# Labor, Health and Human Services, and Education: FY2009 Appropriations > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/crs%3ARL34577 ## Record - **Collection:** Congressional research report - **Document type:** CRS Report - **Published:** July 10, 2009 - **Citation:** RL34577 ## Text Labor, Health and Human Services, and Education: FY2009 Appropriations (name redacted), Coordinator Analyst in Biomedical Policy (name redacted) Analyst in Labor Policy (name redacted) Specialist in Social Policy July 10, 2009 Congressional Research Service 7-.... www.crs.gov RL34577 CRS Report for Congress Prepared for Members and Committees of Congress Labor, Health and Human Services, and Education: FY2009 Appropriations Summary This report tracks FY2009 appropriations for the Departments of Labor, Health and Human Services, Education, and Related Agencies (L-HHS-ED). This legislation provides discretionary funds for three major federal departments and 13 related agencies. The report, which will not be further updated, summarizes L-HHS-ED discretionary funding issues but not authorization or entitlement issues. President George W. Bush’s FY2009 budget request to Congress, including amendments, proposed $147.4 billion in discretionary L-HHS-ED funds; the comparable FY2008 amount was $148.6 billion. The Senate Appropriations Committee reported its FY2009 L-HHS-ED bill (S. 3230, S.Rept. 110-410), including $155.7 billion in discretionary funds. The House Appropriations Committee considered but did not report an FY2009 L-HHS-ED bill; a draft bill recommended $157.7 billion. Two continuing resolutions (CRs) provided temporary FY2009 funding until enactment of P.L. 111-8, the Omnibus Appropriations Act, 2009, on March 11, 2009. Division F of the omnibus act provided $155.0 billion for discretionary L-HHS-ED programs, adding to $5.1 billion provided in the first CR, for an FY2009 total in regular appropriations of $160.1 billion. FY2009 emergency supplemental appropriations totaling $124.2 billion for discretionary L-HHS-ED programs were provided in the economic stimulus legislation enacted February 17, 2009, P.L. 111-5, the American Recovery and Reinvestment Act of 2009 (ARRA). Department of Labor (DOL). DOL discretionary appropriations were $12.4 billion for FY2009, an increase of $0.6 billion (5.2%) over funding for FY2008. The request for FY2009 was $10.5 billion, including a reduction in funding for Workforce Investment Act (WIA) programs of $553 million. P.L. 111-8 increased funding for WIA by $127 million. ARRA added $4.8 billion in funding for DOL, including $4.2 billion for WIA programs. Department of Health and Human Services (HHS). HHS discretionary appropriations were $71.4 billion for FY2009, an increase of $5.7 billion (8.7%) over funding for FY2008. The request for FY2009 was $64.7 billion. P.L. 111-8 increased funding over FY2008 for Health Centers ($125 million); National Institutes of Health (NIH, $938 million); Centers for Medicare and Medicaid Services (CMS) Program Management ($154 million); CMS Fraud and Abuse Control Initiative ($198 million); Low-Income Home Energy Assistance Program (LIHEAP, $2.5 billion); Head Start ($235 million); and Public Health and Social Services Emergency Fund ($669 million). ARRA added $21.9 billion in funding for HHS, including $10.4 billion for NIH. Department of Education (ED). ED discretionary appropriations were $63.5 billion in FY2009, an increase of $4.4 billion (7.4%) over funding for FY2008. Elementary and Secondary Education Act (ESEA) programs were funded at $24.8 billion in FY2009, an increase of $412 million (1.7%) over funding for FY2008. Pell Grants were increased by $3.1 billion to $17.3 billion. ARRA added $96.2 billion in discretionary funding for ED, including $14.0 billion for ESEA programs. Related Agencies. Discretionary appropriations for L-HHS-ED were $12.7 billion for FY2009, an increase of $0.8 billion (6.6%) over funding for FY2008. The Administration requested $12.1 billion. P.L. 111-8 added $709 million for SSA administrative expenses. ARRA added $1.2 billion for Related Agencies, including $1.0 billion for SSA. Congressional Research Service Labor, Health and Human Services, and Education: FY2009 Appropriations Contents Most Recent Developments.........................................................................................................1 Supplemental Appropriations Act, 2009 Enacted (P.L. 111-32, H.R. 2346).......................1 Omnibus Appropriations Act, 2009 Enacted (P.L. 111-8, H.R. 1105)................................1 FY2009 Continuing Resolution Extended (P.L. 111-6, H.J.Res. 38). ................................1 American Recovery and Reinvestment Act of 2009 (ARRA) Enacted (P.L. 111-5, H.R. 1).........................................................................................................................1 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 Enacted (P.L. 110-329, H.R. 2638).......................................................................2 Budget Amendment Submitted........................................................................................2 Senate Bill S. 3230 Reported...........................................................................................2 House Full Committee Markup .......................................................................................2 House Subcommittee Markup .........................................................................................2 President’s Budget Submitted..........................................................................................3 Note on Most Recent Data ..............................................................................................4 Overview and Key Issues ............................................................................................................5 Discretionary and Mandatory Funding: Program-Level Appropriations and CurrentYear Appropriations ...........................................................................................................5 Discretionary Funding Trends, FY2002-FY2009 ...................................................................8 Discretionary Appropriations by Bill Title, FY2008-FY2009.................................................8 Major Discretionary Programs, FY2008-FY2009 ................................................................ 11 FY2009 Appropriations: President’s Request....................................................................... 13 FY2009 Appropriations: Draft House Bill ........................................................................... 14 FY2009 Appropriations: Senate Bill.................................................................................... 16 FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009................. 17 FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act of 2009.......................................................................................... 19 Continuing Appropriations Resolution, 2009 ....................................................................... 20 302(a) and 302(b) Allocation Ceilings ................................................................................. 21 Advance Appropriations...................................................................................................... 21 Department of Labor ................................................................................................................. 23 Key Issues .......................................................................................................................... 23 President’s Request ....................................................................................................... 23 Draft House Bill............................................................................................................ 24 Senate Bill .................................................................................................................... 25 FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009........... 25 FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act................................................................................. 25 CRS Products...................................................................................................................... 26 Websites ............................................................................................................................. 26 Detailed Appropriations Table ............................................................................................. 27 Department of Health and Human Services ............................................................................... 31 Key Issues .......................................................................................................................... 31 President’s Request ....................................................................................................... 31 Draft House Bill............................................................................................................ 32 Senate Bill .................................................................................................................... 33 FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009........... 34 Congressional Research Service Labor, Health and Human Services, and Education: FY2009 Appropriations FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act................................................................................. 34 Abortion: Funding Restrictions ..................................................................................... 35 Human Embryonic Stem Cell Research: Funding Restrictions ....................................... 36 CRS Products...................................................................................................................... 36 Websites ............................................................................................................................. 38 Detailed Appropriations Table ............................................................................................. 38 Department of Education........................................................................................................... 44 Key Issues .......................................................................................................................... 44 President’s Request ....................................................................................................... 44 Draft House Bill............................................................................................................ 46 Senate Bill .................................................................................................................... 47 FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009........... 48 FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act................................................................................. 48 ESEA Funding Shortfall? .............................................................................................. 49 IDEA Funding Shortfall?............................................................................................... 50 Forward Funding and Advance Appropriations .............................................................. 50 CRS Products...................................................................................................................... 51 Websites ............................................................................................................................. 52 Detailed Appropriations Table ............................................................................................. 52 Related Agencies....................................................................................................................... 58 Key Issues .......................................................................................................................... 58 President’s Request ....................................................................................................... 58 Draft House Bill............................................................................................................ 59 Senate Bill .................................................................................................................... 59 FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009........... 59 FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act................................................................................. 60 CRS Products...................................................................................................................... 60 Websites ............................................................................................................................. 61 Detailed Appropriations Table ............................................................................................. 61 Tables Table 1. Legislative Status of L-HHS-ED Appropriations, FY2009..............................................3 Table 2. L-HHS-ED Appropriations Summary, FY2008-FY2009.................................................7 Table 3. Discretionary Funding Trends, FY2002-FY2009............................................................8 Table 4. L-HHS-ED Discretionary Funding by Bill Title, FY2008-FY2009 ............................. 10 Table 5. Major Discretionary Programs, FY2008-FY2009 ......................................................... 12 Table 6. FY2009 302(b) Discretionary Allocations for L-HHS-ED ............................................ 21 Table 7. Department of Labor Discretionary Appropriations ...................................................... 23 Table 8. Detailed Department of Labor Appropriations .............................................................. 28 Table 9. Department of Health and Human Services Discretionary Appropriations .................... 31 Table 10. Detailed Department of Health and Human Services Appropriations ......................... 39 Congressional Research Service Labor, Health and Human Services, and Education: FY2009 Appropriations Table 11. Department of Education Discretionary Appropriations .............................................. 44 Table 12. Detailed Department of Education Appropriations...................................................... 53 Table 13. Related Agencies Discretionary Appropriations.......................................................... 58 Table 14. Detailed Related Agencies Appropriations.................................................................. 62 Appendixes Appendix. Terminology and Web Resources.............................................................................. 65 Contacts Author Contact Information ...................................................................................................... 66 CRS Key Policy Staff................................................................................................................ 67 Congressional Research Service Labor, Health and Human Services, and Education: FY2009 Appropriations Most Recent Developments Supplemental Appropriations Act, 2009 Enacted (P.L. 111-32, H.R. 2346). Note: New funding from this law is not reflected in discussions of appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (LHHS-ED) in this report. On June 24, 2009, President Obama signed the Supplemental Appropriations Act, 2009, which provided a total of $106 billion in supplemental FY2009 funds for a variety of purposes. Most of the funding is for defense and intelligence activities in Iraq and Afghanistan, international affairs, and selected domestic purposes. The Department of Health and Human Services (HHS) received a total of $7.7 billion for pandemic influenza preparedness, $1.9 billion available immediately and $5.8 billion in a contingency fund to be used if the President determines it is needed. For further information, see CRS Report R40531, FY2009 Spring Supplemental Appropriations for Overseas Contingency Operations, coordinated by (name re dacted) and (name redacted), and CRS Report R40554, The 2009 Influenza Pandemic: An Overview, by (name redacted) and (name redacted). Omnibus Appropriations Act, 2009 Enacted (P.L. 111-8, H.R. 1105). On February 23, 2009, after lengthy negotiations between House and Senate appropriators and with the new Obama Administration, the chairman of the House Appropriations Committee introduced an omnibus FY2009 appropriations bill, H.R. 1105, accompanied by an explanatory statement. The bill and statement, which took the place of a conference report, had a division for each of the nine regular appropriations measures that had not yet been enacted. The bill was passed by the House on February 25 and by the Senate on March 10, and was signed by the President on March 11, 2009. Division F of the law provided the FY2009 L-HHS-ED appropriations, including $155.0 billion in discretionary funding. Adding that amount to the $5.1 billion provided earlier in P.L. 110-329 brought regular FY2009 discretionary appropriations for L-HHS-ED programs to a total of $160.1 billion. FY2009 Continuing Resolution Extended (P.L. 111-6, H.J.Res. 38). On March 6, 2009, the President signed H.J.Res. 38 into law, which amended the first FY2009 continuing resolution, Division A of P.L. 110-329, to extend temporary funding for government agencies to March 11, 2009. American Recovery and Reinvestment Act of 2009 (ARRA) Enacted (P.L. 111-5, H.R. 1). On February 17, 2009, President Obama signed a broad economic stimulus package, the American Recovery and Reinvestment Act of 2009 (ARRA), that provided emergency supplemental appropriations to selected federal programs, among many other provisions. Discretionary L-HHS-ED programs received a total of $124.2 billion; the funds were generally made available for obligation until September 30, 2010 (the end of FY2010). H.R. 1 passed the House on January 28, 2009, and the Senate passed its version on February 10. The conference report (H.Rept. 111-16) was filed February 12 and agreed to in the House and the Senate on February 13. The bill became P.L. 111-5 on February 17, 2009. For more information, see CRS Congressional Research Service 1 Labor, Health and Human Services, and Education: FY2009 Appropriations Report R40537, American Recovery and Reinvestment Act of 2009 (P.L. 111-5): Summary and Legislative History, by (name redacted) et al. Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 Enacted (P.L. 110-329, H.R. 2638). On September 30, 2008, President George W. Bush signed H.R. 2638 into law. The act, referred to in short form as the Consolidated Appropriations Act for FY2009, included three of the 12 regular appropriations acts for FY2009, continuing appropriations for the remaining nine regular appropriations acts for FY2009 (through March 6, 2009), and supplemental appropriations for disaster relief and recovery. For further details on the contents of and proceedings relative to H.R. 2638, see CRS Report RL34711, Consolidated Appropriations Act for FY2009 (P.L. 110-329): An Overview, by (name redacted). Interim FY2009 appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (L-HHS-ED) were provided by Division A of P.L. 110-329, referred to as the Continuing Appropriations Resolution, 2009 (FY2009 CR). Most programs were funded, through March 6, 2009, at the rate of operations they had for FY2008, not counting emergency funding. One HHS program, the Low-Income Home Energy Assistance Program (LIHEAP), received its full-year funding of $5.1 billion in the CR. Budget Amendment Submitted On August 1, 2008, President Bush submitted a budget amendment, requesting an additional $955 million for L-HHS-ED programs, primarily for preparedness activities in HHS. Senate Bill S. 3230 Reported On July 8, 2008, the Senate Committee on Appropriations reported S. 3230 (S.Rept. 110-410), its proposal for FY2009 L-HHS-ED appropriations. The bill recommended $155.7 billion in discretionary funds for L-HHS-ED. House Full Committee Markup The House Committee on Appropriations convened a markup session on its draft bill on June 26, 2008. It adopted one package of amendments (a “manager’s amendment”), but the session was subsequently adjourned before the committee took final action on the draft bill. Adoption of the manager’s amendment raised the discretionary total in the bill to $157.7 billion. House Subcommittee Markup On June 19, 2008, the House L-HHS-ED Appropriations Subcommittee marked up its draft bill and approved it for consideration by the full committee. The subcommittee recommended $157.6 billion in discretionary funds for L-HHS-ED. Congressional Research Service 2 Labor, Health and Human Services, and Education: FY2009 Appropriations President’s Budget Submitted On February 4, 2008, President George W. Bush submitted his FY2009 budget to Congress; the request was for $146.5 billion in discretionary funds for L-HHS-ED programs. The request was amended in August 2008 (see above). Table 1 summarizes the legislative status of FY2009 L-HHS-ED appropriations. Table 1. Legislative Status of L-HHS-ED Appropriations, FY2009 Subcommittee Markup House Senate Conference Report Approval House Comm. House Passage Senate Comm. Senate Passage Conf. Report House Passage Public Law Senate Passage Regular FY2009 Appropriations Legislation (110th Congress, unfinished) 6/19/08a 6/24/08b 9/30/08e FY2009 CR, P.L. 110-329, Div. A 7/8/08d S. 3230, S.Rept. 110410 6/26/09c (no bill reported) Regular FY2009 Appropriations: Omnibus Appropriations Act, 2009 (111th Congress)f 2/23/09 H.R. 1105 2/25/09 3/10/09 3/11/09 P.L. 111-8 Supplemental FY2009 Appropriations: American Recovery and Reinvestment Act of 2009 (111th Congress) 1/21/09g H.R. 679 H.Rept. 111-4 1/28/09h H.R. 1 1/27/09i S. 336 S.Rept. 111-3 2/10/09j H.R. 1 2/12/09k H.Rept. 111-16 2/13/09k 2/13/09k 2/17/09l P.L. 111-5 a. The House Subcommittee on Labor, Health and Human Services, Education, and Related Agencies Appropriations began FY2009 hearings on February 13, 2008. The Subcommittee marked up its version of the FY2009 L-HHS-ED appropriations on June 19, 2008, approving it by a voice vote. b. The Senate Subcommittee on Labor, Health and Human Services, Education, and Related Agencies Appropriations began FY2009 hearings on May 7, 2008. The Subcommittee marked up its version of the FY2009 L-HHS-ED bill on June 24, 2008, and approved it by voice vote. c. The House Committee on Appropriations convened a markup session on its draft L-HHS-ED bill on June 26, 2008, and adopted a manager’s amendment by voice vote. The markup session was adjourned before the committee took final action on the draft bill. d. S. 3230: The Senate Committee on Appropriations approved the draft L-HHS-ED bill, amended, on June 26, 2008, by a vote of 26 to 3, and ordered the bill reported. Subsequently, S. 3230 (S.Rept. 110-410) was introduced and reported on July 8, 2008. e. P.L. 110-329: The FY2009 Continuing Appropriations Resolution, Division A of P.L. 110-329 (H.R. 2638), provided temporary FY2009 funding for most L-HHS-ED activities for the period October 1, 2008, through March 6, 2009. One HHS program received full-year funding in the law. A second CR, P.L. 111-6, extended the temporary funding to March 11, 2009. f. H.R. 1105: An original bill, Omnibus Appropriations Act, 2009, was introduced Feb. 23, 2009, accompanied by an explanatory statement; the bill and statement were printed in the Congressional Record of February 23, 2009, Books I and II. The bill had a division for each of the nine regular appropriations measures that had not yet been enacted (L-HHS-ED was Division F) and took the place of a conference report. Subsequently, the Government Printing Office made available an unnumbered committee print of the House Committee on Appropriations that contained the text of the bill and the explanatory statement (available at Congressional Research Service 3 Labor, Health and Human Services, and Education: FY2009 Appropriations http://www.gpoaccess.gov/congress/house/appropriations/09conappro2.html). The bill was passed without amendment by the House on February 25 (245-178), and by the Senate on March 10 (62-35 on a cloture vote, then passed by voice vote), and was signed by the President on March 11, 2009, becoming P.L. 111-8. g. H.R. 679: The House Committee on Appropriations marked up a measure containing the appropriationsrelated provisions of the American Recovery and Reinvestment Act of 2009 on January 21, 2009, approving it by a vote of 35-22. Subsequently, H.R. 679 (H.Rept. 111-4) was introduced and reported on January 26, 2009. h. H.R. 1: The American Recovery and Reinvestment Act of 2009, H.R. 1, was introduced on January 26, 2009. It combined the provisions of several separate bills, including H.R. 679, that had been approved by several House committees. The House considered H.R. 1 on January 27-28, and passed it, amended, on January 28, 2009, by a vote of 244-188. i. S. 336: The Senate Committee on Appropriations marked up a measure containing the appropriationsrelated provisions of the American Recovery and Reinvestment Act of 2009 on January 27, 2009, approving it by a vote of 21-9. Subsequently, S. 336 (S.Rept. 111-3) was introduced and reported on January 27, 2009. j. H.R. 1: The Senate debated a substitute version of the bill, combining the provisions of S. 336 and a revenue measure that had been approved by the Senate Finance Committee, on February 2-10, 2009, and passed it, amended, on February 10, 2009, by a vote of 61-37. k. H.R. 1: Conference report H.Rept. 111-16 was filed on February 12, 2009. On February 13, 2009, both chambers agreed to the conference report; the House vote was 246-183 and the Senate vote was 60-38. l. P.L. 111-5: President Obama signed H.R. 1 into law on February 17, 2009. Note on Most Recent Data In this report, unless stated otherwise, data on FY2008 and FY2009 appropriations are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). In most cases, data represent net funding for specific programs and activities, and take into account current and forward funding and advance appropriations; however, all data are subject to additional budgetary scorekeeping. Except where noted, data refer only to those programs within the purview of L-HHS-ED appropriations, and not to all programs within the jurisdiction of the relevant departments and agencies. Funding from other appropriations bills, and entitlements funded outside of the annual appropriations process, are excluded. The FY2008 data reflect the funding provided under the terms of the Consolidated Appropriations Act, 2008 (P.L. 110-161, H.R. 2764), which was signed into law on December 26, 2007. Division G of the act provided funding for L-HHS-ED programs. A series of four continuing resolutions (CRs), beginning with P.L. 110-92, had provided temporary L-HHS-ED funding from October 1, 2007, through December 26, 2007. Later, Congress passed the Supplemental Appropriations Act, 2008, P.L. 110-252, signed into law on June 30, 2008. The law had a few provisions that affected FY2008 funding levels for some L-HHS-ED agencies. FY2008 figures in this report include the June supplemental appropriations. For additional information, please see CRS Report RL30343, Continuing Resolutions: Latest Action and Brief Overview of Recent Practices, by (name redacted), and CRS Report RL34451, FY2008 Spring Supplemental Appropriations and FY2009 Bridge Appropriations for Military Operations, International Affairs, and Other Purposes (P.L. 110-252), by (name redacted) et al. Congressional Research Service 4 Labor, Health and Human Services, and Education: FY2009 Appropriations Overview and Key Issues This report describes President George W. Bush’s proposal for FY2009 appropriations for LHHS-ED programs, as submitted to Congress on February 4, 2008, and amended on August 1, 2008, and the congressional response to that proposal. It compares the President’s FY2009 request to the FY2008 L-HHS-ED enacted amounts. It tracks legislative action and congressional issues related to the regular L-HHS-ED appropriations, as well as to the supplemental appropriations provided in ARRA. Discussions focus primarily on discretionary programs. The report does not follow specific funding issues related to mandatory L-HHS-ED programs—such as Medicare or Social Security—nor does it follow any authorizing legislation related to the President’s budget initiatives. For a glossary of budget terms and relevant websites, see the Appendix, “Terminology and Web Resources.” The L-HHS-ED bill typically is one of the more controversial of the regular appropriations bills, not only because of the size of its funding total and the scope of its programs, but also because of the continuing importance of various related issues, such as restrictions on the use of federal funds for abortion and for human embryonic stem cell research. This bill provides discretionary and mandatory funds to three federal departments and 13 related agencies, including the Social Security Administration (SSA). Discretionary funding represents only one-quarter of the total in the bill. Among the various appropriations bills, L-HHS-ED is the largest single source of discretionary funds for domestic (non-defense) federal programs (the Department of Defense bill is the largest source of discretionary funds among all federal programs). This section presents several overview tables on funding in the bill, particularly discretionary funding; summarizes major funding changes proposed and enacted for L-HHS-ED; and discusses related issues such as 302(b) allocations and advance appropriations. Later sections provide details on individual L-HHS-ED departments and agencies. Discretionary and Mandatory Funding: Program-Level Appropriations and Current-Year Appropriations Table 2 summarizes the L-HHS-ED appropriations enacted for FY2008 and proposed and enacted for FY2009, including both discretionary and mandatory appropriations. The table shows various aggregate measures of L-HHS-ED appropriations, including the discretionary programlevel, current-year level, and advance appropriations, as well as scorekeeping adjustments. • Program-level discretionary appropriations reflect the total discretionary appropriations in a given bill, regardless of the year in which they will be spent, and therefore include advance funding for future years. Unless otherwise specified, appropriations levels in this report refer to program-level amounts. • Current-year discretionary appropriations represent discretionary appropriations in a given bill for the current year, plus discretionary appropriations for the current year that were enacted in prior years—for example, FY2009 appropriations that were enacted in the FY2008 act. As the annual congressional appropriations process unfolds, current-year discretionary appropriations, including scorekeeping adjustments (see below), are measured against the 302(b) allocation ceilings (discussed later in this report). Note that Congressional Research Service 5 Labor, Health and Human Services, and Education: FY2009 Appropriations media reports and comments from the Administration about appropriations activities typically cite figures representing the current-year discretionary totals rather than the program levels in the bill. • Advance appropriations are funds that will not become available until after the fiscal year for which the appropriations are enacted (for example, funds for certain education programs like Title I Part A Grants to Local Educational Agencies for the Education of the Disadvantaged that were included in the FY2008 act that could not be spent before FY2009 at the earliest, discussed later in this report). • Scorekeeping adjustments are made to account for special funding situations, as monitored by the Congressional Budget Office (CBO). Because appropriations may consist of mixtures of budget authority enacted in various years, both of the summary measures mentioned above are frequently used: program-level appropriations and current-year appropriations. How are these measures related? For an “operational definition,” program-level funding equals (a) current year, plus (b) advances for future years, minus (c) advances from prior years, and minus (d) scorekeeping adjustments. Alternatively, current-year funding is derived by taking the program level (total in the bill), subtracting the advances for future years, adding in the advances from prior years, and applying the scorekeeping adjustments. Table 2 shows each of these amounts for discretionary funding, along with current-year funding and program-level funding for mandatory programs, and the grand total for L-HHS-ED. Congressional Research Service 6 Table 2. L-HHS-ED Appropriations Summary, FY2008-FY2009 ($ in billions) FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Program-level: current bill for any year 148.6 147.4 157.7 155.7 160.1 124.2 284.2 Current-year: current year from any bill (after scorekeeping) 144.9 145.1 153.1 153.1 152.3 0 152.3 Advances for future years (in the current bill) 21.3 20.9 24.8 23.0 24.8 0 24.8 Advances from prior years (from previous bills) 19.2 21.3 21.3 21.3 21.3 0 21.3 Scorekeeping adjustments -1.7 -2.7 -1.0 -0.8 -4.3 -124.2 -128.4 Type of Budget Authority Discretionary Appropriations Current-Year Discretionary and Mandatory Funding Discretionary (compare to 302(b) cap) 144.9 145.1 153.1 153.1 152.3 0 152.3 Mandatory 455.4 473.3 473.4 473.3 473.4 2.0 475.4 Total, current-year 600.3 618.4 626.5 626.5 625.6 2.0 627.6 Program-Level Totals of Funding for L-HHS-ED Bill, Any Year Discretionary program-level 148.6 147.4 157.7 155.7 160.1 124.2 284.2 Mandatory program-level 455.4 478.4 478.4 478.4 478.4 2.0 480.4 Grand total, any year 604.0 625.8 636.1 634.1 638.5 126.2 764.6 Source: Amounts are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). FY2009 Omnibus column also includes FY2009 funding for LIHEAP provided by P.L. 110-329 (September 2008). Appropriations are given only for programs included in the annual L-HHS-ED bill. Note: Details may not add to totals due to rounding. Both FY2008 and FY2009 mandatory amounts are estimates that are subject to adjustments after the close of their respective fiscal years. All amounts in the table are subject to change through the enactment of further supplementals and rescissions. CRS-7 Labor, Health and Human Services, and Education: FY2009 Appropriations Discretionary Funding Trends, FY2002-FY2009 The L-HHS-ED appropriations bills include both mandatory and discretionary funds; however, the Appropriations Committees fully control only the discretionary funds. Mandatory funding levels for programs included in the annual appropriations bills are modified through changes in the authorizing legislation. Typically, these changes are accomplished through authorizing committees by means of reconciliation legislation, and not through appropriations committees in annual appropriations bills. Table 3 shows the trend in discretionary budget authority enacted in the regular L-HHS-ED appropriations for FY2002 through FY2009. During the past eight years, L-HHS-ED discretionary funds have grown from $127.2 billion in FY2002 to $160.1 billion in FY2009, an increase of $32.9 billion, or 25.9%. Adjusted for inflation during this same period, using the Gross Domestic Product (GDP) deflator, L-HHS-ED discretionary funds in estimated FY2008 dollars grew from $148.6 billion in FY2002 to $156.9 billion in FY2009, an increase of $8.3 billion, or 5.6%. Table 3. Discretionary Funding Trends, FY2002-FY2009 (budget authority in billions of dollars) Type of Funds FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008 FY2009 L-HHS-ED discretionary 127.2 132.4 139.7 143.4 141.5 144.7 148.6 160.1 L-HHS-ED discretionary in estimated FY2008 dollars 148.6 151.6 155.9 155.1 148.1 147.5 148.6 156.9 GDP deflator (FY2000 = 1.0) 1.0432 1.0643 1.0920 1.1270 1.1643 1.1955 1.2186 1.2432 Sources: The GDP deflator is based on the Budget of the United States Government, Historical Tables, Fiscal Year 2009, Table 10.1. FY2008 and FY2009 are estimates. L-HHS-ED totals for FY2002-FY2005 discretionary budget authority are based on annual conference reports for L-HHS-ED appropriations and, therefore, may not be completely comparable from year to year. Subsequent years are based on tables from the House Committee on Appropriations: FY2006 total from the April 17, 2007, table; FY2007 total from the December 17, 2007, table; and FY2008 and FY2009 totals from the March 2009 table. FY2009 total reflects only regular L-HHS-ED appropriations, not the supplemental funding from the ARRA. Discretionary Appropriations by Bill Title, FY2008-FY2009 The annual L-HHS-ED appropriations act typically includes five titles. The first three provide appropriations and program direction for the Department of Labor (Title I), the Department of Health and Human Services (Title II), and the Department of Education (Title III). Each of the three titles includes some sections of “General Provisions” for the department; they provide specific program directions, modifications, or restrictions that the appropriators wish to convey in bill language, not just in report language. Title IV covers funding for 13 related agencies, the largest of which is the Social Security Administration. Title V contains general provisions with broader application than those in the department titles. Occasionally, the act has one or more additional titles, which may be legislative (authorizing) language rather than appropriations provisions. The FY2008 L-HHS-ED appropriations act (Division G of P.L. 110-161) included a Title VI that provided for establishment of a National Commission on Children and Disasters, while the FY2009 L-HHS-ED appropriations act (Division F of P.L. 111-8) included the Afghan Allies Protection Act of 2009 (relating to special immigrant status) as Title VI. Congressional Research Service 8 Labor, Health and Human Services, and Education: FY2009 Appropriations Table 4 summarizes by title the program-level discretionary spending that was provided for FY2008 and proposed and enacted for FY2009 L-HHS-ED appropriations and compares the program-level totals with the current-year discretionary totals. Congressional Research Service 9 Table 4. L-HHS-ED Discretionary Funding by Bill Title, FY2008-FY2009 ($ in millions) FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Discretionary Appropriations, Program-Level (total in bill for any year) Title I, Department of Labor 11,803 10,542 12,215 12,354 12,411 4,806 17,217 Title II, Department of Health and Human Services 65,681 64,728 69,158 68,249 71,385 21,917 93,302 Title III, Department of Education 59,181 60,103 63,624 62,499 63,533 96,224 159,757 Title IV, Related Agencies 11,957 12,071 12,701 12,648 12,748 1,203 13,951 Total discretionary, program-level 148,623 147,444 157,698 155,749 160,077 124,150 284,227 153,128 152,255 0 152,255 Total Discretionary, Current-Year from Any Bill (after scorekeeping adjustments) Total, current-year 144,914 145,097 153,121 Source: Amounts are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). FY2009 Omnibus column also includes FY2009 funding for LIHEAP provided by P.L. 110-329 (September 2008). Appropriations are given only for programs included in the annual L-HHS-ED bill. Details may not add to totals due to rounding. CRS-10 Labor, Health and Human Services, and Education: FY2009 Appropriations Major Discretionary Programs, FY2008-FY2009 Which are the largest among the discretionary programs funded in the regular L-HHS-ED appropriations act? Table 5 shows the L-HHS-ED discretionary programs with the highest funding levels; in FY2009, nine programs accounted for about 65% of all L-HHS-ED discretionary appropriations. Each of the programs shown in Table 5 received more than $3.0 billion in regular FY2009 appropriations. The aggregate funding for this group was $96.0 billion in FY2008 and $104.9 billion in FY2009. As shown in the previous tables, L-HHS-ED discretionary funding totaled $148.6 billion in FY2008 and $160.1 billion in FY2009. Congressional Research Service 11 Table 5. Major Discretionary Programs, FY2008-FY2009 ($ in millions) FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 National Institutes of Health (NIH) 29,380 29,230 30,380 30,255 30,317 10,000 40,317 Pell Grants 14,215 16,941 17,335 16,890 17,288 15,640 32,928 Title I Part A Education for the Disadvantaged, Grants to LEAs 13,899 14,305 14,454 14,530 14,492 10,000 24,492 IDEA Special Education, Part B Grants to States 10,948 11,285 11,552 11,425 11,505 11,300 22,805 SSA Total Administrative Expenses 9,745 10,327 10,427 10,377 10,454 1,000 11,454 Head Start 6,878 7,027 7,120 7,105 7,113 2,100 9,213 WIA, all programs 5,186 4,633 5,326 5,269 5,314 4,200 9,514 Low Income Home Energy Assistance Program (LIHEAP) 2,570 2,000 2,770 2,570 5,100 0 5,100 CMS Program Management 3,152 3,307 3,261 3,271 3,305 0 3,305 Major L-HHS-ED subtotal 95,972 99,054 102,626 101,690 104,888 54,240 159,128 Other L-HHS-ED discretionary 52,651 48,390 55,072 54,059 55,189 69,910 125,099 L-HHS-ED discretionary total 148,623 147,444 157,698 155,749 160,077 124,150 284,227 64.6% 67.2% 65.1% 65.3% 65.5% 43.7% 56.0% Major Program Major programs as a % of total FY2009 Total Source: Amounts are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). FY2009 Omnibus column also includes FY2009 funding for LIHEAP provided by P.L. 110-329 (September 2008). Note: LEAs = Local Educational Agencies; IDEA = Individuals with Disabilities Education Act; WIA = Workforce Investment Act; CMS = Centers for Medicare and Medicaid Services. CRS-12 Labor, Health and Human Services, and Education: FY2009 Appropriations FY2009 Appropriations: President’s Request On February 4, 2008, President George W. Bush submitted his FY2009 request to Congress, proposing $146.5 billion in discretionary appropriations. On August 1, 2008, he submitted a budget amendment requesting an additional $955 million. With regard to the President’s budget, issues raised during congressional consideration of any appropriations request generally relate to proposed funding changes, as well as to the overall level of support for programs. The following summary highlights changes of at least $100 million proposed in FY2009 discretionary budget authority in comparison with the FY2008 amount. Viewing this list by itself should be done with caution, since the relative impact of a $100 million funding change to a $500 million program (a 20% increase or decrease) is greater than a $100 million change to a $5 billion program (a 2% increase or decrease). Later in this report, the discussion of budgets for individual departments includes tables to compare the FY2009 request with the FY2008 funding for many of the major programs in the L-HHS-ED bill. Budget Highlights Overall, $147.4 billion in discretionary appropriations were requested for L-HHS-ED for FY2009, $1.2 billion (0.8%) less than the FY2008 amount of $148.6 billion. • For the Department of Labor (DOL), the Bush Administration’s FY2009 request included a decrease of $553 million for WIA programs, from $5.2 billion for FY2008 to $4.6 billion for FY2009. The proposed reduction included $241 million less for Dislocated Worker Assistance programs (funded at $1.5 billion in FY2008) and $150 million less for Adult Training grants to states (down from $862 million for FY2008). The proposal decreased funding for the Community Service Employment for Older Americans program by $172 million (from $522 million for FY2008). It eliminated $703 million in funding for Employment Service grants to states, leaving $20 million in funding for other Employment Service activities. Overall, the President requested $10.5 billion in discretionary appropriations for DOL for FY2009, a 10.7% reduction from FY2008 funding of $11.8 billion. • For the Department of Health and Human Services (HHS), the FY2009 amended request proposed an increase of $1.6 billion for the Public Health and Social Services Emergency Fund (PHSSEF), covering homeland security activities and Pandemic Influenza Preparedness. Health programs proposed for elimination included Health Professions programs other than those for nursing (funded at $194 million in FY2008), Children’s Hospitals Graduate Medical Education (CHGME, $302 million in FY2008), and Health Care-Related Facilities and Activities ($304 million in FY2008). Decreases were proposed of $112 million for Rural Health Programs, $150 million for NIH, and $126 million for Mental Health. A $198 million initiative for Fraud and Abuse Control at the Centers for Medicare and Medicaid Services (CMS) was proposed, along with a $156 million increase for CMS Program Management. A decrease of $570 million for the Low-Income Home Energy Assistance Program (LIHEAP) was proposed, while a $149 million increase for Head Start was requested. The $654 million Community Services Block Grant (CSBG) received no funding in the request. Congressional Research Service 13 Labor, Health and Human Services, and Education: FY2009 Appropriations Overall, $64.7 billion in FY2009 discretionary appropriations were requested for HHS, 1.5% less than the FY2008 amount of $65.7 billion. • For the Department of Education (ED), the President’s FY2009 request increased funding for the Elementary and Secondary Education Act of 1965 (ESEA) programs in the aggregate by $125 million. The proposal increased funding by $406 million for Title I, Part A, Grants to Local Educational Agencies (LEAs) for the Education of the Disadvantaged, and by $607 million for Reading First State Grants. Teacher Quality State Grants were decreased by $100 million. The request included a proposal for one new K-12 education initiative of at least $100 million—the Pell Grants for Kids program, funded at $300 million. The request proposed the elimination of the $267 million Educational Technology State Grants program and the $1.3 billion Perkins Career and Technical Education program. The request proposed reducing the 21st Century Community Learning Centers program by $281 million, the Fund for the Improvement of Education by $201 million, and Safe and Drug-Free Schools State Grants by $195 million. The Teacher Incentive Fund was increased by $103 million. An increase of $337 million was requested for the Special Education Part B Grants to States program authorized by the Individuals with Disabilities Education Act (IDEA). The request also proposed the elimination of the $757 million Supplemental Educational Opportunity Grants. In the request, Pell Grants were increased by $2.7 billion, Aid for Institutional Development was decreased by $139 million, and funding for the Institute for Education Sciences was increased by $112 million. Overall, $60.1 billion in FY2009 discretionary appropriations were requested for ED, 1.6% more than the FY2008 amount of $59.2 billion. • For the Related Agencies, the Administration’s request for FY2009 increased funding for SSA administrative expenses by $582 million, from $9.7 billion for FY2008 to $10.3 billion for FY2009. The request eliminated the two-year advance funding for the Corporation for Public Broadcasting (CPB) and proposed to rescind $220 million in advance funding for FY2010 (appropriated in FY2008) and $200 million in advance funding for FY2009 (appropriated in FY2007). Overall, the Administration requested $12.1 billion in discretionary appropriations for L-HHS-ED Related Agencies for FY2009, a 0.9% increase over FY2008 funding of $12.0 billion. FY2009 Appropriations: Draft House Bill The House Committee on Appropriations did not report an FY2009 L-HHS-ED bill. On June 19, 2008, the House L-HHS-ED Appropriations Subcommittee marked up a draft bill and approved it for consideration by the full committee. On June 26, the House Committee on Appropriations convened a markup session on its draft bill and adopted a manager’s amendment, but adjourned before final action. House Committee Highlights Overall, the draft House bill recommended FY2009 discretionary appropriations of $157.7 billion for L-HHS-ED programs. President Bush requested $147.4 billion; the FY2008 amount was $148.6 billion. The House bill differed from the President’s request in a number of details. Congressional Research Service 14 Labor, Health and Human Services, and Education: FY2009 Appropriations • For DOL, the draft House bill recommended $5.3 billion for WIA programs, $693 million more than the Administration’s request. The bill funded WIA Dislocated Worker Assistance programs at $1.5 billion, $281 million above the request. The Job Corps received $153 million more than the request of $1.6 billion. The bill recommended funding WIA Adult Training grants to states at $862 million, $150 million more than the request. Community Service Employment for Older Americans received $222 million more than the request of $350 million. The bill recommended $703 million for Employment Service grants to states, which would have been eliminated under the Administration’s request. Overall, the draft measure considered by the House committee included $12.2 billion in discretionary funds for DOL. The Administration requested $10.5 billion, and $11.8 billion was provided for FY2008. • For HHS, the draft House bill recommended the following amounts of funding for selected programs, compared to the Administration’s request: Health Centers, $2.17 billion, $73 million more than the request; Health Professions other than nursing, $244 million, with no funds requested; CHGME, $310 million, with no funds requested; Ryan White HIV/AIDS programs, $2.24 billion, $99 million more than the request; Rural Health programs, $122 million, $97 million more than the request; Health Care-Related Facilities and Activities, $158 million, with no funds requested; CDC Infectious Diseases program, $1.96 billion, $106 million more than requested; CDC Terrorism Preparedness and Response program, $1.52 billion, $100 million more than requested; Preventive Health and Health Services Block Grant (PHBG), $100 million, with no funds requested; National Institutes of Health (NIH), $30.38 billion, $1.15 billion more than requested; Mental Health programs in the Substance Abuse and Mental Health Services Administration (SAMHSA), $932 million, $169 million more than requested. The Agency for Healthcare Research and Quality (AHRQ) was recommended for a specific appropriation of $323 million, plus indirect funding of $52 million, for a total of $375 million; the request was for indirect funding of $326 million. LIHEAP was recommended for $2.77 billion, $770 million more than requested; Head Start, $7.12 billion, $93 million more than requested; CSBG, $700 million, with no funds requested; and Administration on Aging, $1.49 billion, $79 million more than requested. For the Public Health and Social Services Emergency Fund, the draft bill provided $1.44 billion, $48 million more than the President’s original request but $857 million less than the revised request. Overall, the draft House bill included $69.2 billion in discretionary funds for HHS, $4.4 billion more than the request of $64.7 billion, and $3.5 billion more than the FY2008 amount of $65.7 billion. • For ED, the draft House bill recommended the following amounts for selected programs: ESEA programs, $24.9 billion in the aggregate, $380 million more than was requested; Title I, Part A Grants to Local Educational Agencies (LEAs), $14.5 billion, $150 million more than was requested; School Improvement Grants, $600 million, $109 million more than requested; Reading First State Grants, no funding provided, while $1 billion was requested. The draft House bill did not fund the President’s proposed Pell Grants for Kids program. Teacher Quality State Grants were recommended for $3.0 billion, $125 million more than requested; Education Technology State Grants, $272 million, with no funding in the request; 21st Century Community Learning Centers, $1.1 billion, $331 million more than requested; Fund for the Improvement of Education, $203 million, Congressional Research Service 15 Labor, Health and Human Services, and Education: FY2009 Appropriations $151 million more than requested; Safe and Drug-Free Schools State Grants, $295 million, $195 million more than requested; IDEA, Part B, $11.6 billion, $267 million more than requested; Perkins Career and Technical Education, $1.3 billion, with no funds requested; Pell Grants, $17.3 billion, $394 million more than requested, and with an increase in the maximum appropriated Pell Grant award to $4,410 compared to $4,310 under the request; Federal Supplemental Opportunity Grants, $757 million, with no funds were requested; and Aid for Institutional Development for higher education, $510 million, $147 million more than requested. Overall, the draft House bill provided $63.6 billion in FY2009 discretionary appropriations for ED, $3.5 billion more than the request of $60.1 billion and $4.4 billion more than the FY2008 amount of $59.2 billion. • For Related Agencies, the draft House bill included $430 million in two-year advance funding (for FY2011) for the Corporation for Public Broadcasting. The amount was $430 million above the President’s request and $10 million more than the two-year advance provided in FY2008 (for FY2010). Unlike the Administration’s request, the draft bill did not reduce funding previously advanced for fiscal years 2009 and 2010. The bill increased funding for SSA administrative expenses to $10.4 billion, $100 million more than the Administration’s request and $682 million more than provided for FY2008. Overall, the draft House bill recommended $12.7 billion in discretionary funds for Related Agencies, $630 million more than requested and $744 million more than appropriated for FY2008. FY2009 Appropriations: Senate Bill The Senate Committee on Appropriations reported its version of the FY2009 L-HHS-ED appropriations as S. 3230 (S.Rept. 110-410) on July 8, 2008. Senate Committee Highlights Overall, the Senate bill, as reported, recommended FY2009 discretionary appropriations of $155.7 billion for L-HHS-ED programs. The draft House bill recommended $157.7 billion; the President requested $147.4 billion. The comparable FY2008 amount was $148.6 billion. The Senate bill differed from the House proposal in a number of ways. • For DOL, the bill passed by the Senate Appropriations Committee increased funding for state Unemployment Compensation operations by $196 million above the $2.6 billion recommended in the draft House bill and requested by the President. Overall, the Senate committee recommended $12.4 billion in discretionary funds for DOL, $138 million more than included in the House draft bill, $1.8 billion more than the request, and $551 million more than appropriated for FY2008. • For HHS, the Senate bill included $93 million less than the draft House bill for Ryan White HIV/AIDS programs, $150 million more for CDC Buildings and Facilities, $125 million less for NIH, and $200 million less for LIHEAP. AHRQ was recommended for a specific appropriation of $91 million ($232 million less than the House), plus indirect funding of $244 million ($192 million more than the House), for a total of $335 million, $40 million less than the House bill Congressional Research Service 16 Labor, Health and Human Services, and Education: FY2009 Appropriations amount. Overall, the Senate-reported bill included $68.2 billion in discretionary appropriations for HHS programs, $0.9 billion less than the House bill amount of $69.2 billion, $3.5 billion more than the requested amount of $64.7 billion, and $2.6 billion more than HHS funding of $65.7 billion in FY2008. • For ED, the Senate-reported bill recommended $24.6 billion for ESEA programs in the aggregate, $374 million less than provided by the House draft bill. The bill included $491 million for School Improvement Grants, $109 million less than in the House draft bill; $11.4 billion for IDEA Part B Grants to States, $127 million less than the House amount; and $16.9 billion for Pell Grants, $445 million less than the House amount. The maximum appropriated Pell Grant award was set at $4,310 compared with a House proposed maximum Pell Grant award of $4,410. Overall, the Senate-reported bill included $62.5 billion in FY2009 discretionary appropriations for ED, $1.1 billion less than the draft House bill amount of $63.6 billion, $2.4 billion more than the requested amount of $60.1 billion, and $3.3 billion more than the FY2008 amount of $59.2 billion. • For Related Agencies, the bill passed by the Senate Appropriations Committee did not differ from the draft House bill by at least $100 million for any program. Overall, the Senate committee recommended $12.6 billion in discretionary funds for Related Agencies, $53 million less than the House amount, $578 million more than requested, and $691 million more than appropriated for FY2008. FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009 The 110th Congress did not complete action on any regular FY2009 appropriations until passage of the Consolidated Appropriations Act for FY2009, P.L. 110-329, on September 30, 2008. That law provided full-year funding for three of the 12 regular appropriations acts for FY2009 (those related to defense, veterans, and homeland security), temporary funding (continuing appropriations) through March 6, 2009, for the remaining nine regular appropriations acts (including L-HHS-ED), and supplemental appropriations for disaster relief and recovery. One HHS program received its full-year funding in the law ($5.1 billion for LIHEAP). On February 23, 2009, after lengthy negotiations between House and Senate appropriators and with the new Obama Administration, the chairman of the House Appropriations Committee introduced an omnibus FY2009 appropriations bill, H.R. 1105, accompanied by an explanatory statement. The bill and statement, which took the place of a conference report, had a division for each of the nine regular appropriations measures that had not yet been enacted. The bill was passed by the House on February 25 and by the Senate on March 10, and was signed into law by the President on March 11, 2009, as P.L. 111-8. Division F of the law provided the FY2009 L-HHS-ED appropriations, including $155.0 billion in discretionary funding. Adding that amount to the $5.1 billion provided earlier in P.L. 110-329 brought regular FY2009 discretionary appropriations for L-HHS-ED programs to a total of $160.1 billion. (Note that in the tables and discussions in this report, regular FY2009 HHS and L-HHS-ED funding is frequently described as having come from P.L. 111-8, without distinguishing the separate source of the LIHEAP funding.) FY2009 Funding Highlights As shown in Table 2, P.L. 111-8 provided discretionary appropriations at the program level of $160.1 billion for L-HHS-ED programs, compared to $155.7 billion in the Senate-reported bill, Congressional Research Service 17 Labor, Health and Human Services, and Education: FY2009 Appropriations $157.7 billion in the draft House bill, and $147.4 billion in the President’s request. The comparable FY2008 amount was $148.6 billion. In current-year terms (the amounts generally cited by the President when making comparisons to his budget), P.L. 111-8 provided $152.3 billion for discretionary L-HHS-ED programs, an increase of $7.2 billion (4.9%) over the President’s requested level of $145.1 billion. The FY2009 total was an increase of $7.3 billion (5.1%) over the FY2008 level of $144.9 billion, whereas the President’s request represented an increase of $0.2 billion (0.1%) over FY2008. In comparison, estimated current-year funding for mandatory L-HHS-ED programs was slated to increase by $18.0 billion (3.9%), from $455.4 billion in FY2008 to $473.4 billion in FY2009. Compared to FY2008 funding levels, the FY2009 program-level discretionary amounts were increased or decreased by at least $100 million for the following programs. Additional details and funding amounts are provided in separate agency summaries. • For DOL, P.L. 111-8 increased funding for WIA programs by $127 million, from $5.2 billion for FY2008 to $5.3 billion for FY2009. State Unemployment Insurance and Employment Service Operations received an additional $260 million, up from $2.6 billion for FY2008 to $2.8 billion for FY2009. Overall, the omnibus provided $12.4 billion in discretionary funds for DOL for FY2009, $608 million more than FY2008 funding of $11.8 billion. • For HHS, funding was increased by the following amounts compared to FY2008: Community Health Centers, $125 million; NIH, $938 million; CMS Program Management, $154 million; CMS Fraud and Abuse Control Initiative, $198 million; LIHEAP, $2.5 billion; Head Start, $235 million; and Public Health and Social Services Emergency Fund, $669 million. Overall, HHS received $71.4 billion in discretionary funds for FY2009, $5.7 billion more than FY2008 funding of $65.7 billion. • For ED, ESEA programs were funded at $24.8 billion in the aggregate, $412 million more than in FY2008. Two K-12 education programs received an increase of at least $100 million in funding from FY2008 to FY2009: Title I, Part A Grants to LEAs were increased by $594 million; and IDEA Part B grants to states were increased by $558 million. The only K-12 education program that lost $100 million or more was the Reading First State Grants program, which received no funding, a decrease of $393 million from FY2008. One postsecondary program, Pell Grants, received $3.1 billion more in FY2009. The maximum appropriated Pell Grant award was $4,860, an increase of $619 over the appropriated Pell award of $4,241 in FY2008. Overall ED received $63.5 billion in discretionary funds, $4.4 billion more than FY2008 funding of $59.2 billion. • For Related Agencies, P.L. 111-8 increased funding for SSA administrative expenses by $709 million, from $9.7 billion for FY2008 to $10.5 billion for FY2009. Overall, for FY2009, the Omnibus provided $12.7 billion in discretionary funding for L-HHS-ED Related Agencies, an increase of $791 million over FY2008 appropriations of $12.0 billion. Congressional Research Service 18 Labor, Health and Human Services, and Education: FY2009 Appropriations FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act of 2009 On February 17, 2009, President Obama signed a broad economic stimulus package, the American Recovery and Reinvestment Act of 2009 (ARRA), that provided emergency supplemental appropriations to selected federal programs, among many other provisions. Discretionary L-HHS-ED programs received a total of $124.2 billion; the funds were generally made available for obligation until September 30, 2010 (the end of FY2010). H.R. 1 passed the House on January 28, 2009, and the Senate passed its version on February 10. The conference report (H.Rept. 111-16) was filed February 12 and agreed to in the House and the Senate on February 13. The bill became P.L. 111-5 on February 17, 2009. For more information, see CRS Report R40537, American Recovery and Reinvestment Act of 2009 (P.L. 111-5): Summary and Legislative History, by (name redacted) et al. Two titles of ARRA provided funding for the Departments of Labor, Health and Human Services, and Education, and Related Agencies. Title VIII provided a total of $70.6 billion in discretionary funding, including $4.8 billion for the Department of Labor, $21.9 billion for the Department of Health and Human Services, $42.6 billion for the Department of Education, and $1.2 billion for Related Agencies. Title XIV provided $53.6 billion to the Department of Education for a new State Fiscal Stabilization Fund, bringing the ARRA Education total to $96.2 billion for discretionary programs. The ARRA discretionary total from the two titles was $124.2 billion, a 78% supplement to the $160.1 billion in regular discretionary appropriations for Labor, Health and Human Services, Education, and Related Agencies for FY2009. • For DOL, ARRA included a total of $4.8 billion. Of that amount, $4.2 billion was for WIA programs. The remainder was for the Community Service Employment for Older Americans program ($120 million), state unemployment insurance and employment service operations ($400 million), departmental management ($80 million), and the Office of the Inspector General ($6 million). • For HHS, ARRA included a total of $21.9 billion for the agencies funded by the L-HHS-ED bill. NIH received the largest share at $10.0 billion. The Administration for Children and Families received $5.2 billion for the Child Care and Development Block Grant ($2.0 billion) and for Children and Family Services programs ($3.2 billion). The Office of the HHS Secretary received a total of $3.1 billion for several programs, including a new Prevention and Wellness Fund ($1.0 billion) and health information technology activities ($2.0 billion). The Health Resources and Services Administration received $2.5 billion, $2.0 billion for health centers and $500 million for health professions training programs. The Agency for Healthcare Research and Quality received a total of $1.1 billion for comparative effectiveness research ($300 million for AHRQ programs, $400 million for transfer to NIH, and $400 million for the Secretary to allocate). The Administration on Aging received $100 million for senior nutrition programs. • For ED, ARRA provided $96.2 billion in discretionary funding for programs that are or will be administered by the Department. Of the total, $42.6 billion was appropriated for existing ED programs. Three programs received the largest shares of the funding, while the balance was provided in smaller amounts to numerous other ED programs. ARRA provided $10.0 billion for Title I-A, Education for the Disadvantaged, Grants to Local Educational Agencies. The Congressional Research Service 19 Labor, Health and Human Services, and Education: FY2009 Appropriations Individuals with Disabilities Education Act (IDEA), Part B Grants to States program received $11.3 billion. At the postsecondary level, ARRA provided $15.6 billion in discretionary funding for Pell Grants. The remaining $53.6 billion in ARRA funding for ED was appropriated for the new State Fiscal Stabilization Fund. The bulk of the money will be provided to states through formula grants. • For Related Agencies, ARRA included $1.2 billion. ARRA provided an additional $1.0 billion to the Social Security Administration (SSA). Of this amount, $500 million was designated for replacing SSA’s National Computer Center and $500 million for processing disability and retirement claims. SSA’s Office of the Inspector General received an additional $2 million. ARRA also provided $201 million in additional funding for the Corporation for National and Community Service. Continuing Appropriations Resolution, 2009 As mentioned earlier in the “Most Recent Developments” section, a continuing appropriations resolution (CR, enacted as Division A of P.L. 110-329, H.R. 2638) was signed into law on September 30, 2008. It provided temporary FY2009 funding for most ongoing L-HHS-ED activities, including the costs of direct loans and loan guarantees. It covered the period October 1, 2008, through March 6, 2009, because regular appropriations were not enacted before the end of that period. A continuing resolution for FY2009 was necessary because the regular L-HHS-ED appropriations were not enacted by the start of FY2009 on October 1, 2008. The CR was amended on March 6 by P.L. 111-6 to extend the temporary funding through March 11, 2009. Under the FY2009 continuing resolution, the funding level for most activities was provided at a rate of operations like that provided in FY2008 appropriations acts and under the same conditions and authority. (An exception was the provision of full-year funding to HHS for LIHEAP; see HHS discussions later in this report.) Only the most limited funding actions were authorized in order to provide for the continuation of projects and activities. New initiatives were prohibited. For programs with high spend-out rates that normally would occur early in the fiscal year, special restrictions prohibited spending levels that would impinge on final FY2009 funding decisions. For entitlements and other mandatory activities, spending was allowed that would maintain existing program levels under current law, including additional funding, if needed, to continue benefits for eligible beneficiaries. For additional information, please see CRS Report RL30343, Continuing Resolutions: Latest Action and Brief Overview of Recent Practices, by (name redacted). • Continuing Appropriations Resolution, 2009, Division A of P.L. 110-329 (H.R. 2638), provided temporary appropriations for the period October 1, 2008, through March 6, 2009, as long as regular appropriations were not enacted sooner. H.R. 2638 was passed by the House on September 24 and by the Senate on September 27, and signed into law by President George W. Bush on September 30, 2008, as P.L. 110-329. • Further Continuing Appropriations, 2009, P.L. 111-6 (H.J.Res. 38), extended the provisions of Division A of P.L. 110-329 through March 11, 2009. H.J.Res. 38 was passed by the House and the Senate on March 6, 2009, and was signed into law as P.L. 111-6 by President Obama the same day. Congressional Research Service 20 Labor, Health and Human Services, and Education: FY2009 Appropriations 302(a) and 302(b) Allocation Ceilings The maximum budget authority for annual L-HHS-ED appropriations is determined through a two-stage congressional budget process. In the first stage, Congress establishes the 302(a) allocations—the maximum spending totals for all congressional committees for a given fiscal year. This task is sometimes accomplished through the concurrent resolution on the budget, where spending totals are specified through the statement of managers in the conference report. In years when the House and Senate do not reach a budget agreement, these totals may be set through leadership arrangements in each chamber. The 302(a) allocations determine spending totals for each of the various committees, as well as the total discretionary budget authority available for enactment in annual appropriations through the House and Senate Committees on Appropriations. Congress reached agreement on the FY2009 budget resolution in early June, 2008, when the Senate (June 4) and the House (June 5) agreed to the conference report (H.Rept. 110-659) accompanying S.Con.Res. 70. The resolution established a 302(a) discretionary budget allocation to the Appropriations Committees of $1,011.7 billion. The resolution allowed the Budget Committees to increase that amount if certain conditions relating to funding of specific programs were met. On July 16, 2008, the Senate Budget Committee increased its 302(a) allocation by $968 million to $1,012.7 billion. For the purpose of comparison, the 302(a) discretionary allocation originally agreed to for FY2008 was $953.1 billion. In the second stage of the annual congressional budget process, the House and Senate Committees on Appropriations separately establish the 302(b) allocations—the maximum discretionary budget authority available to each subcommittee for each annual appropriations bill. The total of these allocations must not exceed the 302(a) discretionary total. This process creates the basis for enforcing discretionary budget discipline, since any appropriations bill reported with a total above the ceiling is subject to a point of order. The 302(b) allocations can and often do get adjusted during the year as the various appropriations bills progress toward final enactment. Table 6 shows the 302(b) discretionary allocations for the FY2009 L-HHS-ED appropriations determined by the House and Senate Committees on Appropriations. Comparable amounts for the FY2008 appropriations and the President’s FY2009 budget request are also shown. Both the 302(a) and 302(b) allocations regularly become contested issues in their own right. Table 6. FY2009 302(b) Discretionary Allocations for L-HHS-ED (budget authority in billions of dollars) FY2008 Comparable FY2009 Request Comparable FY2009 House Allocation FY2009 Senate Allocation FY2009 Enacted 144.8 145.4 152.6 153.1 152.3 Sources: The FY2009 House allocation is based on H.Rept. 110-746, July 8, 2008; the FY2009 Senate allocation is based on S.Rept. 110-423, July 16, 2008. The comparable amounts for FY2008 budget authority and the FY2009 budget request are based on the July 1, 2008, table from Senate Appropriations Committee. The FY2009 Enacted amount is based on the March 2009 table from the House Appropriations Committee. Advance Appropriations Advance appropriations occur when funds enacted in one fiscal year are not available for obligation until a subsequent fiscal year. For example, P.L. 110-161, which enacted FY2008 L- Congressional Research Service 21 Labor, Health and Human Services, and Education: FY2009 Appropriations HHS-ED appropriations, provided $420 million for the Corporation for Public Broadcasting (CPB) for use in FY2010. Advance appropriations may be used to meet several objectives. These might include the provision of long-term budget information to recipients, such as state and local educational systems, to enable better planning of future program activities and personnel levels. The more contentious aspect of advance appropriations, however, involves how they are counted in budget ceilings. Advance appropriations avoid the 302(a) and 302(b) allocation ceilings for the current year, but must be counted in the year in which they first become available for obligation. This procedure uses up ahead of time part of what will be counted against the allocation ceiling in future years. In FY2002, the President’s budget proposed the elimination of advance appropriations for federal discretionary programs, including those for L-HHS-ED programs. Congress rejected that proposal, and the proposal has not been repeated. For an example of the impact of advance appropriations on program administration, see the discussion titled “Forward Funding and Advance Appropriations” in the section on the Department of Education, later in this report. The FY1999 and FY2000 annual L-HHS-ED appropriations bills provided significant increases in advance appropriations for discretionary programs, moving from $4.0 billion in FY1998 to $19.0 billion in FY2000. From FY2001 through FY2007, advance appropriations generally were provided at $19.3 billion, with the exceptions of $18.8 billion in FY2001 and $21.5 billion in FY2003. For FY2008, President Bush requested $18.9 billion, but Congress decided to add $2.0 billion to the previous total, bringing the amount to $21.3 billion. For FY2009, President Bush requested $20.9 billion in discretionary advance appropriations for L-HHS-ED. The House draft bill recommended advances of $24.8 billion, while the Senate-reported bill included advance appropriations totaling $23.0 billion. The final amount included in the Omnibus Appropriations Act, 2009, was $24.8 billion. At that level, advance appropriations accounted for 15.5% of the LHHS-ED program-level discretionary total of $160.1 billion in FY2009. In terms of current-year funding, advances from previous years, at $21.3 billion, represented 14.0% of the current-year discretionary total of $152.3 billion for FY2009. From FY1998 to the present, advance appropriations included in L-HHS-ED bills have been as follows: • FY1998, $4.0 billion; • FY1999, $8.9 billion; • FY2000, $19.0 billion; • FY2001, $18.8 billion; • FY2002, $19.3 billion; • FY2003, $21.5 billion; • FY2004, $19.3 billion; • FY2005, $19.3 billion; • FY2006, $19.3 billion; • FY2007, $19.3 billion; • FY2008, $21.3 billion; Congressional Research Service 22 Labor, Health and Human Services, and Education: FY2009 Appropriations • FY2009, President’s budget request, $20.9 billion; • FY2009, House committee draft recommendation, $24.8 billion; • FY2009, Senate committee-reported bill, $23.0 billion; and • FY2009, P.L. 111-8, $24.8 billion. Department of Labor FY2008 discretionary appropriations for the Department of Labor (DOL) were $11.8 billion. For FY2009, the George W. Bush Administration requested $10.5 billion, $1.3 billion (10.7%) less than the FY2008 amount, as shown in Table 7. The draft bill marked up but not reported by the House Appropriations Committee included $12.2 billion in discretionary funding, an increase of $413 million (3.5%) over FY2008. The bill reported by the Senate Committee on Appropriations recommended $12.4 billion for FY2009, an increase of $551 million (4.7%) over FY2008. P.L. 111-8 provided $12.4 billion, increasing funding by $608 million (5.2%) over spending for FY2008. ARRA provided an additional $4.8 billion in discretionary funding for FY2009, some portion of which will not be obligated until FY2010. Total discretionary appropriations for DOL for FY2009 were $17.2 billion, an increase of $5.4 billion (45.9%) over FY2008. Table 7. Department of Labor Discretionary Appropriations ($ in billions) Funding FY2008 Comparable FY2009 Request FY2009 House Comm. FY2009 Senate Comm. FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Appropriations 11.8 10.5 12.2 12.4 12.4 4.8 17.2 Sources: Amounts are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). Amounts represent discretionary spending funded by L-HHS-ED appropriations; funds for mandatory programs are excluded. Mandatory DOL programs included in P.L. 111-8 were funded at $2.9 billion and consist of the Black Lung Disability Trust Fund ($1,072 million), Federal Unemployment Benefits and Allowances ($959 million), Advances to the Unemployment Insurance and Other Trust Funds ($422 million), Special Benefits for Disabled Coal Miners ($244 million), Employment Standards Administration (ESA) Special Benefits ($163 million), and administrative expenses for the Energy Employees Occupational Illness Compensation Fund ($50 million). ARRA did not include additional funding for DOL for mandatory programs. Key Issues President’s Request President George W. Bush’s FY2009 budget request for DOL included funding changes for a number of activities. Proposed discretionary changes of at least $100 million compared to FY2008 appropriations were as follows. Congressional Research Service 23 Labor, Health and Human Services, and Education: FY2009 Appropriations • The request reduced funding for Workforce Investment Act (WIA) programs by $553 million, from $5.2 billion for FY2008 to $4.6 billion for FY2009. • Appropriations for WIA Dislocated Worker Assistance programs, funded at $1.5 billion in FY2008, were reduced by $241 million. 1 • WIA Adult Training grants to states, funded at $862 million in FY2008, were reduced by $150 million. • Funding for Community Service Employment for Older Americans fell $172 million, from $522 million to $350 million. • The President proposed to eliminate $703 million in funding for Employment Service grants to states, leaving $20 million in funding for other Employment Service activities. These grants fund a nationwide system of employment services for job-seekers and employers. The President proposed that these services be provided by One-Stop Career Centers. • The request increased funding for State Unemployment Insurance and Employment Service Operations by $172 million, from $2,464 million for FY2008 to $2,636 million for FY2009. The Supplemental Appropriations Act of 2008 (H.R. 2642, P.L. 110-252) included an additional $110 million for these operations for FY2008, for a total of $2.574 million. Thus, the President’s request was $62 million above total FY2008 funding. The President requested $2.8 billion for new individual Career Advancement Accounts (CAA). To pay for the accounts, the request eliminated or reduced funding for WIA Adult, Youth, and Dislocated Worker programs; the Work Opportunity Tax Credit (WOTC); and workforce information. The request proposed that the maximum amount of an account be $3,000 per year. Draft House Bill The House Appropriations Committee did not complete its markup of the draft L-HHS-ED bill. Recommended funding for DOL, taken from a table reflecting committee actions, differed by at least $100 million from the President’s budget request, as follows. • The draft House bill raised funding for WIA programs by $693 million above the Administration’s request for $4.6 billion and by $140 million above the amount appropriated for FY2008. • The draft proposal funded WIA Dislocated Worker Assistance programs at $1.5 billion, which was $281 million above the Administration’s request and $40 million above funding approved for FY2008. • The draft increased funding for the Job Corps by $153 million above the Administration’s request of $1.6 billion and $107 million above funding for FY2008. 1 Appropriations for FY2008 set aside $123 million from the Dislocated Worker Assistance National Reserve program for the Community College initiative. The President requested $125 million in direct appropriations for Community College grants. Congressional Research Service 24 Labor, Health and Human Services, and Education: FY2009 Appropriations • The draft funded WIA Adult Training grants to states at $862 million, which was $150 million more than the Administration’s request and the same as funding for FY2008. • Community Service Employment for Older Americans received $222 million more than the Administration’s request of $350 million and $50 million more than Congress appropriated for FY2008. • The draft bill provided $703 million for Employment Service grants to states, which was $703 million above the President’s request and the same as funding for FY2008. The House committee did not recommend the creation of individual Career Advancement Accounts (CAA). Senate Bill For DOL programs, the bill reported by the Senate Appropriations Committee differed from the draft House bill by at least $100 million as follows: • The bill reported by the Senate committee increased funding for State Unemployment Insurance and Employment Service Operations by $196 million above the $2.6 billion recommended in the draft House bill and requested by the President. The Senate committee did not recommend the creation of individual Career Advancement Accounts (CAA). FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009 Compared to FY2008 funding, P.L. 111-8 increased discretionary funding by at least $100 million in the following areas: • WIA funding was increased by $127 million, from $5.2 billion for FY2008 to $5.3 billion for FY2009. • Funding for State Unemployment Insurance and Employment Service Operations was raised by $260 million, from a total of $2.6 billion in FY2008 to $2.8 billion for FY2009. FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act ARRA included a total of $4.8 billion for the Department of Labor. All of the stimulus funding was for discretionary programs, and represented a 39% supplement to the $12.4 billion in regular FY2009 discretionary funding for DOL. Of the $4.8 billion total, $4.2 billion was provided for employment and training programs authorized by WIA, and the remaining $606 million went to related DOL programs. The amount for WIA programs represented a 79% supplement to the $5.3 billion in the Omnibus Appropriations Act, 2009. Of the $4.2 billion in WIA funding, a total of $4.0 billion was appropriated for Training and Employment Services activities as follows: (1) formula grants to states received $3.0 billion, including $500 million in grants for adult Congressional Research Service 25 Labor, Health and Human Services, and Education: FY2009 Appropriations employment and training, $1.2 billion in grants for youth activities, and $1.3 billion in grants for dislocated worker assistance; (2) the Dislocated Workers Assistance National Reserve received $200 million; (3) the YouthBuild program received $50 million; and (4) $750 million was provided for a new program of competitive grants for worker training and placement in highgrowth and emerging industries. The remaining $250 million in WIA funding went to the Office of Job Corps for construction and renovation of Job Corps centers. The balance of ARRA funding for DOL was for the Community Service Employment for Older Americans program ($120 million), state unemployment insurance and employment service operations ($400 million), departmental management ($80 million), and the Office of the Inspector General ($6 million).2 Unlike most regular appropriations, ARRA made the stimulus funds available for obligation for two years, until the end of FY2010. DOL has developed program-specific plans for spending the money, indicating how much they expect to obligate in FY2009 and FY2010. The plans are available at http://www.dol.gov/recovery, together with other DOL Recovery Act reports. CRS Products CRS Report R40182, Funding for Workforce Development in the American Recovery and Reinvestment Act (ARRA) of 2009, by (name redacted) and (name redacted). CRS Report RL34383, Trade Adjustment Assistance (TAA) for Workers: Current Issues and Legislation, by (name redacted). CRS Report RS22718, Trade Adjustment Assistance for Workers (TAA) and Reemployment Trade Adjustment Assistance (RTAA), by (name redacted). CRS Report RL33362, Unemployment Insurance: Available Unemployment Benefits and Legislative Activity, by (name redacted) and (name redacted). CRS Report R40368, Unemployment Insurance Provisions in the American Recovery and Reinvestment Act of 2009, by (name redacted), (name redacted), and (name redacted). CRS Report RL33687, The Workforce Investment Act (WIA): Program-by-Program Overview and Funding of Title I Training Programs, by (name redacted). Websites Department of Labor http://www.dol.gov http://www.dol.gov/dol/aboutdol/main.htm#budget 2 For more information on ARRA funds for DOL, see CRS Report R40182, Funding for Workforce Development in the American Recovery and Reinvestment Act (ARRA) of 2009, by (name redacted) and (name redacted). Congressional Research Service 26 Labor, Health and Human Services, and Education: FY2009 Appropriations Detailed Appropriations Table Table 8 shows the appropriations details for offices and major programs of DOL. Congressional Research Service 27 Table 8. Detailed Department of Labor Appropriations ($ in millions) Office or Major Program Total Workforce Investment Act, Title I (WIA) (non-add) FY2008 Comparable 5,186 FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total 4,633 5,326 5,269 5,314 4,200 9,514 Employment and Training Administration (ETA) Training and Employment Services (TES) WIA Adult Training Grants to States 862 712 862 864 862 500 1,362 WIA Youth Training 924 841 924 931 924 1,200 2,124 WIA Dislocated Worker Assistance (DWA) 1,465 1,224 1,505 1,482 1,467 1,450 2,917 DWA State Grants (non-add) 1,184 943 1,184 1,200 1,184 1,250 2,434 DWA National Reserve Community College initiative set aside (non-add)a 123 0 145 125 125 0 125 DWA National Reserve, other (non-add)a 158 281 176 157 158 200 358 WIA Migrant and Seasonal Farmworkers 80 0 82 83 83 0 83 WIA Community College Grants (Community-Based Job Training)a 0 125 0 0 0 0 0 Other WIA and TES Activities 246 285 230 259 291 800 1,091 3,576 3,061 3,602 3,619 3,626 3,950 7,576 Community Service Employment for Older Americans 522 350 572 572 572 120 692 Federal Unemployment Benefits and Allowances (mandatory)b 889 959 959 959 959 0 959 TES subtotal State Unemployment Insurance and Employment Service Operations (SUI/ESO) Unemployment Compensation 2,574 2,636 2,636 2,832 2,833 0 2,833 Employment Service 723 20 725 724 724 400 1,124 Employment Service State Grants (non-add) 703 0 703 704 704 400 1,104 Foreign Labor Certification 54 78 66 70 68 0 68 CRS-28 Office or Major Program FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total One-Stop Career Centers 52 49 51 52 52 0 52 Work Incentives Grants 14 0 20 14 17 0 17 SUI/ESO subtotal 3,417 2,783 3,498 3,692 3,695 400 4,095 Advances to Unemployment Trust Fund and other funds (mandatory) 437 422 422 422 422 0 422 ETA Program Administration 131 144 130 131 130 0 130 8,972 7,719 9,183 9,395 9,405 4,470 13,875 Employee Benefits Security Administration 139 148 148 139 143 0 143 Pension Benefit Guaranty Corporation (non-add) 427 445 445 445 445 0 445 ESA Salaries and Expenses 421 469 451 438 440 0 440 Office of Labor-Management Standards (OLMS) (non-add) 45 58 45 45 45 0 45 ESA Special Benefits (mandatory) 203 163 163 163 163 0 163 ESA Special Benefits for Disabled Coal Miners (mandatory) 270 244 244 244 244 0 244 ESA Energy Employees Occupational Illness Compensation Fund (Part B administrative expenses)c (mandatory) 49 50 50 50 50 0 50 1,068 1,072 1,072 1,072 1,072 0 1,072 2,012 1,997 1,980 1,967 1,969 0 1,969 Occupational Safety and Health Administration (OSHA) 486 502 513 505 513 0 513 Mine Safety and Health Administration (MSHA) 332 332 335 347 347 0 347 Bureau of Labor Statistics 545 593 596 598 597 0 597 Office of Disability Employment Policy 27 12 21 27 27 0 27 ETA subtotal Employment Standards Administration (ESA) ESA Black Lung Disability Trust Fund (mandatory) ESA subtotal CRS-29 Office or Major Program FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Departmental Management International Labor Affairs 81 15 81 86 86 0 86 1,611 1,565 1,717 1,651 1,684 250 1,934 Veterans Employment and Training 228 238 240 238 239 0 239 Departmental Management, other 287 331 312 310 310 86 396 2,207 2,149 2,351 2,285 2,320 336 2,656 0 0 0 0 0 0 0 Total Appropriationsd 14,719 13,452 15,125 15,263 15,321 4,806 20,127 Current-Year Funding 12,194 10,933 12,606 12,744 12,802 4,806 17,608 One-Year Advance Funding 2,525 2,519 2,519 2,519 2,519 0 2,519 WIA Job Corps Departmental Management subtotal Working Capital Fund TOTALS, DEPARTMENT OF LABOR Source: Amounts are based on a March 2009 table from the House Committee on Appropriations, reflecting House and Senate committee work in the 110th Congress on proposed FY2009 L-HHS-ED bills, and final passage of P.L. 111-8 (FY2009 Omnibus Appropriations) and P.L. 111-5 (ARRA). FY2008 comparable includes supplemental appropriations from P.L. 110-252 (June 2008), Details may not add to totals due to rounding. a. The WIA community college initiative (i.e., Community-Based Job Training program) was funded at $123 million in FY2008 from Dislocated Worker Assistance National Reserve funds. The President’s budget for FY2009 requested direct appropriations of $125 million. To reflect this difference, in Table 8 the program is shown on two lines. b. Federal Unemployment Benefits and Allowances consist of funding for benefits and training for workers under the Trade Adjustment Assistance (TAA) program. c. Before FY2009, appropriations for administrative and statutory activities under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) were in DOL, with some of the funding transferred to the Centers for Disease Control and Prevention (CDC) by interagency agreement. The FY2009 request proposed direct appropriations (mandatory) to CDC for the activities. d. Appropriations totals include discretionary and mandatory spending and may be subject to additional scorekeeping and other adjustments. CRS-30 Labor, Health and Human Services, and Education: FY2009 Appropriations Department of Health and Human Services FY2008 discretionary appropriations for the Department of Health and Human Services (HHS) were $65.7 billion. For FY2009, President George W. Bush’s revised budget request was $64.7 billion, $953 million (1.5%) less than the FY2008 amount, as shown in Table 9. The draft bill marked up but not reported by the House Appropriations Committee included $69.2 billion in discretionary funding, an increase of $3.5 billion (5.3%) over FY2008. The bill reported by the Senate Committee on Appropriations recommended $68.2 billion for FY2009, an increase of $2.6 billion (3.9%) over FY2008. Regular discretionary appropriations for HHS totaled $71.4 billion ($66.3 billion from the FY2009 Omnibus Appropriations Act, P.L. 111-8, and $5.1 billion for LIHEAP from the FY2009 Continuing Resolution, Division A of P.L. 110-329). The total was an increase of $5.7 billion (8.7%) over FY2008. ARRA provided an additional $21.9 billion in discretionary funding for FY2009, some portion of which will not be obligated until FY2010. Total discretionary appropriations for HHS for FY2009 were $93.3 billion, an increase of $27.6 billion (42.1%) over FY2008. Table 9. Department of Health and Human Services Discretionary Appropriations ($ in billions) Funding FY2008 Comparable FY2009 Request FY2009 House Comm. FY2009 Senate Comm. FY2009 Omnibus + CR FY2009 ARRA P.L. 111-5 FY2009 Total Appropriations 65.7 64.7 69.2 68.2 71.4 21.9 93.3 Source: Amounts are based on a March 2009 table from the House Committee on Appropriations (see Table 10 for more details on sources). Amounts represent discretionary spending funded by L-HHS-ED appropriations; funds for mandatory programs are excluded, as are funds for the Food and Drug Administration (FDA) and the Indian Health Service (IHS). FDA and IHS are both agencies of HHS, but they are funded through other appropriations bills. Mandatory HHS programs included in the L-HHS-ED act were funded at $429.8 billion in FY2009, and consist primarily of Medicaid Grants to States ($221.0 billion), Payments to Medicare Trust Funds ($195.4 billion, including both Part B Supplementary Medical Insurance and Part D Prescription Drugs), Foster Care and Adoption Assistance State Payments ($6.9 billion), Family Support Payments to States ($3.8 billion), and the Social Services Block Grant ($1.7 billion). Key Issues President’s Request President George W. Bush’s FY2009 budget request for HHS proposed increased support for the Public Health and Social Services Emergency Fund (PHSSEF), for Head Start, and for program management and a fraud control initiative for the administration of Medicare and Medicaid. At the same time, it proposed overall funding reductions for health resources and services, disease control and prevention, substance abuse and prevention, programs for children and families, and services for the aging. Not all programs in each category were decreased; selected programs in Congressional Research Service 31 Labor, Health and Human Services, and Education: FY2009 Appropriations most of the categories were requested for increases. Requests for major changes are indicated below. Discretionary spending changes of at least $100 million were requested in the President’s FY2009 budget for several HHS programs, as follows. • Health Professions programs other than those for nursing, funded at $194 million in FY2008, were eliminated. • Children’s Hospitals Graduate Medical Education (CHGME), funded at $302 million in FY2008, was eliminated. • Rural Health Programs, funded at $136 million in FY2008, were reduced by $112 million to $25 million. • Health Care-Related Facilities and Activities, funded at $304 million in FY2008, were eliminated. • National Institutes of Health, funded at $29.4 billion in FY2008, was reduced by $150 million to $29.2 billion. • At the Substance Abuse and Mental Health Services Administration (SAMHSA), Mental Health programs, funded at $889 million in FY2008, were reduced by $126 million to $763 million. • At the Centers for Medicare and Medicaid Services (CMS), a Fraud and Abuse Control Initiative was proposed for new funding at $198 million, while CMS Program Management was increased by $156 million, from $3.2 billion in FY2008 to $3.3 billion. • The Low-Income Home Energy Assistance Program (LIHEAP), funded at $2.6 billion in FY2008, was decreased by $570 million to $2.0 billion. • The Social Services Block Grant, funded at $1.7 billion in FY2008, would have been reduced by $500 million to $1.2 billion, but only if a legislative change proposed by the Administration had been adopted by Congress. (Under current law, the request remained at $1.7 billion.) • Head Start, funded at $6.9 billion in FY2008, was increased by $149 million to $7.0 billion. • The Community Services Block Grant (CSBG), funded at $654 million in FY2008, was eliminated. • The PHSSEF, funded at $729 million in FY2008, was increased in the revised request by $1.6 billion to $2.3 billion. Funding includes homeland security activities (increased by $685 million) and pandemic influenza preparedness (increased by $873 million). Draft House Bill The House Appropriations Committee did not complete its markup of the draft L-HHS-ED bill. Recommended funding for HHS, taken from a table reflecting committee actions, differed by at least $100 million from the President’s budget request, as follows. Congressional Research Service 32 Labor, Health and Human Services, and Education: FY2009 Appropriations • Health Professions other than nursing received $244 million. No funds were requested; $194 million was provided in FY2008. • The CHGME received $310 million. No funds were requested; $302 million was provided in FY2008. • Health Care-Related Facilities and Activities received $158 million. No funds were requested; $304 million was provided in FY2008. • The CDC Infectious Diseases program received $2.0 billion, $106 million more than requested; $1.9 billion was provided in FY2008. • The CDC Terrorism Preparedness and Response program received $1.5 billion, $100 million more than requested; $1.5 billion was provided in FY2008. • The Preventive Health and Health Services Block Grant (PHBG) received $100 million. No funds were requested; $97 million was provided in FY2008. • The National Institutes of Health (NIH) received $30.4 billion, $1.2 billion more than requested; $29.4 billion was provided in FY2008. • SAMHSA Mental Health programs received $932 million, $169 million more than requested; $889 million was provided in FY2008. • The Agency for Healthcare Research and Quality (AHRQ) received an appropriation of $323 million; previously, all of its funding came from the PHS Evaluation Tap. The draft House bill provided an additional $52 million from the PHS tap, for a total of $375 million, $49 million more than the request; AHRQ received $335 million from the tap in FY2008. • LIHEAP received $2.8 billion, $770 million more than requested; $2.6 billion was provided in FY2008. • The CSBG was funded at $700 million. No funds were requested; $654 million was provided in FY2008. • The Administration on Aging received $1.5 billion, $111 million more than requested; $1.4 billion was provided in FY2008. • The PHSSEF received $1.4 billion, $857 million less than was included in the revised request; $729 million was provided in FY2008. Funding for homeland security activities was decreased by $486 million and for pandemic influenza preparedness by $363 million. Senate Bill As reported, the Senate bill differed from the draft House measure by at least $100 million for several HHS programs. • CDC Buildings and Facilities was funded at $150 million. No funds were recommended in the House draft bill, and none were requested; $55 million was provided in FY2008. • The NIH received $30.3 billion, $125 million less than the House amount of $30.4 billion; $29.2 billion was requested, and $29.4 billion was provided, in FY2008. Congressional Research Service 33 Labor, Health and Human Services, and Education: FY2009 Appropriations • AHRQ received an appropriation of $91 million, $232 million less than the House amount of $323 million. The Senate bill provided an additional $244 million from the PHS Evaluation Tap, for a total of $335 million. Total funding for AHRQ was $40 million less than the House total of $375 million, and $9 million more than the request; AHRQ received $335 million from the tap in FY2008. • LIHEAP was funded at $2.6 billion, $200 million less than the House amount of $2.8 billion; $2.0 billion was requested, and $2.6 billion was provided in FY2008. • The PHSSEF received $1.3 billion, $192 million less than the House amount of $1.4 billion; $2.3 billion was included in the revised request, and $729 million was provided in FY2008. Funding for homeland security activities was decreased by $187 million below the House amount, while the recommended level for pandemic influenza preparedness was the same as in the draft House bill. FY2009 Regular Appropriations: P.L. 111-8, Omnibus Appropriations Act, 2009 Compared to FY2008 funding, P.L. 111-8 changed discretionary spending by at least $100 million for several HHS programs. • Community Health Centers received $2.2 billion, $98 million more than requested and $125 million more than the FY2008 amount of $2.1 billion. • NIH received $30.3 billion, $1.1 billion more than requested and $938 million more than the FY2008 amount of $29.4 billion. • CMS Program Management received $3.3 billion, $2 million less than requested and $154 million more than the FY2008 amount of $3.2 billion. • The CMS Fraud and Abuse Control Initiative received $198 million, the same as was requested; there was no funding in FY2008. • LIHEAP received no funding in P.L. 111-8 because it had received its full-year appropriation in the FY2009 Continuing Appropriations Resolution, P.L. 110329, Division A. LIHEAP was funded at $5.1 billion, $3.1 billion more than requested and $2.5 billion more than the FY2008 amount of $2.6 billion. • Head Start received $7.1 billion, $86 million more than requested and $235 million more than the FY2008 amount of $6.9 billion. • The PHSSEF received $1.4 billion, $903 million less than requested and $669 million more than the FY2008 amount of $729 million. Included in the funding was $788 million for homeland security activities and $585 million for pandemic influenza preparedness; the comparable FY2008 amounts were $633 million and $75 million. FY2009 Emergency Supplemental Appropriations: P.L. 111-5, American Recovery and Reinvestment Act ARRA included a total of $21.9 billion for the HHS agencies funded by the annual L-HHS-ED appropriations act. All of the stimulus funding was for discretionary programs, and represented a Congressional Research Service 34 Labor, Health and Human Services, and Education: FY2009 Appropriations 31% supplement to the $71.4 billion in regular FY2009 discretionary funding for HHS. Of the $21.9 billion, the National Institutes of Health (NIH) received the largest share at $10.0 billion (a 33% supplement to regular FY2009 appropriations). The Administration for Children and Families received $5.2 billion, including $2.0 billion for the Child Care and Development Block Grant (a 94% supplement) and $3.2 billion for Children and Family Services programs (a 34% supplement). The Office of the HHS Secretary received a total of $3.1 billion for several programs, including $1.0 billion for a new Prevention and Wellness Fund and $2.0 billion to implement activities authorized under the Health Information Technology for Economic and Clinical Health Act (Division A, Title XIII of ARRA).3 The Health Resources and Services Administration received $2.5 billion, including $2.0 billion for health centers (a 91% supplement) and $500 million for health professions training programs. The Agency for Healthcare Research and Quality (AHRQ) received a total of $1.1 billion for comparative effectiveness research ($300 million for AHRQ programs, $400 million for transfer to NIH, and $400 million for the Secretary to allocate). Finally, the Administration on Aging received $100 million for senior nutrition programs. 4 Unlike most regular appropriations, ARRA made the stimulus funds available for obligation for two years, until the end of FY2010. HHS agencies have developed implementation plans for spending the money, indicating how much they expect to obligate in FY2009 and FY2010. The plans are available at http://www.hhs.gov/recovery/reports/index.html, together with other HHS Recovery Act reports. Abortion: Funding Restrictions Annual L-HHS-ED appropriations regularly contain restrictions that limit—for one year at a time—the circumstances under which federal funds can be used to pay for abortions. Restrictions on appropriated funds, popularly referred to as the “Hyde Amendments,” generally apply to all LHHS-ED funds. Medicaid is the largest program affected. Given the perennial volatility of this issue, these provisions may be revisited at any time during the annual consideration of L-HHSED appropriations. From FY1977 to FY1993, abortions could be funded only when the life of the mother was endangered. The 103rd Congress modified the provisions to permit federal funding of abortions in cases of rape or incest. The FY1998 L-HHS-ED appropriations, P.L. 105-78, extended the Hyde provisions to prohibit the use of federal funds to buy managed care packages that include abortion coverage, except in the cases of rape, incest, or life endangerment. The FY1999 L-HHS-ED appropriations, P.L. 105-277, continued the FY1998 Hyde Amendments with two added provisions: (1) a clarification to ensure that the restrictions apply to all trust fund programs (namely, Medicare), and (2) an assurance that Medicare + Choice plans (now Medicare Advantage) cannot require the provision of abortion services. No changes were made from FY2000 through FY2004. The FY2005 L-HHS-ED appropriations, P.L. 108-447 (H.Rept. 108-792, p. 1271), added a restriction, popularly referred to as the “Weldon Amendment,” that prevents federal programs or 3 For more information, see CRS Report R40161, The Health Information Technology for Economic and Clinical Health (HITECH) Act, by (name redacted). 4 For more information on HHS programs in ARRA, see CRS Report R40181, Selected Health Funding in the American Recovery and Reinvestment Act of 2009, coordinated by (name redacted); CRS Report R40211, Human Services Provisions of the American Recovery and Reinvestment Act, by (name redacted) et al.; and CRS Report RL33880, Older Americans Act (OAA) Funding, by (name redacted). Congressional Research Service 35 Labor, Health and Human Services, and Education: FY2009 Appropriations state or local governments that receive L-HHS-ED funds from discriminating against health care entities that do not provide or pay for abortions or abortion services. The FY2006, FY2007, FY2008, and FY2009 L-HHS-ED appropriations retained the Weldon amendment language and the Hyde restrictions. The current provisions can be found in §507 and §508 of P.L. 111-8, Division F. For additional information, please see CRS Report RL33467, Abortion: Legislative Response, by (name redacted). Human Embryonic Stem Cell Research: Funding Restrictions Many scientists are interested in pursuing research using human embryonic stem cells, but funding restrictions have been in place for a number of years. The use of stem cells raises ethical issues for some because the embryos are destroyed in order to obtain the cells. In August 2001, President George W. Bush had announced that for the first time, federal funds could be used to support research on human embryonic stem cells, but that funding would be limited to “existing stem cell lines.” On March 9, 2009, President Barack Obama signed an executive order reversing that limitation. The Obama decision directed the National Institutes of Health to issue new guidelines for the conduct of embryonic stem cell research. Draft guidelines were released on April 23, 2009, and final guidelines were issued on July 6, 2009. As part of a continuing resolution for FY1996 appropriations (P.L. 104-99, §128), Congress prohibited NIH from using funds for the creation of human embryos for research purposes or for research in which human embryos are destroyed. Since FY1997, annual appropriations acts have extended the prohibition to all L-HHS-ED funds, with the NIH as the agency primarily affected. The restriction, originally introduced by Representative Jay Dickey, has not changed significantly since it was first enacted. The current provision is found in §509 of P.L. 111-8, Division F. For additional information, please see CRS Report RL33540, Stem Cell Research: Federal Research Funding and Oversight, by (name redacted) and (name redacted). CRS Products Health CRS Report R40554, The 2009 Influenza Pandemic: An Overview, by (name redacted) and (na me redacted). CRS Report RL33467, Abortion: Legislative Response, by (name redacted). CRS Report RL30731, AIDS Funding for Federal Government Programs: FY1981-FY2009, by (name redacted). CRS Report RL34448, Federal Research and Development Funding: FY2009, coordinated by (name redacted) CRS Report RS22438, Health Workforce Programs in the Public Health Service (PHS) Act: Appropriations History, FY2001-FY2010, by (name redacted) and (name redacted ). CRS Report RS21044, Legal Issues Related to Human Embryonic Stem Cell Research, by (name redacted). Congressional Research Service 36 Labor, Health and Human Services, and Education: FY2009 Appropriations CRS Report RL33695, The National Institutes of Health (NIH): Organization, Funding, and Congressional Issues, by (name redacted). CRS Report RL34098, Public Health Service (PHS) Agencies: Background and Funding, coordinated by (name redacted). CRS Report RL33279, The Ryan White HIV/AIDS Program, by (name redacted). CRS Report R40181, Selected Health Funding in the American Recovery and Reinvestment Act of 2009, coordinated by (name redacted). CRS Report RL33540, Stem Cell Research: Federal Research Funding and Oversight, by (name r edacted) and (name redacted). CRS Report RL33997, Substance Abuse and Mental Health Services Administration (SAMHSA): Reauthorization Issues, by (name redacted). Human Services CRS Report RL34121, Child Welfare: Recent and Proposed Federal Funding, by (name r edacted). CRS Report RL32872, Community Services Block Grants (CSBG): Background and Funding, by (name redacted). CRS Report R40212, Early Childhood Care and Education Programs: Background and Funding, by (name redacted) and (name redacted). CRS Report R40473, Family Violence Prevention and Services Act: Programs and Funding, by (name redacted). CRS Report R40211, Human Services Provisions of the American Recovery and Reinvestment Act, by (name redacted) et al. CRS Report RS22185, Individual Development Accounts (IDAs): Background and Current Legislation for Federal Grant Programs to Help Low-Income Families Save, by (name redacted). CRS Report RL31865, The Low-Income Home Energy Assistance Program (LIHEAP): Program and Funding, by (name redacted). CRS Report RL33880, Older Americans Act (OAA) Funding, by (name redacted). CRS Report 94-953, Social Services Block Grant (Title XX of the Social Security Act), by (name redacted). CRS Report RL30871, Violence Against Women Act: History and Federal Funding, by (name redac ted). CRS Report RL33975, Vulnerable Youth: Background and Policies, by Adrienne L. Fernandes. Congressional Research Service 37 Labor, Health and Human Services, and Education: FY2009 Appropriations Websites Department of Health and Human Services http://www.hhs.gov http://www.hhs.gov/budget/docbudget.htm Detailed Appropriations Table Table 10 shows the appropriations details for offices and major programs of HHS. Congressional Research Service 38 Table 10. Detailed Department of Health and Human Services Appropriations ($ in millions) Office or Major Program FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Public Health Service (PHS) Health Resources and Services Administration (HRSA) Community Health Centers 2,065 2,092 2,165 2,215 2,190 2,000 4,190 National Health Service Corps 123 121 135 135 135 300 435 Health Professions, Nursing 156 110 174 168 171 0 171 Health Professions, other 194 0 244 196 222 200 422 Children’s Hospitals Graduate Medical Education 302 0 310 310 310 0 310 Maternal and Child Health Block Grant 659 666 665 659 662 0 662 Autism and Other Developmental Disorders 36 36 42 42 42 0 42 2,142 2,143 2,242 2,148 2,213 0 2,213 Rural Health Programsa 136 25 122 143 149 0 149 Family Planning (Title X) 300 300 315 300 307 0 307 Health Care-Related Facilities & Activities 304 0 158 171 310 0 310 Vaccine Injury Compensation Trust Fund (mandatory) 119 257 257 257 257 0 257 HRSA, other 446 379 519 467 531 0 531 6,983 6,129 7,348 7,211 7,500 2,500 10,000 Ryan White AIDS Programs HRSA subtotal Centers for Disease Control and Prevention (CDC) Infectious Diseases 1,892 1,857 1,963 1,897 1,935 0 1,935 Health Promotion 961 932 1,011 990 1,020 0 1,020 CRS-39 FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total 55 55 0 55 1,520 1,508 1,515 0 1,515 0 100 97 102 0 102 55 0 0 150 152 0 152 1,565 1,409 1,609 1,672 1,560 0 1,560 6,105 5,673 6,258 6,369 6,339 0 6,339 29,380 29,230 30,380 30,255 30,317 10,000 40,317 FY2009 House Committee FY2008 Comparable FY2009 Request Energy Employees Occupational Illness Compensation Program (mandatory)b 55 55 55 Terrorism Preparedness and Response 1,479 1,419 Preventive Health/Health Services Block Grant 97 CDC Buildings and Facilities Office or Major Program CDC, other CDC subtotalc FY2009 Senate Committee National Institutes of Health (NIH) National Institutes of Healthc Substance Abuse and Mental Health Services Administration (SAMHSA) Mental Health 889 763 932 909 948 0 948 (Mental Health Block Grant, non-add) 400 400 400 400 400 0 400 Substance Abuse Treatment 2,075 2,025 2,099 2,078 2,105 0 2,105 Substance Abuse Prevention 194 158 194 191 201 0 201 1,680 1,699 1,699 1,699 1,699 0 1,699 75 79 79 81 81 0 81 3,234 3,025 3,303 3,260 3,335 0 3,335 0 0 323 91 0 1,100 1,100 Evaluation Tap funding (non-add) 335 326 52 244 372 0 372 AHRQ program level (non-add) 335 326 375 335 372 1,100 1,472 45,702 44,057 47,612 47,185 47,491 13,600 61,091 (Substance Abuse Block Grant, nonadd) SAMHSA, other SAMHSA subtotal Agency for Healthcare Research and Quality (AHRQ) AHRQ Appropriation PHS subtotal CRS-40 Office or Major Program FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total Centers for Medicare and Medicaid Services (CMS) Medicaid Grants to States (mandatory) 208,921 221,035 221,035 221,035 221,035 0 221,035 Medicare Trust Funds (mandatory) 188,445 195,308 195,383 195,308 195,383 0 195,383 3,152 3,307 3,261 3,271 3,305 0 3,305 0 198 198 198 198 0 198 400,517 419,848 419,877 419,812 419,921 0 419,921 CMS Program Management Fraud and Abuse Control initiative CMS subtotal Administration for Children and Families (ACF) Family Support Payments (mandatory) 3,998 3,759 3,759 3,759 3,759 0 3,759 Low Income Home Energy Assistance Program (LIHEAP) 2,570 2,000 2,770 2,570 5,100d 0 5,100 Refugee and Entrant Assistance 656 628 641 635 633 0 633 2,062 2,062 2,117 2,137 2,127 2,000 4,127 1,700 1,700f 1,700 1,700 1,700 0 1,700 Child Care and Development Block Grant (CCDBG) Social Services Block Grant (SSBG) (Title XX) (mandatory) (2,300)e Head Start 6,878 7,027 7,120 7,105 7,113 2,100 9,213 Child Welfare Services 282 282 282 282 282 0 282 Developmental Disabilities 180 180 183 185 184 0 184 Community Services Block Grant 654 0 700 654 700 1,000 1,700 Battered Women’s Shelters 123 123 131 125 128 0 128 Abstinence Education 109 137 109 80 95 0 95 Children and Family Services, other 745 746 783 754 800 50 850 Promoting Safe and Stable Families (PSSF) (mandatory) 345 345 345 345 345 0 345 PSSF (discretionary) 63 63 63 73 63 0 63 CRS-41 FY2008 Comparable FY2009 Request FY2009 House Committee FY2009 Senate Committee FY2009 Omnibus P.L. 111-8 FY2009 ARRA P.L. 111-5 FY2009 Total 6,843 6,896 6,896 6,896 6,850 0 6,850 27,208 25,947 27,599 27,300 29,879 5,150 35,029 1,413 1,381 1,493 1,478 1,491 100 1,591 General Departmental Management 354 380 372 368 396 0 396 Office of the National Coordinator for Health Information Technology 42 18 43 23 44 2,000 2,044 Medical Benefits, Commissioned Officers (mandatory) 397 435 435 435 435 0 435 Pu [Text truncated at 120,000 characters. The full text is on the page linked above.] --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/crs%3ARL34577. Public record. Not legal advice.