Summary of Activities that Continue
The Health Resources and Services Administration (HRSA) will continue activities funded through mandatory funding, advanced appropriations, prior year carry-over funds, and user fees. Two HRSA programs have a full-year mandatory appropriation, and two discretionary activities have advanced appropriations for FY 2024 and will have no impact from a lapse in appropriations. HRSA will continue to oversee many direct health services and other activities funded through carryover balances, such as the Ryan White HIV/AIDS program - Parts A and B and Ending the HIV Epidemic. Additionally, HRSA will continue to oversee the National Practitioner Databank and Hansen's Disease Program using existing balances.
Summary of Contingency Staffing Plan
In the event of a lapse of appropriation, 1,594 (54%) of the HRSA staff will be retained, including 1,365 (46%) who are exempt (their activities or position are already funded or otherwise exempted) and 229 (8%) who are excepted (their activities are deemed necessary by implication, or for the safety of human life and protection of property).
A total of 1,365 (46%) HRSA staff will be exempt. The staff will support the programs and activities funded through carryover funding, mandatory funding, or user fees during a lapse in appropriations. 1,254 staff will continue programs and activities that are funded through carryover funding, or user fees which include: Ryan White Parts A & B; President's Emergency Plan for AIDS Relief; Ending HIV Epidemic; National Practitioner Databank; Health Center Federal Tort Claims Act Program, National Health Service Corps Discretionary, Rural Residency Program; Countermeasures Injury Compensation Program; Health Centers Program, Teaching Health Centers GME, National Health Service Corps, and PPPHCE Act costs. There will also be 73 staff paid from a full-year mandatory and discretionary appropriations to support the following programs: Family to Family Health Information Systems; Jackie Walorski Maternal and Child Home Visiting Program and the Bipartisan Safer Communities Act Program - Pediatric Mental Health Care Access and Primary Care Training and Enhancement.
A total of 229 (8%) HRSA staff are considered excepted and can legally continue their activities in the absence of appropriations. These staff fall into three categories; 1) those whose work is necessary for the safety of human life, 2) those whose work is necessary for the protection of property, and 3) those whose work is "necessarily implied" from the authorized continuation of other activities.
Excepted HRSA staff will continue to perform vital tasks related to imminent threats to human life, including staff providing direct patient care in Louisiana for individuals with Hansen's disease. Additionally, staff will also be considered excepted and continue to work if their duties are necessary to ensure the ongoing support and operations of funded activities, or if they are needed for the orderly phase down and suspension of non-funded activities. These HRSA staff will continue to provide the necessary operational support to ensure the centers and offices can continue authorized and funded activities, including providing administrative and financial support, grants monitoring and processing, and IT Help Desk and Desktop support.
HRSA has 73 Public Health Service Commissioned Corps Officers who will continue working under this exception.