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FY 2022 Operating Plan

FY 2022 Operating Plan (PDF - 368 KB)

PRIMARY CARE:

Dollars in Millions
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

Dollars in Millions
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:

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Primary Care Training and Enhancement 48.777 48.924

Oral Health Training Programs:

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Medical Student Education1 49.850 55.000

Pediatric Subspecialty Loan Repayment Program

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Pediatric Subspecialty Loan Repayment Program - 5.000

Interdisciplinary, Community-Based Linkages:

Area Health Education Centers

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Geriatric Programs 42.609 45.245

Behavioral Health Workforce Education and Training

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Subtotal, Interdisciplinary, Community-Based Linkages 235.438 252.298

Workforce Information and Analysis

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Workforce Information and Analysis 5.646 5.663

Public Health Workforce Development: Public Health/Preventative Medicine

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Public Health Workforce Development: Public Health/Preventative Medicine 17.000 17.000

Nursing Workforce Development

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Children's Hospitals Graduate Medical Education Program 348.802 375.000

Total, Health Workforce

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Total, Health Workforce 1,220.331 1,295.742

National Practitioner Data Bank (user fee)

Dollars in Millions
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:

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Sickle Cell Service Demonstrations 7.183 7.205

Universal Newborn Hearing

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Universal Newborn Hearing 17.765 17.818

Emergency Medical Services for Children

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Emergency Medical Services for Children 22.267 22.334

Healthy Start

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Screening and Treatment for Maternal Depression 5.000 6.500

Pediatric Mental Health Care Access

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Pediatric Mental Health Care Access 9.970 11.000

Total, Maternal and Child Health Bureau

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Emergency Relief - Part A 655.706 670.458

Comprehensive Care - Part B

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Subtotal, Parts A and B 1,970.328 2,014.698

Early Intervention - Part C

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Early Intervention - Part C 201.079 205.549

Children, Youth, Women & Families - Part D

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Children, Youth, Women & Families - Part D 72.888 76.757

Education and Training Centers - Part F

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Education and Training Centers - Part F 33.510 34.358

AIDS Dental Services - Part F

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
AIDS Dental Services - Part F 13.083 13.414

Special Projects of National Significance

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Special Projects of National Significance 25.000 25.000

Domestic HIV Initiative

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Domestic HIV Initiative 105.000 125.000

Subtotal, Ryan White HIV/AIDS Program

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Subtotal, Ryan White HIV/AIDS Program 450.560 480.078

Total, HIV/AIDS Bureau Program Level

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Total, HIV/AIDS Bureau Program Level 2,420.887 2,494.776

HEALTH CARE SYSTEMS:

Organ Transplantation

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Total, Health Care Systems Bureau 127.803 133.093

RURAL HEALTH:

Rural Health Policy Development

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
State Offices of Rural Health 12.462 12.500

Radiation Exposure Screening and Education Program

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Radiation Exposure Screening and Education Program 1.828 1.889

Black Lung

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Black Lung 11.500 11.845

Telehealth

Dollars in Millions
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

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Rural Residency Development Program 10.468 10.500

Total, Office of Rural Health Policy

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Total, Office of Rural Health Policy 328.530 366.112

Program Management

Dollars in Millions
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

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Family Planning 285.619 286.479

Health Resources and Services:

Dollars in Millions
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:

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Vaccine Injury Compensation Trust Fund Direct Operations 11.200 13.200

Total, HRSA Discretionary Program Level

Dollars in Millions
Activities FY 2021: Final FY 2022: Final
Total, HRSA Discretionary Program Level 7,215.577 8,593.808

Total, HRSA Discretionary Budget Authority

Dollars in Millions
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.

Date Last Reviewed: