Full text of Budget of the United States Government - Appendix : Fiscal Year 2007 : Department of Health and Human Services

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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Commissioner and the Office of Management: Provided further, That
the amounts provided under this heading are designated as an emergency requirement pursuant to section 402 of H. Con. Res. 95 (109th
Congress), the concurrent resolution on the budget for fiscal year
2006.¿ (Emergency Supplemental Appropriations Act to Address Hurricanes in the Gulf of Mexico and Pandemic Influenza, 2006.)

FOOD AND DRUG ADMINISTRATION
Federal Funds
General and special funds:

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SALARIES

AND

EXPENSES

For necessary expenses of the Food and Drug Administration, including hire and purchase of passenger motor vehicles; for payment
of space rental and related costs pursuant to Public Law 92–313
for programs and activities of the Food and Drug Administration
which are included in this Act; for rental of special purpose space
in the District of Columbia or elsewhere; for miscellaneous and emergency expenses of enforcement activities, authorized and approved
by the Secretary and to be accounted for solely on the Secretary’s
certificate, not to exceed $25,000; and notwithstanding section 521
of Public Law 107–188; ø$1,838,567,000¿ $1,916,329,000: Provided,
That of the amount provided under this heading, ø$305,332,000¿
$320,600,000 shall be derived from prescription drug user fees authorized by 21 U.S.C. 379h, shall be credited to this account and remain
available until expended, and shall not include any fees pursuant
to 21 U.S.C. 379h(a)(2) and (a)(3) assessed for fiscal year ø2007¿
2008 but collected in fiscal year ø2006¿ 2007; ø$40,300,000¿
$43,726,000 shall be derived from medical device user fees authorized
by 21 U.S.C. 379j, and shall be credited to this account and remain
available until expended; and ø$11,318,000¿ $11,604,000 shall be derived from animal drug user fees authorized by 21 U.S.C. 379j, and
shall be credited to this account and remain available until expended:
Provided further, That fees derived from prescription drug, medical
device, and animal drug assessments received during fiscal year
ø2006¿ 2007, including any such fees assessed prior to the current
fiscal year but credited during the current year, shall be subject
to the fiscal year ø2006¿ 2007 limitationø: Provided further, That
none of these funds shall be used to develop, establish, or operate
any program of user fees authorized by 31 U.S.C. 9701: Provided
further, That of the total amount appropriated: (1) $443,153,000 shall
be for the Center for Food Safety and Applied Nutrition and related
field activities in the Office of Regulatory Affairs; (2) $520,564,000
shall be for the Center for Drug Evaluation and Research and related
field activities in the Office of Regulatory Affairs; (3) $178,714,000
shall be for the Center for Biologics Evaluation and Research and
for related field activities in the Office of Regulatory Affairs; (4)
$99,787,000 shall be for the Center for Veterinary Medicine and for
related field activities in the Office of Regulatory Affairs; (5)
$245,770,000 shall be for the Center for Devices and Radiological
Health and for related field activities in the Office of Regulatory
Affairs; (6) $41,152,000 shall be for the National Center for Toxicological Research; (7) $58,515,000 shall be for Rent and Related
activities, of which $21,974,000 is for White Oak Consolidation, other
than the amounts paid to the General Services Administration for
rent; (8) $134,853,000 shall be for payments to the General Services
Administration for rent; and (9) $116,059,000 shall be for other activities, including the Office of the Commissioner; the Office of Management; the Office of External Relations; the Office of Policy 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¿.
In addition, mammography user fees authorized by 42 U.S.C. 263b
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, 2006.)
øFor an additional amount for ‘‘Food and Drug Administration,
Salaries and Expenses’’, to prepare for and respond to an influenza
pandemic, $20,000,000, to remain available until September 30, 2007;
Provided, That of the total amount appropriated $18,000,000 shall
be for the Center for Biologics Evaluation and Research and for
related field activities in the Office of Regulatory Affairs, and
$2,000,000 shall be for other activities including the Office of the
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BUILDINGS

AND

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$8,000,000¿ $4,950,000, to remain available until expended. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2006.)
Special and Trust Fund Receipts (in millions of dollars)
2005 actual

Identification code 75–9911–0–1–554

01.00

2006 est.

2007 est.

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

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.00 User fees, FDA—legislative proposal subject to PAYGO ................... ...................
22
02.01 User fees, FDA—legislative proposal subject to PAYGO ................... ...................
4
02.20 Cooperative research and development agreements,
FDA ............................................................................
3
3
3
02.99

Total receipts and collections ...................................
3
3
Appropriations:
05.00 Salaries and expenses ...................................................
¥3
¥3
05.01 Salaries and expenses—legislative proposal not subject to PAYGO ............................................................ ................... ...................
05.02 Salaries and expenses—legislative proposal not subject to PAYGO ............................................................ ................... ...................
05.99
07.99

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

¥3

29
¥3
¥22
¥4

¥3

¥29

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

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–9911–0–1–554

2006 est.

2007 est.

00.01
00.02
00.03
00.04
00.05
00.06
00.07
00.08
00.09
09.01

Obligations by program activity:
Foods ..............................................................................
Drugs ..............................................................................
Devices and radiological products ................................
National Center for Toxicological Research ...................
Other activities ..............................................................
Other rent and rent related activities ...........................
Rental payments ............................................................
Buildings and facilities .................................................
CRADAs ..........................................................................
Reimbursable program ..................................................

436
506
215
40
87
54
113
2
2
372

439
526
220
40
87
57
116
8
2
412

450
551
229
34
88
61
127
5
2
432

10.00

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

1,827

1,907

1,979

21.40
22.00
22.10

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

78
1,849

101
1,910

104
1,980

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

23.90
23.95

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

1,928
¥1,827

2,011
¥1,907

2,084
¥1,979

24.40

Unobligated balance carried forward, end of year

101

104

105

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
1,462
1,510
1,545
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥15 ...................
40.35
Appropriation permanently reduced ..........................
¥12 ................... ...................
43.00
Sfmt 3643

Appropriation (total discretionary) ........................
E:\BUDGET\HHS.XXX

HHS

1,450

1,495

421

1,545

422

FOOD AND DRUG ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
BUILDINGS

AND

FACILITIES—Continued

Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–9911–0–1–554

60.20
68.00
68.10
68.26
68.45
68.90
70.00

Mandatory:
Appropriation (special fund) .....................................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................
Offsetting collections (previously unavailable) ....
Portion precluded from obligation (limitation on
obligations) .......................................................

2006 est.

2007 est.

386

412

432

¥186

2006 est.

2007 est.

¥186

412

432

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

1,849

1,910

1,980

¥33 ................... ...................
21 ................... ...................

Obligated balance, end of year ................................

491

529

546

86.90
86.93
86.97

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

1,594
128
¥1

1,539
327
3

1,598
361
3

87.00

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

1,721

1,869

1,962

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.45
Offsetting governmental collections (from nonFederal sources) ...............................................

¥36

¥365

¥376

¥401

¥412

¥432

552
69
22
42

585
73
23
45

606
76
24
47

685
167
24
23
6
113
3

726
177
25
22
6
116
3

753
184
26
23
6
124
3

27
3
43
63

27
3
42
60

27
3
42
61

25.4
25.5
25.7
26.0
31.0
32.0
41.0
42.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military 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 ...........................

89
46
33
30
24
45
3
26
2

85
45
33
30
22
44
2
25
2

87
46
33
30
23
44
2
26
2

99.0
99.0

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

1,455
372

1,495
412

1,545
434

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

1,827

1,907

1,979

11.9
12.1
12.2
21.0
22.0
23.1
23.2
23.3

¥396

88.90

11.1
11.3
11.5
11.7

99.9

408
491
529
1,827
1,907
1,979
¥1,721
¥1,869
¥1,962
¥10 ................... ...................
¥1 ................... ...................

74.40

88.95
88.96

Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................
Memorandum (non-add) entries:
94.01 Unavailable balance, start of year: Offsetting collections ...........................................................................
94.02 Unavailable balance, end of year: Offsetting collections ...........................................................................

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

1,498
1,457

1,548
1,530

163

186

2006

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2005 actual

Direct:
1001 Civilian full-time equivalent employment
1101 Military full-time equivalent employment
Reimbursable:
2001 Civilian full-time equivalent employment
2101 Military full-time equivalent employment
Allocation account:
3001 Civilian full-time equivalent employment
3101 Military full-time equivalent employment

1,430
0

1,490
8

1,320
0

1,454
3

1,527
3

SALARIES

1,543
5

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2006 est.

2007 est.

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

7,663
589

7,813
584

7,717
584

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

1,573
120

1,603
126

1,732
126

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

10
2

2007

The FDA is responsible for protecting the public health
by assuring the safety, efficacy, and security of human and
veterinary drugs, biological products, medical devices, our Nation’s food supply, cosmetics, and products that emit radiation. The FDA is also responsible for advancing the public
health by helping to speed innovations that make medicines
more effective, safer, and more affordable; and helping the
public get the accurate, science-based information they need
VerDate Aug 31 2005

Personnel Summary
Identification code 75–9911–0–1–554

1,430
1,320

2005

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

24.0
25.1
25.2
25.3

¥33 ................... ...................

[In millions of dollars]

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2005 actual

Identification code 75–9911–0–1–554

¥186

396

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) ................................................

Object Classification (in millions of dollars)

33 ................... ...................
163
186
186

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

72.40
73.10
73.20
73.40
73.45
74.00

to use medicines and foods to improve their health. The Budget includes funding for counterterrorism activities that specifically relate to the protection of products or therapies 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. Specifically,
the Budget requests funding for pandemic preparedness, food
defense, drug safety, tissue safety, the critical path to personalized medicine, medical device and animal drug review, and
headquarters consolidation in White Oak, Maryland.

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AND

EXPENSES

(Legislative proposal, not subject to PAYGO)
In addition, the Secretary may, contingent upon the enactment of
authorizing legislation, charge a fee for conducting re-inspections and
issuing export certificates for food and animal feed: Provided, That
such fees, in an amount not to exceed $25,536,000, shall be credited
to this account, to remain available until expended for the purpose
of such re-inspections and issuance of export certificates for food and
animal feed: Provided further, That the amount appropriated from
the General Fund for fiscal year 2007 shall be reduced by the amount
credited to this account under this paragraph so as to result in a
final fiscal year 2007 appropriation from the General Fund estimated
at not more than $1,545,349,000.
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HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
12.1
23.1
25.2

2005 actual

2006 est.

2007 est.

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation ............................................................. ................... ...................
40.20
Appropriation (special fund) ..................................... ................... ...................
40.20
Appropriation (special fund) ..................................... ................... ...................
43.00

89.00
90.00

Civilian personnel benefits ............................................
Rental payments to GSA ................................................
Other services ................................................................

1
1
1

99.9

Program and Financing (in millions of dollars)
Identification code 75–9911–2–1–554

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

¥26
22
4

Appropriation (total discretionary) ........................ ................... ................... ...................
Net budget authority and outlays:
Budget authority ............................................................ ................... ................... ...................
Outlays ........................................................................... ................... ................... ...................

Legislation will be proposed to allow the FDA to collect
fees to support activities related to re-inspections of FDAregulated facilities and issue export certificates for food and
animal feeds. The FDA will be able to use the fees to the
extent provided in appropriations acts.

Personnel Summary

Public enterprise funds:
FOR

CERTIFICATION

AND

OTHER SERVICES

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–4309–0–3–554

2006 est.

2007 est.

09.01

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

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) ........................................

1
7

1
6

23.90
23.95

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

8
¥6

7
¥6

24.40

Unobligated balance carried forward, end of year

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

72.40
73.10
73.20

2
6
¥6

1
6
¥6

74.40

Obligated balance, end of year ................................

86.97
86.98

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

5
1

87.00

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

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

¥7

¥6

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89.00
90.00

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

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)
2005 actual

Identification code 75–4309–0–3–554

11.1

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

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2007 est.

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2005 actual

Identification code 75–4309–0–3–554

Reimbursable:
2001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

HEALTH RESOURCES AND SERVICES
ADMINISTRATION
Federal Funds
General and special funds:
HEALTH RESOURCES

REVOLVING FUND

423

AND

SERVICES

For carrying out titles II, III, IV, VII, VIII, X, XII, øXIX,¿ and
XXVI of the Public Health Service Act (‘‘PHS Act’’), section 427(a)
of the Federal Coal Mine Health and Safety Act, title V and sections
1128E, and 711ø, 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, øthe Cardiac Arrest
Survival Act of 2000,¿ section 712 of the American Jobs Creation
Act of 2004, and for expenses necessary to support activities related
to countering potential biological, disease, nuclear, radiological and
chemical threats to civilian populations, ø$6,539,661,000 of which
$64,180,000 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 (of which $25,000,000 is for a Delta health initiative
Rural Health, Education, and Workforce Infrastructure Demonstration Program which shall solicit and fund proposals from local governments, hospitals, universities, and rural public health-related entities
and organizations for research development, educational programs,
job training, and construction of public health-related facilities)¿
$6,308,855,000: Provided, That of the funds made available under
this heading, ø$222,000¿ $220,000 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: øProvided further, That no more than $40,000
is available until expended for carrying out the provisions of 42
U.S.C. 233(o) including associated administrative expenses:¿ Provided
further, That no more than ø$45,000,000¿ $44,550,000 is available
until expended for carrying out the provisions of Public Law 104–
73 and for expenses incurred by the Department of Health and
Human Services pertaining to administrative claims made under such
law: øProvided further, That $4,000,000 is available until expended
for the National Cord Blood Stem Cell Bank Program as described
in House Report 108–401:¿ Provided further, That of the funds made
available under this heading, ø$285,963,000¿ $283,103,000 shall be
for the program under title X of the øPublic Health Service¿ PHS
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 ø$797,521,000¿ $789,546,000 shall be for State AIDS Drug
Assistance Programs authorized by section 2616 of the øPublic Health
Service¿ PHS Act: Provided further, That in addition to grants provided under this heading pursuant to subpart I of part B of title
XXVI of the PHS Act, and notwithstanding sections 2616 through
Sfmt 3616

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HHS

424

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
HEALTH RESOURCES

AND

SERVICES—Continued

2620 of the PHS Act, $70,000,000 shall be for awards to States for
HIV/AIDS care and treatment services: Provided further, That in
addition to amounts provided herein, $25,000,000 shall be available
from amounts available under section 241 of the øPublic Health Service¿ PHS Act to carry out Parts A, B, C, and D of title XXVI of
the Public Health Service Act to fund section 2691 Special Projects
of National Significanceø: Provided further, That, notwithstanding
section 502(a)(1) of the Social Security Act, not to exceed $117,108,000
is available for carrying out special projects of regional and national
significance pursuant to section 501(a)(2) of such Act: Provided further, That of the funds provided, $39,680,000 shall be provided to
the Denali Commission as a direct lump payment pursuant to Public
Law 106–113¿. (Department of Health and Human Services Appropriations Act, 2006.)

2005 actual

Obligations by program activity:
Loan guarantee subsidy ................................................
Health centers ................................................................
National Health Service Corps .......................................
National Health Service Corps recruitment ...................
Hansen’s Disease Center ...............................................
Payment to Hawaii for the treatment of Hansen’s
disease ......................................................................
00.15 Black lung clinics ..........................................................
00.16 Nursing education loan repayment and scholarships
00.17 Health professions .........................................................
00.18 Maternal and child health block grant .........................
00.19 Healthy start ..................................................................
00.20 Poison control centers ...................................................
00.21 EMS for children ............................................................
00.22 Universal newborn hearing screening ...........................
00.23 HIV/AIDS .........................................................................
00.24 Organ transplantation ...................................................
00.25 Bone marrow donor registry ..........................................
00.26 Rural health policy development ...................................
00.27 Rural health outreach grants ........................................
00.28 Rural health flexibility grants .......................................
00.29 Denali Commission ........................................................
00.30 Telehealth .......................................................................
00.31 Program management ...................................................
00.32 Family planning .............................................................
00.36 Health centers tort claim fund ......................................
00.37 Trauma EMS ...................................................................
00.39 Childrens’ GME ..............................................................
00.42 State offices of rural health ..........................................
00.43 Healthy communities access program ..........................
00.44 State planning grant program ......................................
00.45 Rural and community access to emergency devices
00.46 Radiogenic diseases ......................................................
00.47 Traumatic brain injury ...................................................
00.49 Health care facilities construction and miscellaneous
projects ......................................................................
00.50 Cord blood stem cell bank ............................................
00.51 Bioterrorism activities ....................................................
00.52 Free clinics medical malpractice ..................................
00.53 Other programs under threshhold .................................
00.54 Sickle cell .......................................................................
00.55 Drug pricing program ....................................................
00.56 Family to family health information centers .................
00.02
00.10
00.11
00.12
00.13
00.14

1
1,690
45
86
17

2006 est.

2007 est.

1 ...................
1,738
1,918
40
40
85
85
16
16

2
2
2
6
6
6
32
31
31
419
264
128
724
693
693
103
102
102
23
23
13
20
20 ...................
10
10 ...................
2,048
2,038
2,133
24
23
23
25
25
23
9
9
9
39
39
10
39
64 ...................
40
39 ...................
4
7
7
147
145
141
286
283
283
23
45
45
3 ................... ...................
301
297
99
8
8
8
83 ................... ...................
10 ................... ...................
9
1 ...................
2
2
2
9
9 ...................
483
...................
...................
...................
1
...................
...................
...................

................... ...................
14
9
495
487
...................
1
................... ...................
2
2
...................
3
...................
3

cprice-sewell on PROD1PC66 with BUDGET PAG

03.00
09.01
09.02

Total direct programs ................................................
Reimbursable program ..................................................
Reimbursable program: PHS evaluation ........................

6,771
112
25

6,576
100
25

6,322
100
25

10.00

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

6,908

6,701

6,447

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

71
6,934

43.00
60.00

68.00
68.00
68.10
68.35

Appropriation (total discretionary) ........................
6,776
6,538
6,303
Mandatory:
Appropriation ............................................................. ................... ...................
3
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
89
125
125
Offsetting collections (HPSL/NSL Recall) ............. ................... ...................
100
Change in uncollected customer payments from
Federal sources (unexpired) .............................
29 ................... ...................
Offsetting collections permanently reduced (¥) ................... ...................
¥100

69.00

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

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
6,860
6,630
6,309
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥67 ...................
40.35
Appropriation permanently reduced ..........................
¥64 ................... ...................
40.36
Unobligated balance permanently reduced ..............
¥20
¥25
¥6

98
6,688

85
6,431

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

23.90
23.95

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

7,006
¥6,908

6,786
¥6,701

6,516
¥6,447

24.40

Unobligated balance carried forward, end of year

68.90

Spending authority from offsetting collections
(total discretionary) .....................................
Mandatory:
Offsetting collections (cash)(HPSL&NSL) .............

70.00

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

74.40

86.90
86.93
86.97
86.98

Obligated balance, end of year ................................

118
40
6,934

125

25 ...................
6,688

6,431

5,538
5,618
5,742
6,908
6,701
6,447
¥6,795
¥6,577
¥6,592
¥74 ................... ...................
¥1 ................... ...................
¥29 ................... ...................
71 ................... ...................
5,618

5,742

5,597

Outlays (gross), detail:
Outlays from new discretionary authority .....................
2,910
2,479
2,393
Outlays from discretionary balances .............................
3,885
4,082
4,196
Outlays from new mandatory authority ......................... ................... ...................
3
Outlays from mandatory balances ................................ ...................
16 ...................

87.00

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

6,795

6,577

6,592

¥157
¥42

¥105
¥45

¥105
¥120

88.90

¥199

¥150

¥225

88.95
88.96

89.00
90.00

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

¥29 ................... ...................
70 ................... ...................

6,776
6,596

6,538
6,427

6,206
6,367

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
millions of dollars)
2005 actual

Identification code 75–0350–0–1–550

Guaranteed loan levels supportable by subsidy budget
authority:
215001 Health centers: Facilities renovation loan guarantee
levels .........................................................................
215002 Health centers: Managed care network development
loan guarantee levels ................................................
215003 Health centers: Managed care plan loan guarantee
levels .........................................................................
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 .........................................................................

2006 est.

2007 est.

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

2 ................... ...................
5 ................... ...................
17

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

3.57

3.50 ...................

9.28

8.00 ...................

7.33

8.17 ...................

0.00

0.00 ...................

69
232901 Weighted average subsidy rate .....................................

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HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
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 ......................................
1
1
Guaranteed loan subsidy outlays:
234001 Health centers: Facilities renovation loan guarantee
levels .........................................................................
1
1
234002 Health centers: Managed care network development
loan guarantee levels ................................................ ................... ...................
234003 Health centers: Managed care plan loan guarantee
levels ......................................................................... ................... ...................

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

425

Personnel Summary
2005 actual

Identification code 75–0350–0–1–550

2006 est.

2007 est.

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

1,292
272

1,281
264

1,250
259

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

94
191

112
216

113
221

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

22
4
4
14 ................... ...................

...................
f

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

234901 Total subsidy outlays .....................................................
1
1 ...................
Guaranteed loan upward reestimate subsidy budget authority:
235001 Upward reestimate subsidy budget authority—Facilities Loans .................................................................. ................... ................... ...................
235002 Upward reestimate subsidy budget authority—HMP
Plan Loans .................................................................
1 ................... ...................

VACCINE INJURY COMPENSATION
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0320–0–1–551

2006 est.

2007 est.

09.01

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

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

09.99

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

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

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

10.00

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

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

Activities displayed here support categorical health resources and services grants, treatment and care for those
living with HIV/AIDS, and the medical malpractice claims
funds, which pay malpractice claims filed against employees
of federally-supported health centers.
The Budget proposes legislative reform of the Children’s
Hospitals Graduate Medical Education payment program. The
reform will focus payments on those hospitals with the greatest financial need that treat the largest number of uninsured
patients and train the greatest number of physicians.

21.40
22.00
23.33

235901 Total upward reestimate budget authority ....................
Administrative expense data:
351001 Administrative expenses ................................................
359001 Outlays for administrative expenses .............................

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

1
1

23.90
23.95

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
2
2
New budget authority (gross) ........................................ ...................
1 ...................
Adjustment for changes in allocation ...........................
1 ................... ...................
Total budgetary resources available for obligation
1
Total new obligations .................................................... ...................

24.40

Unobligated balance carried forward, end of year

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

3
2
¥1 ...................
2

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

Object Classification (in millions of dollars)
2005 actual

Identification code 75–0350–0–1–550

11.1
11.3
11.5
11.7
11.9
12.1
12.2
13.0
21.0
23.1
23.2
23.3

2007 est.

123
3
4
1

99
3
2
26

94
3
2
24

131
27
10
4
3
4
10

130
25
14
1
3
3
10

123
23
13
1
3
3
10

2
2
53
90

4
1
64
98

4
1
64
93

25.4
25.6
25.7
26.0
31.0
33.0
41.0
42.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military personnel benefits ........................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
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 ..................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Investments and loans ..............................................
Grants, subsidies, and contributions ........................
Insurance claims and indemnities ...........................

238
1
3
2
2
2
5
6,159
23

208
2
3
3
2
1
5
5,954
45

197
2
3
3
2
1
5
5,725
46

99.0
99.0

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

6,771
137

6,576
125

6,322
125

99.9

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

6,908

6,701

6,447

Frm 00005

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24.0
25.1
25.2
25.3

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2006 est.

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72.40
73.10
73.20

Change in obligated balances:
Obligated balance, start of year ...................................
2 ................... ...................
Total new obligations .................................................... ...................
1 ...................
Total outlays (gross) ...................................................... ...................
¥1 ...................

74.40

Obligated balance, end of year ................................ ................... ................... ...................
Outlays (gross), detail:
Outlays from new mandatory authority ......................... ...................

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

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

¥1 ...................

86.97

89.00
90.00

The Vaccine Injury Compensation program was established
pursuant to Public Law 99–660 and Public Law 100–203,
and serves as a source of funds to pay claims for compensation for vaccine related injury or death. Payment of claims
associated with vaccine related injury or death occurring before October 1, 1988 are financed from the General Fund
and are reflected in this account. Given sufficient carry-over
funds from prior years’ appropriations to pay for the balance
of the pre-1988 claims yet to be adjudicated, no appropriation
is requested in 2007 to cover payment of pre-1988 claims.
By statute, no new claims are accepted for this account. Payment of claims associated with vaccine related injury or death
occurring after October 1, 1988 are reflected in the Vaccine
Injury Compensation Program trust fund account.
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HHS

426

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007
2999

HEALTH CENTER GUARANTEED LOAN FINANCING ACCOUNT

Total liabilities ..........................................................

4999

Credit accounts:

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

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–4442–0–3–551

f
2006 est.

2007 est.

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT

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

2
2

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

23.90

Total budgetary resources available for obligation

24.40

Unobligated balance carried forward, end of year

New financing authority (gross), detail:
Mandatory:
69.00
Spending authority from offsetting collections
(gross): Offsetting collections (cash) ...................

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$2,916,000.¿ $2,887,000. (Department of Health and Human
Services Appropriations Act, 2006.)
Program and Financing (in millions of dollars)

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

2005 actual

Identification code 75–0340–0–1–552

2006 est.

2007 est.

00.07
00.08
00.09

Obligations by program activity:
Reestimates of Subsidy .................................................
Interest on reestimates of loan guarantee subsidy
Administrative expenses ................................................

10.00

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

22.00
23.95

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

11
¥11

3
¥3

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

43.00

60.00

Appropriation (total discretionary) ........................
Mandatory:
Appropriation .............................................................

70.00

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

72.40
73.10
73.20

2
11
¥11

2
3
¥3

15 ...................
11 ...................

74.40

Obligated balance, end of year ................................

Cumulative balance of guaranteed loans outstanding:
Outstanding, start of year .............................................
23
40
55
Disbursements of new guaranteed loans ......................
17
15 ...................
Repayments and prepayments ...................................... ................... ...................
¥1

86.90
86.97

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

87.00

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

89.00
90.00

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

11
11

3
3

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

88.90

¥2

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

¥1 ...................

Net financing authority and financing disbursements:
89.00 Financing authority ........................................................ ................... ................... ...................
90.00 Financing disbursements ...............................................
¥1
¥1 ...................

7 ................... ...................
1 ................... ...................
3
3
3

Status of Guaranteed Loans (in millions of dollars)
2005 actual

Identification code 75–4442–0–3–551

2006 est.

2007 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 .......................
117
100
85
2142 Uncommitted loan guarantee limitation ....................... ................... ...................
¥85
2143 Uncommitted limitation carried forward .......................
¥100
¥85 ...................
2150
2199

2210
2231
2251
2290

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

17
14

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

cprice-sewell on PROD1PC66 with BUDGET PAG

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

Balance Sheet (in millions of dollars)
2004 actual

2005 actual

ASSETS:
1101 Federal assets: Fund balances with Treasury ..............

1999

Total assets ...............................................................
LIABILITIES:
2204 Non-Federal liabilities: Liabilities for loan guarantees
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3
3
3
8 ................... ...................

P.L. 104–299 and P.L. 104–208 authorize HRSA to guarantee up to $160 million in private loans to health centers
for the costs of developing and operating managed care networks or plans and for the construction, renovation and modernization of medical facilities. 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. The Budget proposes to rescind the unobligated balances of the Health Center Guaranteed Loan subsidy.

Identification code 75–4442–0–3–551

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

Fmt 3616

Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
millions of dollars)
2005 actual

Identification code 75–0340–0–1–552

Guaranteed loan upward reestimate subsidy budget authority:
235001 HEAL Loan guarantee ....................................................

2006 est.

2007 est.

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

235901 Total upward reestimate budget authority ....................
Guaranteed loan downward reestimate subsidy budget
authority:
237001 HEAL Loan guarantee ....................................................

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

¥55

¥31 ...................

237901 Total downward reestimate subsidy budget authority

¥55

¥31 ...................

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

3
3

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
Sfmt 3616

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HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

(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.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0340–0–1–552

11.1
25.3
41.0
99.9

Personnel compensation: Full-time permanent .............
Other purchases of goods and services from Government accounts ...........................................................
Grants, subsidies, and contributions ............................

2006 est.

2007 est.

2
2
2
8 ................... ...................

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

Personnel Summary
2005 actual

Identification code 75–0340–0–1–552

1001
1101

Direct:
Civilian full-time equivalent employment .....................
Military full-time equivalent employment .....................

2006 est.

15
1

2007 est.

16
1

427

Status of Guaranteed Loans (in millions of dollars)
2005 actual

Identification code 75–4304–0–3–552

2006 est.

2007 est.

Position with respect to appropriations act limitation
on commitments:
2111 Limitation on guaranteed loans made by private lenders .............................................................................. ................... ................... ...................
2142 Uncommitted loan guarantee limitation ....................... ................... ................... ...................
2150
2199

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

Cumulative balance of guaranteed loans outstanding:
Outstanding, start of year .............................................
1,860
1,440
1,215
Disbursements of new guaranteed loans ...................... ................... ................... ...................
Repayments and prepayments ......................................
¥230
¥200
¥200
Adjustments:
2261
Terminations for default that result in loans receivable .......................................................................
¥16
¥22
¥22
2263
Terminations for default that result in claim payments ....................................................................
¥3
¥3
¥3
2264
Other adjustments, net .............................................
¥171 ................... ...................
2210
2231
2251

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

1,440

1,215

990

2299

2290

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

1,440

1,215

990

HEALTH EDUCATION ASSISTANCE LOANS FINANCING ACCOUNT
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–4304–0–3–552

00.01
00.02

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

2006 est.

2007 est.

3
16

3
22

Subtotal .....................................................................
Payment of downward reestimate to receipt account
Payment of interest on downward reestimate to receipt account .............................................................

19
40

25
25
18 ...................

13 ...................

08.91

Subtotal (reestimates) ...............................................

31 ...................

10.00

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

21.40
22.00

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

219
26

171
11

126
11

23.90
23.95

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

245
¥74

182
¥56

137
¥25

24.40

Unobligated balance carried forward, end of year

171

126

112

New financing authority (gross), detail:
Mandatory:
69.00
Spending authority from offsetting collections
(gross): Offsetting collections (cash) ...................

73.10
73.20
87.00

cprice-sewell on PROD1PC66 with BUDGET PAG

458
635
653
16
22
22
¥6
¥4
¥6
167 ................... ...................

2390

635

00.91
08.02
08.04

Change
Total
Total
Total

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

3
22

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

74
¥74
74

56
¥56
56

25
¥25
25

2004 actual

ASSETS:
1101 Federal assets: Fund balances with Treasury ..............
1206 Non-Federal assets: Receivables, net ............................
Net value of assets related to post–
1991 acquired defaulted guaranteed loans receivable:
1501
Defaulted guaranteed loans receivable, gross .......
1505
Allowance for subsidy cost (–) ...............................
Net present value of assets related to defaulted guaranteed loans ............................

Total assets ...............................................................
LIABILITIES:
Non-Federal liabilities:
2204
Liabilities for loan guarantees ................................
2207
Other, downward reestimate ....................................

2005 actual

340
67

171
.......................

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

635
–548

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

407

258

407
........................

227
31

1999

88.90

¥25

2999

Total liabilities ..........................................................

407

258

4999

¥8 ................... ...................
¥11
¥7
¥6
¥6
¥4
¥5

88.96

669

Balance Sheet (in millions of dollars)

1599
26

653

This account records all cash flows to and from the Government resulting from HEAL loan guarantees committed between 1992 and 2004. No new loan guarantees will be issued
after 2004.

Identification code 75–4304–0–3–552

Offsets:
Against gross financing authority and financing disbursements:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.25
Interest on uninvested funds ...............................
88.40
Recoveries of defaulted loans ..............................
Total, offsetting collections (cash) ..................
Against gross financing authority only:
Portion of offsetting collections (cash) credited to
expired accounts ...................................................

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

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

407

258

¥11

HEALTH EDUCATION ASSISTANCE LOANS LIQUIDATING ACCOUNT
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–4305–0–3–552

2006 est.

2007 est.

Net financing authority and financing disbursements:
Financing authority ........................................................ ................... ................... ...................
Financing disbursements ...............................................
48
45
14

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00.02

Obligations by program activity:
Defaulted loans ..............................................................

10.00

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

22.00

89.00
90.00

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

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

Sfmt 3643

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HHS

428

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

Credit accounts—Continued

Balance Sheet (in millions of dollars)

HEALTH EDUCATION ASSISTANCE LOANS LIQUIDATING ACCOUNT—
Continued
Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–4305–0–3–552

23.95

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

2006 est.

¥4

2007 est.

¥4

2004 actual

Identification code 75–4305–0–3–552

¥1

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

2005 actual

376

111

69.90

70.00

17
¥17

10
¥10

Spending authority from offsetting collections
(total mandatory) ......................................... ................... ................... ...................
Total new budget authority (gross) ..........................

Obligated balance, end of year ................................

5
4
¥4

5
4
¥4
5

376

107

Value of assets related to loan guarantees ..

376

107

1999

Total assets ...............................................................
LIABILITIES:
Federal liabilities: Resources payable to Treasury .......
Non-Federal liabilities: Liabilities for loan guarantees

380

111

2104
2204

........................
380

109
2

2999

Total liabilities ..........................................................

380

111

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

380

111

1704

5
1
¥1

–4

1799

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

Defaulted guaranteed loans and interest receivable, net .................................................

4999

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
Spending authority from offsetting collections:
Mandatory:
69.00
Offsetting collections (cash) ................................
69.27
Capital transfer to general fund ..........................

MEDICAL FACILITIES GUARANTEE

AND

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–9931–0–3–551

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
Offsets:
Against gross budget authority and outlays:
88.40
Offsetting collections (cash) from: Non-Federal
sources ..................................................................
Net budget authority and outlays:
89.00 Budget authority ............................................................
90.00 Outlays ...........................................................................

1
21.40
22.40

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
Capital transfer to general fund ...................................

¥17

¥10

¥13
¥12

2005 actual

Cumulative balance of guaranteed loans
Outstanding, start of year .............................................
Repayments and prepayments ......................................
Adjustments:
2261
Terminations for default that result in loans receivable .......................................................................
2264
Other adjustments, net .............................................
2290

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

Memorandum:
2299 Guaranteed amount of guaranteed loans outstanding,
end of year ................................................................

cprice-sewell on PROD1PC66 with BUDGET PAG

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

¥6
¥6

¥10

¥9
¥9

2006 est.

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

72.40

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

74.40

Obligated balance, end of year ................................

2007 est.

Status of Direct Loans (in millions of dollars)
556
¥67

268
¥58

206
¥58

¥4
¥4
¥1
¥217 ................... ...................
268

268

206

147

442
111
105
4
4
1
¥17
¥10
¥10
¥318 ................... ...................
111

105

Jkt 206762

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Frm 00008

2005 actual

Identification code 75–9931–0–3–551

2006 est.

2007 est.

1210

Cumulative balance of direct loans outstanding:
Outstanding, start of year .............................................

1290

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

147

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.
Balance Sheet (in millions of dollars)

This account records all cash flows to and from the Government resulting from HEAL loan guarantees committed prior
to 1992. The debt collection contract financed from this account in 2004 will be financed from the HEAL program account in 2005 and subsequent fiscal years.
11:57 Jan 26, 2006

68 ................... ...................
¥68 ................... ...................

24.40

89.00
90.00

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.

VerDate Aug 31 2005

2007 est.

Total budgetary resources available for obligation ................... ................... ...................

outstanding:1

2210
2251

2006 est.

23.90

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

LOAN FUND

Fmt 3616

2004 actual

Identification code 75–9931–0–3–551

2005 actual

ASSETS:
1206 Non-Federal assets: Receivables, net ............................

1999

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

2999

Sfmt 3633

Total liabilities ..........................................................
E:\BUDGET\HHS.XXX

HHS

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Trust Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
4999

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

Outlays from mandatory balances ................................

87.00

86.98

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

429
4 ...................
79

Trust Funds
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation Program
Trust Fund, such sums as may be necessary for claims associated
with vaccine-related injury or death with respect to vaccines administered after September 30, 1988, pursuant to subtitle 2 of title XXI
of the Public Health Service Act, to remain available until expended:
Provided, That for necessary administrative expenses, not to exceed
ø$3,600,000¿ $3,564,000 shall be available from the Trust Fund to
the Secretary of Health and Human Services. (Department of Health
and Human Services Appropriations Act, 2006.)
Special and Trust Fund Receipts (in millions of dollars)
2005 actual

Identification code 20–8175–0–7–551

01.00

2006 est.

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

89.00
90.00

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

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

2,363

Balance, start of year ....................................................
Receipts:
02.00 Interest and profits on investments, Vaccine injury
compensation trust fund ...........................................
02.60 Deposits, Vaccine injury compensation trust fund .......

2,024

2,162

2,363

90
123

94
182

98
186

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

213

276

284

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

2,237

2,438

2,647

¥13
¥62

¥14
¥61

¥14
¥63

05.99

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

¥75

¥77

25.2
25.3

07.99

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

2,162

2,363

2,570

2005 actual

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

2,015

2,165

2,362

2,165

2,362

2,561

Object Classification (in millions of dollars)
2005 actual

Identification code 20–8175–0–7–551

2006 est.

2007 est.

2006 est.

10
61

10
63

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

74
75
77
1 ................... ...................

99.9

2007 est.

42.0

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

99.0
99.0

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

77
77

The Vaccine injury compensation program was established
pursuant to Public Law 99–660 and Public Law 100–203,
and serves as a source of funds to pay claims for compensation for vaccine related injury or death. This account reflects
payments for claims for vaccine related injury or death occurring after October 1, 1988.

2,162

04.00

75
79

2007 est.

2,024

02.99

75
74

92.01

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

01.99

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

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

4
3
6

4
4
6

01.91

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

10.00

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

RICKY RAY HEMOPHILIA RELIEF FUND
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) ........................................
76

1
75

1
77

2005 actual

Identification code 75–8074–0–7–551

21.40
23.98

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year
3
Unobligated balance expiring or withdrawn ................. ...................

2006 est.

2007 est.

3
1
¥2 ...................

24.40
Total budgetary resources available for obligation
Total new obligations ....................................................

76
¥75

Unobligated balance carried forward, end of year

14
61

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
Mandatory:
60.26
Appropriation (trust fund) .........................................
Mandatory:
69.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
cprice-sewell on PROD1PC66 with BUDGET PAG

72.40
73.20

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

3
¥1

Obligated balance, end of year ................................

86.98

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

89.00
90.00

78
¥77

24.40

Unobligated balance carried forward, end of year

74.40

23.90
23.95

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

70.00

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

72.40
73.10
73.20

3
75
¥75

3
75
¥79

¥1
77
¥77

74.40

Obligated balance, end of year ................................

¥1

86.90
86.97

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

13
59

14
61

14
63

Frm 00009

Fmt 3616

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

2
¥1
¥3 ...................
¥1

¥1

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

The Ricky Ray Hemophilia Relief Fund was established
pursuant to Public Law 105–369 and served 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. By law the fund terminated November 12, 2003,
five years after the date of enactment. All unobligated balances will be returned to the Treasury.
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

430

HEALTH RESOURCES AND SERVICES ADMINISTRATION—Continued
Trust Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007
more than 15 percent may be used by any entity receiving funding
for administrative overhead including indirect costs¿. (Department
of the Interior, Environment, and Related Agencies Appropriations
Act, 2006.)

RICKY RAY HEMOPHILIA RELIEF FUND—Continued
Personnel Summary
2005 actual

Identification code 75–8074–0–7–551

Direct:
1001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

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

Program and Financing (in millions of dollars)

INDIAN HEALTH SERVICE
Federal Funds
General and special funds:

cprice-sewell on PROD1PC66 with BUDGET PAG

INDIAN HEALTH SERVICES
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$2,732,298,000¿ $2,822,500,000, 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 up to $18,000,000 shall remain available until
expended, for the Indian Catastrophic Health Emergency Fund: Provided further, That ø$507,021,000¿ $536,259,000 for contract medical
care shall remain available for obligation until September 30, ø2007¿
2008: Provided further, That of the funds provided, up to $27,000,000,
to remain available until expended, shall be used to carry out the
loan repayment program under section 108 of the Indian Health
Care Improvement Act: Provided further, That funds provided in this
Act may be used for one-year contracts and grants which are to
be performed in two fiscal years, so long as the total obligation
is recorded in the year for which the funds are 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 until expended: Provided further, That amounts received by tribes and tribal
organizations under title IV of the Indian Health Care Improvement
Act shall be reported and accounted for and available to the receiving
tribes and tribal organizations until expended: Provided further, That,
notwithstanding any other provision of law, of the amounts provided
herein, not to exceed ø$268,683,000¿ $270,316,000 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 ø2006¿
2007, of which not to exceed $5,000,000 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 the Bureau of Indian Affairs may collect from the Indian Health Service and tribes and tribal organizations operating health facilities pursuant to Public Law 93–638 such
individually identifiable health information relating to disabled children as may be necessary for the purpose of carrying out its functions
under the Individuals with Disabilities Education Act, 20 U.S.C.
1400, et seq.ø: Provided further, That of the amounts provided to
the Indian Health Service, $15,000,000 is provided for alcohol control,
enforcement, prevention, treatment, sobriety and wellness, and education in Alaska, to be distributed in accordance with the instruction
provided in Senate Report 109–80: Provided further, That none of
the funds may be used for tribal courts or tribal ordinance programs
or any program that is not directly related to alcohol control, enforcement, prevention, treatment, or sobriety: Provided further, That no
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

Frm 00010

Fmt 3616

2005 actual

Identification code 75–0390–0–1–551

2006 est.

2007 est.

00.01
00.02
00.03
00.04
00.05
00.06
00.07
00.08
00.09
09.01

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

2,084
110
32
27
2
62
6
264
168
871

2,176
2,323
117
125
33 ...................
31
32
2
2
62
64
6
6
265
270
150
150
879
879

10.00

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

3,626

3,721

3,851

21.40
22.00
22.10

235
3,636

244
3,721

244
3,852

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

2 ................... ...................
3,873
3,965
4,096
¥3,626
¥3,721
¥3,851
¥3 ................... ...................
244

244

245

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
2,633
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
40.35
Appropriation permanently reduced ..........................
¥37

2,732
2,823
¥27 ...................
¥13 ...................

43.00

2,596

2,692

2,823

150

871

879

60.00

68.00
68.10

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

68.90

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

890

879

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

70.00

3,636

3,721

3,852

74.40

86.90
86.93
86.97
86.98

19 ................... ...................

Obligated balance, end of year ................................

572
561
560
3,626
3,721
3,851
¥3,616
¥3,722
¥3,895
¥2 ................... ...................
¥2 ................... ...................
¥19 ................... ...................
2 ................... ...................
561

560

516

Outlays (gross), detail:
Outlays from new discretionary authority .....................
3,268
Outlays from discretionary balances .............................
199
Outlays from new mandatory authority .........................
149
Outlays from mandatory balances ................................ ...................

3,248
324
132
18

3,363
382
132
18

87.00

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

3,616

3,722

3,895

¥434
¥439

¥438
¥441

88.90

¥873

¥879

88.95

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

¥19 ................... ...................

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
88.96

89.00
90.00

Portion of offsetting collections (cash) credited to
expired accounts ...................................................

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

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

2,746
2,743

2,842
2,843

2,973
3,016

The Indian health services account provides medical care,
public health services, and health professions training opportunities to American Indians and Alaska Natives. An estimated $1,697 million will be administered by tribal governments under self-determination contracts and self-governance
compacts in 2007.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0390–0–1–551

11.1
11.3
11.5
11.7
11.9
12.1
12.2
13.0
21.0
21.0
22.0
23.1
23.2
23.3

2006 est.

2007 est.

324
17
30
70

347
18
32
75

370
19
33
80

441
99
31
6
15
16
9
10
2

472
107
34
6
14
18
8
10
2

502
114
36
6
15
18
9
10
2

16
1
7
80

15
1
7
78

16
1
7
81

25.4
25.6
25.7
25.8
26.0
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military personnel benefits ........................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Patient travel .............................................................
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 ..................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Subsistence and support of persons ........................
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

43
3
220
7
2
94
14
1,639

42
55
3
3
217
250
5
5
2 ...................
93
98
13
14
1,695
1,730

99.0
99.0

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

2,755
871

2,842
879

2,972
879

99.9

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

3,626

3,721

3,851

24.0
25.1
25.2
25.3

2005 actual

2006 est.

2007 est.

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

6,852
1,498

7,119
1,499

7,350
1,499

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

5,147
435

cprice-sewell on PROD1PC66 with BUDGET PAG

INDIAN HEALTH FACILITIES
For construction, repair, maintenance, improvement, and equipment of health and related auxiliary facilities, including quarters
for personnel; preparation of plans, specifications, and drawings; acquisition of sites, purchase and erection of modular buildings, and
purchases of trailers; and for provision of domestic and community
sanitation facilities for Indians, as authorized by section 7 of the
Act of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act, and the Indian Health Care Improvement Act, and for
expenses necessary to carry out such Acts and titles II and III of
the Public Health Service Act with respect to environmental health
and facilities support activities of the Indian Health Service,
ø$358,485,000¿ $347,287,000, 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
11:57 Jan 26, 2006

Jkt 206762

Special and Trust Fund Receipts (in millions of dollars)
2005 actual

Identification code 75–0391–0–1–551

01.00

2006 est.

2007 est.

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

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Rent and charges for quarters, Indian Health Service
5
6
6
Appropriations:
05.00 Indian health facilities ..................................................
¥5
¥6
¥6
07.99

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

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0391–0–1–551

2006 est.

2007 est.

PO 00000

00.01
00.02
00.03
00.04

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

194
42
139
16

130
51
151
20

112
53
161
21

01.00
09.01

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

391
10

352
10

347
7

10.00

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

401

362

354

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

278
409

285
365

288
360

23.90
23.95

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

687
¥401

650
¥362

648
¥354

24.40

Unobligated balance carried forward, end of year

285

288

294

Frm 00011

Fmt 3616

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
394
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
40.35
Appropriation permanently reduced ..........................
¥5

358
347
¥4 ...................
¥2 ...................

43.00

VerDate Aug 31 2005

be used to purchase land for sites to construct, improve, or enlarge
health or related facilities: 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 none of the funds appropriated to the Indian Health Service may be used for sanitation facilities construction for new homes
funded with grants by the housing programs of the United States
Department of Housing and Urban Development: Provided further,
That not to exceed $1,000,000 from this account and the ‘‘Indian
Health Services’’ account 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:
øProvided further, That notwithstanding any other provision of law,
the Indian Health Service is authorized to construct a replacement
health care facility in Nome, Alaska, on land owned by the Norton
Sound Health Corporation:¿ 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 buildings. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2006.)

21.40
22.00

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

431

Appropriation (total discretionary) ........................
Mandatory:
Appropriation (special fund) .....................................
Discretionary:
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

389

352

347

70.00

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

409

365

360

72.40
73.10
73.20

234
401
¥389

246
362
¥292

316
354
¥400

74.40

Obligated balance, end of year ................................

246

316

270

86.90

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

384

113

111

60.20
68.00

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HHS

432

INDIAN HEALTH SERVICE—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
INDIAN HEALTH FACILITIES—Continued
Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–0391–0–1–551

86.93
86.97
87.00

2006 est.

Outlays from discretionary balances ............................. ...................
Outlays from new mandatory authority .........................
5

2007 est.

173
6

283
6

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

389

292

400

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

¥15

¥7

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

394
374

358
285

353
393

89.00
90.00

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)
2005 actual

Identification code 75–0391–0–1–551

11.1
11.3
11.5
11.7
11.9
12.1
12.2
13.0
21.0
22.0
23.1
23.3

36
6
1
18

2006 est.

39
6
1
20

2007 est.

42
6
2
21

13
...................
80

13
2
73

14
2
74

25.4
25.7
26.0
31.0
32.0
41.0
43.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military personnel benefits ........................................
Benefits for former personnel ...................................
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 ........................
Interest and dividends ..............................................

2
13
2
7
9
90
90
...................

2
11
3
7
10
35
103
1

2
9
3
7
9
20
108
1

99.0
99.0

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

391
10

352
10

347
7

99.9

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

401

362

354

25.1
25.2
25.3

61
66
71
11
12
12
7
7
8
...................
1 ...................
3
3
3
3
3
3
................... ...................
1

Personnel Summary
2005 actual

Identification code 75–0391–0–1–551

Direct:
1001 Civilian full-time equivalent employment .....................
1101 Military full-time equivalent employment .....................
Reimbursable:
2001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

1,013
232

1,045
232

1,087
232

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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
VerDate Aug 31 2005

11:57 Jan 26, 2006

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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.
øNone of the funds made available to the Indian Health Service
in this Act shall be used for any assessments or charges by the
Department of Health and Human Services unless identified in the
budget justification and provided in this Act, or approved by the
House and Senate Committees on Appropriations through the reprogramming process. Personnel ceilings may not be imposed on the
Indian Health Service nor may any action be taken to reduce the
full time equivalent level of the Indian Health Service below the
level in fiscal year 2002 adjusted upward for the staffing of new
and expanded facilities, funding provided for staffing at the Lawton,
Oklahoma hospital in fiscal years 2003 and 2004, critical positions
not filled in fiscal year 2002, and staffing necessary to carry out
the intent of Congress with regard to program increases.¿
Notwithstanding any other provision of law, funds previously or
herein made available to a tribe or tribal organization through a
contract, grant, or agreement authorized by title I or title V of the
Indian Self-Determination and Education Assistance Act of 1975 (25
U.S.C. 450), may be deobligated and reobligated to a self-determination contract under title I, or a self-governance agreement under
title V of such Act and thereafter shall remain available to the tribe
or tribal organization without fiscal year limitation.
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.
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 notification to the House and Senate
Committees on Appropriations. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2006.)

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HHS

CENTERS FOR DISEASE CONTROL AND PREVENTION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

CENTERS FOR DISEASE CONTROL AND
PREVENTION

cprice-sewell on PROD1PC66 with BUDGET PAG

DISEASE CONTROL, RESEARCH,

2006 est.

2007 est.

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

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Cooperative research and development agreements,
Centers for Disease Control ......................................
1
1
1

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, section
501 of the Refugee Education Assistance Act of 1980, and for expenses necessary to support activities related to countering potential
biological, disease, nuclear, radiological, and chemical threats to civilian populations; including purchase and insurance of official motor
vehicles in foreign countries; and purchase, hire, maintenance, and
operation of aircraft, ø$5,884,934,000¿ $5,833,952,000, of which
ø$160,000,000¿ $29,700,000 shall remain available until expended
for equipment, construction and renovation of facilities; øof which
$30,000,000 of the amounts available for immunization activities shall
remain available until expended;¿ of which ø$530,000,000¿
$592,648,000 shall remain available until expended for the Strategic
National Stockpile; and of which ø$123,883,000¿ $121,952,000 for
international HIV/AIDS shall remain available until September 30,
ø2007¿ 2008. 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, the following amounts
shall be available from amounts available under section 241 of the
Public Health Service Act: (1) $12,794,000 to carry out the National
Immunization Surveys; (2) $109,021,000 to carry out the National
Center for Health Statistics surveys; (3) $24,751,000 to carry out
information systems standards development and architecture and applications-based research used at local public health levels; (4)
$463,000 for Health Marketing evaluations; (5) $31,000,000 to carry
out Public Health Research; and (6) $87,071,000 to carry out research
activities within the National Occupational Research Agenda: 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, in whole or in part, to advocate or promote gun control:
Provided further, That up to $31,800,000 shall be made available
until expended for Individual Learning Accounts for full-time equivalent employees of the Centers for Disease Control and Prevention:
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 $12,500,000
may be available for making grants under section 1509 of the Public
Health Service Act to not more than 15 States, tribes, or tribal
organizations: øProvided 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:¿ Provided further, That of the funds awarded
to a State, a State may reallocate up to five percent of such funds
to be used for the purposes designated in section 1904 of the Public
Health Service Act, provided that such reallocations do not exceed
a five percent reduction to any grant: Provided further, that no State
may reallocate grants awarded under section 319C–1 of the Public
Health Service Act: Provided further, That a State must notify the
Director of the Centers for Disease Control and Prevention within
10 days of implementing such a reallocation: Provided further, That
of the funds appropriated, $10,000 is for official reception and representation expenses when specifically approved by the Director of
the Centers for Disease Control and Preventionø: Provided further,
That employees of the Centers for Disease Control and Prevention
or the Public Health Service, both civilian and Commissioned Officers,
detailed to States, municipalities, or other organizations under authority of section 214 of the Public Health Service Act, shall be
treated as non-Federal employees for reporting purposes only and
shall not be included within any personnel ceiling applicable to the
Agency, Service, or the Department of Health and Human Services
during the period of detail or assignment¿. (Department of Health
and Human Services Appropriations Act, 2006.)
11:57 Jan 26, 2006

2005 actual

Identification code 75–0943–0–1–550

01.99

General and special funds:

VerDate Aug 31 2005

Special and Trust Fund Receipts (in millions of dollars)

01.00

Federal Funds

433

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04.00

Total: Balances and collections ....................................
Appropriations:
05.00 Disease control, research, and training ........................
07.99

¥1

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

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0943–0–1–550

Obligations by program activity:
Infectious diseases ........................................................
1,679
Health promotion ...........................................................
1,020
Health information and service .....................................
90
Environmental health and injury ...................................
283
Occupational safety and health ....................................
196
Global health .................................................................
319
Public health improvement and leadership ..................
263
Prev. health and health services block grant ...............
119
Buildings and facilities .................................................
192
Business services support .............................................
279
Terrorism ........................................................................ ...................
World Trade Center Registry .......................................... ...................
Reimbursable program:
09.01
Health statistics ........................................................
109
09.02
Other reimbursable program .....................................
405
09.03
Public health research ..............................................
31
00.01
00.02
00.03
00.04
00.05
00.06
00.08
00.09
00.10
00.11
00.12
00.14

2006 est.

2007 est.

1,680
1,773
963
929
89
103
289
279
168
163
313
381
189
190
99 ...................
158
30
299
304
1,577
1,682
75 ...................
109
411
31

109
413
31

09.09

Subtotal, reimbursable programs .........................

545

551

553

10.00

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

4,985

6,450

6,387

21.40
22.00
22.10

219
5,053

297
6,453

300
6,388

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

13 ................... ...................
5,285
6,750
6,688
¥4,985
¥6,450
¥6,387
¥3 ................... ...................
297

300

301

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
4,534
5,960
5,834
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥59 ...................
40.35
Appropriation permanently reduced ..........................
¥38 ................... ...................
42.00
Transferred from other accounts ..............................
73 ................... ...................
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

5,901

5,834

226

551

553

257 ................... ...................

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

483

551

553

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

5,053

6,453

6,388

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4,569

E:\BUDGET\HHS.XXX

HHS

3,705
3,635
4,688
4,985
6,450
6,387
¥5,055
¥5,667
¥6,315
¥22
¥22
¥22
¥13 ................... ...................
¥257 ................... ...................
292

292

434

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

THE BUDGET FOR FISCAL YEAR 2007
24.0
25.1
25.2
25.3

DISEASE CONTROL, RESEARCH,

AND

TRAINING—Continued

Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–0943–0–1–550

2006 est.

2007 est.

74.40

Obligated balance, end of year ................................

3,635

4,688

5,030

86.90
86.93
86.97

2,179
2,875
1

2,852
2,814
1

2,829
3,485
1

87.00

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

5,055

5,667

6,315

¥37
¥490

¥512
¥39

¥527

¥551

¥553

7
328
160

6
304
144

282
44
130
14
17
37
50
163
2,555

552
42
184
12
37
141
70
147
3,446

497
38
181
11
34
129
64
134
3,511

99.0
99.0

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

4,440
545

5,899
551

5,834
553

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

4,985

6,450

6,387

¥514
¥39

88.90

7
328
133

25.4
25.5
25.6
25.7
26.0
31.0
32.0
41.0

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 .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................

99.9

General and special funds—Continued

88.95
88.96

¥257 ................... ...................
301 ................... ...................

4,570
4,528

5,902
5,116

5,835
5,762

Personnel Summary
2005 actual

Identification code 75–0943–0–1–550

(in millions of dollars)
2005 actual
2006 est.
Enacted/requested:
Budget Authority .....................................................................
4,570
5,902
Outlays ....................................................................................
4,528
5,116
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

2007 est.

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

5,249
769

5,530
770

5,572
770

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

1,173
68

1,226
68

1,233
68

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

1,027

DISEASE CONTROL, RESEARCH,

Summary of Budget Authority and Outlays

2006 est.

AND

TRAINING

(Legislative proposal, not subject to PAYGO)

2007 est.

5,835
5,762

Program and Financing (in millions of dollars)

4,570
4,528

5,902
5,116

Identification code 75–0943–2–1–550

5,735
5,723

00.01

Obligations by program activity:
Infectious diseases ........................................................ ................... ...................

¥100

10.00

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

–100
–39

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

¥100

22.00
23.95

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

¥100
100

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

¥100

73.10
73.20

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

¥100
39

74.40

Obligated balance, end of year ................................ ................... ...................

¥61

86.90

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

¥39

89.00
90.00

¥100
¥39

The Centers for Disease Control and Prevention (CDC) supports a number of categorical programs designed to improve
the health, safety, and protection of all Americans. These
activities include immunization, HIV prevention, chronic disease prevention and health promotion, infectious disease 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, emergency response, and
pandemic influenza preparedness activities. The Budget request for the 317 immunization program assumes enactment
of a legislative proposal that reduces the discretionary request
by $100 million.
Object Classification (in millions of dollars)
2005 actual

cprice-sewell on PROD1PC66 with BUDGET PAG

Identification code 75–0943–0–1–550

11.1
11.3
11.5
11.7
11.8
11.9
12.1
12.2
13.0
21.0
22.0
23.1
23.2
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................
Military personnel .................................................
Special personal services payments ....................
Total personnel compensation .........................
Civilian personnel benefits .......................................
Military personnel benefits ........................................
Benefits for former personnel ...................................
Travel and transportation of persons .......................
Transportation of things ...........................................
Rental payments to GSA ...........................................
Rental payments to others ........................................
Communications, utilities, and miscellaneous
charges .................................................................

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

2006 est.

2007 est.

344
38
22
40
1

402
43
25
41
1

411
43
26
42
1

445
115
29
5
39
9
9
1

512
134
30
5
38
9
8
1

523
138
31
5
35
8
7
1

28
PO 00000

Frm 00014

Fmt 3616

2005 actual

2006 est.

2007 est.

The Budget includes legislative proposals for the Vaccines
for Children (VFC) program to expand access to immunizations for VFC-eligible children. Legislation amending the Vaccines for Children program will be proposed to allow underinsured children to receive immunizations at State and local
public health clinics and to lift price caps. These proposals
will result in approximately $100 million in savings from
the CDC discretionary 317 immunization program. The Budget request for the 317 program assumes enactment of this
proposal.
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E:\BUDGET\HHS.XXX

HHS

CENTERS FOR DISEASE CONTROL AND PREVENTION—Continued
Trust Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
AGENCY

FOR

TOXIC SUBSTANCES

AND

88.96

DISEASE REGISTRY

Portion of offsetting collections (cash) credited to
expired accounts ...................................................

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$76,024,000¿
$75,004,000, of which up to $1,500,000, to remain available until
expended, is for Individual Learning Accounts for full-time equivalent
employees of the Agency for Toxic Substances and Disease Registry:
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 ø2006¿ 2007, and
existing profiles may be updated as necessary. (Department of the
Interior, Environment, and Related Agencies Appropriations Act,
2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0944–0–1–551

2006 est.

2007 est.

89.00
90.00

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

435

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

76
53

75
75

The Agency for Toxic Substances and Disease Registry
(ATSDR) is authorized under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980
(CERCLA). ATSDR assesses health hazards at specific hazardous waste sites helping to prevent or reduce exposure and
illnesses that result, and increasing knowledge and understanding of the health effects that may result from exposure
to hazardous substances.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0944–0–1–551

11.1
11.3
11.5
11.7

2006 est.

2007 est.

24
1
1
4

25
1
1
5

30
6
2
1

32
6
2
1

1
6
3

1
5
3

25.5
31.0
41.0

13
4
1
9

12
4
1
8

11.9
12.1
12.2
21.0
23.3
25.1
25.2
25.3

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

76
11

75
21

75
24

10.00

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

22.00
23.95

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

88
¥87

96
¥96

99
¥99

99.0
99.0

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

76
11

75
21

75
24

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
77
76
75
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥1 ...................
40.35
Appropriation permanently reduced ..........................
¥1 ................... ...................

99.9

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

Personnel Summary
2005 actual

Identification code 75–0944–0–1–551

43.00
68.00
68.10
68.90
70.00

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

6 ................... ...................

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

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

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

10
87
¥62

33
96
¥96

54
99
¥99

¥6 ................... ...................
4

Obligated balance, end of year ................................

86.90
86.93

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

57
5

68
28

71
28

87.00

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

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) ..................................
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

2006 est.

2007 est.

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

298
31

299
30

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

30
6

Trust Funds
TOXIC SUBSTANCES AND ENVIRONMENTAL PUBLIC HEALTH, AGENCY
FOR TOXIC SUBSTANCES AND DISEASE REGISTRY
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–8252–0–7–551

74.40
cprice-sewell on PROD1PC66 with BUDGET PAG

72.40
73.20
73.40
74.10

Change in obligated balances:
Obligated balance, start of year ...................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................
Change in uncollected customer payments from Federal sources (expired) ................................................

2006 est.

2007 est.

19
10
7
¥17
¥3
¥3
¥1 ................... ...................
9 ................... ...................

¥21

Frm 00015

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

¥24

¥6 ................... ...................
PO 00000

Obligated balance, end of year ................................

86.93
¥10

74.40

Fmt 3616

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

¥9 ................... ...................

436

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

THE BUDGET FOR FISCAL YEAR 2007

TOXIC SUBSTANCES AND ENVIRONMENTAL PUBLIC HEALTH, AGENCY
FOR TOXIC SUBSTANCES AND DISEASE REGISTRY—Continued

NATIONAL INSTITUTE

Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–8252–0–7–551

88.96

89.00
90.00

Against gross budget authority only:
Portion of offsetting collections (cash) credited to
expired accounts ...................................................

$1,923,481,000. (Department of Health and Human Services Appropriations Act, 2006.)

2006 est.

2007 est.

The Agency for Toxic Substances and Disease Registry
(ATSDR) received appropriations solely from the Hazardous
Substance Superfund trust fund until 2004, when ATSDR
received an appropriation from the general fund, depending
on any available balances from the trust fund. The Budget
requests that ATSDR’s appropriation come only from the general fund in 2007, without regard to any available balances
in the trust fund.
f

NATIONAL INSTITUTES OF HEALTH
Federal Funds
NATIONAL CANCER INSTITUTE

NATIONAL HEART, LUNG,

AND

BLOOD INSTITUTE

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$2,951,270,000¿ $2,901,012,000. (Department of Health and Human Services Appropriations Act, 2006.)
OF

DENTAL

AND

CRANIOFACIAL RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to dental disease, ø$393,269,000¿
$386,095,000. (Department of Health and Human Services Appropriations Act, 2006.)
NATIONAL INSTITUTE

DIABETES AND DIGESTIVE
DISEASES

AND

NATIONAL INSTITUTE

NEUROLOGICAL DISORDERS

AND

STROKE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to neurological disorders and stroke,
ø$1,550,260,000¿ $1,524,750,000. (Department of Health and Human
Services Appropriations Act, 2006.)
NATIONAL INSTITUTE

ALLERGY

AND

INFECTIOUS DISEASES

cprice-sewell on PROD1PC66 with BUDGET PAG

(INCLUDING 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$4,459,395,000¿ $4,395,496,000: Provided, That $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: Provided further, That up to ø$30,000,000¿
$25,000,000 shall be for extramural facilities construction grants to
enhance the Nation’s capability to do research on biological and other
agents. (Department of Health and Human Services Appropriations
Act, 2006.)
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$1,955,170,000¿
VerDate Aug 31 2005

11:57 Jan 26, 2006

ENVIRONMENTAL HEALTH SCIENCES

For carrying out sections 301 and 311 and title IV of the Public
Health Service Act with respect to environmental health sciences,
ø$647,608,000¿ $637,323,000. (Department of Health and Human
Services Appropriations Act, 2006.)
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, and section 126(g) of the Superfund Amendments and Reauthorization Act of 1986, ø$80,289,000¿
$78,414,000. (Department of the Interior, Environment, and Related
Agencies Appropriations Act, 2006.)

Jkt 206762

PO 00000

Frm 00016

Fmt 3616

AGING

For carrying out section 301 and title IV of the Public Health
Service Act with respect to aging, ø$1,057,203,000¿ $1,039,828,000.
(Department of Health and Human Services Appropriations Act,
2006.)
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$513,063,000¿ $504,533,000. (Department of Health and
Human Services Appropriations Act, 2006.)
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$397,432,000¿ $391,556,000. (Department of Health and
Human Services Appropriations Act, 2006.)
NATIONAL INSTITUTE

KIDNEY

For carrying out section 301 and title IV of the Public Health
Service Act with respect to diabetes and digestive and kidney disease,
ø$1,722,146,000¿ $1,694,298,000. (Department of Health and Human
Services Appropriations Act, 2006.)

HUMAN DEVELOPMENT

NATIONAL EYE INSTITUTE

NATIONAL INSTITUTE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to cancer, ø$4,841,774,000¿ $4,753,609,000,
of which up to $8,000,000 may be used for facilities repairs and
improvements at the NCI-Frederick Federally Funded Research and
Development Center in Frederick, Maryland. (Department of Health
and Human Services Appropriations Act, 2006.)

AND

For carrying out section 301 and title IV of the Public Health
Service Act with respect to eye diseases and visual disorders,
ø$673,491,000¿ $661,358,000. (Department of Health and Human
Services Appropriations Act, 2006.)

General and special funds:

NATIONAL INSTITUTE

CHILD HEALTH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to child health and human development,
ø$1,277,544,000¿ $1,257,418,000. (Department of Health and Human
Services Appropriations Act, 2006.)

9 ................... ...................

NURSING RESEARCH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to nursing research, ø$138,729,000¿
$136,550,000. (Department of Health and Human Services Appropriations Act, 2006.)
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$440,333,000¿ $433,318,000. (Department of Health and Human
Services Appropriations Act, 2006.)
NATIONAL INSTITUTE

DRUG ABUSE

For carrying out section 301 and title IV of the Public Health
Service Act with respect to drug abuse, ø$1,010,130,000¿
$994,829,000. (Department of Health and Human Services Appropriations Act, 2006.)
NATIONAL INSTITUTE

MENTAL HEALTH

For carrying out section 301 and title IV of the Public Health
Service Act with respect to mental health, ø$1,417,692,000¿
$1,394,806,000. (Department of Health and Human Services Appropriations Act, 2006.)
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$490,959,000¿
$482,942,000. (Department of Health and Human Services Appropriations Act, 2006.)
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
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$299,808,000¿ $294,850,000. (Department of Health and
Human Services Appropriations Act, 2006.)
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$1,110,203,000¿ $1,098,242,000: Provided, That none
of these funds shall be used to pay recipients of the general research
support grants program any amount for indirect expenses in connection with such grants. (Department of Health and Human Services
Appropriations Act, 2006.)
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$122,692,000¿ $120,554,000. (Department of Health and Human
Services Appropriations Act, 2006.)
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$197,379,000¿ $194,299,000. (Department of Health and
Human Services Appropriations Act, 2006.)

amounts transferred and utilized under the preceding two provisos
shall be in addition to amounts made available for the øRoadmap
for Medical Research¿ Common Fund from the Director’s Discretionary Fund and to any amounts allocated to activities related to
the øRoadmap¿ Common Fund through the normal research prioritysetting process of individual Institutes and Centers: Provided further,
That of the funds provided $10,000 shall be for official reception
and representation expenses when specifically approved by the Director of NIH: Provided further, That the Office of AIDS Research within
the Office of the Director, NIH may spend up to $4,000,000 to make
grants for construction or renovation of facilities as provided for in
section 2354(a)(5)(B) of the Public Health Service Act: Provided further, That of the funds provided ø$97,000,000¿ $96,030,000 shall
be for expenses necessary to support activities related to countering
potential nuclear, radiological and chemical threats to civilian populations: Provided further, That of the funds provided, $159,500,000
shall be for expenses necessary to support activities related to the
advanced development of biodefense countermeasures. (Department of
Health and Human Services Appropriations Act, 2006.)
BUILDINGS

OF THE

MEDICINE

DIRECTOR

cprice-sewell on PROD1PC66 with BUDGET PAG

(INCLUDING TRANSFER OF FUNDS)

For carrying out the responsibilities of the Office of the Director,
National Institutes of Health, ø$482,895,000¿ $667,825,000, of which
up to ø$10,000,000¿ $14,000,000 shall be used to carry out section
217 of this Act: Provided, That funding shall be available for the
purchase of not to exceed 29 passenger motor vehicles for replacement
only: Provided further, That 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 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 øthe National Institutes of Health Management¿ such Fund shall remain
available for one fiscal year after the fiscal year in which they are
deposited: øProvided further, That up to $500,000 shall be available
to carry out section 499 of the Public Health Service Act¿: Provided
further, That in addition to the transfer authority provided above,
a uniform percentage of the amounts appropriated in this Act to
each Institute and Center may be transferred and utilized for the
National Institutes of Health øRoadmap for Medical Research¿ Common Fund: Provided further, That the amount utilized under the
preceding proviso shall not exceed ø$250,000,000¿ $332,000,000 without prior notification to the Committees on Appropriations of the
House of Representatives and the Senate: Provided further, That
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

2005 actual

Identification code 75–9915–0–1–552

01.00

2006 est.

2007 est.

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

01.99

For carrying out section 301 and title IV of the Public Health
Service Act with respect to health information communications,
ø$318,091,000¿ $313,269,000, of which $4,000,000 shall be available
until expended for improvement of information systems: Provided,
That in fiscal year ø2006¿ 2007, 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: Provided further, That in addition to amounts provided herein, $8,200,000 shall be available from amounts available
under section 241 of the Public Health Service Act to carry out
National Information Center on Health Services Research and Health
Care Technology and related health services. (Department of Health
and Human Services Appropriations Act, 2006.)
OFFICE

FACILITIES

Special and Trust Fund Receipts (in millions of dollars)

For carrying out the activities at the John E. Fogarty International
Center, ø$67,048,000¿ $66,681,000. (Department of Health and
Human Services Appropriations Act, 2006.)
OF

AND

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$81,900,000¿
$81,081,000, to remain available until expended. (Department of
Health and Human Services Appropriations Act, 2006.)

JOHN E. FOGARTY INTERNATIONAL CENTER

NATIONAL LIBRARY

437

Frm 00017

Fmt 3616

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.20 Cooperative research and development agreements,
NIH .............................................................................
16
16
16
04.00

Total: Balances and collections ....................................
Appropriations:
05.00 National Institutes of Health .........................................
07.99

¥16

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

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–9915–0–1–552

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

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

2006 est.

2007 est.

4,798
2,922
389

4,793
2,922
389

4,754
2,901
386

1,852
1,530
4,276
1,932

1,855
1,535
4,415
1,936

1,844
1,525
4,395
1,923

1,262
665
720
1,045

1,265
667
720
1,047

1,257
661
715
1,040

508

505

392
1,403
1,000
435
137
485

393
1,404
1,000
436
137
486

392
1,395
995
433
137
483

296
1,108

297
1,099

295
1,098

121

195
66
313
533
239
12
58

195
66
315
478
81
16
58

194
67
313
668
81
16
58

438

NATIONAL INSTITUTES OF HEALTH—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
BUILDINGS

AND

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

FACILITIES—Continued

2005 actual

2006 est.

2007 est.

09.00

Reimbursable program ..................................................

2,489

2,639

2,739

10.00

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

31,181

31,273

31,391

21.40
22.00

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

555
31,063

433
31,123

283
31,197

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

31,618
31,556
31,480
¥31,181
¥31,273
¥31,391
¥4 ................... ...................
433

283

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
28,681
28,697
28,428
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥287 ...................
40.35
Appropriation permanently reduced ..........................
¥236 ................... ...................
41.00
Transferred to other accounts ...................................
¥99 ................... ...................
43.00
60.00
60.20
60.20
62.50

68.00
68.10

Appropriation (total discretionary) ........................
28,346
28,410
28,428
Mandatory:
Appropriation .............................................................
150
150
150
Appropriation (special fund) .....................................
16
16
16
Appropriation (special fund) ..................................... ................... ................... ...................
Appropriation (total mandatory) ...........................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................

2005

70.00

166

2,032

2,547

4,754
2,901
386

1,853
1,530
4,276
1,932
1,262
665
720
1,045

1,855
1,535
4,415
1,936
1,265
667
720
1,047

1,844
1,525
4,395
1,923
1,257
661
715
1,040

508

505

392
137
436
1,000
1,403
1,108
486

393
137
436
1,000
1,404
1,099
486

392
137
433
995
1,395
1,098
483

296

297

295

121
195
66
313
534
110

121
195
66
315
478
81

121
194
67
313
668
81

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

28,495
16

28,560
16

28,578
16

28,511

28,576

28,594

2,603
[Dollars in millions]

519 ................... ...................

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

2,551

2,547

2,603

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

31,063

31,123

31,197

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) ................................................
72.40
73.10
73.20
73.40
74.00

490 ................... ...................
29,074

30,134

30,382

86.90
86.93
86.97
86.98

9,866
19,614
40
103

9,536
20,524
40
113

9,596
21,384
40
123

87.00

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

29,623

30,213

31,143

cprice-sewell on PROD1PC66 with BUDGET PAG

¥2,398
¥2,547
¥2,603
¥102 ................... ...................

88.90

¥2,500

88.96

11:57 Jan 26, 2006

Jkt 206762

2006

2007

¥2,547

4,531
2,848
385

4,644
2,857
370

4,732
2,916
388

1,768
1,526
3,702
1,917
1,226
636
705
997

1,805
1,472
4,062
1,858
1,237
655
703
1,027

1,847
1,526
4,342
1,920
1,261
658
718
1,044

493

500

507

385
1,412
1,002
435
131
480
281

368
1,364
969
424
137
483
285

392
1,400
988
435
137
481
296

1,180

1,131

1,105

111
195
64
296
328
221
–140

117
174
65
311
453
185
0

121
191
66
312
546
201
0

27,115
8

27,656
10

28,530
10

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

¥519 ................... ...................

Obligated balance, end of year ................................

88.95

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

27,797
29,074
30,134
31,181
31,273
31,391
¥29,623
¥30,213
¥31,143
¥252 ................... ...................

74.40

2007

4,793
2,922
389

2005

68.90

2006

4,795
2,923
389

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

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

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

27,123

27,666

28,540

¥2,603

¥519 ................... ...................
468 ................... ...................

28,512
27,123
PO 00000

28,576
27,666

28,594
28,540

Frm 00018

Fmt 3616

This program funds biomedical research and research training. These accounts will continue to be appropriated separately, and are displayed in a consolidated format to improve
the readability of the presentation. Detailed information is
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

available through the Department of Health and Human
Services.
NIH will continue to implement strategies and policies in
2007 and beyond to maximize budgetary and management
flexibility in the future. Such strategies include managing
grant average cost and improving trans-NIH scientific planning.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–9915–0–1–552

11.1
11.3
11.5
11.7
11.8
11.9
12.1
12.2
21.0
22.0
23.2
23.3

2006 est.

2007 est.

657
350
39
22
162

693
367
30
23
165

725
381
32
24
168

1,230
281
16
54
6
9

1,278
295
17
54
6
10

1,330
306
17
53
6
10

28
16
120
594

29
15
103
593

29
15
101
568

25.4
25.5
25.6
25.7
26.0
31.0
41.0

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military 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 .......................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

2,566
315
1,827
25
77
219
160
21,151

2,500
245
2,040
20
76
213
154
20,987

2,498
242
2,033
20
75
210
150
20,987

99.0
99.0

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

28,694
2,487

28,635
2,638

28,650
2,741

99.9

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

31,181

31,273

31,391

24.0
25.1
25.2
25.3

Personnel Summary
2005 actual

Identification code 75–9915–0–1–552

2006 est.

2007 est.

11,399
296

11,654
296

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

5,064
111

5,264
111

5,300
111

Federal Funds
General and special funds:

cprice-sewell on PROD1PC66 with BUDGET PAG

MENTAL HEALTH SERVICES

For carrying out titles V and XIX of the Public Health Service
Act (‘‘PHS Act’’) with respect to substance abuse and mental health
services, the Protection and Advocacy for Individuals with Mental
Illness Act, and section 301 of the PHS Act with respect to program
management, ø$3,237,813,000¿ $3,133,872,000: Provided, That notwithstanding section 520A(f)(2) of the PHS Act, no funds appropriated
for carrying out section 520A are available for carrying out section
1971 of the PHS Act: Provided further, That in addition to amounts
provided herein, the following amounts shall be available under section 241 of the PHS Act: (1) $79,200,000 to carry out subpart II
of part B of title XIX of the PHS Act to fund section 1935(b) technical
assistance, national data, data collection and evaluation activities,
and further that the total available under this Act for section 1935(b)
activities shall not exceed 5 percent of the amounts appropriated
for subpart II of part B of title XIX; (2) ø$21,803,000¿ $21,629,000
to carry out subpart I of part B of title XIX of the PHS Act to
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

Frm 00019

Fmt 3616

2005 actual

Identification code 75–1362–0–1–551

2006 est.

2007 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 ...............................................

1,085
411
1,696
77

1,043
407
1,679
76

972
407
1,679
76

01.00
09.01

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

3,269
236

3,205
207

3,134
207

10.00

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

3,505

3,412

3,341

21.40
22.00

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

23.90
23.95

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

24.40

1 ................... ...................
3,504
3,412
3,341
3,505
¥3,505

3,412
¥3,412

3,341
¥3,341

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

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
3,295
3,237
3,134
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥32 ...................
40.35
Appropriation permanently reduced ..........................
¥27 ................... ...................

68.00
68.10

68.90

SUBSTANCE ABUSE AND MENTAL HEALTH
SERVICES ADMINISTRATION

AND

Program and Financing (in millions of dollars)

11,738
296

SUBSTANCE ABUSE

fund section 1920(b) technical assistance, national data, data collection and evaluation activities, and further that the total available
under this Act for section 1920(b) activities shall not exceed 5 percent
of the amounts appropriated for subpart I of part B of title XIX;
(3) ø$16,000,000¿ $21,000,000 to carry out national surveys on drug
abuse; and (4) $4,300,000 to evaluate substance abuse treatment programs. Notwithstanding section 1911(b) of the PHS Act, a State that
receives an allotment under section 1911 of the Act for the current
fiscal year shall use any amount it receives in fiscal year 2007 which
is in excess of what it received under such section in 1998 to support
mental health transformation activities such as the expansion of access; advancement of evidence-based practices; promotion of early assessment and treatment; and promotion of consumer- and familydriven mental health care. A State that receives an allotment under
section 1911 will report annually to the Substance Abuse and Mental
Health Services Administration on its use of funds and the outcomes
of mental health transformation activities. (Department of Health and
Human Services Appropriations Act, 2006.)

43.00
.....................
.....................

439

3,268

3,205

3,134

141

207

95 ................... ...................

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

207

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

70.00

236
3,504

3,412

3,341

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) ................................................
72.40
73.10
73.20
73.40
74.00

2,555
2,600
2,583
3,505
3,412
3,341
¥3,409
¥3,429
¥3,393
¥21 ................... ...................
¥95 ................... ...................
65 ................... ...................

74.40

Obligated balance, end of year ................................

2,600

2,583

2,531

86.90
86.93

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

1,109
2,300

1,489
1,940

1,461
1,932

87.00

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

3,409

3,429

3,393

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
88.40
Non-Federal sources .............................................
Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

¥65
¥207
¥207
¥141 ................... ...................

440

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

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
SUBSTANCE ABUSE

AND

AGENCY FOR HEALTHCARE RESEARCH AND
QUALITY

MENTAL HEALTH SERVICES—Continued

Federal Funds

Program and Financing (in millions of dollars)—Continued

General and special funds:
2005 actual

Identification code 75–1362–0–1–551

88.90
88.95
88.96

89.00
90.00

2006 est.

¥206

¥207

2007 est.

¥207

¥95 ................... ...................
65 ................... ...................

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

3,268
3,204

3,205
3,222

3,134
3,186

This program provides Federal support to strengthen the
capacity of the Nation’s health care delivery system to provide
substance abuse prevention, addiction treatment, and mental
health services, for people at risk for or experiencing substance abuse or mental illness. SAMHSA builds partnerships
with states, communities, and private organizations to address the needs of individuals with substance abuse disorders
and/or mental illness and to identify and respond to the community risk factors that contribute to these illnesses.

2005 actual

11.1
11.3
11.5
11.7

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
40
Other than full-time permanent ...........................
2
Other personnel compensation .............................
1
Military personnel ................................................. ...................

24.0
25.1
25.2
25.3
31.0
41.0
42.0

Total personnel compensation .........................
43
Civilian personnel benefits .......................................
10
Military personnel benefits ........................................ ...................
Travel and transportation of persons .......................
2
Rental payments to GSA ...........................................
6
Communications, utilities, and miscellaneous
charges .................................................................
1
Printing and reproduction .........................................
5
Advisory and assistance services .............................
25
Other services ............................................................
195
Other purchases of goods and services from Government accounts .................................................
100
Equipment .................................................................
1
Grants, subsidies, and contributions ........................
2,878
Insurance claims and indemnities ...........................
2

2006 est.

2007 est.

44
2
1
2

46
3
1
2

49
10
1
1
6

52
11
1
1
6

3
4
23
152

91
2
2,861
2

91
2
2,787
1

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

3,268
237

3,205
207

3,134
207

99.9

cprice-sewell on PROD1PC66 with BUDGET PAG

99.0
99.0

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

3,505

3,412

3,341

Personnel Summary
2005 actual

Identification code 75–1362–0–1–551

Direct:
Civilian full-time equivalent employment
Military full-time equivalent employment
Reimbursable:
2001 Civilian full-time equivalent employment
2101 Military full-time equivalent employment
1001
1101

VerDate Aug 31 2005

11:57 Jan 26, 2006

Program and Financing (in millions of dollars)

2006 est.

2007 est.

09.00

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

341

10.00

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

341

21.40
22.00

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

16
342

17
341

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

358
¥341

24.40

Unobligated balance carried forward, end of year

341

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

456
18

470
16

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

33
28

42
30

Frm 00020

Fmt 3616

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) ................................................
72.40
73.10
73.20
73.40
74.00

249 ................... ...................
342

341

63
44
44
341
341
341
¥324
¥341
¥341
¥7 ................... ...................
¥249 ................... ...................
220 ................... ...................

74.40

Obligated balance, end of year ................................

86.90

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

324

341

¥312

¥341

2007 est.

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

PO 00000

2005 actual

Identification code 75–1700–0–1–552

89.00
90.00

Jkt 206762

QUALITY

For carrying out titles III and IX of the Public Health Service
Act, and part A of title XI of the Social Security Act, 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 927(c) of the
Public Health Service Act shall not exceed $318,695,000ø: Provided
further, That not more than $50,000,000 of these funds shall be
for the development of scientific evidence that supports the implementation and evaluation of health care information technology systems¿.
(Department of Health and Human Services Appropriations Act,
2006.)

68.90
11.9
12.1
12.2
21.0
23.1
23.3

AND

23.90
23.95

Object Classification (in millions of dollars)
Identification code 75–1362–0–1–551

HEALTHCARE RESEARCH

¥249 ................... ...................
219 ................... ...................

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.
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

CENTERS FOR MEDICARE AND MEDICAID SERVICES
Federal Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES

441

74.40

Object Classification (in millions of dollars)

Obligated balance, end of year ................................

11,389

34,297

36,313

99.0

Reimbursable obligations: Reimbursable obligations ...

341

86.97
86.98

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

175,958
6,077

191,654
1,000

198,813
1,000

99.9

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

341

87.00

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

182,035

192,654

199,813

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

¥315

¥320

¥368

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

177,540
181,720

215,471
192,334

200,856
199,445

2005 actual

Identification code 75–1700–0–1–552

2006 est.

2007 est.

Personnel Summary
2005 actual

Identification code 75–1700–0–1–552

2001
2101

Reimbursable:
Civilian full-time equivalent employment .....................
Military full-time equivalent employment .....................

2006 est.

274
12

2007 est.

282
13

286
13

89.00
90.00

Summary of Budget Authority and Outlays

CENTERS FOR MEDICARE AND MEDICAID
SERVICES

(in millions of dollars)

Enacted/requested:
2005 actual
2006 est.
Budget Authority .....................................................................
177,540
215,471
Outlays ....................................................................................
181,720
192,334
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

Federal Funds
General and special funds:
GRANTS

STATES

FOR

MEDICAID

For carrying out, except as otherwise provided, titles XI and XIX
of the Social Security Act, ø$156,954,419,000¿ $138,072,248,000, to
remain available until expended.
For making, after May 31, ø2006¿ 2007, payments to States under
title XIX of the Social Security Act for the last quarter of fiscal
year ø2006¿ 2007, 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 ø2007, $62,783,825,000¿ 2008,
$65,257,617,000, 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, 2006.)

2005 actual

00.01
00.02
00.03
00.04
09.01
09.02
10.00

Obligations by program activity:
Medicaid vendor payments ............................................
181,658
State and local administration .....................................
9,722
Vaccine purchases .........................................................
1,503
Incurred by providers but not yet reported ................... ...................
Medicare Part B premiums ............................................
242
Medicare Part D eligibility determinations ....................
73
Total new obligations ................................................

193,198

6,077
177,855

193,574
¥193,198

24.40

cprice-sewell on PROD1PC66 with BUDGET PAG

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

376

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
65.00
Advance appropriation ..............................................
Mandatory:
69.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................
70.00

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

11:57 Jan 26, 2006

Jkt 206762

2006 est.

2007 est.

180,971
9,403
1,958
22,910
300
20

215,471
192,334

–158
–158
200,698
199,287

Medicaid assists States in providing medical care to their
low-income populations by granting Federal matching payments under title XIX of the Social Security Act to States
with approved plans.
Medicaid estimates assume budget authority for expenses
that are incurred but not reported (IBNR).
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0512–0–1–551

215,562

201,829

41.0

2006 est.

2007 est.

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

192,883
315

215,242
320

201,461
368

99.9

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

193,198

215,562

201,829

GRANTS

188,089
9,350
2,006
2,016
350
18

376
215,791

605
201,224

9,642 ................... ...................

23.90
23.95

177,540
181,720

200,856
199,445

99.0

Program and Financing (in millions of dollars)
Identification code 75–0512–0–1–551

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

2007 est.

216,167
¥215,562

201,829
¥201,829

605 ...................

119,124
58,416

156,954
58,517

138,072
62,784

315

320

368

177,855

215,791

STATES

FOR

MEDICAID

(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2005 actual

2006 est.

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

¥208
¥145
¥90
¥280
180
140
203
42

10.00

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

¥158

22.00
23.95

¥158
158

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

¥158

73.10
73.20

¥158
158

86.97

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

¥158

Identification code 75–0512–4–1–551

00.01
00.02
00.03
00.04
00.05
00.06
00.07
00.08

Obligations by program activity:
Targeted case management ..........................................
Medicaid pharmacy reform ............................................
Third party liability ........................................................
Cost allocation ...............................................................
Transitional medical assistance ....................................
Vaccines for Children ....................................................
Cover the Kids ...............................................................
Refugee exemption extension ........................................

2007 est.

201,224

9,868
11,389
34,297
193,198
215,562
201,829
¥182,035 ¥192,654 ¥199,813
¥9,642 ................... ...................
PO 00000

Frm 00021

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

442

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

THE BUDGET FOR FISCAL YEAR 2007

MEDICAID—Continued

86.97
86.98

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

26
58

2,330
212

407
90

Program and Financing (in millions of dollars)—Continued

87.00

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

2,542

497

General and special funds—Continued
GRANTS

STATES

FOR

2005 actual

Identification code 75–0512–4–1–551

89.00
90.00

2006 est.

2007 est.

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

¥158
¥158

This schedule reflects the Administration’s Medicaid proposals.

89.00
90.00

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

536
84

¥70 ...................

2,527
2,472

709
497

Summary of Budget Authority and Outlays

(in millions of dollars)

STATE GRANTS

AND

DEMONSTRATIONS

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0516–0–1–551

2006 est.

2007 est.

00.01
00.02
00.03
00.04
00.05
00.06
00.08
00.09
00.10
00.11
00.12
00.13
00.14
00.15
00.16
00.17
00.18
00.19
09.11

Obligations by program activity:
Ticket to Work—grants .................................................
High-risk pools—grants ................................................
Emergency health services for undocumented aliens
Pilot program—background checks ..............................
State pharmaceutical assistance programs .................
Health care infrastructure improv program ..................
Medicaid Integrity Program—general ...........................
Site development grants-rural PACE .............................
Funding for PACE outliers .............................................
Drug surveys & reports ..................................................
Partnerships for long term care ....................................
Alternate non-emergency network providers .................
Psychiatric residential treatment demonstration ..........
Money follows the Person (MFP) demonstration ...........
MFP evaluations & technical support ...........................
Medicaid transformation grants ....................................
Quality of care measures for HCBS waivers .................
Katrina relief ..................................................................
Reimbursable program-Katrina/Rita hurricane support

41
40
250
12
63
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................
...................

49
80
250
11
63
140
5
7
10
5
3
12
...................
...................
...................
...................
1
2,000
70

50
...................
250
...................
...................
...................
50
...................
...................
5
3
13
21
248
1
75
...................
...................
...................

10.00

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

406

2,706

716

21.40
22.00
22.10

248
536

380
2,597

271
709

23.90
23.95
23.98
24.40

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

Total budgetary resources available for obligation
786
2,977
Total new obligations ....................................................
¥406
¥2,706
Unobligated balance expiring or withdrawn ................. ................... ...................
Unobligated balance carried forward, end of year

380

271

980
¥716
¥1
263

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation—(P.L. 106–170, Sections 203 &
204) .......................................................................
81
81
42
60.00
Appropriation—(P. L. 108–173)—undocumented
aliens ....................................................................
250
250
250
60.00
Appropriation-(P.L. 108–173)—State pharmaceutical assistance programs ..............................
63
63 ...................
60.00
Appropriation—P.L. (108–173)—Health care infrastructure improv program .....................................
200 ................... ...................
60.00
Appropriation-DRA ..................................................... ...................
2,133
417
60.35
Appropriation permanently reduced ..........................
¥58 ................... ...................

2005 actual
2006 est.
Enacted/requested:
Budget Authority .....................................................................
536
2,527
Outlays ....................................................................................
84
2,472
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

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

cprice-sewell on PROD1PC66 with BUDGET PAG

69.00
70.00

Appropriation (total mandatory) ...........................
536
Mandatory:
Spending authority from offsetting collections: Offsetting collections (cash) ..................................... ...................
Total new budget authority (gross) ..........................

Obligated balance, end of year ................................

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

536

2,527

709

41.0
41.0
41.0

64
384
548
406
2,706
716
¥84
¥2,542
¥497
¥2 ................... ...................
384
PO 00000

548

767

Frm 00022

Fmt 3616

2005 actual

Identification code 75–0516–0–1–551

12.1

2,597

600
350
1,309
847

Object Classification (in millions of dollars)

709

70 ...................

2,527
2,472

709
497

State Grants and Demonstrations provides funding for
grant programs established under several legislative authorities. Title II of the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106–170), established two grant
programs to support working individuals with disabilities.
CMS now administers several programs enacted under the
Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 (MMA) (Public Law 108–173). The pilot program
for National and State Background Checks is authorized to
spend a total of $25 million during fiscal years 2004 through
2007 to identify efficient, effective, and economical procedures
for long-term care facilities or providers to conduct background checks on prospective employees who would have direct access to patients.
The Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens has an annual appropriation of $250 million beginning in 2005 and continuing through
2008. The funding is available to reimburse eligible providers
for furnishing emergency health services to undocumented
aliens.
Transitional grants totaling $62.5 million each year in 2005
and 2006 are available to States that operate State Pharmaceutical Assistance Programs. These funds will be used to
educate Part D eligible individuals enrolled in the Program
about the prescription drug coverage available through Part
D of the MMA.
The Health Care Infrastructure Improvement program provides funding to qualifying hospitals engaged in cancer-related health care.

11.1
62.50

536
84

2007 est.

41.0
41.0
41.0

Direct obligations:
Personnel compensation: Full-time permanent-Medicaid Integrity Program ......................................... ...................
Civilian personnel benefits-Medicaid Integrity Program ...................................................................... ...................
Grants, subsidies, and contributions—Ticket to
Work ......................................................................
41
Grants, subsidies, and contributions—High-Risk
Pools ......................................................................
40
Grants, subsidies, and contributions—Fed’l
Reimb.—Emer Svcs, Undoc. Aliens .....................
250
Grants, subsidies, and contributions—Background
Checks ...................................................................
12
Grants, subsidies, and contributions—State Pharmaceutical Assistance Programs .........................
63
Grants, subsidies, and contributions—Health Care
Infrastructure Improvement Program ................... ...................

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

2006 est.

2007 est.

80 ...................
250

250

11 ...................
63 ...................
140 ...................

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
41.0
41.0
41.0
41.0
41.0
41.0
41.0
41.0
41.0
41.0
41.0
41.0
99.0
99.0
99.9

Grants, subsidies, and contributions-Medicaid Integrity Program .....................................................
Grants, subsidies, and contributions-Site Development Grants-Rural PACE ......................................
Grants, subsidies, and contributions-Funding for
PACE Outliers ........................................................
Grants, subsidies, and contributions-Drug Surveys
& Reports ..............................................................
Grants, subsidies, and contributions-Partnership for
Long Term Care ....................................................
Grants, subsidies, and contributions-Alternate NonEmergency Network Providers ...............................
Grants, subsidies, and contributions-Psychiatric
Residential Treatment Demonstration ..................
Grants, subsidies, and contributions-Money follows
the Person (MFP) Demonstration ..........................
Grants, subsidies, and contributions-MFP Evaluations & Technical Support ....................................
Grants, subsidies, and contributions-Medicaid
Transformation Grants ..........................................
Grants, subsidies, and contributions-Quality of
Care Measures for HCBS Waivers ........................
Grants, subsidies, and contributions-Katrina Relief

Object Classification (in millions of dollars)
...................

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

7 ...................

2005 actual

Identification code 75–0516–4–1–551

41.0

500
100

99.9

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

600

10 ...................

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

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

248

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

1 ...................
2,000 ...................

Direct obligations ..................................................
406
Reimbursable obligations .............................................. ...................

2,636
716
70 ...................

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

406

2,706

716

PAYMENTS

HEALTH CARE TRUST FUNDS

For payment to the Federal Hospital Insurance and the Federal
Supplementary Medical Insurance Trust Funds, as provided under
section 1844ø,¿ and 1860D–16ø, and 1860D–31¿ 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$177,742,200,000¿ $197,135,795,000.
In addition, for making matching payments under section 1844,
and benefit payments under 1860D–16 øand 1860D–31,¿ of the Social
Security Act, not anticipated in budget estimates, such sums as may
be necessary. (Department of Health and Human Services Appropriations Act, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0580–0–1–571
2005 actual

2006 est.

Direct:
Civilian full-time equivalent employment ..................... ...................

STATE GRANTS

AND

100

(Legislative proposal, subject to PAYGO)
Program and Financing (in millions of dollars)
2005 actual

2006 est.

2007 est.

00.01
00.02

Obligations by program activity:
Chronically Ill grants ..................................................... ................... ...................
Cover the Kids outreach ................................................ ................... ...................

500
100

10.00

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

600

Budgetary resources available for obligation:
22.00 New budget authority (gross) ........................................ ................... ...................
23.95 Total new obligations .................................................... ................... ...................
24.40

600
¥600

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

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation—Chronically Ill grants ....................... ................... ...................
60.00
Appropriation—Cover the Kids ................................. ................... ...................

500
100

62.50

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

600

73.10
73.20

600
¥350

74.40
cprice-sewell on PROD1PC66 with BUDGET PAG

2006 est.

2007 est.

DEMONSTRATIONS

Identification code 75–0516–4–1–551

2007 est.

Grants, subsidies, and contributions—Chronically Ill
grants ........................................................................ ................... ...................
Grants, subsidies, and contributions- Cover the Kids ................... ...................

Personnel Summary

1001

2006 est.

41.0

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

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

Identification code 75–0516–0–1–551

443

Obligated balance, end of year ................................ ................... ...................

250

Obligations by program activity:
Supplementary medical insurance (SMI) .......................
114,002
128,920
139,351
Hospital insurance for uninsured (HI) ...........................
87
202
239
Federal uninsured payment (HI) ....................................
199
206
229
Program management (HI) ............................................
215
164
153
Fraud and abuse control, criminal fines ......................
348
30
30
Federal payments from taxation of OASDI benefits
(HI) .............................................................................
8,765
10,002
11,352
00.07 Fraud and abuse control, FBI ........................................
114
114
114
00.08 FHI trust fund, Transfers from general fund (civil
monetary penalties) ...................................................
10
13
13
00.09 Federal contributions, Drug account State low-income
determinations ...........................................................
73
20
18
00.10 Federal contributions, Transitional assistance account
1,125
134 ...................
00.11 General Revenue for Part D Benefits ............................ ...................
36,482
56,574
00.12 General Revenue for Part D Federal Admin .................. ...................
605
454
00.14 HCFAC reimbursement ................................................... ................... ...................
118
00.01
00.02
00.03
00.04
00.05
00.06

10.00

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

124,938

22.00
23.95
23.98

126,638
¥124,938
¥1,700

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation (Tax on OASDI Benefits) .....................
8,765
60.00
Appropriation (HCFAC penalties, etc.) ......................
358
60.00
Appropriation (Subsidy for HI & SMI benefits, General Fund federal admin) .....................................
114,503
60.00
Appropriation (HCFAC funding) .................................
114
60.00
Appropriation (Transitional Assistance Benefits) .....
2,792
60.00
Appropriation (Part D State Eligibility Determinations) .....................................................................
106
60.00
Appropriation (Part D Drug Benefits) ....................... ...................
60.00
Appropriation (Indefinite general funds for SMI) ...................

176,892

208,645

194,157
208,645
¥176,892 ¥208,645
¥17,265 ...................

10,002
43

11,352
43

129,264
140,426
114
232
134 ...................
99
18
53,596
56,574
905 ...................

62.50

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

126,638

194,157

208,645

73.10
73.20

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

124,938
¥124,938

176,892
¥176,892

208,645
¥208,645

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

350

600
350

86.97

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

124,938

176,892

208,645

This schedule reflects the Administration’s State Grants
and Demonstrations proposals.

89.00
90.00

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

126,638
124,938

194,157
176,892

208,645
208,645

89.00
90.00

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

Frm 00023

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

444

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

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
PAYMENTS

HEALTH CARE TRUST FUNDS—Continued

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

Enacted/requested:
2005 actual
2006 est.
Budget Authority .....................................................................
126,638
194,157
Outlays ....................................................................................
124,938
176,892
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

126,638
124,938

194,157
176,892

2007 est.

208,645
208,645
–466
–466
208,179
208,179

Payments are made to the Federal Hospital Insurance and
Federal Supplementary Medical Insurance trust funds from
the general fund of the Treasury to finance Medicare’s medical and drug benefits for beneficiaries and certain other
qualified individuals.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0580–0–1–571

2006 est.

2007 est.

41.0
42.0
94.0

Grants, subsidies, and contributions ............................
Insurance claims and indemnities ................................
Financial transfers (federal admin) ..............................

124,437
286
215

175,715
408
769

207,571
468
606

99.0

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

124,938

176,892

208,645

99.9

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

124,938

176,892

208,645

PAYMENTS

HEALTH CARE TRUST FUNDS

(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0580–2–1–571

2006 est.

2007 est.

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

¥466

10.00

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

¥466

22.00
23.95

¥466
466

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation (Subsidy for HI & SMI benefits, General Fund federal admin) ..................................... ................... ...................

¥466

73.10
73.20

¥466
466

86.97

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

¥466

89.00
90.00

cprice-sewell on PROD1PC66 with BUDGET PAG

00.01

¥466
¥466

$3,148,402,000, 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: 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$24,205,000¿ $22,765,000,
to remain available until September 30, ø2007¿ 2008, is for contract
costs for the Centers for Medicare and Medicaid Services Systems
Revitalization
Plan:
Provided
further,
That
ø$79,934,000¿
$48,960,000, to remain available until September 30, ø2007¿ 2008,
is for contract costs for the Healthcare Integrated General Ledger
Accounting System: Provided further, That the Centers for Medicare
and Medicaid Services will take all actions necessary to ensure that
before December 15, 2007 no fewer than 7 Medicare Administrative
Contractors will commence the duties of Medicare claims-processing
activities and related responsibilities: Provided further, That
$146,760,000, to remain available until September 30, 2008, is for
CMS Medicare contracting reform activities: Provided further, That
funds appropriated under this heading are available for the Healthy
Start, Grow Smart program under which the Centers for Medicare
and Medicaid Services may, directly or through grants, contracts,
or cooperative agreements, produce and distribute informational materials including, but not limited to, pamphlets and brochures on
infant and toddler health care to expectant parents enrolled in the
Medicaid program and to parents and guardians enrolled in such
program with infants and children: Provided further, That the Secretary shall charge a fee for conducting revisit surveys performed
on health care facilities cited for deficiencies during initial certification, recertification, or substantiated complaints surveys. Such fees
shall be deposited as an offsetting collection to this appropriation,
to remain available until expended for conducting such surveys. The
amount appropriated above from the HI and SMI trust funds shall
be reduced by a corresponding amount of fees collected: Provided
further, That the Secretary of Health and Human Services is directed
to collect fees in fiscal year ø2006¿ 2007 from Medicare Advantage
organizations pursuant to section 1857(e)(2) of the Social Security
Act and from eligible organizations with risk-sharing contracts under
section 1876 of that Act pursuant to section 1876(k)(4)(D) of that
Actø: Provided further, That to the extent Medicare claims volume
is projected by the Centers for Medicare and Medicaid Services (CMS)
to exceed 200,000,000 Part A claims and/or 1,022,100,000 Part B
claims, an additional $32,500,000 shall be available for obligation
for every 50,000,000 increase in Medicare claims volume (including
a pro rata amount for any increment less than 50,000,000) from
the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds¿. (Department of Health and Human
Services Appropriations Act, 2006.)

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$3,170,927,000¿
Jkt 206762

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
00.05
Revitalization plan ....................................................
01.00
09.01
09.03
09.04
09.06

2,321
637
259
109
31

2006 est.

2007 est.

2,161
653
258
69
26

2,145
655
284
42
23

Total direct program .................................................
3,357
3,167
CLIA ................................................................................
44
43
Other reimbursements ...................................................
15
2
Coordination of benefits ................................................ ................... ...................
MA/PDP ...........................................................................
13
56

3,149
43
2
30
69

PO 00000

Frm 00024

Fmt 3616

09.09

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

101

144

10.00

11:57 Jan 26, 2006

2005 actual

Identification code 75–0511–0–1–550

The budget proposes a package of reforms to encourage
competition, recognize efficiencies and productivity in health
care, enhance program integrity, and strengthen responsibility for health care choices.

VerDate Aug 31 2005

Program and Financing (in millions of dollars)

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

3,429

3,268

3,293

21.40
22.00
22.10

735
2,715

102
3,255

89
3,293

23.90
Sfmt 3643

Total budgetary resources available for obligation
E:\BUDGET\HHS.XXX

HHS

88 ................... ...................
3,538

3,357

3,382

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
23.95
23.98

Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

¥3,429
¥3,268
¥3,293
¥7 ................... ...................
102

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ...................
38 ...................
Spending authority from offsetting collections:
Discretionary:
68.00
Offsetting collections (cash) ................................
2,460
3,080
3,149
68.00
Offsetting collections (cash) ................................ ...................
101
144
68.10
Change in uncollected customer payments from
Federal sources (unexpired) .............................
255 ................... ...................
68.90

70.00

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

74.40

86.90
86.93
86.97
87.00

Obligated balance, end of year ................................

2,715

88.95
88.96

89.00
90.00

3,293

36 ...................
3,255

3,293

¥448
¥199
¥186
3,429
3,268
3,293
¥3,125
¥3,255
¥3,293
¥36 ................... ...................
¥88 ................... ...................
¥255 ................... ...................
324 ................... ...................
¥199

3,125

Offsets:
Against gross budget authority and outlays:
Offsetting collections (cash) from:
88.00
Federal sources .....................................................
¥2,681
88.00
Federal sources ..................................................... ...................
88.40
Non-Federal sources .............................................
¥60
88.90

3,181

¥186

¥2,741

3,255

3,293

¥3,217

359
13
8
9

379
14
8
8

2007 est.

389
14
6
9

25.4
25.5
25.6
25.7
26.0
31.0
32.0
41.0

94
7
57
1,444
263
2
16
10
77

3
...................
...................
2,399
...................
1
...................
10
25

3
...................
...................
2,409
...................
1
...................
10
...................

99.0
99.0

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

3,357
72

3,167
101

3,149
144

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

3,429

3,268

3,293

24.0
25.1
25.2
25.3

Total:
Budget Authority ..................................................................... ....................
Outlays ....................................................................................
384

38 ...................
38 ...................

38 ....................
38 ....................

Program management activities include funding for research, Medicare operations, survey and certification, CLIA,
Medicare Advantage, the CMS systems revitalization plan,
and administrative costs. Program management activities also
include funding for the implementation of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
PO 00000

389
409
418
89
90
95
3
4
4
10
11
9
1 ................... ...................
20
30
32
43
3
3
38
3
3
43 ................... ...................
751
179
162

Personnel Summary
2005 actual

Identification code 75–0511–0–1–550

Direct:
Civilian full-time equivalent employment .....................
Military full-time equivalent employment .....................
Reimbursable:
2001 Civilian full-time equivalent employment .....................
1001
1101

2006 est.

2007 est.

4,496
96

4,462
98

4,433
98

PROGRAM MANAGEMENT
(Legislative proposal, not subject to PAYGO)
Program and Financing (in millions of dollars)
2005 actual

2006 est.

2007 est.

Frm 00025

Fmt 3616

Obligations by program activity:
Direct program:
00.03
State survey and certification ................................... ................... ...................

¥35

01.00
09.02

Total direct program ................................................. ................... ...................
Recertification user fees ................................................ ................... ...................

¥35
35

09.09

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

10.00

281 ................... ...................

2005 actual
2006 est.
2007 est.
Enacted/requested:
Budget Authority ..................................................................... ....................
38 ....................
Outlays ....................................................................................
384
38 ....................
Legislative proposal, not subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... .................... ....................
cprice-sewell on PROD1PC66 with BUDGET PAG

2006 est.

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military 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 ..................
Research and development contracts .......................
Medical care ..............................................................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Land and structures ..................................................
Grants, subsidies, and contributions ........................

Identification code 75–0511–2–1–550

(in millions of dollars)

Jkt 206762

11.9
12.1
12.2
21.0
22.0
23.1
23.3

¥3,293

Summary of Budget Authority and Outlays

11:57 Jan 26, 2006

11.1
11.3
11.5
11.7

¥3,080
¥3,149
¥36 ...................
¥101
¥144

¥255 ................... ...................

Net budget authority and outlays:
Budget authority ............................................................ ...................
Outlays ...........................................................................
384

VerDate Aug 31 2005

2005 actual

Identification code 75–0511–0–1–550

¥186

Outlays (gross), detail:
Outlays from new discretionary authority .....................
2,117
3,181
3,293
Outlays from discretionary balances .............................
1,008 ................... ...................
Outlays from new mandatory authority ......................... ...................
74 ...................
Total outlays (gross) .................................................

Object Classification (in millions of dollars)

99.9

69.00

Spending authority from offsetting collections
(total discretionary) .....................................
2,715
Mandatory:
Offsetting collections (cash) ................................ ...................

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

445

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

73.10

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

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

35
¥35

88.90

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

89.00
90.00

The Budget includes $35 million in new user fees to finance
CMS survey and certification activities. CMS would charge
revisit survey fees to health care facilities cited for deficiencies during initial certification, recertification, or substanSfmt 3616

E:\BUDGET\HHS.XXX

HHS

446

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

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
PROGRAM MANAGEMENT—Continued

tiated complaint surveys. Proposed appropriations language
provides authority to collect and spend these fees. The
amount appropriated from the HI and SMI Trust Funds
would be reduced on a dollar-for-dollar basis with fees collected.

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.
STATE CHILDREN’S HEALTH INSURANCE FUND

Object Classification (in millions of dollars)
2005 actual

Identification code 75–0511–2–1–550

25.6
99.0
99.9

(Legislative proposal, subject to PAYGO)
2006 est.

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

2007 est.

¥35
35

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0515–4–1–551

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

2006 est.

2007 est.

00.01
00.02

Obligations by program activity:
SCHIP redistribution ....................................................... ................... ...................
Cover the Kids ............................................................... ................... ...................

635
69

STATE CHILDREN’S HEALTH INSURANCE FUND

10.00

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

704

Budgetary resources available for obligation:
Expired unobligated balance transfer to unexpired account .......................................................................... ................... ...................
23.95 Total new obligations .................................................... ................... ...................

704
¥704

704

Program and Financing (in millions of dollars)

22.30
2005 actual

Identification code 75–0515–0–1–551

00.01

Obligations by program activity:
Grants, subsidies, and contributions ............................

10.00

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

22.00
22.30

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Expired unobligated balance transfer to unexpired account ..........................................................................

23.90
23.95

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

4,725

2006 est.

4,539

2007 est.

5,040

4,725

4,539

5,040

73.10
73.20

4,082

4,365

5,040

86.98

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

89.00
90.00

643
4,725
¥4,725

173 ...................
4,538
¥4,539

5,040
¥5,040

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation, BBA ....................................................
4,050
60.00
Appropriation, BBRA for territories ...........................
32
60.00
Appropriation—DRA .................................................. ...................

4,050
5,000
32
40
283 ...................

62.50

4,365

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

4,082

8,322
4,725
¥5,129
¥643

This schedule reflects the Administration’s SCHIP proposals.
f

5,040

7,275
5,736
4,539
5,040
¥5,775
¥5,244
¥303 ...................

74.40

Obligated balance, end of year ................................

7,275

5,736

5,532

86.97
86.98

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

879
4,250

1,378
4,397

2,103
3,141

87.00

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

5,129

5,775

5,244

MEDICARE ADVANTAGE STABILIZATION FUND
Special and Trust Fund Receipts (in millions of dollars)
2005 actual

Identification code 75–5384–0–2–571

01.00

2006 est.

01.99

Balance, start of year .................................................... ................... ................... ...................
Receipts:
02.00 Payments from HI, Stabilization fund ........................... ................... ...................
668
02.01 Payments from SMI, Stabilization fund ......................... ................... ...................
616
02.99

4,082
5,129

4,365
5,775

5,040
5,244

2007 est.

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

Total receipts and collections ................................... ................... ...................
Appropriations:
05.00 Medicare advantage stabilization fund ......................... ................... ...................
07.99

1,284
¥1,284

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

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

2005 actual

Identification code 75–5384–0–2–571

2006 est.

2007 est.

cprice-sewell on PROD1PC66 with BUDGET PAG

(in millions of dollars)

Enacted/requested:
2005 actual
2006 est.
2007 est.
Budget Authority .....................................................................
4,082
4,365
5,040
Outlays ....................................................................................
5,129
5,775
5,244
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... .................... ....................
Outlays .................................................................................... .................... ....................
704
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

4,082
5,129

4,365
5,775

5,040
5,948

The Balanced Budget Act of 1997 established the State
Children’s Health Insurance Program (SCHIP) under Title
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

Frm 00026

Fmt 3616

00.01

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

1,284

10.00

Total new obligations (object class 25.2) ................ ................... ...................

1,284

22.00
23.95

1,284
¥1,284

New budget authority (gross), detail:
Mandatory:
60.20
Appropriation (special fund) ..................................... ................... ...................

1,284

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

1,284

73.10

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

CENTERS FOR MEDICARE AND MEDICAID SERVICES—Continued
Trust Funds

DEPARTMENT OF HEALTH AND HUMAN SERVICES
73.20

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

¥1,284

86.97

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

1,284

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

1,284
1,284

Trust Funds
FEDERAL HOSPITAL INSURANCE TRUST FUND

2005 actual

01.00

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

248,542

2006 est.

259,707

279,591

Balance, start of year ....................................................
248,542
259,707
279,591
Receipts:
02.00 FHI trust fund, Federal employer contributions (FICA)
2,630
2,734
2,782
02.01 FHI trust fund, Postal Service employer contributions
(FICA) .........................................................................
672
682
706
02.02 FHI trust fund, Interest received by trust funds ...........
15,126
15,035
15,356
02.03 FHI trust fund, Interest received by trust funds ........... ...................
3
11
02.04 FHI trust fund, Interest received by trust funds—
legislative proposal not subject to PAYGO ............... ................... ...................
66
02.05 FHI trust fund, Taxation on OASDI benefits ..................
8,765
10,002
11,352
02.06 FHI trust fund, Payment from the general fund for
health care fraud and abuse control account .........
114
114
114
02.07 FHI trust fund, Transfers from general fund (criminal
fines) .........................................................................
348
30
30
02.08 FHI trust fund, Transfers from general fund (civil
monetary penalties) ...................................................
13
13
13
02.09 FHI trust fund, Interest payments by Railroad Retirement Board ................................................................
29
30
32
02.10 FHI trust fund, Payments from the general fund (uninsured and program management) .........................
502
573
740
02.20 FHI trust fund, Basic premium, Medicare advantage ...................
58
77
02.21 FHI trust fund, medicare refunds ..................................
1,551 ................... ...................
02.22 FHI trust fund, Premiums collected for uninsured individuals not otherwise eligible ...................................
2,303
2,523
2,663
02.60 FHI trust fund, Transfers from general fund (FICA
taxes) .........................................................................
154,400
165,198
174,722
02.61 FHI trust fund, Receipts from Railroad Retirement
Board .........................................................................
416
442
455
02.62 FHI trust fund, Transfers from general fund (SECA
taxes) .........................................................................
11,252
11,952
12,763
02.63 FHI trust fund, Civil penalties and damages ...............
351
238
238
Total receipts and collections ...................................

04.00

Total: Balances and collections ....................................
Appropriations:
Federal hospital insurance trust fund ..........................
Federal hospital insurance trust fund ..........................
Federal hospital insurance trust fund ..........................
Federal hospital insurance trust fund ..........................
Federal hospital insurance trust fund ..........................
Federal hospital insurance trust fund—legislative
proposal not subject to PAYGO .................................
05.06 Federal hospital insurance trust fund—legislative
proposal not subject to PAYGO .................................
05.07 Federal hospital insurance trust fund—legislative
proposal not subject to PAYGO .................................
05.08 Federal hospital insurance trust fund—legislative
proposal subject to PAYGO .......................................
05.09 Federal hospital insurance trust fund—legislative
proposal subject to PAYGO .......................................
05.10 Health care fraud and abuse control account ..............
05.11 Health care fraud and abuse control account ..............
05.12 Health care fraud and abuse control account ..............
Adjustments:
05.90
Adjustments ...............................................................
05.00
05.01
05.02
05.03
05.04
05.05

05.99
06.10
06.11

Total appropriations ..................................................
Federal hospital insurance trust fund ..........................
Health care fraud and abuse control account ..............

07.99

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

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

2005 actual

198,472

209,627

222,120

447,014

469,334

501,711

¥1,621
¥1,807
¥1,803
...................
18 ...................
17 ................... ...................
¥195,788 ¥209,627 ¥222,054
11,121
22,860
17,225
................... ...................

¥35

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

¥66

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

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Resources available from recoveries of prior year obligations .......................................................................
22.77 Balance of trust fund authority withdrawn ..................
22.00
22.10

Total budgetary resources available for obligation
Total new obligations ....................................................
Special and trust fund receipts returned to Schedule
N ................................................................................

2006 est.

2007 est.

185,845
1,893
705
55
58

204,525
1,911
84
35
77

186,271

188,556

206,632

186,271

188,556

206,632

16 ................... ...................
¥16 ................... ...................
186,271
¥186,271

188,556
¥188,556

206,632
¥206,632

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

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
1,621
1,807
1,803
40.34
Appropriation temporarily reduced (P.L. 109–148) ...................
¥18 ...................
40.37
Appropriation temporarily reduced ............................
¥17 ................... ...................
43.00

1,604

1,789

1,803

60.26
60.45

Appropriation (total discretionary) ........................
Mandatory:
Appropriation (trust fund) .........................................
Portion precluded from balances ..............................

195,788
¥11,121

209,627
¥22,860

222,054
¥17,225

62.50

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

184,667

186,767

204,829

70.00

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

186,271

188,556

206,632

72.40
73.10
73.20
73.45

74.40

Obligated balance, end of year ................................

17,735

18,046

17,778

86.90
86.93
86.97
86.98

1,420
219
167,930
15,042

1,481
414
171,197
15,153

1,499
319
188,762
16,320

87.00

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

184,611

188,245

206,900

89.00
90.00

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

186,271
184,611

188,556
188,245

206,632
206,900

264,375

277,268

295,654

277,268

295,654

314,032

16,091
17,735
18,046
186,271
188,556
206,632
¥184,611 ¥188,245 ¥206,900
¥16 ................... ...................

92.01

Summary of Budget Authority and Outlays

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

Obligations by program activity:
Benefit payments, HI .....................................................
184,309
Administration, HI ..........................................................
1,652
Quality improvement organizations, HI .........................
244
Research, HI ...................................................................
66
MA additional premiums ............................................... ...................

10.00

2007 est.

01.99

02.99

00.01
00.02
00.03
00.04
00.05

23.90
23.95
24.41

Special and Trust Fund Receipts (in millions of dollars)
Identification code 20–8005–0–7–571

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

The Medicare Advantage (MA) Regional Stabilization Fund
finances incentives to have MA regional plans offered in each
MA region and retain MA plans in certain regions with below
national average MA market penetration.

cprice-sewell on PROD1PC66 with BUDGET PAG

447

(in millions of dollars)

................... ...................
2,166
................... ...................
¥118
¥1,075
¥1,187
¥1,099
¥5 ................... ...................
20 ................... ...................
¥187,331 ¥189,743 ¥205,714
16 ................... ...................
8 ................... ...................
259,707
PO 00000

279,591

295,997

Frm 00027

Fmt 3616

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

2005 actual

186,271
184,611

2006 est.

2007 est.

188,556
188,245

206,632
206,900

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

–35
–35

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

–2,100
–2,100

186,271
184,611

188,556
188,245

204,497
204,765

The Hospital Insurance (HI) program funds the costs of
hospital and related care for individuals age 65 or older and
for eligible disabled people.
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

448

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

THE BUDGET FOR FISCAL YEAR 2007
42.0
94.0

Status of Funds (in millions of dollars)
2005 actual

Identification code 20–8005–0–7–571

2006 est.

185,903
1,948

204,602
1,946

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

186,271

188,556

206,632

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

186,271

188,556

206,632

2007 est.

Unexpended balance, start of year:
0100 Balance, start of year ....................................................

264,901

277,670

264,901

277,670

FEDERAL HOSPITAL INSURANCE TRUST FUND

297,865

0199

297,865

Total balance, start of year ......................................
Cash income during the year:
Current law:
Receipts:
1200
FHI trust fund, Federal employer contributions
(FICA) ................................................................
1201
FHI trust fund, Postal Service employer contributions (FICA) .......................................................
1202
FHI trust fund, Interest received by trust funds
1203
FHI trust fund, Interest received by trust funds
1205
FHI trust fund, Taxation on OASDI benefits .........
1206
FHI trust fund, Payment from the general fund
for health care fraud and abuse control account .................................................................
1207
FHI trust fund, Transfers from general fund
(criminal fines) .................................................
1208
FHI trust fund, Transfers from general fund
(civil monetary penalties) ................................
1209
FHI trust fund, Interest payments by Railroad
Retirement Board .............................................
1210
FHI trust fund, Payments from the general fund
(uninsured and program management) ...........
Offsetting receipts (proprietary):
1220
FHI trust fund, Basic premium, Medicare advantage ..................................................................
1221
FHI trust fund, medicare refunds .........................
1222
FHI trust fund, Premiums collected for uninsured
individuals not otherwise eligible ....................
Offsetting governmental receipts:
1260
FHI trust fund, Transfers from general fund
(FICA taxes) ......................................................
1261
FHI trust fund, Receipts from Railroad Retirement Board .......................................................
1262
FHI trust fund, Transfers from general fund
(SECA taxes) .....................................................
1263
FHI trust fund, Civil penalties and damages
Offsetting collections:
1280
Health care fraud and abuse control account
1299
Income under present law ........................................
Proposed legislation:
Receipts:
2204
FHI trust fund, Interest received by trust
funds—legislative proposal not subject to
PAYGO ...............................................................
2299
Income under proposed legislation ...........................

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

2,630

2,734

2,782

672
15,126
...................
8,765

682
15,035
3
10,002

706
15,356
11
11,352

114

348

502

573

00.02

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

¥35

10.00

Total new obligations (object class 94.0) ................ ................... ...................

¥35

22.00
23.95

¥35
35

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

...................
58
77
1,551 ................... ...................
2,303

2,523

2,663

154,400

165,198

174,722

416

442

Appropriation (total mandatory) ........................... ................... ................... ...................
¥35

73.10
73.20

¥35
35

86.90

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

¥35

89.00
90.00

¥35
¥35

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

455

11,252
351

11,952
238

12,763
238

8
198,480

8
209,635

6
222,060

92.02

The Budget proposes a user fee to cover the costs associated
with follow-up visits to health care facilities that are found
to be out of compliance with Medicare standards.
(Legislative proposal, subject to PAYGO)

¥206,900
¥1,223
¥208,123

Program and Financing (in millions of dollars)
2005 actual

Identification code 20–8005–4–7–571

2006 est.

2007 est.

2,100
2,135

¥2,230
314,032
35
2,166

277,670

297,865

314,003

9900

Uncommitted balance, end of year ...........................

277,670

297,865

314,003

Object Classification (in millions of dollars)

244
PO 00000

2006 est.

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

¥2,100

10.00

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

¥2,100

22.00
23.95

¥2,100
2,100

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

66
¥2,166

62.50

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

¥2,100

¥2,100
2,100

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

¥2,100

¥205,988

Appropriation [Benefits] ............................................
Commitments against unexpended balance, end of year:

2005 actual

00.01

86.97

8799

Jkt 206762

FEDERAL HOSPITAL INSURANCE TRUST FUND

73.10
73.20

Total cash outgo (¥) ............................................... ¥185,711 ¥189,440
Unexpended balance, end of year:
8700 Uninvested balance (net), end of year ..........................
402
2,211
8701 Invested balance, end of year .......................................
277,268
295,654
8701 Invested balance, end of year ....................................... ................... ...................
8701 Invested balance, end of year ....................................... ................... ...................
6599

11:57 Jan 26, 2006

35
¥35

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

222,126

VerDate Aug 31 2005

¥35

70.00

Total cash income .....................................................
198,480
209,635
Cash outgo during year:
Current law:
4500
Federal hospital insurance trust fund ...................... ¥184,611 ¥188,245
4501
Health care fraud and abuse control account .........
¥1,100
¥1,195
4599
Outgo under current law (¥) .................................. ¥185,711 ¥189,440
Proposed legislation:
5500
Federal hospital insurance trust fund—legislative
proposal not subject to PAYGO ............................ ................... ...................
5501
Federal hospital insurance trust fund—legislative
proposal subject to PAYGO ................................... ................... ...................
5599
Outgo under proposed legislation (¥) .................... ................... ...................

Payment for Quality Improvement Organization (QIO)
activities ....................................................................

2007 est.

740

66
66

41.0

2006 est.

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

Identification code 20–8005–0–7–571

2005 actual

Identification code 20–8005–2–7–571

3299

cprice-sewell on PROD1PC66 with BUDGET PAG

184,288
1,739

99.9

The status of the trust fund is as follows:

Insurance claims and indemnities (benefits) ...............
Financial transfers .........................................................

99.0

FEDERAL HOSPITAL INSURANCE TRUST FUND—Continued

2007 est.

705

Frm 00028

Fmt 3616

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

89.00
90.00

92.02

Net budget authority and outlays:
Budget authority ............................................................ ................... ...................
Outlays ........................................................................... ................... ...................
Memorandum (non-add) entries:
Total investments, end of year: Federal securities:
Par value ................................................................... ................... ...................

87.00
¥2,100
¥2,100

2,166

The Budget proposes a package of reforms to encourage
competition, recognize efficiencies and productivity in health
care, enhance program integrity, and strengthen responsibility for health care choices.
f

HEALTH CARE FRAUD

AND

ABUSE CONTROL ACCOUNT

In addition to amounts otherwise available for program integrity
and program management, $118,404,000, 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, of which $85,634,000 is for the Medicare Integrity Program at the Centers for Medicare and Medicaid Services to conduct
oversight of activities authorized in titles I and II of Public Law
108–173, with oversight activities including those activities listed in
18 U.S.C. 1893(b); of which $11,336,000 is for the Department of
Health and Human Services Office of Inspector General; of which
$10,098,000 is for the Medicaid program integrity activities; and of
which $11,336,000 is for the Department of Justice: Provided, That
the report required by 18 U.S.C. 1817(k)(5) for FY 2007 shall include
measures of the operational efficiency and impact on fraud, waste
and abuse in the Medicare and Medicaid programs for the funds
provided by this appropriation.
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–8393–0–7–571

2006 est.

2007 est.

00.01
00.02
00.03
09.01

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

720
114
239
7

832
114
241
8

830
114
273
6

10.00

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

1,080

1,195

1,223

22.00
23.95
23.98
24.41

Budgetary resources available for obligation:
New budget authority (gross) ........................................
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................
Special and trust fund receipts returned to Schedule
N ................................................................................

1,088
1,195
1,223
¥1,080
¥1,195
¥1,223
¥8 ................... ...................
8 ................... ...................

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) ......................................... ................... ...................
118
Mandatory:
60.26
Appropriation (trust fund) .........................................
1,075
1,187
1,099
60.28
Appropriation (previously unavailable) .....................
5 ................... ...................
62.50

69.00
69.26

Appropriation (total mandatory) ...........................
1,080
Spending authority from offsetting collections:
Mandatory:
Offsetting collections (cash) ................................
8
Offsetting collections (previously unavailable) .... ...................

1,187

1,099

6
6
2 ...................

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

70.00
cprice-sewell on PROD1PC66 with BUDGET PAG

69.90

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

1,088

1,195

74.40

86.90
86.97
86.98

Obligated balance, end of year ................................

268
228
228
1,080
1,195
1,223
¥1,100
¥1,195
¥1,223
¥20 ................... ...................
228

228

Outlays (gross), detail:
Outlays from new discretionary authority ..................... ................... ...................
118
Outlays from new mandatory authority .........................
937
1,193
1,105
Outlays from mandatory balances ................................
163
2 ...................

VerDate Aug 31 2005

11:57 Jan 26, 2006

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1,100

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
¥8
Against gross budget authority only:
88.96
Portion of offsetting collections (cash) credited to
expired accounts ................................................... ...................

89.00
90.00

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

1,080
1,092

1,195

1,223

¥8

¥6

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

1,189
1,187

1,217
1,217

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.
This schedule reflects the estimated distribution of the account for 2006 and 2007. As required by statute, actual 2006
and 2007 agency distributions will be determined by the Secretary of HHS and the Attorney General consistent with the
Administration’s priorities.
2005 actual

2006 est.

2007 est.

Department of Justice, DOJ .........................................................
Office of the Inspector General, HHS ..........................................
Other specific HHS fraud and abuse projects ............................

49
160
31

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

240

The 2007 Budget includes a discretionary request for efforts
to safeguard Medicaid and the Medicare prescription drug
benefit, and will supplement the mandatory funds made available by P.L. 104–191.
It is important that these cost increases and new enforcement investments be fully funded. The Administration is proposing to fund them as contingent appropriations. To ensure
full funding of the new enforcement investments, the Administration proposes to employ a budget enforcement mechanism
that allows for an adjustment by the Budget Committees
to the section 302(a) allocation to the Appropriations Committees found in the concurrent resolution on the budget. In
addition, the Administration will also seek to establish statutory spending limits, as defined by section 251 of the Balanced
Budget and Emergency Deficit Control Act of 1985, and to
adjust them for this purpose. These adjustments would only
be permissible if the use of these funds was clearly restricted
to the specified purpose. The maximum allowable adjustment
to the 302(a) allocation and/or the statutory spending limit
would be $118 million for 2007 (see chapter 15 in Analytical
Perspectives).
The HCFAC entities will develop a comprehensive plan for
Medicare, Medicaid and SCHIP program integrity activities.
The plan will indicate how program integrity appropriations
from all sources (DRA, HIPAA and the discretionary cap adjustment) will be allocated to address program integrity priorities. These priorities include the fraud, waste, and abuse
vulnerabilities of these programs, and efforts to address responsibilities under the Improper Payments Improvement Act.

1,223

72.40
73.10
73.20
73.40

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

449

Object Classification (in millions of dollars)
2005 actual

Identification code 75–8393–0–7–571

11.1
12.1
23.2
25.1
25.2
25.3
25.3

Direct obligations:
Personnel compensation: Full-time permanent (CMS
100 FTEs) ..............................................................
Civilian personnel benefits (CMS) ............................
Rental payments to others ........................................
Advisory and assistance services (CMS) ..................
Other services (CMS) .................................................
Other purchases of goods and services from Government accounts (DoJ) ........................................
Other purchases of goods and services from Government accounts (HHS/OIG) ................................

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

2006 est.

2007 est.

8
2
1
4
3

8
2
1
5
4

8
2
1
5
14

160

171

450

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

HEALTH CARE FRAUD

AND

THE BUDGET FOR FISCAL YEAR 2007
05.06

ABUSE CONTROL ACCOUNT—Continued

05.07

Object Classification (in millions of dollars)—Continued

05.08
2005 actual

Identification code 75–8393–0–7–571

2006 est.

2007 est.

05.09
25.3

05.10

5
720
5
114

5
832
5
114

5
830
5
114

05.11

25.6
41.0
94.0

Other purchases of goods and services from Government accounts (HHS/AoA) ................................
Other purchases of goods and services from Government accounts (HHS/OGC) ...............................
Medical care (CMS) ...................................................
Grants, subsidies, and contributions (CMS) .............
Financial transfers ....................................................

99.0
99.0

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

1,073
7

1,187
8

1,217
6

99.9

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

1,080

1,195

Federal supplementary medical insurance trust
fund—legislative proposal subject to PAYGO .......... ................... ...................
¥106
Transitional drug assistance, Federal supplementary
medical insurance trust fund ...................................
¥1,111
¥83 ...................
Medicare prescription drug account, Federal supplementary insurance trust fund ...................................
¥1
¥714
¥468
Medicare prescription drug account, Federal supplementary insurance trust fund ................................... ...................
7 ...................
Medicare prescription drug account, Federal supplementary insurance trust fund ...................................
¥73
¥47,022
¥71,221
Medicare prescription drug account, Federal supplementary insurance trust fund ................................... ...................
677
296

1,223

25.3

05.99
06.10

Total appropriations ..................................................
Federal supplementary medical insurance trust fund

07.99

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

¥155,151 ¥207,472 ¥249,056
26 ................... ...................
¥1,226

10,544

20,088

Program and Financing (in millions of dollars)
Personnel Summary
Identification code 75–8393–0–7–571

Direct:
1001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

100

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND
Special and Trust Fund Receipts (in millions of dollars)
2005 actual

2007 est.

00.01
00.02
00.03
00.04
00.06

Obligations by program activity:
Benefit payments, SMI ...................................................
Administration, SMI .......................................................
Quality improvement organizations, SMI .......................
Research, SMI ................................................................
Transfer to Medicaid for payment of SMI premiums

151,276
2,390
46
12
242

157,414
2,438
176
9
300

175,132
2,614
21
6
350

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

153,966

160,337

178,123

153,966

160,337

178,123

2007 est.

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

400

¥1,226

10,544

Balance, start of year ....................................................
Receipts:
02.00 Federal contributions, FSMI Fund ..................................
02.01 Federal contributions, FSMI Fund ..................................
02.02 Federal contributions, FSMI Fund—legislative proposal
not subject to PAYGO ................................................
02.03 Interest received by trust fund, FSMI Fund ..................
02.04 Interest received by trust fund, FSMI Fund ..................
02.05 Interest received by trust fund, FSMI Fund—legislative proposal not subject to PAYGO ..........................
02.06 Federal contribution, State low-income determinations,
prescription drug account, FSMI ...............................
02.07 Interest, Medicare prescription drug account, FSMI
02.08 Federal contributions, Transitional assistance account,
FSMI ...........................................................................
02.09 Federal contributions, Transitional assistance account,
FSMI ...........................................................................
02.10 Federal contribution for admin. contribution for
admin. costs, prescription drug account, FSMI ........
02.11 Federal contributions for benefits, prescription drug
account, SMI ..............................................................
02.12 Miscellaneous Federal payments, Federal supplementary medical insurance trust fund .....................
02.20 Other proprietary receipts from the public, FSMI Fund
02.21 Premiums collected for Medicare prescription drug
account, FSMI ............................................................
02.22 Payments from States, Medicare prescription drug account, FSMI ................................................................
02.23 Basic premium, Medicare advantage, FSMI trust fund
02.24 Medicare refunds, SMI ...................................................
02.25 Premiums collected for the aged, FSMI Fund ...............
02.26 Premiums collected for the aged, FSMI Fund ...............
02.27 Premiums collected for the aged, FSMI Fund—legislative proposal subject to PAYGO ................................
02.28 Premiums collected for the disabled, FSMI Fund .........
02.29 Premiums collected for the disabled, FSMI Fund .........
02.30 Premiums collected for the disabled, FSMI Fund—
legislative proposal subject to PAYGO ......................

400

¥1,226

114,002
128,920
................... ...................

136,987
2,364

................... ...................
1,364
1,609
...................
¥25

¥466
2,183
¥35

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

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

10,544

01.00
01.99

cprice-sewell on PROD1PC66 with BUDGET PAG

2006 est.

10.00

100

Identification code 20–8004–0–7–571

2005 actual

Identification code 20–8004–0–7–571
2005 actual

02.99

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

73
...................

20
138

18
187

Jkt 206762

153,966
¥153,966

160,337
¥160,337

178,123
¥178,123

26 ................... ...................

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
2,417
2,441
2,614
40.34
Appropriation temporarily reduced (P.L. 109–148) ...................
¥25 ...................
40.37
Appropriation temporarily reduced ............................
¥22 ................... ...................
2,395

2,416

2,614

60.26
60.28

149,905
1,666

169,742
¥11,821

185,174
¥9,665

62.50

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

151,571

157,921

175,509

70.00

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

153,966

160,337

178,123

72.40
73.10
73.20
73.40
73.45

74.40

Obligated balance, end of year ................................

17,582

17,680

17,637

¥85
6,805
132

86.90
86.93
86.97
86.98

1,872
227
135,060
14,804

2,047
383
142,776
15,033

2,208
387
159,492
16,079

¥22

87.00

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

151,963

160,239

178,166

89.00
90.00

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

153,966
151,963

160,337
160,239

178,123
178,166

17,439

17,204

28,634

17,204

28,634

38,254

1,125 ................... ...................
...................

134 ...................

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

605

453

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

36,482

43.00

56,574

1
2
2
1 ................... ...................
...................

3,886

6,558

...................
5,819
7,588
...................
51
68
993 ................... ...................
30,394
35,364
38,357
................... ...................
925
................... ...................
5,546
6,237
................... ...................
................... ...................
153,499

219,242

258,600

Total: Balances and collections ....................................
153,899
218,016
269,144
Appropriations:
05.00 Federal supplementary medical insurance trust fund
¥2,417
¥2,441
¥2,614
05.01 Federal supplementary medical insurance trust fund ...................
25 ...................
05.02 Federal supplementary medical insurance trust fund
22 ................... ...................
05.03 Federal supplementary medical insurance trust fund ¥149,905 ¥169,742 ¥185,174
05.04 Federal supplementary medical insurance trust fund
¥1,666
11,821
9,665
05.05 Federal supplementary medical insurance trust
fund—legislative proposal subject to PAYGO .......... ................... ...................
566
11:57 Jan 26, 2006

Appropriation (total discretionary) ........................
Mandatory:
Appropriation (trust fund) .........................................
Appropriation (unavailable balances) .......................

04.00

VerDate Aug 31 2005

23.90
23.95
24.41

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15,639
17,582
17,680
153,966
160,337
178,123
¥151,963 ¥160,239 ¥178,166
¥34 ................... ...................
¥26 ................... ...................

92.01

Sfmt 3643

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HHS

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
4502

Summary of Budget Authority and Outlays
(in millions of dollars)
2005 actual
2006 est.
Enacted/requested:
Budget Authority .....................................................................
153,966
160,337
Outlays ....................................................................................
151,963
160,239
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

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

153,966
151,963

160,337
160,239

4599

2007 est.

178,123
178,166
–460
–460
177,663
177,706

The Supplementary Medical Insurance (SMI) program is
a voluntary program that affords protection against the costs
of physician and certain other medical services. The program
also covers treatment of end-stage renal disease for eligible
enrollees. SMI costs are financed by premium payments from
enrollees and contributions from the general revenues.
The status of the trust fund is as follows:
Status of Funds (in millions of dollars)
2005 actual

Identification code 20–8004–0–7–571

5500
5599

Medicare prescription drug account, Federal supplementary insurance trust fund ..........................
¥532
¥47,048
Outgo under current law (¥) .................................. ¥153,727 ¥207,495
Proposed legislation:
Federal supplementary medical insurance trust
fund—legislative proposal subject to PAYGO ..... ................... ...................
Outgo under proposed legislation (¥) .................... ................... ...................

460
460

Total cash outgo (¥) ............................................... ¥153,727 ¥207,495 ¥249,086
Unexpended balance, end of year:
8700 Uninvested balance (net), end of year ..........................
¥317 ................... ...................
8701 Invested balance, end of year .......................................
17,204
28,634
38,254
8701 Invested balance, end of year ....................................... ................... ...................
¥106
8799

Total balance, end of year ........................................
Commitments against unexpended balance, end of year:

16,887

28,634

38,148

9900

Uncommitted balance, end of year ...........................

¥1,226

10,544

20,088

Object Classification (in millions of dollars)

41.0

2007 est.

¥71,380
¥249,546

6599

2005 actual

Identification code 20–8004–0–7–571
2006 est.

451

2006 est.

2007 est.

Payment for Quality Improvement Organization (QIO)
activity .......................................................................
Insurance claims and indemnities ................................
Financial transfers .........................................................

46
151,518
2,402

176
157,714
2,447

21
175,482
2,620

17,115

16,887

28,634

42.0
94.0

0199

cprice-sewell on PROD1PC66 with BUDGET PAG

Unexpended balance, start of year:
0100 Treasury balance ............................................................

17,115

16,887

28,634

99.0

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

153,966

160,337

178,123

99.9

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

153,966

160,337

178,123

Total balance, start of year ......................................
Cash income during the year:
Current law:
Receipts:
1200
Federal contributions, FSMI Fund .........................
1201
Federal contributions, FSMI Fund .........................
1203
Interest received by trust fund, FSMI Fund .........
1204
Interest received by trust fund, FSMI Fund .........
1206
Federal contribution, State low-income determinations, prescription drug account, FSMI
1207
Interest, Medicare prescription drug account,
FSMI ..................................................................
1208
Federal contributions, Transitional assistance
account, FSMI ...................................................
1209
Federal contributions, Transitional assistance
account, FSMI ...................................................
1210
Federal contribution for admin. contribution for
admin. costs, prescription drug account, FSMI
1211
Federal contributions for benefits, prescription
drug account, SMI ............................................
1212
Miscellaneous Federal payments, Federal supplementary medical insurance trust fund ............
Offsetting receipts (proprietary):
1220
Other proprietary receipts from the public, FSMI
Fund ..................................................................
1221
Premiums collected for Medicare prescription
drug account, FSMI ..........................................
1222
Payments from States, Medicare prescription
drug account, FSMI ..........................................
1223
Basic premium, Medicare advantage, FSMI trust
fund ..................................................................
1224
Medicare refunds, SMI ..........................................
1225
Premiums collected for the aged, FSMI Fund
1226
Premiums collected for the aged, FSMI Fund
1228
Premiums collected for the disabled, FSMI Fund
1229
Premiums collected for the disabled, FSMI Fund
1299
Income under present law ........................................
Proposed legislation:
Receipts:
2202
Federal contributions, FSMI Fund—legislative
proposal not subject to PAYGO ........................
2205
Interest received by trust fund, FSMI Fund—
legislative proposal not subject to PAYGO ......
Offsetting receipts (proprietary receipts):
2227
Premiums collected for the aged, FSMI Fund—
legislative proposal subject to PAYGO .............
2230
Premiums collected for the disabled, FSMI
Fund—legislative proposal subject to PAYGO
2299
Income under proposed legislation ...........................
3299

Total cash income .....................................................
Cash outgo during year:
Current law:
4500
Federal supplementary medical insurance trust
fund .......................................................................
4501
Transitional drug assistance, Federal supplementary medical insurance trust fund ................
VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

114,002
128,920
................... ...................
1,364
1,609
...................
¥25

136,987
2,364
2,183
¥35

20
138

187

(Legislative proposal, subject to PAYGO)

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

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

Program and Financing (in millions of dollars)
2005 actual

Identification code 20–8004–4–7–571

2006 est.

2007 est.

1,125 ................... ...................
...................

134 ...................

00.01

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

¥460

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

605

453

10.00

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

¥460

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

36,482

56,574

22.00
23.95

¥460
460

New budget authority (gross), detail:
Mandatory:
60.26
Appropriation (trust fund) ......................................... ................... ...................
60.28
Appropriation (unavailable balances) ....................... ................... ...................

¥566
106

62.50

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

¥460

73.10
73.20

¥460
460

86.97

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

¥460

89.00
90.00

¥460
¥460

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

¥106

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

3,886

6,558

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

5,819

7,588

...................
51
68
993 ................... ...................
30,394
35,364
38,357
................... ...................
925
5,546
6,237
6,805
................... ...................
132
153,499
219,242
259,166

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

¥466

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

¥85

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

¥22
¥566

153,499

¥151,963
¥1,232
PO 00000

219,242

¥160,239

258,600

¥178,166

¥208 ...................
Frm 00031

92.02

Fmt 3616

E:\BUDGET\HHS.XXX

HHS

452

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

THE BUDGET FOR FISCAL YEAR 2007

TRANSITIONAL DRUG ASSISTANCE, FEDERAL SUPPLEMENTARY
MEDICAL INSURANCE TRUST FUND

73.20
73.40

Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................

Program and Financing (in millions of dollars)

74.40

Obligated balance, end of year ................................

405

409

422

1
458
73

605
98
46,345

399
56
70,925

2005 actual

Identification code 75–8307–0–7–571

2006 est.

2007 est.

¥532
¥47,048
¥71,380
31 ................... ...................

Obligations by program activity:
00.01 Benefit payments, transitional drug assistance ...........

1,111

83 ...................

86.90
86.93
86.97

10.00

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

1,111

83 ...................

87.00

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

532

47,048

71,380

22.00
23.95

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

1,111
¥1,111

83 ...................
¥83 ...................

89.00
90.00

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

74
532

47,052
47,048

71,393
71,380

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

72.40
73.10
73.20
73.40

74.40

Obligated balance, end of year ................................

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

1,111

83 ...................

244
125
1,111
83
¥1,232
¥208
2 ...................

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

Beginning in 2006, Medicare beneficiaries have the opportunity to enroll in a comprehensive voluntary prescription
drug benefit.

125 ................... ...................

Object Classification (in millions of dollars)
Outlays (gross), detail:
86.93 Outlays from discretionary balances .............................
86.97 Outlays from new mandatory authority .........................
86.98 Outlays from mandatory balances ................................

107
1,092
33

74 ...................
83 ...................
51 ...................

87.00

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

1,232

208 ...................

89.00
90.00

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

1,111
1,232

83 ...................
208 ...................

Authorized under the Medicare Modernization Act as section 1860 D–31 of the Social Security Act, the Medicare Transitional Drug Assistance program provided low-income beneficiaries with $600 per year in 2004 and 2005 to help them
pay for their prescription drugs and covered the cost of enrollment fees.

2005 actual

Identification code 75–8308–0–7–571

25.2
41.0

Other services ................................................................
74
Grants, subsidies, and contributions ............................ ...................

99.9

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

2006 est.

2007 est.

727
46,325

486
70,907

47,052

71,393

ALLOCATION RECEIVED FROM OTHER ACCOUNTS
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

ADMINISTRATION FOR CHILDREN AND
FAMILIES

Federal Funds
MEDICARE PRESCRIPTION DRUG ACCOUNT, FEDERAL SUPPLEMENTARY
MEDICAL INSURANCE TRUST FUND

General and special funds:
TEMPORARY ASSISTANCE

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–8308–0–7–571

00.01
00.03
00.04

Obligations by program activity:
Administrative costs ......................................................
1
Low-income determinations (Medicaid) .........................
73
Prescription Drug Benefits ............................................. ...................

FOR

NEEDY FAMILIES

Program and Financing (in millions of dollars)
2006 est.

2007 est.

707
20
46,325

468
18
70,907

10.00

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

47,052

71,393

22.00
23.95

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

74
¥74

47,052
¥47,052

71,393
¥71,393

2005 actual

Identification code 75–1552–0–1–609

00.01
00.02
00.03
00.04
00.05
00.06
00.07
00.08
00.09

cprice-sewell on PROD1PC66 with BUDGET PAG

10.00

43.00

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

60.26
60.45

Appropriation (total discretionary) ........................
1
Mandatory:
Appropriation (trust fund) .........................................
73
Portion precluded from obligation ............................ ...................

707

468

47,022
¥677

71,221
¥296

62.50

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

46,345

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

47,052

71,393

72.40
73.10

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

832
74

405
47,052

409
71,393

Frm 00032

Fmt 3616

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

17,226

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
New budget authority (gross) ........................................
22,348
22,348
¥17,226
¥52

17,050

5,070 ...................
11,988
17,058
17,058
¥17,050
¥8

17,058
¥17,050
¥8

5,070 ................... ...................

70,925

70.00

2007 est.

Obligations by program activity:
State family assistance grant .......................................
16,478
16,489
16,489
Territories—family assistance grants ...........................
77
78
78
Matching grants to territories ....................................... ...................
6
6
Supplemental grants for population increases .............
319
319
319
Bonus to reward decrease in illegitimacy .....................
75 ................... ...................
Tribal work programs .....................................................
8
8
8
Bonus to reward high performance States ...................
200 ................... ...................
Federal loans (Hurricane Katrina related) .....................
69 ................... ...................
Healthy marriage and responsible fatherhood grants ...................
150
150

New budget authority (gross), detail:
Discretionary:
40.26
Appropriation (trust fund) .........................................
1
714
468
40.26
Appropriation (trust fund) ......................................... ................... ................... ...................
40.34
Appropriation temporarily reduced (P.L. 109–148) ...................
¥7 ...................

21.40
22.00

2006 est.

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

PO 00000

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

22,348

11,988

17,058

62.50

22,348

11,988

17,058

Sfmt 3643

Appropriation (total mandatory) ...........................
E:\BUDGET\HHS.XXX

HHS

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

453

73.20

72.40
73.10
73.20
73.40

74.40

Obligated balance, end of year ................................

6,335

5,979

5,568

86.97
86.98

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

13,113
4,244

9,161
8,245

13,264
4,197

87.00

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

17,357

17,406

89.00
90.00

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

22,348
17,357

11,988
17,406

17,058
17,461

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

¥10

74.40

Obligated balance, end of year ................................ ................... ...................

86.97

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

89.00
90.00

100
10

17,461

6,474
6,335
5,979
17,226
17,050
17,050
¥17,357
¥17,406
¥17,461
¥8 ................... ...................

The Budget provides additional funding for the Healthy
Marriage/Family Formation initiative. It also extends the
Supplemental Grant for Population Increases beyond 2008.
f

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

Enacted/requested:
2005 actual
2006 est.
Budget Authority .....................................................................
22,348
11,988
Outlays ....................................................................................
17,357
17,406
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

22,348
17,357

11,988
17,406

CONTINGENCY FUND
2007 est.

17,058
17,461
100
10
17,158
17,471

The Temporary Assistance for Needy Families block grant
provides funding to States for aid to low-income families with
children. The Budget maintains the funding for grants to
States, territories, and Tribes while eliminating the out-ofwedlock bonus and the high performance bonus. The Budget
also strengthens work requirements to maximize self-sufficiency.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–1552–0–1–609

2006 est.

2007 est.

11.1
12.1
25.1
25.2
41.0

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Advisory and assistance services ..................................
Other services ................................................................
Grants, subsidies, and contributions ............................

...................
...................
...................
...................
17,226

2
1
12
17
17,018

2
1
15
14
17,018

99.9

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

17,226

17,050

Program and Financing (in millions of dollars)

2006 est.

Direct:
1001 Civilian full-time equivalent employment ..................... ...................

TEMPORARY ASSISTANCE

FOR

2007 est.

132

10.00

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

132

21.40
22.00

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

1,958
¥58

1,900
¥132

1,768
¥92

24.40

Unobligated balance carried forward, end of year

1,900

1,768

1,676

Appropriation (total mandatory) ........................... ................... ................... ...................
Reappropriation .........................................................
1,958 ................... ...................

70.00

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

1,958 ................... ...................

Change in obligated balances:
Obligated balance, start of year ................................... ...................
Total new obligations ....................................................
58
Total outlays (gross) ......................................................
¥43

74.40

86.97
86.98

NEEDY FAMILIES

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
1,900
1,768
New budget authority (gross) ........................................
1,958 ................... ...................

23.90
23.95

(Legislative proposal, subject to PAYGO)

2007 est.

Obligations by program activity:
Contingency fund ...........................................................

72.40
73.10
73.20
2005 actual

Identification code 75–1552–0–1–609

2006 est.

00.01

17,050

Personnel Summary

2005 actual

Identification code 75–1522–0–1–609

Obligated balance, end of year ................................

15
132
¥131

16
92
¥90

Outlays (gross), detail:
Outlays from new mandatory authority .........................
43 ................... ...................
Outlays from mandatory balances ................................ ...................
131
90

87.00

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

89.00
90.00

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

131

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1552–4–1–609

2006 est.

2007 est.

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

100

22.00
23.95

100
¥100

1,958 ................... ...................
43
131
90

100

10.00
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Obligations by program activity:
00.11 Family formation, healthy marriage grants .................. ................... ...................

24.40

(in millions of dollars)

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

New budget authority (gross), detail:
Mandatory:
60.00
Appropriation ............................................................. ................... ...................
Change in obligated balances:
73.10 Total new obligations .................................................... ................... ...................
VerDate Aug 31 2005

11:57 Jan 26, 2006

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Frm 00033

Summary of Budget Authority and Outlays

100

2005 actual
2006 est.
2007 est.
Enacted/requested:
Budget Authority .....................................................................
1,958 .................... ....................
Outlays ....................................................................................
43
131
90
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
232
Outlays .................................................................................... .................... ....................
16

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

100
Fmt 3616

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E:\BUDGET\HHS.XXX

HHS

1,958 ....................
43
131

232
106

454

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007
01.02
01.03

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1522–4–1–609

2006 est.

33
1

38
1

Subtotal, other payments ..........................................
Offset obligations (CSE grants to States) ....................

34
220

39
224

39
7

10.00

CONTINGENCY FUND
(Legislative proposal, subject to PAYGO)

Payments to territories ..................................................
Repatriation ...................................................................

01.91
09.01

General and special funds—Continued

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

4,127

4,118

4,115

21.40
22.00
22.10

559
4,294

729
3,546

157
3,960

2007 est.

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

10.00

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

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

23.90
23.95
232
¥20

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

212

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

4,856
¥4,127

4,275
¥4,118

4,117
¥4,115

24.40

Unobligated balance carried forward, end of year

729

157

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

2,874

2,122

2,753

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

2,874
1,200

2,122
1,200

2,753
1,200

220

224

4,294

3,546

3,960

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

232

62.50
65.00

73.10
73.20

20
¥16

69.00

74.40

Obligated balance, end of year ................................ ................... ...................

70.00

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

86.97

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

89.00
90.00

232
16

72.40
73.10
73.20
73.45

74.40

Obligated balance, end of year ................................

756

747

750

86.97
86.98

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

3,621
582

3,531
596

3,622
490

87.00

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

4,203

4,127

4,112

Offsets:
Against gross budget authority and outlays:
88.45
Offsetting collections (cash) from: Offsetting governmental collections (from non-Federal sources)

¥220

¥224

¥7

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

4,074
3,982

3,322
3,903

3,953
4,105

This schedule reflects a proposal to authorize a more accessible Contingency Fund.
f

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PAYMENTS

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 øand
the Act of July 5, 1960 (24 U.S.C. ch. 9), $2,121,643,000¿
$2,752,697,000, to remain available until expended, of which up to
$5,000,000 is for repatriation of U.S. citizens returned from foreign
countries pursuant to section 1113 of the Act (notwithstanding subsection (d) of such section); and for such purposes for the first quarter
of fiscal year ø2007, $1,200,000,000¿ 2008, $1,000,000,000, 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 for 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 øand 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, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1501–0–1–609

2006 est.

3,417
446
10

3,387
458
10

3,588
471
10

00.91

Subtotal, child support enforcement ........................

3,873

3,855

4,069

Frm 00034

Fmt 3616

Jkt 206762

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

Enacted/requested:
2005 actual
2006 est.
Budget Authority .....................................................................
4,074
3,322
Outlays ....................................................................................
3,983
3,903
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
Total:
Budget Authority .....................................................................
Outlays ....................................................................................

4,074
3,983

3,322
3,903

2007 est.

3,953
4,105
7
7
3,960
4,112

This account provides for payments to States for child support enforcement and other family support programs, including access and visitation programs for families. The Federal
share of child support collections is returned to the Treasury
in a receipt account. The text table below shows the net
Federal costs of child support enforcement and assumes enactment of legislative proposals effective in 2007.
Net Federal Costs of Child Support Enforcement
(In millions of dollars)

Obligations by program activity:
State child support administrative costs ......................
Child support incentive payments .................................
Access and visitation grants .........................................

11:57 Jan 26, 2006

89.00
90.00

2007 est.

00.01
00.02
00.03

VerDate Aug 31 2005

835
756
747
4,127
4,118
4,115
¥4,203
¥4,127
¥4,112
¥3 ................... ...................

PO 00000

2005

Gross Federal share of collections ..............................................
Federal incentive payments to States ........................................
State child support administrative costs ...................................
Access and visitation grants ......................................................
Sfmt 3647

E:\BUDGET\HHS.XXX

HHS

–1,188
446
3,637
10

2006

–1,087
458
3,611
10

2007

–1,119
471
3,600
12

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Total ....................................................................................

2,905

2,992

2,964

2005 actual

Identification code 75–1501–0–1–609

41.0

2006 est.

2007 est.

99.0

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

3,907
220

3,894
224

4,108
7

99.9

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

4,127

4,118

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

24.40

Object Classification (in millions of dollars)

23.90
23.95

Unobligated balance carried forward, end of year

2,182
¥2,162

455

2,181
¥2,181

2,782
¥2,782

20 ................... ...................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation—Block ................................................
1,900
2,000
1,782
40.00
Appropriation—Emergency ........................................
300
183 ...................
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥22 ...................
40.35
Appropriation permanently reduced ..........................
¥18 ................... ...................

4,115
43.00

PAYMENTS

60.00
60.00

AND

(Legislative proposal, subject to PAYGO)

1,782

62.50

STATES FOR CHILD SUPPORT ENFORCEMENT
FAMILY SUPPORT PROGRAMS

Appropriation (total discretionary) ........................
2,182
2,161
Mandatory:
Appropriation—Block ................................................ ................... ...................
Appropriation—Emergency ........................................ ................... ...................
Appropriation (total mandatory) ........................... ................... ...................

1,000

70.00

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

2,182

72.40
73.10
73.20
73.40

486
2,162
¥2,095
¥5

74.40

Obligated balance, end of year ................................

548

2,161

250
750

2,782

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1501–4–1–609

2006 est.

2007 est.

Obligations by program activity:
00.01 State child support administrative costs ...................... ................... ...................
00.03 Access and visitation grants ......................................... ................... ...................

5
2

10.00

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

7
¥7

74.40

556

700

Outlays (gross), detail:
Outlays from new discretionary authority .....................
1,692
1,664
Outlays from discretionary balances .............................
403
506
Outlays from new mandatory authority ......................... ................... ...................

1,372
495
771

87.00

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

2,095

2,170

2,638

89.00
90.00

86.90
86.93
86.97

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

2,182
2,095

2,161
2,170

2,782
2,638

7
¥7

Obligated balance, end of year ................................ ................... ................... ...................

86.97

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

89.00
90.00

This program makes grants to States and Indian Tribes
to aid low-income households with high energy costs through
payments to eligible households, energy suppliers, and weatherization providers. Obligation estimates for the contingency
fund are based on average historical obligation rates.

7
7

REFUGEE

This legislative proposal increases child support collections
and directs more of these payments to families. Also included
are provisions to increase and improve medical child support
collections on behalf of children.
f

LOW INCOME HOME ENERGY ASSISTANCE

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For making payments under øtitle XXVI of the Omnibus Budget
Reconciliation Act of 1981, $2,000,000,000¿ section 2602(b) of the
Low Income Home Energy Act, $1,782,000,000.
øFor making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $183,000,000 to remain available until
September 30, 2006: Provided, That these funds are for the unanticipated home energy assistance needs of one or more States, as authorized by section 2604(e) of such Act, and notwithstanding the designation requirement of section 2602(e) of such Act.¿ (Department of
Health and Human Services Appropriations Act, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1502–0–1–609

500
10
105

2,782

10.00

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

534

570

615

20 ...................
2,161
2,782

21.40
22.00

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

2,181

PO 00000

2007 est.

483
10
77

2,162

Jkt 206762

2007 est.

2006 est.

470
10
54

10.00

11:57 Jan 26, 2006

2005 actual

2,782

2,181

VerDate Aug 31 2005

Program and Financing (in millions of dollars)

Obligations by program activity:
Refugee and entrant assistance ...................................
Assistance for treatment of torture victims ..................
Unaccompanied alien children ......................................

2,162

ENTRANT ASSISTANCE

00.01
00.02
00.03

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

AND

For necessary expenses for refugee and entrant assistance activities
and for costs associated with the care and placement of unaccompanied alien children authorized by øtitle IV¿ section 414 of the
Immigration and Nationality Act and section 501 of the Refugee
Education Assistance Act of 1980 (Public Law 96–422), for carrying
out section 462 of the Homeland Security Act of 2002 (Public Law
107–296), and for carrying out the Torture Victims Relief Act of
2003 (Public Law 108–179), ø$575,579,000¿ $614,935,000, of which
up to ø$9,915,000¿ $14,816,000 shall be available to carry out the
Trafficking Victims Protection øAct of 2003 (Public Law 108–193)¿
Reauthorization Act of 2005: Provided, That funds appropriated under
this heading pursuant to section 414(a) of the Immigration and Nationality Act and section 462 of the Homeland Security Act of 2002
for fiscal year ø2006¿ 2007 shall be available for the costs of assistance provided and other activities to remain available through September 30, ø2008¿ 2009. (Department of Health and Human Services
Appropriations Act, 2006.)

Identification code 75–1503–0–1–609
2006 est.

548
556
2,181
2,782
¥2,170
¥2,638
¥3 ...................

Frm 00035

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E:\BUDGET\HHS.XXX

HHS

8 ................... ...................
484
570
615

456

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007
10.00

REFUGEE

AND

2005 actual

Identification code 75–1503–0–1–609

23.90
23.95

404

454

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

404
¥404

454
¥454

ENTRANT ASSISTANCE—Continued

Program and Financing (in millions of dollars)—Continued

22.10

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

22.00
23.95

General and special funds—Continued

Resources available from recoveries of prior year obligations .......................................................................

2006 est.

2007 est.

42 ................... ...................

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

534
¥534

570
¥570

615
¥615

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
100
90
89
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥1 ...................
40.35
Appropriation permanently reduced ..........................
¥1 ................... ...................

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

60.00

Appropriation (total discretionary) ........................
Mandatory:
Appropriation .............................................................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
488
576
615
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥6 ...................
40.35
Appropriation permanently reduced ..........................
¥4 ................... ...................

70.00

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

72.40
73.10
73.20
73.40

74.40

Obligated balance, end of year ................................

430

470

482

86.90
86.93
86.97
86.98

23
78
70
238

20
75
84
235

20
70
84
268

87.00

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

409

414

442

89.00
90.00

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

404
409

454
414

454
442

24.40

43.00

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

484

570

615

72.40
73.10
73.20
73.45

74.40

Obligated balance, end of year ................................

471

507

540

86.90
86.93

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

175
329

239
295

43.00

258
324

483
471
507
534
570
615
¥504
¥534
¥582
¥42 ................... ...................

87.00

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

504

534

582

89.00
90.00

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

484
504

570
534

615
582

States are subsidized for administering the refugee assistance program. Funds are also provided to assist in the rehabilitation of victims of torture, trafficking victims, and the
care and placement of unaccompanied alien children.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–1503–0–1–609

11.1
23.1
25.1
25.2
25.3
41.0
99.9

2006 est.

Personnel compensation: Full-time permanent .............
2
Rental payments to GSA ................................................
1
Advisory and assistance services ..................................
11
Other services ................................................................ ...................
Other purchases of goods and services from Government accounts ...........................................................
5
Grants, subsidies, and contributions ............................
515
Total new obligations ................................................

2007 est.

3
1
17
1

4
1
17
1

5
543

615

Personnel Summary
2005 actual

Identification code 75–1503–0–1–609

1001

Direct:
Civilian full-time equivalent employment .....................

2006 est.

2007 est.

305

365

404

454

436
430
470
404
454
454
¥409
¥414
¥442
¥1 ................... ...................

Object Classification (in millions of dollars)
2005 actual

Identification code 75–1512–0–1–506

25.1
25.3
41.0

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

99.9

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

6
586

570

This program provides funds for a broad range of child
welfare services, including family preservation and family
support services.

2006 est.

2007 est.

1 ................... ...................
400
450
451
404

454

CHILD CARE ENTITLEMENT

534

STATES

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1550–0–1–609

2006 est.

2007 est.

00.01
00.02
00.03
00.04

Obligations by program activity:
Mandatory child care .....................................................
Matching child care .......................................................
Training and technical assistance ................................
Child care tribal grants .................................................

1,178
1,487
7
54

1,178
1,674
7
58

10.00

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

2,726

2,917

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PROMOTING SAFE

AND

STABLE FAMILIES

For carrying out section 436 of the Social Security Act,
ø$305,000,000¿ $345,000,000 and for section 437, ø$90,000,000¿
$89,100,000. (Department of Health and Human Services Appropriations Act, 2006.)

2005 actual

Obligations by program activity:
00.01 Grants to States and Tribes ..........................................
00.02 Research, training and technical assistance ...............
00.03 State court improvement activities ...............................
VerDate Aug 31 2005

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382
9
13
PO 00000

Budgetary resources available for obligation:
Unobligated balance carried forward, start of year ...................
991 ...................
New budget authority (gross) ........................................
3,708
1,926
2,917
Expired unobligated balance transfer to unexpired account ..........................................................................
9 ................... ...................

2006 est.

2007 est.

412
9
33

Frm 00036

Fmt 3616

23.90
23.95

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

24.40

Program and Financing (in millions of dollars)
Identification code 75–1512–0–1–506

21.40
22.00
22.30

Unobligated balance carried forward, end of year

3,717
¥2,726

2,917
¥2,917

991 ................... ...................

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

3,708

1,926

2,917

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

956

877

926

72.40

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
73.10
73.20
73.40

Total new obligations ....................................................
Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................

74.40

2,726
2,917
2,917
¥2,784
¥2,868
¥2,909
¥21 ................... ...................

Obligated balance, end of year ................................

457

¥2,121
¥2,041
¥2,063
¥3 ................... ...................

Obligated balance, end of year ................................

709

730

729

86.90
86.93

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

1,477
644

1,464
577

1,464
599

87.00

926

Total outlays (gross) ......................................................
Adjustments in expired accounts (net) .........................

74.40
877

73.20
73.40

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

2,121

2,041

2,063

934

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

1,957
827

1,387
1,481

2,100
809

87.00

2,784

2,868

2,909

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

3,708
2,784

1,926
2,868

2,917
2,909

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).
Object Classification (in millions of dollars)
2005 actual

Identification code 75–1550–0–1–609

2006 est.

2007 est.

25.1
41.0

Advisory and assistance services ..................................
Grants, subsidies, and contributions ............................

7
2,719

7
2,910

99.9

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

2,726

2,917

Offsets:
Against gross budget authority and outlays:
88.00
Offsetting collections (cash) from: Federal sources
Against gross budget authority only:
88.96
Portion of offsetting collections (cash) credited to
expired accounts ...................................................

89.00
90.00

STATES

FOR THE
BLOCK

CHILD CARE
GRANT

DEVELOPMENT

Program and Financing (in millions of dollars)
2005 actual

2006 est.

2007 est.

Obligations by program activity:
Block grant payments to States ....................................
Research and evaluation fund ......................................
Reimbursable program ..................................................

10.00

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

2,083

2,062

22.00
23.95

cprice-sewell on PROD1PC66 with BUDGET PAG

00.01
00.04
09.00

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

2,084
¥2,083

2,062
¥2,062

2,072
2,052
2,052
10
10
10
1 ................... ...................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
2,100
2,083
2,062
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥21 ...................
40.35
Appropriation permanently reduced ..........................
¥17 ................... ...................
43.00

Appropriation (total discretionary) ........................
Discretionary:
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

2,083

70.00

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

2,084

2,062

72.40
73.10

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

750
2,083

709
2,062

730
2,062

Frm 00037

Fmt 3616

68.00

VerDate Aug 31 2005

11:57 Jan 26, 2006

Jkt 206762

2,083
2,117

2,062
2,041

2,062
2,063

Object Classification (in millions of dollars)
2005 actual

Identification code 75–1515–0–1–609

2006 est.

2007 est.

2,062

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

PO 00000

Direct obligations:
Advisory and assistance services .............................
Other purchases of goods and services from Government accounts .................................................
Grants, subsidies, and contributions ........................

41.0

AND

For carrying out øsections 658A through 658R of the Omnibus
Budget Reconciliation Act of 1981 (The¿ the Child Care and Development Block Grant Act of 1990ø)¿, ø$2,082,910,000¿ $2,062,081,000
shall be used to supplement, not supplant State general revenue
funds for child care assistance for low-income families: Provided, That
ø$18,967,040¿ $18,777,370 shall be available for child care resource
and referral and school-aged child care activities, of which ø$992,000¿
$982,080 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, ø$270,490,624¿ $267,785,718 shall
be reserved by the States for activities authorized under section 658G,
of which ø$99,200,000¿ $98,208,000 shall be for activities that improve the quality of infant and toddler care: Provided further, That
ø$9,920,000¿ $9,821,000 shall be for use by the Secretary for child
care research, demonstration, and evaluation activities. (Department
of Health and Human Services Appropriations Act, 2006.)

Identification code 75–1515–0–1–609

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

This appropriation helps low-income families pay for child
care and related services and supports grants to States for
child care quality activities.

PAYMENTS

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

¥4 ................... ...................

1
2,075

1
2,056

1
2,055

99.0
99.0

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

2,082
2,062
2,062
1 ................... ...................

99.9

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

25.1
25.3

2,083

2,062

SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002 of the Social
Security Act, ø$1,700,000,000: Provided, That notwithstanding subparagraph (B) of section 404(d)(2) of such Act, the applicable percent
specified under such subparagraph for a State to carry out State
programs pursuant to title XX of such Act shall be 10 percent¿
$1,200,000,000: Provided, That notwithstanding section 2003(c) of
such Act, the amount specified for allocation under such section for
fiscal year 2007 shall be $1,200,000,000. (Department of Health and
Human Services Appropriations Act, 2006.)
øFor an additional amount for ‘‘Social Services Block Grant’’,
$550,000,000, for necessary expenses related to the consequences of
hurricanes in the Gulf of Mexico in calendar year 2005, notwithstanding section 2003 and paragraphs (1) and (4) of section 2005(a)
of the Social Security Act (42 U.S.C. 1397b and 1397d(a)): Provided,
That in addition to other uses permitted by title XX of the Social
Security Act, funds appropriated under this heading may be used
for health services (including mental health services) and for repair,
renovation and construction of health facilities (including mental
health facilities): Provided further, That the amount provided under
this heading is designated as an emergency requirement pursuant
to section 402 of H. Con. Res. 95 (109th Congress), the concurrent
resolution on the budget for fiscal year 2006.¿ Emergency Supplemental Appropriations Act to Address Hurricanes in the Gulf of Mexico and Pandemic Influenza, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1534–0–1–506

2006 est.

2007 est.

00.01

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

1,700

2,250

1,200

10.00

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

1,700

2,250

1,200

21.40
22.00

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

4
1,700

4
2,250

4
1,200

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

458

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
SOCIAL SERVICES BLOCK GRANT—Continued
Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–1534–0–1–506

2006 est.

2007 est.

23.90
23.95

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

1,704
¥1,700

2,254
¥2,250

1,204
¥1,200

24.40

Unobligated balance carried forward, end of year

¥500
1,700

70.00

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

1,700

2,250

1,200

72.40
73.10
73.20

564
1,700
¥1,822

442
2,250
¥2,224

468
1,200
¥1,402

74.40

Obligated balance, end of year ................................

442

468

266

Outlays (gross), detail:
Outlays from new discretionary authority ..................... ................... ...................
Outlays from new mandatory authority .........................
1,445
1,913
Outlays from mandatory balances ................................
377
311

¥425
1,445
382

86.90
86.97
86.98
87.00

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

1,822

2,224

1,402

89.00
90.00

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

1,700
1,822

2,250
2,224

1,200
1,402

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CHILDREN

AND

FAMILIES SERVICES PROGRAMS

For carrying out, except as otherwise provided, the Runaway and
Homeless Youth Act, the Developmental Disabilities Assistance and
Bill of Rights Act, the Head Start Act, the Child Abuse Prevention
and Treatment Act, 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, sections 261 and 291
of the Help America Vote Act of 2002, part B(1) of title IV and
sections 413, ø429A,¿ 1110, and 1115 of the Social Security Act,
øand sections 40155, 40211, and 40241 of Public Law 103–322; for
making payments under the Community Services Block Grant Act,¿
sections 439(h)ø, 473A,¿ and 477(i) 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, V, X, XI, XIV,
XVI, and XX of the Social Security Act, øthe 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, øsections 40155, 40211,
and 40241 of Public Law 103–322, and section 126¿ and titles IV
and V of Public Law 100–485, ø$8,922,213,000¿ $8,238,603,000, of
which ø$18,000,000¿ $29,654,000, to remain available until September 30, ø2007¿ 2008, shall be for grants to States for adoption
incentive payments, as authorized by section 473A of øtitle IV of¿
the Social Security Act ø(42 U.S.C. 670–679)¿ and may be made
for adoptions completed before September 30, ø2006¿ 2007: Provided,
That ø$6,843,114,000¿ $6,785,771,000 shall be for making payments
under the Head Start Act, of which $1,388,800,000 shall become
available October 1, ø2006¿ 2007, and remain available through September 30, ø2007: Provided further, That $701,590,000 shall be for
making payments under the Community Services Block Grant Act:
Provided further, That not less than $7,367,000 shall be for section
680(3)(B) of the Community Services Block Grant Act¿ 2008: Provided
further, That in addition to amounts provided herein, $6,000,000 shall
be available from amounts available under section 241 of the Public
Health Service Act to carry out the provisions of section 1110 of
the Social Security Act: øProvided further, That to the extent Community Services Block Grant funds are distributed as grant funds by
VerDate Aug 31 2005

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Frm 00038

Fmt 3616

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 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:¿ Provided further, That
ø$65,000,000¿ $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 ø$15,879,000¿
$15,720,000 shall be for activities authorized by the Help America
Vote Act of 2002, of which ø$11,000,000¿ $10,890,000 shall be for
payments to States to promote access for voters with disabilities,
and of which ø$4,879,000¿ $4,830,000 shall be for payments to States
for protection and advocacy systems for voters with disabilities: Provided further, That ø$110,000,000¿ $136,665,000 shall be for making
competitive grants to provide abstinence education (as defined by
section 510(b)(2) of the Social Security Act) to adolescents, and for
Federal costs of administering the grant: 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 abstinence education was provided: Provided
further, That within amounts provided herein for abstinence education for adolescents, up to $10,000,000 may be available for a national abstinence education campaign: Provided further, That in addition to amounts provided herein for abstinence education for adolescents, $4,500,000 shall be available from amounts available under
section 241 of the Public Health Service Act to carry out evaluations
(including longitudinal evaluations) of adolescent pregnancy prevention approaches: Provided further, That $2,000,000 shall be for improving the Public Assistance Reporting Information System, including grants to States to support data collection for a study of the
system’s effectiveness.
øOf the funds provided under this heading in Public Law 108–
447 to carry out section 473A of title IV of the Social Security Act
(42 U.S.C. 670–679), $22,500,000 are rescinded.¿ (Department of
Health and Human Services Appropriations Act, 2006.)
øFor an additional amount for ‘‘Children and Families Services
Programs’’, $90,000,000, for Head Start to serve children displaced
by hurricanes in the Gulf of Mexico in calendar year 2005, notwithstanding sections 640(a)(1) and 640(g)(1) of the Head Start Act, and
to cover the costs of renovating those Head Start facilities which
were affected by these hurricanes, to the extent reimbursements from
FEMA and insurance companies do not fully cover such costs: Provided, That the amount provided under this heading is designated
as an emergency requirement pursuant to section 402 of H. Con.
Res. 95 (109th Congress), the concurrent resolution on the budget
for fiscal year 2006.¿ (Emergency Supplemental Appropriations Act
to Address Hurricanes in the Gulf of Mexico and Pandemic Influenza,
2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1536–0–1–506

Obligations by program activity:
Head Start ......................................................................
Early Learning Opportunities .........................................
Runaway and homeless youth (basic centers) .............
Transitional living ..........................................................
Education grants to reduce sexual abuse of runaway
youth ..........................................................................
01.07 Abstinence education (mandatory) ................................
01.08 Mentoring children of prisoners ....................................
01.09 Child abuse State grants ..............................................
01.01
01.02
01.03
01.04
01.06

Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

2006 est.

2007 est.

6,842
6,876
6,786
36 ................... ...................
49
48
48
40
40
40
15
41
49
27

15
50
49
27

15
13
40
27

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
01.10
01.11
01.12
01.13
01.14
01.15
01.16
01.17
01.18
01.19
01.20
01.21
01.22
01.23
01.24
01.25
01.26
01.28
01.29
01.30

Child abuse discretionary activities ..............................
Community based resource centers ..............................
Child welfare services ...................................................
Child welfare training ....................................................
Adoption opportunities ...................................................
Abandoned infants .........................................................
Adoption incentives ........................................................
Independent training vouchers ......................................
Children’s health act programs ....................................
State grants ...................................................................
Protection and advocacy ................................................
Projects of national significance ...................................
Centers for excellence ....................................................
Voting access for individuals with disabilities .............
Native American programs ............................................
Social services and income maintenance research ......
Compassion capital fund ..............................................
Federal administration ...................................................
Faith-based center .........................................................
Abstinence education (discretionary) ............................

32
43
290
7
27
12
15
47
13
72
38
12
32
15
45
26
55
185
1
99

26
26
43
42
287
287
7
7
27
27
12
12
20
30
46
46
13
13
72
72
39
39
11
11
33
33
16
16
44
44
6 ...................
64
100
183
188
1
1
109
137

01.91
03.01
03.03
03.04
03.05
03.06
03.07
03.08
03.09

Subtotal .....................................................................
Community services block grants .................................
Rural communtiy facilities ............................................
Community services discretionary (JOLI & CED) ...........
Community food and nutrition ......................................
Individual development accounts ..................................
National youth sports ....................................................
Domestic violence hotline ..............................................
Grants for battered women’s shelters ...........................

03.91

Subtotal .....................................................................

855

822

152

04.00
09.01

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

9,020
16

8,986
17

8,252
17

10.00

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

9,036

9,003

8,269

21.40
22.00

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

10
9,063

26
8,979

2
8,269

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

24.40

Unobligated balance carried forward, end of year

8,165
8,164
8,100
637
631 ...................
7
7 ...................
33
32 ...................
7 ................... ...................
25
24
24
18 ................... ...................
3
3
3
125
125
125

9,073
9,005
8,271
¥9,036
¥9,003
¥8,269
¥11 ................... ...................
26

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
7,670
7,623
6,850
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥75 ...................
40.35
Appropriation permanently reduced ..........................
¥62 ................... ...................
40.36
Unobligated balance permanently reduced .............. ...................
¥22 ...................
43.00
55.00
55.33
55.35
55.90
60.00

68.00
68.10
68.90

cprice-sewell on PROD1PC66 with BUDGET PAG

70.00

Appropriation (total discretionary) ........................
7,608
7,526
6,850
Advance appropriation ..............................................
1,400
1,400
1,389
Appropriation permanently reduced (P.L. 109–148) ...................
¥14 ...................
Advance appropriation permanently reduced ...........
¥11 ................... ...................
Advance appropriation (total discretionary) .........
Mandatory:
Appropriation .............................................................
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
Change in uncollected customer payments from
Federal sources (unexpired) .............................

1,389

1,386

1,389

13 ................... ...................

459

86.93
86.97
86.98

Outlays from discretionary balances .............................
Outlays from new mandatory authority .........................
Outlays from mandatory balances ................................

3,944
14
5

4,103
19
22

4,180
5
29

87.00

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

8,864

8,901

8,572

¥17

89.00
90.00

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

¥13 ................... ...................
14 ................... ...................

9,047
8,848

8,962
8,884

8,252
8,555

Summary of Budget Authority and Outlays
(in millions of dollars)
2005 actual
2006 est.
Enacted/requested:
Budget Authority .....................................................................
9,047
8,962
Outlays ....................................................................................
8,847
8,884
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................

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

9,047
8,847

8,962
8,884

2007 est.

8,252
8,555
37
14

8,289
8,569

The 2007 Budget eliminates community services programs,
including the Community Services Block Grant, Community
Economic Development, Rural Community Facilities and Job
Opportunities for Low-Income Individuals. This is due to poor
program performance and/or duplication with other Federal
programs that can achieve greater results and better focus
on communities most in need of assistance.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–1536–0–1–506

11.1
11.3
11.5

11.9
12.1
21.0
23.1
23.3

103
3
2

2006 est.

105
3
2

2007 est.

108
3
2

Total personnel compensation .........................
108
110
113
Civilian personnel benefits .......................................
22
23
23
Travel and transportation of persons .......................
4
4
4
Rental payments to GSA ...........................................
14
20
21
Communications, utilities, and miscellaneous
charges .................................................................
2
3
3
Printing and reproduction .........................................
3
3
3
Advisory and assistance services .............................
134
135
128
Other services ............................................................
8
8
8
Other purchases of goods and services from Government accounts .................................................
104
94
89
Operation and maintenance of facilities ..................
1 ................... ...................
Research and development contracts ....................... ...................
1
1
Operation and maintenance of equipment ...............
1 ................... ...................
Supplies and materials .............................................
1
1
1
Grants, subsidies, and contributions ........................
8,617
8,584
7,858

24.0
25.1
25.2
25.3

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

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

9,063

8,979

8,269

25.4
25.5
25.7
26.0
41.0

4,783
4,894
4,996
9,036
9,003
8,269
¥8,864
¥8,901
¥8,572
¥57 ................... ...................

99.0
99.0

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

9,019
17

8,986
17

8,252
17

99.9

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

9,036

9,003

8,269

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) ................................................
72.40
73.10
73.20
73.40
74.00

¥13 ................... ...................

74.40

Obligated balance, end of year ................................

4,894

4,996

4,693

86.90

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

4,901

4,757

4,358

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Personnel Summary

9 ................... ...................

PO 00000

2005 actual

Identification code 75–1536–0–1–506

1001

Direct:
Civilian full-time equivalent employment .....................

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HHS

1,244

2006 est.

1,215

2007 est.

1,192

460

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007
New budget authority (gross), detail:
Mandatory:
60.00
Appropriation .............................................................
Mandatory:
69.00
Spending authority from offsetting collections: Offsetting collections (cash) .....................................

General and special funds—Continued
CHILDREN

AND

FAMILY SERVICES PROGRAMS

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

70.00
2005 actual

Identification code 75–1536–4–1–506

2006 est.

10.00

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

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

37
¥14

74.40

Obligated balance, end of year ................................ ................... ...................

86.97

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

47
73
¥54

67
79
¥86

60
80
¥82

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

74.40

Obligated balance, end of year ................................

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

28
26

44
42

49
33

87.00

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

¥7
¥9

¥11
¥10

¥12
¥10

¥16

¥21

¥22

88.90
88.96

37
14

The Budget reauthorizes state-based abstinence education
activities.

89.00
90.00

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

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

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

55
39

58
65

58
60

This account provides funding for research and technical
assistance activities established in P.L. 104–193.

VIOLENT CRIME REDUCTION PROGRAMS
Program and Financing (in millions of dollars)

Object Classification (in millions of dollars)
2006 est.

2007 est.
2005 actual

Identification code 75–1553–0–1–609

Change in obligated balances:
72.40 Obligated balance, start of year ...................................
73.20 Total outlays (gross) ......................................................
73.40 Adjustments in expired accounts (net) .........................

86.97
86.98

37
¥37

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

2005 actual

2007 est.

Obligations by program activity:
01.07 Abstinence education ..................................................... ................... ...................

Identification code 75–8605–0–1–754

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

72.40
73.10
73.20
74.10

2006 est.

2007 est.

41.0

74.40

86.93

89.00
90.00

Obligated balance, end of year ................................ ................... ................... ...................
Outlays (gross), detail:
Outlays from discretionary balances .............................

AND

58
15

58
21

58
22

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

2005 actual

Identification code 75–1553–0–1–609

7
1
1
3
29
6

7
1
1
3
30
6

7
5

7
4

7
3

2005 actual

Identification code 75–1553–0–1–609
2006 est.

7
1
2
3
27
6

Personnel Summary

TECHNICAL ASSISTANCE

Program and Financing (in millions of dollars)

cprice-sewell on PROD1PC66 with BUDGET PAG

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

11.1
12.1
21.0
23.1
25.1
25.2
25.3

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

CHILDREN’S RESEARCH

99.0
99.0
99.9

2 ................... ...................
¥1 ................... ...................
¥1 ................... ...................

Direct obligations:
Personnel compensation: Full-time permanent ........
Civilian personnel benefits .......................................
Travel and transportation of persons .......................
Rental payments to GSA ...........................................
Advisory and assistance services .............................
Other services ............................................................
Other purchases of goods and services from Government accounts .................................................
Grants, subsidies, and contributions ........................

Direct:
1001 Civilian full-time equivalent employment .....................

2007 est.

00.01
00.02
00.03
00.04
09.01

Obligations by program activity:
Training and technical assistance ................................
Federal parent locator service .......................................
Child welfare study ........................................................
Welfare research ............................................................
Reimbursable program ..................................................

13
24
6
15
15

12
25
6
15
21

12
25
6
15
22

10.00

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

Identification code 75–1533–0–1–808

21.40
22.00

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

4
70

1
79

1
80

72.40
73.20

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

12
¥2

23.90
23.95

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

74
¥73

80
¥79

81
¥80

74.40

Obligated balance, end of year ................................

24.40

Unobligated balance carried forward, end of year

86.93

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

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2006 est.

2007 est.

DISABLED VOTER SERVICES
Program and Financing (in millions of dollars)

Sfmt 3643

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2005 actual

HHS

2006 est.

2007 est.

10
¥5

5
¥5

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

ADMINISTRATION FOR CHILDREN AND FAMILIES—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

89.00
90.00

dren with special needs. An average of 420,100 children per
month will be served in 2007.
Object Classification (in millions of dollars)

PAYMENTS

STATES

FOR

FOSTER CARE

461

AND

ADOPTION ASSISTANCE

For making payments to States or other non-Federal entities under
title IV–E of the Social Security Act, ø$4,852,800,000¿
$5,211,000,000.
For making payments to States or other non-Federal entities under
title IV–E of the Act, for the first quarter of fiscal year ø2007¿
2008, ø$1,730,000,000¿ $1,810,000,000.
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, 2006.)

2005 actual

Identification code 75–1545–0–1–609

25.1
25.3

2006 est.

2007 est.

41.0

1
6,206

1
6,639

1
6,926

99.9

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

6,223

6,656

6,941

Personnel Summary
2005 actual

Identification code 75–1545–0–1–609

Direct:
1001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1545–0–1–609

2006 est.

2007 est.

PAYMENTS

STATES

FOR

FOSTER CARE

AND

ADOPTION ASSISTANCE

(Legislative proposal, subject to PAYGO)

00.01
00.02
00.04

Obligations by program activity:
Foster care .....................................................................
Independent living .........................................................
Adoption assistance .......................................................

4,371
140
1,712

4,633
140
1,883

4,757
140
2,044

10.00

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

6,223

6,656

6,941

22.00
23.95
23.98

6,806
¥6,223
¥582

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–1545–4–1–609

2006 est.

2007 est.

5,038
1,768

4,941
1,767

5,211
1,730

70.00

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

6,806

6,708

74.40

Obligated balance, end of year ................................

1,003

1,056

1,118

86.97
86.98

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

5,405
1,022

5,786
817

6,041
838

87.00

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

6,427

6,603

6,879

89.00
90.00

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

6,806
6,427

6,708
6,603

6,941
6,879

1,246
1,003
1,056
6,223
6,656
6,941
¥6,427
¥6,603
¥6,879
¥38 ................... ...................

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

Enacted/requested:
2005 actual
2006 est.
Budget Authority .....................................................................
6,806
6,708
Outlays ....................................................................................
6,427
6,603
Legislative proposal, subject to PAYGO:
Budget Authority ..................................................................... .................... ....................
Outlays .................................................................................... .................... ....................
cprice-sewell on PROD1PC66 with BUDGET PAG

Obligations by program activity:
Foster care ..................................................................... ................... ...................
Adoption assistance ....................................................... ................... ...................

29
3

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

22.00
23.95

32
¥32

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

73.10
73.20

32
¥27

74.40

Obligated balance, end of year ................................ ................... ...................

86.97

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

89.00
90.00

32
27

6,941

72.40
73.10
73.20
73.40

00.01
00.04
10.00

6,708
6,941
¥6,656
¥6,941
¥52 ...................

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

6,806
6,427

6,708
6,603

2007 est.

6,941
6,879
32
27

This legislative proposal includes provisions to introduce
an option available to all states to participate in an alternative financing system for child welfare that will better meet
the needs of each state’s foster care population. States choosing to participate face far fewer administrative burdens and
will receive funds in the form of flexible grants. The proposal
also includes increasing the match rate for the District of
Columbia to match that used in the Medicaid program.

6,973
6,906

Object Classification (in millions of dollars)
2005 actual

Identification code 75–1545–4–1–609

Foster care.—The proposed level will support eligible lowincome children who must be placed outside the home. An
average of 231,000 children per month will be served in 2007.
Adoption assistance.—The proposed funding level will support subsidies for families adopting eligible low-income chilVerDate Aug 31 2005

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2006 est.

2007 est.

25.5
41.0

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

1
31

99.9

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

Sfmt 3643

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HHS

462

ADMINISTRATION ON AGING
Federal Funds

THE BUDGET FOR FISCAL YEAR 2007

ADMINISTRATION ON AGING

88.95

Federal Funds
General and special funds:
89.00
90.00

AGING SERVICES PROGRAMS
For carrying out, to the extent not otherwise provided, the Older
Americans Act of 1965, as amended, øand section 398 of the Public
Health Service Act, $1,376,624,000, of which $5,500,000 shall be
available for activities regarding medication management, screening,
and education to prevent incorrect medication and adverse drug reactions¿ $1,334,835,000. (Department of Health and Human Services
Appropriations Act, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0142–0–1–506

2006 est.

2007 est.

01.01
01.02
01.03
01.04
01.05
01.06
01.07
01.08
01.09
01.10
01.11
01.12
01.13
01.14
01.15

Obligations by program activity:
Home and community-based supportive services .........
Preventive health services .............................................
National family caregiver support program ..................
Native American caregiver support program ................
Congregate nutrition services ........................................
Home-delivered nutrition services .................................
Nutrition services incentive program ............................
Native American nutrition and supportive services ......
Program innovations ......................................................
Aging network support activities ...................................
Long-term care ombudsmen program ...........................
Prevention of elder abuse and neglect .........................
Alzheimer’s disease demonstration grants ...................
Program administration .................................................
White House Conference on Aging ................................

354
22
156
6
387
183
149
26
43
13
14
5
12
18
3

02.00
09.01

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

1,391
9

1,367
4

1,335
4

10.00

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

1,400

1,371

1,339

Budgetary resources available for obligation:
21.40 Unobligated balance carried forward, start of year
22.00 New budget authority (gross) ........................................
23.90
23.95

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

24.40

Unobligated balance carried forward, end of year

2
1,402
1,404
¥1,400

351
351
21 ...................
156
154
6
6
385
384
182
181
148
147
26
26
25
36
13
13
15
14
5
5
12 ...................
18
18
4 ...................

4 ...................
1,367
1,339
1,371
¥1,371

1,339
¥1,339

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

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
1,405
1,377
1,335
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥14 ...................
40.35
Appropriation permanently reduced ..........................
¥12 ................... ...................
43.00
68.00
68.10
68.90
70.00

cprice-sewell on PROD1PC66 with BUDGET PAG

72.40
73.10
73.20
73.40
74.00

1,393
4

1,363
4

1,335
4

Against gross budget authority only:
Change in uncollected customer payments from
Federal sources (unexpired) ..................................
Net budget authority and outlays:
Budget authority ............................................................
Outlays ...........................................................................

1,402

1,367

572
560
569
1,400
1,371
1,339
¥1,405
¥1,362
¥1,351
¥1 ................... ...................
¥5 ................... ...................

Obligated balance, end of year ................................

560

569

557

86.90
86.93

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

908
497

885
477

866
485

87.00

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

1,405

1,362

1,351

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

¥4

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2005 actual

Identification code 75–0142–0–1–506

11.1
11.3

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

11.9
12.1
21.0
23.1
23.3

2006 est.

9
1

10
1

Total personnel compensation .........................
10
Civilian personnel benefits .......................................
2
Travel and transportation of persons .......................
1
Rental payments to GSA ...........................................
2
Communications, utilities, and miscellaneous
charges ................................................................. ...................
Advisory and assistance services .............................
9
Other services ............................................................
1
Other purchases of goods and services from Government accounts .................................................
8
Grants, subsidies, and contributions ........................
1,358

25.1
25.2
25.3
41.0

2007 est.

11
1

11
12
2
2
1 ...................
2
2
1 ...................
9
6
1 ...................
7
1,333

7
1,306

99.0
99.0

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

1,391
9

1,367
4

1,335
4

99.9

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

1,400

1,371

1,339

Personnel Summary
2005 actual

Identification code 75–0142–0–1–506

Direct:
1001 Civilian full-time equivalent employment .....................
Reimbursable:
2001 Civilian full-time equivalent employment .....................

2006 est.

2007 est.

112

118

120

DEPARTMENTAL MANAGEMENT
Federal Funds
General and special funds:

74.40

VerDate Aug 31 2005

1,335
1,347

Object Classification (in millions of dollars)

1,339

1,363
1,358

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. These programs are part
of a comprehensive system of home and community-based
support for older people and their families.
The proposed budget will also provide funding to pilot a
new Choices for Independence initiative, which aims to help
older individuals and their families conserve and extend their
personal resources through the use of low-cost, communitybased alternatives in long-term care.

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

1,393
1,401

Note.—The reimbursable program (HCFAC) in the Administration on Aging (AoA) reflects the estimated distribution
of the allocation account for 2006 and 2007. Actual 2006 and 2007 distributions will be determined by the
Secretary of HHS and the Attorney General.

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

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

¥5 ................... ...................

PO 00000

OFFICE

OF THE

SECRETARY

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, XX, and XXI of the Public Health Service Act,
the United States-Mexico Border Health Commission Act, and research studies under section 1110 of the Social Security Act,
ø$352,703,000¿ $362,568,000, 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 $39,552,000 from the
amounts available under section 241 of the Public Health Service
Act to carry out national health or human services research and
evaluation activities: Provided, That of the funds made available
under this heading for carrying out title XX of the Public Health
Sfmt 3616

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HHS

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Service Act, $13,120,000 shall be for activities specified under section
2003(b)(2), all of which 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, ø$52,415,000¿
$51,891,000 shall be for minority AIDS prevention and treatment
activities; and ø$5,952,000¿ $6,016,000 shall be to assist Afghanistan
in the development of maternal and child health clinics, consistent
with section 103(a)(4)(H) of the Afghanistan Freedom Support Act
of 2002ø: Provided further, That specific information requests from
the chairmen and ranking members of the Subcommittees on Labor,
Health and Human Services, and Education, and Related Agencies,
on scientific research or any other matter, shall be transmitted to
the Committees on Appropriations in a prompt professional manner
and within the time frame specified in the request: Provided further,
That scientific information requested by the Committees on Appropriations and prepared by government researchers and scientists
shall be transmitted to the Committees on Appropriations, uncensored and without delay¿.
OFFICE

FOR

2005 actual

2006 est.

2007 est.

00.01
00.02
09.01
09.02

Obligations by program activity:
General departmental management ..............................
Office for Civil Rights ....................................................
Reimbursable program ..................................................
Reimbursable program (HCFAC) ....................................

374
32
282
5

351
31
211
5

363
33
219
5

10.00

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

693

598

620

21.40
22.00
22.22

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

2
2 ...................
692
596
620
2 ................... ...................

23.90
23.95
23.98

Total budgetary resources available for obligation
Total new obligations ....................................................
Unobligated balance expiring or withdrawn .................

696
598
620
¥693
¥598
¥620
¥1 ................... ...................

24.40

Unobligated balance carried forward, end of year

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

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
404
384
396
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥4 ...................
40.35
Appropriation permanently reduced ..........................
¥4 ................... ...................
42.00
Transferred from other accounts ..............................
4 ................... ...................

68.00
68.00
68.10
68.90

cprice-sewell on PROD1PC66 with BUDGET PAG

70.00

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

224

219

87.00

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

628

603

613

¥237

¥216

¥224

89.00
90.00

¥90 ................... ...................
39 ................... ...................

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

404
391

380
387

396
389

Note.—The reimbursable program (HCFAC) in Departmental Management reflects the estimated distribution from
the allocation account for 2006 and 2007. Actual 2006 and 2007 distributions will be determined by the Secretary
of HHS and the Attorney General.

404

380

396

193
5

211
5

219
5

90 ................... ...................

(Dollars in millions)
2005 actual

Distribution of budget authority by account:
General Departmental Management .......................................
Office for Civil Rights .............................................................
Distribution of outlays by account:
General Departmental Management .......................................
Office for Civil Rights .............................................................

2006 est.

2007 est.

372
32

349
31

363
33

360
31

355
32

357
32

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 nondiscrimination and
health information privacy compliance 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, and women’s
health.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–9912–0–1–551

11.1
11.3
11.5
11.7

11.9
12.1
12.2
21.0
23.1
23.3

2006 est.

2007 est.

97
10
2
3

111
4
2
3

116
4
2
5

112
26
1
3
18

120
27
1
3
23

127
28
2
3
25

Total personnel compensation .........................
Civilian personnel benefits .......................................
Military 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 facilities ..................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

24.0
25.1
25.2
25.3

4
2
6
28

5
1
3
37

5
1
3
47

80
8
4
3
2
109

31
3
4
1
1
122

32
3
4
1
1
114

288

216

224

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

692

596

620

25.4
25.7
26.0
31.0
41.0

314
326
321
693
598
620
¥628
¥603
¥613
¥6 ................... ...................

99.0
99.0

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

406
287

382
216

396
224

99.9

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

693

598

620

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) ................................................

86.90

274

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

72.40
73.10
73.20
73.40
74.00

74.40

Outlays from discretionary balances .............................

Departmental Management

Program and Financing (in millions of dollars)

43.00

86.93

CIVIL RIGHTS

For expenses necessary for the Office for Civil Rights,
ø$31,682,000¿ $32,969,000, 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, 2006.)

Identification code 75–9912–0–1–551

463

Obligated balance, end of year ................................
Outlays (gross), detail:
Outlays from new discretionary authority .....................

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Personnel Summary

43 ................... ...................
326

354
PO 00000

321

328

379

394

Frm 00043

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2005 actual

Identification code 75–9912–0–1–551

Direct:
1001 Civilian full-time equivalent employment .....................
1101 Military full-time equivalent employment .....................
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E:\BUDGET\HHS.XXX

HHS

1,205
72

2006 est.

1,249
73

2007 est.

1,280
76

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

464

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
OFFICE

OF THE

SECRETARY—Continued

GENERAL DEPARTMENTAL MANAGEMENT—Continued
Personnel Summary—Continued
2005 actual

Identification code 75–9912–0–1–551

2001

Reimbursable:
Civilian full-time equivalent employment .....................

2006 est.

400

340

2007 est.

of addressing strategic planning, coordination, and the analysis of key technical, economic and other issues related to
the public and private adoption of health information technology.
Through this program, activities related to health information technology are coordinated across several HHS organizations, as shown in the following consolidated table.
Health Information Technology Funding

341

[Program level—Dollars in millions]
f

OFFICE

OF THE

NATIONAL COORDINATOR
TECHNOLOGY

2005 actual

FOR

HEALTH INFORMATION

For expenses necessary for the Office of the National Coordinator
for Health Information Technology, including grants, contracts and
cooperative agreements for the development and advancement of an
interoperable national health information technology infrastructure,
ø$42,800,000¿ $87,872,000: Provided, That in addition to amounts
provided herein, ø$18,900,000¿ $28,000,000 shall be available from
amounts available under section 241 of the Public Health Service
Act to carry out health information technology network development.
(Department of Health and Human Services Appropriations Act,
2006.)

2006 est.

Distribution of funding by account:
National Coordinator for Health Information Technology ....................
61
General Departmental Management ..................................
24 ....................
Agency for Healthcare Research and Quality ....................
61
50
HIT Initiative Total ..............................................................
85
111
Federal Health Architecture ................................................
5
5

2007 est.

116
4
50
169
6

Note.—Includes budget authority, Public Health Service evaluation funds and other resources.

Object Classification (in millions of dollars)
2005 actual

Identification code 75–0130–0–1–551

2006 est.

2007 est.

11.1
12.1
25.2

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

3
1
38

4
1
83

99.0
99.0

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

42
25

88
34

99.9

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

122

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0130–0–1–551

2006 est.

2007 est.

00.01
09.01

Obligations by program activity:
Health information technology ....................................... ...................
Reimbursable program .................................................. ...................

42
25

88
34

10.00

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

122

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

67
¥67

122
¥122

Personnel Summary
2005 actual

Identification code 75–0130–0–1–551

2006 est.

Direct:
1001 Civilian full-time equivalent employment ..................... ...................

2007 est.

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation ............................................................. ...................
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
43.00
68.00
70.00

72.40
73.10
73.20

43
88
¥1 ...................

Appropriation (total discretionary) ........................ ...................
Discretionary:
Spending authority from offsetting collections: Offsetting collections (cash) ..................................... ...................

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

122

Change in obligated balances:
Obligated balance, start of year ................................... ................... ...................
Total new obligations .................................................... ...................
67
Total outlays (gross) ...................................................... ...................
¥42

25
122
¥87

OFFICE

MEDICARE HEARINGS

AND

APPEALS

For expenses necessary for administrative law judges responsible
for hearing cases under title XVIII of the Social Security Act (and
related provisions of title XI of such Act), ø$60,000,000¿ $74,250,000,
to be transferred in appropriate part from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds.
(Department of Health and Human Services Appropriations Act,
2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0139–0–1–551

2006 est.

2007 est.

00.01

74.40

Obligated balance, end of year ................................ ...................

Outlays (gross), detail:
86.90 Outlays from new discretionary authority ..................... ...................
42
86.93 Outlays from discretionary balances ............................. ................... ...................

69
18

87.00

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

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

cprice-sewell on PROD1PC66 with BUDGET PAG

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

10.00

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

22.00
23.95

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

59
¥59

74
¥74

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

73.10
73.20

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

59
¥59

74
¥74

86.90

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

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

¥59

¥74

¥25

¥34

42
17

88
53

89.00
90.00

This program supports coordination of Federal health information technology activities, and of Federal initiatives for
the development and advancement of an interoperable national health information technology infrastructure, in cooperation with participants in the health sector. The Office
of the National Coordinator for Health Information Technology was created by Executive Order 13335, for the purpose
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HHS

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

89.00
90.00

This activity funds the Office of Medicare Hearings and
Appeals, as directed by Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0139–0–1–551

11.1
12.1
21.0
23.1
23.3
25.1
25.2
25.3

Personnel compensation: Full-time permanent .............
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Advisory and assistance services ..................................
Other services ................................................................
Other purchases of goods and services from Government accounts ...........................................................

2006 est.

2007 est.

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

25
6
2
6
10
6
1

27
7
3
8
14
8
4

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

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

465

and clinical trials infrastructure, $246,000,000 of which $150,000,000,
to remain available until expended, shall be for the Centers for Disease Control and Prevention to carry out global and domestic disease
surveillance, laboratory diagnostics, rapid response, and quarantine:
Provided, That funds appropriated herein and not specifically designated under this heading may be transferred to other appropriation
accounts of the Department of Health and Human Services, as determined by the Secretary to be appropriate, to be used for the purposes
specified in this sentence: Provided further, That the amounts provided under this heading are designated as an emergency requirement pursuant to section 402 of H. Con. Res. 95 (109th Congress),
the concurrent resolution on the budget for fiscal year 2006.¿ (Emergency Supplemental Appropriations Act to Address Hurricanes in the
Gulf of Mexico and Pandemic Influenza, 2006.)

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0140–0–1–551

2006 est.

2007 est.

Obligations by program activity:
Public Health and Social Services Emergency Fund
Reimbursable program ..................................................

2,402
1,085

3,387
1,392

160
414

10.00

99.9

00.01
09.01

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

3,487

4,779

574

21.40
22.00
22.10

112
3,413

51
4,745

17
574

Personnel Summary
2005 actual

Identification code 75–0139–0–1–551

1001

Direct:
Civilian full-time equivalent employment ..................... ...................

2006 est.

2007 est.

325

360
23.90
23.95

cprice-sewell on PROD1PC66 with BUDGET PAG

PUBLIC HEALTH

AND

SOCIAL SERVICES EMERGENCY FUND

For expenses necessary to support activities related to countering
potential biological, disease, nuclear, radiological and chemical
threats to civilian populations, øand to ensure a year-round influenza
vaccine production capacity, the development and implementation of
rapidly expandable influenza vaccine production technologies, and if
determined necessary by the Secretary, the purchase of influenza
vaccine, $63,589,000¿ and other public health emergencies,
$160,475,000. (Department of Health and Human Services Appropriations Act, 2006.)
øFor an additional amount for ‘‘Public Health and Social Services
Emergency Fund’’ to prepare for and respond to an influenza pandemic, including the development and purchase of vaccines,
antivirals, and necessary medical supplies, and for planning activities, $3,054,000,000, to remain available until expended: Provided,
That $350,000,000 shall be for Upgrading State and Local Capacity
and $50,000,000 shall be for laboratory capacity and research at
the Centers for Disease Control and Prevention: Provided further,
That products purchased with these funds may, at the discretion
of the Secretary, be deposited in the Strategic National Stockpile:
Provided further, That notwithstanding section 496(b) of the Public
Health Service Act, funds may be used for the construction or renovation of privately owned facilities for the production of pandemic influenza vaccines and other biologicals, where the Secretary finds such
a contract necessary to secure sufficient supplies of such vaccines
or biologicals: Provided further, That the Secretary may negotiate
a contract with a vendor under which a State may place an order
with the vendor for antivirals; may reimburse a State for a portion
of the price paid by the State pursuant to such an order; and may
use amounts made available herein for such reimbursement: Provided
further, That funds appropriated herein and not specifically designated under this heading may be transferred to other appropriation
accounts of the Department of Health and Human Services, as determined by the Secretary to be appropriate, to be used for the purposes
specified in this sentence: Provided further, That the amounts provided under this heading are designated as an emergency requirement pursuant to section 402 H. Con. Res. 95 (109th Congress),
the concurrent resolution on the budget for fiscal year 2006.
For an additional amount for ‘‘Public Health and Social Services
Emergency Fund’’ for activities related to pandemic influenza, including international activities and activities in foreign countries, related
to preparedness planning, enhancing the pandemic influenza regulatory science base, accelerating pandemic influenza disease surveillance, developing registries to monitor influenza vaccine distribution
and use, and supporting pandemic influenza research, clinical trials
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Total budgetary resources available for obligation
Total new obligations ....................................................

3,538
¥3,487

4,796
¥4,779

591
¥574

24.40

Unobligated balance carried forward, end of year

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
2,426
3,364
160
40.33
Appropriation permanently reduced (P.L. 109–148) ...................
¥1 ...................
40.35
Appropriation permanently reduced ..........................
¥39 ................... ...................
40.36
Unobligated balance permanently reduced .............. ...................
¥10 ...................
41.00
Transferred to other accounts ...................................
¥58 ................... ...................
43.00
68.00
68.10

68.90

2,329

3,353

160

1,392

414

1,010 ................... ...................

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

1,392

414

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

70.00

1,084
3,413

4,745

574

3,234
3,342
4,405
3,487
4,779
574
¥2,547
¥3,716
¥3,023
¥32 ................... ...................
¥13 ................... ...................
¥1,010 ................... ...................
223 ................... ...................

74.40

Obligated balance, end of year ................................

3,342

4,405

1,956

86.90
86.93

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

230
2,317

1,694
2,022

428
2,595

87.00

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

2,547

3,716

3,023

¥299

¥1,392

¥414

89.00

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

Sfmt 3643

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HHS

¥1,010 ................... ...................
225 ................... ...................

2,329

3,353

160

466

DEPARTMENTAL MANAGEMENT—Continued
Federal Funds—Continued

THE BUDGET FOR FISCAL YEAR 2007

General and special funds—Continued
PUBLIC HEALTH

AND

PROGRAM SUPPORT CENTER

SOCIAL SERVICES EMERGENCY FUND—
Continued

General and special funds:
RETIREMENT PAY

Program and Financing (in millions of dollars)—Continued
2005 actual

Identification code 75–0140–0–1–551

90.00

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

2006 est.

2,248

2,324

2007 est.

2,609

The Public Health and Social Services Emergency Fund
provides resources to support a comprehensive program to
prepare for the health and medical consequences of bioterrorism or other public health emergencies. The account includes funding for international activities, rapid tests, and
communications to support the detection and control of pandemic influenza. In addition, the Budget includes an allowance of $2.3 billion for HHS for 2007 to continue pandemic
influenza preparedness.
Object Classification (in millions of dollars)
2005 actual

Identification code 75–0140–0–1–551

11.1
11.3
11.7
11.9
12.1
12.2
21.0
23.1
23.3
25.1
25.2
25.3
25.4
25.5
25.7
31.0
41.0
99.0
99.0
11.1
11.3
11.5
11.9
12.1
21.0
22.0
23.1
23.3

Direct obligations:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Military personnel .................................................
Total personnel compensation .........................
Civilian personnel benefits .......................................
Military personnel benefits ........................................
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 .................................................
Operation and maintenance of facilities ..................
Research and development contracts .......................
Operation and maintenance of equipment ...............
Equipment .................................................................
Grants, subsidies, and contributions ........................

8
2
1
1
4

11
3
1
1
2

1
12
7

1
14
11

1
14
3

24
2,411
110
3 ................... ...................
3 ................... ...................
5
1
1
1
5
5
6
178
8

Direct obligations ..................................................
Reimbursable obligations ..............................................
Allocation Account—direct:
Personnel compensation:
Full-time permanent .............................................
Other than full-time permanent ...........................
Other personnel compensation .............................

78
1,085

2,639
1,392

160
414

55
14 ...................
2 ................... ...................
3 ................... ...................

25.4
25.5
25.7
26.0
31.0
41.0
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2007 est.

5
8
8
1 ................... ...................
2
3
3

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 ..................
Research and development contracts .......................
Operation and maintenance of equipment ...............
Supplies and materials .............................................
Equipment .................................................................
Grants, subsidies, and contributions ........................

99.0

Allocation account—direct ...................................

2,324

99.9

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

3,487

25.1
25.2
25.3

2006 est.

60
14 ...................
17
6 ...................
9
4 ...................
10 ................... ...................
17 ................... ...................
4 ................... ...................
150
11 ...................
81
17 ...................
95
99 ...................
6 ................... ...................
32
15 ...................
11 ................... ...................
293
162 ...................
45
30 ...................
1,494
390 ...................
748 ...................
4,779

574

Personnel Summary
2005 actual

Identification code 75–0140–0–1–551

1001
1101

Direct:
Civilian full-time equivalent employment .....................
Military full-time equivalent employment .....................

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35
PO 00000

2006 est.

2007 est.

146
35

171
32

Frm 00046

Fmt 3616

AND

MEDICAL BENEFITS
OFFICERS

FOR

COMMISSIONED

For retirement pay and medical benefits of Public Health Service
Commissioned Officers as authorized by law, for payments under
the Retired Serviceman’s Family Protection Plan and Survivor Benefit
Plan, for medical care of dependents and retired personnel under
the Dependents’ Medical Care Act (10 U.S.C. chapter 55), such
amounts as may be required during the current fiscal year. (Department of Health and Human Services Appropriations Act, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0379–0–1–551

2006 est.

2007 est.

00.01
00.02
00.03
00.04

Obligations by program activity:
Retirement payments .....................................................
Survivors’ benefits .........................................................
Medical care ..................................................................
Medicare eligible accruals .............................................

247
14
45
32

256
16
57
34

267
16
59
36

10.00

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

338

363

378

22.00
23.95
23.98

344
363
378
¥338
¥363
¥378
¥6 ................... ...................

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation ............................................................. ...................
Mandatory:
60.00
Appropriation .............................................................
344

329

342

70.00

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

363

378

72.40
73.10
73.20
73.40

74.40

Obligated balance, end of year ................................

86.90
86.97
86.98

344

25
29
36
338
363
378
¥340
¥356
¥377
6 ................... ...................
29

Outlays (gross), detail:
Outlays from new discretionary authority ..................... ...................
Outlays from new mandatory authority .........................
313
Outlays from mandatory balances ................................
27

34
296
26

36
308
33

87.00

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

340

356

377

89.00
90.00

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

344
340

363
356

378
377

The number of beneficiaries using the Commissioned Corps
system is estimated as follows:
Eligible Beneficiary Category
FY2005

Active Duty:
Health and Human Services ..............................................
Department of Justice, Bureau of Prisons .........................
Department of Homeland Security .....................................
Environmental Protection Agency .......................................
All Other .............................................................................
Total Active Duty .........................................................................
Retirees ........................................................................................
Retiree Family Members and Survivors ......................................
Total Beneficiaries .......................................................................

4,991
645
186
86
69
5,977
4,578
645
11,200

FY2006

5,005
645
186
86
78
6,000
4,807
664
11,471

FY2007

5,005
645
186
86
78
6,000
5,047
684
11,731

This activity funds annuities of retired Public Health Service (PHS) commissioned officers and survivors of retirees, and
medical benefits for active duty PHS commissioned officers,
retirees, and dependents of member and retirees of the PHS
Commissioned Corps.
The cost of medical benefits for Medicare-eligible beneficiaries is paid from the Department of Defense MedicareSfmt 3616

E:\BUDGET\HHS.XXX

HHS

PROGRAM SUPPORT CENTER—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Total new obligations ....................................................
Total outlays (gross) ......................................................
Change in uncollected customer payments from Federal sources (unexpired) ............................................

563
¥537

74.40

Obligated balance, end of year ................................

86.97

Eligible Retiree Health Care Fund (10 U.S.C., ch. 56). Beginning in 2006, permanent indefinite authority is provided for
a discretionary appropriation of the annual accrual payment
into this fund (P.L. No. 108–375, section 725).

73.10
73.20
74.00

467

670
¥651

717
¥717

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

537

651

717

¥578

¥651

¥717

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

Object Classification (in millions of dollars)
2005 actual

Identification code 75–0379–0–1–551

2006 est.

2007 est.

12.2
13.0
25.6

Military personnel benefits ............................................
Benefits for former personnel ........................................
Medical care ..................................................................

32
261
45

34
272
57

36
283
59

99.9

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

338

363

378

HEALTH ACTIVITIES FUNDS

89.00
90.00

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–9913–0–1–552

21.40
22.00

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

2006 est.

2007 est.

7 ................... ...................
¥7 ................... ...................

23.90

Total budgetary resources available for obligation ................... ................... ...................

24.40

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

New budget authority (gross), detail:
Discretionary:
40.36
Unobligated balance permanently reduced ..............

¥7 ................... ...................

72.40

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

74.40

Obligated balance, end of year ................................

89.00
90.00

Net budget authority and outlays:
Budget authority ............................................................
¥7 ................... ...................
Outlays ........................................................................... ................... ................... ...................

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.

HHS Service and Supply Fund (SSF) provides a wide range
of logistical and support services to components of the Department and other Federal agencies. The Program Support Center includes activities such as personnel and payroll support,
financial management operations, and administrative services, including acquisitions management, building and property management, telecommunication services, medical supplies repackaging and distribution services, and the Federal
Occupational Health Service. The Office of Secretary activities
include the fund manager, departmental contracts, audit resolutions, Commissioned Corps force management, information
technology, web management, claims, acquisition integration
and modernization, small business, grants tracking, and competitive sourcing.
Most Commissioned Corps officers work for agencies in the
Department of Health and Human Services and are reflected
in the agencies’ personnel summaries. However, some officers
are assigned to other Federal agencies. The allocation account
section in the following personnel summary shows officers
assigned to other agencies which are paid directly by that
agency, either through an allocation account or by directly
citing that agency’s appropriation.

Object Classification (in millions of dollars)

AND

SUPPLY FUND

Program and Financing (in millions of dollars)
2005 actual

Identification code 75–9941–0–4–551

2006 est.

2007 est.

09.01
09.02

Obligations by program activity:
Program support center .................................................
OS activities ...................................................................

509
54

611
59

651
66

10.00

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

563

670

717

21.40
22.00

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

64
562

63
651

44
717

23.90
23.95

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

626
¥563

714
¥670

761
¥717

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24.40

Unobligated balance carried forward, end of year

New budget authority (gross), detail:
Spending authority from offsetting collections:
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:
72.40 Obligated balance, start of year ...................................
VerDate Aug 31 2005

11:57 Jan 26, 2006

2005 actual

Identification code 75–9941–0–4–551

Intragovernmental funds:
HHS SERVICE

Jkt 206762

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

578

651

717

11.1
11.3
11.5
11.7

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

2006 est.

2007 est.

86
4
3
9

100
5
3
10

106
6
3
11

102
27
4
1
6
3
13
46
1
64
135

118
30
5
1
4
3
15
49
1
54
219

126
33
5
1
4
3
16
53
1
60
232

25.4
25.6
25.7
26.0
31.0

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Military personnel benefits ............................................
Benefits for former personnel ........................................
Travel and transportation of persons ............................
Transportation of things ................................................
Rental payments to GSA ................................................
Communications, utilities, and miscellaneous charges
Printing and reproduction ..............................................
Advisory and assistance services ..................................
Other services ................................................................
Other purchases of goods and services from Government accounts ...........................................................
Operation and maintenance of facilities ......................
Medical care ..................................................................
Operation and maintenance of equipment ...................
Supplies and materials .................................................
Equipment ......................................................................

36
20
35
18
46
6

41
25
36
14
50
5

45
27
37
15
54
5

99.9

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

563

670

717

11.9
12.1
12.2
13.0
21.0
22.0
23.1
23.3
24.0
25.1
25.2
25.3

¥16 ................... ...................

Personnel Summary
562

¥35
PO 00000

651

717

Frm 00047

Fmt 3616

2005 actual

Identification code 75–9941–0–4–551

Reimbursable:
2001 Civilian full-time equivalent employment .....................
Sfmt 3643

E:\BUDGET\HHS.XXX

HHS

1,230

2006 est.

1,380

2007 est.

1,450

468

PROGRAM SUPPORT CENTER—Continued

THE BUDGET FOR FISCAL YEAR 2007
[Dollars in millions]

Intragovernmental funds—Continued
HHS SERVICE

AND

2005

SUPPLY FUND—Continued

Personnel Summary—Continued
2005 actual

Identification code 75–9941–0–4–551

2101

Military full-time equivalent employment .....................
Allocation account:
3101 Military full-time equivalent employment .....................
3101 Military full-time equivalent employment .....................

2006 est.

2007 est.

100
645
255

645
255

2006

2007

34
31

17
16

34
41

34
37

100

645
255

Distribution of budget authority by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................
Distribution of outlays by account:
Gifts ........................................................................................
Contributions, Indian health facilities ...................................

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.

Trust Funds

Object Classification (in millions of dollars)

MISCELLANEOUS TRUST FUNDS
Special and Trust Fund Receipts (in millions of dollars)
2005 actual

Identification code 75–9971–0–7–551

01.00

2006 est.

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

2007 est.

01.99

Balance, start of year .................................................... ...................
32
32
Receipts:
02.20 Contributions, Indian health facilities ..........................
31
31
31
02.60 Contributions to the Indian Health Service Gift Fund
1 ................... ...................
02.61 Gifts and contributions, Miscellaneous trust funds
65
34
34
02.99

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

Total: Balances and collections ....................................
Appropriations:
05.00 Miscellaneous trust funds .............................................

¥65

04.00

07.99

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

11.1
11.3

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

2005 actual

2006 est.

2007 est.

2
2

4
1
1
3
28

4
1
1
2
25

25.4
25.5
25.7
26.0
31.0
41.0

Total personnel compensation ..............................
Civilian personnel benefits ............................................
Travel and transportation of persons ............................
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 ............................

1
1
9
1
1
1
24

1
1
6
1
1
1
21

99.9

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

11.9
12.1
21.0
25.1
25.2
25.3

34
31

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) ........................................

128
65

119
65

23.90
23.95

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

193
¥75

184
¥65

24.40

Unobligated balance carried forward, end of year

119

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

72.40
73.10
73.20

94
75
¥33

136
65
¥85

116
65
¥78

74.40

Obligated balance, end of year ................................

136

116

103

Outlays (gross), detail:
86.97 Outlays from new mandatory authority .........................
33
86.98 Outlays from mandatory balances ................................ ...................
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41
34

14
71

14
64

87.00

Jkt 206762

2006 est.

2007 est.

OFFICE OF THE INSPECTOR GENERAL
General and special funds:
OFFICE

INSPECTOR GENERAL

For expenses necessary for the Office of Inspector General, including the hire of passenger motor vehicles for investigations, in carrying
out the provisions of the Inspector General Act of 1978, as amended,
ø$39,813,000¿ $43,760,000: 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 nonpayment is a Federal offense under 18 U.S.C. 228. (Department of
Health and Human Services Appropriations Act, 2006.)
Program and Financing (in millions of dollars)
2005 actual

Identification code 75–0128–0–1–551

2006 est.

2007 est.

65
33

65
85

65
78

21
21

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

40
166
32

64
170
34

69
170
31

10.00

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

237

268

270

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

23.90
23.95

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

1 ................... ...................
236
268
270

00.01
09.01
09.02

21.40
22.00

24.40

92.01

VerDate Aug 31 2005

2005 actual

Identification code 75–9971–0–7–551

Direct:
1001 Civilian full-time equivalent employment .....................

Obligations by program activity:
Gifts ...............................................................................
Contributions, Indian health facilities ..........................

2007 est.

Personnel Summary

00.02
00.03

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

2006 est.

2
2

Program and Financing (in millions of dollars)
Identification code 75–9971–0–7–551

2005 actual

Identification code 75–9971–0–7–551

PO 00000

Frm 00048

Fmt 3616

268
¥268

270
¥270

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

New budget authority (gross), detail:
Discretionary:
40.00
Appropriation .............................................................
Sfmt 3643

237
¥237

E:\BUDGET\HHS.XXX

HHS

GENERAL PROVISIONS

DEPARTMENT OF HEALTH AND HUMAN SERVICES
40.33
40.36

Appropriation permanently reduced (P.L. 109–148) ...................
¥1 ...................
Unobligated balance permanently reduced ..............
¥1 ................... ...................

43.00

Appropriation (total discretionary) ........................
39
39
44
Mandatory:
Appropriation ............................................................. ...................
25
25
Spending authority from offsetting collections:
Discretionary:
Offsetting collections (cash) ................................
25
34
31
Mandatory:
Offsetting collections (cash) ................................
162
170
170
Change in uncollected customer payments from
Federal sources (unexpired) .............................
10 ................... ...................

469

Object Classification (in millions of dollars)
2005 actual

Identification code 75–0128–0–1–551

2006 est.

2007 est.

68.00
69.00
69.10
69.90
70.00

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

172

170

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

236

268

270

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) .........................
74.00 Change in uncollected customer payments from Federal sources (unexpired) ............................................
74.10 Change in uncollected customer payments from Federal sources (expired) ................................................
74.40

86.90
86.93
86.97
86.98
87.00

Obligated balance, end of year ................................

¥10 ................... ...................
5 ................... ...................
11

Outlays (gross), detail:
Outlays from new discretionary authority .....................
39
67
Outlays from discretionary balances .............................
26
32
Outlays from new mandatory authority .........................
172
191
Outlays from mandatory balances ................................ ................... ...................

68
6
191
4

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

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

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

40
197

64
204

69
201

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

237

268

270

25.3

237

290

¥197

¥204

2005 actual

Identification code 75–0128–0–1–551

Direct:
1001 Civilian full-time equivalent employment .....................
Reimbursable:
2001 Civilian full-time equivalent employment .....................

7
11
1 ...................
2
2

2006 est.

2007 est.

264

432

1,188

1,191

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

¥201

¥10 ................... ...................
10 ................... ...................

2005 actual

64
86

2006 est.

69
68

2007 est.

40
0
160
7
11
0

39
0
160
10
14
25

44
11
160
10
0
25

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

218

248

250

Note.—The reimbursable program (HCFAC) in Office of the Inspector General reflects the estimated distribution
of the allocation account for 2006 and 2007. Actual 2006 and 2007 distributions will be determined by the
Secretary of HHS and the Attorney General.

PO 00000

Frm 00049

Fmt 3616

2006 est.

2007 est.

Offsetting receipts from the public:
75–274530 Health education assistance loans, Downward
reestimates of subsidies ....................................................
55
31 ...................
75–310700 Federal share of child support collections ......
1,188
1,087
1,110
Legislative proposal, subject to PAYGO ............................. ................... ...................
9
General Fund Offsetting receipts from the public .....................

39
40

2005 actual

Jkt 206762

(In millions of dollars)

Budget Authority:
Discretionary appropriation .....................................................
Discretionary caps proposal ...................................................
Mandatory (HCFAC account) ...................................................
Audit and investigations reimbursements .............................
Medicare Modernization Act ....................................................
Medicaid Integrity program ....................................................

11:57 Jan 26, 2006

37
11
3
4

Personnel Summary

269

(In millions of dollars)

VerDate Aug 31 2005

35
11
3
4

ALLOCATIONS RECEIVED FROM OTHER ACCOUNTS

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, evaluations, 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. These funds are used to combat Medicare, Medicaid,
and State Children’s Health Insurance Program (SCHIP)
fraud, waste, 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:

cprice-sewell on PROD1PC66 with BUDGET PAG

99.0
99.0

11.1
12.1
21.0
23.1
23.3

89.00
90.00

32
33
11
237
268
270
¥237
¥290
¥269
6 ................... ...................

26.0
31.0

99.9

60.00

Direct obligations:
Personnel compensation: Full-time permanent ........
22
Civilian personnel benefits .......................................
7
Travel and transportation of persons .......................
2
Rental payments to GSA ...........................................
3
Communications, utilities, and miscellaneous
charges .................................................................
1
Other purchases of goods and services from Government accounts .................................................
4
Supplies and materials ............................................. ...................
Equipment .................................................................
1

1,243

1,118

1,119

GENERAL PROVISIONS
SEC. 201. Funds appropriated in this title shall be available for
not to exceed $50,000 for official reception and representation expenses when specifically approved by the Secretary.
SEC. 202. The Secretary shall make available through assignment
not more than 60 employees of the Public Health Service to assist
in child survival activities and to work in AIDS programs through
and with funds provided by the Agency for International Development, the United Nations International Children’s Emergency Fund
or the World Health Organization.
SEC. 203. None of the funds appropriated in this Act may be used
to implement section 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.
SEC. 205. None of the funds appropriated in this title for Head
Start shall be used to pay the compensation of an individual, either
as direct costs or any proration as an indirect cost, at a rate in
excess of Executive Level II.
øSEC. 206. 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
Sfmt 3616

E:\BUDGET\HHS.XXX

HHS

470

GENERAL PROVISIONS—Continued

THE BUDGET FOR FISCAL YEAR 2007

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. ø207¿ 206. Notwithstanding section 241(a) of the Public
Health Service Act, such portion as the Secretary shall determine,
but not more than 2.4 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. ø208¿ 207. 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 Act may be transferred between øa program, project, or activity¿
appropriations, but no such øprogram, project, or activity¿ appropriation shall be increased by more than 3 percent by any such transfer:
Provided, That øa program, project, or activity¿ an appropriation
may be increased by up to an additional 2 percent øsubject to approval by¿ after notification of the House and Senate Committees
on Appropriations: øProvided further, That the transfer authority
granted by this section shall be available only to meet emergency
needs and shall not be used to create any new program or to fund
any project or activity for which no funds are provided in this Act:¿
Provided further, That the Appropriations Committees of both Houses
of Congress are notified at least 15 days in advance of any transfer.
(TRANSFER OF FUNDS)

SEC. ø209¿ 208. 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 and centers 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.

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(TRANSFER OF FUNDS)

SEC. ø210¿ 209. 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. ø211¿ 210. 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. ø212¿ 211. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to carry
out the Medicare Advantage program if the Secretary denies participation in such program to an otherwise eligible entity (including
a Provider Sponsored Organization) because the entity informs the
Secretary that it will not provide, pay for, provide coverage of, or
provide referrals for abortions: Provided, That the Secretary shall
make appropriate prospective adjustments to the capitation payment
to such an entity (based on an actuarially sound estimate of the
expected costs of providing the service to such entity’s enrollees):
Provided further, That nothing in this section shall be construed
to change the Medicare program’s coverage for such services and
a Medicare Advantage organization described in this section shall
be responsible for informing enrollees where to obtain information
about all Medicare covered services.
SEC. ø213¿ 212. 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.
SEC. ø214¿ 213. (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, ø2006¿
2007, that the State will commit additional State funds, in accordance
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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
ø2006¿ 2007 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 ø2005¿ 2006, 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 ø2005¿ 2006 State expenditures and
all fiscal year ø2006¿ 2007 obligations for tobacco prevention and
compliance activities by program activity by July 31, ø2006¿ 2007.
(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, ø2006¿ 2007.
(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¿ 214. 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 ø2006¿
2007, the Secretary of Health and Human Services (HHS)—
(1) may exercise authority equivalent to that available to the
Secretary of State in section 2(c) of the State Department Basic
Authorities Act of 1956 (22 U.S.C. 2669(c)). The Secretary of
øHealth and Human Services¿ HHS shall consult with the Secretary of State and relevant Chief of Mission to ensure that the
authority provided in this section is exercised in a manner consistent with section 207 of the Foreign Service Act of 1980 (22
U.S.C. 3927) and other applicable statutes administered by the
Department of State, and
(2) is authorized to provide such funds by advance or reimbursement to the Secretary of State as may be necessary to pay the
costs of acquisition, lease, alteration, renovation, and management
of facilities outside of the United States for the use of øthe Department of Health and Human Services¿ HHS. The Department of
State shall cooperate fully with the Secretary of øHealth and
Human Services¿ HHS to ensure that øthe Department of Health
and Human Services¿ HHS has secure, safe, functional facilities
that comply with applicable regulation governing location, setback,
and other facilities requirements and serve the purposes established by this Act. The Secretary of øHealth and Human Services¿
HHS is authorized, in consultation with the Secretary of State,
through grant or cooperative agreement, to make available to public
or nonprofit private institutions or agencies in participating foreign
countries, funds to acquire, lease, alter, or renovate facilities in
those countries as necessary to conduct programs of assistance
for international health activities, including activities relating to
HIV/AIDS and other infectious diseases, chronic and environmental
diseases, and other health activities abroad.
øSEC. 216. The Division of Federal Occupational Health hereafter
may utilize personal services contracting to employ professional management/administrative and occupational health professionals.¿
SEC. ø217¿ 215. (a) AUTHORITY.—Notwithstanding any other provision of law, the Director of the National Institutes of Health may
use funds available under section 402(i) of the Public Health Service
Act (42 U.S.C. 282(i)) to enter into transactions (other than contracts,
cooperative agreements, or grants) to carry out research in support
of the NIH Roadmap for Medical Research.
(b) PEER REVIEW.—In entering into transactions under subsection
(a), the Director of the National Institutes of Health may utilize
such peer review procedures (including consultation with appropriate
scientific experts) as the Director determines to be appropriate to
obtain assessments of scientific and technical merit. Such procedures
shall apply to such transactions in lieu of the peer review and advisory council review procedures that would otherwise be required
under sections 301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, and
494 of the Public Health Service Act (42 U.S.C. 241, 284(b)(1)(B),
284(b)(2), 284a(a)(3)(A), 289a, and 289c).
SEC. ø218¿ 216. Funds which are available for Individual Learning
Accounts for employees of the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry
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HHS

GENERAL PROVISIONS—Continued

DEPARTMENT OF HEALTH AND HUMAN SERVICES
may be transferred to ‘‘Disease Control, Research, and Training,’’
to be available only for Individual Learning Accounts: Provided, That
such funds may be used for any individual full-time equivalent employee while such employee is employed either by CDC or ATSDR.
øSEC. 219. Notwithstanding any other provisions of law, funds
made available in this Act may be used to continue operating the
Council on Graduate Medical Education established by section 301
of Public Law 102–408.¿
ø(RESCISSION

OF FUNDS)¿

cprice-sewell on PROD1PC66 with BUDGET PAG

øSEC. 220. The unobligated balance in the amount of $10,000,000
appropriated by Public Law 108–11 under the heading ‘‘Public Health
and Social Services Emergency Fund’’ are rescinded.¿
øSEC. 221. (a) The Headquarters and Emergency Operations Center
Building (Building 21) at the Centers for Disease Control and Prevention is hereby renamed as the Arlen Specter Headquarters and Emergency Operations Center.
(b) The Global Communications Center Building (Building 19) at
the Centers for Disease Control and Prevention is hereby renamed
as the Thomas R. Harkin Global Communications Center.¿
øSEC. 222. None of the funds made available under this Act may
be used to implement or enforce the interim final rule published
in the Federal Register by the Centers for Medicare & Medicaid
Services on August 26, 2005 (70 Fed. Reg. 50940) prior to April
1, 2006.¿
øSEC. 223. (a) For fiscal year 2006 and subject to subsection (b),
the Secretary of Health and Human Services may waive the requirements of regulations promulgated under the Head Start Act (42
U.S.C. 9831 et seq.), for one or more vehicles used by a Head Start
agency or an Early Head Start entity (or the designee of either)
in transporting children enrolled in a Head Start program or an
Early Head Start program if—
(1) such requirements pertain to child restraint systems or vehicle monitors;
(2) the agency or entity demonstrates that compliance with such
requirements will result in a significant disruption to the Head
Start program or the Early Head Start program; and
(3) waiving such requirements is in the best interest of the children involved.
(b) The Secretary of Health and Human Services may not issue
any waiver under subsection (a) after September 30, 2006, or the
date of the enactment of a statute that authorizes appropriations
for fiscal year 2006 to carry out the Head Start Act, whichever date
is earlier.¿
øSEC. 224. Section 1310.12(a) of title 45 of the Code of Federal
Regulations (October 1, 2004) shall not be effective until June 30,

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471

2006 or 60 days after the date of the enactment of a statute that
authorizes appropriations for fiscal year 2006 to carry out the Head
Start Act, whichever date is earlier.¿
ø(RESCISSION)¿
øSEC. 225. The unobligated balance of the Health Professions Student Loan program authorized in Subpart II, Federally-Supported
Student Loan Funds, of title VII of the Public Health Services Act
is rescinded.¿
ø(RESCISSION)¿
øSEC. 226. The unobligated balance of the Nursing Student Loan
program authorized by section 835 of the Public Health Services
Act is rescinded.¿
SEC. ø227¿ 217. In addition to any other amounts available for
such travel, and notwithstanding any other provision of law, amounts
available øfrom this or any other appropriation¿ for the purchase,
hire, maintenance, or operation of aircraft by the Centers for Disease
Control and Prevention øshall be available for¿ may be used to provide travel on such aircraft by the Secretary of Health and Human
Services, the Director of the Centers for Disease Control and Prevention, and employees of the Department of Health and Human Services
accompanying the Secretary or the Director during such travel.
SEC. 218. Not to exceed 5 percent of the funds provided for each
of parts A, B, C, D or F of title XXVI of the Public Health Service
Act, may be reallocated among such parts: Provided, That the Congress is promptly notified of the reallocation.
SEC. 219. Of the unobligated balances available under the heading;
Health Resources and Service Administration, the amounts made
available to the Health Centers Loan Guarantee Program authorized
under section 330(d) of the Public Health Service Act and Title II
of P.L. 104–208 are cancelled.
Notwithstanding section 835 of title VIII and subpart II of title
VII of the Public Health Service Act, an institution of higher education
with a student loan revolving fund established under these authorities
shall, no later than September 30, 2007, pay to the Secretary of Health
and Human Services the Federal portion of all of the liquid assets
of such fund, as determined by the Secretary on June 30, 2007: Provided, That amounts collected under the proceeding provision are cancelled: Provided further, That the institution shall not make any new
loans under these authorities until the amount equal to that Federal
portion determined on June 30, 2007 has been paid to the Secretary.
(Department of Health and Human Services Appropriations Act,
2006.)

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