Performance Improvement 2013-2014. Chapter I – Background

01/01/2014

The Department of Health and Human Services (HHS) administers the largest number of assistance programs of any Federal department. These are identified and described in the Catalog of Federal Domestic Assistance, www.cfda.gov. Funds are provided under Section 241 of the Public Health Service (PHS) Act Set-Aside Authority, described below, and through other authorities provided by the Congress. As required by the PHS Act, this report summarizes findings from studies funded under the Set-Aside Authority.

Public Health Service Act Set-Aside Authority

The Public Health Service Act, Section 241 set-aside authority was originally established in 1970, when the Congress amended the Act to permit the HHS Secretary to use up to 1 percent of appropriated funds to evaluate authorized programs. Section 241 limits the base from which funds can be reserved for evaluations to programs authorized by the PHS Act. Excluded are funds appropriated for the Food and Drug Administration, the Indian Health Service, and certain other programs that are managed by PHS agencies but not authorized by the Act (e.g., HRSA’s Maternal and Child Health Block Grant and CDC’s National Institute for Occupational Safety and Health).

The Appropriations Acts for 2012 and 2013 authorized the Secretary to use up to 2.5 percent of the amounts appropriated for programs authorized by the Public Health Service Act for the evaluation of these programs and purposes outlined in the appropriations bills. A total of $1,042 million were available in PHS Evaluation Funds for agencies and offices in each year. By agency, these funds were appropriated as follows:

Administration for Children and Families (ACF) – $6 million in FY 2012 and FY 2013

Agency for Healthcare Research and Quality (AHRQ) – $369 million in FY 2012 and $365 million in FY 2013

Centers for Disease Control and Prevention (CDC) – $371 million in FY 2012 and $375 million FY 2013

Health Resources and Services Administration (HRSA) – $25 million in FY 2012 and FY 2013

National Institutes of Health (NIH) – $8 million in FY 2012 and FY 2013

Substance Abuse and Mental Health Services Administration (SAMHSA) – $130 million in FY 2012 and FY 2013

Staff components in the Office of the Secretary including the Office of the Assistant Secretary for Planning and Evaluation (ASPE), the Office of the Assistant Secretary for Health (ASH), the Office of the Assistant Secretary for Financial Resources (ASFR), the Office of the National Coordinator for Health Information Technology (ONC), and the Office of the Assistant Secretary for Preparedness and Response (ASPR) received $117 million in FY 2012 and FY 2013.

Evaluation Funds for agencies and offices (2012-2013)


Evaluation Funds for agencies and offices (2012-2013)

Agency NameFunds in 2012Funds in 2013
ACF6,000,0006,000,000
AHRQ369,000,000365,000,000
CDC371,000,000375,000,000
HRSA25,000,00025,000,000
NIH8,000,0008,000,000
SAMHSA130,000,000130,000,000
Office of the Secretary117,000,000117,000,000

Funds obligated for studies in one fiscal year are typically expended during one or more future years. Therefore, a particular year’s funding doesn’t correlate with specific studies completed during the same year.

FDA programs are principally authorized by the Food, Drug and Cosmetic Act. Appropriations are provided by the Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration and Related Agencies. IHS programs are principally authorized by the Indian Health Care Improvements Act and the Indian Self-Determination Act. Appropriations are provided by the Appropriations Subcommittee on Interior and Related Agencies.

The AHRQ and CDC funding levels for FY 2013 include a transfer of approximately $3.7 million.

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