{ "id": "R43304", "type": "CRS Report", "typeId": "REPORTS", "number": "R43304", "active": true, "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department", "versions": [ { "source": "EveryCRSReport.com", "id": 446315, "date": "2015-10-13", "retrieved": "2016-04-06T18:12:46.025420", "title": "Public Health Service Agencies: Overview and Funding (FY2010-FY2016)", "summary": "Within the Department of Health and Human Services (HHS), eight agencies are designated components of the U.S. Public Health Service (PHS). The PHS agencies are funded primarily with annual discretionary appropriations. They also receive significant amounts of funding from other sources including mandatory funds from the Affordable Care Act (ACA), user fees, and third-party reimbursements (collections).\nThe Agency for Healthcare Research and Quality (AHRQ) funds research on improving the quality and delivery of health care. For several years prior to FY2015, AHRQ did not receive a direct appropriation. Instead, it relied on redistributed (\u201cset-aside\u201d) funds from other PHS agencies for most of its funding, with supplemental amounts from the ACA\u2019s Patient-Centered Outcomes Research Trust Fund (PCORTF). In FY2015, AHRQ received its own appropriation in lieu of set-aside funds. Overall, the agency\u2019s total funding rose from $403 million to $465 million between FY2010 and FY2015. That increase came despite a decrease in discretionary funding over that period, which was more than offset by increasing amounts of PCORTF funding.\nThe Centers for Disease Control and Prevention (CDC) is the federal government\u2019s lead public health agency. CDC obtains its funding from multiple sources besides discretionary appropriations. The agency\u2019s funding fluctuated between FY2010 and FY2015, with the overall level increasing slightly from $10.9 billion to $11.3 billion over that period. CDC experienced a drop in its discretionary appropriations during that time, which was offset by funding from other sources, primarily the ACA\u2019s Prevention and Public Health Fund (PPHF). The Agency for Toxic Substances and Disease Registry (ATSDR) investigates the public health impact of exposure to hazardous substances. ATSDR is headed by the CDC director and included in the discussion of CDC in this report.\nThe Food and Drug Administration (FDA) regulates drugs, medical devices, food, and tobacco products, among other consumer products. FDA saw its funding increase significantly between FY2010 and FY2015 from $3.1 billion to $4.5 billion. The agency is funded with annual discretionary appropriations and industry user fees. While appropriations increased modestly over the FY2010-FY2015 period, user fees more than doubled and now account for 42% of FDA\u2019s total funding.\nThe Health Resources and Services Administration (HRSA) funds programs and systems that provide health care services to the uninsured and medically underserved. HRSA, like CDC, relies on funding from several different sources. The agency\u2019s funding increased from $8.1 billion in FY2010 to $10.3 billion in FY2015 despite a significant drop in its discretionary appropriation during that time. The growth in overall funding was driven largely by increasing amounts from the ACA\u2019s Community Health Center Fund (CHCF).\nThe Indian Health Service (IHS) supports a health care delivery system for Native Americans. IHS\u2019s funding, which includes discretionary appropriations and collections from third-party payers of health care, increased between FY2010 and FY2015 from $5.1 billion to $5.9 billion. Appropriations and collections both increased during that period.\nThe National Institutes of Health (NIH) funds basic, clinical, and translational biomedical and behavioral research. NIH gets more than 99% of its funding from discretionary appropriations. Its funding dropped from $31.2 billion in FY2010 to $30.3 billion in FY2015.\nThe Substance Abuse and Mental Health Services Administration (SAMHSA) funds mental health and substance abuse prevention and treatment services. SAMHSA\u2019s funding, about 95% of which comes from discretionary appropriations, has remained at about $3.6 billion over the FY2010-FY2015 period.\nCongress has yet to complete work on any of the regular appropriations bills for FY2016, which began on October 1, 2015. On September 30, the President signed the Continuing Appropriations Act, 2016 (P.L. 114-53). The measure provides continuing appropriations through December 11, 2016. It funds discretionary programs at the same rate (and under the same conditions) as in FY2015, minus an across-the-board reduction of 0.2108%. For entitlement and other mandatory spending that is funded through appropriation acts, P.L. 114-53 provides funding to maintain program levels under current law. This report will be updated with information on PHS agency funding for FY2016 once legislative action on appropriations for the new fiscal year is completed.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R43304", "sha1": "6c93135c596b680016aa8744daf07b639e98eb9c", "filename": "files/20151013_R43304_6c93135c596b680016aa8744daf07b639e98eb9c.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R43304", "sha1": "50adead24f5c461f3f5de206fd474228f2e260c9", "filename": "files/20151013_R43304_50adead24f5c461f3f5de206fd474228f2e260c9.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 2347, "name": "Labor, HHS, and Education Appropriations" }, { "source": "IBCList", "id": 2678, "name": "Medical Product Regulation" }, { "source": "IBCList", "id": 4070, "name": "Health Care Delivery" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc818439/", "id": "R43304_2014Oct08", "date": "2014-10-08", "retrieved": "2016-03-19T13:57:26", "title": "Public Health Service Agencies: Overview and Funding", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20141008_R43304_0bec7498db1eb1d7c0682bd28119d9c321a51e16.pdf" }, { "format": "HTML", "filename": "files/20141008_R43304_0bec7498db1eb1d7c0682bd28119d9c321a51e16.html" } ], "topics": [] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc462597/", "id": "R43304_2013Nov12", "date": "2013-11-12", "retrieved": "2014-12-05T09:57:41", "title": "Public Health Service Agencies: Overview and Funding", "summary": "Within the Department of Health and Human Services (HHS), eight agencies are designated components of the U.S. Public Health Service (PHS): (1) the Agency for Healthcare Research and Quality (AHRQ), (2) the Agency for Toxic Substances and Disease Registry (ATSDR), (3) the Centers for Disease Control and Prevention (CDC), (4) the Food and Drug Administration (FDA), (5) the Health Resources and Services Administration (HRSA), (6) the Indian Health Service (IHS), (7) the National Institutes of Health (NIH), and (8) the Substance Abuse and Mental Health Services Administration (SAMHSA). This report gives a brief overview of each agency and summarizes its funding for FY2010 through FY2013, as well as its FY2014 budget request.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20131112_R43304_fd2da078e0d68069cc4549b1cd72e81b2159b79d.pdf" }, { "format": "HTML", "filename": "files/20131112_R43304_fd2da078e0d68069cc4549b1cd72e81b2159b79d.html" } ], "topics": [ { "source": "LIV", "id": "Health policy", "name": "Health policy" }, { "source": "LIV", "id": "Public welfare", "name": "Public welfare" }, { "source": "LIV", "id": "Social work", "name": "Social work" }, { "source": "LIV", "id": "Budgets", "name": "Budgets" }, { "source": "LIV", "id": "Federal budgets", "name": "Federal budgets" } ] } ], "topics": [ "Appropriations", "Foreign Affairs", "Health Policy" ] }