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FY 2020 Operating Plan

FY 2020 Operating Plan (PDF - 82.5 KB)

PRIMARY CARE:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Native Hawaiian 17.500 19.000 - 19.000
Health Center Tort Claims 120.000 120.000 - 120.000
Domestic HIV Plan - 50.000 - 50.000
Intimate Partner Violence - 1.000 - 1.000
Health Center Controlled Networks (Technical Assistance) HIV - 1.000 - 1.000
Other Health Centers Funding 1,479.220 1,434.522 - 1,434.522
Subtotal, Health Centers 1,616.720 1,625.522 - 1,625.522
Free Clinics Medical Malpractice 1.000 1.000 - 1.000
Total, Bureau of Primary Health Care 1,616.720 1,626.522 - 1,626.522

HEALTH WORKFORCE:

National Health Service Corps

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Rural Communities Opioid Initiative 15.000 - - -
Placement at Health Care Facilities within Indian Health Service 15.000 15.000 - 15.000
Other National Health Services 90.000 105.000 - 105.000
Subtotal, National Health Service Corps 120.000 120.000 - 120.000

Health Professions Training for Diversity:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Centers of Excellence 23.593 23.711 - 23.711
Health Careers Opportunity Program 14.118 15.000 - 14.189
Faculty Loan Repayment 1.184 1.190 - 1.190

Scholarships for Disadvantaged Students

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
    Midwife Training - 2.500 - 2.500
    Other Scholarships for Disadvantaged Students 48.726 48.970 - 48.970
    Subtotal, Scholarships for Disadvantaged Students 48.726 51.470 - 51.470

Subtotal, Health Professions Training for Diversity

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Subtotal, Health Professions Training for Diversity 87.622 91.371 - 91.371

Primary Care Training and Enhancement

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Primary Care Training and Enhancement 48.680 48.924 - 48.924

Oral Health Training Programs:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
General Dentistry Program 12.000 12.000 - 12.000
Pediatric Dentistry Program 12.000 12.000 - 12.000
Dental Faculty Loan Repayment Program 4.000 4.000 - 4.000
Other Oral Health 12.471 12.673 - 12.673
Subtotal, Oral Health Training Programs 40.471 40.673 - 40.673

Graduate Medical Education for Health Care Professionals

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Graduate Medical Education for Health Care Professionals 1 25.000 50.000 - 50.000

Interdisciplinary, Community-Based Linkages:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Area Health Education Centers 39.055 41.250 - 41.250
Geriatric Programs 40.534 40.737 - 40.737

Behavioral Health Workforce Education and Training

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Mental and Substance Use Disorder Workforce Training Demonstration - 26.700   26.700
Peer Support   10.000   10.000
Loan Repayment Program for Substance Use Disorder Treatment Workforce   12.000   12.000
Other Behavioral Health Workforce Education and Training 75.000 53.300 0.450 53.750
Subtotal, Behavioral Health Workforce Education and Training 75.000 102.000 0.450 102.450

Mental and Behavioral Health

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Other Mental Health 18.916 18.916 -0.450 18.466
Graduate Psychology Education 18.000 18.000 - 18.000
Subtotal, Mental and Behavioral Health 36.916 36.916 -0.450 36.466

Subtotal, Interdisciplinary, Community-Based Linkages

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Subtotal, Interdisciplinary, Community-Based Linkages 191.505 220.903 - 220.903

Workforce Information and Analysis

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Workforce Information and Analysis 5.635 5.663 - 5.663

Public Health Workforce Development: Public Health/Preventative Medicine

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Public Health Workforce Development: Public Health/Preventative Medicine 16.915 17.000 - 17.000

Nursing Workforce Development:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Advanced Education Nursing 2 74. 210 75.581 - 75.581
Nurse Education, Practice, Quality and Retention 3 41.704 43.913 - 43.913
Nurse Practitioner Optional Fellowship Program - 5.000 - 5.000
Nursing Workforce Diversity 4 17.257 18.343 - 18.343
Loan Repayment & Scholarship Program 86.701 88.635 - 88.635
Nurse Faculty Loan Program 13.433 28.500 - 28.500
Subtotal, Nursing Workforce Development 233.305 259.972 - 259.972

Children's Hospitals Graduate Medical Education Program

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Children's Hospitals Graduate Medical Education Program 323.382 340.000 - 340.000

Total, Health Workforce

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Total, Health Workforce 1,092.514 1,194.506 - 1,194.506

National Practitioner Data Bank (user fee)

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: 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 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Grants to States 555.380 558.308 - 558.308
Special Projects of Regional and National Significance (SPRANS) 64.440 64.724 - 64.724
SPRANS - Maternal Mortality (State Maternal Health Innovation Grants) 5 22.899 23.000 - 23.000
SPRANS - Alliance for Maternal Health Safety Bundles 2.987 5.000 - 5.000
SPRANS - Oral Health 5.227 5.000 - 5.000
   SPRANS - Oral Health Set-Aside   0.250   0.250
SPRANS - Epilepsy 3.626 3.642 - 3.642
SPRANS - Sickle Cell 2.987 3.000 - 3.000
SPRANS - Fetal alcohol syndrome 0.475 1.000 - 1.000
SPRANS - Children's Health and Development 3.485 3.500 - 3.500
SPRANS - Infant - Toddler Court Teams 2.987 10.000 - 10.000
Subtotal, SPRANS 109.112 119.116 - 119.116
Community Integrated Service Systems (CISS) 10.231 10.276 - 10.276
Subtotal, Maternal and Child Health Block Grant 674.723 687.450 - 687.450

Autism and Other Developmental Disorders

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Autism and Other Developmental Disorders 17.024 17.099 - 17.099
Leadership Education In Neurodevelopment & Related Disabilities (LEND) 33.353 35.245 - 35.245
Subtotal, Autism and Other Developmental Disorders 50.377 52.344 - 52.344

Sickle Cell Service Demonstrations

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Sickle Cell Service Demonstrations 4.435 5.205 - 5.205

Universal Newborn Hearing

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Universal Newborn Hearing 17.740 17.818 - 17.818

Emergency Medical Services for Children

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Emergency Medical Services for Children 22.236 22.334 - 22.334

Healthy Start

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Maternal Mortality Initiative 11.947 15.000 - 15.000
Other Healthy Start 110.015 110.500 - 110.500
Subtotal, Healthy Start 121.962 125.500 - 125.500

Heritable Disorders in Newborns & Children

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Severe Combined Immune Deficiency Funding 1.928 3.000 - 3.000
Other Heritable Disorders in Newborns & Children 14.383 14.883 - 14.883
Subtotal, Heritable Disorders 16.311 17.883 - 17.883

Screening and Treatment for Maternal Depression

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Screening and Treatment for Maternal Depression 4.978 5.000 - 5.000

Pediatric Mental Health Care Access

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Pediatric Mental Health Care Access 9.956 10.000 - 10.000

Total, Maternal and Child Health Bureau

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Total, Maternal and Child Health Bureau 922.717 943.534 - 943.534

RYAN WHITE HIV/AIDS PROGRAM:

Emergency Relief - Part A

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Emergency Relief - Part A 655.876 655.876 - 655.876

Comprehensive Care - Part B

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) 900.313 900.313 - 900.313
Other Part B 414.692 414.692 - 414.692
Subtotal, Part B 1,315.005 1,315.005 - 1,315.005

Subtotal, Parts A and B

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Subtotal, Parts A and B 1,970.881 1,970.881 - 1,970.881

Early Intervention - Part C

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Early Intervention - Part C 201.079 201.079 - 201.079

Children, Youth, Women & Families - Part D

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Children, Youth, Women & Families - Part D 75.088 75.088 - 75.088

Education and Training Centers - Part F

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Education and Training Centers - Part F 33.611 33.611 - 33.611

AIDS Dental Services - Part F

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
AIDS Dental Services - Part F 13.122 13.122 - 13.122

Special Projects of National Significance

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Special Projects of National Significance 25.000 25.000 - 25.000

Domestic HIV Initiative

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Domestic HIV Initiative   70.000   70.000

Subtotal, Ryan White HIV/AIDS Program

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Subtotal, Ryan White HIV/AIDS Program 2,318.781 2,388.781 - 2,388.781

Total, HIV/AIDS Bureau Program Level

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Total, HIV/AIDS Bureau Program Level 2,318.781 2,388.781 - 2,388.781

HEALTH CARE SYSTEMS:

Organ Transplantation

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
National Living Donor Assistance Center 6   6.000   6.000
Other Organ Transplantation 25.437 21.549   21.549
    Subtotal, Organ Transplantation 25.437 27.549   27.549

Other Health Care Systems

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
National Cord Blood Inventory 16.195 17.266 - 17.266
C.W. Bill Young Cell Transplantation Program 24.501 30.009 - 30.009
Poison Control Centers 22.746 22.846 - 22.846
340B Drug Pricing Program 10.193 10.238 - 10.238
Hansen's Disease Center 13.646 13.706 - 13.706
Payment to Hawaii 1.849 1.857 - 1.857
National Hansen's Disease Program - Buildings and Facilities 0.122 0.122 - 0.122

Total, Health Care Systems Bureau

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Total, Health Care Systems Bureau 114.687 123.593 - 123.593

RURAL HEALTH:

Rural Health Policy Development

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Telementoring Training Center - 1.000 - 1.000
Other Rural Health Policy Development 9.284 9.351   9.351
Subtotal, Rural Health Policy Development 9.284 10.351   10.351

Rural Health Outreach Grants

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Other Rural Health Outreach Grants 20.842 24.300 - 24.300
Outreach Service Grants 12.000 12.000 - 12.000
Rural Network Development Grants 15.300 12.900 - 12.900
Delta States Network Grant Program 7 20.000 22.000 - 22.000
Network Planning Grants 2.400 1.900 - 1.900
Small Healthcare Provider Quality Improvement Grants 6.400 6.400 - 6.400
Subtotal, Rural Health Outreach Grants 76.942 79.500 - 79.500

Rural Hospital Flexibility Grants

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Small Rural Hospital Improvement Grant Program 19.942 19.942 - 19.942
Dept. of Veterans Affairs Electronic Health Record 1.000 1.000 - 1.000
Other Rural Hospital Flexibility Grants 32.281 32.667 - 32.667
Subtotal, Rural Hospital Flexibility Grants 53.223 53.609 - 53.609

State Offices of Rural Health

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
State Offices of Rural Health 9.928 12.500 - 12.500

Radiation Exposure Screening and Education Program

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Radiation Exposure Screening and Education Program 1.821 1.834 - 1.834

Black Lung

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Black Lung 10.921 11.500 - 11.500

Telehealth

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Telehealth Network Grant Program  1.000 - - -
Telehealth Evaluation - 1.000 - 1.000
Telehealth Centers of Excellence - 6.000 - 6.000
Other Telehealth 23.324 22.000 - 22.000
Subtotal, Telehealth 24.324 29.000 - 29.000

Rural Communities Opioid Response Program

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Rural Centers of Excellence 20.000 10.000 - 10.000
Other Rural Communities Opioid Response Program 100.000 100.000 - 100.000
Subtotal, Rural Communities Opioid Response Program 120.000 110.000 - 110.000

Rural Residency Development Program

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Rural Residency Development Program 9.956 10.000 - 10.000

Total, Office of Rural Health Policy

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Total, Office of Rural Health Policy 316.398 318.294 - 318.294

Program Management

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments  FY 2020: Final
Program Management 154.318 155.000 - 155.000
Oral Health Literacy 0.250 0.300 - 0.300
Subtotal, Program Management 154.568 155.300 - 155.300

Family Planning

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Family Planning 285.220 286.479 - 286.479

Health Resources and Services:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Subtotal, HRS Program Level 6,841.420 7,055.823 - 7,055.823
Subtotal, HRS Budget Authority 6,822.606 7,037.009 - 7,037.009

Discretionary Program Level

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Discretionary Program Level 6,841.420 7,055.823 - 7,055.823

Administration:

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Vaccine Injury Compensation Trust Fund Direct Operations 9.200 10.200 - 10.200

Total, HRSA Discretionary Program Level

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Total, HRSA Discretionary Program Level 6,850.620 7,066.023 - 7,066.023

Total, HRSA Discretionary Budget Authority

Dollars in Millions
Activities FY 2019: Final FY 2020: Enacted FY 2020: Adjustments FY 2020: Final
Total, HRSA Discretionary Budget Authority 8 6,831.806 7,047.209 - 7,047.209

FOOTNOTES

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

2 Included is $9,000,000 to continue grants for the clinical training of sexual assault nurse examiners.

3 Included is $2,000,000 for new competitive grants to enhance nurse education.

4 Included is no less than $1,000,000 to support a model program under section 821 of the Public Service Act.

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

6 In FY 2019, $3,250,000 was allocated for this program for reimbursement of travel and subsistence expenses toward Living Organ Donation.  This has been identified as a PPA in FY 2020.

7 Included is $10,000,000 for HRSA's collaboration with the Delta Regional Authority (DRA).

8 Additionally, funds provided in PL 115-123 for hurricane response and PL 116-20 for disaster response are not displayed on this plan.

Date Last Reviewed:  February 2020