475
146
3

89.00
90.00

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

89
88

92
93

96
96

Memorandum (non-add) entries:
Total investments, end of year: Federal securities:
Par value ...................................................................

130 ................... ...................

Memorandum (non-add) entries:
92.01 Total investments, start of year: Federal securities:
Par value ................................................................... ...................
92.02 Total investments, end of year: Federal securities:
Par value ...................................................................
1,628

1,628

1,693

1,793

2001 actual

25.2
25.3

2002 est.

146

2003 est.

Identification code 75–8074–0–7–551

2002 est.

2003 est.

7
79

7
83

7
86

99.9

Total new obligations ................................................

11.1
25.2

Personnel compensation: Full-time permanent .............
Other services ................................................................

2
1

Limitation acct—direct obligations .....................

42.0

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

Personnel Summary
2001 actual

Identification code 75–8074–0–7–551

6001

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

2002 est.

2003 est.

RICKY RAY HEMOPHILIA RELIEF FUND

INDIAN HEALTH SERVICE

Unavailable Collections (in millions of dollars)
2001 actual

Identification code 75–8074–0–7–551

Federal Funds
2002 est.

General and special funds:

2003 est.

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.40 Payments from the general fund ..................................
580 ................... ...................
02.41 Interest on investments, Ricky ......................................
2 ................... ...................

INDIAN HEALTH SERVICES

01.99

02.99

Total receipts and collections ...................................
Appropriations:
05.00 Ricky Ray hemophilia relief fund ..................................

582 ................... ...................

07.99

Balance, end of year ..................................................... ................... ................... ...................

¥582 ................... ...................

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–8074–0–7–551

2002 est.

2003 est.

00.01
00.02

Obligations by program activity:
Compensation—claims .................................................
Administrative expenses subject to limitation ..............

465
3

139 ...................
3
3

10.00

Total new obligations ................................................

468

142

PO 00000

Frm 00010

Fmt 3616

VerDate 11-MAY-2000

99.0

Object Classification (in millions of dollars)
Identification code 20–8175–0–7–551

92.02

475

14:04 Jan 23, 2002

Jkt 189685

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,
ø$2,389,614,000¿ $2,513,668,000, 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 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 ø$15,000,000¿ up to $18,000,000 shall remain
available until expended, for the Indian Catastrophic Health Emergency Fund: Provided further, That ø$445,776,000¿ $450,130,000 for
contract medical care shall remain available for obligation until September 30, ø2003¿ 2004: Provided further, That of the funds provided,

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
up to ø$22,000,000¿ $25,000,000 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 1-year contracts and grants which are to be performed in 2 fiscal years, so long as the total obligation is recorded
in the year for which the funds are appropriated: Provided further,
That the amounts collected by the Secretary of Health and Human
Services under the authority of title IV of the Indian Health Care
Improvement Act shall remain available until expended for the purpose of achieving compliance with the applicable conditions and requirements of titles XVIII and XIX of the Social Security Act (exclusive of planning, design, or construction of new facilities): 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, ø2003¿ 2004: Provided further, That
amounts received by tribes and tribal organizations under title IV
of the Indian Health Care Improvement Act shall be reported and
accounted for and available to the receiving tribes and tribal organizations until expended: Provided further, That, notwithstanding any
other provision of law, of the amounts provided herein, not to exceed
ø$268,234,000¿ $270,734,000 shall be for payments to tribes and
tribal organizations for contract or grant support costs associated
with contracts, grants, self-governance compacts or annual funding
agreements between the Indian Health Service and a tribe or tribal
organization pursuant to the Indian Self-Determination Act of 1975,
as amended, prior to or during fiscal year ø2002¿ 2003, of which
not to exceed ø$20,000,000¿ $2,500,000 may be used for contract
support costs associated with new or expanded self-determination
contracts, grants, self-governance compacts or annual funding agreements: Provided further, That funds available for the Indian Health
Care Improvement Fund may be used, as needed, to carry out activities typically funded under the Indian Health Facilities account. (Department of the Interior and Related Agencies Appropriations Act,
2002; additional authorizing legislation required.)

2001 actual

2002 est.

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

1,940
102
31
31
2
64
10
268
100
767

1,994
105
32
35
2
63
10
271
100
767

10.00

Total new obligations ................................................

3,109

3,315

3,379

21.40
22.00
22.10

165
3,129

185
3,315

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

3,302
3,500
3,565
¥3,109
¥3,315
¥3,379
¥7 ................... ...................
185
185
185

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
40.77
Reduction pursuant to P.L. 106–554 (0.22 percent)

2,325
2,448
2,513
¥5 ................... ...................

43.00

Appropriation (total discretionary) ........................
Mandatory:
Appropriation .............................................................
Transferred from CMS for diabetes ..........................

2,320

Appropriation (total mandatory) ...........................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................

100

68.00
68.10

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

3,129

3,315

3,380

465
601
605
3,109
3,315
3,379
¥3,088
¥3,311
¥3,441
117 ................... ...................
¥8 ................... ...................
¥33 ................... ...................
39 ................... ...................
601
605
545

86.90
86.93
86.97
86.98

2,757
231
52
48

2,929
282
52
48

2,986
356
52
46

87.00

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

3,088

3,311

3,441

¥448
¥345

¥392
¥375

¥403
¥364

88.90

¥793

¥767

88.95
88.96

Total, offsetting collections (cash) ..................
Against gross budget authority only:
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
Portion of offsetting collections (cash) credited to
expired accounts ...................................................
Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

185
3,380

62.50

767

¥33 ................... ...................
117 ................... ...................

2,420
2,294

2,548
2,544

2,613
2,674

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
1,822
98
30
29
2
61
10
248
100
709

60.00
62.00

767

2003 est.

Obligations by program activity:
Direct program:
00.01
Clinical services ........................................................
00.02
Preventive health .......................................................
00.03
Urban health .............................................................
00.04
Indian health professions .........................................
00.05
Tribal management ...................................................
00.06
Direct operations .......................................................
00.07
Self-governance .........................................................
00.08
Contract support costs ..............................................
00.09
Diabetes funds ..........................................................
09.01 Reimbursable program ..................................................

23.90
23.95
23.98
24.40

709

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

70.00

89.00
90.00

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

68.90

437

70
30

676

2,448

2,513

70
100
30 ...................
100

767

100

767

33 ................... ...................

PO 00000

Frm 00011

Fmt 3616

2001 actual

89.00
90.00

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

2,366
2,240

2002 est.

2003 est.

2,490
2,486

2,553
2,614

The Indian health services account provides medical care,
public health services, and health professions training opportunities to American Indians and Alaska Natives. An estimated $1,642 million will be administered by tribal governments under self-determination contracts and self-governance
compacts in 2003.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0390–0–1–551

11.1
11.3
11.5

11.9
12.1
13.0
21.0
21.0
22.0
23.1
23.2
23.3
24.0
25.1
25.2
25.3

Sfmt 3643

2002 est.

2003 est.

381
16
33

406
18
35

424
18
37

Total personnel compensation .........................
430
Civilian personnel benefits .......................................
168
Benefits for former personnel ...................................
12
Travel and transportation of persons:
Travel and transportation of persons ...................
12
Patient Travel ........................................................
17
Transportation of things ...........................................
8
Rental payments to GSA ...........................................
8
Rental payments to others ........................................
3
Communications, utilities, and miscellaneous
charges .................................................................
20
Printing and reproduction .........................................
1
Advisory and assistance services .............................
7
Other services ............................................................
64
Other purchases of goods and services from Government accounts ................................................. ...................

459
181
12

479
188
13

12
17
8
4
7

9
17
8
4
7

21
1
7
61

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

438

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
INDIAN HEALTH SERVICES—Continued
Object Classification (in millions of dollars)—Continued
2001 actual

Identification code 75–0390–0–1–551

25.4
25.5
25.6
25.7
25.8
26.0
31.0
32.0
41.0
42.0

Operation and maintenance of facilities ..................
9
Research and development contracts ....................... ...................
Medical care ..............................................................
217
Operation and maintenance of equipment ...............
4
Subsistence and support of persons ........................ ...................
Supplies and materials .............................................
101
Equipment .................................................................
19
Land and structures ..................................................
1
Grants, subsidies, and contributions ........................
1,298
Insurance claims and indemnities ...........................
1

2002 est.

2003 est.

6
1
232
5
2
101
19
1
1,388
1

6
1
232
5
2
101
19
1
1,427
1

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

2,400
709

2,548
767

2,612
767

99.9

Total new obligations ................................................

3,109

3,315

3,379

Personnel Summary
2001 actual

Identification code 75–0390–0–1–551

2002 est.

2003 est.

1001

9,656

9,782

9,839

3,710

quirements prepared for approval by the Service and can demonstrate
the financial capability needed to provide an appropriate facility:
Provided further, That the Indian Health Service shall request additional staffing, operation and maintenance funds for these facilities
in future budget requests:¿ Provided further, That not to exceed
$500,000 shall be used by the Indian Health Service to purchase
TRANSAM equipment from the Department of Defense for distribution to the Indian Health Service and tribal facilities: Provided further, That not to exceed $500,000 shall be used by the Indian Health
Service to obtain ambulances for the Indian Health Service and tribal
facilities in conjunction with an existing interagency agreement between the Indian Health Service and the General Services Administration: Provided further, That not to exceed $500,000 shall be placed
in a Demolition Fund, available until expended, to be used by the
Indian Health Service for demolition of Federal buildingsø: Provided
further, That notwithstanding the provisions of title III, section 306,
of the Indian Health Care Improvement Act (Public Law 94–437,
as amended), construction contracts authorized under title I of the
Indian Self-Determination and Education Assistance Act of 1975, as
amended, may be used rather than grants to fund small ambulatory
facility construction projects: Provided further, That if a contract is
used, the IHS is authorized to improve municipal, private, or tribal
lands, and that at no time, during construction or after completion
of the project will the Federal Government have any rights or title
to any real or personal property acquired as a part of the contract:
Provided further, That notwithstanding any other provision of law
or regulation, for purposes of acquiring sites for a new clinic and
staff quarters in St. Paul Island, Alaska, the Secretary of Health
and Human Services may accept land donated by the Tanadgusix
Corporation¿. (Department of the Interior and Related Agencies Appropriations Act, 2002; additional authorizing legislation required.)

Unavailable Collections (in millions of dollars)

INDIAN HEALTH FACILITIES

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

2001 actual

Identification code 75–0391–0–1–551

For construction, repair, maintenance, improvement, and equipment of health and related auxiliary facilities, including quarters
for personnel; preparation of plans, specifications, and drawings; acquisition of sites, purchase and erection of modular buildings, and
purchases of trailers; and for provision of domestic and community
sanitation facilities for Indians, as authorized by section 7 of the
Act of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act, and the Indian Health Care Improvement Act, and for
expenses necessary to carry out such Acts and titles II and III of
the Public Health Service Act with respect to environmental health
and facilities support activities of the Indian Health Service,
ø$369,487,000¿ $370,475,000, 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: øProvided further, That from the funds
appropriated herein, $5,000,000 shall be designated by the Indian
Health Service as a contribution to the Yukon-Kuskokwim Health
Corporation (YKHC) to continue a priority project for the acquisition
of land, planning, design and construction of 79 staff quarters in
the Bethel service area, pursuant to the negotiated project agreement
between the YKHC and the Indian Health Service: Provided further,
That this project shall not be subject to the construction provisions
of the Indian Self-Determination and Education Assistance Act and
shall be removed from the Indian Health Service priority list upon
completion: Provided further, That the Federal Government shall not
be liable for any property damages or other construction claims that
may arise from YKHC undertaking this project: Provided further,
That the land shall be owned or leased by the YKHC and title
to quarters shall remain vested with the YKHC: Provided further,
That $5,000,000 shall remain available until expended for the purpose of funding up to two joint venture health care facility projects
authorized under the Indian Health Care Improvement Act, as
amended: Provided further, That priority, by rank order, shall be
given to tribes with outpatient projects on the existing Indian Health
Services priority list that have Service-approved planning documents,
and can demonstrate by March 1, 2002, the financial capability necessary to provide an appropriate facility: Provided further, That joint
venture funds unallocated after March 1, 2002, shall be made available for joint venture projects on a competitive basis giving priority
to tribes that currently have no existing Federally-owned health care
facility, have planning documents meeting Indian Health Service re-

Frm 00012

Fmt 3616

2002 est.

2003 est.

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Rent and charges for quarters, Indian health service,
HHS ............................................................................
11
6
6
Appropriations:
05.00 Indian health facilities ..................................................
¥11
¥6
¥6
07.99

Balance, end of year ..................................................... ................... ................... ...................

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0391–0–1–551

2002 est.

2003 est.

Obligations by program activity:
Direct program:
00.01
Sanitation and health facilities ................................
00.02
Maintenance ..............................................................
00.03
Facilities and environmental health .........................
00.04
Equipment .................................................................

154
42
123
11

181
52
133
16

167
53
140
16

01.00
09.01

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

330
6

382
4

376
4

10.00

Total new obligations ................................................

336

386

380

21.40
22.00
22.10

90
384

138
388

138
383

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

1 ................... ...................
475
¥336
138

526
¥386
138

521
¥380
139

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
40.77
Reduction pursuant to P.L. 106–554 (0.22 percent)

371
376
371
¥1 ................... ...................

43.00

370

376

371

60.20

68.00

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
68.10

Change in uncollected customer payments from
Federal sources (unexpired) .............................

439

Personnel Summary
¥4 ................... ...................
2001 actual

Identification code 75–0391–0–1–551

68.90

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

70.00

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

384

389

2002 est.

2003 est.

384

1001

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

1,300

1,308

1,326

Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.10 Total new obligations ....................................................
73.20 Total outlays (gross) ......................................................
73.45 Recoveries of prior year obligations ..............................
74.00 Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.40 Obligated balance, end of year .....................................

321
323
375
336
386
380
¥338
¥336
¥383
¥1 ................... ...................
4 ................... ...................
323
375
374

86.90
86.93
86.97

105
225
7

125
206
6

124
254
6

87.00

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

338

336

383

¥7

89.00
90.00

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

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

381
330

381
329

376
376

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00
90.00

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

374
323

2002 est.

374
322

2003 est.

368
368

The Indian health facilities account supports construction,
repair and improvement, equipment, and environmental
health and facilities support for the Indian health services.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0391–0–1–551

11.1
11.3
11.5
11.9
12.1
21.0
22.0
23.1
23.3

52
5
1

2002 est.

56
6
2

2003 est.

59
6
2

25.4
25.7
26.0
31.0
32.0
41.0
42.0
43.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Advisory and assistance services .............................
Other services ............................................................
Other purchases of goods and services from Government accounts .................................................
Operation and maintenance of facilities ..................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................
Interest and dividends ..............................................

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

332
4

380
6

374
6

99.9

Total new obligations ................................................

336

386

380

PO 00000

Frm 00013

Fmt 3616

25.1
25.2
25.3

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

58
64
67
22
23
25
3
3
3
3
2
3
2 ................... ...................
12
1
113

12
2
151

12
2
140

5
5
5
2
3
3
1
1
1
7
9
8
6
6
6
14
15
14
75
83
84
7 ................... ...................
1
1
1

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
øtherefore¿ 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.
In accordance with the provisions of the Indian Health Care Improvement Act, non-Indian patients may be extended health care
at all tribally administered or Indian Health Service facilities, subject
to charges, and the proceeds along with funds recovered under the
Federal Medical Care Recovery Act (42 U.S.C. 2651–2653) shall be
credited to the account of the facility providing the service and shall
be available without fiscal year limitation. 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.
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.
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 available to the
tribe or tribal organization without fiscal year limitation.
None of the funds made available to the Indian Health Service
in this Act shall be used to implement the final rule published in
the Federal Register on September 16, 1987, by the Department
of Health and Human Services, relating to the eligibility for the
health care services of the Indian Health Service until the Indian
Health Service has submitted a budget request reflecting the increased costs associated with the proposed final rule, and such request has been included in an appropriations Act and enacted into
law.
øFunds 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.¿
With respect to functions transferred by the Indian Health Service
to tribes or tribal organizations, the Indian Health Service is authorized to provide goods and services to those entities, on a reimbursable
basis, including payment in advance with subsequent adjustment.
The reimbursements received therefrom, along with the funds received from those entities pursuant to the Indian Self-Determination
Act, may be credited to the same or subsequent appropriation account
which provided the funding. Such amounts shall remain available
until expended.
Reimbursements for training, technical assistance, or services provided by the Indian Health Service will contain total costs, including
direct, administrative, and overhead associated with the provision
of goods, services, or technical assistance.
The appropriation structure for the Indian Health Service may
not be altered without advance øapproval of¿ notice submitted to
the House and Senate Committees on Appropriations. (Department
of the Interior and Related Agencies Appropriations Act, 2002.)

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

440

CENTERS FOR DISEASE CONTROL AND PREVENTION
Federal Funds

THE BUDGET FOR FISCAL YEAR 2003

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, XIX, XXI, and XXVI
of the Public Health Service Act, sections 101, 102, 103, 201, 202,
203, 301, and 501 of the Federal Mine Safety and Health Act of
1977, sections 20, 21, and 22 of the Occupational Safety and Health
Act of 1970, title IV of the Immigration and Nationality Act, and
section 501 of the Refugee Education Assistance Act of 1980; including insurance of official motor vehicles in foreign countries; and hire,
maintenance, and operation of aircraft, ø$4,293,151,000, of which
$250,000,000 shall remain available until expended for equipment
and construction and renovation of facilities, and¿ $3,931,742,000,
of which $143,763,000 for international HIV/AIDS shall remain available until September 30, ø2003¿ 2004, and in addition, such sums
as may be derived from authorized user fees, which shall be credited
to this account: Provided, That in addition to amounts provided herein, up to ø$23,286,000¿ $46,982,000 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: Provided further, That none of the funds made available for injury prevention
and control at the Centers for Disease Control and Prevention may
be used to advocate or promote gun control: Provided further, That
the Director may redirect the total amount made available under
authority of Public Law 101–502, section 3, dated November 3, 1990,
to activities the Director may so designate: Provided further, That
the Congress is to be notified promptly of any such transfer: Provided
further, That not to exceed $10,000,000 may be available for making
grants under section 1509 of the Public Health Service Act to not
more than 15 Statesø: Provided further, That notwithstanding any
other provision of law, a single contract or related contracts for development and construction of facilities may be employed which collectively include the full scope of the project: Provided further, That
the solicitation and contract shall contain the clause ‘‘availability
of funds’’ found at 48 CFR 52.232–18¿. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
øFor emergency expenses to respond to the September 11, 2001,
terrorist attacks on the United States for ‘‘Disease control, research,
and training’’ for baseline safety screening for the emergency services
personnel and rescue and recovery personnel, $12,000,000, to remain
available until expended to be obligated from amounts made available
in Public Law 107–38.¿ (Emergency Supplemental Act, 2002.)

2001 actual

2002 est.

2003 est.

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Cooperative research and development agreements,
Centers for Disease Contr .........................................
1
1
1
Appropriations:
05.00 Disease control, research, and training ........................
¥1
¥1
¥1
07.99

Balance, end of year ..................................................... ................... ................... ...................

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0943–0–1–999

Obligations by program activity:
Direct program:
00.01
Preventive health block grants .................................
00.02
Prevention centers .....................................................
00.03
Sexually transmitted diseases ..................................
00.04
Immunization .............................................................
00.05
Infectious diseases ....................................................
00.06
Other chronic and environmental diseases ..............
00.07
Tobacco ......................................................................
00.08
Occupational health and safety ................................
00.10
Epidemic services ......................................................
00.11
Health statistics ........................................................
00.12
H I V ..........................................................................
00.13
Prevention research ...................................................
00.14
Buildings & Facilities ................................................
00.17
Eliminating racial and ethnic disparities .................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

00.20
00.21
00.22
00.23
00.24
00.25
00.26
00.27
00.28
00.29
00.30
00.31
00.32
09.01

Program administration ............................................
Birth defects/developmental disabilities/disability
and health ............................................................
Chronic disease prev & health promotion ................
Environmental health ................................................
Epidemic services and response ...............................
Health statistics ........................................................
HIV/AIDS, STD and TB prevention .............................
Immunization .............................................................
Infectious disease control .........................................
Injury prevention and control ....................................
Occupational safety and health ................................
Preventive health and heath service block grant
Public health improvement .......................................
Building and facilities ..............................................
Office of the Director ................................................
Reimbursable program ..................................................

715 ................... ...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
197

10.00

Total new obligations ................................................

4,104

21.40
22.00
22.22

26
47
63
4,125
4,521
4,123
2 ................... ...................

23.90
23.95
23.98
24.40

4,153
4,568
4,186
¥4,104
¥4,505
¥4,119
¥1 ................... ...................
47
63
67

91
90
753
697
157
155
83
81
108
83
1,143
1,143
631
632
355
344
151
146
287
258
135
135
150
119
250 ...................
52
48
159
188
4,505

4,119

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
3,919
4,348
3,931
40.15
Appropriation (emergency) ........................................ ...................
12 ...................
40.71
Reduction pursuant to P.L. 107–116 (Labor/HHS) ...................
¥2 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥2 ................... ...................
41.00
Transferred to other accounts ...................................
¥3 ................... ...................
43.00
60.00
60.20
62.00
62.50
68.00
68.10

Appropriation (total discretionary) ........................
3,914
4,358
3,931
Mandatory:
Appropriation ............................................................. ................... ...................
3
Appropriation (special fund) .....................................
1
1
1
Transferred from other accounts ..............................
13
3 ...................
Appropriation (total mandatory) ...........................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................

121

136

141

2002 est.

2003 est.

176
23
148
529
307
601
102
119
175
26
767
14
170
35

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

PO 00000

Frm 00014

Fmt 3616

68.90

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

197

159

188

70.00

Unavailable Collections (in millions of dollars)
Identification code 75–0943–0–1–999

00.18
00.19

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

4,125

4,521

4,123

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
74.00

86.90
86.93
86.97
86.98

2,673
3,246
3,658
4,104
4,505
4,119
¥3,517
¥4,070
¥4,297
¥27 ................... ...................
¥76

¥47

90 ................... ...................
3,246
3,658
3,433

Outlays (gross), detail:
Outlays from new discretionary authority .....................
1,530
Outlays from discretionary balances .............................
1,983
Outlays from new mandatory authority .........................
4
Outlays from mandatory balances ................................ ...................

87.00

¥23

1,634
2,426
4
6

1,524
2,765
4
4

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

3,517

4,070

4,297

¥204
¥5

¥131
¥5

¥136
¥5

88.90

¥209

¥136

¥141

¥76

¥23

¥47

88.95
88.96

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

88 ................... ...................

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

89.00
90.00

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

23.3
3,928
3,308

4,362
3,934

3,935
4,156

Comparable BA by Activity (dollars in millions)
2001

2002

91
90
1143
1143
932
933
631
631
354
345
157
156
754
697
135
135
287
258
151
146
108
83
131
130
83
81
150
119
52
48
12 ....................

Total .............................................................................................

4,108

3,739

25.4
25.5
25.6
25.7
25.8
26.0
31.0
32.0
41.0
42.0

Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Advisory and assistance services .............................
Other services ............................................................
Other 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 .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

221
43
246
2
19
5
35
68
144
2,254
1

232
236
46
34
269
271
3
2
24
30
10
8
38
38
59
63
238 ...................
2,442
2,228
1
1

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

3,908
196

4,346
159

3,931
188

99.9

Total new obligations ................................................

4,104

4,505

4,119

24.0
25.1
25.2
25.3

2003

Birth defects/developmental/disabilities/disability & health .....
71
HIV/AIDS, STD, TB ........................................................................
1051
HIV/AIDS (non-add) .....................................................................
855
Immunization ...............................................................................
556
Infectious disease control ...........................................................
327
Environmental health ..................................................................
140
Chronic disease/health promotion ..............................................
756
Preventive health block grant .....................................................
135
Occupational safety and health ..................................................
270
Injury prevention ..........................................................................
144
Health statistics BA ....................................................................
54
Program level ..........................................................................
126
Epidemic services ........................................................................
81
Public health improvement .........................................................
113
Office of the Director ..................................................................
42
Emergency response .................................................................... ....................

2001 actual

Identification code 75–0943–0–1–999

2001 actual

89.00
90.00

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

3,877
3,257

2002 est.

4,307
3,879

2003 est.

3,878
4,099

The Centers for Disease Control and Prevention (CDC) supports a number of categorical programs designed to improve
the health and safety of all Americans. These programs include immunization, HIV prevention, chronic disease prevention and health promotion, infectious disease control, occupational safety and health, injury prevention and control, occupational safety and health, injury prevention and control, environmental health, and programs that reduce the occurrence
of birth defects and developmental disabilities. CDC also supports bioterrorism and emergency response activities. Funding
for these activities is included in the Public Health and Social
Services Emergency Fund provided to CDC from the Office
of the Secretary of Health and Human Services.
In 2002, CDC modified and consolidated several budget categories to simplify its budget, and move towards budgeting
its activities by organization. The new budget categories represent total costs of a program, including both administrative
costs and CDC’s centralized services. The comparable table
above displays funding levels in 2001, 2002, and 2003 using
the new categories as if they were implemented in 2001.
The 2003 Budget also creates a new HHS Health Facilities
Construction and Management Fund within the Office of the
Secretary that will fund facilities construction for CDC and
the National Institutes of Health centrally rather than in
the individual agency accounts. Through this mechanism, the
Department will prioritize and fund construction projects competitively across the two agencies.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0943–0–1–999

11.1
11.3
11.5
11.8

11.9
12.1
21.0
22.0
23.1
23.2

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2002 est.

Direct:
Total compensable workyears: Full-time equivalent
employment ...............................................................
Reimbursable:
2001 Total compensable workyears: Full-time equivalent
employment ...............................................................
Allocation account:
3001 Total compensable workyears: Full-time equivalent
employment ...............................................................

468
190
42
6
44
3

472
194
45
7
52
3

PO 00000

Frm 00015

Fmt 3616

38
8
132
69

2002 est.

2003 est.

7,019

7,556

7,183

663

252

448

174

447

497

AGENCY

FOR

TOXIC SUBSTANCES

AND

DISEASE REGISTRY

TOXIC SUBSTANCES AND ENVIRONMENTAL PUBLIC HEALTH

For necessary expenses for the Agency for Toxic Substances and
Disease Registry (ATSDR) in carrying out activities set forth in sections 104(i), 111(c)(4), and 111(c)(14) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA),
as amended; section 118(f) of the Superfund Amendments and Reauthorization Act of 1986 (SARA), as amended; and section 3019 of
the Solid Waste Disposal Act, as amended, ø$78,235,000¿
$80,599,000, to be derived from the Hazardous Substance Superfund
Trust Fund pursuant to section 517(a) of SARA (26 U.S.C. 9507):
Provided, That notwithstanding any other provision of law, in lieu
of performing a health assessment under section 104(i)(6) of CERCLA,
the Administrator of ATSDR may conduct other appropriate health
studies, evaluations, or activities, including, without limitation, biomedical testing, clinical evaluations, medical monitoring, and referral
to accredited health care providers: Provided further, That in performing any such health assessment or health study, evaluation, or
activity, the Administrator of ATSDR shall not be bound by the
deadlines in section 104(i)(6)(A) of CERCLA: Provided further, That
none of the funds appropriated under this heading shall be available
for ATSDR to issue in excess of 40 toxicological profiles pursuant
to section 104(i) of CERCLA during fiscal year ø2002¿ 2003, and
existing profiles may be updated as necessary. (Departments of Veterans Affairs and Housing and Urban Development, and Independent
Agencies Appropriations Act, 2002; additional authorizing legislation
required.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–8252–0–7–551

412
170
34
6
35
2

34
7
127
63

1001

2003 est.

355
404
406
36
40
41
20
24
25
1 ................... ...................

25
6
123
57

Personnel Summary

3,932

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)

441

2002 est.

2003 est.

00.01
09.01

Obligations by program activity:
Direct program ...............................................................
Reimbursable program ..................................................

78
18

81
26

80
26

10.00

Total new obligations ................................................

107

106

22.00
23.95

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

97
¥96

107
¥107

106
¥106

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

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

442

THE BUDGET FOR FISCAL YEAR 2003
25.5
31.0
41.0

AGENCY

FOR

TOXIC SUBSTANCES AND DISEASE REGISTRY—
Continued

TOXIC SUBSTANCES AND ENVIRONMENTAL PUBLIC HEALTH—Continued

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–8252–0–7–551

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
Spending authority from offsetting collections:
68.00
Offsetting collections (cash) .....................................
68.10
Change in uncollected customer payments from
Federal sources (unexpired) ..................................

2002 est.

Research and development contracts .......................
Equipment .................................................................
Grants, subsidies, and contributions ........................

6
2
21

8
2
21

8
2
20

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

78
18

81
26

80
26

99.9

General and special funds—Continued

Total new obligations ................................................

107

106

2003 est.

Personnel Summary
2001 actual

Identification code 75–8252–0–7–551

12 ................... ...................

68.90

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

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

107

2002 est.

2003 est.

353

352

344

70.00

106

Change in obligated balances:
Obligated balance, start of year ................................... ...................
30
49
Total new obligations ....................................................
96
107
106
Total outlays (gross) ......................................................
¥54
¥88
¥92
Change in uncollected customer payments from Federal sources (unexpired) ............................................
¥12 ................... ...................
74.40 Obligated balance, end of year .....................................
30
49
65
72.40
73.10
73.20
74.00

Outlays (gross), detail:
86.90 Outlays from new discretionary authority .....................
54
86.93 Outlays from discretionary balances ............................. ...................

56
31

56
34

87.00

¥7

¥26

NATIONAL INSTITUTES OF HEALTH
Federal Funds
General and special funds:
NATIONAL CANCER INSTITUTE
For carrying out section 301 and title IV of the Public Health
Service Act with respect to cancer, ø$4,190,405,000.¿ $5,122,111,000:
Provided, That the Director of the National Institutes of Health may
transfer up to $400,000,000 to other National Institutes of Health
appropriations: Provided further, That the total amount provided for
cancer research at the National Institutes of Health will be not less
than $5,122,111,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)

¥26

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

89.00
90.00

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

¥12 ................... ...................

78
47

81
62

80
66

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

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

2002 est.

2003 est.

75
44

78
59

77
63

2001 actual

11.1
11.3
11.5
11.9
12.1
21.0
23.3
25.1
25.2
25.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................
Total personnel compensation .........................
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Communications, utilities, and miscellaneous
charges .................................................................
Advisory and assistance services .............................
Other services ............................................................
Other purchases of goods and services from Government accounts .................................................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

NATIONAL INSTITUTE

2002 est.

DENTAL

NATIONAL INSTITUTE

22
1
1

23
9
2

24
9
2

1
4
2

NEUROLOGICAL DISORDERS

ALLERGY

Frm 00016

Fmt 3616

AND

KIDNEY

AND

STROKE

AND

INFECTIOUS DISEASES

TRANSFER OF FUNDS)

For carrying out section 301 and title IV of the Public Health
Service Act with respect to allergy and infectious diseases,
ø$2,372,278,000¿ $3,959,054,000: Provided, That øthe Director may
transfer up to $25,000,000¿ $100,000,000 may be made available
to International Assistance Programs, ‘‘Global Fund to Fight HIV/
AIDS, Malaria, and Tuberculosis’’, to remain available until expended, to further the Institute’s efforts to prevent and alleviate these
diseases. (Department of Health and Human Services Appropriations
Act, 2002; additional authorizing legislation required.)

PO 00000

CRANIOFACIAL RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to neurological disorders and stroke,
ø$1,328,188,000¿ $1,416,780,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)

2003 est.

22
1
1

AND

DIABETES AND DIGESTIVE
DISEASES

(INCLUDING

21
1
1

BLOOD INSTITUTE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to diabetes and digestive and kidney disease,
ø$1,466,833,000¿ $1,578,913,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)

NATIONAL INSTITUTE

Object Classification (in millions of dollars)

AND

For carrying out section 301 and title IV of the Public Health
Service Act with respect to dental disease, ø$343,327,000¿
$366,550,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

The Agency for Toxic Substances and Disease Registry
(ATSDR) is authorized under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980
(CERCLA). ATSDR evaluates the health effects on humans
resulting from the release of toxic substances, and works to
prevent or reduce the health consequences through public
health assessments at Superfund and other sites, health education, surveillance, and applied research activities. ATSDR
is financed through the EPA Superfund.

Identification code 75–8252–0–7–551

NATIONAL HEART, LUNG,

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, ø$2,576,125,000¿ $2,746,280,000. (Department of Health and Human Services Appropriations Act, 2002;
additional authorizing legislation required.)

NATIONAL INSTITUTE

GENERAL MEDICAL SCIENCES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to general medical sciences, ø$1,725,263,000¿

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
$1,842,404,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

CHILD HEALTH

AND

For carrying out section 301 and title IV of the Public Health
Service Act with respect to eye diseases and visual disorders,
ø$581,366,000¿ $620,083,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)
NATIONAL INSTITUTE

ENVIRONMENTAL HEALTH SCIENCES

For necessary expenses for the National Institute of Environmental
Health Sciences in carrying out activities set forth in section 311(a)
of the Comprehensive Environmental Response, Compensation, and
Liability Act of 1980, as amended, ø$70,228,000¿ and section 126(g)
of the Superfund Amendments and Reauthorization Act of 1986,
$74,471,000. (Departments of Veterans Affairs and Housing and
Urban Development, and Independent Agencies Appropriations Act,
2002.)
For carrying out sections 301 and 311 and title IV of the Public
Health Service Act with respect to environmental health sciences,
ø$566,639,000¿ $606,962,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)
øFor emergency expenses to respond to the September 11, 2001,
terrorist attacks on the United States for ‘‘National Institute of Environmental Health Sciences’’ for carrying out under current authorities, worker training, research, and education activities, $10,500,000,
to remain available until expended, to be obligated from amounts
made available in Public Law 107–38.¿
øPublic Law 107–73 is amended under this heading by adding
‘‘and section 126(g) of the Superfund Amendments and Reauthorization Act of 1986,’’ after the words, ‘‘as amended,’’.¿ (Emergency Supplemental Act, 2002.)
NATIONAL INSTITUTE

AGING

For carrying out section 301 and title IV of the Public Health
Service Act with respect to aging, ø$893,443,000¿ $953,160,000. (Department of Health and Human Services Appropriations Act, 2002;
additional authorizing legislation required.)
NATIONAL INSTITUTE

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, ø$448,865,000¿ $478,085,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

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, ø$342,072,000¿ $364,186,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

NURSING RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to nursing research, ø$120,451,000¿
$128,158,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

ALCOHOL ABUSE

AND

ALCOHOLISM

For carrying out section 301 and title IV of the Public Health
Service Act with respect to alcohol abuse and alcoholism,
ø$384,238,000¿ $409,960,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)
NATIONAL INSTITUTE

DRUG ABUSE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to drug abuse, ø$888,105,000¿ $948,452,000.

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

(Department of Health and Human Services Appropriations Act, 2002;
additional authorizing legislation required.)

HUMAN DEVELOPMENT

For carrying out section 301 and title IV of the Public Health
Service Act with respect to child health and human development,
ø$1,113,605,000¿ $1,191,431,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)
NATIONAL EYE INSTITUTE

PO 00000

Frm 00017

Fmt 3616

443

NATIONAL INSTITUTE

MENTAL HEALTH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to mental health, ø$1,248,626,000¿
$1,332,165,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
For carrying out section 301 and title IV of the Public Health
Service Act with respect to human genome research, ø$429,515,000¿
$457,032,000. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL INSTITUTE

BIOMEDICAL IMAGING

AND

BIOENGINEERING

For carrying out section 301 and title IV of the Public Health
Service Act with respect to biomedical imaging and bioengineering
research, ø$111,984,000¿ $118,842,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
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, ø$1,011,594,000¿ $1,072,581,000: 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 grantsø: Provided further, That $110,000,000 shall
be for extramural facilities construction grants, of which $5,000,000
shall be for beginning construction of facilities for a Chimp Sanctuary
system as authorized in Public Law 106–551¿. (Department of Health
and Human Services Appropriations Act, 2002; additional authorizing
legislation required.)
NATIONAL CENTER

FOR

COMPLEMENTARY
MEDICINE

AND

ALTERNATIVE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to complementary and alternative medicine,
ø$104,644,000¿ $111,494,000. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)
NATIONAL CENTER

MINORITY HEALTH

AND

HEALTH DISPARITIES

For carrying out section 301 and title IV of the Public Health
Service Act with respect to minority health and health disparities
research, ø$157,812,000¿ $178,559,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E. Fogarty International
Center, ø$56,940,000¿ $62,933,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
NATIONAL LIBRARY

MEDICINE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to health information communications,
ø$277,658,000¿ $308,987,000, of which $4,000,000 shall be available
until expended for improvement of information systems: Provided,
That in fiscal year ø2002¿ 2003, 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. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
OFFICE
(INCLUDING

OF THE

DIRECTOR

TRANSFER OF FUNDS)

For carrying out the responsibilities of the Office of the Director,
National Institutes of Health, ø$235,540,000¿ $252,642,000, of which
ø$53,540,000¿ $56,572,000 shall be for the Office of AIDS Research:
Provided, That funding shall be available for the purchase of not
to exceed 29 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 or any other Act to all National
Institutes of Health appropriations to activities the Director may
so designate: Provided further, That no such appropriation shall be
decreased by more than 1 percent by any such transfers and that

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

444

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
00.21

General and special funds—Continued
OFFICE
(INCLUDING

OF THE

DIRECTOR—Continued

00.23
00.24
00.25
00.26
00.27
00.28
09.00

National Center for Complementary and Alternative
Medicine ................................................................
National Center on Minority Health and Health Disparities ..................................................................
John E. Fogarty International Center ........................
National Library of Medicine .....................................
Office of the Director ................................................
Buildings and facilities .............................................
Cooperative Research and Development Agreements
Royalities ...................................................................
Reimbursable program ..................................................

10.00

Total new obligations ................................................

21,960

25,159

29,127

21.40
22.00

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

173
22,001

211
25,065

117
29,131

23.90
23.95
23.98
24.40

00.22

TRANSFER OF FUNDS)—Continued

the Congress is promptly notified of the transfer: Provided further,
That the National Institutes of Health 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 National Institutes of Health Management Fund shall remain available
for 1 fiscal year after the fiscal year in which they are deposited.
(Department of Health and Human Services Appropriations Act, 2002;
additional authorizing legislation required.)

105

111

130
158
178
52
58
64
243
282
309
216
239
253
206
332
633
10
10
10
41 ................... ...................
1,317
1,611
1,685

BUILDINGS AND FACILITIES

(INCLUDING

TRANSFER OF FUNDS)

For the study of, construction of, renovation of, and acquisition
of equipment for, facilities of or used by the National Institutes of
Health, including the acquisition of real property, ø$309,600,000¿
$632,800,000, to remain available until expendedø, of which
$26,000,000 shall be for the John Edward Porter Neuroscience Research Center: Provided, That notwithstanding any other provision
of law, single contracts or related contracts, which collectively include
the full scope of the project, may be employed for the development
and construction of the first and second phases of the John Edward
Porter Neuroscience Research Center: Provided further, That the solicitations and contracts shall contain the clause ‘‘availability of
funds’’ found at 48 CFR 52.232–18: Provided further, That the Director may transfer up to $75,000,000 to International Assistance Programs, ‘‘Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis’’,
to remain available until expended¿. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
20,455
23,442
27,335
40.15
Appropriation (emergency) ........................................ ...................
10 ...................
40.71
Reduction pursuant to P.L. 107–116 (Labor/HHS) ...................
¥9 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥9 ................... ...................
41.00
Transferred to other accounts ...................................
¥9
¥100 ...................
42.00
Transferred from other accounts ..............................
10 ................... ...................
43.00
60.00
60.20
62.00
62.50

Unavailable Collections (in millions of dollars)
2001 actual

Identification code 75–9915–0–1–552

2002 est.

2003 est.

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Cooperative research and development agreements,
NIH .............................................................................
14
14
14
Appropriations:
05.00 National Institutes of Health .........................................
¥14
¥14
¥14

68.00
68.10

01.99

07.99

Balance, end of year ..................................................... ................... ................... ...................

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9915–0–1–552

Obligations by program activity:
Direct program:
00.01
National Cancer Institute ..........................................
3,778
00.02
National Heart, Lung, and Blood Institute ...............
2,304
00.03
National Institute of Dental and Craniofacial Research ...................................................................
308
00.04
National Institute of Diabetes and Digestive and
Kidney Disease ......................................................
1,403
00.05
National Institute of Neurological Disorders and
Stroke ....................................................................
1,180
00.06
National Institute of Allergy and Infectious Diseases .....................................................................
2,048
00.07
National Institute of General Medical Sciences .......
1,536
00.08
National Institute of Child Health and Human Development ..............................................................
980
00.09
National Eye Institute ................................................
512
00.10
National Institute of Environmental Health Sciences
570
00.11
National Institute on Aging .......................................
788
00.12
National Institute of Arthritis and Musculoskeletal
and Skin Disease ..................................................
397
00.13
National Institute on Deafness and Other Communication Disorder ...................................................
301
00.14
National Institute of Mental Health ..........................
1,111
00.15
National Institute on Drug Abuse .............................
793
00.16
Natinal Institute on Alcohol Abuse and Alcoholism
342
00.17
National Institute of Nursing Research ....................
104
00.18
National Human Genome Research Institute ............
383
00.19
National Institute of Biomedical Imaging and Bioengineering ........................................................... ...................
00.20
National Center for Research Resources ..................
818

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

2002 est.

2003 est.

4,209
2,581

5,122
2,747

345

366

1,568

1,676

1,332

3,959
1,842

1,117
583
652
896

1,191
620
682
953

Appropriation (total discretionary) ........................
Mandatory:
Appropriation .............................................................
Appropriation (special fund) .....................................
Transferred from other accounts ..............................

20,447

111

1,518

1,611

1,685

68.90

70
14
27

23,343

27,335

70
97
14
14
27 ...................

¥75 ................... ...................

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

1,611

1,685

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

70.00

1,443
22,001

25,065

29,131

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
74.00

16,198
19,229
22,100
21,960
25,159
29,127
¥18,850
¥22,288
¥25,272
¥154 ................... ...................
75 ................... ...................
19,229
22,100
25,955

Outlays (gross), detail:
Outlays from new discretionary authority .....................
7,020
Outlays from discretionary balances .............................
11,818
Outlays from new mandatory authority .........................
12
Outlays from mandatory balances ................................ ...................

1,417

2,354
1,726

22,174
25,276
29,248
¥21,960
¥25,159
¥29,127
¥3 ................... ...................
211
117
121

451

478

343
1,254
891
386
121
430

364
1,332
948
410
128
457

112
1,013

119
1,073

Frm 00018

Fmt 3616

86.90
86.93
86.97
86.98
87.00

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

89.00
90.00

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

7,824
14,365
38
61

8,876
16,312
19
65

18,850

22,288

25,272

¥1,518

¥1,611

¥1,685

75 ................... ...................

20,558
17,332

23,454
20,677

27,446
23,587

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00

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

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

20,479

2002 est.

23,367

2003 est.

27,355

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
90.00

Outlays ...........................................................................

17,253

20,590

23,496

DISTRIBUTION OF BUDGET AUTHORITY AND OUTLAYS BY ACCOUNT
[Dollars in millions]

Distribution of budget authority by account:
National Cancer Institute .......................................................
National Heart, Lung, and Blood Institute .............................
National Institute of Dental and Craniofacial 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 Human Genome Research Institute .........................
National Institute of Biomedical Imaging and Bioengineering .........................................................................
National Center for Complementary and Alternative Medicine .....................................................................................
National Center for Minority Health and Health Disparities
John E. Fogarty International Center ......................................
National Library of Medicine ..................................................
Office of the Director ..............................................................
Buildings and facilities ..........................................................

2001

2002

2003

3, 773
2,304
308

4,210
2,582
345

5,122
2,746
367

1,404
1,179
2,049
1,537
979
512
570
788

1,568
1,332
2,354
1,726
1,117
583
652
896

1,676
1,417
3,959
1,842
1,191
620
682
953

398

450

478

301
105
342
793
1,111
818
383

343
121
386
891
1,254
1,012
431

364
128
410
948
1,332
1,073
457

112

119

89
130
51
243
216
161

105
158
57
282
239
235

111
179
63
309
253
633

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

20,544
14

23,441
14

27,432
14

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

20,558

23,455

27,446

[Dollars in millions]
2001

Distribution of outlays by account:
National Cancer Institute .......................................................
National Heart, Lung, and Blood Institute .............................
National Institute of Dental and Craniofacial 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 Human Genome Research Institute .........................
National Institute of Biomedical Imaging and Bioengineering .........................................................................
National Center for Complementary and Alternative Medicine .....................................................................................
National Center for Minority Health and Health Disparities
John E. Fogarty International Center ......................................
National Library of Medicine ..................................................
Office of the Director ..............................................................
Buildings and Facilities ..........................................................
Service and Supply Fund/Management Fund .........................

2002

2003

3,255
1,902
270

3,786
2,381
309

4,366
2,445
342

1,157
989
1,769
1,324
817
442
434
662

1,389
1,178
2,050
1,541
999
519
580
780

1,557
1,318
2,704
1,713
1,123
578
645
877

344

397

445

265
83
282
667
951
625
385

299
103
336
780
1,116
811
405

343
117
378
867
1,234
958
441

46
15
43
228
289
203
–125

80
49
85
252
239
182
0

102
56
133
288
240
269
0

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

17,322
11

20,663
14

23,573
14

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

17,333

20,677

23,587

14:04 Jan 23, 2002

Jkt 189685

rately, and are displayed in a consolidated format to improve
the readability of the presentation. Detailed information is
available through the Department of Health and Human
Services.
NIH is working to meet the management challenges that
can arise when an agency receives a substantial infusion of
resources over a short period of time. NIH is in the process
of identifying strategies and policies that would be implemented in 2003 and beyond to maximize budgetary and management flexibility in the future. Such strategies could include
funding the total costs of an increasing number of new grants
in the grant’s first year and supporting some one-time activities such as high-priority construction and renovation
projects.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–9915–0–1–552

11.1
11.3
11.5
11.8

2003 est.

24.0
25.1
25.2
25.3
25.4
25.5
25.6
25.7
26.0
31.0
32.0
41.0

659
244
33
116

706
263
37
129

Total personnel compensation .........................
948
1,052
Civilian personnel benefits .......................................
269
298
Travel and transportation of persons .......................
40
44
Transportation of things ...........................................
5
6
Rental payments to GSA ...........................................
6
11
Rental payments to others ........................................
22
29
Communications, utilities, and miscellaneous
charges .................................................................
31
35
Printing and reproduction .........................................
16
18
Advisory and assistance services .............................
72
70
Other services ............................................................
408
761
Other purchases of goods and services from Government accounts .................................................
1,470
1,634
Operation and maintenance of facilities ..................
261
166
Research and development contracts .......................
1,084
1,307
Medical care ..............................................................
12
13
Operation and maintenance of equipment ...............
61
55
Supplies and materials .............................................
195
212
Equipment .................................................................
164
183
Land and structures .................................................. ................... ...................
Grants, subsidies, and contributions ........................
15,579
17,654

11.9
12.1
21.0
22.0
23.1
23.2
23.3

585
220
39
104

2002 est.

1,135
320
52
7
14
32
45
20
77
1,161
1,854
206
2,238
16
65
257
222
8
19,713

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

20,643
1,317

23,548
1,611

27,442
1,685

99.9

Total new obligations ................................................

21,960

25,159

29,127

Personnel Summary
2001 actual

Identification code 75–9915–0–1–552

2002 est.

2003 est.

1001

This program funds biomedical research and research training. These accounts will continue to be appropriated sepa-

VerDate 11-MAY-2000

445

PO 00000

Frm 00019

Fmt 3616

12,049

12,875

13,085

4,469

4,589

4,604

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

AND

MENTAL HEALTH SERVICES

For carrying out titles V and XIX of the Public Health Service
Act with respect to substance abuse and mental health services, the
Protection and Advocacy for Mentally Ill Individuals Act of 1986,
and section 301 of the Public Health Service Act with respect to
program management, ø$3,138,279,000, of which $28,721,000 shall
be available for the projects and in the amounts specified in the
statement of the managers on the conference report accompanying
this Act¿ $3,197,704,000. (Department of Health and Human Services
Appropriations Act, 2002; additional authorizing legislation required.)

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

446

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
SUBSTANCE ABUSE

AND

MENTAL HEALTH SERVICES—Continued

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1362–0–1–551

2002 est.

2003 est.

Obligations by program activity:
Direct program:
00.01
Mental health and substance abuse activities ........
00.02
Mental health partnership ........................................
00.03
Substance abuse partnership ...................................
00.05
Program management ...............................................
09.01 Reimbursable program ..................................................

793
420
1,665
83
24

889
433
1,725
95
36

900
433
1,785
79
37

10.00

2,985

3,178

3,234

21.40
22.00
23.90
23.95
23.98
24.40

Total new obligations ................................................

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
New budget authority (gross) ........................................
2,992
Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................
Unobligated balance carried forward, end of year .......

7
3,178

7
3,234

2,992
3,185
3,241
¥2,985
¥3,178
¥3,234
¥1 ................... ...................
7
7
7

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
2,969
3,143
3,197
40.71
Reduction pursuant to P.L. 107–116 (Labor/HHS) ...................
¥1 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥1 ................... ...................
43.00
68.00
68.10
68.90
70.00

Appropriation (total discretionary) ........................
Spending authority from offsetting collections:
Offsetting collections (cash) .....................................
Change in uncollected customer payments from
Federal sources (unexpired) ..................................

2,968

3,142

3,197

2 ................... ...................

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

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

2,992

3,178

health. The Administration has proposed to retain the language of the HHS General Provisions dealing with the penalty
in Sec. 1926 of the Public Health Service Act, known as
the Synar Amendment. The only penalty allowed under the
current law is disproportionally severe, and could penalize
those needing substance abuse services. The Administration
looks forward to working with Congress to achieve a permanent statutory change that would establish a more fair and
sustainable penalty structure.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–1362–0–1–551

11.1
11.3
11.5

11.9
12.1
21.0
23.1
23.3

2002 est.

2003 est.

38
1
1

41
1
1

40
1
1

40
13
2
5

43
13
2
6

42
13
2
6

2
5
15
228

2
6
16
230

2
6
12
181

31.0
41.0
42.0

96
1
2,552
2

96
1
2,725
2

72
1
2,858
2

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

2,961
24

3,142
36

3,197
37

99.9

Total new obligations ................................................

2,985

3,178

3,234

24.0
25.1
25.2
25.3

3,234

Personnel Summary

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
74.00

1,985
2,156
2,380
2,985
3,178
3,234
¥2,777
¥2,954
¥3,121
¥48 ................... ...................
¥2 ................... ...................
13 ................... ...................
2,156
2,380
2,493

2001 actual

Identification code 75–1362–0–1–551

2002 est.

2003 est.

552

560

520

Outlays (gross), detail:
86.90 Outlays from new discretionary authority .....................
86.93 Outlays from discretionary balances .............................

1,294
1,483

1,318
1,636

1,341
1,780

87.00

2,777

2,954

3,121

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

AGENCY FOR HEALTHCARE RESEARCH AND
QUALITY
Federal Funds
General and special funds:

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Against gross budget authority only:
88.95
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
88.96
Portion of offsetting collections (cash) credited to
expired accounts ...................................................

¥36

HEALTHCARE RESEARCH

¥37

AND

QUALITY

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs

For carrying out titles III and IX of the Public Health Service
Act, and part A of title XI of the Social Security Act, ø$2,600,000;
in addition,¿ amounts received from Freedom of Information Act fees,
reimbursable and interagency agreements, and the sale of data shall
be credited to this appropriation and shall remain available until
expended: Provided, That the amount made available pursuant to
section ø926(b)¿ 927(c) of the Public Health Service Act shall not
exceed ø$296,145,000¿ $251,700,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)

(in millions of dollars)

Program and Financing (in millions of dollars)

89.00
90.00

¥2 ................... ...................
14 ................... ...................

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

2,968
2,741

2001 actual

89.00
90.00

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

2,964
2,737

3,142
2,918

2002 est.

3,138
2,914

3,197
3,084

2003 est.

3,193
3,080

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

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00020

Fmt 3616

2001 actual

Identification code 75–1700–0–1–552

01.01
01.04
09.00

Obligations by program activity:
Direct program:
Research on health costs, quality, and outcomes
Program support ........................................................
Reimbursable program ..................................................

10.00

Total new obligations ................................................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

2002 est.

2003 est.

104 ................... ...................
3
3 ...................
183
310
265
290

313

265

CENTERS FOR MEDICARE AND MEDICAID SERVICES
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

21.40
22.00

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

5
293

7
313

7
265

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

298
¥290
7

320
¥313
7

272
¥265
7

99.0

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

183

310

265

99.9

Total new obligations ................................................

290

313

265

Personnel Summary
2001 actual

Identification code 75–1700–0–1–552

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
Spending authority from offsetting collections:
68.00
Offsetting collections (cash) .....................................
68.10
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
68.90
70.00

107
180

3 ...................
310

265

6 ................... ...................
186

310

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

293

313

265

212
290
¥216
¥3

278
187
313
265
¥401
¥361
¥3 ...................

¥6 ................... ...................
278
187
91

86.90
86.93

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

77
139

310
91

265
96

87.00

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

216

401

361

¥180

¥310

¥265

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Against gross budget authority only:
88.95
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

¥6 ................... ...................

107
35

1001

216

2001 actual

294

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

105
33

Federal Funds
GRANTS

2002 est.

2003 est.

3 ...................
91
96

STATES

FOR

MEDICAID

For carrying out, except as otherwise provided, titles XI and XIX
of the Social Security Act, ø$106,821,882,000¿ $112,090,218,000, to
remain available until expended.
For making, after May 31, ø2002¿ 2003, payments to States under
title XIX of the Social Security Act for the last quarter of fiscal
year ø2002¿ 2003 for unanticipated costs, incurred for the current
fiscal year, such sums as may be necessary.
For making payments to States or in the case of section 1928
on behalf of States under title XIX of the Social Security Act for
the first quarter of fiscal year ø2003, $46,601,937,000¿ 2004,
$51,861,386,000, 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. (Department of Health and Human Services
Appropriations Act, 2002.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0512–0–1–551

00.01
00.02
00.03
09.00
09.01

This activity supports the development of scientific evidence
and tools to improve the quality, safety, and effectiveness
of all aspects of the health care system, and initiatives to
disseminate and translate scientific findings into health care
practice.

21.40
22.00
22.10

Object Classification (in millions of dollars)

23.90
23.95
24.40

2001 actual

Identification code 75–1700–0–1–552

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

25.5
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Printing and reproduction .........................................
Other services ............................................................
Other purchases of goods and services from Government accounts .................................................
Research and development contracts .......................
Equipment .................................................................
Grants, subsidies, and contributions ........................

99.0

Direct obligations ..................................................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2002 est.

16
2 ...................
6
1 ...................
3 ................... ...................
1 ................... ...................
1 ................... ...................
8 ................... ...................

107

PO 00000

2003 est.

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

133,984

144,952

158,692

110
130,718

110 ...................
144,842
158,692

3,267 ................... ...................
134,095
144,952
158,692
¥133,984 ¥144,952 ¥158,692
110 ................... ...................

2003 est.

13
2 ...................
3 ................... ...................

9
31
1
31

2002 est.

Obligations by program activity:
Medicaid vendor payments ............................................
124,848
135,604
148,726
State and local administration .....................................
7,040
8,293
9,142
Vaccine purchases .........................................................
857
990
824
Medicare Part B premium transfer ............................... ...................
65 ...................
Reimbursable program ..................................................
1,239 ................... ...................
Total new obligations ................................................

24.0
25.2
25.3

272

General and special funds:

10.00

11.9
12.1
23.1
23.3

22 ...................

CENTERS FOR MEDICARE AND MEDICAID
SERVICES

3 ...................
91
96

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)

11.1
11.3

2003 est.

265

89.00
90.00

2002 est.

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

72.40
73.10
73.20
73.40
74.00

89.00
90.00

447

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

New budget authority (gross), detail:
Mandatory:
Appropriation:
60.00
Appropriation .........................................................
60.00
Appropriation .........................................................

93,586
5,244

106,822
112,090
1,611 ...................

98,830
30,589
1,273

108,433
112,090
36,208
46,602
201 ...................

62.50
65.00
69.00
69.10

Appropriation (total mandatory) ...........................
Advance appropriation ..............................................
Offsetting collections (cash) .........................................
Change in uncollected customer payments from Federal sources (unexpired) ............................................

69.90

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

1,299

26 ................... ...................
201 ...................

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

70.00

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

130,718

144,842

158,692

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

72.40

Change in obligated balances:
Obligated balance, start of year ...................................

5,581

5,626

Frm 00021

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

448

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
90.00

General and special funds—Continued
GRANTS

STATES

FOR

Outlays ........................................................................... ................... ...................

MEDICAID—Continued

GRANTS

Program and Financing (in millions of dollars)—Continued
2002 est.

STATES

FOR

¥1,280

MEDICAID

(Legislative proposal, subject to PAYGO)

Identification code 75–0512–0–1–551

2001 actual

73.10
73.20
73.45
74.00

133,984
144,952
158,692
¥130,647 ¥144,952 ¥158,692
¥3,267 ................... ...................

Program and Financing (in millions of dollars)

2003 est.

2001 actual

2002 est.

2003 est.

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

90
1,200
80
8

74.40

Total new obligations ....................................................
Total outlays (gross) ......................................................
Recoveries of prior year obligations ..............................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
Obligated balance, end of year .....................................

86.97
86.98

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

129,198
1,449

143,952
1,000

157,692
1,000

10.00

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

1,378

87.00

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

130,647

144,952

158,692

22.00
23.95

1,378
¥1,378

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................
69.00 Offsetting collections (cash) ......................................... ................... ...................

98
1,280

70.00

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

1,378

73.10
73.20

1,378
¥1,378

86.97

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

1,378

89.00
90.00

1,378
1,378

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Against gross budget authority only:
88.95
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

¥26 ................... ...................
5,626
5,626
5,626

¥1,273

¥201 ...................

Identification code 75–0512–4–1–551

00.01
00.02
00.03
00.04

¥26 ................... ...................

129,419
129,374

144,641
144,751

158,692
158,692

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

2001 actual

2002 est.

129,419
129,374

2003 est.

144,641
144,751

158,692
158,692

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

–1,280
–1,280

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

1,378
1,378

129,419
129,374

144,641
144,751

158,790
158,790

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.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0512–0–1–551

41.0

Obligations by program activity:
Targeted reforms ............................................................
Medicare low-income drug assistance ..........................
Medicare Part B premium transfer ...............................
New freedom demonstrations ........................................

2002 est.

2003 est.

99.0

Direct obligations: Grants, subsidies, and contributions ...........................................................................
Reimbursable obligations: Reimbursable obligations ...

132,745
1,239

144,887
158,692
65 ...................

99.9

Total new obligations ................................................

133,984

144,952

This schedule reflects the Administration’s Medicaid proposals, as well as the Administration’s Transitional Medicare
Low-Income Drug Assistance program. This program would
provide comprehensive drug coverage for low-income Medicare
beneficiaries. The budget also proposes to extend the subsidy
of Medicare Part B premiums for certain qualified individuals.
This schedule also reflects the Medicaid effects of the Administration’s Supplemental Security Income and child support
enforcement proposals.
As part of the Administration’s continuing effort to identify
and eliminate barriers to community living for people with
disabilities, the Administration is proposing new demonstrations to integrate people with disabilities into society. These
proposals include a demonstration that will finance homeand community-based alternatives for children in psychiatric
residential treatment facilities and two new demonstrations
that will finance respite care services for adults, and respite
care services for children with substantial disabilities.
f

158,692

GRANTS

STATES

FOR

STATE GRANTS

AND

DEMONSTRATIONS

Program and Financing (in millions of dollars)

MEDICAID

(Legislative proposal, not subject to PAYGO)

2001 actual

Identification code 75–0516–0–1–551

Program and Financing (in millions of dollars)
10.00
2001 actual

Identification code 75–0512–2–1–551

2002 est.

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

21.40
22.00

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
New budget authority (gross) ........................................
62

¥1,200
¥80

88.90

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

¥1,280

89.00

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

¥1,280

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00022

107

2003 est.

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

VerDate 11-MAY-2000

2002 est.

Fmt 3616

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

40 ...................
67
72

62
107
72
¥22
¥107
¥72
40 ................... ...................

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

72.40
73.10
73.20
74.40

Change in obligated balances:
Obligated balance, start of year ................................... ...................
Total new obligations ....................................................
22
Total outlays (gross) ......................................................
¥2
Obligated balance, end of year .....................................
20

20
107
¥18
109

109
72
¥30
151

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
2 ...................
86.98 Outlays from mandatory balances ................................ ...................
18

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

7
23

87.00

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

89.00
90.00

67
18

92,886
88,849

90,339
90,339

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00
90.00
62
2

75,382
75,447

449

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

72
30

75,382
75,447

2002 est.

92,886
88,849

2003 est.

90,330
90,330

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

The Ticket to Work and Work Incentives Improvement Act
of 1999 (P.L. 106–170), Title II, established two grant programs. Section 203 provides funding for Medicaid infrastructure grants to support the design, establishment and operation of State infrastructures to help working people with
disabilities purchase health coverage through Medicaid. Section 204 provides funding for States to establish Demonstrations to Maintain Independence and Employment, which will
provides Medicaid benefits and services to working individuals who have a condition that, without medical assistance,
will result in disability.
f

PAYMENTS

HEALTH CARE TRUST FUNDS

For payment to the Federal Hospital Insurance and the Federal
Supplementary Medical Insurance Trust Funds, as provided under
section 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, ø$81,979,200,000¿
$81,471,216,000. (Department of Health and Human Services Appropriations Act, 2002.)

Obligations by program activity:
Supplementary medical insurance (SMI) .......................
Hospital insurance for uninsured (HI) ...........................
Federal uninsured payment (HI) ....................................
Program management (HI) ............................................
FHI trust fund, Transfers from general fund (civil
monetary penalties) ...................................................
00.06 Federal payments from taxation of OASDI benefits
(HI) .............................................................................
00.07 Fraud and abuse control, FBI ........................................
00.08 Fraud and abuse control, criminal fines ......................
10.00

Total new obligations ................................................

75,382
75,447

92,886
88,849

90,339
90,339
–19
–19
90,320
90,320

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. Since
1992, amounts have been included for non-Medicare activities
of CMS program management.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0580–0–1–571

2002 est.

2003 est.

2002 est.

2003 est.

69,777
321
132
149

77,295
292
150
205
7
10,796
101
3

8,742
114
4

75,379

88,849

90,339

88,202
442
205

89,772
393
174

Total new obligations ................................................

75,379

88,849

90,339

4,903
88
3

74,777
453
149

80,905
225
168
174

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

99.9

2001 actual

00.01
00.02
00.03
00.04
00.05

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

2003 est.

41.0
42.0
92.0

Program and Financing (in millions of dollars)
Identification code 75–0580–0–1–571

2001 actual
2002 est.
Enacted/requested:
Budget Authority .....................................................................
75,382
92,886
Outlays ....................................................................................
75,447
88,849
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

75,382
¥75,379
¥3

4,912
70,382
88

10,806
81,979
101

8,753
81,472
114

62.50

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

75,382

92,886

90,339

72.40
73.10
73.20

68 ................... ...................
75,379
88,849
90,339
¥75,447
¥88,849
¥90,339

86.97
86.98

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

75,379
88,849
90,339
68 ................... ...................

87.00

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

92,886
90,339
¥88,849
¥90,339
¥4,037 ...................

PAYMENTS

HEALTH CARE TRUST FUNDS

(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0580–2–1–571

2002 est.

2003 est.

00.01

Obligations by program activity:
Supplementary medical insurance (SMI) ....................... ................... ...................

¥19

10.00

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

¥19

22.00
23.95

¥19
19

New budget authority (gross), detail:
Mandatory:
Appropriation:
60.00
Appropriation ......................................................... ................... ...................
¥19
60.00
Appropriation ......................................................... ................... ................... ...................
60.00
Appropriation ......................................................... ................... ................... ...................

14:04 Jan 23, 2002

Jkt 189685

75,447

PO 00000

88,849

Frm 00023

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

¥19

73.10
73.20

¥19
19

86.97

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

¥19

89.00

VerDate 11-MAY-2000

62.50

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

¥19

90,339

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

450

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
PAYMENTS

HEALTH CARE TRUST FUNDS—Continued

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–0580–2–1–571

90.00

2002 est.

Outlays ........................................................................... ................... ...................

2003 est.

¥19

The budget proposes a package of immediate reforms to
strengthen Medicare and improve beneficiary choice.
The budget proposes new discretionary user fees paid by
providers for submitting paper claims and duplicate or
unprocessable claims. This account reflects the reduction in
payments to HI and SMI as a result of this user fee proposal.
f

PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles XI, XVIII,
XIX, and XXI of the Social Security Act, titles XIII and XXVII of
the Public Health Service Act, and the Clinical Laboratory Improvement Amendments of 1988, not to exceed ø$2,440,798,000¿
$2,538,330,000, 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 and section 1857(e)(2) of the Social Security Act, and
such sums as may be collected from authorized user fees and the
sale of data, which shall remain available until expended, and together with administrative fees collected relative to Medicare overpayment recovery activities, which shall 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 shall be credited to and available for carrying
out the purposes of this appropriation: Provided further, That
ø$18,200,000¿ from amounts appropriated under this heading,
$3,000,000 for the managed care system redesign shall remain available until expendedø: Provided further, That $100,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to the Regional Nursing Centers Consortium in Philadelphia to initiate a demonstration project to evaluate 15 nurse-managed
health centers in urban and rural areas across Pennsylvania: Provided further, That $200,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to the Madonna Rehabilitation Center in Lincoln, Nebraska to create a new
standard of rehabilitation practice and program design for children
and adults with disabilities: Provided further, That $250,000 of the
amount available for research, demonstration, and evaluation activities shall be awarded to the Cook County, Illinois Bureau of Health
for the Asthma Champion Initiative to reduce morbidity and mortality from asthma in high prevalence areas: Provided further, That
$250,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to the Illinois Primary Health
Care Association to implement the Shared Integrated Management
Information System providing centralized case management, reimbursement and administrative support services: Provided further,
That $500,000 of the amount available for research, demonstration,
and evaluation activities shall be awarded to Project Access in Muskegon, Michigan to offer affordable insurance to uninsured workers,
primarily in small business, and low-income individuals: Provided
further, That $590,000 of the amount available for research, demonstration, and evaluation activities shall be awarded to Santa Clara
County, California, for the outreach and application assistance aspects of its Children’s Health Initiative, to demonstrate means of
expanding enrollment of eligible children in Medicaid, SCHIP and
other available health care programs: Provided further, That $800,000
of the amount available for research, demonstration, and evaluation
activities shall be awarded to the Fishing Partnership Health Plan,
based in Boston, Massachusetts, for a demonstration project on the
efficacy of using a community-based health benefit program to provide
health care coverage for lower-income independently employed workers and their families: Provided further, That $800,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to the Mind-Body Institute of Boston, Massachusetts
to continue and expand a demonstration project: Provided further,
That $900,000 of the amount available for research, demonstration,

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00024

Fmt 3616

and evaluation activities shall be awarded to the Children’s Hospice
International demonstration program to provide a continuum of care
for children with life-threatening conditions and their families: Provided further, That $1,500,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to the Iowa
Department of Public Health for the continuation of a prescription
drug cooperative demonstration: Provided further, That $2,000,000
of the amount available for research, demonstration, and evaluation
activities shall be awarded to the AIDS Healthcare Foundation in
Los Angeles for a demonstration of residential and outpatient treatment facilities¿: Provided further, That $51,000,000, to remain available until September 30, 2004, is for contract costs for the Healthcare
Integrated General Ledger Accounting System: Provided further, That
the Secretary of Health and Human Services is directed to collect
fees in fiscal year ø2002¿ 2003 from Medicare∂Choice organizations
pursuant to section 1857(e)(2) of the Social Security Act and from
eligible organizations with risk-sharing contracts under section 1876
of that Act pursuant to section 1876(k)(4)(D) of that Act. (Department
of Health and Human Services Appropriations Act, 2002; additional
authorizing legislation required.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0511–0–1–550

2002 est.

2003 est.

Obligations by program activity:
Direct program:
00.01
Medicare operations ..................................................
00.02
Federal administration ..............................................
00.03
State survey and certification ...................................
00.04
Research, demonstrations, and evaluation projects

1,344
533
242
138

1,534
561
254
117

1,675
587
248
28

01.00
09.01
09.03
09.06

Total direct program .................................................
CLIA ................................................................................
Other reimbursements ...................................................
Medicare+Choice ...........................................................

2,257
36
2
40

2,466
44
2
17

2,538
44
2
16

09.09

Total reimbursable program ......................................

10.00

Total new obligations ................................................

2,335

2,529

2,600

21.40
22.00

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

71
2,351

80
2,529

80
2,600

23.90
23.95
23.98
24.40

New budget authority (gross), detail:
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash):
68.00
Offsetting collections (cash) ............................
68.00
Offsetting collections (cash) ............................
68.10
Change in uncollected customer payments from
Federal sources (unexpired) .............................
68.90

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

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
74.00

2,422
2,609
2,680
¥2,335
¥2,529
¥2,600
¥7 ................... ...................
80
80
80

1,727
83

2,467
62

2,539
61

541 ................... ...................
2,351

2,529

2,600

52
175
175
2,335
2,529
2,600
¥2,233
¥2,529
¥2,600
¥42 ................... ...................
¥541 ................... ...................
604 ................... ...................
175
175
175

86.90
86.93

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

87.00

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

2,233

2,529

2,600

¥2,294
¥62

¥2,466
¥63

¥2,538
¥62

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

1,689
2,529
2,600
543 ................... ...................

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
88.90
88.95
88.96

89.00
90.00

¥2,600

01.00
09.01

Total direct program ................................................. ................... ...................
Proposed user fees ........................................................ ................... ...................

¥130
130

¥541 ................... ...................

09.09

Total reimbursable program ...................................... ................... ...................

130

546 ................... ...................

10.00

Total new obligations ................................................ ................... ................... ...................

73.10

Change in obligated balances:
Total new obligations .................................................... ................... ................... ...................

¥2,356

¥2,529

Summary of Budget Authority and Outlays
(in millions of dollars)
2001 actual
2002 est.
2003 est.
Enacted/requested:
Budget Authority ..................................................................... .................... .................... ....................
Outlays ....................................................................................
–124 .................... ....................
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... .................... ....................

Total:
Budget Authority ..................................................................... .................... .................... ....................
Outlays ....................................................................................
–124 .................... ....................

Program management activities include funding for research, Medicare operations, survey and certification, CLIA,
Medicare+Choice, and administrative costs.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0511–0–1–550

11.1
11.3
11.5
11.9
12.1
21.0
22.0
23.1
23.3

2002 est.

2003 est.

323
8
5

329
8
4

25.6
26.0
31.0
32.0
41.0

31
1,063
3
12
10
94

3
3
1,534
1,675
1
1
2 ...................
10
10
63
6

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

2,257
78

2,466
63

99.9

305
336
341
92
97
100
10
12
12
1 ................... ...................
18
16
17

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

89.00
90.00

The Budget includes $130 million in new user fees to finance CMS activities. Proposed fees include: a duplicate or
unprocessable claims fee and a paper claims fee. Authorizing
legislation for these fees will be proposed to authorize the
collection and spending of the fees subject to appropriations
language. If authorizing legislation is enacted, the amount
appropriated from the Federal hospital insurance and Federal
supplementary medical insurance trust funds will be reduced
by $130 million.

2,335

2,529

2,600

25.6
99.0

2002 est.

4,501

4,552

4,396

STATE CHILDREN’S HEALTH INSURANCE FUND
Program and Financing (in millions of dollars)

2002 est.

Obligations by program activity:
Direct program:
00.01
Medicare operations .................................................. ................... ...................

PO 00000

2001 actual

Identification code 75–0515–0–1–551

00.01
00.02

Obligations by program activity:
Grants, subsidies, and contributions ............................
Advisory and assistance services ..................................

10.00

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

22.00
22.10

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Resources available from recoveries of prior year obligations .......................................................................
Total budgetary resources available for obligation
Total new obligations ....................................................

2002 est.

2003 est.

6,283
3,115
3,175
10 ................... ...................
6,293

3,115

3,175

6,283

3,115

3,175

10 ................... ...................
6,293
¥6,293

3,115
¥3,115

3,175
¥3,175

New budget authority (gross), detail:
Mandatory:
Appropriation:
60.00
Appropriation, BBA ................................................
4,309
3,150
3,150
60.00
Appropriation, BBRA for territories ....................... ...................
25
25
60.00
Appropriation, BBRA ............................................. ................... ................... ...................
61.00
Transferred to other accounts ...................................
¥60
¥60 ...................
Appropriation (total mandatory) ...........................
Reappropriation .........................................................

4,249
3,115
3,175
2,034 ................... ...................

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

6,283

72.40
73.10
73.20
73.40
73.45
74.40

Program and Financing (in millions of dollars)

Jkt 189685

Total new obligations ................................................ ................... ................... ...................

70.00

PROGRAM MANAGEMENT

14:04 Jan 23, 2002

¥130
130

62.50
63.00

(Legislative proposal, not subject to PAYGO)

VerDate 11-MAY-2000

2003 est.

1001

2001 actual

2002 est.

Direct obligations: Medical care .................................... ................... ...................
Reimbursable obligations: Reimbursable obligations ... ................... ...................

99.9

23.90
23.95
2001 actual

2001 actual

Identification code 75–0511–2–1–550

2,538
62

Personnel Summary

Identification code 75–0511–2–1–550

130
¥130

88.90

20
3
3
8
6
7
10 ................... ...................
580
383
363

Total new obligations ................................................

Identification code 75–0511–0–1–550

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

Object Classification (in millions of dollars)
295
5
5

Total personnel compensation .........................
Civilian personnel benefits .......................................
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 ............................................................
Other purchases of goods and services from Government accounts .................................................
Medical care ..............................................................
Supplies and materials .............................................
Equipment .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................

24.0
25.1
25.2
25.3

451

Frm 00025

2003 est.

¥130

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

3,115

3,175

10,951
11,501
10,927
6,293
3,115
3,175
¥3,699
¥3,689
¥4,362
¥2,034 ...................
¥799
¥10 ................... ...................
11,501
10,927
8,942

452

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
24.40

General and special funds—Continued
STATE CHILDREN’S HEALTH INSURANCE FUND—Continued

89.00
90.00

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–0515–0–1–551

2002 est.

2003 est.

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
86.98 Outlays from mandatory balances ................................

1,519
2,180

72
3,617

3,699

3,689

The last loan commitments from the HMO loan fund were
made in 1983.

86
4,276

87.00

Unobligated balance carried forward, end of year .......

4,362

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

Trust Funds

6,283
3,699

3,115
3,689

FEDERAL HOSPITAL INSURANCE TRUST FUND

3,175
4,362

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

2001 actual

Identification code 20–8005–0–7–571

2002 est.

2003 est.

(in millions of dollars)
2001 actual
2002 est.
2003 est.
Enacted/requested:
Budget Authority .....................................................................
6,283
3,115
3,175
Outlays ....................................................................................
3,699
3,689
4,362
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... ....................
–40

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

6,283
3,699

3,115
3,689

3,175
4,322

The Balanced Budget Act of 1997 established the State
children’s health insurance program (SCHIP) under Title XXI
of the Social Security Act. Title XXI provides Federal matching funds to States to enable them to extend coverage to
uninsured children from low-income families. States are able
to use Title XXI funds for obtaining health benefit coverage
for uninsured children through a SCHIP program, a SCHIP
Medicaid expansion program, or a combination of both.
f

STATE CHILDREN’S HEALTH INSURANCE FUND
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0515–4–1–551

73.20
74.40

2002 est.

Change in obligated balances:
Total outlays (gross) ...................................................... ................... ...................
Obligated balance, end of year ..................................... ................... ...................

Outlays (gross), detail:
86.98 Outlays from mandatory balances ................................ ................... ...................

89.00
90.00

2003 est.

01.99

Balance, start of year ....................................................
167,263
196,791
231,981
Receipts:
02.00 Transfers from general fund (FICA taxes) .....................
139,507
141,297
148,349
02.01 Transfers from general fund (SECA taxes) ...................
9,722
9,974
10,541
02.02 Receipts from Railroad Retirement Board ....................
422
406
420
02.03 Civil penalties and damages ........................................
453
499
549
02.20 Premiums collected for uninsured individuals not otherwise eligible ...........................................................
1,440
1,502
1,538
02.21 Other proprietary receipts from the public ...................
1 ................... ...................
02.40 Federal employer contributions (FICA) ...........................
2,029
2,183
2,299
02.41 Postal service employer contributions (FICA) ................
673
711
733
02.42 Payments from the general fund (uninsured and program management) ...................................................
603
647
567
02.43 Taxation on OASDI benefits ...........................................
4,903
10,796
8,742
02.44 Interest payments by Railroad Retirement Board .........
48
35
35
Offsetting receipts (intragovernmental):
02.45
Interest received by trust funds ...............................
12,290
12,707
14,892
02.45
Interest received by trust funds, legislative proposal not subject to PAYG .................................... ................... ...................
¥8
02.46 Payments for military service credits ............................
2 ................... ...................
02.47 FBI, Payment from the general fund .............................
88
101
114
02.48 Criminal fines, transfers from the general fund ..........
3
3
4
02.49 Civil monetary penalties, transfers from the general
fund ...........................................................................
6
7
7
02.50 Transfers from DOD, HI .................................................
25
16
4
02.80 Federal hospital insurance trust fund, offsetting collections ......................................................................
1 ................... ...................
02.81 Health care fraud and abuse control, offsetting collections ......................................................................
3 ................... ...................
02.99

Total receipts and collections ...................................

180,884

188,786

Total: Balances and collections ....................................
339,482
377,675
Appropriations:
Appropriations:
05.00
Federal hospital insurance trust fund ...................... ¥141,749 ¥144,695
05.00
Proposed legislation not subject to PAYGO .............. ................... ...................
05.00
Proposed legislation subject to PAYGO ..................... ................... ...................
05.01 Health care fraud and abuse control account ..............
¥956
¥1,010

420,767

04.00

40
40

¥40

The Budget proposes to extend the availability of funds
expiring at the end of 2002 and 2003 through 2006.

05.99
06.10

Total appropriations ..................................................
Unobligated balance returned to receipts .....................

¥142,705
14

07.99

Balance, end of year .....................................................

196,791

AND

LOAN GUARANTEE

¥148,600
25
¥410
¥1,075

¥145,705 ¥150,060
11 ...................
231,981

270,707

Program and Financing (in millions of dollars)

HEALTH MAINTENANCE ORGANIZATION LOAN
FUND

172,219

2001 actual

Identification code 20–8005–0–7–571

2002 est.

2003 est.

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
the Public Health Service Act, to be available without fiscal year
limitation for the payment of outstanding obligations. During fiscal
year ø2002¿ 2003, no commitments for direct loans or loan guarantees shall be made. (Department of Health and Human Services Appropriations Act, 2002.)

00.01
00.02
00.03
00.04
00.05
00.06

Obligations by program activity:
Benefit payments, HI .....................................................
Administration, HI ..........................................................
Peer review organizations, HI ........................................
Research, HI ...................................................................
HI partial transfer of home health to SMI ....................
Quinquennial adjustment ..............................................

135,971
141,432
145,870
1,375
1,596
1,621
55
306
434
113
96
23
3,103
1,313
652
1,177 ................... ...................

01.00
09.01

Subtotal direct obligations ........................................
Reimbursable program ..................................................

141,794
144,743
148,600
1 ................... ...................

Program and Financing (in millions of dollars)

10.00

Total new obligations ................................................

141,795

144,743

148,600

22.00
23.95

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

141,795
¥141,795

144,743
¥144,743

148,600
¥148,600

2001 actual

Identification code 75–4420–0–3–551

Budgetary resources available for obligation:
21.40 Unobligated balance carried forward, start of year

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2002 est.

2003 est.

PO 00000

Frm 00026

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Trust Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
Mandatory:
60.26
Appropriation (trust fund) .........................................
60.45
Portion precluded from obligation ............................

1201
1,448

1,652

1,604

1202

170,813
¥30,467

179,279
¥36,188

187,228
¥40,232

1203
1220

62.50
69.00

Appropriation (total mandatory) ...........................
Offsetting collections (cash) .........................................

70.00

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

140,346
143,091
146,996
1 ................... ...................

1221

141,795

1240

144,743

148,600

1241
635
141,795
¥142,022
408

408
144,743
¥144,813
338

338
148,600
¥148,542
396

1242

Outlays (gross), detail:
86.90 Outlays from new discretionary authority .....................
1,448
86.93 Outlays from discretionary balances ............................. ...................
86.97 Outlays from new mandatory authority .........................
140,307
86.98 Outlays from mandatory balances ................................
267

1,361
264
142,892
296

1,371
286
146,736
149

87.00

144,813

148,542

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

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

89.00
90.00

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

Memorandum (non-add) entries:
92.01 Total investments, start of year: Federal securities:
Par value ...................................................................
92.02 Total investments, end of year: Federal securities:
Par value ...................................................................

142,022

¥1 ................... ...................

141,794
142,021

144,743
144,813

148,600
148,542

168,859

197,137

232,492

271,719

141,748
141,975

2002 est.

144,695
144,765

2003 est.

148,552
148,494

(in millions of dollars)

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

2001 actual

141,794
142,021

2002 est.

2003 est.

144,743
144,813

148,600
148,542

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

–25
–25

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

410
410

141,794
142,021

144,743
144,813

148,985
148,927

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:
Status of Funds (in millions of dollars)
2001 actual

Identification code 20–8005–0–7–571

0100
0101

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

0199

Total balance, start of year ......................................
Cash income during the year:
Current law:
Receipts:
1200
FHI trust fund, transfers from general fund
(FICA taxes) ......................................................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

1244

1247
1248
1249
1250

232,492

Summary of Budget Authority and Outlays
Enacted/requested:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, not subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................
Legislative proposal, subject to PAYGO:
Budget Authority .....................................................................
Outlays ....................................................................................

1243

1280
1281
1299

2001 actual

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

1242

1245
1246

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)

89.00
90.00

1242

2245

6599

Total cash outgo (¥) ...............................................
Unexpended balance, end of year:
8700 Uninvested balance .......................................................
8701 Federal securities: Par value .........................................
8799

168,070

197,383

232,492

141,297

148,349

PO 00000

Frm 00027

Fmt 3616

420
549

1,502
1,538
................... ...................

2,183

2,299

711

733

150

168

292

225

205

174

10,796

8,742

35
12,707

35
14,892

................... ...................
101
114
3
4
7
7
16
4
................... ...................
................... ...................
180,884
188,794

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

¥8

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

¥142,905

¥145,775

¥150,002

246 ................... ...................
197,137
232,492
271,276
197,383

232,492

271,276

Object Classification (in millions of dollars)
2001 actual

Identification code 20–8005–0–7–571

41.0
42.0
92.0
92.0

139,507

406
499

*This schedule does not include the Administration’s proposal for Transitional Medicare Low-Income Drug Assistance.

41.0
246 ...................
197,137
232,492

10,541

Total cash income .....................................................
172,219
180,884
188,786
Cash outgo during year:
Current law:
Cash outgo during the year (¥):
4500
Benefit Payments .................................................. ¥135,979 ¥141,432 ¥145,870
4500
Administration .......................................................
¥1,399
¥1,532
¥1,609
4500
Peer Review Organizations ...................................
¥274
¥403
¥323
4500
Research ...............................................................
¥44
¥84
¥88
4500
HI Partial Transfer of Home Health to SMI ..........
¥3,103
¥1,313
¥652
4500
Quinquennial adjustment (¥) .............................
¥1,177 ................... ...................
4501
HCFAC ........................................................................
¥929
¥1,010
¥1,075
4599
Outgo under current law (¥) .................................. ¥142,905 ¥145,775 ¥149,617
Proposed legislation:
Cash outgo during the year (¥):
5500
Administration, legislative proposal not subject
to PAYGO .......................................................... ................... ...................
25
5500
Benefit payments, legislative proposal subject
to PAYGO .......................................................... ................... ...................
¥410
5599
Outgo under proposed legislation (¥) .................... ................... ...................
¥385

2003 est.

¥789
168,859

9,974

3299

25.3
2002 est.

FHI trust fund, transfers from general fund
(SECA taxes) .....................................................
9,722
FHI trust fund, receipts from Railroad Retirement Board .......................................................
422
HCFAC: Civil penalties and damages ..................
453
Offsetting receipts (proprietary):
FHI trust fund, premiums collected for uninsured
individuals not otherwise eligible ....................
1,440
Other proprietary receipts .....................................
1
Offsetting receipts (intragovernmental):
FHI trust fund, Federal employer contributions
(FICA) ................................................................
2,029
FHI trust fund, Postal Service employer contributions (FICA) .......................................................
673
Offsetting receipts (intragovernmental):
FHI trust fund, Federal payment for transitional coverage for uninsured Federal employees .........................................................
132
FHI trust fund, Federal payment for transitional coverage for the uninsured ...............
321
FHI trust fund, general fund transfer, program management (HI) ...............................
149
FHI trust fund, Federal payments for OASDI
taxes .................................................................
4,903
FHI trust fund, interest payment from Railroad
Retirement Board .............................................
48
FHI trust fund, interest on investments ...............
12,290
FHI trust fund, transfer from Department of
Defense for military service credits .................
2
HCFAC: FBI ............................................................
88
HCFAC: Criminal fines ..........................................
3
HCFAC: Civil monetary penalties ..........................
6
Other intragovernmental transactions ..................
25
Offsetting collections:
FHI trust fund user fees .......................................
1
HCFAC user fees ...................................................
3
Income under present law ........................................
172,219
Proposed legislation:
Offsetting receipts (intragovernmental):
Interest on investments, legislative proposal not
subject to PAYGO ............................................. ...................

453

92.0

Portion of limitation on administrative expenses: Social Security ...............................................................
Grants, subsidies, and contributions:
Payment for health insurance experiments and
demonstration projects .........................................
Payment for peer review organization (PRO) activities ........................................................................
Insurance claims and indemnities ................................
Undistributed:
HI Partial Transfer of Home Health to SMI ..............
Reimbursement for administrative expenses for
other than SSA LAE ..............................................
Purchases of goods and services .............................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

2002 est.

2003 est.

580

662

649

113

55
137,148

306
141,432

434
145,870

3,103

1,313

652

48
748

52
882

53
919

454

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
73.20

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

¥410

86.97

FEDERAL HOSPITAL INSURANCE TRUST FUND—Continued

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

410

89.00
90.00

410
410

Memorandum (non-add) entries:
Total investments, end of year: Federal securities:
Par value ................................................................... ................... ...................

¥418

Object Classification (in millions of dollars)—Continued
2001 actual

Identification code 20–8005–0–7–571

99.9

Total new obligations ................................................

2002 est.

141,795

144,743

2003 est.

148,600

FEDERAL HOSPITAL INSURANCE FUND
(Legislative proposal, not subject to PAYGO)

92.02

Program and Financing (in millions of dollars)
2001 actual

Identification code 20–8005–2–7–571

2002 est.

2003 est.

00.02

Obligations by program activity:
Administration, HI .......................................................... ................... ...................

¥25

10.00

Total new obligations (object class 92.0) ................ ................... ...................

The budget proposes a package of immediate reforms to
strengthen Medicare and improve beneficiary choice.

¥25

22.00
23.95

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) ......................................... ................... ...................
Mandatory:
60.26
Appropriation (trust fund) ......................................... ................... ...................
60.45
Portion precluded from obligation ............................ ................... ...................
62.50
70.00

¥25
25

¥25
25
¥25

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

¥25

¥25
¥25

Memorandum (non-add) entries:
Total investments, start of year: Federal securities:
Par value ................................................................... ................... ................... ...................
92.02 Total investments, end of year: Federal securities:
Par value ................................................................... ................... ...................
¥25
92.01

Program and Financing (in millions of dollars)

(Legislative proposal, subject to PAYGO)

2002 est.

2003 est.

00.01

Obligations by program activity:
Benefit payments, HI ..................................................... ................... ...................

410

10.00

Total new obligations (object class 42.0) ................ ................... ...................

410

22.00
23.95

410
¥410

Total new obligations ................................................

22.00
23.95
23.98

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

956
1,010
1,075
¥950
¥1,010
¥1,075
¥4 ................... ...................

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) .........................................
69.00 Offsetting collections (cash) .........................................

953
1,010
1,075
3 ................... ...................

70.00

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

956

72.40
73.10
73.20
73.40
74.40

172
950
¥929
¥10
184

86.97

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

929

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

62.50

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

410

92.0
92.0

73.10

Change in obligated balances:
Total new obligations .................................................... ................... ...................

410

99.0

Direct obligations ..................................................

PO 00000

Frm 00028

950

1,010

1,075

184
173
1,010
1,075
¥1,010
¥1,075
¥11 ...................
173
173

1,010

1,075

¥3 ................... ...................

953
926

2001 actual

Identification code 75–8393–0–7–571

Fmt 3616

1,010

1,010
1,010

1,075
1,075

Object Classification (in millions of dollars)

Direct obligations:
Medical care (CMS) ...................................................
Undistributed:
Undistributed (FBI) ...............................................
Undistributed ........................................................

Jkt 189685

680
700
720
88
101
114
180
209
241
2 ................... ...................

P.L. 104–191 established the Health Care Fraud and Abuse
Control (HCFAC) account within the Federal hospital insurance trust fund and appropriated funds, to be available without further appropriation, from the trust fund to the HCFAC
account for specified health care fraud and abuse control activities of the Department of Health and Human Services
(HHS), the Department of Justice, and other agencies.

¥8
418

14:04 Jan 23, 2002

2003 est.

10.00

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) ......................................... ................... ...................
60.45
Portion precluded from obligation ............................ ................... ...................

VerDate 11-MAY-2000

2002 est.

Obligations by program activity:
Medicare integrity program ...........................................
FBI fraud and abuse control .........................................
Other fraud and abuse control ......................................
Reimbursable program ..................................................

89.00
90.00

Program and Financing (in millions of dollars)
2001 actual

2001 actual

00.01
00.02
00.03
09.01

FEDERAL HOSPITAL INSURANCE FUND

Identification code 20–8005–4–7–571

ABUSE CONTROL ACCOUNT

¥25

¥25
25

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

AND

HOSPITAL INSURANCE TRUST FUND)

Identification code 75–8393–0–7–571

Change in obligated balances:
73.10 Total new obligations .................................................... ................... ...................
73.20 Total outlays (gross) ...................................................... ................... ...................

86.90

HEALTH CARE FRAUD
(FEDERAL

Appropriation (total mandatory) ........................... ................... ................... ...................
Total new budget authority (gross) .......................... ................... ...................

25.6

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

680

2002 est.

700

2003 est.

720

88
101
114
2 ................... ...................
770

801

834

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Trust Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

92.0
92.0
92.0
92.0

Allocation Account:
Travel and transportation of persons:
Travel and transportation of persons (OIG) .........
Travel and transportation of persons (DoJ) .........
Transportation of things (OIG) ..................................
Rental payments to GSA:
Rental payments to GSA (OIG) .............................
Rental payments to GSA (DoJ) .............................
Rental payments to GSA (OGC) ............................
Communications, utilities, and miscellaneous
charges (OIG) ........................................................
Printing and reproduction [DOJ] ...............................
Advisory and assistance services:
Advisory and assistance services [DOJ] ...............
Advisory and assistance services (OGC) ..............
Advisory and assistance services (CMS) ..............
Other services:
Other services (DoJ) ..............................................
Other services [OIG] ..............................................
Other services (CMS) ............................................
Other services (OGC) ............................................
Other services (AOA) .............................................
Other purchases of goods and services from Government accounts:
Purchases of goods and services from Government accounts (DoJ) ........................................
Purchases of goods and services from Government accounts [OIG] ........................................
Operation and maintenance of equipment (OIG)
Supplies and materials (OIG) ...................................
Equipment:
Equipment (OIG) ...................................................
Equipment [DOJ] ...................................................
Grants, subsidies, and contributions:
Grants, subsidies, and contributions (AoA) .........
Grants, subsidies, and contributions (CMS) ........
Undistributed:
Undistributed (OIG full-time permanent) .............
Undistributed (DoJ full-Time permanent) .............
Undistributed (OGC full-time permanent) ............
Undistributed (AoA full-time permanent) .............
Undistributed (CMS full-time permanent) ............
Undistributed (DoJ other than full-time permanent) .................................................................
Undistributed (OIG other than full-time permanent) .................................................................
Undistributed (OIG other personnel compensation) ..................................................................
Undistributed (DoJ special personal services
payments) .........................................................
Undistributed (OIG personnel benefits) ................
Undistributed (DoJ personnel benefits) ................
Undistributed (OGC personnel benefits) ...............
Undistributed (CMS personnel benefits) ..............

99.0

Allocation account ................................................

180

209

241

99.9

Total new obligations ................................................

950

1,010

1,075

21.0
21.0
22.0
23.1
23.1
23.1
23.3
24.0
25.1
25.1
25.1
25.2
25.2
25.2
25.2
25.2

25.3
25.3
25.7
26.0
31.0
31.0
41.0
41.0
92.0
92.0
92.0
92.0
92.0
92.0
92.0
92.0
92.0

02.21
02.22
6
1
2

7
1
1

02.40
02.40

9
3
2

9
10
3
3
1 ...................

02.41
02.41

2
1

3
1

02.42
02.80

2
1
1
1 ................... ...................
...................
1
12

¥111,249
25
10

Total appropriations ..................................................

¥102,532

¥107,480

¥111,214

07.99

Balance, end of year .....................................................

41,663

39,823

38,663

11
...................
2

10
1
2

11
1
2

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

4
1

Identification code 20–8004–0–7–571

...................
2

1
2

1
5

70
81
15
15
2
2
...................
1
................... ...................

90
17
5
1
4

00.01
00.02
00.03
00.04
00.06
09.01

Obligations by program activity:
Benefit payments, SMI ...................................................
Administration, SMI .......................................................
Peer review organizations, SMI ......................................
Research, SMI ................................................................
Transfer to Medicaid for payment of SMI premiums
HI partial transfer of home health ................................

97,411
1,935
32
25
60
3,103

10.00

Total new obligations ................................................

102,566

107,514

111,249

22.00
23.95

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

102,566
¥102,566

107,514
¥107,514

111,249
¥111,249

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

2
1
1
20
23
26
4
4
4
...................
1 ...................
................... ...................
1

2002 est.

2003 est.

0
3
5
0

0
3
4
2

10
12
6
3

Total ...............................................................................

180

209

241

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND
Unavailable Collections (in millions of dollars)
2001 actual

45,730

2002 est.

41,663

Program and Financing (in millions of dollars)

50
160

Jkt 189685

149,877

05.99

55
145

14:04 Jan 23, 2002

110,054

42
130

VerDate 11-MAY-2000

98,465

2001 actual

Balance, start of year ....................................................
Receipts:
02.20 Premiums collected for the aged ..................................

Total receipts and collections ...................................

Department of Justice, DOJ .........................................................
Office of the Inspector General, HHS ..........................................
Centers for Medicare and Medicaid Services, Medicaid Program Integrity, HHS ................................................................
Centers for Medicare and Medicaid Services, Other HHS ..........
Office of the General Counsel, HHS ............................................
Other HHS ....................................................................................

01.99

105,640

Total: Balances and collections ....................................
144,195
147,303
Appropriations:
Appropriations:
05.00
Federal supplementary medical insurance trust
fund ....................................................................... ¥102,532 ¥107,480
05.00
Legislative proposal not subject to PAYGO .............. ................... ...................
05.00
Legislative proposal subject to PAYGO ..................... ................... ...................

04.00

This schedule reflects the estimated distribution of the allocation account for 2003. Actual 2003 distributions will be
determined by the Secretary of HHS and the Attorney General consistent with the Administration’s priorities, including
augmenting existing Medicaid program integrity activities.

Identification code 20–8004–0–7–571

Premiums collected for the disabled ............................
2,861
3,248
3,550
Other proprietary receipts from the public ...................
4 ................... ...................
Offsetting receipts (intragovernmental):
Federal contributions .................................................
69,838
77,295
80,905
Federal contributions, legislative proposal not subject to PAYGO ........................................................ ................... ...................
¥19
Offsetting receipts (intragovernmental):
Interest received by trust fund .................................
3,187
2,897
2,704
Interest received by trust fund, legislative proposal
not subject to PAYGO ........................................... ................... ...................
¥1
Transfers from DOD, SMI ...............................................
25
15
4
Federal supplementary medical insurance trust fund,
offsetting collections .................................................
3,103
1,313
652

02.99

12
25
18
2
2
2
1 ................... ...................
................... ...................
1
................... ...................
1

455

2003 est.

43.00

22,259

PO 00000

Frm 00029

Fmt 3616

2003 est.

103,976
108,255
2,062
2,228
77
109
21
5
65 ...................
1,313
652

1,955

2,078

2,228

60.26
60.28

Appropriation (total discretionary) ........................
Mandatory:
Appropriation (trust fund) .........................................
Appropriation (unavailable balances) .......................

93,441
4,067

102,283
1,840

107,229
1,140

62.50
69.00

Appropriation (total mandatory) ...........................
Offsetting collections (cash) .........................................

97,508
3,103

104,123
1,313

108,369
652

70.00

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

102,566

107,514

111,249

72.40
73.10
73.20
74.40

167
102,566
¥102,589
144

144
107,514
¥107,538
120

120
111,249
¥111,201
168

86.90
86.97
86.98

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

1,955
100,583
51

2,047
105,386
105

2,203
108,956
42

87.00

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

102,589

107,538

111,201

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

¥3,103

¥1,313

¥652

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

99,463
99,486

106,201
106,225

110,597
110,549

Memorandum (non-add) entries:
Total investments, start of year: Federal securities:
Par value ...................................................................

45,075

41,944

39,908

89.00
90.00

92.01
20,872

2002 est.

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
1,959
2,082
2,228
40.71
Reduction pursuant to P.L. 107–116 ....................... ...................
¥4 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥4 ................... ...................

39,823

19,447

2001 actual

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

456

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003
4500

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND—
Continued

4599

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 20–8004–0–7–571

92.02

Total investments, end of year: Federal securities:
Par value ...................................................................

2002 est.

2003 est.

5500
41,944

39,908

38,815

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

5500

2002 est.

2003 est.

5599

Transfer to Medicaid for payment of SMI premiums ...............................................................
¥60
¥65 ...................
Outgo under current law (¥) .................................. ¥102,555 ¥107,504 ¥111,201
Proposed legislation:
Cash outgo during the year (¥):
Administration, legislative proposal not subject
to PAYGO .......................................................... ................... ...................
25
Benefit payments & ESRD, legislative proposal
subject to PAYGO ............................................. ................... ...................
10
Outgo under proposed legislation (¥) .................... ................... ...................
35

6599

99,429
99,452

106,167
106,191

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

¥102,555

¥107,504

¥111,166

¥172 ................... ...................
41,978
39,942
38,830
41,807

39,943

38,831

110,562
110,514

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

2001 actual

Identification code 20–8004–0–7–571

(in millions of dollars)

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

2001 actual

99,463
99,486

2002 est.

2003 est.

106,201
106,225

110,597
110,549

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

–25
–25

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

–10
–10

99,463
99,486

106,201
106,225

110,562
110,514

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:

2001 actual

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

821
45,075

99.0
99.0

25.3

41.0
41.0

2003 est.

516

585

627

109

25
97,471
1,419

21
104,041
1,477

5
108,255
1,601

Direct obligations ..................................................
Reimbursable obligations ..............................................

99,463
3,103

106,201
1,313

110,597
652

Total new obligations ................................................

102,566

107,514

111,249

* This schedule does not include the Administration’s proposal for Transitional Medicare Low-Income Drug Assistance.

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 20–8004–2–7–571

2002 est.

2003 est.

00.02

Status of Funds (in millions of dollars)
Identification code 20–8004–0–7–571

42.0
92.0

Direct obligations:
Portion of limitation on administrative expenses:
Social Security ......................................................
Grants, subsidies, and contributions:
Payment for peer review organization (PRO) activity ..................................................................
Payment for health insurance experiments and
demonstration projects .....................................
Insurance claims and indemnities ...........................
Undistributed .............................................................

99.9

2002 est.

2003 est.

¥172 ...................
41,978
39,942

Total balance, start of year ......................................
45,897
41,807
39,943
Cash income during the year:
Current law:
Offsetting receipts (proprietary):
1220
Premiums collected for the aged, FSMI fund
19,447
20,872
22,259
1221
Premiums collected for the disabled, FSMI fund
2,861
3,248
3,550
1222
Other proprietary receipts .....................................
4 ................... ...................
Offsetting receipts (intragovernmental):
1240
Federal contributions, FSMI fund .........................
69,838
77,295
80,905
1241
Interest received by trust fund, FSMI fund ..........
3,187
2,897
2,704
1242
Intragovernmental transactions ............................
25
15
4
Offsetting collections:
1280
HI partial transfer of home health .......................
3,103
1,313
652
1299
Income under present law ........................................
98,465
105,640
110,074
Proposed legislation:
Offsetting receipts (intragovernmental):
2240
Federal contributions, legislative proposal not
subject to PAYGO ............................................. ................... ...................
¥19
2241
Interest received by trust fund, legislative proposal not subject to PAYGO ............................. ................... ...................
¥1
2299
Income under proposed legislation ........................... ................... ...................
¥20

Obligations by program activity:
Administration, SMI ....................................................... ................... ...................

¥25

10.00

Total new obligations (object class 92.0) ................ ................... ...................

¥25

22.00
23.95

¥25
25

0199

3299

Total cash income .....................................................
Cash outgo during year:
Current law:
Cash outgo during the year (¥):
4500
Benefit payments & ESRD ....................................
4500
Administration .......................................................
4500
Peer review organizations .....................................
4500
Research ...............................................................
4500
HI partial transfer of home health .......................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) ......................................... ................... ...................
Mandatory:
60.26
Appropriation (trust fund) ......................................... ................... ...................
60.28
Appropriation (unavailable balances) ....................... ................... ...................

¥105
105
¥25

105,640

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

70.00

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

¥25

73.10
73.20

¥25
25

86.90
86.97

Outlays (gross), detail:
Outlays from new discretionary authority ..................... ................... ...................
Outlays from new mandatory authority ......................... ................... ...................

¥105
80

87.00

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

¥25

89.00
90.00

98,465

62.50

¥25
¥25

Memorandum (non-add) entries:
Total investments, end of year: Federal securities:
Par value ................................................................... ................... ...................

110,054

¥97,411
¥1,917
¥55
¥9
¥3,103

¥103,976
¥2,000
¥132
¥18
¥1,313

¥108,255
¥2,189
¥86
¥19
¥652

PO 00000

Frm 00030

Fmt 3616

92.02

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

ADMINISTRATION FOR CHILDREN AND FAMILIES
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

The budget proposes new discretionary user fees paid by
providers for submitting paper claims and duplicate or
unprocessable claims. This account reflects the reduction in
payments to SMI as a result of this user fee proposal.
The budget proposes to extend the subsidy of Medicare
cost sharing for certain qualified individuals.
f

22.00

New budget authority (gross) ........................................

23.90
23.95
23.98
24.40

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................

16,689

457
16,689

17,811
17,289
17,089
¥17,170
¥16,889
¥17,089
¥42 ................... ...................
600
400 ...................

16,689

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

2001 actual

Identification code 20–8004–4–7–571

00.01

2002 est.

2003 est.

Obligations by program activity:
Benefit payments, SMI ................................................... ................... ...................

86.97
86.98

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

10,536
8,047

11,655
6,679

12,586
6,767

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

18,583

18,334

19,353

89.00
90.00

Program and Financing (in millions of dollars)

72.40
73.10
73.20
73.40
74.40

87.00

(Legislative proposal, subject to PAYGO)

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

16,689
18,583

16,689
18,334

16,689
19,353

¥10

10.00

Total new obligations (object class 42.0) ................ ................... ...................

¥10

22.00
23.95

¥10
10

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) ......................................... ................... ...................
60.28
Appropriation (unavailable balances) ....................... ................... ...................

¥20
10

62.50

¥10

11,803
10,543
9,098
17,170
16,889
17,089
¥18,583
¥18,334
¥19,353
152 ................... ...................
10,543
9,098
6,834

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

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

¥10
10

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

¥10

¥10
¥10

Memorandum (non-add) entries:
92.02 Total investments, end of year: Federal securities:
Par value ................................................................... ................... ...................

¥10

86.97

The budget proposes a package of immediate reforms to
strengthen Medicare and improve beneficiary choice.

Enacted/requested:
2001 actual
2002 est.
Budget Authority .....................................................................
16,689
16,689
Outlays ....................................................................................
18,583
18,334
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

16,689
18,583

16,689
18,334

2003 est.

16,689
19,353
319
1
17,008
19,354

This account provides continued funding for activities established by the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996 (P.L. 104–193). The Temporary
Assistance for Needy Families block grant provides funding
to States for aid to low-income families with children.
f

TEMPORARY ASSISTANCE
ALLOCATION RECEIVED FROM OTHER ACCOUNTS

FOR

NEEDY FAMILIES

(Legislative proposal, subject to PAYGO)

Note.—Obligations incurred under allocations from other accounts are included in the
schedule of the parent appropriation as follows: Centers for Medicare and Medicaid Services
‘‘Health Care Fraud and Abuse Control Account.’’
f

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1552–4–1–609

ADMINISTRATION FOR CHILDREN AND
FAMILIES

2002 est.

2003 est.

00.05
00.06
00.07

TEMPORARY ASSISTANCE

FOR

¥100
100
319

10.00

Total new obligations ................................................ ................... ...................

319

22.00
23.95

Federal Funds
General and special funds:

Obligations by program activity:
Bonus to reward decrease in illegitimacy ..................... ................... ...................
Illegitimacy reduction and family formation activities ................... ...................
Supplemental grants for population increases ............. ................... ...................

319
¥319

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................

319

73.10
73.20
74.40

319
¥1
318

NEEDY FAMILIES

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1552–0–1–609

2002 est.

2003 est.

Obligations by program activity:
00.01 State family assistance grant .......................................
00.03 Territories—family assistance grants ...........................
00.04 Matching grants to territories .......................................
00.05 Bonus to reward decrease in illegitimacy .....................
00.06 Supplemental grants for population increases .............
00.07 Bonus to reward high performance States ...................
00.08 Tribal work programs .....................................................

16,489
16,489
16,489
73
78
78
6
15
15
75
100
100
319 ................... ...................
200
200
400
8
7
7

10.00

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

17,170

16,889

17,089

86.97

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

21.40

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year

1,122

600

400

89.00

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

319

PO 00000

Frm 00031

Fmt 3616

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

458

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
TEMPORARY ASSISTANCE

FOR

PAYMENTS

NEEDY FAMILIES—Continued

Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–1552–4–1–609

90.00

2002 est.

2003 est.

Outlays ........................................................................... ................... ...................

Object Classification (in millions of dollars)
2001 actual

Identification code 75–1552–4–1–609

2002 est.

2003 est.

25.1
41.0

Advisory and assistance services .................................. ................... ...................
Grants, subsidies, and contributions ............................ ................... ...................

15
304

99.9

Total new obligations ................................................ ................... ...................

319

This schedule reflects additional proposals to be included
in the reauthorization of the Temporary Assistance for Needy
Families program. These include funding for Supplemental
Grants and initiatives to reduce out-of-wedlock births and
to promote family formation.
f

STATES FOR CHILD SUPPORT ENFORCEMENT
FAMILY SUPPORT PROGRAMS

AND

For making payments to States or other non-Federal entities under
titles I, IV–D, X, XI, XIV, and XVI of the Social Security Act and
the Act of July 5, 1960 (24 U.S.C. ch. 9), ø$2,447,800,000¿
$2,475,800,000, to remain available until expended; and for such purposes for the first quarter of fiscal year ø2003¿ 2004, $1,100,000,000,
to remain available until expended.
For making payments to each State for carrying out the program
of Aid to Families with Dependent Children under title IV–A of
the Social Security Act before the effective date of the program of
Temporary Assistance to Needy Families (TANF) with respect to such
State, such sums as may be necessary: Provided, That the sum of
the amounts available to a State with respect to expenditures under
such title IV–A in fiscal year 1997 under this appropriation and
under such title IV–A as amended by the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 shall not exceed
the limitations under section 116(b) of such Act.
For making, after May 31 of the current fiscal year, payments
to States or other non-Federal entities under titles I, IV–D, X, XI,
XIV, and XVI of the Social Security Act and the Act of July 5,
1960 (24 U.S.C. ch. 9), for the last 3 months of the current fiscal
year for unanticipated costs, incurred for the current fiscal year,
such sums as may be necessary. (Department of Health and Human
Services Appropriations Act, 2002.)

CONTINGENCY FUND

Program and Financing (in millions of dollars)

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1522–0–1–609

2001 actual

Identification code 75–1501–0–1–609
2002 est.

2003 est.

2002 est.

2003 est.

3,542
10

00.91
01.02
01.03

Subtotal, child support enforcement ........................
Payments to territories ..................................................
Repatriation ...................................................................

2,955
23
1

3,462
23
1

3,552
23
1

Subtotal, other payments ..........................................
24
24
24
Aid to families with dependent children (AFDC) payments:
AFDC benefit payments .............................................
29
45 ...................
State and local welfare administration .................... ...................
5 ...................
AFDC/JOBS child care ................................................
2 ................... ...................

02.91
09.01

89.00
90.00

1,958 ................... ...................
¥1,958 ................... ...................

3,452
10

02.01
02.03
02.04

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
Unobligated balance expiring or withdrawn .................

2,945
10

01.91

21.40
23.98

Obligations by program activity:
Child support enforcement (CSE):
Benefit payments:
00.01
State child support administrative costs .............
00.03
Access and visitation grants ................................

Subtotal, AFDC programs .....................................
Federal Incentive/hold harmless pmts to States ..........

31
425

10.00

Total new obligations ................................................

3,435

3,996

21.40
22.00
22.10

1
3,517

89 ...................
3,908
4,037

23.90
23.95
24.40

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

CONTINGENCY FUND
(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1522–4–1–609

2002 est.

2003 est.

00.01

Obligations by program activity:
TANF Contingency Fund ................................................. ................... ...................

10.00

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

22.00
23.95
24.40

2,000
¥45
1,955

2,000

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

2,000
45

This schedule reflects a proposal to authorize a more accessible Contingency Fund.

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00032

6 ................... ...................
3,524
3,997
4,037
¥3,435
¥3,996
¥4,037
89 ................... ...................

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
65.00
Advance appropriation ..............................................
69.00 Offsetting collections (cash) .........................................

2,442
650
425

2,448
1,000
460

2,476
1,100
461

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

3,517

3,908

4,037

72.40
73.10
73.20
73.45
74.40

86.97
86.98

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

3,068
638

3,535
483

3,626
507

87.00

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

3,706

4,018

4,133

45
¥45

89.00
90.00

4,037

70.00

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................

73.10
73.20

50 ...................
460
461

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

1,080
803
781
3,435
3,996
4,037
¥3,706
¥4,018
¥4,133
¥6 ................... ...................
803
781
685

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Offsets:
Against gross budget authority and outlays:
88.45
Offsetting collections (cash) from: Offsetting governmental collections (from non-Federal sources)
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

459

73.10
73.20

3,092
3,281

3,448
3,558

¥59

¥59
¥59

¥461

3,576
3,672

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

Enacted/requested:
2001 actual
2002 est.
Budget Authority .....................................................................
3,092
3,448
Outlays ....................................................................................
3,281
3,558
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

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

89.00
90.00

¥460

¥59
59

86.97

¥425

2003 est.

3,576
3,672
–59
–59

This legislative proposal includes provisions to increase
child support collections and to direct more of these payments
to families. This also includes a user fee proposal for families
that have never relied on public assistance and for whom
State child support collection efforts have been successful.
f

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

3,092
3,281

3,448
3,558

3,517
3,613

This account provides for payments to States for child support enforcement and other family support programs, including access and visitation programs for families. Spending authority from the Federal share of child support collections
is used to pay incentive payments. The remaining net Federal
share of collections is returned to the Treasury in a receipt
account. The text table below shows the net Federal costs
of child support enforcement:
Net Federal Costs of Child Support Enforcement
(In millions of dollars)
2001

2002

2003

Gross Federal share of collections ..............................................
Federal incentive payments to States ........................................
Hold harmless payments .............................................................
State child support administrative costs ...................................
Access and visitation grants ......................................................

(1,281)
415
10
2,945
10

(1,225)
450
10
3,452
10

(1,250)
461
0
3,542
10

Total ....................................................................................

2,099

2,697

LOW INCOME HOME ENERGY ASSISTANCE
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, ø$1,700,000,000¿ $1,400,000,000.
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $300,000,000: Provided, That these funds
are for the unanticipated home energy assistance needs of one or
more States, as authorized by section 2604(e) of the Actø: Provided
further, That these funds are hereby designated by Congress to be
emergency requirements pursuant to section 251(b)(2)(A) of the Balanced Budget and Emergency Deficit Control Act of 1985: Provided
further, That these funds shall be made available only after submission to Congress of an official budget request by the President that
includes designation of the entire amount of the request as an emergency requirement as defined in the Balanced Budget and Emergency
Deficit Control Act of 1985¿, and notwithstanding the designation
requirement of section 2602(e). (Department of Health and Human
Services Appropriations Act, 2002.)

2,763

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1502–0–1–609

2002 est.

2003 est.

10.00

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

1,856

1,919

1,619

21.40
22.00

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

156
2,000

300
2,000

300
1,700

Total budgetary resources available for obligation
2,156
Total new obligations ....................................................
¥1,856
Unobligated balance expiring or withdrawn ................. ...................
Unobligated balance carried forward, end of year .......
300

2,300
¥1,919
¥81
300

2,000
¥1,619
¥81
300

Object Classification (in millions of dollars)
2001 actual

Identification code 75–1501–0–1–609

2002 est.

2003 est.

25.2
41.0

Direct obligations:
Other services ............................................................
Grants, subsidies, and contributions ........................

3 ................... ...................
3,007
3,536
3,576

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

3,010
425

3,536
460

3,576
461

99.9

Total new obligations ................................................

3,435

3,996

4,037

PAYMENTS

STATES FOR CHILD SUPPORT ENFORCEMENT
FAMILY SUPPORT PROGRAMS

AND

23.90
23.95
23.98
24.40

New budget authority (gross), detail:
Discretionary:
Appropriation:
40.00
Appropriation .........................................................
1,400
1,700
1,400
40.00
Appropriation (contingent) .................................... ................... ...................
300
40.15
Appropriation (emergency) ........................................
600
300 ...................
43.00

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

72.40
73.10
73.20
73.40
74.40

86.90
86.93

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

1,306
855

1,382
449

1,166
526

87.00

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

2,161

1,830

1,692

89.00
90.00

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

2,000
2,161

2,000
1,830

1,700
1,692

(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1501–4–1–609

2002 est.

2003 est.

Obligations by program activity:
Child support enforcement (CSE):
Benefit payments:
00.01
State child support administrative costs ............. ................... ...................

¥59

10.00

2,000

1,700

822
513
1,856
1,919
¥2,161
¥1,830
¥4 ...................
513
602

602
1,619
¥1,692
¥3
526

¥59

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

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

¥59
59

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................

¥59

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00033

Fmt 3616

This program makes grants to States and Indian tribes
to aid low-income households with high energy costs through

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

460

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued

PROMOTING SAFE

AND

STABLE FAMILIES

payments to eligible households, energy suppliers, and weatherization providers. Obligation estimates for the contingency
fund are based on average historical obligation rates.

For carrying out øsubpart 2 of part B of title IV¿ section 436
of the Social Security Act, $305,000,000ø. In addition, for such purposes, $70,000,000 to carry out such subpart.¿; for section 437,
$200,000,000; and for section 439, $25,000,000. (Department of Health
and Human Services Appropriations Act, 2002.)

Program and Financing (in millions of dollars)

LOW INCOME HOME ENERGY ASSISTANCE—Continued

REFUGEE

AND

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), ø$450,203,000¿ $442,724,000: Provided, That funds appropriated pursuant to section 414(a) of the Immigration and Nationality Act for fiscal year ø2002¿ 2003 shall be available for the costs
of assistance provided and other activities through September 30,
ø2004¿ 2005: Provided further, That up to $10,000,000 is available
to carry out the Trafficking Victims Protection Act of 2000.
For carrying out section 5 of the Torture Victims Relief Act of
1998 (Public Law 105–320), $10,000,000. (Department of Health and
Human Services Appropriations Act, 2002.)

2001 actual

2002 est.

2003 est.

00.01
00.02

Obligations by program activity:
Refugee and entrant assistance ...................................
Assistance for treatment of torture victims ..................

463
10

460
10

455
10

10.00

Total new obligations ................................................

473

470

465

48
433

22
460

12
453

Budgetary resources available for obligation:
21.40 Unobligated balance carried forward, start of year
22.00 New budget authority (gross) ........................................
22.10 Resources available from recoveries of prior year obligations .......................................................................
23.90
23.95
24.40

14 ................... ...................

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

495
¥473
22

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................

433

482
465
¥470
¥465
12 ...................

460

00.01
00.02
00.03
00.04

2002 est.

2003 est.

Obligations by program activity:
Grants to States and Tribes ..........................................
268
353
Research, training and technical assistance ...............
6
9
State court assessment activities .................................
10
13
Mentoring children of prisoners .................................... ................... ...................

10.00

Total new obligations ................................................

22.00
23.95
23.98

284

475
13
17
25

375

530

305
375
530
¥284
¥375
¥530
¥21 ................... ...................

New budget authority (gross), detail:
Discretionary:
Appropriation:
40.00
Appropriation ......................................................... ...................
70
40.00
Appropriation ......................................................... ................... ...................

Program and Financing (in millions of dollars)
Identification code 75–1503–0–1–609

2001 actual

Identification code 75–1512–0–1–506

ENTRANT ASSISTANCE

453

200
25

43.00

225

305

375

530

60.00

Appropriation (total discretionary) ........................ ...................
Mandatory:
Appropriation .............................................................
305

70.00

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

305

72.40
73.10
73.20
73.40
74.40

86.90
86.93
86.97
86.98

Outlays (gross), detail:
Outlays from new discretionary authority ..................... ...................
11
Outlays from discretionary balances ............................. ................... ...................
Outlays from new mandatory authority .........................
42
46
Outlays from mandatory balances ................................
216
243

345
339
413
284
375
530
¥258
¥300
¥372
¥32 ................... ...................
339
413
571

34
46
46
246

87.00
Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.10 Total new obligations ....................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts (net) .........................
73.45 Recoveries of prior year obligations ..............................
74.40 Obligated balance, end of year .....................................

597
556
563
473
470
465
¥456
¥463
¥467
¥44 ................... ...................
¥14 ................... ...................
556
563
563

86.90
86.93

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

148
308

138
325

136
331

87.00

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

456

463

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

258

300

372

89.00
90.00

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

305
258

375
300

530
372

This program provides funds for a broad range of child
welfare services, including family preservation and family
support services. Includes funding for competitive grants to
mentor the children of prisoners.

467

Object Classification (in millions of dollars)
2001 actual

Identification code 75–1512–0–1–506

2002 est.

2003 est.

453
467

25.1
25.2
41.0

Advisory and assistance services ..................................
Other services ................................................................
Grants, subsidies, and contributions ............................

4
2
278

5
3
367

6
8
516

States are subsidized for administering the refugee assistance program. Funds are also provided to assist in the rehabilitation of victims of torture.

99.9

Total new obligations ................................................

284

375

530

433
456

460
463

JOB OPPORTUNITIES

Object Classification (in millions of dollars)
2001 actual

Identification code 75–1503–0–1–609

25.1
25.2
25.3

2002 est.

1
1

41.0

1
470

1
467

1
462

99.9

Total new obligations ................................................

473

470

465

PO 00000

Frm 00034

Fmt 3616

14:04 Jan 23, 2002

Jkt 189685

BASIC SKILLS TRAINING PROGRAM

Program and Financing (in millions of dollars)

2003 est.

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

VerDate 11-MAY-2000

AND

2001 actual

Identification code 75–1509–0–1–504

72.40
73.20
73.40
74.40

Change in obligated balances:
Obligated balance, start of year ...................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Obligated balance, end of year .....................................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

43
¥4
¥31
8

2002 est.

2003 est.

8
3
¥4
¥3
¥1 ...................
3 ...................

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

86.98

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

89.00
90.00

461

658G, of which $100,000,000 shall be for activities that improve the
quality of infant and toddler care: Provided further, That $10,000,000
shall be for use by the Secretary for child care research, demonstration, and evaluation activities. (Department of Health and Human
Services Appropriations Act, 2002.)
Program and Financing (in millions of dollars)

This activity was replaced by Temporary Assistance for
Needy Families.

2001 actual

Identification code 75–1515–0–1–609

2002 est.

2003 est.

STATES

00.01
00.04

Obligations by program activity:
Block grant payments to States ....................................
Research and evaluation fund ......................................

1,990
10

2,090
10

Program and Financing (in millions of dollars)

10.00

Total new obligations ................................................

2,000

2,100

22.00
23.95

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

2,000
¥2,000

2,100
¥2,100

CHILD CARE ENTITLEMENT

2001 actual

Identification code 75–1550–0–1–609

2002 est.

2003 est.

Obligations by program activity:
00.01 Mandatory child care .....................................................
00.02 Matching child care .......................................................
00.03 Training and technical assistance ................................
00.04 Child care tribal grants .................................................

1,177
1,332
6
56

1,178
1,478
7
54

10.00

2,571

2,717

2,571
¥2,571

2,717
¥2,717

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
63.00
Reappropriation .........................................................

2,567
2,717
2,717
4 ................... ...................

70.00

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

2,571

72.40
73.10
73.20
73.40
74.40

86.97
86.98

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

1,893
448

2,019
516

2,051
686

87.00

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

2,342

2,536

2,737

89.00
90.00

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

2,571
2,342

2,717
2,536

2,717
2,737

2,717

641
814
995
2,571
2,717
2,717
¥2,342
¥2,536
¥2,737
¥56 ................... ...................
814
995
975

817
2,100
2,100
1,183 ................... ...................

70.00

Total new obligations ................................................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
55.00
Advance appropriation ..............................................
Total new budget authority (gross) ..........................

2,000

72.40
73.10
73.20
73.40
74.40

86.90
86.93

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

1,050
326

1,092
825

1,092
970

87.00

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

1,376

1,917

2,062

89.00
90.00

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

2,000
1,376

2,100
1,917

2,100
2,062

2,100

499
1,121
1,304
2,000
2,100
2,100
¥1,376
¥1,917
¥2,062
¥2 ................... ...................
1,121
1,304
1,342

This appropriation helps low-income families pay for child
care and related services and supports grants to States for
child care quality activities.
Object Classification (in millions of dollars)

This account provides child care funding for welfare recipients and low-income working families and was established
by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193).

2001 actual

Identification code 75–1515–0–1–609

2002 est.

2003 est.

25.1
25.2
41.0

6
1
1,993

6
1
2,093

99.9

Total new obligations ................................................

2,000

2,100

Object Classification (in millions of dollars)
SOCIAL SERVICES BLOCK GRANT
2001 actual

Identification code 75–1550–0–1–609

2002 est.

2003 est.

25.1
41.0

Advisory and assistance services ..................................
Grants, subsidies, and contributions ............................

6
2,565

7
2,710

99.9

Total new obligations ................................................

2,571

2,717

PAYMENTS

STATES

FOR THE
BLOCK

CHILD CARE
GRANT

AND

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), $2,099,994,000 shall be used to supplement, not
supplant state general revenue funds for child care assistance for
low-income families: Provided, That $19,120,000 shall be available
for child care resource and referral and school-aged child care activities, of which $1,000,000 shall be for the Child Care Aware toll
free hotline: Provided further, That, in addition to the amounts required to be reserved by the States under section 658G, $272,672,000
shall be reserved by the States for activities authorized under section

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

For making grants to States pursuant to section 2002 of the Social
Security Act, $1,700,000,000ø: Provided, That notwithstanding subparagraph (B) of section 404(d)(2) of such Act, the applicable percent
specified under such subparagraph for a State to carry out State
programs pursuant to title XX of such Act shall be 10 percent¿.
(Department of Health and Human Services Appropriations Act,
2002.)

Frm 00035

Fmt 3616

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1534–0–1–506

2002 est.

2003 est.

10.00

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

1,725

1,700

21.40
22.00

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

1
1,725

1
1,700

23.90
23.95

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

1,726
¥1,725

1,701
¥1,700

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

462

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
SOCIAL SERVICES BLOCK GRANT—Continued
Program and Financing (in millions of dollars)—Continued
2001 actual

Identification code 75–1534–0–1–506

24.40

2002 est.

2003 est.

Unobligated balance carried forward, end of year .......

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................

1,725

1,700

873
745
1,725
1,700
¥1,852
¥1,803
¥1 ...................
745
642

642
1,700
¥1,792
¥1
548

72.40
73.10
73.20
73.40
74.40

86.97
86.98

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

1,472
379

1,445
358

1,445
348

87.00

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

1,852

1,803

1,792

Program and Financing (in millions of dollars)
1,725
1,852

1,700
1,803

1,700
1,792

CHILDREN

AND

RESCISSIONS)¿

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, sections 310 and 316 of the Family Violence
Prevention and Services Act, as amended, the Native American Programs Act of 1974, title II of Public Law 95–266 (adoption opportunities), the Adoption and Safe Families Act of 1997 (Public Law 105–
89), sections 1201 and 1211 of the Children’s Health Act of 2000,
the Abandoned Infants Assistance Act of 1988, øthe Early Learning
Opportunities Act, part B(1) of title IV and¿ sections 413, 429A,
1110, and 1115 of the Social Security Act, and sections 40155, 40211,
and 40241 of Public Law 103–322; for making payments under the
Community Services Block Grant Act, section 473A of the Social
Security Act, and title IV of Public Law 105–285, 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, section 5 of
the Torture Victims Relief Act of 1998 (Public Law 105–320), sections
40155, 40211, and 40241 of Public Law 103–322, sections 310 and
316 of the Family Violence Prevention and Services Act, as amended,
and section 126 and titles IV and V of Public Law 100–485,
ø$8,429,183,000¿ $8,489,632,000, of which $43,000,000, to remain
available until September 30, ø2003¿ 2004, shall be for grants to
States for adoption incentive payments, as authorized by section 473A
of title IV of the Social Security Act (42 U.S.C. 670–679) and may
be made for adoptions completed in fiscal years ø2000 and¿ 2001
and 2002; of which ø$738,821,000¿ $640,325,000 shall be for making
payments under the Community Services Block Grant Act; and of
which ø$6,537,906,000¿ $6,667,553,000 shall be for making payments
under the Head Start Act, of which $1,400,000,000 shall become
available October 1, ø2002¿ 2003 and remain available through September 30, ø2003¿ 2004: Provided, That to the extent Community
Services Block Grant funds are distributed as grant funds by a State
to an eligible entity as provided under the Act, and have not been
expended by such entity, they shall remain with such entity for
carryover into the next fiscal year for expenditure by such entity
consistent with program purposes: Provided further, That all eligible
entities currently in good standing in the Community Services Block
Grant program shall receive an increase in funding proportionate
to the increase provided in this Act for the Community Services
Block Grant: Provided further, That $88,133,000 shall be for activities
authorized by the Runaway and Homeless Youth Act, notwithstanding the allocation requirements of section 388(a) of such Act,

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

2001 actual

Identification code 75–1536–0–1–506

Obligations by program activity:
Head start ......................................................................
6,194
Social services programs:
Runaway and homeless youth:
01.03
Runaway and homeless youth ..............................
48
01.04
Transitional living .................................................
21
01.06
Education grants to reduce sexual abuse of runaway youth ............................................................
15
Child abuse:
01.07
Child abuse State grants .....................................
21
01.08
Child abuse discretionary grants .........................
33
01.09
Community based resource centers .....................
33
Child welfare programs:
01.11
Child welfare services ..........................................
292
01.12
Child welfare training ...........................................
7
01.15
Abandoned infants ................................................
12
01.16
Adoption incentives ...............................................
43
01.17
Adoption opportunities ..........................................
27
01.18
Children’s health act programs ................................ ...................
01.19
Social services and income maintenance research
38
01.20
Native American programs ........................................
46
01.21
Compassion capital fund .......................................... ...................
01.23
Early learning fund ...................................................
20
Developmental disabilities program:
01.24
Protection and advocacy .......................................
33
01.25
Projects of national significance ..........................
11
01.26
Centers for excellence ...........................................
21
01.27
State grants ..........................................................
68
01.28
Federal administration ..............................................
173
01.29
Faith-based center .................................................... ...................
00.01

FAMILIES SERVICES PROGRAMS

ø(INCLUDING

of which $39,739,900 is for the transitional living program: Provided
further, That ø$30,000,000¿ $100,000,000 is for a compassion capital
fund to provide grants to charitable organizations to emulate model
social service programs and to encourage research on the best practices of social service organizations: Provided further, That the Secretary shall establish procedures regarding the disposition of intangible property which permits grant funds, or intangible assets acquired with funds authorized under section 680 of the Community
Services Block Grant Act, as amended, to become the sole property
of such grantees after a period of not more than 12 years after
the end of the grant for purposes and uses consistent with the original grant: Provided further, That funds appropriated for section
680(a)(2) of the Community Services Block Grant Act, as amended,
shall be available for financing construction and rehabilitation and
loans or investments in private business enterprises owned by community development corporations.
øFunds appropriated for fiscal year 2002 under section 429A(e),
part B of title IV of the Social Security Act shall be reduced by
$6,000,000.
Funds appropriated for fiscal year 2002 under section 413(h)(1)
of the Social Security Act shall be reduced by $15,000,000.¿ (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)

PO 00000

Frm 00036

Fmt 3616

2002 est.

2003 est.

6,538

6,667

48
40

22
26
33

292
292
8
8
12
12
43
43
27
27
13
13
31
6
46
45
30
100
25 ...................
35
12
24
70
183
2

35
12
24
70
182
2

01.91

Subtotal .................................................................

962

1,037

1,055

02.00

7,156

7,575

7,722

03.01
03.03
03.04
03.05
03.06
03.08
03.09

Subtotal, ACYF programs ..........................................
Community services programs:
Community services block grants .............................
Community food and nutrition ..................................
Community services discretionary .............................
National youth sports ................................................
Individual development accounts ..................................
Domestic violence hotline ..............................................
Grants for battered women’s shelters ...........................

600
6
36
16
25
2
117

650
570
7
7
39
39
17 ...................
25
25
2
2
125
125

03.91

Subtotal .....................................................................

802

865

768

04.00
09.01

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

7,958
16

8,440
15

8,490
15

10.00

Total new obligations ................................................

7,974

8,455

8,505

21.40
22.00

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

3
7,982

3
8,455

3
8,505

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

7,985
8,458
8,508
¥7,974
¥8,455
¥8,505
¥7 ................... ...................

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
24.40

11.5

Other personnel compensation .............................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
6,567
7,041
7,090
40.71
Reduction pursuant to P.L. 107–116 ....................... ...................
¥1 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥1 ................... ...................

11.9
12.1
21.0
23.1
23.3

106
30
9
15

115
33
5
16

43.00
55.00

24.0
25.1
25.2
25.3

2
2
93
4

2
3
124
41

25.7
26.0
31.0
41.0

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 ............................................................
Other purchases of goods and services from Government accounts .................................................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

38
1
1
1
7,657

30
1
2
1
8,067

30
1
2
1
8,117

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

7,959
15

8,440
15

8,490
15

99.9

Total new obligations ................................................

7,974

8,455

8,505

68.00
68.10
68.90
70.00

Unobligated balance carried forward, end of year .......

Appropriation (total discretionary) ........................
Advance appropriation ..............................................
Spending authority from offsetting collections:
Offsetting collections (cash) .....................................
Change in uncollected customer payments from
Federal sources (unexpired) ..................................

463

6,566
1,400

7,040
1,400

7,090
1,400

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

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

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

7,982

8,455

8,505

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.40
74.00

3,394
4,375
5,084
7,974
8,455
8,505
¥6,956
¥7,746
¥8,310
¥36 ................... ...................

Personnel Summary
2001 actual

Identification code 75–1536–0–1–506

¥1 ................... ...................

1001

2 ................... ...................
4,375
5,084
5,279

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

1,430

2002 est.

1,547

2003 est.

1,492

86.90
86.93

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

4,180
2,776

4,055
3,691

4,037
4,273

(Legislative proposal, not subject to PAYGO)

87.00

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

6,956

7,746

8,310

Program and Financing (in millions of dollars)

CHILDREN

AND

FAMILY SERVICES PROGRAMS

2001 actual

Identification code 75–1536–2–1–506

¥15

2002 est.

2003 est.

10
20

Total, direct program ................................................ ................... ...................

10.00

Total new obligations ................................................ ................... ...................

22.00
23.95

30
¥30

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation ............................................................. ................... ...................

73.10
73.20
74.40

30
¥4
26

86.90

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

89.00
90.00

30
4

¥1 ................... ...................

7,966
6,940

8,440
7,731

8,490
8,295

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

Obligations by program activity:
Maternity group homes .................................................. ................... ...................
Strengthening fatherhood and healthy marriages ........ ................... ...................

04.00
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

01.19
01.20

7,956
6,930

2002 est.

8,429
7,720

2003 est.

8,479
8,284

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

Enacted/requested:
2001 actual
2002 est.
Budget Authority .....................................................................
7,966
8,440
Outlays ....................................................................................
6,941
7,731
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

7,966
6,941

8,440
7,731

2003 est.

8,490
8,295
30
4
8,520
8,299

Provides funding for a Compassion Capital Fund to support
public and private partnerships in funding community and
faith-based charitable organizations that expand upon or emulate model social service programs.
Object Classification (in millions of dollars)

11.1
11.3

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

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

Object Classification (in millions of dollars)
2001 actual

Identification code 75–1536–2–1–506
2002 est.

2003 est.

104
1

113
1

PO 00000

Frm 00037

Fmt 3616

25.3

2002 est.

2003 est.

41.0

2001 actual

Identification code 75–1536–0–1–506

This legislative proposal establishes the Responsible Fatherhood and Healthy Marriages Program. The budget provides grants to faith-based and community organizations to
assist non-custodial fathers in becoming more involved in the
lives of their children. In addition, the Administration includes funding for grants to provide young, pregnant and
parenting women with access to maternity group homes.

Other purchases of goods and services from Government accounts ........................................................... ................... ...................
Grants, subsidies, and contributions ............................ ................... ...................

7
23

99.9

Total new obligations ................................................ ................... ...................

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

464

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued

Object Classification (in millions of dollars)

VIOLENT CRIME REDUCTION PROGRAMS

2001 actual

Identification code 75–1553–0–1–609

2002 est.

2003 est.

41.0

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–8605–0–1–754

Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.20 Total outlays (gross) ......................................................
74.40 Obligated balance, end of year .....................................

2002 est.

117
¥88
29

2003 est.

29
4
¥25
¥4
4 ...................

86.93

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

89.00
90.00

AND

TECHNICAL ASSISTANCE

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–1553–0–1–609

00.01
00.02
00.04
09.01
10.00

2002 est.

Obligations by program activity:
Training and technical assistance ................................
13
13
Federal parent locator service .......................................
26
25
Welfare research ............................................................ ................... ...................
Reimbursable program ..................................................
8
10
Total new obligations ................................................

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

39
8

37
11

53
11

99.9

Total new obligations ................................................

25.1
25.2
25.3

2003 est.

13
25
15
11
64

1
1

1
15
4

1
14
5

1
22
5

15
2

13
2

13
10

PAYMENTS

CHILDREN’S RESEARCH

Direct obligations:
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Communications, utilities, and miscellaneous
charges .................................................................
Advisory and assistance services .............................
Other services ............................................................
Other purchases of goods and services from Government accounts .................................................
Grants, subsidies, and contributions ........................

21.0
23.1
23.3

STATES

FOR

FOSTER CARE

AND

ADOPTION ASSISTANCE

For making payments to States or other non-Federal entities under
title IV–E of the Social Security Act, ø$4,885,600,000¿
$4,855,000,000. In addition, for carrying out section 477(i),
$60,000,000.
For making payments to States or other non-Federal entities under
title IV–E of the øSocial Security¿ Act, for the first quarter of fiscal
year ø2003, $1,754,000,000¿ 2004, $1,745,600,000.
For making, after May 31 of the current fiscal year, payments
to States or other non-Federal entities under section 474 of title
IV–E, for the last 3 months of the current fiscal year for unanticipated costs, incurred for the current fiscal year, such sums as may
be necessary. (Department of Health and Human Services Appropriations Act, 2002.)
Program and Financing (in millions of dollars)

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

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
69.00 Offsetting collections (cash) .........................................

1
47

1 ...................
47
64

48
48
64
¥47
¥48
¥64
1 ................... ...................

00.01
00.02
00.03
00.04

37
10
47

Total new obligations ................................................

5,586

22.00
23.95
23.98

6,401
¥5,586
¥815

53
11

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

72.40
73.10
73.20
73.40
74.40

86.97
86.98

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

47
1

25
24

26
26

87.00

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

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

¥8

¥10

¥11

14:04 Jan 23, 2002

Jkt 189685

6,167

2003 est.

4,885
140
60
1,585
6,669

6,622
6,669
¥6,167
¥6,669
¥455 ...................

39
40

37
39

53
41

PO 00000

Frm 00038

Fmt 3616

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation ............................................................. ................... ...................
Mandatory:
60.00
Appropriation .............................................................
4,863
4,886
65.00
Advance appropriation ..............................................
1,538
1,736

4,855
1,754

70.00

36
33
33
47
48
64
¥48
¥49
¥52
¥1 ................... ...................
33
33
45

This account provides funding for research and technical
assistance activities established in P.L. 104–193. Amounts
for welfare research are in addition to research amounts in
the Children and families services program account and the
Temporary Assistance to Needy Families account under Illegitimacy Reduction and Family Formation activities.

VerDate 11-MAY-2000

2002 est.

Obligations by program activity:
Foster care .....................................................................
4,297
4,601
Independent living .........................................................
140
140
Education and training vouchers .................................. ................... ...................
Adoption assistance .......................................................
1,149
1,426

10.00
39
8

70.00

2001 actual

Identification code 75–1545–0–1–609

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

6,669

72.40
73.10
73.20
73.40
74.40

86.90
86.97
86.98

6,401

6,622

1,071
934
1,003
5,586
6,167
6,669
¥5,711
¥6,098
¥6,431
¥12 ................... ...................
934
1,003
1,241

9
5,656
765

87.00

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

5,711

6,098

6,431

89.00
90.00

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

6,401
5,711

6,622
6,098

6,669
6,431

Foster care.—The proposed level will support eligible lowincome children who must be placed outside the home. An
average of 249,400 children per month will be served in 2003.

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

DEPARTMENTAL MANAGEMENT
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Adoption assistance.—The proposed funding level will support subsidies for families adopting eligible low-income children with special needs. An average of 327,900 children per
month will be served in 2003.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–1545–0–1–609

2002 est.

2003 est.

25.1
25.2
41.0

6
2
5,578

7
2
6,158

11
3
6,655

99.9

Total new obligations ................................................

5,586

6,167

6,669

ADMINISTRATION ON AGING
Federal Funds
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 398 of the Public
Health Service Act, ø$1,199,814,000¿ $1,342,357,000, of which
$5,000,000 shall be available for activities regarding medication management, screening, and education to prevent incorrect medication
and adverse drug reactions; and of which $149,670,000 shall be allocated to States consistent with the formula in section 311 of the
Older Americans Act of 1965. (Department of Health and Human
Services Appropriations Act, 2002; additional authorizing legislation
required.)

2001 actual

Obligations by program activity:
01.01 Supportive services and centers ...................................
01.02 Preventive health ...........................................................
01.03 National family caregiver support program ..................
01.05 Congregate meals ..........................................................
01.06 Home-delivered meals ...................................................
01.08 Grants to Indian tribes ..................................................
01.09 Training, research, and discretionary projects ..............
01.10 Aging network support activities ...................................
01.11 Federal administration ...................................................
01.13 Alzheimer’s disease demonstration grants to States
01.14 Grants to States for the protection of vulnerable
older Americans .........................................................

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00
90.00

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

2002 est.

2003 est.

325
21
125
378
152
23
36
2
18
9

357
21
142
390
177
26
38
2
19
11

357
21
142
492
225
28
28
2
19
11

Total new obligations ................................................

1,104

1,201

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

2
1,104

2
1,201

2
1,342

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

1,106
¥1,104
2

1,203
¥1,201
2

1,344
¥1,342
1

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................

1,104

1,201

1,342

72.40
73.10
73.20
73.40
74.40

303
1,104
¥953
1
456

86.90
86.93

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

680
273

728
409

829
466

87.00

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

953

1,137

1,295

89.00
90.00

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

1,104
953

1,201
1,137

1,342
1,295

PO 00000

Frm 00039

Fmt 3616

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

1,200
1,136

1,341
1,294

Object Classification (in millions of dollars)
2001 actual

Identification code 75–0142–0–1–506

11.1
12.1
23.1
25.1
25.2
25.3

2002 est.

2003 est.

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Rental payments to GSA ................................................
Advisory and assistance services ..................................
Other services ................................................................
Other purchases of goods and services from Government accounts ...........................................................
Grants, subsidies, and contributions ............................

9
3
2
2
3

10
3
2
3
2

10
3
2
2
3

3
1,082

3
1,178

3
1,319

99.9

Total new obligations ................................................

1,104

1,201

1,342

Personnel Summary

1,342

23.90
23.95
24.40

1,103
952

2003 est.

Administration on Aging.—The proposed level will provide
continued funding for core formula grant programs that provide nutrition, supportive services and caregiver support services through the aging network. AoA programs are part of
a comprehensive system of support for older people and their
families.
In order to improve program management, the budget proposes to merge funding from the smaller Department of Agriculture nutrition program for the elderly with AOA’s nutrition
programs. Although both Departments currently fund these
services, HHS is the lead agency and has greater interaction
with service providers. This merger will improve program
oversight and streamline reporting requirements.

10.00

2002 est.

41.0

Program and Financing (in millions of dollars)
Identification code 75–0142–0–1–506

465

456
516
1,201
1,342
¥1,137
¥1,295
¥4 ...................
516
563

2001 actual

Identification code 75–0142–0–1–506

Direct:
Total compensable workyears: Full-time equivalent
employment ...............................................................
Allocation account:
3001 Total compensable workyears: Full-time equivalent
employment ...............................................................

2002 est.

2003 est.

1001

115

119

115

DEPARTMENTAL MANAGEMENT
Federal Funds
General and special funds:
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided, for general departmental management, including hire of six sedans, and for carrying
out titles III, XVII, and XX of the Public Health Service Act, and
the United States-Mexico Border Health Commission Act,
ø$341,703,000¿ $387,880,000, together with $5,851,000 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; and $52,951,000 to be transferred from the accounts of the National Institutes of Health and
$1,610,000 to be transferred from ‘‘Healthcare Research and Quality’’
for carrying out public affairs and legislative affairs activities of the
National Institutes of Health and the Agency for Healthcare Research
and Quality, respectively: Provided, That of the funds made available
under this heading for carrying out title XX of the Public Health
Service Act, $11,885,000 shall be for activities specified under section
2003(b)(2), of which $10,157,000 shall be for prevention service demonstration grants under section 510(b)(2) of title V of the Social
Security Act, as amended, without application of the limitation of
section 2010(c) of said title XX: Provided further, That of this amount,
$50,000,000 is for minority AIDS prevention and treatment activities;
and ø$21,998,000¿ $19,938,000 shall be for an Information Technology Security and Innovation Fund for Department-wide activities

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

466

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
GENERAL DEPARTMENTAL MANAGEMENT—Continued
involving cybersecurity, information technology security, and related
innovation projects. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)
OFFICE FOR CIVIL RIGHTS

For expenses necessary for the Office for Civil Rights,
ø$28,691,000¿ $32,260,000, together with not to exceed $3,314,000
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. (Department
of Health and Human Services Appropriations Act, 2002; additional
authorizing legislation required.)
POLICY RESEARCH

For carrying out, to the extent not otherwise provided, research
studies under section 1110 of the Social Security Act and title III
of the Public Health Service Act, ø$2,500,000¿ $2,499,000: Provided,
That in addition to amounts provided herein, øfunds¿ $18,000,000
shall be available from amounts available under section 241 of the
Public Health Service Act ømay be used¿ to carry out national health
or human services research and evaluation activities: Provided further, That the expenditure of any funds available under section 241
of the Public Health Service Act are subject to the requirements
of section 205 of this Act. (Department of Health and Human Services
Appropriations Act, 2002; additional authorizing legislation required.)
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

For expenses necessary to support activities related to countering
potential biological, disease and chemical threats to civilian populations, ø$242,949,000: Provided, That this amount is distributed as
follows: Centers for Disease Control and Prevention, $181,919,000,
of which $52,000,000 shall remain available until expended for the
National Pharmaceutical Stockpile; and Office of Emergency Preparedness, $61,030,000¿ $2,295,184,000. (Department of Health and
Human Services Appropriations Act, 2002; additional authorizing legislation required.)
HEALTH FACILITIES CONSTRUCTION AND MANAGEMENT FUND

For the study of, construction of, renovation of, and acquisition
of equipment for, facilities of the Centers for Disease Control and
Prevention and the National Institutes of Health, including the acquisition of real property, as well as extramural facilities construction
grants and security improvements for Federal and non-Federal laboratories, $1,056,980,000, to remain available until expended, of which
$632,800,000 shall be derived by transfer from the NIH Buildings
and Facilities account, $150,000,000 shall be derived by transfer from
the National Institutes of Allergy and Infectious Diseases account and
is for extramural bioterrorism and infectious disease research facility
construction and renovation; $5,000,000 shall be derived by transfer
from the National Cancer Institute account; $8,180,000 shall be derived by transfer from the National Center for Minority Health and
Health Disparities account; and $77,000,000 shall be derived by transfer from the National Center for Research Resources account; Provided, That after notice thereof is transmitted to Congress, the Secretary of HHS may transfer funds in this account among the purposes
and activities of the account.
øPUBLIC

spond to bioterrorism; $100,000,000 shall be for upgrading capacity
at the Centers for Disease Control and Prevention, including research: Provided, That up to $10,000,000 of this amount shall be
for the tracking and control of biological pathogens; $85,000,000 shall
be for the National Institute of Allergy and Infectious Diseases for
bioterrorism-related research and development and other related
needs; $70,000,000 shall be for the National Institute of Allergy and
Infectious Diseases for the construction of a biosafety laboratory and
related infrastructure costs; $593,000,000 shall be for the National
Pharmaceutical Stockpile; $512,000,000 shall be for the purchase of
smallpox vaccine; $71,000,000 shall be for improving laboratory security at the National Institutes of Health and the Centers for Disease
Control and Prevention; $7,500,000 shall be for environmental hazard
control activities conducted by the Centers for Disease Control and
Prevention; $10,000,000 shall be for the Substance Abuse and Mental
Health Services Administration; and $55,814,000 shall be for bioterrorism preparedness and disaster response activities in the Office
of the Secretary. At the discretion of the Secretary, these amounts
may be transferred between categories subject to normal reprogramming procedures.¿ (Emergency Supplemental Act, 2002.)
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9912–0–1–551

2002 est.

Obligations by program activity:
Direct activities:
00.01
General departmental management .........................
309
357
00.02
Office for Civil Rights ...............................................
29
34
00.03
Policy research ..........................................................
16
3
00.04
Public health and social services emergency fund
291
2,887
00.05
Health Facilities, Construction and Management
Fund ...................................................................... ................... ...................
09.01 Reimbursable program ..................................................
119
144
10.00

Total new obligations ................................................

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
New budget authority (gross) ........................................
Resources available from recoveries of prior year obligations .......................................................................
22.21 Unobligated balance transferred to other accounts
22.22 Unobligated balance transferred from other accounts
21.40
22.00
22.10

23.90
23.95
23.98
24.40

2003 est.

393
36
2
2,295
184
141

764

3,425

3,051

55
852

111
3,422

108
3,051

3 ................... ...................
¥32 ................... ...................
4 ................... ...................
882
3,533
3,159
¥764
¥3,425
¥3,051
¥5 ................... ...................
111
108
108

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
577
626
2,901
40.15
Appropriation (emergency) ........................................ ...................
2,644 ...................
40.71
Reduction pursuant to P.L. 107–116 ....................... ...................
¥1 ...................
40.75
Reduction pursuant to P.L. 106–554 (Labor/HHS)
¥1 ................... ...................
42.00
Transferred from other accounts ..............................
145 ................... ...................
43.00
68.00
68.10

721

3,269

2,901

153

150

49 ................... ...................

HEALTH AND SOCIAL SERVICES EMERGENCY FUND¿

øFor emergency expenses to respond to the September 11, 2001,
terrorist attacks on the United States, to provide grants to public
entities, not-for-profit entities, and Medicare and Medicaid enrolled
suppliers and institutional providers to reimburse for health care
related expenses or lost revenues directly attributable to the public
health emergency resulting from the September 11, 2001, terrorist
acts, for ‘‘Public Health and Social Services Emergency Fund’’,
$140,000,000, to remain available until expended, to be obligated
from amounts made available in Public Law 107–38: Provided, That
none of the costs have been reimbursed or are eligible for reimbursement from other sources.¿
øFor emergency expenses necessary to support activities related
to countering potential biological, disease, and chemical threats to
civilian populations, for ‘‘Public Health and Social Services Emergency Fund’’, $2,504,314,000, to remain available in Public Law 107–
38. Of this amount, $865,000,000 shall be for the Centers for Disease
Control and Prevention for improving State and local capacity;
$135,000,000 shall be for grants to improve hospital capacity to re-

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00040

Fmt 3616

68.90

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

153

150

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

70.00

131
852

3,422

3,051

86.90
86.93

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

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

528
607
2,270
764
3,425
3,051
¥680
¥1,762
¥2,514
3 ................... ...................
¥3 ................... ...................
¥49 ................... ...................
44 ................... ...................
607
2,270
2,807

386
294

1,334
429

1,170
1,344

PROGRAM SUPPORT CENTER

DEPARTMENT OF HEALTH AND HUMAN SERVICES
87.00

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

89.00
90.00

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

680

¥128

1,762

¥153

2,514

¥150

¥49 ................... ...................
46 ................... ...................

721
553

3,269
1,609

2,901
2,364

23.2
23.3
24.0
25.1
25.2
25.3
25.4
25.5
25.7
26.0
31.0
41.0
99.0
99.0

(Dollars in millions)
2001 actual

2002 est.

Distribution of budget authority by account:
General Departmental Management .......................................
302
340
Legislative/Public Affairs Consolidation: non-add .................
(--)
(--)
Office for Civil Rights .............................................................
25
29
Policy Research .......................................................................
17
2
Public Health and Social Services Emergency Fund ..............
367
2,887
Health Facilities Construction and Management Fund .......... .................... ....................
Distribution of outlays by account:
General Departmental Management .......................................
195
289
Legislative/Public Affairs Consolidation: non-add .................
(--)
(--)
Office for Civil Rights .............................................................
22
28
Policy research ........................................................................
7
22
Public Health and Social Services Emergency Fund ..............
318
1,259
Health Facilities Construction and Management Fund .......... .................... ....................

2003 est.

379
(28)
30
2
2,295
184

Rental payments to others ........................................ ...................
Communications, utilities, and miscellaneous
charges .................................................................
6
Printing and reproduction .........................................
2
Advisory and assistance services .............................
15
Other services ............................................................
37
Other purchases of goods and services from Government accounts .................................................
73
Operation and maintenance of facilities ..................
5
Research and development contracts .......................
11
Operation and maintenance of equipment ...............
5
Supplies and materials .............................................
6
Equipment .................................................................
8
Grants, subsidies, and contributions ........................
76

11.1
11.3
11.5
11.5

467
3

4
4
26
91

4
4
30
95

35
77
10
8
11
28
98

46
46
16
8
12
23
84

Direct obligations ..................................................
395
582
589
Reimbursable obligations ..............................................
119
144
141
Allocation Account:
Personnel compensation:
Full-time permanent .............................................
16
26
19
Other than full-time permanent ...........................
2
2 ...................
Other personnel compensation:
Other personnel compensation .........................
1
1 ...................
Other personnel compensation ......................... ................... ................... ...................

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00
90.00

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

711
542

2002 est.

3,258
1,598

2003 est.

2,890
2,353

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; and support research to develop policy
initiatives and improve existing HHS programs. DM also includes the activities of the Office of Public Health and
Science, including adolescent family life, disease prevention
and health promotion, physical fitness and sports, minority
health, research integrity, women’s health, emergency preparedness, as well as programs to counter bioterrorist threats.
The 2003 Budget creates a new HHS Health Facilities Construction and Management Fund within the Office of the Secretary. Through this mechanism, the Department will
prioritize and fund health facility construction projects competitively across the National Institutes of Health and the
Centers for Disease Control and Prevention. In addition, HHS
will establish a process to include the Indian Health Service
(IHS) and the Food and Drug Administration (FDA) facility
projects in its Department-wide priority-setting process, with
the goal of including funding for IHS and FDA facilities in
this Fund in the 2004 Budget.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–9912–0–1–551

11.1
11.3
11.5
11.9
12.1
21.0
22.0
23.1

2003 est.

118
5
4

142
4
4

Total personnel compensation .........................
102
Civilian personnel benefits .......................................
30
Travel and transportation of persons .......................
5
Transportation of things ........................................... ...................
Rental payments to GSA ...........................................
14

127
37
9
1
13

150
43
10
1
14

Frm 00041

Fmt 3616

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Allocation account ................................................

250

2,699

2,321

99.9

Total new obligations ................................................

764

3,425

3,051

24.0
25.1
25.2
25.3

19
29
6
8
2
6
...................
2
................... ...................

19
5
5
2
1

3
...................
12
6

5
2
2 ...................
41
49
582
126

62
...................
25
1
3
11
100

520
237
4 ...................
53 ...................
1 ...................
21
17
46
37
1,379
1,821

Personnel Summary
2001 actual

Identification code 75–9912–0–1–551

2002 est.

2003 est.

1,359

1,494

1,746

173

235

234

ALLOCATIONS RECEIVED FROM OTHER ACCOUNTS
Note.—Obligations incurred under allocations from other accounts are included in the
schedules of the parent appropriation as follows: Centers for Medicare and Medicaid Services
‘‘Health Care Fraud and Abuse Control Account.’’
f

PROGRAM SUPPORT CENTER
General and special funds:

2002 est.

95
5
2

VerDate 11-MAY-2000

25.4
25.5
25.7
26.0
31.0
41.0

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

99.0

342
(25)
30
17
1,936
28

11.9
12.1
21.0
22.0
23.2
23.3

øRETIREMENT PAY

AND¿

MEDICAL BENEFITS
OFFICERS

FOR

COMMISSIONED

For øretirement pay and¿ medical benefits of Public Health Service
Commissioned Officers as authorized by law, øfor payments under
the Retired Serviceman’s Family Protection Plan and Survivor Benefit
Plan,¿ and for medical care of dependents and retired personnel
under the Dependents’ Medical Care Act (10 U.S.C. ch. 55), øand
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. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

468

PROGRAM SUPPORT CENTER—Continued

THE BUDGET FOR FISCAL YEAR 2003

General and special funds—Continued
øRETIREMENT PAY

PAYMENT

AND¿ MEDICAL BENEFITS FOR
OFFICERS—Continued

COMMISSIONED

Identification code 75–0379–0–1–551

PUBLIC HEALTH SERVICE COMMISSIONED CORPS
RETIREMENT SYSTEM

Program and Financing (in millions of dollars)

Program and Financing (in millions of dollars)
2001 actual

2001 actual

Identification code 75–0367–0–1–551
2002 est.

2003 est.

2002 est.

2003 est.

10.00

Obligations by program activity:
Total new obligations (object class 92.0) ..................... ................... ...................

132

Obligations by program activity:
00.01 Retirement payments .....................................................
00.02 Survivors’ benefits .........................................................
00.03 Medical care ..................................................................
00.04 Military service credits ..................................................

194
11
40
1

208 ...................
12 ...................
41
15
1
1

22.00
23.95

132
¥132

10.00

246

262

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................

132

73.10
73.20

132
¥132

86.97

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

132

89.00
90.00

132
132

Total new obligations ................................................

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................
23.95 Total new obligations ....................................................
23.98 Unobligated balance expiring or withdrawn .................
New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.10 Total new obligations ....................................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts (net) .........................
74.40 Obligated balance, end of year .....................................

250
262
16
¥246
¥262
¥16
¥4 ................... ...................

250

262

6
20
26
246
262
16
¥241
¥256
¥17
8 ................... ...................
20
26
25

PUBLIC HEALTH SERVICE COMMISSIONED CORPS RETIREMENT FUND
Unavailable Collections (in millions of dollars)

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
86.98 Outlays from mandatory balances ................................

223
18

237
19

14
3

87.00

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

241

256

89.00
90.00

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

250
241

262
256

16
17

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

89.00
90.00

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

2002 est.

262
256

251
252

Object Classification (in millions of dollars)
2001 actual

13.0
25.3

2002 est.

02.99

Total receipts and collections ................................... ................... ...................
Appropriations:
05.00 Public Health Service commissioned officers corps
retirement fund ......................................................... ................... ...................
07.99

236

¥235

Balance, end of year ..................................................... ................... ................... ...................

Program and Financing (in millions of dollars)
2001 actual

2002 est.

2003 est.

00.01
00.02

Obligations by program activity:
Direct Program Activity .................................................. ................... ...................
Direct Program Activity .................................................. ................... ...................

222
13

10.00

Total new obligations ................................................ ................... ...................

235

22.00
23.95

235
¥235

New budget authority (gross), detail:
Mandatory:
60.20
Appropriation (special fund) ..................................... ................... ...................

235

73.10
73.20

235
¥235

86.97
86.98

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

213
22

2003 est.

205
1
40

1
41

1
15

87.00

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

235

25.6

Benefits for former personnel ........................................
Other purchases of goods and services from Government accounts ...........................................................
Medical care ..................................................................

99.9

Total new obligations ................................................

246

262

89.00
90.00

235
235

PO 00000

Frm 00042

Fmt 3616

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

220 ...................

2003 est.

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.40 Agency contributions ...................................................... ................... ...................
104
02.42 General fund payment ................................................... ................... ...................
132

Identification code 75–5371–0–2–602

250
241

2002 est.

01.99

2003 est.

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.
As part of the Administration’s initiative to reflect full accrual of retirement costs, legislation is proposed to establish
a new retirement fund to be known as the ‘‘Public Health
Service Commissioned Corps Retirement Fund.’’ Budget year
data are presented in that new account.

Identification code 75–0379–0–1–551

2001 actual

Identification code 75–5371–0–2–602

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

PROGRAM SUPPORT CENTER—Continued
Trust Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH ACTIVITIES FUNDS
Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9913–0–1–552

2002 est.

2003 est.

21.40
24.40

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
Unobligated balance carried forward, end of year .......

7
7

72.40
74.40

Change in obligated balances:
Obligated balance, start of year ...................................
Obligated balance, end of year .....................................

2
2

89.00
90.00

port center (PSC) line includes activities such as personnel
and payroll administration, financial management operations,
and a wide array of administrative services, including acquisitions management, building and property management, and
technical support. The Federal occupational health (FOH) program is also funded through the SSF. FOH includes clinical
services, environmental health services and employee assistance programs. The Office of the Secretary (OS) activities
line includes the fund manager, departmental contracts and
grants, audit resolution, and the regional health administrators.
Object Classification (in millions of dollars)

11.1
11.3
11.5

11.9
12.1
21.0
22.0
23.1
23.3
24.0
25.1
25.2
25.3

HHS SERVICE

AND

SUPPLY FUND

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9941–0–4–551

2002 est.

2003 est.

Obligations by program activity:
09.01 Program support center .................................................
09.02 Federal employee occupational health ..........................
09.03 OS activities ...................................................................

273
99
7

297
121
7

325
131
8

10.00

Total new obligations ................................................

379

425

464

21.40
22.00
22.10

56
381

69
425

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

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

448
¥379
69

494
¥425
69

2003 est.

81
2
3

79
2
4

74
27
2
2
12
7
1
11
95

86
28
3
2
13
9
1
13
101

85
28
4
2
13
9
1
14
119

25.4
25.6
26.0
31.0

Total personnel compensation ..............................
Civilian personnel benefits ............................................
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 ................................................................
Other purchases of goods and services from Government accounts ...........................................................
Operation and maintenance of facilities ......................
Medical care ..................................................................
Supplies and materials .................................................
Equipment ......................................................................

27
13
33
66
9

29
14
40
77
9

33
16
44
85
11

99.9

Total new obligations ................................................

379

425

464

Personnel Summary
2001 actual

Identification code 75–9941–0–4–551

11 ................... ...................

2002 est.

70
2
2

69
464

23.90
23.95
24.40

2001 actual

Identification code 75–9941–0–4–551

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:

469

2001

533
¥464
69

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

1,195

2002 est.

1,318

2003 est.

1,267

New budget authority (gross), detail:
Mandatory:
69.00
Offsetting collections (cash) .....................................
69.10
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
69.90

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

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Recoveries of prior year obligations ..............................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
73.45
74.00

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Against gross budget authority only:
88.95
Change in uncollected customer payments from
Federal sources (unexpired) ..................................

367

425

381

425

464

Jkt 189685

Unavailable Collections (in millions of dollars)
2001 actual

Identification code 75–9971–0–7–551

2002 est.

2003 est.

01.99
¥3
¥15
¥15
379
425
464
¥366
¥425
¥464
¥11 ................... ...................
¥14 ................... ...................
¥15
¥15
¥15

366

425

464

¥367

¥425

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.00 Gifts and contributions, miscellaneous trust funds
37
37
37
02.20 Contributions, Indian health facilities, Health Services
Administration ...........................................................
32
32
32
02.40 Interest, Miscellaneous trust funds ...............................
1
1
1
02.99

Total receipts and collections ...................................
Appropriations:
05.00 Miscellaneous trust funds .............................................
07.99

¥70

Balance, end of year ..................................................... ................... ................... ...................

¥464

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–9971–0–7–551

¥14 ................... ...................

The HHS Service and supply fund (SSF) provides common
centralized services to HHS components. The Program sup-

14:04 Jan 23, 2002

MISCELLANEOUS TRUST FUNDS

14 ................... ...................

VerDate 11-MAY-2000

Trust Funds

464

PO 00000

Frm 00043

Fmt 3616

2002 est.

2003 est.

00.02
00.03

Obligations by program activity:
Gifts ...............................................................................
Contributions, Indian health facilities ..........................

26
27

38
32

10.00

Total new obligations ................................................

21.40
22.00

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

49
70

69
70

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

470

PROGRAM SUPPORT CENTER—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 2003

OFFICE OF THE INSPECTOR GENERAL

MISCELLANEOUS TRUST FUNDS—Continued

General and special funds:

Program and Financing (in millions of dollars)—Continued

OFFICE
2001 actual

Identification code 75–9971–0–7–551

22.10
23.90
23.95
24.40

Resources available from recoveries of prior year obligations .......................................................................

2002 est.

2003 est.

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

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

122
¥53
69

139
¥70
69

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) .........................................

INSPECTOR GENERAL

For expenses necessary for the Office of Inspector General in carrying out the provisions of the Inspector General Act of 1978, as
amended, ø$35,786,000¿ $49,972,000: Provided, That, of such amount,
necessary sums are available for providing protective services to the
Secretary and investigating non-payment of child support cases for
which non-payment is a Federal offense under 18 U.S.C. 228. (Department of Health and Human Services Appropriations Act, 2002; additional authorizing legislation required.)

Program and Financing (in millions of dollars)
2001 actual

Identification code 75–0128–0–1–551

Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.10 Total new obligations ....................................................
73.20 Total outlays (gross) ......................................................
73.45 Recoveries of prior year obligations ..............................
74.40 Obligated balance, end of year .....................................

83
80
72
53
70
70
¥53
¥78
¥72
¥3 ................... ...................
80
72
70

2002 est.

2003 est.

00.01
09.01

Obligations by program activity:
Direct program ...............................................................
Reimbursable program ..................................................

42
16

45
17

50
12

10.00

Total new obligations ................................................

86.97
86.98

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

26
27

28
50

28
44

21.40
22.00

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

1
58

1
62

87.00

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

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance carried forward, end of year .......

59
¥58
1

63
¥62
1

89.00
90.00

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

23.90
23.95
24.40

70
53

70
78

70
72

Memorandum (non-add) entries:
Total investments, start of year: Federal securities:
Par value ...................................................................
92.02 Total investments, end of year: Federal securities:
Par value ...................................................................
92.01

11 ................... ...................

68.90

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

70.00

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

¥6
58
¥57

1
62
¥59

4
62
¥62

[Dollars in millions]
2001

Distribution of budget authority by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................
Distribution of outlays by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................

2002

2003

38
32

23
30

41
37

38
34

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.

11.1
21.0
22.0
25.1
25.2
25.3

2001 actual

25.4
25.5
25.7
26.0
31.0
32.0
41.0
99.9

Personnel compensation: Full-time permanent .............
1
Travel and transportation of persons ............................
1
Transportation of things ................................................ ...................
Advisory and assistance services .................................. ...................
Other services ................................................................
14
Other purchases of goods and services from Government accounts ...........................................................
1
Operation and maintenance of facilities ......................
1
Research and development contracts ...........................
3
Operation and maintenance of equipment ...................
8
Supplies and materials .................................................
1
Equipment ......................................................................
1
Land and structures ......................................................
2
Grants, subsidies, and contributions ............................
20
Total new obligations ................................................

1001

2002 est.

2003 est.

1
1
1
1
15

1
1
5
10
2
2
2
28

55
3

58
1

58
4

87.00

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

¥24

¥17

¥12

89.00
90.00

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

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

¥11 ................... ...................
19 ................... ...................

42
34

2002 est.

2003 est.

PO 00000

Frm 00044

Fmt 3616

45
42

50
50

Budget Authority and Outlays Excluding Full Funding for Federal Retiree Costs (in
millions of dollars)
2001 actual

2001 actual

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

18 ................... ...................
1
4
4

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

Personnel Summary
Identification code 75–9971–0–7–551

¥11 ................... ...................

86.90
86.93

Object Classification (in millions of dollars)
Identification code 75–9971–0–7–551

Change in obligated balances:
Obligated balance, start of year ...................................
Total new obligations ....................................................
Total outlays (gross) ......................................................
Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40 Obligated balance, end of year .....................................
72.40
73.10
73.20
74.00

89.00
90.00

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

Sfmt 3643

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

34
26

2002 est.

36
33

2003 est.

40
40

GENERAL PROVISIONS

DEPARTMENT OF HEALTH AND HUMAN SERVICES

The Office of Inspector General (OIG) identifies and recommends actions to correct fraud, waste, and abuse in HHS
administered and assisted programs and operations through
audits and investigations.
In addition to the discretionary resources appropriated to
the OIG, the Health Insurance Portability and Accountability
Act of 1996 makes available mandatory funding for use by
the OIG to combat Medicare and Medicaid fraud and abuse
through a coordinated Health care fraud and abuse control
(HCFAC) program with the Department of Justice. The following table shows total funding resources for the OIG:
(In millions of dollars)
2001 actual

Budget Authority:
Discretionary appropriations ...................................................
Mandatory (HCFAC Account) ...................................................

2002 est.

2003 est.

42
130

45
145

50
160

Total ...............................................................................
Outlays:
Discretionary appropriations ...................................................
Mandatory (HCFAC Account) ...................................................

172

190

210

34
126

42
145

50
160

Total ...............................................................................

160

187

210

This schedule reflects distribution of mandatory funds from
the HCFAC account in 2002. Actual 2003 distribution will
be determined by the Secretary of HHS and the Attorney
General.
Object Classification (in millions of dollars)
2001 actual

Identification code 75–0128–0–1–551

2002 est.

2003 est.

26.0
31.0

Direct obligations:
Personnel compensation: Full-time permanent ........
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Other purchases of goods and services from Government accounts .................................................
Supplies and materials .............................................
Equipment .................................................................

99.0
99.0

Direct obligations ..................................................
Reimbursable obligations ..............................................

42
16

45
17

50
12

99.9

Total new obligations ................................................

11.1
12.1
21.0
23.1
25.3

19
13
2
3

22
15
1
3

24
16
2
3

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

Personnel Summary
2001 actual

Identification code 75–0128–0–1–551

2002 est.

2003 est.

1001

285

309

320

1,099

1,223

1,305

ALLOCATIONS RECEIVED FROM OTHER ACCOUNTS
Note.—Obligations incurred under allocations from other accounts are included in the
schedules of the parent appropriations as follows: Centers for Medicare and Medicaid Services ‘‘Health Care Fraud and Abuse Control Account.’’
f

GENERAL FUND RECEIPT ACCOUNTS
(in millions of dollars)
2001 actual

2002 est.

2003 est.

Offsetting receipts from the public:
75–310700 Federal share of child support collections ......
856
765
Legislative proposal, subject to PAYGO ............................. ................... ...................

789
7

General Fund Offsetting receipts from the public .....................

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

856

765

796

PO 00000

Frm 00045

Fmt 3616

471

Intragovernmental payments:
20–310530 Quinquennial adjustment for military service
credits, Federal hospital insurance ...................................

1,177 ................... ...................

General Fund Intragovernmental payments ................................

1,177 ................... ...................

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 under this Act may
be used to implement section ø399L(b)¿ 399F(b) of the Public Health
Service Act or section 1503 of the National Institutes of Health Revitalization Act of 1993, Public Law 103–43.
SEC. 204. None of the funds appropriated in this Act for the National Institutes of Health, the Agency for Healthcare Research and
Quality, 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 Executive Level øI¿ II.
øSEC. 205. None of the funds appropriated in this Act may be
expended pursuant to section 241 of the Public Health Service Act,
except for funds specifically provided for in this Act, or for other
taps and assessments made by any office located in the Department
of Health and Human Services, prior to the Secretary’s preparation
and submission of a report to the Committee on Appropriations of
the Senate and of the House detailing the planned uses of such
funds.¿
SEC. ø206¿ 205. Notwithstanding section 241(a) of the Public
Health Service Act, such portion as the Secretary shall determine,
but not more than 1.25 percent, of any amounts appropriated for
programs authorized under said Act shall be made available for the
evaluation (directly, or by grants or contracts) of the implementation
and effectiveness of such programs.
(TRANSFER

OF FUNDS)

SEC. ø207¿ 206. Not to exceed ø1¿ 3 percent of any discretionary
funds (pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985, as amended) which are appropriated for the current
fiscal year for the Department of Health and Human Services in
this or any other Act may be transferred between appropriations,
but no such appropriation shall be increased by more than ø3¿ 10
percent by any such transfer: Provided, øThat an appropriation may
be increased by up to an additional 2 percent subject to approval
by the House and Senate Committees on Appropriations: Provided
further,¿ That the Appropriations Committees of both Houses of Congress are notified at least 15 days in advance of any transfer.
SEC. ø208¿ 207. The Director of the National Institutes of Health,
jointly with the Director of the Office of AIDS Research, may transfer
up to 3 percent among institutes, centers, and divisions from the
total amounts identified by these two Directors as funding for research pertaining to the human immunodeficiency virus: Provided,
That the Congress is promptly notified of the transfer.
SEC. ø209¿ 208. Of the amounts made available in this Act for
the National Institutes of Health, the amount for research related
to the human immunodeficiency virus, as jointly determined by the
Director of the National Institutes of Health and the Director of
the Office of AIDS Research, shall be made available to the ‘‘Office
of AIDS Research’’ account. The Director of the Office of AIDS Research shall transfer from such account amounts necessary to carry
out section 2353(d)(3) of the Public Health Service Act.
SEC. ø210¿ 209. None of the funds appropriated in this Act may
be made available to any entity under title X of the Public Health
Service Act unless the applicant for the award certifies to the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling
to minors on how to resist attempts to coerce minors into engaging
in sexual activities.
SEC. ø211¿ 210. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to carry

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS

472

GENERAL PROVISIONS—Continued

(TRANSFER

THE BUDGET FOR FISCAL YEAR 2003

OF FUNDS)—Continued

out the Medicare+Choice program if the Secretary denies participation in such program to an otherwise eligible entity (including a
Provider Sponsored Organization) because the entity informs the Secretary that it will not provide, pay for, provide coverage of, or provide
referrals for abortions: Provided, That the Secretary shall make appropriate prospective adjustments to the capitation payment to such
an entity (based on an actuarially sound estimate of the expected
costs of providing the service to such entity’s enrollees): Provided
further, That nothing in this section shall be construed to change
the Medicare program’s coverage for such services and a
Medicare+Choice organization described in this section shall be responsible for informing enrollees where to obtain information about
all Medicare covered services.
SEC. ø212¿ 211. Notwithstanding any other provision of law, no
provider of services under title X of the Public Health Service Act
shall be exempt from any State law requiring notification or the
reporting of child abuse, child molestation, sexual abuse, rape, or
incest.
øSEC. 213. The Foreign Operations, Export Financing, and Related
Programs Appropriations Act, 1990 (Public Law 101–167) is
amended—
(1) in section 599D (8 U.S.C. 1157 note)—
(A) in subsection (b)(3), by striking ‘‘1997, 1998, 1999, 2000,
and 2001’’ and inserting ‘‘1997, 1998, 1999, 2000, 2001, and
2002’’; and
(B) in subsection (e), by striking ‘‘October 1, 2001’’ each place
it appears and inserting ‘‘October 1, 2002’’; and
(2) in section 599E (8 U.S.C. 1255 note) in subsection (b)(2),
by striking ‘‘September 30, 2001’’ and inserting ‘‘September 30,
2002’’.¿
SEC. ø214¿ 212. (a) Except as provided by subsection (e) none
of the funds appropriated by this Act may be used to withhold substance abuse funding from a State pursuant to section 1926 of the
Public Health Service Act (42 U.S.C. 300x–26) if such State certifies
to the Secretary of Health and Human Services by May 1, ø2002¿
2003 that the State will commit additional State funds, in accordance
with subsection (b), to ensure compliance with State laws prohibiting
the sale of tobacco products to individuals under 18 years of age.
(b) The amount of funds to be committed by a State under subsection (a) shall be equal to 1 percent of such State’s substance
abuse block grant allocation for each percentage point by which the
State misses the retailer compliance rate goal established by the
Secretary of Health and Human Services under section 1926 of such
Act.
(c) The State is to maintain State expenditures in fiscal year
ø2002¿ 2003 for tobacco prevention programs and for compliance
activities at a level that is not less than the level of such expenditures
maintained by the State for fiscal year ø2001¿ 2002, and adding
to that level the additional funds for tobacco compliance activities
required under subsection (a). The State is to submit a report to
the Secretary on all fiscal year ø2001¿ 2002 State expenditures and
all fiscal year ø2002¿ 2003 obligations for tobacco prevention and
compliance activities by program activity by July 31, ø2002¿ 2003.

VerDate 11-MAY-2000

14:04 Jan 23, 2002

Jkt 189685

PO 00000

Frm 00046

Fmt 3616

(d) The Secretary shall exercise discretion in enforcing the timing
of the State obligation of the additional funds required by the certification described in subsection (a) as late as July 31, ø2002¿ 2003.
(e) None of the funds appropriated by this Act may be used to
withhold substance abuse funding pursuant to section 1926 from a
territory that receives less than $1,000,000.
SEC. ø215¿ 213. In order for the Centers for Disease Control and
Prevention to carry out international health activities, including HIV/
AIDS and other infectious disease, chronic and environmental disease, and other health activities abroad during fiscal year ø2002¿
2003, the Secretary of Health and Human Services is authorized
to—
(1) utilize the authorities contained in subsection 2(c) of the State
Department Basic Authorities Act of 1956, as amended; and
(2) utilize the authorities contained in 22 U.S.C. 291 and 292
and directly or through contract or cooperative agreement to lease,
alter or renovate facilities in foreign countries, to carry out programs supported by this appropriation notwithstanding PHS Act
section 307.
In exercising the authority set forth in paragraphs (1) and (2), the
Secretary of Health and Human Services shall consult with the Department of State to assure that planned activities are within the
legal strictures of the State Department Basic Authorities Act of
1956, as amended, and other applicable parts of title 22, United
States Code.
SEC. ø216¿ 214. The Division of Federal Occupational Health may
utilize personal services contracting to employ professional management/administrative and occupational health professionals.
øSEC. 217. Notwithstanding any other provision of law relating
to vacancies in offices for which appointments must be made by
the President, including any time limitation on serving in an acting
capacity, the Acting Director of the National Institutes of Health
as of January 12, 2000, may serve in that position until a new
Director of the National Institutes of Health is confirmed by the
Senate.¿
øSEC. 218. Section 582 of the Public Health Service Act (42 U.S.C.
290hh–1(f)) is amended by adding at the end the following:
‘‘(g) SHORT TITLE.—This section may be cited as the ‘Donald J.
Cohen National Child Traumatic Stress Initiative’.’’.¿
SEC. 215. Of funds appropriated in this Act and awarded to a
State under the Public Health Service Act and Title V of the Social
Security Act, each State may transfer up to 20 percent of such funds
between such grants: Provided, That funds for a single grant shall
not be increased by more than 50 percent above the original grant
award amount: Provided further, That a State exercising this transfer
authority must notify the Secretary of Health and Human Services
in writing at least 30 days prior to implementing such a transfer:
Provided further, That the Secretary of Health and Human Services
shall issue guidance to implement this transfer authority.
SEC. 216. With the funds appropriated to the National Institutes
of Health in this Act, NIH is authorized to obligate in fiscal year
2003 the full multi-year cost of a grant or contract that is awarded
in that year, and any funds which may be deobligated subsequently
shall remain available until expended for the same purposes. (Department of Health and Human Services Appropriations Act, 2002.)

Sfmt 3616

E:\BUDGET\HHS.XXX

pfrm11

PsN: HHS