Slide 1:

Overview of HHS Programs Addressing Chronic Homelessness

Miami Policy Academy
December 9, 2003

Don Winstead
Deputy Assistant Secretary for Human Services Policy
Office of the Assistant Secretary for Planning and Evaluation
Department of Health and Human Services

Slide 2:

HHS Operating Divisions and the President’s FY ‘04 Budget (dollars in millions)

This slide contains an organizational chart which shows the Operating Divisions of the U.S. Department of Health and Human Services as well as the President's FY '04 budget in millions of dollars for each division. The divisions from top to bottom are:

• Top level
  • The Secretary
• Second level
  • Administration for Children and Families ($46,990)
  • Centers for Disease Control and Prevention ($4,231)
  • Indian Health Services ($3,040)
• Third Level
  • Administration on Aging ($1,344)
  • Centers for Medicare and Medical Services ($442,034)
  • National Institutes of Health ($27,893)
• Fourth Level
  • Agency for Health Research and Quality¹ ($279)
  • Food and Drug Administration ($1,406)
  • Substance Abuse and Mental Health Services Administration ($3,393)
• Fifth Level
• Heath Resources and Services Administration ($5,810)

¹ Funds are transferred from the appropriations of the other Operating Divisions

Slide 3:

Discretionary vs. Mandatory Spending¹ in HHS for FY 2004

This slide contains a pie graph which shows the difference between discretionary and mandatory spending. The data is as follows:

• Medicare ($256,336) — 47.5%
• Medicaid ($182,543) — 33.8%
• Other Mandatory Programs ($37,221) — 7.0%
• Discretionary Programs ($62,909) — 11.7%

¹All dollar values in millions; based on President’s FY ‘04 Budget

Slide 4:

HHS Discretionary Funding¹ By Service Delivery Agencies vs. Other Agencies

This slide contains a pie chart which shows HHS discretionary funding by service delivery agencies vs. other agencies. The date is as follows:

• Services Delivery Agencies (ACF, AoA, CMS, HRSA, IHS, SAMHSA) — 46.5% ($29,281)
• Non-Service Delivery Agencies² (AHRQ, CDC, FDA, NIH) — 53.5% ($33,732)
• Discretionary Programs — 11.7% ($62,909)
  • These funds are taken from both the Service and Non-Service Delivery Agencies

¹All dollar values in millions; based on President’s FY ‘04 Budget
²Non-service delivery agencies fund research and public health safety programs

Slide 5:

FY ‘04 HHS Funding1 for Mainstream and Homeless Specific Service Programs Relevant to Chronic Homelessness

HHS Mainstream Programs (listed alphabetically)	President’s FY ’04 Budget
Access to Recovery Community Mental Health Services Block Grant Community Services Block Grant Consolidated Health Centers (CHC) Head Start Maternal & Child Health Services Block Grant Medicaid Ryan White CARE Act Social Services Block Grant State Children’s Health Insurance Program Substance Abuse Prevention & Treatment Block Grant Temporary Assistance for Needy Families	$200 $433 $495 $1,627 $6,816 $751 $182,543 $2,010 $1,700 $5,090 $1,785 $17,609

---

Total $ for HHS Mainstream Programs

$221,059

HHS Homeless Specific Service Programs (listed alphabetically)
Treatment for Homeless Persons2 Collaborative Initiative on Chronic Homelessness Health Care for the Homeless3 Programs for Runaway & Homeless Youth Projects for Assistance in Transition from Homelessness Other Targeted Homeless Activities	$28 $10 $128 $103 $50 $37

---

Total $ for HHS Homeless Specific Service Programs

$356

¹All dollar values in millions, ²Based on FY ’03 Commitment, ³Dollars are included in CHC above

Slide 6:

FY ‘04 HHS Funding¹ for Mainstream and Homeless Specific Service Programs Relevant to Chronic Homelessness

This slide contains a pie graph which shows that greator than 99.5% of funding goes to mainstream services and less than 0.5% goes to Homeless Specific Service Programs.

¹All dollar values in millions; based on President’s FY ‘04 Budget

Slide 7:

Ending Chronic Homelessness: Strategies for Action

3 Goals:

• Help eligible, chronically homeless individuals receive health and social services
• Empower our State and community partners to improve their response to people experiencing chronic homelessness
• Work to prevent new episodes of homelessness within the HHS clientele