General Department Management
General Departmental Management
General Departmental Management
TABLE OF CONTENTS
Appropriations Language ............................................................................................................................ 3
Language Analysis ....................................................................................................................................... 4
Authorizing Legislation................................................................................................................................ 5
Amounts Available for Obligation ............................................................................................................... 6
Summary of Changes .................................................................................................................................. 7
Budget Authority by Activity ? Direct ......................................................................................................... 8
Budget Authority by Object Class ? Direct.................................................................................................. 9
Budget Authority by Object Class ? Reimbursable ................................................................................... 10
Salary and Expenses .................................................................................................................................. 11
Appropriation History Table...................................................................................................................... 12
Overview of Performance ......................................................................................................................... 13
FY 2018 Budget by HHS Strategic Goal ..................................................................................................... 14
Overview of Budget Request .................................................................................................................... 15
Narratives by Activity ................................................................................................................................ 16
Immediate Office of the Secretary................................................................................................. 16
Secretarial Initiatives and Innovations........................................................................................... 20
Assistant Secretary for Administration.......................................................................................... 21
Assistant Secretary for Financial Resources .................................................................................. 26
Acquisition Reform ........................................................................................................................ 29
Assistant Secretary for Legislation................................................................................................. 30
Assistant Secretary for Public Affairs ............................................................................................. 33
Office of the General Counsel........................................................................................................ 35
Departmental Appeals Board ........................................................................................................ 38
Office of Global Affairs................................................................................................................... 46
Office of Intergovernmental and External Affairs.......................................................................... 51
Center for Faith-Based and Neighborhood Partnerships .............................................................. 53
Office of the Assistant Secretary for Health .................................................................................. 55
Executive Summary........................................................................................................... 55
Immediate Office of the Assistant Secretary for Health................................................... 57
Office of HIV/AIDS and Infectious Disease Policy ............................................................. 64
Office of Disease Prevention and Health Promotion........................................................ 67
President's Council on Fitness, Sports and Nutrition ....................................................... 72
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General Departmental Management
Office of Human Research Protections............................................................................. 75
National Vaccine Program Office...................................................................................... 79
Office of Adolescent Health.............................................................................................. 87
Public Health Reports ....................................................................................................... 89
Teen Pregnancy Prevention.............................................................................................. 91
Office of Minority Health .................................................................................................. 93
Office on Women's Health.............................................................................................. 103
Office of Research Integrity ............................................................................................ 112
Embryo Adoption Awareness Campaign ........................................................................ 117
Sexual Risk Avoidance..................................................................................................... 119
Minority HIV/AIDS Initiative ........................................................................................... 120
Rent, Operation, and Maintenance and Related Services........................................................... 123
Shared Operating Expenses ......................................................................................................... 124
PHS Evaluation Funded Appropriations....................................................................................... 126
Assistant Secretary for Planning and Evaluation ............................................................ 126
Office of the Assistant Secretary for Health ................................................................... 132
Teen Pregnancy Prevention............................................................................................ 134
Pregnancy Assistance Fund.......................................................................................................... 136
Supporting Exhibits ................................................................................................................................. 139
Detail of Positions ........................................................................................................................ 139
Detail of Full-Time Equivalent (FTE) Employment ....................................................................... 140
FTE Funded by the Affordable Care Act....................................................................................... 141
Statement of Personnel Resources.............................................................................................. 142
FTE Pay Analysis ........................................................................................................................... 143
Rent and Common Expenses ....................................................................................................... 144
Significant Items in Conference, House, and Senate Appropriations Committees Reports................... 145
.............................................................................................................................................. 160
Physicians' Comparability Allowance (PCA) ............................................................................................ 164
Centrally Managed Projects .................................................................................................................... 165
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General Departmental Management
APPROPRIATIONS LANGUAGE
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided for general departmental management, including the hire [six]of passenger motor vehicles, and for carrying out titles III, XVII, XXI, and section 229 of the PHS Act, the United States-Mexico Border Health Commission Act, and research studies under section 1110 of the Social Security Act, [$456,009,000] $304,501,000 together with [$64,828,000] $57,465,000 from the amounts available under section 241 of the PHS Act to carry out national health or human services research and evaluation activities: Provided, [That of the funds made available under this heading, $53,900,000 shall be for minority AIDS prevention and treatment activities: Provided further, That of the funds made available under this heading, $101,000,000 shall be for making competitive contracts and grants to public and private entities to fund medically accurate and age appropriate programs that reduce teen pregnancy and for the Federal costs associated with administering and evaluating such contracts and grants, of which not less than 10 percent of the available funds shall be for training and technical assistance, evaluation, outreach, and additional program support activities, and of the remaining amount 75 percent shall be for replicating programs that have been proven effective through rigorous evaluation to reduce teenage pregnancy, behavioral risk factors underlying teenage pregnancy, or other associated risk factors, and 25 percent shall be available for research and demonstration grants to develop, replicate, refine, and test additional models and innovative strategies for preventing teenage pregnancy: Provided further, That of the amounts provided under this heading from amounts available under section 241 of the PHS Act, $6,800,000 shall be available to carry out evaluations (including longitudinal evaluations) of teenage pregnancy prevention approaches: Provided further,] That of the funds made available under this heading, $10,000,000 shall be for making competitive grants which exclusively implement education in sexual risk avoidance (defined as voluntarily refraining from non-marital sexual activity): Provided further, That funding for such competitive grants for sexual risk avoidance shall use medically accurate information referenced to peer-reviewed publications by educational, scientific, governmental, or health organizations; implement an evidencebased approach integrating research findings with practical implementation that aligns with the needs and desired outcomes for the intended audience; and teach the benefits associated with self-regulation, success sequencing for poverty prevention, healthy relationships, goal setting, and resisting sexual coercion, dating violence, and other youth risk behaviors such as underage drinking or illicit drug use without normalizing teen sexual activity: Provided further, That no more than 10 percent of the funding for such competitive grants for sexual risk avoidance shall be available for technical assistance and administrative costs of such programs: Provided further, That funds provided in this Act for embryo adoption activities may be used to provide to individuals adopting embryos, through grants and other mechanisms, medical and administrative services deemed necessary for such adoptions: Provided further, That such services shall be provided consistent with 42 CFR 59.5(a)(4).
(Department of Health and Human Services Consolidated Appropriations Act, 2016 (P.L. 114-113)).
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General Departmental Management
LANGUAGE ANALYSIS
Language Provision
Provided, That of the funds made available under this heading $100,808,000 shall be for...
Provided, that of this amount, $53,798,000 shall be for...
Explanation
HHS will not make amounts available for Teen Pregnancy Prevention activities in FY 2018.
HHS will not make funds available for the Minority AIDS prevention and treatment in FY 2018.
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General Departmental Management
Details
AUTHORIZING LEGISLATION
(Dollars in Thousands)
2017 Authorized
2017 Annualized
CR
2018 Authorized
General Departmental Management: except account below: Reorganization Plan No. 1 of 1953
Office of the Assistant Secretary for Health: Public Health Service Act, Title III, Section 301 Title, II Section 229 (OWH) Title XVII Section 1701 (ODPHP) Title XVII, Section 1707 (OMH) Title XVII, Section 1708 (OAH) Title XXI, Section 2101 (NVPO)
Subtotal Total GDM Appropriation
Indefinite
-
Indefinite
1 2 3 4 5 -
$165,208 -
Indefinite -
$186,753
$32,079 $6,713
$56,562 $1,439 $6,388
$289,934 $455,142
Indefinite
1 2 3 4 5
-
2018 Request
$169,023 -
$32,208 $32,140
$6,726 $56,562
$1,442 $6,400 $135,478 $304,501
1) Authorizing legislation under Section 229 of the PHS Act expires September 30, 2014 2) Authorizing legislation under Section 1701 of the PHS Act expired September 30, 2002. 3) Authorizing legislation under 1707 of the PHS Act expires September 30, 2016. 4) Authorizing legislation under 1708 of the PHS Act expired September 30, 2000. 5) Authorizing legislation under Section 2101 of the PHS Act expired September 30, 2005.
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General Departmental Management
AMOUNTS AVAILABLE FOR OBLIGATION
Detail Annual appropriation Rescission Sequestration Transfers
Transfer of Funds to PHSSEF Transfer of Funds to CDC Transfer of Funds to ACF Subtotal, adjusted general funds Trust fund annual appropriation Subtotal, adjusted budget authority Unobligated balance lapsing
FY 2016 Final
$456,009,000 -
-9,634 -506,366
$455,493,000
$455,493,000
-
FY 2017 Annualized
CR
$456,009,000 -870,000 -
-1,050,000 $454,089,000
$454,089,000
-
FY 2018 President's
Budget
$304,501,000 -
$304,501,000 -
$304,501,000 -
Total Obligations
$455,493,000 $454,089,000 $304,501,000
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General Departmental Management
SUMMARY OF CHANGES
(Dollars in Thousands)
Budget Year and Type of Authority
FY 2017 Annualized CR Total Adjusted Budget Authority FY 2018 Current Request Total Estimated Budget Authority Net Changes
Dollars
455,142 455,142 304,501 304,501 -150,641
Increases
FY 2017 Annualized CR
Immediate Office of the Secretary
13,274
Secretary's Initiative/Innovations
1,996
Assistant Secretary for Public Affairs
8392
Assistant Secretary for Legislation
4,092
ASFR, Financial Systems Integration
30,386
Acquisition Reform
1,747
Assistant Secretary for Administration
17,425
Office of Intergovernmental and External Affairs/CFBNP
10,605
Centers for Faith Based Neighborhood Partnerships
1,297
Office of the General Counsel
31,041
Departmental Appeals Board
10,979
Office of Global Affairs
6,015
Rent
16,058
Shared Operating Services - Enterprise IT, SSF Payments Office of the Assistant Secretary for Health1
11,902 35,708
Office on Women's Health
32,079
Embryo Adoption Awareness Campaign
998
Sexual Risk Avoidance Other Direct Funding Non-Add2
9,981 56,562
Total
300,536
1. OASH includes increases in the Immediate Office, OHAIDP, ODPHP, PCFSN, OHRP, NVP, PHR, and OAH 2. Other Direct Funding Non-Add includes OMH
Decreases
Teen Pregnancy Prevention Minority HIV/AIDS Total
FY 2017 Annualized CR
100,808 53,798
154,606
FTE
992 992 997 997
+5
FY 2018 Request Change from Base
26 4
16 8
58 3
33 20
2 59 3,521 11 31 22 68 61
2 19
0 3,965
FY 2018 Request Change from Base
-100,808 -53,798
-154,606
Total Changes
Total Increase Changes Total Decrease Changes Total
FY 2017 Annualized CR
300,536 154,606 455,142
FY 2017 FTE
992
FY 2018 Request Change from Base
3,965 -154,606 -150,641
FY 2018 FTE Change from Base
0 +5 997
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