{ "id": "R43681", "type": "CRS Report", "typeId": "REPORTS", "number": "R43681", "active": false, "source": "EveryCRSReport.com", "versions": [ { "source": "EveryCRSReport.com", "id": 433339, "date": "2014-08-08", "retrieved": "2016-04-06T22:54:59.289577", "title": "SAMHSA FY2015 Budget Request and Funding History: A Fact Sheet", "summary": "The Substance Abuse and Mental Health Services Administration (SAMHSA), at the U.S. Department of Health and Human Services (HHS), is the lead federal agency for increasing access to behavioral health services. SAMHSA supports community-based mental health and substance abuse treatment and prevention services through formula grants to the states and U.S. territories and through competitive grant programs to states, territories, tribal organizations, local communities, and private entities. SAMHSA also engages in a range of other activities such as technical assistance, data collection, and workforce development.\nSAMHSA and most of its programs and activities are authorized under Public Health Service Act (PHSA) Title V, which organizes SAMHSA in three centers: the Center for Substance Abuse Treatment (CSAT), the Center for Substance Abuse Prevention (CSAP), and the Center for Mental Health Services (CMHS). \nEach center has general statutory authority, called Programs of Regional and National Significance (PRNS), under which it has established grant programs for states and communities to address their important substance abuse and mental health needs. PHSA Title V also authorizes a number of specific grant programs, referred to as categorical grants. \nSAMHSA\u2019s two largest grant programs are separately authorized under PHSA Title XIX, Part B. The Community Mental Health Services block grant falls within CMHS. The full amount of the Substance Abuse Prevention and Treatment block grant falls within CSAT, although no less than 20% of each state\u2019s block grant must be used for prevention. \nIn addition to the three statutorily defined centers, SAMHSA\u2019s budget reflects a fourth category, \u201chealth surveillance and program support,\u201d for other activities such as collecting data, providing statistical and analytic support, raising public awareness, collaborating with other agencies, developing and supporting the behavioral health workforce, and maintaining the National Registry of Evidence-based Programs and Practices (NREPP).\nThe last comprehensive reauthorization of SAMHSA and its programs occurred in 2000 as part of the Children\u2019s Health Act, which also added \u201ccharitable choice\u201d provisions allowing religious organizations to receive funding for substance abuse prevention and treatment services without altering their religious character. Since 2000 Congress has expanded some of SAMHSA\u2019s programs and activities without taking up comprehensive reauthorization. Authorizations of appropriations for most of SAMHSA\u2019s grant programs expired at the end of FY2003; many of these programs continue to receive annual appropriations. \nThe total amount of funding available to SAMHSA (i.e., total program level) includes discretionary budget authority provided in annual appropriations acts, PHS Program Evaluation Set-Aside funds, Prevention and Public Health Fund (PPHF) transfers, and data request and publications user fees.\nTable 1 presents SAMHSA\u2019s FY2015 budget request in the context of SAMHSA\u2019s funding history since FY2012.", "type": "CRS Report", "typeId": "REPORTS", "active": false, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R43681", "sha1": "173dadd16ff9e982e3b520a1ca6bdb963d0dcf83", "filename": "files/20140808_R43681_173dadd16ff9e982e3b520a1ca6bdb963d0dcf83.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R43681", "sha1": "35ebe00c8801c31c06abcf30396ab0ce4a01ebf7", "filename": "files/20140808_R43681_35ebe00c8801c31c06abcf30396ab0ce4a01ebf7.pdf", "images": null } ], "topics": [] } ], "topics": [ "Appropriations", "Health Policy" ] }