The Office of Budget consists of four main divisions: Division of Budget Policy, Execution, and Review (BPER) | Division of Discretionary Programs (DDP) | Division of Health Benefits and Income Support (HBIS) | Division of the Office of the Secretary Budget (DOSB)
Division of Budget Policy, Execution, and Review (BPER)
There are three branches in the Division of Budget Policy, Execution, and Review in the Office of Budget (OB), Office of the Assistant Secretary for Financial Resources (ASFR):
Budget and Performance Policy Branch (BPP)
The Budget and Performance Policy Branch coordinates the collection of cross-cutting budget data, the submission of the Department’s budget justifications, Department-wide performance management activities, and other efforts to integrate performance with budget submissions. These efforts include preparing numerous budget and performance documents and monitoring compliance with the GPRA Modernization Act and other related legislation and guidance.
Fiscal and Legal Review Branch (FLR)
The Fiscal and Legal Review branch provides expertise in budget execution and appropriations law. This branch carries out Department-wide budget execution functions, including apportionments, Treasury warrants, and budget execution data requests. FLR also provides technical analysis of appropriations bills and authorizing legislation with an impact on spending authority.
Business Operations Branch (BOB)
The Business Operations Branch provides technical and administrative support for Budget and Performance IT systems such as the Program Performance Tracking System (PPTS) and the Financial Information Reporting System (FIRS). BOB also provides internal operations support for the Office of Budget.
Division of Discretionary Programs (DDP)
The Division of Discretionary Programs (DDP) in the Office of Budget (OB), Office of the Assistant Secretary for Financial Resources (ASFR) is made up of two branches:
Science and Regulatory Affairs Branch
The Science and Regulatory Affairs Branch has responsibility for budget and performance for the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), the Administration for Healthcare Research & Quality (AHRQ), Bioterrorism, Emergency Preparedness, Pandemic Flu, and Health Information Technology discretionary programs.
Public Health and Social Services Branch
The Public Health and Social Services Branch has responsibility for budget and performance for the Health Resources & Services Administration (HRSA), Indian Health Service (IHS), Substance Abuse & Mental Health Services Administration (SAMHSA), Administration for Children & Families (ACF), Administration for Community Living (ACL), the Commissioned Corps, and rural health, homelessness, and HIV/AIDS discretionary grant issues.
Division of Health Benefits and Income Support (HBIS)
The Division of Health Benefits and Income Support (HBIS) in the Office of Budget (OB), Office of the Assistant Secretary for Financial Resources (ASFR) consists of two branches:
Health and Family Support Branch
The Health and Family Support Branch has budget and performance responsibility for Medicaid; CHIP; Private Insurance Programs including Federal and State marketplaces, cost sharing reductions, reinsurance, risk adjustment, risk corridors, and Basic Health Plan; TANF; Foster Care; Adoption Assistance; Independent Living; Child Support; and Child Care. The Branch also shares responsibility for review of models and demonstrations within the Centers for Medicare and Medicaid Innovation and the Medicare and Medicaid Coordination Office. The Branch also has responsibility for Medicaid and Private Insurance-related program integrity initiatives.
Medicare and Program Management Branch
The Medicare and Program Management Branch has responsibility for Medicare Hospital Insurance and Supplemental Medical Insurance Programs, QIOs/Quality, CMS IT Spending, Medicare Contractors, Medicare Integrity Program, HCFAC, Medicare Durable Medical Equipment, DME Federal Administration, Health Information Privacy and Portability Act (HIPAA), Medicare Survey & Certification, Medicare Prescription Drugs, Medicare Managed Care, Beneficiary Education, and Clinical Laboratory Improvement Program.
Division of the Office of the Secretary Budget (DOSB)
The Division of the Office of the Secretary Budget (DOSB) in the Office of Budget (OB), Office of the Assistant Secretary for Financial Resources (ASFR) provides leadership to the Office of the Secretary on budgetary and financial management issues. DOSB is made up of three branches:
Office of the Secretary Budget Branch (OSB)
The OS Budget Branch has responsibility for activities funded through the multiple OS appropriations accounts, including General Departmental Management (GDM), Office of Medicare Hearings and Appeals (OMHA), Office of Inspector General (OIG); Office for Civil Rights (OCR), etc. The OSB also manages several other HHS-wide appropriations on behalf of the Secretary as well as prepares analyses for evaluating capacity and determining if alternative approaches are feasible. The OSB monitors Congressional appropriations hearings and formulates and presents the OS budget to the Deputy Secretary, Secretary, OMB and the Congress. The OSB also manages the allocation of appropriations within the GDM account, issues allotments for all OS activities, and allocates overhead costs and Department-wide bills.
Office of the Secretary Execution Services Branch (OSES)
The OS Budget Execution Services Branch functions as a financial management group and represents the following STAFFDIVs: IOS, ASA, ASFR, ASL, ASPA, OGC, DAB, OGHA and IEA, and CFBCI. The OSES supports its STAFFDIVs by providing budget analysis, presentation, execution, and financial reconciliation. The OSES has responsibility for advising and providing expertise to STAFFDIV leadership as well as the Deputy Secretary and Secretary.
Service and Supply Fund Branch (SSF)
The SSF Branch provides fund-wide direction for financial management, budget formulation and execution, fee-for-service rate development, performance measurement, financial statement preparation and Fund compliance with external laws and regulations. The SSF Branch advises the SSF Board on the fiscal and operational implications of its decisions and policies, including rate changes, operating plan revisions, and new activities. It provides analytical and decision support to the SSF Board for special analyses and studies, Board meetings and discussions with OMB.
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