DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
Federal Funds
S
ALARIES ANDE
XPENSESFor 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
ac-counted for solely on the Secretary's certificate, not to exceed $25,000; and
notwith-standing section 521 of Public Law 107–188; [$4,443,356,000] $4,665,400,000:
Provided, That of the amount provided under this heading, [$798,000,000]
$826,072,000 shall be derived from prescription drug user fees authorized by 21
U.S.C. 379h, and shall be credited to this account and remain available until
expen-ded; [$128,282,000] $134,475,000 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; [$312,116,000] $320,029,000 shall be derived from human
generic drug user fees authorized by 21 U.S.C. 379j-42, and shall be credited to this
account and remain available until expended; [$21,014,000] $21,540,000 shall be
derived from biosimilar biological product user fees authorized by 21 U.S.C.
379j-52, and shall be credited to this account and remain available until expended;
[$22,464,000] $22,140,000 shall be derived from animal drug user fees authorized
by 21 U.S.C. 379j-12, and shall be credited to this account and remain available
until expended; [$6,944,000] $7,429,000 shall be derived from animal generic drug
user fees authorized by 21 U.S.C. 379j-21, and shall be credited to this account and
remain available until expended; [$566,000,000] $599,000,000 shall be derived
from tobacco product user fees authorized by 21 U.S.C. 387s, and shall be credited
to this account and remain available until expended: Provided further, That in
addi-tion to and notwithstanding any other provision under this heading, amounts collected
for prescription drug user fees, medical device user fees, human generic drug user
fees, biosimilar biological product user fees, animal drug user fees, and animal
generic drug user fees that exceed the respective fiscal year [2015] 2016 limitations
are appropriated and shall be credited to this account and remain available until
ex-pended: Provided further, That fees derived from prescription drug, medical device,
human generic drug, biosimilar biological product, animal drug, and animal generic
drug assessments for fiscal year [2015] 2016, including any such fees collected
prior to fiscal year [2015] 2016 but credited for fiscal year [2015] 2016, shall be
subject to the fiscal year [2015] 2016 limitations: Provided further, That the
Sec-retary may accept payment during fiscal year [2015] 2016 of user fees specified
under this heading and authorized for fiscal year [2016] 2017, prior to the due date
for such fees, and that amounts of such fees assessed for fiscal year [2016] 2017
for which the Secretary accepts payment in fiscal year [2015] 2016 shall not be
included in amounts under this heading: Provided further, That none of these funds
shall be used to develop, establish, or operate any program of user fees authorized
by 31 U.S.C. 9701: [Provided further, That of the total amount appropriated: (1)
$903,403,000 shall be for the Center for Food Safety and Applied Nutrition and
re-lated field activities in the Office of Regulatory Affairs; (2) $1,337,948,000 shall
be for the Center for Drug Evaluation and Research and related field activities in
the Office of Regulatory Affairs; (3) $344,267,000 shall be for the Center for
Biolo-gics Evaluation and Research and for related field activities in the Office of
Regu-latory Affairs; (4) $173,976,000 shall be for the Center for Veterinary Medicine and
for related field activities in the Office of Regulatory Affairs; (5) $420,548,000 shall
be for the Center for Devices and Radiological Health and for related field activities
in the Office of Regulatory Affairs; (6) $63,331,000 shall be for the National Center
for Toxicological Research; (7) $531,527,000 shall be for the Center for Tobacco
Products and for related field activities in the Office of Regulatory Affairs; (8) not
to exceed $163,079,000 shall be for Rent and Related activities, of which $47,116,000
is for White Oak Consolidation, other than the amounts paid to the General Services
Administration for rent; (9) not to exceed $227,674,000 shall be for payments to
the General Services Administration for rent; and (10) $277,603,000 shall be for
other activities, including the Office of the Commissioner of Food and Drugs, the
Office of Foods and Veterinary Medicine, the Office of Medical and Tobacco
Products, the Office of Global and Regulatory Policy, the Office of Operations, the
Office of the Chief Scientist, and central services for these offices:] Provided further,
That not to exceed $25,000 of this amount shall be for official reception and
repres-entation expenses, not otherwise provided for, as determined by the Commissioner:
[Provided further, That any transfer of funds pursuant to section 770(n) of the
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379dd(n)) shall only be from
amounts made available under this heading for other activities: Provided further,
That of the amounts that are made available under this heading for "other activities",
and that are not derived from user fees, $1,500,000 shall be transferred to and merged
with the appropriation for "Department of Health and Human Services—Office of
Inspector General" for oversight of the programs and operations of the Food and
Drug Administration and shall be in addition to funds otherwise made available for
oversight of the Food and Drug Administration:] Provided further, That funds may
be transferred from one specified activity to another with the prior [approval]
noti-fication of the Committees on Appropriations of both Houses of Congress.
In addition, mammography user fees authorized by 42 U.S.C. 263b, export
certi-fication user fees authorized by 21 U.S.C. 381, priority review user fees authorized
by 21 U.S.C. 360n and 360ff, food and feed recall fees, food reinspection fees, and
voluntary qualified importer program fees authorized by 21 U.S.C. 379j-31,
out-sourcing facility fees authorized by 21 U.S.C. 379j-62, prescription drug wholesale
distributor licensing and inspection fees authorized by 21 U.S.C. 353(e)(3), and
third-party logistics provider licensing and inspection fees authorized by 21 U.S.C.
360eee-3(c)(1), and third-party auditor fees authorized by 21 U.S.C. 384d(C)(8)
shall be credited to this account, to remain available until expended.
[For an additional amount for "Salaries and Expenses", to prevent, prepare for,
and respond to the Ebola virus domestically and internationally, and to develop
ne-cessary medical countermeasures and vaccines, including the review, regulations,
post market surveillance of vaccines and therapies, and administrative activities,
$25,000,000, to remain available until expended: Provided, That such amount is
designated by the Congress as an emergency requirement pursuant to section
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985:
Provided further, That of the amounts provided, $4,800,000 is for the Center for
Biologics Evaluation and Research; $2,400,000 is for the Center for Devices and
Radiological Health; $400,000 is for the Office of the Commissioner; $1,900,000
is for the Center for Drug Evaluation and Research; $500,000 is for the Office of
Regulatory Affairs; and $15,000,000 is for the Medical Countermeasures Initiative.]
B
UILDINGS ANDF
ACILITIESFor 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, $8,788,000, to remain available until expended.
(Agriculture, Rural Development, Food and Drug Administration, and Related
Agencies Appropriations Act, 2015.)
Special and Trust Fund Receipts
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–9911–0–1–554 2 1 1 Balance, start of year ... 0100
Receipts:
3 3 2 Cooperative Research and Development Agreements, FDA ... 0220
5 4 3 Total: Balances and collections ... 0400
Appropriations:
–2 –2 –2 Salaries and Expenses ... 0500
3 2 1 Balance, end of year ... 0799
Program and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–9911–0–1–554
Obligations by program activity:
987 903 883 Foods ... 0001 485 482 466 Drugs ... 0002 328 321 321 Devices and Radiological Products ... 0003
59 63 62 National Center for Toxicological Research ... 0004 181 175 172 Other Activities ... 0005 137 116 133 Other Rent and Rent Related Activities ... 0006 177 169 162 Rental Payments ... 0007 9 9 8 Buildings and Facilities ... 0008 2 2 2 CRADAs ... 0009 166 148 142 Animal Drugs and Feed ... 0010 215 211 211 Biologics ... 0011 ... ... 24 Food and Drug Safety (no-year) ... 0012
2,746 2,599 2,586 Total direct obligations ... 0799
2,177 1,901 1,707 Reimbursable program (User fees) ... 0801
... ... 38 Reimbursable program (Federal sources) ... 0802
... ... 8 Reimbursable program (Refund Sequester collections - User
fee) ... 0803
2,177 1,901 1,753 Total reimbursable obligations ... 0899
S
ALARIES ANDE
XPENSES—Continued
Program and Financing
—Continued
2016 est. 2015 est. 2014 actual Identification code 075–9911–0–1–554 4,923 4,500 4,339 Total new obligations ... 0900 Budgetary resources: Unobligated balance: 997 974 670 Unobligated balance brought forward, Oct 1 ... 1000
... ... 4 Discretionary unobligated balance brought fwd, Oct 1 ... 1001
... ... 4 Recoveries of prior year unpaid obligations ... 1021
997 974 674 Unobligated balance (total) ... 1050 Budget authority: Appropriations, discretionary: 2,744 2,597 2,561 Appropriation ... 1100 ... 25 ...
Appropriation- Emergency pursuant to 2011 BCA [EBOLA] ... 1100
... –2 ...
Appropriations transferred to other accts [075–0128] ... 1120
2,744 2,620 2,561 Appropriation, discretionary (total) ... 1160
Appropriations, mandatory:
2 2 2 Appropriation (special or trust fund) ... 1201
2 2 2 Appropriations, mandatory (total) ... 1260
Spending authority from offsetting collections, discretionary:
1,978 1,901 1,931 Collected ... 1700 ... ... 22 Change in uncollected payments, Federal sources ... 1701
333 333 605 Offsetting collections (previously unavailable) ... 1702
–333 –333 –494 Spending authority from offsetting collections precluded
from obligation (limitation on obligations) ... 1725
1,978 1,901 2,064 Spending auth from offsetting collections, disc (total) ... 1750
Spending authority from offsetting collections, mandatory:
... ... 12 Offsetting collections (previously unavailable) ... 1802
... ... 12 Spending auth from offsetting collections, mand (total) ... 1850
4,724 4,523 4,639 Budget authority (total) ... 1900
5,721 5,497 5,313 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
798 997 974 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
2,334 2,676 2,319 Unpaid obligations, brought forward, Oct 1 ... 3000
4,923 4,500 4,339 Obligations incurred, unexpired accounts ... 3010
... ... 6 Obligations incurred, expired accounts ... 3011 –4,752 –4,842 –3,915 Outlays (gross) ... 3020 ... ... –4 Recoveries of prior year unpaid obligations, unexpired ... 3040
... ... –69 Recoveries of prior year unpaid obligations, expired ... 3041
2,505 2,334 2,676 Unpaid obligations, end of year ... 3050
Uncollected payments:
–51 –51 –51 Uncollected pymts, Fed sources, brought forward, Oct 1 ... 3060
... ... –22 Change in uncollected pymts, Fed sources, unexpired ... 3070
... ... 22 Change in uncollected pymts, Fed sources, expired ... 3071
–51 –51 –51 Uncollected pymts, Fed sources, end of year ... 3090
Memorandum (non-add) entries:
2,283 2,625 2,268 Obligated balance, start of year ... 3100
2,454 2,283 2,625 Obligated balance, end of year ... 3200
Budget authority and outlays, net: Discretionary:
4,722 4,521 4,625 Budget authority, gross ... 4000
Outlays, gross:
3,579 3,430 2,513 Outlays from new discretionary authority ... 4010
1,171 1,410 1,401 Outlays from discretionary balances ... 4011
4,750 4,840 3,914 Outlays, gross (total) ... 4020
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
–1 –1 –33 Federal sources ... 4030 –1,977 –1,900 –1,915 Non-Federal sources ... 4033 –1,978 –1,901 –1,948 Offsets against gross budget authority and outlays (total) .... 4040
Additional offsets against gross budget authority only:
... ... –22 Change in uncollected pymts, Fed sources, unexpired ... 4050
... ... 17 Offsetting collections credited to expired accounts ... 4052
... ... –5 Additional offsets against budget authority only (total) ... 4060
2,744 2,620 2,672 Budget authority, net (discretionary) ... 4070
2,772 2,939 1,966 Outlays, net (discretionary) ... 4080
Mandatory:
2 2 14 Budget authority, gross ... 4090
Outlays, gross:
2 2 1 Outlays from new mandatory authority ... 4100
2,746 2,622 2,686 Budget authority, net (total) ... 4180
2,774 2,941 1,967 Outlays, net (total) ... 4190
Memorandum (non-add) entries:
541 541 664 Unexpired unavailable balance, SOY: Offsetting collections ... 5090
541 541 541 Unexpired unavailable balance, EOY: Offsetting collections ... 5092
[In millions of dollars]
2016 2015 2014 Distribution of discretionary budget authority by account:
2,734 2,611 2,575 Salaries and expenses ...
9 9 8 Buildings and facilities ... Distribution of discretionary outlays by account:
2,763 2,930 1,726 Salaries and expenses ...
9 9 6 Buildings and facilities ...
The Food and Drug Administration (FDA) promotes and protects public
health by overseeing the safety, efficacy, quality, and security of human
and veterinary drugs, biological products, medical devices, foods, cosmetics,
and products that emit radiation. FDA also has responsibility for regulating
the manufacturing, marketing, and distribution of tobacco products to
protect public health and to reduce tobacco use by minors. FDA advances
public health by helping to speed innovations that make medicines more
effective, safer, and more affordable and by helping the public get the
ac-curate, science-based information they need to use medicines and foods to
maintain and improve their health. FDA supports the Nation's
counterter-rorism capability by ensuring the security of the food supply and by
foster-ing the development of medical products and countermeasures to respond
to deliberate and naturally emerging public health threats. The FY 2016
Budget provides funding to support food and medical product safety,
in-cluding implementation of the Food Safety Modernization Act and the
Food and Drug Administration Safety and Innovation Act, encourage
de-velopment of innovative diagnostics and theraputics, promote dede-velopment
of medical countermeasures, and maintain the integrity of operations and
infrastructure. In addition, the FY 2015 funding level for FDA includes
$25 million in one-time emergency funding for the U.S. Government
re-sponse to contain, treat, and prevent the spread of Ebola.
The President is again asking Congress to revive an authority enabling
him to submit fast-track proposals to reorganize or consolidate Federal
programs and agencies in order to reduce the size of Government or cut
costs. The Budget includes a variety of proposed reforms across government
designed to drive efficiency and accountability, prevent duplication, and
make government work better and smarter for the American people. One
of these reorganizations the President would propose with this authority is
to consolidate the USDA's Food Safety Inspection Service and the food
safety components of the Food and Drug Administration at HHS to create
a new agency at HHS. This consolidation could deliver a "one-stop" shop
for most of the issues that mean the most for consumers and industry and
provide centralized leadership to allocate resources strategically across all
food products. The Budget schedules for these agencies and programs
continue to reflect them in their current alignment.
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–9911–0–1–554 Direct obligations: Personnel compensation: 883 842 819 Full-time permanent ... 11.1 102 98 95 Other than full-time permanent ... 11.3
59 56 55 Other personnel compensation ... 11.5 67 66 64 Military personnel ... 11.7 1 1 1 Special personal services payments ... 11.8
1,112 1,063 1,034 Total personnel compensation ... 11.9
312 298 290 Civilian personnel benefits ... 12.1
35 35 34 Military personnel benefits ... 12.2
46 43 44 Travel and transportation of persons ... 21.0 3 3 3 Transportation of things ... 22.0 177 169 162 Rental payments to GSA ... 23.1
2 2 2 Rental payments to others ... 23.2
51 47 49 Communications, utilities, and miscellaneous charges ... 23.3
2 1 1 Printing and reproduction ... 24.0
53 49 51 Advisory and assistance services ... 25.1
417 388 399 Other services from non-Federal sources ... 25.2
THE BUDGET FOR FISCAL YEAR 2016
440
Food and Drug Administration—Continued Federal Funds—Continued145 135 140 Other goods and services from Federal sources ... 25.3
115 107 110 Operation and maintenance of facilities ... 25.4
21 20 21 Research and development contracts ... 25.5
33 31 32 Operation and maintenance of equipment ... 25.7
43 40 41 Supplies and materials ... 26.0 68 63 66 Equipment ... 31.0 1 1 1 Land and structures ... 32.0
109 101 105 Grants, subsidies, and contributions ... 41.0
1 1 1 Insurance claims and indemnities ... 42.0 2,746 2,597 2,586 Direct obligations ... 99.0 2,177 1,903 1,753 Reimbursable obligations ... 99.0 4,923 4,500 4,339 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–9911–0–1–554 9,537 9,420 9,246 Direct civilian full-time equivalent employment ... 1001712 712 696 Direct military average strength employment ... 1101
5,855 5,392 4,338 Reimbursable civilian full-time equivalent employment ... 2001
335 335 327 Reimbursable military average strength employment ... 2101
38 38 38 Allocation account civilian full-time equivalent employment ... 3001
1 1 1 Allocation account military average strength employment ... 3101
S
ALARIES ANDE
XPENSES(Legislative proposal, not subject to PAYGO)
In addition, contingent upon the enactment of authorizing legislation, the Secretary
shall assess user fees with respect to food facility registrations and inspections, food
imports, food contact notification activities, cosmetic activities, and international
express courier import activities, and shall assess an increase in export certification
user fees otherwise appropriated under this heading, and such fees shall be credited
to this account and remain available until expended.
Program and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–9911–2–1–554
Obligations by program activity:
60 ...
... Food Facility Registration and Inspection ... 0801 103 ... ... Food Import ... 0802 6 ... ... International Courier ... 0803 5 ... ... Food Contact Substance Notification ... 0804 20 ... ... Cosmetics ... 0805 4 ... ... Export Certification fee increase ... 0806
198 ...
... Total new obligations ... 0900
Budgetary resources: Budget authority:
Spending authority from offsetting collections, discretionary:
198 ... ... Collected ... 1700 198 ... ... Spending auth from offsetting collections, disc (total) ... 1750
198 ...
... Total budgetary resources available ... 1930
Change in obligated balance: Unpaid obligations:
198 ...
... Obligations incurred, unexpired accounts ... 3010 –198 ... ... Outlays (gross) ... 3020
Budget authority and outlays, net: Discretionary:
198 ...
... Budget authority, gross ... 4000
Outlays, gross:
198 ...
... Outlays from new discretionary authority ... 4010
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
–198 ...
... Non-Federal sources ... 4033
The FY 2016 Budget includes a number of new user fees. Legislation
will be proposed to allow FDA to collect fees for food import and food
facility registration and inspection to implement the requirements of the
FDA Food Safety Modernization Act (FSMA). The additional resources,
estimated at $103 million for the food import program, would support
FDA's food safety efforts to modernize the import system. The fees
collec-ted for the food facility registration and inspection program, estimacollec-ted at
$60 million, would enable FDA to target new and improved activities
re-quired by FSMA to modernize the food safety system and support
improve-ments in safety science and risk analysis to prevent food safety outbreaks.
The Budget also proposes user fees to support activities related to cosmetics
and food contact notification activities, and fees to support
inspection-re-lated activities at domestic courier facilities. The Budget also includes a
proposal to allow FDA to increase the funding cap for the export
certifica-tion fee from $175 to $600 per certificacertifica-tion to ensure that FDA can
effi-ciently implement the export certification program.
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–9911–2–1–554 Reimbursable obligations: Personnel compensation: 152 ... ... Full-time permanent ... 11.1 30 ... ... Other than full-time permanent ... 11.3
8 ...
... Other personnel compensation ... 11.5
190 ...
... Total personnel compensation ... 11.9
8 ...
... Advisory and assistance services ... 25.1
198 ...
... Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–9911–2–1–554 242 ... ... Reimbursable civilian full-time equivalent employment ... 2001✦
R
EVOLVINGF
UND FORC
ERTIFICATION ANDO
THERS
ERVICESProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–4309–0–3–554
Obligations by program activity:
10 9 8 Revolving Fund for Certification and Other Services
(Reimbursable) ... 0801 Budgetary resources: Unobligated balance: 3 4 5 Unobligated balance brought forward, Oct 1 ... 1000
Budget authority:
Spending authority from offsetting collections, mandatory:
9 8 8 Collected ... 1800 1 1 ...
Offsetting collections (previously unavailable) ... 1802
... –1 –1 New and/or unobligated balance of spending authority from
offsetting collections temporarily reduced ... 1823
10 8 7 Spending auth from offsetting collections, mand (total) ... 1850
10 8 7 Budget authority (total) ... 1900
13 12 12 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
3 3 4 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
1 2 2 Unpaid obligations, brought forward, Oct 1 ... 3000
10 9 8 Obligations incurred, unexpired accounts ... 3010 –10 –10 –8 Outlays (gross) ... 3020 1 1 2 Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
1 2 2 Obligated balance, start of year ... 3100
1 1 2 Obligated balance, end of year ... 3200
Budget authority and outlays, net: Mandatory:
10 8 7 Budget authority, gross ... 4090
Outlays, gross:
10 8 ...
Outlays from new mandatory authority ... 4100
... 2 8 Outlays from mandatory balances ... 4101
10 10 8 Outlays, gross (total) ... 4110
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
–9 –8 –8 Non-Federal sources ... 4123 1 ... –1 Budget authority, net (total) ... 4180
1 2 ...
Outlays, net (total) ... 4190
441
R
EVOLVINGF
UND FORC
ERTIFICATION ANDO
THERS
ERVICES—Continued
Program and Financing
—Continued
2016 est. 2015 est. 2014 actual Identification code 075–4309–0–3–554
Memorandum (non-add) entries:
1 1 ...
Unexpired unavailable balance, SOY: Offsetting collections ... 5090
... 1 1 Unexpired unavailable balance, EOY: Offsetting collections ... 5092
FDA certifies color additives for use in foods, drugs, and cosmetics. It
also lists color additives for use in foods, drugs, medical devices, and
cos-metics (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)2016 est. 2015 est. 2014 actual Identification code 075–4309–0–3–554 Reimbursable obligations: 6 5 4 Personnel compensation: Full-time permanent ... 11.1
1 1 1 Civilian personnel benefits ... 12.1
1 1 1 Rental payments to GSA ... 23.1
1 1 1 Operation and maintenance of equipment ... 25.7 1 1 1 Equipment ... 31.0 10 9 8 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–4309–0–3–554 37 37 36 Reimbursable civilian full-time equivalent employment ... 2001✦
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Federal Funds
P
RIMARYH
EALTHC
AREFor carrying out titles II and III of the Public Health Service Act (referred to in
this Act as the "PHS Act") with respect to primary health care and the Native
Hawaiian Health Care Act of 1988, [$1,491,522,000] $1,491,522,000: Provided,
That no more than [$100,000] $100,000 shall be available until expended for
car-rying out the provisions of section 224(o) of the PHS Act [, including associated
administrative expenses and relevant evaluations]: Provided further, That no more
than [$99,893,000] $99,893,000 shall be available until expended for carrying out
the provisions of Public Law 104–73 and for expenses incurred by the Department
of Health and Human Services (referred to in this Act as "HHS") pertaining to
ad-ministrative claims made under such law [: Provided further, That of funds provided
for the Health Centers program, as defined by section 330 of the PHS Act, by this
Act or any other Act for fiscal year 2015, not less than $165,000,000 shall be
oblig-ated in fiscal year 2015 as base grant adjustments, not less than $350,000,000 shall
be obligated in fiscal year 2015 to support new access points including approved
and unfunded applications from fiscal year 2014, grants to expand medical services,
behavioral health, oral health, pharmacy, and vision services, and up to $150,000,000
shall be obligated in fiscal year 2015 for construction and capital improvement
costs].
H
EALTHW
ORKFORCEFor carrying out titles III, VII, and VIII of the PHS Act with respect to the health
workforce, sections 1128E and 1921(b) of the Social Security Act, and the Health
Care Quality Improvement Act of 1986, [$751,600,000] $856,820,000: Provided,
That $287,370,000, to remain available until expended, shall be for the National
Health Service Corps Program: Provided further, That sections 747(c)(2) [,
751(j)(2),] and 762(k), and the proportional funding amounts in paragraphs (1)
through (4) of section 756(e) of the PHS Act shall not apply to funds made available
under this heading: [Provided further, That for any program operating under section
751 of the PHS Act on or before January 1, 2009, the Secretary may hereafter waive
any of the requirements contained in sections 751(d)(2)(A) and 751(d)(2)(B) of such
Act for the full project period of a grant under such section: Provided further, That
no funds shall be available for section 340G-1 of the PHS Act:]Provided further,
That fees collected for the disclosure of information under section 427(b) of the
Health Care Quality Improvement Act of 1986 and sections 1128E(d)(2) and 1921
of the Social Security Act shall be sufficient to recover the full costs of operating
the programs authorized by such sections and shall remain available until expended
for the National Practitioner Data Bank: Provided further, That funds transferred to
this account to carry out section 846 and subpart 3 of part D of title III of the PHS
Act may be used to make prior year adjustments to awards made under such sections:
Provided further, That, of the amount appropriated under this heading, $100,000,000
shall be for payments to children's hospitals pursuant to section 340E of the PHS
Act, all of which shall be for payments for direct graduate medical education as
described in section 340E(c).
M
ATERNAL ANDC
HILDH
EALTHFor carrying out titles III, XI, XII, and XIX of the PHS Act with respect to maternal
and child health, title V of the Social Security Act, and section 712 of the American
Jobs Creation Act of 2004, [$851,738,000] $851,738,000: Provided, That
notwith-standing sections 502(a)(1) and 502(b)(1) of the Social Security Act, not more than
[$77,093,000] $77,093,000 shall be available for carrying out special projects of
regional and national significance pursuant to section 501(a)(2) of such Act and
[$10,276,000] $10,276,000 shall be available for projects described in subparagraphs
(A) through (F) of section 501(a)(3) of such Act.
R
YANW
HITEHIV/AIDS P
ROGRAMFor carrying out title XXVI of the PHS Act with respect to the Ryan White
HIV/AIDS program, [$2,318,781,000] $2,322,781,000, of which [$1,970,881,000]
$1,970,881,000 shall remain available to the Secretary through September 30,
[2017] 2018, for parts A and B of title XXVI of the PHS Act, and of which not
less than [$900,313,000] $900,313,000 shall be for State AIDS Drug Assistance
Programs under the authority of section 2616 or 311(c) of such Act.
H
EALTHC
ARES
YSTEMSFor carrying out titles III and XII of the PHS Act with respect to health care
sys-tems, and the Stem Cell Therapeutic and Research Act of 2005, [$103,193,000]
$110,193,000, of which [$122,000] $122,000 shall be available until expended for
facilities renovations at the Gillis W. Long Hansen's Disease Center: Provided, That
the Secretary may collect a fee of 0.1 percent of each purchase of 340B drugs from
entities participating in the Drug Pricing Program pursuant to section 340B of the
PHS Act to pay for the operating costs of such program: Provided further, That fees
pursuant to the 340B Drug Pricing Program shall be collected by the Secretary
based on sales data that shall be submitted by drug manufacturers and shall be
credited to this account to remain available until expended.
R
URALH
EALTHFor carrying out titles III and IV of the PHS Act with respect to rural health, section
427(a) of the Federal Coal Mine Health and Safety Act of 1969, [the Cardiac Arrest
Survival Act of 2000,] and sections 711 and 1820 of the Social Security Act,
[$147,471,000] $127,562,000, of which [$41,609,000] $26,200,000 from general
revenues, notwithstanding section 1820(j) of the Social Security Act, shall be
available for carrying out the Medicare rural hospital flexibility grants program:
Provided, That of the funds made available under this heading for Medicare rural
hospital flexibility grants, [$14,942,000 shall be available for the Small Rural
Hospital Improvement Grant Program for quality improvement and adoption of
health information technology and] up to $1,000,000 shall be to carry out section
1820(g)(6) of the Social Security Act, with funds provided for grants under section
1820(g)(6) available for the purchase and implementation of telehealth services,
including pilots and demonstrations on the use of electronic health records to
co-ordinate rural veterans care between rural providers and the Department of Veterans
Affairs electronic health record system: Provided further, That notwithstanding
section 338J(k) of the PHS Act, [$9,511,000] $9,511,000 shall be available for
State Offices of Rural Health.
F
AMILYP
LANNINGFor carrying out the program under title X of the PHS Act to provide for voluntary
family planning projects, [$286,479,000] $300,000,000: Provided, That amounts
provided to said projects under such title shall not be expended for abortions, that
all pregnancy counseling shall be nondirective, and that such amounts shall not be
expended for any activity (including the publication or distribution of literature) that
in any way tends to promote public support or opposition to any legislative proposal
or candidate for public office.
P
ROGRAMM
ANAGEMENTFor program support in the Health Resources and Services Administration,
[$154,000,000] $157,061,000: Provided, That funds made available under this
heading may be used to supplement program support funding provided under the
headings "Primary Health Care", "Health Workforce", "Maternal and Child Health",
"Ryan White HIV/AIDS Program", "Health Care Systems", and "Rural Health":
Provided further, That the Administrator may transfer funds between any of the
accounts of HRSA with notification to the Committees on Appropriations of both
Houses of Congress at least 15 days in advance of any transfer, but no such account
THE BUDGET FOR FISCAL YEAR 2016
442
Food and Drug Administration—Continued Federal Funds—Continuedshall be decreased by more than 3 percent by any such transfer. (Department of
Health and Human Services Appropriations Act, 2015.)
Program and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0350–0–1–550
Obligations by program activity:
... ... 1 Free Clinics Medical Malpractice ... 0009 1,392 1,392 1,397 Health Centers ... 0010 287 ... ... National Health Service Corps ... 0012
15 15 15 Hansen's Disease Center ... 0013
2 2 2 Payment to Hawaii for the Treatment of Hansen's Disease ... 0014
7 7 7 Black Lung Clinics ... 0015
82 82 80 Nursing Education Loan Repayment and Scholarships ... 0016 386 403 387 Health Professions ... 0017 637 637 632 Maternal and Child Health Block Grant ... 0018 102 102 101 Healthy Start ... 0019 19 19 19 Poison Control Centers ... 0020
20 20 20 EMS for Children ... 0021
18 18 18 Universal Newborn Hearing Screening ... 0022 2,323 2,319 2,290 HIV/AIDS ... 0023 24 24 23 Organ Transplantation ... 0024 22 22 22 Bone Marrow Donor Registry ... 0025
9 9 9 Rural Health Policy Development ... 0026
59 59 57 Rural Health Outreach Grants ... 0027
26 42 40 Rural Health Flexibility Grants ... 0028 15 15 14 Telehealth ... 0030 157 154 153 Program Management ... 0031 300 286 286 Family Planning ... 0032 1 1 1 Loan Repayment/Faculty Fellowship ... 0033
100 100 81 Health Centers Tort Claim Fund ... 0035 14 14 12 Heritable Disorders ... 0036 100 265 264 Childrens' GME ... 0038 10 10 9 State Offices of Rural Health ... 0041 2 2 2 Radiogenic Diseases ... 0043 9 9 9 Traumatic Brain Injury ... 0044
47 47 47 Autism and Other Developmental Disorders ... 0045
11 11 11 Cord Blood Stem Cell Bank ... 0046 4 4 4 Sickle Cell ... 0048 17 10 10 Drug Pricing Program ... 0049
... 3 5 Family to Family Health Information Centers ACA ... 0050
178 2,968 2,152 Health Centers ACA ... 0073
... ... 38 Health Centers Construction ACA ... 0074
... 287 281 National Health Service Corps ACA ... 0075
... 3 1 School Based Health Centers ACA ... 0076
... 105 60 GME Payments THC ACA ... 0077
... 5 3 Rural Health AED ... 0079
6,395 9,471 8,563 Total direct programs ... 0300
6,395 9,471 8,563 Total direct obligations ... 0799
64 57 56 Health Resources and Services (Reimbursable) ... 0801
... ... 25 Reimbursable program: PHS evaluation ... 0802
64 57 81 Total reimbursable obligations ... 0899
6,459 9,528 8,644 Total new obligations ... 0900 Budgetary resources: Unobligated balance: 726 298 361 Unobligated balance brought forward, Oct 1 ... 1000
... ... 123 Discretionary unobligated balance brought fwd, Oct 1 ... 1001
... ... 26 Recoveries of prior year unpaid obligations ... 1021
726 298 387 Unobligated balance (total) ... 1050 Budget authority: Appropriations, discretionary: 6,218 6,105 6,054 Appropriation ... 1100 ... ... –10 Appropriations transferred to other accts [075–0511] ... 1120
... ... –5 Appropriations transferred to other accts [075–1503] ... 1120
6,218 6,105 6,039 Appropriation, discretionary (total) ... 1160 Appropriations, mandatory: ... 3,799 2,510 Appropriation ... 1200 ... ... –77 Appropriations and/or unobligated balance of
appropriations permanently reduced ... 1230
... 3,799 2,433 Appropriations, mandatory (total) ... 1260
Spending authority from offsetting collections, discretionary:
43 35 30 Collected ... 1700 ... ... 38 Change in uncollected payments, Federal sources ... 1701
... ... 1 Offsetting collections (previously unavailable) ... 1702
43 35 69 Spending auth from offsetting collections, disc (total) ... 1750
Spending authority from offsetting collections, mandatory:
17 17 17 Offsetting collections (cash)(HPSL&NSL) ... 1800
1 1 ...
Offsetting collections (previously unavailable) ... 1802
... –1 –1 New and/or unobligated balance of spending authority from
offsetting collections temporarily reduced ... 1823
18 17 16 Spending auth from offsetting collections, mand (total) ... 1850
6,279 9,956 8,557 Budget authority (total) ... 1900
7,005 10,254 8,944 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
... ... –2 Unobligated balance expiring ... 1940
546 726 298 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
6,952 6,233 6,239 Unpaid obligations, brought forward, Oct 1 ... 3000
6,459 9,528 8,644 Obligations incurred, unexpired accounts ... 3010
... ... 1 Obligations incurred, expired accounts ... 3011 –8,215 –8,809 –8,530 Outlays (gross) ... 3020 ... ... –26 Recoveries of prior year unpaid obligations, unexpired ... 3040
... ... –95 Recoveries of prior year unpaid obligations, expired ... 3041
5,196 6,952 6,233 Unpaid obligations, end of year ... 3050
Uncollected payments:
–67 –67 –74 Uncollected pymts, Fed sources, brought forward, Oct 1 ... 3060
... ... –38 Change in uncollected pymts, Fed sources, unexpired ... 3070
... ... 45 Change in uncollected pymts, Fed sources, expired ... 3071
–67 –67 –67 Uncollected pymts, Fed sources, end of year ... 3090
Memorandum (non-add) entries:
6,885 6,166 6,165 Obligated balance, start of year ... 3100
5,129 6,885 6,166 Obligated balance, end of year ... 3200
Budget authority and outlays, net: Discretionary:
6,261 6,140 6,108 Budget authority, gross ... 4000
Outlays, gross:
2,367 2,310 2,259 Outlays from new discretionary authority ... 4010
3,816 3,492 3,642 Outlays from discretionary balances ... 4011
6,183 5,802 5,901 Outlays, gross (total) ... 4020
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
–15 –15 –43 Federal sources ... 4030 –20 –20 –28 Non-Federal sources ... 4033 –8 ... ... Non-Federal sources ... 4033 –43 –35 –71 Offsets against gross budget authority and outlays (total) .... 4040
Additional offsets against gross budget authority only:
... ... –38 Change in uncollected pymts, Fed sources, unexpired ... 4050
... ... 41 Offsetting collections credited to expired accounts ... 4052
... ... 3 Additional offsets against budget authority only (total) ... 4060
6,218 6,105 6,040 Budget authority, net (discretionary) ... 4070
6,140 5,767 5,830 Outlays, net (discretionary) ... 4080
Mandatory:
18 3,816 2,449 Budget authority, gross ... 4090
Outlays, gross:
18 1,486 1,241 Outlays from new mandatory authority ... 4100
2,014 1,521 1,388 Outlays from mandatory balances ... 4101
2,032 3,007 2,629 Outlays, gross (total) ... 4110
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
–17 –17 –17 Non-Federal sources ... 4123 6,219 9,904 8,472 Budget authority, net (total) ... 4180
8,155 8,757 8,442 Outlays, net (total) ... 4190
Memorandum (non-add) entries:
1 1 1 Unexpired unavailable balance, SOY: Offsetting collections ... 5090
... 1 1 Unexpired unavailable balance, EOY: Offsetting collections ... 5092
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program
(in millions of dollars) 2016 est. 2015 est. 2014 actual Identification code 075–0350–0–1–550Guaranteed loan levels supportable by subsidy budget authority:
4 6 3 Health centers: Facilities renovation loan guarantee levels ... 215001
4 6 3 Total loan guarantee levels ... 215999
Guaranteed loan subsidy (in percent):
2.67 2.67 2.81 Health centers: Facilities renovation loan guarantee levels ... 232001
2.67 2.67 2.81 Weighted average subsidy rate ... 232999
Resources displayed here support categorical grants and contracts
man-aged by Health Resources and Services Administration (HRSA). These
activities include support for Health Centers, treatment and care for those
living with HIV/AIDS, health professions training, maternal and child
443
H
EALTHR
ESOURCES ANDS
ERVICES—Continued
health care services, promotion of organ and bone marrow donation, and
the medical malpractice claims funds, which pay malpractice claims filed
against employees of federally-supported health centers and free clinics.
HRSA is also responsible for oversight of the 340B Drug Discount Program.
The 2016 Budget proposes a new user fee for this program to improve
ad-ministration and oversight of this activity.
HRSA administers the following revolving loan programs: Health
Profes-sions Student Loans (HPSL), Nursing Student Loans (NSL), Primary Care
Loans (PCL) and Loans for Disadvantaged Students (LDS). These programs
are financed through revolving accounts (Federal Capital Contribution)
and do not receive annual appropriations. Through these revolving fund
accounts, funds are awarded to institutions that in turn provide loans to
individual students. As borrowers pay back loans the programs revolving
account gets replenished, and the collected funds are then used to give out
new loans in the following academic years. If the program's revolving
ac-count has excess funds that will not be used to provide new loans, these
excess funds are returned to HRSA. Funds returned to HRSA are then
awarded to programs that are in need of additional funds. The information
below reflects Academic Year 2012–2013 data reported in the Annual
Operating Report.
Health Professions Revolving Loan Programs
Federal Capital ContributionAccount Balance Program 389,796,286 HPSL ... 174,462,796 NSL ... 258,568,607 PCL ... 132,944,663 LDS ... 955,772,352 Total ...
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0350–0–1–550 Direct obligations: Personnel compensation: 159 175 158 Full-time permanent ... 11.1 6 6 6 Other than full-time permanent ... 11.3
3 3 3 Other personnel compensation ... 11.5 13 18 18 Military personnel ... 11.7 181 202 185 Total personnel compensation ... 11.9
48 53 48 Civilian personnel benefits ... 12.1
7 10 10 Military personnel benefits ... 12.2
2 2 2 Travel and transportation of persons ... 21.0
22 26 22 Rental payments to GSA ... 23.1
1 1 1 Rental payments to others ... 23.2
5 6 7 Communications, utilities, and miscellaneous charges ... 23.3
13 13 14 Advisory and assistance services ... 25.1
125 134 136 Other services from non-Federal sources ... 25.2
170 250 254 Other goods and services from Federal sources ... 25.3
1 1 1 Operation and maintenance of facilities ... 25.4 3 3 3 Medical care ... 25.6 41 42 42 Operation and maintenance of equipment ... 25.7
1 1 1 Supplies and materials ... 26.0 3 3 3 Equipment ... 31.0 5,680 8,632 7,762 Grants, subsidies, and contributions ... 41.0
92 92 72 Insurance claims and indemnities ... 42.0 6,395 9,471 8,563 Direct obligations ... 99.0 64 57 81 Reimbursable obligations ... 99.0 6,459 9,528 8,644 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0350–0–1–550 1,500 1,688 1,555 Direct civilian full-time equivalent employment ... 1001131 182 182 Direct military average strength employment ... 1101
68 62 58 Reimbursable civilian full-time equivalent employment ... 2001
4 4 4 Reimbursable military average strength employment ... 2101
H
EALTHR
ESOURCES ANDS
ERVICES(Legislative proposal, subject to PAYGO)
Program and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0350–4–1–550
Obligations by program activity:
400 ...
... Targeted Support GME ... 0001 2,700 ... ... Health Centers ... 0073 523 ... ... National Health Service Corps ... 0075
3,623 ...
... Total direct programs ... 0300
3,623 ...
... Total new obligations ... 0900 Budgetary resources: Budget authority: Appropriations, mandatory: 3,623 ... ... Appropriation ... 1200 3,623 ... ... Appropriations, mandatory (total) ... 1260
3,623 ...
... Budget authority (total) ... 1900
3,623 ...
... Total budgetary resources available ... 1930
Change in obligated balance: Unpaid obligations:
3,623 ...
... Obligations incurred, unexpired accounts ... 3010 –1,652 ... ... Outlays (gross) ... 3020 1,971 ... ... Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
1,971 ...
... Obligated balance, end of year ... 3200
Budget authority and outlays, net: Mandatory:
3,623 ...
... Budget authority, gross ... 4090
Outlays, gross:
1,652 ...
... Outlays from new mandatory authority ... 4100
3,623 ...
... Budget authority, net (total) ... 4180
1,652 ...
... Outlays, net (total) ... 4190
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0350–4–1–550 Direct obligations: Personnel compensation: 28 ... ... Full-time permanent ... 11.1 1 ... ... Other than full-time permanent ... 11.3 5 ... ... Military personnel ... 11.7 34 ... ... Total personnel compensation ... 11.9
9 ...
... Civilian personnel benefits ... 12.1
3 ...
... Military personnel benefits ... 12.2
4 ...
... Rental payments to GSA ... 23.1
1 ...
... Communications, utilities, and miscellaneous charges ... 23.3
14 ...
... Other services from non-Federal sources ... 25.2
77 ...
... Other goods and services from Federal sources ... 25.3
3,481 ...
... Grants, subsidies, and contributions ... 41.0
3,623 ...
... Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0350–4–1–550 264 ... ... Direct civilian full-time equivalent employment ... 100150 ...
... Direct military average strength employment ... 1101
✦
V
ACCINEI
NJURYC
OMPENSATIONProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0320–0–1–551 Budgetary resources: Unobligated balance: 23 23 19 Unobligated balance brought forward, Oct 1 ... 1000
THE BUDGET FOR FISCAL YEAR 2016
444
Health Resources and Services Administration—Continued Federal Funds—ContinuedBudget authority:
Spending authority from offsetting collections, mandatory:
... ... 4 Collected ... 1800 ... ... 4 Spending auth from offsetting collections, mand (total) ... 1850
... ... 4 Budget authority (total) ... 1900
23 23 23 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
23 23 23 Unexpired unobligated balance, end of year ... 1941
Budget authority and outlays, net: Mandatory:
... ... 4 Budget authority, gross ... 4090
Offsets against gross budget authority and outlays: Offsetting collections (collected) from:
... ... –4 Federal sources ... 4120 ... ... –4 Outlays, net (total) ... 4190
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'
appro-priations to pay for the balance of the pre-1988 claims yet to be adjudicated,
no appropriation is requested to cover payment of pre-1988 claims. By
statute, no new claims are accepted for this account. Payment of claims
associated with vaccine related injury or death occurring after October 1,
1988 are reflected in the Vaccine Injury Compensation Program trust fund
account.
✦
C
OVEREDC
OUNTERMEASUREP
ROCESSF
UNDProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0343–0–1–551
Obligations by program activity:
2 3 5 Claims ... 0001 1 2 ... Admin Expense ... 0103 3 5 5 Total new obligations ... 0900 Budgetary resources: Unobligated balance: ... 2 2 Unobligated balance brought forward, Oct 1 ... 1000
3 3 5 Unobligated balance transfer from other acct [075–0140] .... 1011
3 5 7 Unobligated balance (total) ... 1050
3 5 7 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
... ... 2 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
3 2 2 Unpaid obligations, brought forward, Oct 1 ... 3000
3 5 5 Obligations incurred, unexpired accounts ... 3010 –4 –4 –5 Outlays (gross) ... 3020 2 3 2 Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
3 2 2 Obligated balance, start of year ... 3100
2 3 2 Obligated balance, end of year ... 3200
Budget authority and outlays, net: Discretionary:
Outlays, gross:
4 4 5 Outlays from discretionary balances ... 4011
4 4 5 Outlays, net (total) ... 4190
The Covered Countermeasure Process Fund is established pursuant to
the PHS Act, as amended by Division C of Public Law 109–148, to serve
as a source of funds to pay for compensation for injuries, illnesses or death,
or losses resulting from the administration to or use by an individual of a
covered countermeasure for which a Secretarial Declaration has been issued,
pursuant to section 319F-3(b) of the Public Health Service Act.
Addition-ally, authority is provided to address any unexpected claims that may arise
under the Smallpox Emergency Personal Protection Act of 2003.
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0343–0–1–551 Direct obligations: ... ... 1 Personnel compensation: Full-time permanent ... 11.1
1 1 1 Other services from non-Federal sources ... 25.2
1 3 2 Insurance claims and indemnities ... 42.0 2 4 4 Direct obligations ... 99.0 1 1 1 Below reporting threshold ... 99.5
3 5 5 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0343–0–1–551 6 6 4 Direct civilian full-time equivalent employment ... 10012 2 2 Direct military average strength employment ... 1101
✦
M
ATERNAL, I
NFANT,
ANDE
ARLYC
HILDHOODH
OMEV
ISITINGP
ROGRAMSProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0321–0–1–551
Obligations by program activity:
... 422 394 Maternal, Infant, and Early Childhood Home Visiting
Programs ... 0010 Budgetary resources: Unobligated balance: 5 27 25 Unobligated balance brought forward, Oct 1 ... 1000
... ... 25 Unobligated balance transfers between expired and unexpired
accounts ... 1012
5 27 50 Unobligated balance (total) ... 1050 Budget authority: Appropriations, mandatory: ... 400 400 Appropriation ... 1200 ... ... –29 Appropriations and/or unobligated balance of
appropriations permanently reduced ... 1230
... 400 371 Appropriations, mandatory (total) ... 1260
5 427 421 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
5 5 27 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
803 703 654 Unpaid obligations, brought forward, Oct 1 ... 3000
... 422 394 Obligations incurred, unexpired accounts ... 3010 –367 –322 –320 Outlays (gross) ... 3020 ... ... –25 Recoveries of prior year unpaid obligations, expired ... 3041
436 803 703 Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
803 703 654 Obligated balance, start of year ... 3100
436 803 703 Obligated balance, end of year ... 3200
Budget authority and outlays, net: Mandatory:
... 400 371 Budget authority, gross ... 4090
Outlays, gross:
... 16 6 Outlays from new mandatory authority ... 4100
367 306 314 Outlays from mandatory balances ... 4101
367 322 320 Outlays, gross (total) ... 4110
... 400 371 Budget authority, net (total) ... 4180
367 322 320 Outlays, net (total) ... 4190
P.L. 113–93 provides resources to Maternal, Infant and Early Childhood
Home Visiting Program through 2015 to provide comprehensive services
for at risk communities. The 2016 Budget includes $500 million for the
Maternal, Infant and Early Childhood Home Visiting Program to extend
and expand evidenced-based home visiting services for at risk communities.
These activities are administered by HRSA.
445
M
ATERNAL, I
NFANT,
ANDE
ARLYC
HILDHOODH
OMEV
ISITINGP
ROGRAMS—Continued
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0321–0–1–551 Direct obligations: Personnel compensation: ... 2 2 Full-time permanent ... 11.1 ... 1 1 Military personnel ... 11.7 ... 3 3 Total personnel compensation ... 11.9
... 1 1 Civilian personnel benefits ... 12.1
... 19 19 Advisory and assistance services ... 25.1
... 399 371 Grants, subsidies, and contributions ... 41.0
... 422 394 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0321–0–1–551 ... 18 18 Direct civilian full-time equivalent employment ... 1001... 4 4 Direct military average strength employment ... 1101
M
ATERNAL, I
NFANT,
ANDE
ARLYC
HILDHOODH
OMEV
ISITINGP
ROGRAMS(Legislative proposal, subject to PAYGO)
Program and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0321–4–1–551
Obligations by program activity:
500 ...
... Maternal, Infant, and Early Childhood Home Visiting
Programs ... 0010 Budgetary resources: Budget authority: Appropriations, mandatory: 500 ... ... Appropriation ... 1200 500 ... ... Appropriations, mandatory (total) ... 1260
500 ...
... Total budgetary resources available ... 1930
Change in obligated balance: Unpaid obligations:
500 ...
... Obligations incurred, unexpired accounts ... 3010 –20 ... ... Outlays (gross) ... 3020 480 ... ... Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
480 ...
... Obligated balance, end of year ... 3200
Budget authority and outlays, net: Mandatory:
500 ...
... Budget authority, gross ... 4090
Outlays, gross:
20 ...
... Outlays from new mandatory authority ... 4100
500 ...
... Budget authority, net (total) ... 4180
20 ...
... Outlays, net (total) ... 4190
P.L. 113–93 provides resources to Maternal, Infant and Early Childhood
Home Visiting Program through 2015 to provide comprehensive services
for at risk communities. The 2016 Budget includes $500 million for the
Maternal, Infant and Early Childhood Home Visiting Program to extend
and expand evidenced-based home visiting services for at risk communities.
These activities are administered by HRSA.
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0321–4–1–551 Direct obligations: Personnel compensation: 2 ... ... Full-time permanent ... 11.1 1 ... ... Military personnel ... 11.7 3 ... ... Total personnel compensation ... 11.9
1 ...
... Civilian personnel benefits ... 12.1
19 ...
... Advisory and assistance services ... 25.1
477 ...
... Grants, subsidies, and contributions ... 41.0
500 ...
... Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0321–4–1–551 18 ... ... Direct civilian full-time equivalent employment ... 10014 ...
... Direct military average strength employment ... 1101
✦
H
EALTHC
ENTERG
UARANTEEDL
OANF
INANCINGA
CCOUNTProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–4442–0–3–551
Obligations by program activity: Credit program obligations:
1 1 ...
Default claim payments on principal ... 0711
1 1 ...
Total new obligations ... 0900 Budgetary resources: Unobligated balance: 2 3 3 Unobligated balance brought forward, Oct 1 ... 1000
2 3 3 Total budgetary resources available ... 1930
Memorandum (non-add) entries:
1 2 3 Unexpired unobligated balance, end of year ... 1941
Change in obligated balance: Unpaid obligations:
1 ...
... Unpaid obligations, brought forward, Oct 1 ... 3000
1 1 ...
Obligations incurred, unexpired accounts ... 3010
2 1 ...
Unpaid obligations, end of year ... 3050
Memorandum (non-add) entries:
1 ...
... Obligated balance, start of year ... 3100
2 1 ...
Obligated balance, end of year ... 3200
Status of Guaranteed Loans
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–4442–0–3–551
Position with respect to appropriations act limitation on commitments:
9 15 18 Limitation available from carry-forward ... 2121
–5 –9 –15 Uncommitted limitation carried forward ... 2143
4 6 3 Total guaranteed loan commitments ... 2150
3 5 3 Guaranteed amount of guaranteed loan commitments ... 2199
Cumulative balance of guaranteed loans outstanding:
75 80 77 Outstanding, start of year ... 2210
4 6 3 Disbursements of new guaranteed loans ... 2231
–10 –10 ...
Repayments and prepayments ... 2251
–1 –1 ...
Adjustments: Terminations for default that result in claim payments ... 2263
68 75 80 Outstanding, end of year ... 2290
Memorandum:
68 75 80 Guaranteed amount of guaranteed loans outstanding, end of
year ... 2299
P.L. 104–299 and P.L. 104–208 authorize Health Resources and Services
Administration (HRSA) to guarantee up to $160 million in private loans
to health centers for the costs of developing and operating managed care
networks or plans and for the construction, renovation and modernization
of medical facilities. The program account for this activity is displayed in
the Health Resources and Services account (75–0350) as a line in the
pro-gram and financing schedule.
Balance Sheet
(in millions of dollars)2014 actual 2013 actual Identification code 075–4442–0–3–551 ASSETS: 3 3
Federal assets: Fund balances with Treasury ... 1101 3 3 Total assets ... 1999 LIABILITIES: 3 3
Non-Federal liabilities: Liabilities for loan guarantees ... 2204
THE BUDGET FOR FISCAL YEAR 2016
446
Health Resources and Services Administration—Continued Federal Funds—Continued3 3
Total liabilities and net position ... 4999
✦
H
EALTHE
DUCATIONA
SSISTANCEL
OANSP
ROGRAMA
CCOUNTProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0340–0–1–552
Obligations by program activity: Credit program obligations:
... ... 2 Administrative expenses ... 0709 Budgetary resources: Budget authority: Appropriations, discretionary: ... ... 3 Appropriation ... 1100 ... ... –1 Appropriations transferred to other accts [091–0202] ... 1120
... ... 2 Appropriation, discretionary (total) ... 1160
... ... 2 Budget authority (total) ... 1900
... ... 2 Total budgetary resources available ... 1930
Change in obligated balance: Unpaid obligations:
... ... 1 Unpaid obligations, brought forward, Oct 1 ... 3000
... ... 2 Obligations incurred, unexpired accounts ... 3010 ... ... –3 Outlays (gross) ... 3020
Memorandum (non-add) entries:
... ... 1 Obligated balance, start of year ... 3100
Budget authority and outlays, net: Discretionary:
... ... 2 Budget authority, gross ... 4000
Outlays, gross:
... ... 2 Outlays from new discretionary authority ... 4010
... ... 1 Outlays from discretionary balances ... 4011
... ... 3 Outlays, gross (total) ... 4020
... ... 2 Budget authority, net (total) ... 4180
... ... 3 Outlays, net (total) ... 4190
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program
(in millions of dollars) 2016 est. 2015 est. 2014 actual Identification code 075–0340–0–1–552Guaranteed loan reestimates:
... ... –43 HEAL Loan guarantee ... 235001
Pursuant to P.L. 113–76, the Consolidated Appropriations Act, in 2014
the authority to administer, service, collect, and enforce the program as
wel as the functions, assets, and liabilities of the Secretary of Health and
Human Services was permanently transferred to the Secretary of Education.
Object Classification
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–0340–0–1–552 Direct obligations: ... ... 1 Personnel compensation: Full-time permanent ... 11.1
... ... 1 Other goods and services from Federal sources ... 25.3
... ... 2 Total new obligations ... 99.9
Employment Summary
2016 est. 2015 est. 2014 actual Identification code 075–0340–0–1–552 ... ... 10 Direct civilian full-time equivalent employment ... 1001✦
H
EALTHE
DUCATIONA
SSISTANCEL
OANSF
INANCINGA
CCOUNTProgram and Financing
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–4304–0–3–552
Obligations by program activity: Credit program obligations:
... ... 2 Default claim payments on principal ... 0711
... ... 18 Downward reestimate paid to receipt account ... 0742
... ... 26 Interest on downward reestimates ... 0743
... ... 46 Total new obligations ... 0900 Budgetary resources: Unobligated balance: ... ... 108 Unobligated balance brought forward, Oct 1 ... 1000
... ... –62 Unobligated balance transfer to other accts [091–4300] ... 1010
... ... 46 Unobligated balance (total) ... 1050
Financing authority:
Spending authority from offsetting collections, mandatory:
... ... 5 Collected ... 1800 ... ... –5 Spending authority from offsetting collections transferred
to other accounts [091–4300] ... 1810
... ... 46 Total budgetary resources available ... 1930
Change in obligated balance: Unpaid obligations:
... ... 46 Obligations incurred, unexpired accounts ... 3010
... ... –46 Financing disbursements (gross) ... 3020
Financing authority and disbursements, net: Mandatory:
Financing disbursements:
... ... 46 Financing disbursements, gross ... 4110
Offsets against gross financing authority and disbursements: Offsetting collections (collected) from:
... ... –5 Recoveries of defaulted loans ... 4123
... ... –5 Financing authority, net (total) ... 4180
... ... 41 Financing disbursements, net (total) ... 4190
Status of Guaranteed Loans
(in millions of dollars)2016 est. 2015 est. 2014 actual Identification code 075–4304–0–3–552
Cumulative balance of guaranteed loans outstanding:
... ... 350 Outstanding, start of year ... 2210
Adjustments:
... ... –2 Terminations for default that result in loans receivable ... 2261
... ... –348 Other adjustments, net ... 2264
... ... ... Outstanding, end of year ... 2290
Addendum:
Cumulative balance of defaulted guaranteed loans that result in loans receivable:
... ... 192 Outstanding, start of year ... 2310
... ... –192 Other adjustments, net ... 2364
... ... ... Outstanding, end of year ... 2390
Pursuant to P.L. 113–76, the Consolidated Appropriations Act, in 2014
this activity was transferred to the Department of Education.
Balance Sheet
(in millions of dollars)2014 actual 2013 actual Identification code 075–4304–0–3–552 ASSETS: ... 108
Federal assets: Fund balances with Treasury ... 1101
Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable:
... 192
Defaulted guaranteed loans receivable, gross ... 1501
... –144
Allowance for subsidy cost (-) ... 1505
... 48
Net present value of assets related to defaulted guaranteed loans ... 1599 ... 156 Total assets ... 1999 LIABILITIES: ... 156
Non-Federal liabilities: Liabilities for loan guarantees ... 2204
... 156
Total liabilities and net position ... 4999
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