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FY 2021 Operating Plan

FY 2021 Operating Plan (PDF - 77 KB)

PRIMARY CARE:

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Native Hawaiian 19.000 20.500
Health Center Tort Claims 120.000 120.000
Ending the HIV Epidemic Initiative 50.000 102.250
Intimate Partner Violence 1.000 1.500
Primary Care Associations (Technical Assistance) - HIV 1.000 1.500
School-Based Health Centers - 5.000
Other Health Centers Funding 1,434.522 1,432.022
Subtotal, Health Centers 1,625.522 1,682.772
Free Clinics Medical Malpractice 1.000 1.000
Total, Bureau of Primary Health Care 1,626.522 1,683.772

HEALTH WORKFORCE:

National Health Service Corps

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Rural Communities Opioid Initiative - -
Placement at Health Care Facilities within Indian Health Service 15.000 15.000
Other National Health Services 105.000 105.000
Subtotal, National Health Service Corps 120.000 120.000

Health Professions Training for Diversity:

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Centers of Excellence 23.711 23.711
Health Careers Opportunity Program 15.000 15.000
Faculty Loan Repayment 1.190 1.190
Scholarships for Disadvantaged Students: Midwife Training 2.500 2.500
Other Scholarships for Disadvantaged Students 48.970 48.970
Subtotal, Health Professions Training for Diversity 91.371 91.371

Primary Care Training and Enhancement

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Primary Care Training and Enhancement 48.924 48.924

Oral Health Training Programs:

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
General Dentistry Program 12.000 12.000
Pediatric Dentistry Program 12.000 12.000
Dental Faculty Loan Repayment Program 4.000 4.000
Other Oral Health 12.673 12.673
Subtotal, Oral Health Training Programs 40.673 40.673

Graduate Medical Education for Health Care Professionals

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Graduate Medical Education for Health Care Professionals 1 50.000 50.000

Interdisciplinary, Community-Based Linkages:

Area Health Education Centers

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Rural Health Care Simulation Labs - 2.000
Other Area Health Education Centers 41.250 41.250
Subtotal, Area Health Education Centers 41.250 43.250

Geriatric Programs

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Geriatric Programs 40.737 42.737

Behavioral Health Workforce Education and Training

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Mental and Substance Use Disorder Workforce Training Demonstration 26.700 29.700
Peer Support 10.000 13.000
Loan Repayment Program for Substance Use Disorder Treatment Workforce 12.000 16.000
Other Behavioral Health Workforce Education and Training 53.750 53.300
Subtotal, Behavioral Health Workforce Education and Training 102.450 112.000

Mental and Behavioral Health

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Other Mental Health 18.466 18.916
Graduate Psychology Education 18.000 19.000
Subtotal, Mental and Behavioral Health 36.466 37.916

Subtotal, Interdisciplinary, Community-Based Linkages

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Subtotal, Interdisciplinary, Community-Based Linkages 220.903 235.903

Workforce Information and Analysis

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Workforce Information and Analysis 5.663 5.663

Public Health Workforce Development: Public Health/Preventative Medicine

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Public Health Workforce Development: Public Health/Preventative Medicine 17.000 17.000

Nursing Workforce Development

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Advanced Education Nursing 75.581 75.581
Nurse Education, Practice, Quality and Retention: Experiential Learning Opportunities - 3.000
Nurse Education, Practice, Quality and Retention: Other 43.913 43.913
Nurse Practitioner Optional Fellowship Program 5.000 5.000
Nursing Workforce Diversity: Elder Enhancement Program - 2.500
Nursing Workforce Diversity: Other 18.343 17.343
Nurse Corps Loan Repayment & Scholarship Program 88.635 88.635
Nurse Faculty Loan Program 28.500 28.500
Subtotal, Nursing Workforce Development 259.972 264.472

Children's Hospitals Graduate Medical Education Program

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Children's Hospitals Graduate Medical Education Program 340.000 350.000

Total, Health Workforce

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, Health Workforce 1,194.506 1,224.006

National Practitioner Data Bank (user fee)

Dollars in Millions
Activities FY 2020: Final FY 2021: 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 2020: Final FY 2021: Final
Grants to States 558.308 563.308
Special Projects of Regional and National Significance (SPRANS) 64.724 59.924
SPRANS - Maternal Mortality (State Maternal Health Innovation Grants) 23.000 23.000
SPRANS - Maternal Mental Health Hotline - 3.000
SPRANS - Alliance for Maternal Health Safety Bundles 5.000 9.000
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 3.000 5.000
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 10.000
SPRANS - Hemophilia Treatment Centers - 4.800
SPRANS - Adverse Childhood Experiences Study - 1.000
SPRANS - Regional Pediatric Pandemic Network - 10.000
Subtotal, SPRANS 119.116 139.116
Community Integrated Service Systems (CISS) 10.276 10.276
Subtotal, Maternal and Child Health Block Grant 687.700 712.700

Autism and Other Developmental Disorders

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Leadership Education In Neurodevelopment & Related Disabilities (LEND) 35.245 36.245
Other Autism and Other Developmental Disorders  17.099  17.099
Subtotal, Autism and Other Developmental Disorders 52.344 53.344

Sickle Cell Service Demonstrations

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Sickle Cell Service Demonstrations 5.205 7.205

Universal Newborn Hearing

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Universal Newborn Hearing 17.818 17.818

Emergency Medical Services for Children

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Emergency Medical Services for Children 22.334 22.334

Healthy Start

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Maternal Mortality Initiative 15.000 15.000
Other Healthy Start 110.500 113.000
Subtotal, Healthy Start 125.500 128.000

Heritable Disorders in Newborns & Children

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Severe Combined Immune Deficiency Funding 3.000 3.000
Other Heritable Disorders in Newborns & Children 14.883 15.883
Subtotal, Heritable Disorders 17.883 18.883

Screening and Treatment for Maternal Depression

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Screening and Treatment for Maternal Depression 5.000 5.000

Pediatric Mental Health Care Access

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Pediatric Mental Health Care Access 10.000 10.000

Total, Maternal and Child Health Bureau

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, Maternal and Child Health Bureau 943.784 975.284

RYAN WHITE HIV/AIDS PROGRAM:

Emergency Relief - Part A

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Emergency Relief - Part A 655.876 655.876

Comprehensive Care - Part B

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) 900.313 900.313
Other Part B 414.692 414.692
Subtotal, Part B 1,315.005 1,315.005

Subtotal, Parts A and B

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Subtotal, Parts A and B 1,970.881 1,970.881

Early Intervention - Part C

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Early Intervention - Part C 201.079 201.079

Children, Youth, Women & Families - Part D

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Children, Youth, Women & Families - Part D 75.088 75.088

Education and Training Centers - Part F

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Education and Training Centers - Part F 33.611 33.611

AIDS Dental Services - Part F

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
AIDS Dental Services - Part F 13.122 13.122

Special Projects of National Significance

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Special Projects of National Significance 25.000 25.000

Domestic HIV Initiative

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Domestic HIV Initiative 70.000 105.000

Subtotal, Ryan White HIV/AIDS Program

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Subtotal, Ryan White HIV/AIDS Program 2,388.781 2,423.781

Total, HIV/AIDS Bureau Program Level

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, HIV/AIDS Bureau Program Level 2,388.781 2,423.781

HEALTH CARE SYSTEMS:

Organ Transplantation

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
National Living Donor Assistance Center 6.000 6.000
Other Organ Transplantation 21.549 23.049
Subtotal, Organ Transplantation 27.549 29.049

Other Health Care Systems

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
National Cord Blood Inventory 17.266 18.266
C.W. Bill Young Cell Transplantation Program 30.009 31.009
Poison Control Centers 22.846 24.846
Office of Pharmacy Affairs 10.238 10.238
Hansen's Disease Center 13.706 13.706
Payment to Hawaii 1.857 1.857
National Hansen's Disease Program - Buildings and Facilities 0.122 0.122

Total, Health Care Systems Bureau

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, Health Care Systems Bureau 123.593 129.093

RURAL HEALTH:

Rural Health Policy Development

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Telementoring Training Center 1.000 1.000
Other Rural Health Policy Development 9.351 10.076
Subtotal, Rural Health Policy Development 10.351 11.076

Rural Health Outreach Grants

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Other Rural Health Outreach Grants 24.300 24.300
Outreach Service Grants 12.000 12.000
Rural Network Development Grants 12.900 12.900
Delta States Network Grant Program2 22.000 24.000
Northern Border Regional Commission (NBRC) - 1.000
Network Planning Grants 1.900 1.900
Small Healthcare Provider Quality Improvement Grants 6.400 6.400
Subtotal, Rural Health Outreach Grants 79.500 82.500

Rural Hospital Flexibility Grants

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Small Rural Hospital Improvement Grant Program 19.942 20.942
Dept. of Veterans Affairs Electronic Health Record 1.000 1.000
Other Rural Hospital Flexibility Grants 32.667 33.667
Subtotal, Rural Hospital Flexibility Grants 53.609 55.609

State Offices of Rural Health

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
State Offices of Rural Health 12.500 12.500

Radiation Exposure Screening and Education Program

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Radiation Exposure Screening and Education Program 1.834 1.834

Black Lung

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Black Lung 11.500 11.500

Telehealth

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Telehealth Technology-Enabled Collaborative Learning/Capacity Building - 4.500
Telehealth Evaluation 1.000 1.000
Telehealth Centers of Excellence 6.000 6.500
Other Telehealth 22.000 22.000
Subtotal, Telehealth 29.000 34.000

Rural Communities Opioid Response Program

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Rural Centers of Excellence 10.000 10.000
NBRC Workforce Training Activities - 1.500
Other Rural Communities Opioid Response Program 100.000 98.500
Subtotal, Rural Communities Opioid Response Program 110.000 110.000

Rural Residency Development Program

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Rural Residency Development Program 10.000 10.500

Total, Office of Rural Health Policy

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, Office of Rural Health Policy 318.294 329.519

Program Management

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Program Management 155.000 155.000
Oral Health Literacy 0.300 0.300
Subtotal, Program Management 155.300 155.300

Family Planning

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Family Planning 286.479 286.479

Health Resources and Services:

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Subtotal, HRS Program Level 7,056.073 7,226.048
Subtotal, HRS Budget Authority 7,037.259 7,207.234
Discretionary Program Level  7,056.073 7,226.048

Administration:

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Vaccine Injury Compensation Trust Fund Direct Operations 10.200 11.200

Total, HRSA Discretionary Program Level

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, HRSA Discretionary Program Level 7,066.273 7,237.248

Total, HRSA Discretionary Budget Authority

Dollars in Millions
Activities FY 2020: Final FY 2021: Final
Total, HRSA Discretionary Budget Authority 7,047.459 7,218.434

FOOTNOTES

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

2 Included is $12,000,000 for HRSA's collaboration with the Delta Regional Authority (DRA).

Date Last Reviewed:  February 2021