Topics on this page: HHS Budget by Operating Division | Composition of the HHS Budget Discretionary Programs | Composition of the HHS Budget Mandatory Programs
ADVANCING THE HEALTH, SAFETY, AND WELL–BEING OF THE NATION
The Department of Health and Human Services enhances the health and well-being of Americans by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.
HHS Budget by Operating Division
(Mandatory and discretionary dollars in millions) /1
Food and Drug Administration | 2014 | 2015 | 2016 /4 |
---|---|---|---|
Budget Authority | 2,685 | 2,622 | 2,747 |
Outlays | 1,967 | 2,943 | 2,775 |
Health Resources and Services Administration | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 9,078 | 10,555 | 10,602 |
Outlays | 9,003 | 9,345 | 10,458 |
Indian Health Service | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 4,590 | 4,800 | 5,261 |
Outlays | 4,510 | 5,010 | 5,237 |
Centers for Disease Control and Prevention | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 7,002 | 9,257 | 7,459 |
Outlays | 6,313 | 7,792 | 8,093 |
National Institutes of Health | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 30,077 | 29,850 | 30,480 |
Outlays | 29,348 | 29,565 | 29,933 |
Substance Abuse and Mental Health Services Administration | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 3,487 | 3,486 | 3,454 |
Outlays | 3,193 | 3,920 | 3,465 |
Agency for Healthcare Research and Quality | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 7 | 364 | 276 |
Program Level | 436 | 465 | 479 |
Outlays | 42 | 106 | 128 |
Centers for Medicare & Medicaid Services /2 | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 848,531 | 931,544 | 968,388 |
Outlays | 826,759 | 897,791 | 970,460 |
Administration for Children and Families /3 | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 51,659 | 51,590 | 59,679 |
Outlays | 49,421 | 50,987 | 57,273 |
Administration for Community Living | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 1,640 | 1,646 | 2,071 |
Outlays | 1,462 | 1,671 | 1,879 |
Office of the National Coordinator | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 16 | 60 | — |
Outlays | 294 | 99 | 49 |
Office of Medicare Hearings and Appeals | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 82 | 87 | 140 |
Outlays | 82 | 87 | 140 |
Office for Civil Rights | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 39 | 39 | 43 |
Outlays | 35 | 40 | 45 |
Departmental Management | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 480 | 473 | 518 |
Outlays | 1,292 | 1,535 | 870 |
Public Health and Social Services Emergency Fund | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 1,251 | 1,966 | 1,910 |
Outlays | 1,970 | 1,981 | 2,306 |
Office of Inspector General | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 70 | 73 | 84 |
Outlays | 96 | 59 | 81 |
Program Support Center (Retirement Pay, Medical Benefits, Misc. Trust Funds) | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 645 | 653 | 708 |
Outlays | 641 | 930 | 677 |
Offsetting Collections | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 6 | -746 | -751 |
Outlays | 6 | -746 | -751 |
Other Collections | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | -179 | -81 | -77 |
Outlays | -179 | -81 | -77 |
Total, Health and Human Services | 2014 | 2015 | 2016 |
---|---|---|---|
Budget Authority | 961,166 | 1,048,237 | 1,092,992 |
Outlays | 936,223 | 1,013,051 | 1,093,041 |
Full Time Equivalents
2014: 74,947
2015: 77,865
2016: 80,418
Table Footnotes
1 / The budget authority levels presented here are based on the Appendix, and potentially differs from levels displayed in the individual Operating and Staffing 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 / Includes rescission of $25 million in prior year Refugee Funds.
4 / FY 2016 estimates do not include the reductions to mandatory spending that will be applied in FY 2016 as required under the Budget Control Act.
Composition of the HHS Budget Discretionary Programs
(Dollars in millions)
Operating Divisions Discretionary Programs (Budget Authority): | 2014 | 2015 | 2016 | 2016 +/-2015 |
---|---|---|---|---|
Food and Drug Administration | 2,561 | 2,596 | 2,744 | +148 |
Program Level | 4,387 | 4,505 | 4,930 | +425 |
Health Resources and Services Administration | 6,046 | 6,112 | 6,225 | +113 |
Program Level | 8,902 | 10,330 | 10,375 | +45 |
Indian Health Service | 4,435 | 4,642 | 5,103 | +461 |
Program Level | 5,649 | 5,906 | 6,392 | +486 |
Centers for Disease Control and Prevention | 5,863 | 6,073 | 6,170 | +98 |
Program Level | 6,957 | 7,045 | 7,142 | +98 |
National Institutes of Health | 29,923 | 29,446 | 30,314 | +868 |
Program Level | 30,070 | 30,311 | 31,311 | +1,000 |
Substance Abuse and Mental Health Services Administration | 3,426 | 3,474 | 3,396 | -78 |
Program Level | 3,622 | 3,621 | 3,666 | +45 |
Agency for Healthcare Research and Quality | — | 364 | 276 | -88 |
Program Level | 436 | 465 | 479 | +14 |
Centers for Medicare & Medicaid Service | 4,092 | 3,975 | 4,245 | +270 |
Program Level | 5,759 | 11,231 | 14,281 | +3,050 |
Administration for Children and Families | 17,678 | 17,791 | 19,825 | +2,034 |
Program Level | 17,684 | 17,791 | 19,825 | +2,034 |
Administration for Community Living | 1,907 | 1,919 | 2,096 | +177 |
Program Level | 1,961 | 1,956 | 2,123 | +168 |
General Departmental Management | 447 | 458 | 286 | -172 |
Program Level | 540 | 550 | 535 | -16 |
Office of Medicare Hearings and Appeals | 69 | 82 | 100 | +18 |
Program Level | 60 | 60 | 75 | +14 |
Office of the National Coordinator | 16 | 60 | - | -60 |
Program Level | 60 | 60 | 92 | +31 |
Office of Inspector General | 71 | 73 | 83 | +11 |
Program Level | 295 | 337 | 417 | +80 |
Office for Civil Rights | 39 | 39 | 43 | +4 |
Public Health and Social Services Emergency Fund /1 | 1,251 | 1,233 | 1,910 | +677 |
Program Level | 1,251 | 1,233 | 1,940 | +707 |
Discretionary HCFAC | 294 | 672 | 706 | +34 |
Accrual for Commissioned Corps Health Benefits | 27 | 28 | 28 | -0.2 |
Discretionary Programs Total (Budget Authority): |
2014 | 2015 | 2016 | 2016 +/-2015 |
---|---|---|---|---|
Total, Discretionary Budget Authority | 73,112 | 78,354 | 77,065 | -1,289 |
Discretionary Supplemental Funding /2 | +285 | — | — | — |
Less One-Time Rescissions /3 | -6,578 | -6,317 | -5,234 | +1,083 |
Revised, Discretionary Budget Authority | 66,819 | 72,037 | 71,831 | -206 |
Discretionary Programs Tables Footnotes
1/ FY 2015 funding totals include additional funding provided by the FY 2015 Continuing Resolution (P.L. 113- 164) of $58 million to PHSSEF for Ebola Medical Countermeasures and $30 million to CDC for Ebola Outbreak Response.
2/ Reflects funding provided by the FY 2015 Omnibus; Consolidated and Further Continuing Appropriations Act (P.L. 113-235).
3/ The FY 2014 rescission is $6.3 billion from the CHIPRA performance bonuses. The FY 2015 rescission was $6.3 billion, which includes $4.5 billion from section 108 of CHIPRA and $1.8 billion from CHIPRA performance bonuses. The FY 2016 Budget proposes to rescind $5.4 billion: $2.1 billion from the CHIP Child Enrollment Contingency Fund and $3.3 billion from section 108 of CHIPRA.
4/ FY 2016 estimates do not include the reductions to mandatory spending that will be applied in FY 2016 as required under the Budget Control Act.
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Composition of the HHS Budget Mandatory Programs
(Dollars in millions)
Mandatory Programs (Outlays) | 2014 | 2015 | 2016 | 2016 +/-2015 |
---|---|---|---|---|
Medicare | 505,307 | 529,991 | 582,972 | +52,981 |
Medicaid | 301,472 | 333,080 | 351,993 | +17,913 |
Temporary Assistance for Needy Families /1 | 16,887 | 17,245 | 17,500 | +255 |
Foster Care and Adoption Assistance | 6,868 | 7,079 | 7,593 | +514 |
Children's Health Insurance Program /2 | 9,317 | 10,608 | 14,570 | +3,962 |
Child Support Enforcement | 4,112 | 4,294 | 4,328 | +34 |
Child Care | 2,838 | 2,957 | 5,919 | +2,962 |
Social Services Block Grant | 1,748 | 1,954 | 2,065 | +111 |
Other Mandatory Programs | 9,723 | 23,849 | 22,923 | -926 |
Offsetting Collections | 6 | -746 | -751 | -5 |
Subtotal, Mandatory Outlays | 858,278 | 930,311 | 1,008,112 | +77,801 |
Total, HHS Outlays | 936,223 | 1,013,051 | 1,093,041 | +79,990 |
Mandatory Programs Table Footnotes
1/ Includes outlays for the TANF Contingency Fund and the Recovery Act's TANF Emergency Contingency Fund.
2/ Includes outlays for the Child Enrollment Contingency Fund.