Topics on this page: HHS Budget by Operating Division | Composition of the HHS Budget Discretionary Programs | Composition of the HHS Budget Mandatory Programs
HHS Budget by Operating Division
(Mandatory and discretionary dollars in millions)
Food and Drug Administration |
2016 |
2017 |
2018 |
Budget Authority |
2,725 |
2,741 |
1,891 |
Outlays |
2,566 |
2,698 |
2,080 |
Health Resources and Services Administration |
2016 |
2017 |
2018 |
Budget Authority |
10,777 |
10,654 |
10,205 |
Outlays |
10,263 |
10,372 |
10,828 |
Indian Health Service |
2016 |
2017 |
2018 |
Budget Authority |
4,916 |
4,953 |
4,898 |
Outlays |
4,682 |
5,191 |
4,939 |
Centers for Disease Control and Prevention |
2016 |
2017 |
2018 |
Budget Authority |
8,698 |
7,696 |
6,374 |
Outlays |
7,504 |
7,920 |
7,275 |
National Institutes of Health |
2016 |
2017 |
2018 |
Budget Authority |
31,718 |
31,829 |
26,049 |
Outlays |
29,280 |
32,117 |
30,195 |
Substance Abuse and Mental Health Services Administration |
2016 |
2017 |
2018 |
Budget Authority |
3,642 |
4,156 |
3,771 |
Outlays |
3,443 |
3,672 |
3,688 |
Agency for Healthcare Research and Quality |
2016 |
2017 |
2018 |
Budget Authority |
334 |
333 |
0 |
Program Level |
428 |
426 |
0 |
Outlays |
269 |
300 |
288 |
Centers for Medicare & Medicaid Services
|
2016 |
2017 |
2018 |
Budget Authority |
999,037 |
1,006,775 |
1,009,626 |
Outlays |
990,120 |
1,006,929 |
1,019,633 |
Administration for Children and Families |
2016 |
2017 |
2018 |
Budget Authority |
53,068 |
54,116 |
46,535 |
Outlays |
50,905 |
54,479 |
48,289 |
Administration for Community Living |
2016 |
2017 |
2018 |
Budget Authority |
1,936 |
1,937 |
1,851 |
Outlays |
1,972 |
1,956 |
1,935 |
Office of the National Coordinator |
2016 |
2017 |
2018 |
Budget Authority |
60 |
60 |
38 |
Outlays |
85 |
128 |
43 |
Medicare Hearings and Appeals |
2016 |
2017 |
2018 |
Budget Authority |
107 |
107 |
242 |
Outlays |
107 |
107 |
242 |
Office for Civil Rights |
2016 |
2017 |
2018 |
Budget Authority |
38 |
38 |
33 |
Outlays |
16 |
41 |
33 |
Departmental Management |
2016 |
2017 |
2018 |
Budget Authority |
473 |
578 |
270 |
Outlays |
889 |
1,956 |
576 |
Public Health and Social Services Emergency Fund |
2016 |
2017 |
2018 |
Budget Authority |
1,948 |
1,530 |
1,663 |
Outlays |
1,516 |
2,792 |
1,736 |
Office of Inspector General |
2016 |
2017 |
2018 |
Budget Authority |
77 |
77 |
68 |
Outlays |
82 |
107 |
84 |
Program Support Center (Retirement Pay, Medical Benefits, Misc. Trust Funds) |
2016 |
2017 |
2018 |
Budget Authority |
707 |
707 |
737 |
Outlays |
546 |
1,568 |
760 |
Offsetting Collections |
2016 |
2017 |
2018 |
Budget Authority |
-975 |
-1,373 |
-1,243 |
Outlays |
-975 |
-1,373 |
-1,243 |
Other Collections |
2016 |
2017 |
2018 |
Budget Authority |
-125 |
-125 |
-125 |
Outlays |
-125 |
-125 |
-125 |
Total, Health and Human Services |
2016 |
2017 |
2018 |
Budget Authority |
1,119,166 |
1,126,789 |
1,112,883 |
Outlays |
1,103,145 |
1,130,835 |
1,113,256 |
|
|
|
|
Full-time Equivalents |
77,499 |
79,505 |
80,027 |
Table Footnotes
1/ The Budget Authority levels presented here are based on the Appendix, and potentially differ from the levels displayed in the individual Operating or Staff Division Chapters.
2/ Budget Authority includes Non-CMS Budget Authority for Hospital Insurance and Supplementary Medical Insurance for the Social Security Administration and MEDPAC.
3/ The amounts listed for FY 2018 Budget Authority and Outlays do not take into account updated scoring of legislative proposals in Temporary Assistance for Needy Families that are displayed in ACF budget documents.
4/ Includes the Pregnancy Assistance Fund, Transfer from the Patient-Centered Outcomes Research Trust Fund, Health Insurance Reform Implementation Fund, Payment to the State Response to the Opioid Abuse Crisis Account and the Nonrecurring Expenses Fund.
Composition of the HHS Budget Discretionary Programs
(Dollars in millions)
Discretionary Programs (Budget Authority): |
2016 |
2017 |
2018 |
2018
+/-2017 |
Food and Drug Administration |
2,728 |
2,743 |
1,888 |
-855 |
Program Level |
4,745 |
4,660 |
5,116 |
+456 |
Health Resources and Services Administration |
6,147 |
6,150 |
5,548 |
-602 |
Program Level |
10,543 |
10,401 |
9,941 |
-460 |
Indian Health Service /1 |
4,808 |
4,798 |
4,739 |
-59 |
Program Level |
6,160 |
6,148 |
6,091 |
-57 |
Centers for Disease Control and Prevention |
6,345 |
6,368 |
5,054 |
-1,314 |
Program Level |
12,028 |
12,096 |
11,059 |
-1,037 |
National Institutes of Health |
31,381 |
31,674 |
25,883 |
-5,791 |
Program Level |
32,311 |
32,593 |
26,920 |
-5,673 |
Substance Abuse and Mental Health Services Administration |
3,634 |
4,144 |
3,771 |
-373 |
Program Level |
3,781 |
4,291 |
3,892 |
-399 |
Agency for Healthcare Research and Quality /2 |
334 |
333 |
0 |
-333 |
Program Level |
428 |
426 |
0 |
-426 |
Centers for Medicare & Medicaid Service |
3,975 |
3,976 |
3,558 |
-379 |
Program Level |
6,476 |
6,031 |
5,609 |
-422 |
Administration for Children and Families 3 |
18,870 |
19,284 |
14,482 |
-4,802 |
Program Level |
18,870 |
19,284 |
14,482 |
-4,802 |
Administration for Community Living |
1,965 |
1,961 |
1,851 |
-110 |
Program Level |
2,048 |
2,042 |
1,907 |
-135 |
Office of the Secretary |
|
|
|
|
General Departmental Management |
456 |
455 |
305 |
-150 |
Program Level |
552 |
550 |
399 |
151 |
Office of Medicare Hearings and Appeals |
107 |
107 |
117 |
+10 |
Program Level |
107 |
107 |
242 |
+135 |
Office of the National Coordinator |
60 |
60 |
38 |
-22 |
Program Level |
60 |
60 |
38 |
-22 |
Office of Inspector General |
77 |
76 |
68 |
-8 |
Program Level |
343 |
341 |
359 |
-18 |
Office for Civil Rights |
39 |
39 |
33 |
-6 |
Public Health and Social Services Emergency Fund |
1,533 |
1,530 |
1,663 |
+133 |
Program Level |
1,533 |
1,530 |
1,663 |
+133 |
Discretionary HCFAC |
681 |
681 |
751 |
+70 |
Accrual for Commissioned Corps Health Benefits |
26 |
28 |
31 |
+3 |
Discretionary Programs Total
(Budget Authority): |
2016 |
2017 |
2018 |
2018
+/-2017 |
Total, Discretionary Budget Authority |
83,167 |
84,401 |
69,8109 |
-14,591 |
NEF Cancellation /3 |
-- |
-400 |
-560 |
-160 |
Less One-Time Rescissions |
-6,742 |
-6,806 |
-4,472 |
+2,334 |
Revised, Discretionary Budget Authority |
76,425 |
77,195 |
64,778 |
-12,417 |
Discretionary Outlays |
80,216 |
90,832 |
79,552 |
-11,280 |
Table Footnotes
1/ The FY 2016 level includes a revised estimate of $718 million for Contract Support Costs and the FY 2017 level reflects an estimated actual cost of Contract Support Costs.
2/ The 2018 Budget includes $272 million within NIH to consolidate AHRQ's activities within NIH.
3/ The 2017 amount reflect the $300 million transfer to ACF and $100 million rescission included in the 2017 CR.
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Composition of the HHS Budget Mandatory Programs
(Dollars in millions)
Mandatory Programs (Outlays)/1 |
2016 |
2017 |
2018 |
2018
+/-2017 |
Medicare |
588,309 |
592,593 |
586,579 |
-6,014 |
Medicaid |
368,280 |
378,455 |
403,713 |
+25,258 |
Temporary Assistance for Needy Families /2, /3 |
16,196 |
17,120 |
15,436 |
-1,684 |
Foster Care and Adoption Assistance |
7,700 |
8,025 |
8,457 |
+432 |
Children's Health Insurance Program /4 |
14,358 |
16,879 |
13,417 |
+36 |
Child Support Enforcement |
4,079 |
4,266 |
4,302 |
+36 |
Child Care Entitlement |
2,788 |
2,968 |
2,946 |
-22 |
Social Services Block Grant |
1,780 |
1,699 |
362 |
-1,337 |
Other Mandatory Programs |
20,414 |
19,371 |
17,735 |
-1,636 |
Offsetting Collections |
-975 |
- 1,373 |
-1,243 |
+130 |
Subtotal, Mandatory Outlays |
1,022,929 |
1,040,003 |
1,051,704 |
+11,701 |
Total, HHS Outlays |
1,103,145 |
1,130,835 |
1,131,256 |
+421 |
Table Footnotes
1/ Totals may not add due to rounding.
2/ Includes outlays for the TANF program and TANF Contingency Fund.
3/ The amounts listed for FY 2018 Outlays do not take into account updated scoring of legislative proposals in Temporary Assistance for Needy Families that are displayed in ACF budget documents.
4/ Includes outlays for the Child Enrollment Contingency Fund.