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HHS FY2015 Budget in Brief

Department of Health and Human ServicesOverview by the Numbers

ADVANCING THE HEALTH, SAFETY, AND WELL–BEING OF THE NATION

The Department of Health and Human Services enhances the health and well-being of Americans by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.

HHS Budget by Operating Division

(Mandatory and discretionary dollars in millions)

Food and Drug Administration /1

2013

2014

2015

Budget Authority

2,073

2,642

2,586

Outlays

1,537

2,668

2,877


 

Health Resources and Services Administration

2013

2014

2015

Budget Authority

8,370

9,142

10,404

Outlays

8,645

9,121

9,514


 

Indian Health Service

2013

2014

2015

Budget Authority

4,287

4,590

4,792

Outlays

4,274

4,607

4,883


 

Centers for Disease Control and Prevention

2013

2014

2015

Budget Authority

6,273

7,170

6,674

Outlays

6,617

6,783

6,624


 

National Institutes of Health

2013

2014

2015

Budget Authority

29,291

30,142

30,353

Outlays

30,976

31,124

29,705


 

Substance Abuse and Mental Health Services Administration

2013

2014

2015

Budget Authority

3,226

3,497

3,356

Outlays

3,225

3,701

3,409


 

Agency for Healthcare Research and Quality

2013

2014

2015

Budget Authority

6

7

Program Level

430

464

440

Outlays

319

343

113


 

Centers for Medicare & Medicaid Services /2

2013

2014

2015

Budget Authority

769,182

850,810

906,799

Outlays

777,258

844,379

897,235


 

Administration for Children and Families

2013

2014

2015

Budget Authority

49,592

51,158

51,316

Outlays

50,430

50,072

51,490


 

Administration for Community Living

2013

2014

2015

Budget Authority

1,407

1,647

2,058

Outlays

1,440

1,563

1,903


 

Office of the National Coordinator

2013

2014

2015

Budget Authority

15

16

Outlays

551

414

53


 

Office of Medicare Hearings and Appeals

2013

2014

2015

Budget Authority

69

82

100

Outlays

73

91

100


 

Office for Civil Rights

2013

2014

2015

Budget Authority

39

39

41

Outlays

40

39

41


 

General Departmental Management

2013

2014

2015

Budget Authority

470

481

416

Outlays

582

855

590


 

Health Insurance Reform Implementation Fund /3

2013

2014

2015

Budget Authority

Outlays

221

163

100


 

Public Health and Social Services Emergency Fund

2013

2014

2015

Budget Authority

588

1,243

1,423

Outlays

1,769

1,784

1,905


 

Office of Inspector General

2013

2014

2015

Budget Authority

52

71

75

Outlays

41

66

81


 

Program Support Center (Retirement Pay, Medical Benefits, Misc. Trust Funds)

2013

2014

2015

Budget Authority

636

658

678

Outlays

515

1,145

643


 

Offsetting Collections

2013

2014

2015

Budget Authority

-2,041

-841

-787

Outlays

-2041

-841

-787


 

Total, Health and Human Services

2013

2014

2015

Budget Authority

873,535

962,554

1,020,284

Outlays

886,472

958,077

1,010,479

Full Time Equivalents

2013: 74,992

2014: 77,457

2015: 79,540


 

1/ The Budget Authority levels for FDA are based on the Appendix and will differ from levels displayed in the FDA section. In FY 2013, the difference is due to the timing and availability of user fee collections, and in FY 2014, the inclusion of sequestered user fees made available in FY 2014.

2/ Budget Authority includes Non-CMS Budget Authority for Hospital Insurance and Supplementary Medical Insurance for the Social Security Administration and MedPAC.

3/ Includes outlays for all agencies receiving resources from the fund.

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Composition of the HHS Budget Discretionary Programs

(Dollars in millions)

Operating Divisions Discretionary Programs (Budget Authority):

2013 /1

2014

2015

2015

+/-2014

Food and Drug Administration

2,386 

2,561 

2,584 

+23 

Program Level

4,031 

4,387 

4,745 

+358 

Health Resources and Services Administration 

5,861 

6,061 

5,300 

-761 

Program Level

8,097 

8,915 

10,753 

+1,838 

Indian Health Service

4,131 

4,435 

4,634 

+200 

Program Level

5,307 

5,761

5,989

+228 

Centers for Disease Control and Prevention

5,503 

5,882 

5,474 

-407 

Program Level

10,243 

10,806 

11,117 

+311 

National Institutes of Health

29,001 

30,003 

30,203 

+200 

Program Level

29,151 

30,151 

30,362 

+211 

Substance Abuse and Mental Health Services Administration

3,210 

3,435 

3,298 

-137 

Program Level

3,354 

3,631 

3,568 

-63 

Agency for Healthcare Research and Quality

Program Level

430 

464 

440 

-24 

Centers for Medicare & Medicaid Service

3,737 

3,973 

4,200 

+227 

Program Level

5,154 

5,344 

12,398 

+7,054

Administration for Children and Families

15,759 

17,677 

17,040 

-637 

Program Level

15,765 

17,683 

17,046 

-637 

Administration for Community Living 

2,031 

2,097 

2,062 

-34 

Program Level

2,074 

2,147

2,123 

-24 

 

Office of the Secretary Discretionary Programs (Budget Authority):

2013 /1

2014

2015

2015

+/-2014

General Departmental Management

447 

458 

286 

-172 

Program Level

540 

550 

535 

-16 

Office of Medicare Hearings and Appeals

69 

82 

100 

+18

Office of the National Coordinator

15 

16 

-16 

Program Level

60 

60 

75 

+14 

Office of Inspector General

47 

71 

75 

+4 

Program Level

276 

295 

400 

+105 

Office for Civil Rights

39 

39 

41 

+2 

Public Health and Social Services Emergency Fund

553 

1,243 

1,423 

+180 

Program Level

968 

1,243 

1,438 

+194 

Discretionary HCFAC 

294

294 

319 

+25

Accrual for Commissioned Corps Health Benefits

28 

27 

25 

-2 


 

Discretionary Programs total
(Budget Authority):

2013 /1

2014

2015

2015

+/-2014

Total, Discretionary Budget Authority

73,112

78,354

77,065

-1,289

Discretionary Supplemental Funding /2

+285

Less One-Time Rescissions /3

-6,578

-6,317

-5,234

+1,083

Revised, Discretionary Budget Authority

66,819

72,037

71,831

-206

1/ The FY 2013 figures represent the funding levels provided by the Full-Year Continuing Appropriations Act (P.L. 113-6), and reflects the cuts required by sequestration.

2/ Reflects funding provided by the Disaster Relief Appropriations Act (P.L. 113-2).

3/ FY 2013 rescissions include $6.4 billion from CHIPRA performance bonuses, $200 million from CMS Community-base CARE Transitions Program, and $10 million from the Independent Payment Advisory Board. The FY 2014 rescission is $6.2 billion from CHIPRA performance bonuses. The FY 2015 Budget proposes to rescind $1.8 billion from CHIPRA performance bonuses, $2.1 billion from the CHIP Contingency Fund, and $1.4 billion from the unobligated balances of the FY 2015 CHIP national allotment.

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Composition of the HHS Budget Mandatory Programs

(Dollars in millions)

Mandatory Programs (Outlays)

2013

2014

2015

2014

+/- 2013

Medicare

491,783

513,148

526,019

+12,871

Medicaid

265,392

308,615

335,962

+27,347

Temporary Assistance for Needy Families /1

17,806

17,578

17,488

-90

Foster Care and Permanency

6,847

6,803

6,955

+152

Children's Health Insurance Program /2

9,483

10,289

10,621

+332

Child Support Enforcement

4,066

3,887

4,092

+205

Child Care

2,872

2,901

3,512

+611

Social Services Block Grant /3

5,476

1,847

2,442

+595

Other Mandatory Programs

6,018

12,594

24,601

+12,007

Offsetting Collections

-2,041

-841

-787

+54

Subtotal, Mandatory Outlays

807,702

876,821

930,905

+54,084

Total, HHS Outlays

886,472

958,077

1,010,479

+52,402

1/ Includes outlays for the TANF Contingency Fund and the Recovery Act's TANF Emergency Contingency Fund.

2/ Includes outlays for the Child Enrollment Contingency Fund.

3/ The increase in SSBG outlays in FY 2013 and FY 2014 are attributable to the funding provided by the Disaster Relief Appropriations Act (P.L. 113-2).

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