Overview by the Numbers
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)
Food and Drug Administration /1 |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
2,073 |
2,642 |
2,586 |
Outlays |
1,537 |
2,668 |
2,877 |
Health Resources and Services Administration |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
8,370 |
9,142 |
10,404 |
Outlays |
8,645 |
9,121 |
9,514 |
Indian Health Service |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
4,287 |
4,590 |
4,792 |
Outlays |
4,274 |
4,607 |
4,883 |
Centers for Disease Control and Prevention |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
6,273 |
7,170 |
6,674 |
Outlays |
6,617 |
6,783 |
6,624 |
National Institutes of Health |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
29,291 |
30,142 |
30,353 |
Outlays |
30,976 |
31,124 |
29,705 |
Substance Abuse and Mental Health Services Administration |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
3,226 |
3,497 |
3,356 |
Outlays |
3,225 |
3,701 |
3,409 |
Agency for Healthcare Research and Quality |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
6 |
7 |
— |
Program Level |
430 |
464 |
440 |
Outlays |
319 |
343 |
113 |
Centers for Medicare & Medicaid Services /2 |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
769,182 |
850,810 |
906,799 |
Outlays |
777,258 |
844,379 |
897,235 |
Administration for Children and Families |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
49,592 |
51,158 |
51,316 |
Outlays |
50,430 |
50,072 |
51,490 |
Administration for Community Living |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
1,407 |
1,647 |
2,058 |
Outlays |
1,440 |
1,563 |
1,903 |
Office of the National Coordinator |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
15 |
16 |
— |
Outlays |
551 |
414 |
53 |
Office of Medicare Hearings and Appeals |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
69 |
82 |
100 |
Outlays |
73 |
91 |
100 |
Office for Civil Rights |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
39 |
39 |
41 |
Outlays |
40 |
39 |
41 |
General Departmental Management |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
470 |
481 |
416 |
Outlays |
582 |
855 |
590 |
Health Insurance Reform Implementation Fund /3 |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
— |
— |
— |
Outlays |
221 |
163 |
100 |
Public Health and Social Services Emergency Fund |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
588 |
1,243 |
1,423 |
Outlays |
1,769 |
1,784 |
1,905 |
Office of Inspector General |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
52 |
71 |
75 |
Outlays |
41 |
66 |
81 |
Program Support Center (Retirement Pay, Medical Benefits, Misc. Trust Funds) |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
636 |
658 |
678 |
Outlays |
515 |
1,145 |
643 |
Offsetting Collections |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
-2,041 |
-841 |
-787 |
Outlays |
-2041 |
-841 |
-787 |
Total, Health and Human Services |
2013 |
2014 |
2015 |
---|---|---|---|
Budget Authority |
873,535 |
962,554 |
1,020,284 |
Outlays |
886,472 |
958,077 |
1,010,479 |
Full Time Equivalents
2013: 74,992
2014: 77,457
2015: 79,540
1/ The Budget Authority levels for FDA are based on the Appendix and will differ from levels displayed in the FDA section. In FY 2013, the difference is due to the timing and availability of user fee collections, and in FY 2014, the inclusion of sequestered user fees made available in FY 2014.
2/ Budget Authority includes Non-CMS Budget Authority for Hospital Insurance and Supplementary Medical Insurance for the Social Security Administration and MedPAC.
3/ Includes outlays for all agencies receiving resources from the fund.
Composition of the HHS Budget Discretionary Programs
(Dollars in millions)
Operating Divisions Discretionary Programs (Budget Authority): |
2013 /1 |
2014 |
2015 |
2015 +/-2014 |
---|---|---|---|---|
Food and Drug Administration |
2,386 |
2,561 |
2,584 |
+23 |
Program Level |
4,031 |
4,387 |
4,745 |
+358 |
Health Resources and Services Administration |
5,861 |
6,061 |
5,300 |
-761 |
Program Level |
8,097 |
8,915 |
10,753 |
+1,838 |
Indian Health Service |
4,131 |
4,435 |
4,634 |
+200 |
Program Level |
5,307 |
5,761 |
5,989 |
+228 |
Centers for Disease Control and Prevention |
5,503 |
5,882 |
5,474 |
-407 |
Program Level |
10,243 |
10,806 |
11,117 |
+311 |
National Institutes of Health |
29,001 |
30,003 |
30,203 |
+200 |
Program Level |
29,151 |
30,151 |
30,362 |
+211 |
Substance Abuse and Mental Health Services Administration |
3,210 |
3,435 |
3,298 |
-137 |
Program Level |
3,354 |
3,631 |
3,568 |
-63 |
Agency for Healthcare Research and Quality |
— |
— |
— |
— |
Program Level |
430 |
464 |
440 |
-24 |
Centers for Medicare & Medicaid Service |
3,737 |
3,973 |
4,200 |
+227 |
Program Level |
5,154 |
5,344 |
12,398 |
+7,054 |
Administration for Children and Families |
15,759 |
17,677 |
17,040 |
-637 |
Program Level |
15,765 |
17,683 |
17,046 |
-637 |
Administration for Community Living |
2,031 |
2,097 |
2,062 |
-34 |
Program Level |
2,074 |
2,147 |
2,123 |
-24 |
Office of the Secretary Discretionary Programs (Budget Authority): |
2013 /1 |
2014 |
2015 |
2015 +/-2014 |
---|---|---|---|---|
General Departmental Management |
447 |
458 |
286 |
-172 |
Program Level |
540 |
550 |
535 |
-16 |
Office of Medicare Hearings and Appeals |
69 |
82 |
100 |
+18 |
Office of the National Coordinator |
15 |
16 |
— |
-16 |
Program Level |
60 |
60 |
75 |
+14 |
Office of Inspector General |
47 |
71 |
75 |
+4 |
Program Level |
276 |
295 |
400 |
+105 |
Office for Civil Rights |
39 |
39 |
41 |
+2 |
Public Health and Social Services Emergency Fund |
553 |
1,243 |
1,423 |
+180 |
Program Level |
968 |
1,243 |
1,438 |
+194 |
Discretionary HCFAC |
294 |
294 |
319 |
+25 |
Accrual for Commissioned Corps Health Benefits |
28 |
27 |
25 |
-2 |
Discretionary Programs total |
2013 /1 |
2014 |
2015 |
2015 +/-2014 |
---|---|---|---|---|
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 |
1/ The FY 2013 figures represent the funding levels provided by the Full-Year Continuing Appropriations Act (P.L. 113-6), and reflects the cuts required by sequestration.
2/ Reflects funding provided by the Disaster Relief Appropriations Act (P.L. 113-2).
3/ FY 2013 rescissions include $6.4 billion from CHIPRA performance bonuses, $200 million from CMS Community-base CARE Transitions Program, and $10 million from the Independent Payment Advisory Board. The FY 2014 rescission is $6.2 billion from CHIPRA performance bonuses. The FY 2015 Budget proposes to rescind $1.8 billion from CHIPRA performance bonuses, $2.1 billion from the CHIP Contingency Fund, and $1.4 billion from the unobligated balances of the FY 2015 CHIP national allotment.
Composition of the HHS Budget Mandatory Programs
(Dollars in millions)
Mandatory Programs (Outlays) |
2013 |
2014 |
2015 |
2014 +/- 2013 |
---|---|---|---|---|
Medicare |
491,783 |
513,148 |
526,019 |
+12,871 |
Medicaid |
265,392 |
308,615 |
335,962 |
+27,347 |
Temporary Assistance for Needy Families /1 |
17,806 |
17,578 |
17,488 |
-90 |
Foster Care and Permanency |
6,847 |
6,803 |
6,955 |
+152 |
Children's Health Insurance Program /2 |
9,483 |
10,289 |
10,621 |
+332 |
Child Support Enforcement |
4,066 |
3,887 |
4,092 |
+205 |
Child Care |
2,872 |
2,901 |
3,512 |
+611 |
Social Services Block Grant /3 |
5,476 |
1,847 |
2,442 |
+595 |
Other Mandatory Programs |
6,018 |
12,594 |
24,601 |
+12,007 |
Offsetting Collections |
-2,041 |
-841 |
-787 |
+54 |
Subtotal, Mandatory Outlays |
807,702 |
876,821 |
930,905 |
+54,084 |
Total, HHS Outlays |
886,472 |
958,077 |
1,010,479 |
+52,402 |
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.
3/ The increase in SSBG outlays in FY 2013 and FY 2014 are attributable to the funding provided by the Disaster Relief Appropriations Act (P.L. 113-2).