Program Increases and Decreases
Overview of Budget Request
The FY 2010 President’s Budget request for HRSA is $7,126,700,000, a decrease of $107,736,000 below the FY 2009 Omnibus level.
Program increases:
National Health Service Corps (NHSC) (+$34.0 million)
This increase consists of an additional $6.7 million for the Field Line and an additional $27.3
million for the Recruitment Line. The $6.7 million increase in the Field Line will fund additional infrastructure requirements and support an up-to-date information management
system. The $27.4 million increase in the Recruitment Line will enable the program to award 14 additional scholarships and 447 additional loan repayment contracts over the projected FY 2009 Omnibus level.
Nurse Loan Repayment and Scholarship Program (+$87.9 million)
This request supports an increase of $87.9 million for the Loan Repayment and Scholarship Program. The increase will support a commitment from nurses and nursing students to work in shortage facilities. The FY 2010 budget request will support 990 new loan repayment awards for RNs agreeing to work in health care facilities with a critical shortage of nurses and an estimated 619 scholarships.
Centers of Excellence Program (+$4 million)
This increase will support an additional 5 grants and an additional 68 underrepresented minorities (URM) students participating in research on minority health issues. The increase will also support 38 more URM faculty.
Scholarships for Disadvantaged Students (+$7 million)
This increase will allow support to 1,284 additional students and the average award amount will increase. In FY 2010, approximately 100 students will receive awards larger than the FY 2008 average award amount. These awards would be targets to extremely financially disadvantaged students who would not be able to attend a health professions school unless they had this increased award amount. The total FY 2010 request of $52,842,000 will support an estimated 17,089 disadvantaged students.
Health Careers Opportunity Program (+$3 million)
The increase will support an additional 4 grantees to provide support needed for disadvantaged students to compete, enter, and graduate from health or allied health professions schools.
Training in Primary Care Medicine and Dentistry (+$8 million)
This increase will provide funding for 36 additional grants for a total of 245 grants. It is anticipated that the funding will increase the total number of students supported to over 21,500, a 13 percent increase over the FY 2009 estimated number of students.
Geriatric Programs (+$11 million)
This increase will support an additional 6 Geriatric Education Centers, 3 Geriatric Training for Physicians, Dentists, and Behavioral and Mental Health Programs, and 12 Geriatric Academic Career Awards.
Allied Health and Other Disciplines Program (+$10 million)
The increase will be used to support 15 additional State Oral Health Workforce grants. This represents a significant program expansion, increasing access to dental care. The total request will provide support for an estimated 5 chiropractic continuation grants, an estimated 18 new psychology grants, and approximately 45 State Oral Health grants.
Nurse Faculty Loan Program (+$4.5 million)
The increase will be used to support 39 additional institutions. The total request will support approximately 139 schools receiving funds under the Nurse Faculty Loan Program which supports student loans of up to $30,000 per year at participating institutions. Approximately 550 additional nurse educator students will be supported.
Autism and other Developmental Disorders (+$6 million)
The increased funds will be used to continue activities initiated in FY 2008 and continued in
FY 2009 to promote early screening and intervention and train providers to diagnose and provide care for individuals with autism spectrum disorder and other developmental disorders.
HIV/AIDS (+$53.9 million)
The FY 2010 request is an increase of $53.9 million above the FY 2009 Omnibus level. This funding will continue to support over 2,300 providers that help half a million individuals living with HIV/AIDS obtain access to life-sustaining care and services. The FY 2010 Request includes an increase of $37,993,000 to support current Part B program activities and includes an increase of $10 million to AIDS Drug Assistance Program (ADAP). The increased resources will provide life saving medications to 6,628 people infected with HIV through ADAP. This request also includes an increase of $4 million for the AIDS Education and Training Centers (AETC), Part F, and a $2 million increase for Dental Services,
Part F. The $4 million increase to the AETC program would be used to fund a new grant opportunity to provide in-depth, long term training to practicing clinicians in HIV/AIDS care and treatment. The $2 million increase for Dental Services, Part F, will support 4 new community based dental partnership programs (CBDPPs), expand services at 12 existing CBDPPs thus providing oral health services to 1,400 additional People Living With AIDS (PLWA).
340B Drug Pricing/Office of Pharmacy Affairs (+$1.5 million)
The increase funding will support improvements in program operations and address findings identified in audits.
Rural Health Outreach Grants (+$1.6 million)
This increase will continue to support key activities for Rural Health Care Services Outreach, Network and Quality Improvement Grants programs. The program will support 110
Outreach Services grants, 12 Delta Network Development grants, 51 Network Development grants, 55 quality improvement grants and 20 network planning grants.
State Offices of Rural Health (+$0.2 million)
This increase will support key activities for State Offices of Rural Health program and will support a grant award to each of the 50 States. The program expects to increase the number of rural communities assisted in 2010 with a performance target of 5,250.
Telehealth (+$0.7million)
This increase will support the addition of two Telehealth Resource Centers into geographic regions not currently covered by such centers and a minor expansion of funding for the licensure portability grant program.
Program Management (+$5.0 million)
This increase supports additional pay costs and HRSA program management activities. The increase also reflects increased rent due to the parklawn lease procurement process.
Family Planning (+$10.0 million)
The request provides funding for family planning methods and related preventive health services, as well as related training, information and education, and research to improve family planning service delivery.
Program Decreases:
Delta Health Initiative (-$26.0 million)
There is no FY 2010 request for this program.
Denali Project (-$19.6 million)
There is no FY 2010 request for this program.
Public Health Improvement (-$310.5 million)
There is no FY 2010 request for this program.
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