FY 2022 Operating Plan (PDF - 369 KB)
PRIMARY CARE:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Native Hawaiian | 20.500 | 22.000 |
| Health Center Tort Claims | 120.000 | 120.000 |
| Ending the HIV Epidemic Initiative | 102.250 | 122.250 |
| Intimate Partner Violence | 1.500 | 2.000 |
| Primary Care Associations (Technical Assistance) - HIV | 1.500 | 2.000 |
| School-Based Health Centers | 5.000 | 30.000 |
| Alcee L. Hastings Program for Advanced Cancer Screening in Underserved Communities | - | 5.000 |
| Other Health Centers Funding | 1,423.453 | 1,444.522 |
| Subtotal, Health Centers | 1,674.203 | 1,747.772 |
| Free Clinics Medical Malpractice | 1.000 | 1.000 |
| Total, Bureau of Primary Health Care | 1,675.203 | 1,748.772 |
HEALTH WORKFORCE:
National Health Service Corps
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Placement at Health Care Facilities within Indian Health Service | 15.000 | 15.600 |
| Maternity Care Target Areas | - | 1.000 |
| Other National Health Services | 104.526 | 105.000 |
| Subtotal, National Health Service Corps | 119.526 | 121.600 |
Health Professions Training for Diversity:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Centers of Excellence | 23.510 | 24.422 |
| Health Careers Opportunity Program | 14.821 | 15.450 |
| Faculty Loan Repayment | 1.186 | 1.226 |
| Scholarships for Disadvantaged Students: Midwife Training | 2.500 | 3.500 |
| Other Scholarships for Disadvantaged Students | 48.890 | 49.514 |
| Subtotal, Health Professions Training for Diversity | 90.907 | 94.112 |
Primary Care Training and Enhancement
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Primary Care Training and Enhancement | 48.777 | 48.924 |
Oral Health Training Programs:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| General Dentistry Program | 12.000 | 12.000 |
| Pediatric Dentistry Program | 12.000 | 12.000 |
| Dental Faculty Loan Repayment Program | 4.000 | - |
| Other Oral Health8 | 12.673 | 16.673 |
| Subtotal, Oral Health Training Programs | 40.673 | 40.673 |
Medical Student Education
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Medical Student Education1 | 49.850 | 55.000 |
Pediatric Subspecialty Loan Repayment Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Pediatric Subspecialty Loan Repayment Program | - | 5.000 |
Interdisciplinary, Community-Based Linkages:
Area Health Education Centers
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Rural Health Care Simulation Labs | 2.000 | 3.000 |
| Other Area Health Education Centers | 41.250 | 42.000 |
| Subtotal, Area Health Education Centers | 43.250 | 45.000 |
Geriatric Programs
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Geriatric Programs | 42.609 | 45.245 |
Behavioral Health Workforce Education and Training
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Mental and Substance Use Disorder Workforce Training Demonstration | 29.700 | 31.700 |
| Peer Support | 13.000 | 14.000 |
| Substance Use Disorder Treatment and Recovery Loan Repayment Program | 16.000 | 24.000 |
| Other Behavioral Health Workforce Education and Training | 52.964 | 53.300 |
| Subtotal, Behavioral Health Workforce Education and Training | 111.664 | 123.000 |
Mental and Behavioral Health
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Other Mental Health | 18.916 | 19.053 |
| Graduate Psychology Education | 19.000 | 20.000 |
| Subtotal, Mental and Behavioral Health | 37.916 | 39.053 |
Subtotal, Interdisciplinary, Community-Based Linkages
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Subtotal, Interdisciplinary, Community-Based Linkages | 235.438 | 252.298 |
Workforce Information and Analysis
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Workforce Information and Analysis | 5.646 | 5.663 |
Public Health Workforce Development: Public Health/Preventative Medicine
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Public Health Workforce Development: Public Health/Preventative Medicine | 17.000 | 17.000 |
Nursing Workforce Development
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Advanced Education Nursing | 75.581 | 79.581 |
| Nurse Education, Practice, Quality and Retention: Experiential Learning Opportunities | 3.000 | 5.750 |
| Nurse Education, Practice, Quality and Retention: Registered Nurse Shortage | - | 4.750 |
| Nurse Education, Practice, Quality and Retention: Other | 43.757 | 43.913 |
| Nurse Practitioner Optional Fellowship Program | 5.000 | 6.000 |
| Nursing Workforce Diversity: Elder Enhancement Program | 2.500 | - |
| Nursing Workforce Diversity: Other | 17.343 | 23.343 |
| Subtotal, Nursing Workforce Diversity | 19.843 | 23.343 |
| Nurse Corps Loan Repayment & Scholarship Program | 88.116 | 88.635 |
| Nurse Faculty Loan Program | 28.414 | 28.500 |
| Subtotal, Nursing Workforce Development | 263.712 | 280.472 |
Children's Hospitals Graduate Medical Education Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Children's Hospitals Graduate Medical Education Program | 348.802 | 375.000 |
Total, Health Workforce
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, Health Workforce | 1,220.331 | 1,295.742 |
National Practitioner Data Bank (user fee)
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| National Practitioner Data Bank (user fee) | 18.814 | 18.814 |
MATERNAL AND CHILD HEALTH:
Maternal and Child Health Block Grant:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Grants to States | 561.617 | 568.308 |
| Special Projects of Regional and National Significance (SPRANS)3 | 58.544 | 64.624 |
| SPRANS - Maternal Mortality (State Maternal Health Innovation Grants) | 23.000 | 29.000 |
| SPRANS - Maternal Mental Health Hotline | 2.991 | 4.000 |
| SPRANS - Alliance for Maternal Health Safety Bundles | 8.973 | 12.000 |
| SPRANS - Oral Health | 5.000 | 5.000 |
| SPRANS - Oral Health Set-Aside | 0.250 | 0.250 |
| SPRANS - Epilepsy | 3.642 | 3.642 |
| SPRANS - Sickle Cell | 4.985 | 6.000 |
| SPRANS - Fetal alcohol syndrome | 1.000 | 1.000 |
| SPRANS - Children's Health and Development | 3.500 | 3.500 |
| SPRANS - Infant - Toddler Court Teams | 10.000 | 13.000 |
| SPRANS - Hemophilia Treatment Centers | 4.800 | - |
| SPRANS - Adverse Childhood Experiences Study | 1.000 | - |
| SPRANS - Regional Pediatric Pandemic Network | 9.970 | 18.000 |
| SPRANS - Hereditary Hemorrhagic Telangiectasia Centers for Excellence | - | 2.000 |
| SPRANS - National Fetal Infant and Child Death Review | 1.100 | 2.100 |
| Subtotal, SPRANS | 138.755 | 169.116 |
| Community Integrated Service Systems (CISS) | 10.173 | 10.276 |
| Subtotal, Maternal and Child Health Block Grant | 710.545 | 747.700 |
Autism and Other Developmental Disorders
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Leadership Education In Neurodevelopment & Related Disabilities (LEND) | 36.185 | 37.245 |
| Other Autism and Other Developmental Disorders | 16.999 | 17.099 |
| Subtotal, Autism and Other Developmental Disorders | 53.184 | 54.344 |
Sickle Cell Service Demonstrations
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Sickle Cell Service Demonstrations | 7.183 | 7.205 |
Universal Newborn Hearing
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Universal Newborn Hearing | 17.765 | 17.818 |
Emergency Medical Services for Children
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Emergency Medical Services for Children | 22.267 | 22.334 |
Healthy Start
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Maternal Mortality Initiative | 15.000 | 15.000 |
| Other Healthy Start | 112.616 | 116.840 |
| Subtotal, Healthy Start | 127.616 | 131.840 |
Heritable Disorders in Newborns & Children
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Severe Combined Immune Deficiency Funding | 2.991 | 4.000 |
| Other Heritable Disorders in Newborns & Children | 15.835 | 15.883 |
| Subtotal, Heritable Disorders | 18.826 | 19.883 |
Screening and Treatment for Maternal Depression
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Screening and Treatment for Maternal Depression | 5.000 | 6.500 |
Pediatric Mental Health Care Access
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Pediatric Mental Health Care Access | 9.970 | 11.000 |
Total, Maternal and Child Health Bureau
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, Maternal and Child Health Bureau | 972.356 | 1,018.624 |
RYAN WHITE HIV/AIDS PROGRAM:
Emergency Relief - Part A
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Emergency Relief - Part A | 655.706 | 670.458 |
Comprehensive Care - Part B
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) | 900.313 | 900.313 |
| Other Part B | 414.309 | 443.927 |
| Subtotal, Part B | 1,314.622 | 1,344.240 |
Subtotal, Parts A and B
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Subtotal, Parts A and B | 1,970.328 | 2,014.698 |
Early Intervention - Part C
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Early Intervention - Part C | 201.079 | 205.549 |
Children, Youth, Women & Families - Part D
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Children, Youth, Women & Families - Part D | 72.888 | 76.757 |
Education and Training Centers - Part F
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Education and Training Centers - Part F | 33.510 | 34.358 |
AIDS Dental Services - Part F
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| AIDS Dental Services - Part F | 13.083 | 13.414 |
Special Projects of National Significance
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Special Projects of National Significance | 25.000 | 25.000 |
Domestic HIV Initiative
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Domestic HIV Initiative | 105.000 | 125.000 |
Subtotal, Ryan White HIV/AIDS Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Subtotal, Ryan White HIV/AIDS Program | 450.560 | 480.078 |
Total, HIV/AIDS Bureau Program Level
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, HIV/AIDS Bureau Program Level | 2,420.887 | 2,494.776 |
HEALTH CARE SYSTEMS:
Organ Transplantation
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Living Organ Donation Program | 6.000 | 7.000 |
| Other Organ Transplantation | 23.049 | 23.049 |
| Subtotal, Organ Transplantation | 29.049 | 30.049 |
Other Health Care Systems
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| National Cord Blood Inventory | 17.054 | 18.266 |
| C.W. Bill Young Cell Transplantation Program | 31.009 | 32.009 |
| Poison Control Centers | 24.846 | 25.846 |
| Office of Pharmacy Affairs | 10.207 | 11.238 |
| Hansen's Disease Center | 13.665 | 13.706 |
| Payment to Hawaii | 1.851 | 1.857 |
| National Hansen's Disease Program - Buildings and Facilities | 0.122 | 0.122 |
Total, Health Care Systems Bureau
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, Health Care Systems Bureau | 127.803 | 133.093 |
RURAL HEALTH:
Rural Health Policy Development
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Telementoring Training Center | 1.000 | - |
| Other Rural Health Policy Development7 | 10.043 | 11.076 |
| Subtotal, Rural Health Policy Development | 11.043 | 11.076 |
Rural Health Outreach Grants
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Other Rural Health Outreach Grants4 | 24.018 | 52.975 |
| Outreach Service Grants | 12.000 | - |
| Rural Network Development Grants | 12.900 | - |
| Delta States Network Grant Program2 | 24.000 | 25.000 |
| Northern Border Regional Commission (NBRC) | 1.000 | 2.000 |
| Network Planning Grants | 1.900 | - |
| Small Healthcare Provider Quality Improvement Grants | 6.400 | - |
| Rural Maternity and Obstetrics Management Strategies (RMOMS) | - | 6.000 |
| Subtotal, Rural Health Outreach Grants | 82.218 | 85.975 |
Rural Hospital Flexibility Grants
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Small Rural Hospital Improvement Grant Program | 20.879 | 20.942 |
| Rural Emergency Hospital Technical Assistance Program | - | 5.000 |
| Dept. of Veterans Affairs Electronic Health Record | 0.997 | 1.000 |
| Other Rural Hospital Flexibility Grants | 33.566 | 35.335 |
| Subtotal, Rural Hospital Flexibility Grants | 55.442 | 62.277 |
State Offices of Rural Health
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| State Offices of Rural Health | 12.462 | 12.500 |
Radiation Exposure Screening and Education Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Radiation Exposure Screening and Education Program | 1.828 | 1.889 |
Black Lung
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Black Lung | 11.500 | 11.845 |
Telehealth
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Telehealth Technology-Enabled Collaborative Learning/Capacity Building | 4.500 | - |
| Telehealth Evaluation | 1.000 | - |
| Telehealth Centers of Excellence | 6.500 | 7.500 |
| Other Telehealth5 | 21.898 | 27.550 |
| Subtotal, Telehealth | 33.898 | 35.050 |
Rural Communities Opioid Response Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Rural Centers of Excellence | 10.000 | 10.000 |
| NBRC Workforce Training Activities | 1.500 | 2.500 |
| Other Rural Communities Opioid Response Program | 98.170 | 122.500 |
| Subtotal, Rural Communities Opioid Response Program | 109.670 | 135.000 |
Rural Residency Development Program
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Rural Residency Development Program | 10.468 | 10.500 |
Total, Office of Rural Health Policy
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, Office of Rural Health Policy | 328.530 | 366.112 |
Program Management
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Program Management | 154.534 | 155.000 |
| Oral Health Literacy | 0.300 | 0.300 |
| Community Projects/Congressionally Directed6 | - | 1,057.896 |
| Subtotal, Program Management | 154.834 | 1,213.196 |
Family Planning
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Family Planning | 285.619 | 286.479 |
Health Resources and Services:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Subtotal, HRS Program Level | 7,204.377 | 8,575.608 |
| Subtotal, HRS Budget Authority | 7,185.563 | 8,556.794 |
| Discretionary Program Level | 7,204.377 | 8,575.608 |
Administration:
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Vaccine Injury Compensation Trust Fund Direct Operations | 11.200 | 13.200 |
Total, HRSA Discretionary Program Level
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, HRSA Discretionary Program Level | 7,215.577 | 8,593.808 |
Total, HRSA Discretionary Budget Authority
| Activities | FY 2021: Final | FY 2022: Final |
|---|---|---|
| Total, HRSA Discretionary Budget Authority | 7,196.763 | 8,574.994 |
FOOTNOTES
1 Minimum amount of a grant under Graduate Medical Education not less than $1,000,000.
2 Included is $13,000,000 for HRSA's collaboration with the Delta Regional Authority (DRA).
3 Includes Hemophilia Treatment Centers and Adverse Childhood Experiences Study. Amounts not specified in Public Law 117-103 or the Joint Statement from Congress.
4 Includes Outreach Service Grants, Rural Network Development Grants, Network Planning Grants, and Small Healthcare Provider Quality Improvement Grants. Amounts not specified in Public Law 117-103 or the Joint Statement from Congress.
5 Includes Telehealth Technology-Enabled Collaborative Learning/Capacity Building and Telehealth Evaluation. Amounts not specified in Public Law 117-103 or the Joint Statement from Congress.
6 Includes $4,000,000 for related agency administrative expenses.
7 Includes Telementoring Training Center. Amounts not specified in Public Law 117-103 or the Joint Statement from Congress.
8 Includes Dental Faculty Loan Repayment Program. Amount not specified in Public Law 117-103 or the Joint Statement from Congress.
