FY 2019 Operating Plan

FY 2019 Operating Plan (PDF - 309 KB)

PRIMARY CARE:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Native Hawaiian 17.500 17.500 - 17.500
Health Center Tort Claims 114.893 120.000 - 120.000
Health Centers Loan Guarantee 20.000 - - -
Other Health Centers Funding1 1,469.316 1,488.022 - 1,488.022
Subtotal, Health Centers 1,621.709 1,625.522 - 1,625.522
Free Clinics Medical Malpractice 1.000 1.000 - 1.000
Total, Bureau of Primary Health Care 1,622.709 1,626.522 - 1,626.522

HEALTH WORKFORCE:

National Health Service Corps

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Rural Communities Opioid Initiative 30.000 15.000 - 15.000
Placement at Health Care Facilities within Indian Health Service - 15.000 - 15.000
Other National Health Services 75.000 75.000 15.000 90.000
Subtotal, National Health Service Corps 105.000 105.000 15.000 120.000

Health Professions Training for Diversity:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Centers of Excellence 23.652 23.711 - 23.711
Health Careers Opportunity Program 14.154 14.189 - 14.189
Faculty Loan Repayment 1.187 1.190 - 1.190
Scholarships for Disadvantaged Students 48.705 48.970 - 48.970
Subtotal, Health Professions Training for Diversity 87.697 88.060 - 88.060

Primary Care Training and Enhancement

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Primary Care Training and Enhancement 48.802 48.924 - 48.924

Oral Health Training Programs:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
General Dentistry Program 10.000 12.000 - 12.000
Pediatric Dentistry Program 10.000 12.000 - 12.000
Dental Faculty Loan Repayment Program 3.900 4.000 - 4.000
Other Oral Health 16.671 12.673 - 12.673
Subtotal, Oral Health Training Programs 40.571 40.673 - 40.673

Graduate Medical Education for Health Care Professionals

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Graduate Medical Education for Health Care Professionals3 - 25.000 - 25.000

Interdisciplinary, Community-Based Linkages:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Area Health Education Centers 38.154 39.250 - 39.250
Geriatric Programs 40.635 40.737 - 40.737
Behavioral Health Workforce Education and Training 74.875 75.000 - 75.000

Mental and Behavioral Health

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Other Mental Health 36.891 18.916 - 18.916
Graduate Psychology Education2 - 18.000 - 18.000
Subtotal, Mental and Behavioral Health 36.891 36.916 - 36.916

Subtotal, Interdisciplinary, Community-Based Linkages

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Subtotal, Interdisciplinary, Community-Based Linkages 190.556 191.903 - 191.903

Workforce Information and Analysis

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Workforce Information and Analysis 5.663 5.663 - 5.663

Public Health Workforce Development: Public Health/Preventative Medicine

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Public Health Workforce Development: Public Health/Preventative Medicine 17.000 17.000 - 17.000

Nursing Workforce Development:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Advanced Education Nursing4 74.311 74.581 - 74.581
Nurse Education, Practice and Retention 41.733 41.913 - 41.913
Nursing Workforce Diversity 17.300 17.343 - 17.343
Loan Repayment & Scholarship Program 87.107 87.135 - 87.135
Nurse Faculty Loan Program7 28.500 28.500 -15.000 13.500
Subtotal, Nursing Workforce Development 248.951 249.472 -15.000 234.472

Children's Hospitals Graduate Medical Education Program

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Children's Hospitals Graduate Medical Education Program 314.213 325.000 - 325.000

Total, Health Workforce

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, Health Workforce 1058.452 1096.695 - 1096.695

National Practitioner Data Bank (user fee)

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
National Practitioner Data Bank (user fee) 18.814 18.814 - 18.814

MATERNAL AND CHILD HEALTH:

Maternal and Child Health Block Grant:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Grants to States 556.425 557.831 - 557.831
Special Projects of Regional and National Significance (SPRANS) 76.993 64.724 - 64.724
SPRANS - Maternal Mortality (State Maternal Health Innovation Grants)5 - 23.000 - 23.000
SPRANS - Alliance for Innovation in Maternal Health Initiatives2 - 3.000 - 3.000
SPRANS - Oral Health2 - 5.250 - 5.250
SPRANS - Epilepsy2 - 3.642 - 3.642
SPRANS - Sickle Cell2 - 3.000 - 3.000
SPRANS - Fetal alcohol syndrome2 - 0.477 - 0.477
SPRANS - Children's Health and Development 3.500 3.500 - 3.500
SPRANS - Infant - Toddler Court Teams 3.000 3.000 - 3.000
Subtotal, SPRANS 83.493 109.593 - 109.593
Community Integrated Service Systems (CISS) 10.276 10.276 - 10.276
Subtotal, Maternal and Child Health Block Grant 650.194 677.700 - 677.700

Autism and Other Developmental Disorders

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Autism and Other Developmental Disorders 16.899 17.099 - 17.099
Leadership Education In Neurodevelopment & Related Disabilities (LEND) 32.000 33.500 - 33.500
Subtotal, Autism and Other Developmental Disorders 48.899 50.599 - 50.599

Sickle Cell Service Demonstrations

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Sickle Cell Service Demonstrations 4.455 4.455 - 4.455

Universal Newborn Hearing

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Universal Newborn Hearing 17.818 17.818 - 17.818

Emergency Medical Services for Children

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Emergency Medical Services for Children 22.134 22.334 - 22.334

Healthy Start

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Healthy Start 110.300 - - -
Maternal Mortality Initiative - 12.000 - 12.000
Other Healthy Start2 - 110.500 - 110.500
Subtotal, Healthy Start 110.300 122.500 - 122.500

Heritable Disorders in Newborns & Children

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Severe Combined Immune Deficiency Funding 1.905 2.000 - 2.000
Other Heritable Disorders in Newborns & Children 13.883 14.383 - 14.383
Subtotal, Heritable Disorders 15.788 16.383 - 16.383

Screening and Treatment for Maternal Depression

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Screening and Treatment for Maternal Depression 5.000 5.000 - 5.000

Pediatric Mental Health Care Access

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Pediatric Mental Health Care Access 10.000 10.000 - 10.000

Total, Maternal and Child Health Bureau

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, Maternal and Child Health Bureau 884.588 926.789 - 926.789

RYAN WHITE HIV/AIDS PROGRAM:

Emergency Relief - Part A

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Emergency Relief - Part A 655.876 655.876 - 655.876

Comprehensive Care - Part B

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) 894.559 900.313 - 900.313
Other Part B 414.692 414.692 - 414.692
Subtotal, Part B 1,309.251 1,315.005 - 1,315.005

Subtotal, Parts A and B<

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Subtotal, Parts A and B 1,965.127 1,970.881 - 1,970.881

Early Intervention - Part C

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Early Intervention - Part C 201.079 201.079 - 201.079

Children, Youth, Women & Families - Part D

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Children, Youth, Women & Families - Part D 75.088 75.088 - 75.088

Education and Training Centers - Part F

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Education and Training Centers - Part F 33.611 33.611 - 33.611

AIDS Dental Services - Part F

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
AIDS Dental Services - Part F 13.122 13.122 - 13.122

Special Projects of National Significance

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Special Projects of National Significance 25.000 25.000 - 25.000

Subtotal, Ryan White HIV/AIDS Program

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Subtotal, Ryan White HIV/AIDS Program 2,313.027 2,318.781 - 2,318.781

Total, HIV/AIDS Bureau Program Level

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, HIV/AIDS Bureau Program Level 2,313.027 2,318.781 - 2,318.781

HEALTH CARE SYSTEMS:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Organ Transplantation 25.486 25.549 - 25.549
National Cord Blood Inventory 15.236 16.266 - 16.266
C.W. Bill Young Cell Transplantation Program 24.050 24.609 - 24.609
Poison Control Centers 20.810 22.846 - 22.846
340B Drug Pricing Program 10.210 10.238 - 10.238
Hansen's Disease Center 13.650 13.706 - 13.706
Payment to Hawaii 1.852 1.857 - 1.857
National Hansen's Disease Program - Buildings and Facilities 0.122 0.122 - 0.122
Total, Health Care Systems Bureau 111.416 115.193 - 115.193

RURAL HEALTH:

Rural Health Policy Development

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Rural Health Policy Development 9.325 9.351 - 9.351

Rural Health Outreach Grants

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Other Rural Health Outreach Grants 26.000 21.400 - 21.400
Outreach Service Grants 8.000 12.000 - 12.000
Rural Network Development Grants 15.100 15.300 - 15.300
Delta States Network Grant Program6 14.000 20.000 - 20.000
Network Planning Grants 2.000 2.400 - 2.400
Small Healthcare Provider Quality Improvement Grants 6.200 6.400 - 6.400
Subtotal, Rural Health Outreach Grants 71.300 77.500 - 77.500

Rural Hospital Flexibility Grants

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Small Rural Hospital Improvement Grant Program2 - 19.942 - 19.942
Dept. of Veterans Affairs Electronic Health Record 1.000 1.000 - 1.000
Other Rural Hospital Flexibility Grants2 - 32.667 - 32.667
Subtotal, Rural Hospital Flexibility Grants 49.470 53.609 - 53.609

State Offices of Rural Health

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
State Offices of Rural Health 10.000 10.000 - 10.000

Radiation Exposure Screening and Education Program

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Radiation Exposure Screening and Education Program 1.834 1.834 - 1.834

Black Lung

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Black Lung 10.000 11.000 - 11.000

Telehealth

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Telehealth Network Grant Program - School Based Behavioral Health Awards Telehealth 1.000 1.000 - 1.000
Other Telehealth 19.434 23.500 - 23.500
Subtotal, Telehealth 23.434 24.500 - 24.500

Rural Communities Opioid Response Program

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Rural Communities Opioid Response Program 100.000 - - -
Rural Centers of Excellence - 20.000 - 20.000
Other Rural Communities Opioid Response Program - 100.000 - 100.000
Subtotal, Rural Communities Opioid Response Program 100.000 120.000 - 120.000

Rural Residency Development Program<

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Rural Residency Development Program 14.958 10.000 - 10.000

Total, Office of Rural Health Policy

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, Office of Rural Health Policy 290.321 317.794 - 317.794

Program Management

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Program Management 154.615 155.000 - 155.000
Oral Health Literacy - 0.250 - 0.250
Subtotal, Program Management 154.615 155.250 - 155.250

Family Planning

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Family Planning 285.768 286.479 - 286.479

Health Resources and Services:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Subtotal, HRS Program Level 6,739.710 6,862.317 - 6,862.317
Subtotal, HRS Budget Authority 6,720.896 6,843.503 - 6,843.503

Discretionary Program Level

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Discretionary Program Level 6,739.710 6,862.317 - 6,862.317

Administration:

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Vaccine Injury Compensation Trust Fund Direct Operations 9.200 9.200 - 9.200

Total, HRSA Discretionary Program Level

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, HRSA Discretionary Program Level 6,748.910 6,871.517 - 6,871.517

Total, HRSA Discretionary Budget Authority

Dollars in Millions
Activities FY 2018: Final FY 2019: Initial FY 2019: Adjustments to Match Statutory Amounts7 FY 2019: Final
Total, HRSA Discretionary Budget Authority 6,730.096 6,852.703 - 6,852.703

FOOTNOTES

1 Included in Other Health Centers Funding is $200 million for improving quality of care or expanded services.

2 These programs were funded in FY 2018, but were not identified as PPAs in the FY 2018 report language. As such, no number is listed in the FY 2018 col.

3 Minimum amount of a grant under Graduate Medical Education for Health Care professions not less than $1,000,000.

4 Included is $8,000,000 to continue grants for the clinical training of sexual assault nurse examiners.

5 Included is $1,000,000 for purchase and implementation of telehealth services.

6 $8,000,000 for HRSA's collaboration with the Delta Regional Authority (DRA).

7 The statutory language in P.L. 115-245 provided $15,000,000 more to the National Health Service Corps than assumed in report language (H. Rept. 115-952). In accordance with the requirements in Section 514(b) of P.L. 115-245, this operating plan with the accompanying transmittal message provides notice to the Committees on Appropriations of the House of Representatives and the Senate that HRSA will reduce the Nursing Faculty Loan program accordingly to match statutory totals in P.L. 115-245.

Date Last Reviewed:  January 2019