FY 2018 Operating Plan

FY 2018 Operating Plan (PDF - 18 KB)

Dollars in Millions

Activities FY 2017 FY 2018
Final Final /7
PRIMARY CARE:    
Native Hawaiian 14.400 17.500
Health Center Tort Claims 99.893 114.893
Health Centers Loan Guarantee - 20.000
Other Health Centers Funding /1 1,372.636 1,473.129
Subtotal, Health Centers 1,486.929 1,625.522
Free Clinics Medical Malpractice 1.000 1.000
Total, Bureau of Primary Health Care 1,487.929 1,626.522
     
HEALTH WORKFORCE:    
National Health Service Corps /2 - 105.000
Health Professions Training for Diversity: - -
Centers of Excellence 21.659 23.711
Health Careers Opportunity Program 14.155 14.189
Faculty Loan Repayment 1.187 1.190
Scholarships for Disadvantaged Students 45.859 48.970
Subtotal, Health Professions Training for Diversity 82.860 88.060
     
 Primary Care Training and Enhancement 38.830 48.924
     
Oral Health Training Programs:    
General Dentistry Program 10.800 10.000
Pediatric Dentistry Program 13.500 10.000
Dental Faculty Loan Repayment Program 1.675 2.000
Other Oral Health 10.612 18.673
Subtotal, Oral Health Training Programs 36.587 40.673
     
Interdisciplinary, Community-Based Linkages:    
Area Health Education Centers 30.177 38.250
Geriatric Programs 38.644 40.737
Behavioral Health Workforce Education and Training 50.000 75.000
Mental and Behavioral Health 9.892 36.912
Subtotal, Interdisciplinary, Community-Based Linkages 128.713 190.903
     
Workforce Information and Analysis 4.652 5.663
     
Public Health Workforce Development: Public Health/Preventative Medicine 16.949 17.000
     
Nursing Workforce Development:    
Advanced Education Nursing 64.425 74.581
Nurse Education, Practice and Retention 39.817 41.913
Nursing Workforce Diversity 15.306 17.343
Loan Repayment & Scholarship Program 82.935 87.135
Nurse Faculty Loan Program 26.436 28.500
Subtotal, Nursing Workforce Development 228.919 249.472
Children's Hospitals Graduate Medical Education Program 299.289 315.000
Total, Health Workforce 836.799 1,060.695
     
National Practitioner Data Bank (user fee) 18.814 18.814
     
MATERNAL AND CHILD HEALTH:    
Maternal and Child Health Block Grant:    
Grants to States 549.504 557.831
Special Projects of Regional and National Significance (SPRANS) /3 64.568 77.093
SPRANS - Oral Health 5.237 -
SPRANS - Epilepsy 3.633 -
SPRANS - Sickle Cell 2.993 -
SPRANS - Fetal alcohol syndrome .476 -
SPRANS - Children's Health and Development 3.500 3.500
SPRANS - Infant - Toddler Court Teams - 3.000
Subtotal, SPRANS 80.407 83.593
Community Integrated Service Systems (CISS) 10.251 10.276
Subtotal, Maternal and Child Health Block Grant 640.163 651.700
Autism and Other Developmental Disorders 15.298 17.099
Leadership Education In Neurodevelopment & Related Disorders 31.688 32.000
Subtotal, Autism and Other Developmental Disorders 46.986 49.099
Sickle Cell Service Demonstrations 4.444 4.455
Universal Newborn Hearing 17.775 17.818
Emergency Medical Services for Children 20.113 22.334
Healthy Start 103.251 110.500
Flint Response and Lead Poisoning Prevention (PL 114-254) 15.000 -
Heritable Disorders:    
Other Severe Combined Immune Deficiency Funding 1.995 2.000
Other Heritable Disorders 11.854 13.883
Subtotal, Heritable Disorders 13.850 15.883
Screening and Treatment for Maternal Depression - 5.000
Pediatric Mental Health Care Access - 10.000
Total, Maternal and Child Health Bureau 861.581 866.789
     
RYAN WHITE HIV/AIDS PROGRAM:    
Emergency Relief - Part A 654.296 655.876
Comprehensive Care - Part B    
AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) 900.313 900.313
Other Part B 411.524 414.692
Subtotal, Part B 1,311.837 1,315.005
Subtotal, Parts A and B 1,966.133 1,970.881
Early Intervention - Part C 200.585 201.079
Children, Youth, Women & Families - Part D 74.907 75.088
Education and Training Centers - Part F 33.530 33.611
Dental Services Part F 13.090 13.122
Special Projects of National Significance 24.940 25.000
Subtotal, Ryan White HIV/AIDS Program 2,313.185 2,318.781
Total, HIV/AIDS Bureau Program Level 2,313.185 2,318.781
     
HEALTH CARE SYSTEMS:    
Organ Transplantation 23.492 25.549
National Cord Blood Inventory 12.239 15.266
C.W. Bill Young Cell Transplantation Program 22.056 24.109
Poison Control Centers 18.801 20.846
340B Drug Pricing Program 10.213 20.238
Hansen's Disease Center 15.169 13.706
Payment to Hawaii 1.853 1.857
National Hansen's Disease Program - Buildings and Facilities .122 .122
Total, Health Care Systems Bureau 103.944 111.693
     
RURAL HEALTH:    
Rural Health Policy Development 9.328 9.351
Rural Health Outreach Grants - -
Other Rural Health Outreach Grants 17.179 26.200
Outreach Service Grants 12.484 8.000
Rural Network Development Grants 15.000 15.100
Delta States Network Grant Program /4 12.000 14.000
Network Planning Grants 2.200 2.000
Small Healthcare Provider Quality Improvement Grants 6.484 6.200
Subtotal, Rural Health Outreach Grants 65.347 71.500
Rural Hospital Flexibility Grants    
Small Rural Hospital Improvement Grant Program 14.906 -
Dept. of Veterans Affairs Electronic Health Record .998 1.000
Critical Access Hospitals 2.000 -
Other Rural Hospital Flexibility Grants 25.605 -
Subtotal, Rural Hospital Flexibility Grants /5 43.509 49.609
State Offices of Rural Health 9.977 10.000
Radiation Exposure Screening and Education Program 1.830 1.834
Black Lung 7.250 10.000
Telehealth    
Telehealth Network Grant Program 8.100 -
Telehealth Centers of Excellence Program - -
Telehealth Centers of Excellence Research - 1.000
Telehealth Centers of Excellence 1.115 3.000
Subtotal, Telehealth Centers of Excellence Program 1.115 4.000
Other Telehealth /6 9.244 19.500
Subtotal, Telehealth 18.459 23.500
Rural Communities Opioid Response Program - 100.000
Rural Residency Program - 15.000
Total, Office of Rural Health Policy 155.700 290.764
Program Management 153.629 155.000
Family Planning 286.479 286.479
     
Health Resources and Services:    
Subtotal, HRS Program Level 6,218.061 6,755.567
Subtotal, HRS Budget Authority 6,199.247 6,736.753
Discretionary Program Level 6,218.061 6,755.567
     
Administration:    
Vaccine Injury Compensation Trust Fund Direct Operations 7.750 9.200
     
Total, HRSA Discretionary Program Level 6,225.811 6,764.767
Total, HRSA Discretionary Budget Authority 6,206.997 6,475.953

FootNotes
1/ Included in Other Health Centers Funding is $200 million for improving quality of care or expanded services
2/ Included in the National Health Service Corps total is up to $30 million for the Rural Health Communities Opioid Response Initiative
3/ Included in Special Projects of Regional and National Significance (SPRANS) for FY 2018 is funding for Oral Health, Epilepsy, Sickle Cell, and Fetal alcohol syndrome. In FY 2017 these lines were in the report language as PPAs; in FY 2018 they were not identified as PPAs.
4/ Amount includes $500K for Telehealth Equipment and Financial Systems Enhancements and $750K for Rural Hospital Finance and Telemedicine
5/ Included in Rural Hospital Flexibility Grants for FY 2018 is funding for the Small Rural Hospital Improvement Grant Program, Critical Access Hospitals, and Other Rural Hospital Flexibility Grants. In FY 2017 these lines were in the report language as PPAs; in FY 2018 they were not identified as PPAs.
6/ Included in Other Telehealth is funding for Telehealth Network Grant Program. In FY 2017 Telehealth Network Grant Program was in the report language as a PPA; in FY 2018 it was not identified as a PPA.
7/ Additionally, funds provided in PL 115-123 for hurricane response and health programs extenders are not displayed on this plan

Date Last Reviewed:  May 2018