Public Health Service Agencies: Overview and Funding (FY2015-FY2017) Page: 2 of 43
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Public Health Service Agencies: Overview and Funding (FY2015-FY2017)
Within the Department of Health and Human Services (HHS), eight agencies are designated
components of the U.S. Public Health Service (PHS). The PHS agencies are funded primarily
with annual discretionary appropriations. They also receive significant amounts of funding from
other sources including mandatory funds from the Affordable Care Act (ACA), user fees, and
third-party reimbursements (collections).
" The Agency for Healthcare Research and Quality (AHRQ) funds research on
improving the quality and delivery of health care. For several years prior to
FY2015, AHRQ did not receive its own annual appropriation. Instead, it relied on
redistributed ("set-aside") discretionary funds from other PHS agencies for most
of its funding, with supplemental amounts from the ACA's mandatory Patient-
Centered Outcomes Research Trust Fund (PCORTF). In FY2015 and FY2016,
AHRQ received its own discretionary appropriation in lieu of set-aside funds,
with the FY2016 level of $428 million below the FY2015 level of $443 million.
" The Centers for Disease Control and Prevention (CDC) is the federal
government's lead public health agency. CDC obtains its funding from multiple
sources besides discretionary appropriations. The agency's funding level has
fluctuated in the past few years, with the FY2016 level of $11.8 billion above the
FY2015 level of $11.2 billion. The Agency for Toxic Substances and Disease
Registry (ATSDR) investigates the public health impact of exposure to
hazardous substances. ATSDR is headed by the CDC director and included in the
discussion of CDC in this report.
" The Food and Drug Administration (FDA) regulates drugs, medical devices,
food, and tobacco products, among other consumer products. The agency is
funded with annual discretionary appropriations and industry user fees. The
FDA's funding level in FY2016 was $4.7 billion-above the FY2015 level of
$4.5 billion-with user fees accounting for about 43% of FDA's total funding.
" The Health Resources and Services Administration (HRSA) funds programs
and systems that provide health care services to the uninsured and medically
underserved. HRSA, like CDC, relies on funding from several different sources.
The agency's funding increased from $10.6 billion in FY2015 to $10.8 billion in
" The Indian Health Service (IHS) supports a health care delivery system for
Native Americans. IHS's funding, which includes discretionary appropriations
and collections from third-party payers of health care, increased between FY2015
and FY2016 from $5.9 billion to $6.2 billion. Appropriations and collections both
increased during that period.
" The National Institutes of Health (NIH) funds basic, clinical, and translational
biomedical and behavioral research. NIH gets more than 99% of its funding from
discretionary appropriations. Recent increases in NIH's annual appropriations
have boosted its funding level to a new high of $32.3 billion in FY2016,
compared to $30.3 billion in FY2015.
" The Substance Abuse and Mental Health Services Administration
(SAMHSA) funds mental health and substance abuse prevention and treatment
services. SAMHSA's funding, about 95% of which comes from discretionary
Congressional Research Service
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Redhead, C. S.; Dabrowska, Agata; Bagalman, Erin; Heisler, Elayne J.; Johnson, Judith A.; Lister, Sarah A. et al. Public Health Service Agencies: Overview and Funding (FY2015-FY2017), report, May 19, 2016; Washington D.C.. (digital.library.unt.edu/ark:/67531/metadc855729/m1/2/?q=%22welfare%22: accessed December 10, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.