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HHS Federal Program Inventory

Health Resources and Services Administration (HRSA)

Budget Authority (in millions of dollars)

 FY 2012FY 2013FY 2014

2.1    Vaccine Injury Compensation

The National Vaccine Injury Compensation Program (VICP) was established to equitably and expeditiously compensate individuals, or families of individuals, who have been injured by childhood vaccines, and to serve as a viable alternative to the traditional tort system.  The Health Resources and Services Administration (HRSA) administers the VICP in conjunction with the Department of Justice and the U.S. Court of Federal Claims. HRSA receives petitions for compensation served on the Secretary of HHS; performs medical review of each petition and supporting documentation by physicians with special expertise in pediatrics and adult medicine, and develops recommendations to the Court regarding the eligibility of petitioners for compensation; publishes notices in the Federal Register of each petition received; promulgates regulations to modify the Vaccine Injury Table; provides administrative support to the Advisory Commission on Childhood Vaccines, composed of nine voting members, including health professionals, attorneys, and parents of children who have suffered a vaccine-related injury or death, and specified HHS agency heads (or their designees); informs the public of the availability of the Program; and processes compensation award payments to petitioners and their attorneys for judgments rendered by the U.S. Court of Federal Claims.

  • Supported Strategic Goal:  Advance the health, safety, and well-being of the American people
  • Supported Strategic Objective:  Promote prevention and wellness

2.2    Health Education Assistance Loans Program

The Health Education Assistance Loans program was authorized to provide insured loans from 1978‑1998 for students enrolled in schools of allopathic and osteopathic medicine, dentistry, veterinary medicine, optometry, podiatry, public health, pharmacy, chiropractic, and graduate programs in health administration, clinical psychology and allied health. Although new loans are no longer being offered, the program is still managing the outstanding loan portfolio.

Eligible student borrowers obtained loans, to be used for tuition and other reasonable educational and living expenses, from participating commercial lenders, educational institutions, state agencies, insurance companies and pension funds.  The repayment of principal and interest is guaranteed by the federal Government if the borrower becomes permanently disabled, dies, or defaults on the repayments.

  • Supported Strategic Goal:  Strengthen the nation’s health and human service infrastructure and workforce
  • Supported Strategic Objective:  Ensure the nation’s healthcare workforce can meet increased demands

2.3    Primary Health Care

The Primary Health Care program funds health centers in underserved communities, providing access to high quality, family oriented, comprehensive primary and preventive health care for people who are low-income, uninsured or face other obstacles to getting health care.

For more than 45 years, health centers have delivered comprehensive, high quality, cost-effective primary health care to patients regardless of their ability to pay.  During that time, health centers have become the essential primary care provider for America’s most vulnerable populations.  Health centers advance the preventive and primary medical/health care home model of coordinated, comprehensive, and patient-centered care, coordinating a wide range of- medical, dental, behavioral, and social services.  Today, nearly 1,200 health centers operate nearly 9,000 service delivery sites that provide care in every state, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Basin. 

  • Supported Strategic Goal:  Strengthen health care
  • Supported Strategic Objective:  Ensure access to quality, culturally competent care for vulnerable populations

2.4    Health Workforce

The Health Workforce program increases the nation’s access to quality health care, especially for underserved people, by developing, distributing, and retaining a diverse and culturally competent health workforce.

The Program tackles a range of current health workforce challenges, including shortages of primary care physicians, nurses, public health and allied health professionals in many areas.  The Program awards grants to health professions schools and training programs, which use the funds to develop, expand and enhance their efforts to train the health workforce America needs. These grants focus on increasing diversity, encouraging clinicians to practice in underserved areas, and preparing health care providers equipped to meet the needs of the aging U.S. population. Primary care medicine and dentistry, nursing, public health, psychology, allied health, and chiropractic training programs benefit from specific grant programs.

The program also addresses the shortage of health care providers in underserved areas through scholarship and loan repayment programs that help underserved communities and shortage facilities recruit and retain qualified health professionals. The National Health Service Corps (NHSC) is key to this mission. Since its inception in 1972, the NHSC has worked to build healthy communities by supporting qualified health care providers dedicated to working in areas of every state, territory, and possession of the United States with limited access to care.  In 2012, NHSC clinicians working at NHSC service sites provided primary medical, oral, and mental and behavioral health care to 10.4 million underserved people in these communities, known as Health Professional Shortage Areas. 

  • Supported Strategic Goal:  Strengthen the nation’s health and human service infrastructure and workforce
  • Supported Strategic Objective:  Ensure the nation’s healthcare workforce can meet increased demands

2.5    Maternal and Child Health

The mission of the program is to provide national leadership, in partnership with key stakeholders, to improve the health of the maternal and child health population.  This population includes all of the nation’s women, infants, children, adolescents, and their families, including fathers and children with special health care needs. The program focuses on reducing infant mortality, ensuring access to comprehensive prenatal and postnatal care, ensuring access to quality health care for all children, and implementing community-based systems of coordinated care for children with special health care needs.

 In 1935, Congress enacted Title V of the Social Security Act, which authorized the Maternal and Child Health Services Programs—providing a foundation and structure for improving the health of mothers and children for more than 75 years. Today, the Maternal and Child Health (MCH) program administers Title V and other key maternal and child health programs. The MCH program works in partnership with its sister federal agencies, states, communities, public-private partners, and families to strengthen the maternal and child health infrastructure, assure the availability and use of medical homes, and build knowledge and human resources in order to assure continued improvement in maternal and child health. The program and its partners work to address persistent health disparities, and address the social determinants of health.

  • Supported Strategic Goal:  Advance the health, safety, and well-being of the American people
  • Supported Strategic Objective:  Promote the safety, well-being, resilience and healthy development of children and youth

2.6    Ryan White HIV/AIDS Program

The Ryan White HIV/AIDS Program, the largest federal program focused exclusively on HIV/AIDS care, provides services that are intended to 1) reduce the use of more costly inpatient care, 2) increase access to care for underserved populations, and 3) improve the quality of life for people living with HIV/AIDS.  The program works to achieve these aims by funding primary health care and support services that enhance access to and retention in care. The program also supports technical assistance, clinical training, and research on innovative models of care.

The Ryan White HIV/AIDS Program fills gaps in care for people living with HIV/AIDS not covered by other resources or payers and serves as the payor of last resort.  The Program serves more than half a million low-income people with HIV/AIDS in the U.S. each year.  By funding and partnering with community, faith-based, and not-for-profit organizations and with local and state governments, the Ryan White HIV/AIDS Program helps address emerging HIV care and treatment needs.

  • Supported Strategic Goal:  Strengthen health care
  • Supported Strategic Objective:  Ensure access to quality, culturally competent care for vulnerable populations

2.7    Health Care Systems

The Health Care Systems (HCS) program protects the public health and improves the health of individuals through an array of programs that provide national leadership and direction in the areas of organ transplantation, blood stem cell transplantation (including marrow and umbilical cord blood), poison control, pharmacy affairs, vaccine and countermeasures injury compensation, and Hansen’s disease. 

The HCS program’s Organ Donation and Transplantation efforts extend and enhance the lives of individuals with end-stage organ failure for whom an organ transplant is the most appropriate therapeutic treatment. The program supports efforts to increase the supply of deceased donor organs made available for transplantation and to ensure the safety of living organ donation. 

Through the C.W. Bill Young Cell Transplantation Program, which includes the National Cord Blood Inventory, the HCS program facilitates activities that help patients in need of a potentially life-saving bone marrow or cord blood transplants. For some patients who have leukemia, lymphoma, sickle cell anemia or other inherited metabolic or immune system disorders, a marrow or cord blood transplant may be their best chance to live longer, healthier lives.

The HCS program also makes grants to regional poison centers to help them prevent and provide treatment recommendations for poisoning; operates the national toll-free Poison Help line

(800-222-1222) that connects callers with their poison center; and conducts a national campaign to increase awareness by the public and health care providers of the Poison Help line, poison centers, and the services they provide.

The HCS program also administers the only dedicated provider of expert Hansen’s disease (leprosy) treatment services in the U.S. The program provides direct care and treatment to almost 3,000 patients living with Hansen’s Disease and related conditions. It also provides continuing education for private-sector providers dealing with the identification and treatment of Hansen’s disease.

The Countermeasures Injury Compensation Program (CICP) is also administered by HCS. The CICP   provides compensation to certain individuals who sustain serious physical injuries or death as a direct result of administration or use of covered countermeasures identified by the Secretary of U.S. Department of Health and Human Services (Secretary) in declarations issued under the Public Readiness and Emergency Preparedness Act of 2005 (PREP Act).  Through the issuance of PREP Act declarations, the Secretary makes a determination that a disease, condition, or other threat to health constitutes a public health emergency, or that there is a credible risk that the disease, condition, or threat may in the future constitute such an emergency.

  • Supported Strategic Goal:  Advance the health, safety, and well-being of the American people
  • Supported Strategic Objective:  Promote prevention and wellness

2.8    Rural Health

The Rural Health program coordinates activities related to rural health care within the U.S. Department of Health and Human Services, and has department-wide responsibility for analyzing the possible effects of policy on 62 million residents of rural communities.  The program advises the Secretary on health issues within these communities, including the effects of Medicare and Medicaid on rural citizens’ access to care, the viability of rural hospitals, and the availability of physicians and other health professionals.

There are nearly 50 million people living in rural America who face ongoing challenges in accessing health care.  Rural residents have higher rates of age-adjusted mortality, disability, and chronic disease than their urban counterparts.  Rural areas also continue to suffer from a shortage of diverse providers for their communities’ health care needs and face workforce shortages at a greater rate than their urban counterparts.   Of the 2,052 rural counties in the United States, 1,582 (77 percent) are primary care health professional shortage areas.

The program administers grant programs designed to build health care capacity at both the local and state levels. These grants provide funds to 50 State Offices of Rural Health (SORH) to support on-going improvements in care, and to rural hospitals through the Medicare Rural Hospital Flexibility Grant (Flex). Through its community-based programs, the program encourages network development among rural health care providers; upgrades in emergency medical services; and places and trains people in the use of automatic external defibrillators. The program also oversees the Black Lung Clinics grant program and the Radiation Exposure Screening and Education grant program. While these efforts are not solely focused on rural health issues, many of the populations affected reside in rural areas.

  • Supported Strategic Goal:  Strengthen health care
  • Supported Strategic Objective:  Ensure access to quality, culturally competent care for vulnerable populations

2.9    Family Planning

The Title X Family Planning Program is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services.  Enacted in 1970 as part of the Public Health Service Act, the Title X Program funds more than 4,000 sites designated as essential community providers under the Affordable Care Act.  The Title X family planning program is intended to assist individuals in determining the number and spacing of their children. This promotes positive birth outcomes and healthy families. The program provides access to a broad range of effective and acceptable family planning methods and related preventive health services.  By law, priority is given to persons from low-income families.

In addition to contraceptive services and related counseling, Title X-supported clinics provide a number of related preventive health services such as:  patient education and counseling; breast and pelvic examinations; breast and cervical cancer screening according to nationally recognized standards of care; sexually transmitted disease and HIV prevention education, counseling, testing and referral; and pregnancy diagnosis and counseling. By law, Title X funds may not be used in programs where abortion is a method of family planning.

The Title X Program fulfills its mission through grants awarded to public and private nonprofit organizations to support the provision of family planning services, information, and education. Grantees include state and local health departments, tribal organizations, hospitals, university health centers, independent clinics, community health centers, faith-based organizations, and other public and private nonprofit agencies. There is at least one Title X services grantee in every state and U.S. territory

  • Supported Strategic Goal:  Advance the health, safety, and well-being of the American people
  • Supported Strategic Objective:  Promote prevention and wellness

2.10  Program Management

Program Management provides a central resource vital to the functioning of HRSA whose mission is to improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.  Program Management provides funds for rent, HRSA staff, and other infrastructure supports. It is the source of funds for travel through which HRSA conducts site visits to grantees to help ensure fiscal integrity and program performance. HRSA also uses Program Management funds for a wide range of contracts to support the agency's mission. HRSA's Learning Institute, which provides both mandatory and optional training opportunities, is supported through Program Management funds, allowing staff to be properly trained to accomplish the agency's mission, improve their skills, and be prepared to take on increasing responsibilities and more complex work. 

  • Supported Strategic Goal:  Increase efficiency, transparency and accountability of HHS programs
  • Supported Strategic Objective:  Ensure program integrity and responsible stewardship of resources

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