AHRQ Exhibits and Narrative

Performance Budget Submission for Congressional Justification, Fiscal

This statement summarizes budget information submitted to Congress for fiscal year 2009 by the Agency for Healthcare Research and Quality (AHRQ).

AHRQ Exhibits and Narrative

 

Appropriation Language—Agency for Healthcare Research and Quality

Healthcare Research and Quality

For carrying out titles III and IX of the Public Health Service Act, [and] part A of Title XI of the Social Security Act, and section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, amounts received from Freedom of Information Act fees, reimbursable and interagency agreements, and the sale of data shall be credited to this appropriation and shall remain available until expended. Provided, That the amount made available pursuant to section 937(c) of the Public Health Service Act shall not exceed [$334,564,000] $325,664,000.

Return to Contents

 

Language Analysis

Language ProvisionExplanation

"and section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003,"

Includes Section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 which authorizes AHRQ to conduct and support research with a focus on outcomes, comparative clinical effectiveness, and appropriateness of pharmaceuticals, devices, and health care services. From FY 2005 to FY 2007, AHRQ has spent $15 million annually for this program. In FY 2008 and FY 2009 this support increases to $30 million per year.

Return to Contents

 

Amounts Available for Obligation1

Department of Health and Human Services, Agency for Healthcare Research and Quality

Obligations200720082009
Appropriation: Annual$0$0$0
Reduction pursuant to Section 122 of P.L. 108-447$0$0$0
Subtotal, adjusted appropriation$0$0$0
Offsetting Collections from:
Federal funds pursuant to
Title IX of P.L. 102-410,
(Section 927(c) PHS Act)
HCQO$260,880,000$276,564,000$267,664,000
MEPS$55,300,000$55,300,000$55,300,000
Program Support$2,688,000$2,700,000$2,700,000
Subtotal, adjusted appropriation$318,868,000$334,564,000$325,664,000
Unobligated Balance Lapsing$115,000)------
Total obligations$318,983,000$334,564,000$325,664,000

1. Excludes the following amounts for reimbursements:
FY 2007: $27,263,000 ($7,713,000 for National Research Service Awards [NRSAs] and $19,550,000 for other reimbursements).
FY 2008: $27,263,000 ($7,713,000 for NRSAs and $19,550,000 for other reimbursements).
FY 2009: $27,263,000 ($7,713,000 for NRSAs and $19,550,000 for other reimbursements).

Return to Contents

 

Summary of Changes

2008 Appropriation: $0
(Obligations): (334,564,000)

2009 Estimate: $0
(Obligations): (325,664,000)

Net change: $0
(Obligations): (-8,900,000)

Changes2008 Current Budget BaseChange from Base
Full Time Equivalent (FTE)Budget Authority(FTE)Budget Authority
IncreasesA. Built-in1. Annualization of 2008 pay raise--
(--)
--
(41,229,000)
--
(--)
--
(+295,000)
2. January 2009 Pay Raise 2.9% for civilian & 3.4% for Commissioned Corps--
(--)
--
(41,229,000)
--
(--)
--
(+907,000)
3. Rental payments to General Services Administration (GSA) --
(4,160,000)
--
(--)
--
(+97,000)
4. One Less Day of Pay --
(41,229,000)
--
(--)
--
(-158,000)
5. Unified Financial Management System (UFMS) Tap Increase --
(887,000)
--
(-)
--
(576,000)
6. Inflation Costs on Other Objects  --
(--)
--
(+404,000)
Subtotal, Built-in  --
(--)
--
(+2,121,000)
B. Program1. Research on Health Costs, Quality and Outcomes; increase for Affordable Choices Decision Tool--
(277)
--
(276,564,000)
--
(+1)
--
(+6,201,000)
Subtotal, Program  --
(+1)
--
(+6,201,000)
Total Increases  --
(+1)
--
(+8,322,000)
DecreasesA. Built-in1. Absorption of the build-in increases  --
(--)
--
(-2,121,000)
Subtotal, Built-in  --
(--)
--
(-2,121,000)
B. Program1. Research of Health Costs, Quality and Outcomes Program  --
(--)
--
(-15,101,000)
Subtotal, Program  --
(--)
--
(-5,165,000)
Total, Decreases  --
(--)
--
(-17,222,000)
Net change, Budget Authority
   Net change, Obligations
  --
(--)
--
(-$8,900,000)

Return to Contents

 

Budget Authority (BA) by Activity1

(Dollars in Thousands)

Activity200720082009
FTEAmountFTEAmountFTEAmount
1. Research on Health Costs, Quality, & Outcomes BA0000 0
    PHS Evaluation[273][260,983][277][276,564][278][267,664]
    Total Operational Level273260,983277276,564278267,664
2. Medical Expenditure Panel Surveys BA-0-0-0
    PHS Evaluation-[55,300]-[55,300]-[55,300]
    Total Operational Level-55,300-55,300-55,300
3. Program Support BA-0-0-0
    PHS Evaluation[22][2,700][22][2,700][22][2,700]
    Total Operational Level222,700222,700222,700
Total, Budget Authority0000 0
Total PHS Evaluation[295][318,983][299][334,564][300][325,664]
Total Operations295318,983299334,564300325,664

1. Excludes the following amounts for reimbursements:
FY 2007: $27,263,000 ($7,713,000 for NRSAs and $19,550,000 for other reimbursements).
FY 2008: $27,263,000 ($7,713,000 for NRSAs and $19,550,000 for other reimbursements).
FY 2009: $27,263,000 ($7,713,000 for NRSAs and $19,550,000 for other reimbursements).

Return to Contents

 

Authorizing Language1

Legislation2008 Amount Authorized2008 Enacted2009 Amount AuthorizedFY 2009 Budget Request
Research on Health Costs, Quality, and Outcomes:
Secs. 301 & 926(a) Public Health Service Act (PHSA)
SSAN$0SSAN$0
Research on Health Costs, Quality, and Outcomes:
Part A of Title XI of the Social Security Act (SSA) Section 1142(i)2,3
Budget Authority (BA)
Medicare Trust Funds (MTF)4,3
Subtotal BA & MTF
Expired5 Expired5 
Program Support: Section 301 PHSAIndefinite$0Indefinite$0
Evaluation Funds: Section 927(c) PHSAIndefinite$334,564,000Indefinite$325,664,000
   Total appropriations $334,564,000 $325,664,000
Total appropriation against definite authorizations----

Note: SSAN = Such Sums As Necessary.

1. Section 487(d) (3) (B) PHSA makes 1 percent of the funds appropriated to the National Institutes of Health (NIH) and the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) for National Research Service Awards (NRSA) available to AHRQ. Because these reimbursable funds are not included in AHRQ's appropriation language, they have been excluded from this table.
2. Pursuant to Section 1142 of the Social Security Act, FY 1997 funds for the medical treatment effectiveness activity are to be appropriated against the total authorization level in the following manner: 70% of the funds are to be appropriated from Medicare Trust Funds (MTF); 30% of the funds are to be appropriated from general budget authority.
3. No specific amounts are authorized for years following FY 1994.
4. Funds appropriated against Title XI of the Social Security Act authorization are from the Federal Hospital Insurance Trust Funds (60%) and the Federal Supplementary Medical Insurance Trust Funds (40%).
5. Expired September 30, 1994.

Return to Contents

 

Appropriations History Table

YearBudget Estimates
to Congress
House AllowanceSenate AllowanceAppropriation
2000Budget Authority$26,667,000$104,403,000$19,504,000$116,424,000
PHS Evaluation Funds179,588,00070,647,000191,751,00088,576,000
Total1$206,255,000$175,050,000$211,255,000$205,000,000
RescissionBudget Authority$26,667,000$104,403,000$19,504,000$115,223,000
PHS Evaluation Funds179,588,00070,647,000191,751,00088,576,000
Total1$206,255,000$175,050,000$211,255,000$203,799,000
2001Budget Authority$-0-$123,669,000$-0-$104,963,000
PHS Evaluation Funds249,943,00099,980,000269,943,000164,980,000
Total$249,943,000$223,649,000$269,943,000$269,943,000
RescissionBudget Authority$-0-$123,669,000$-0-$104,816,000
PHS Evaluation Funds249,943,00099,980,000269,943,000164,980,000
Total$249,943,000$223,649,000$269,943,000$269,796,000
2002Budget Authority$-0-$168,445,000$291,245,000$2,600,000
PHS Evaluation Funds306,245,000137,800,000-0-296,145,000
Total$306,245,000$306,245,000$291,245,000$298,745,000
2003Budget Authority$-0- $202,645,000$-0-
PHS Evaluation Funds250,000,000 106,000,000303,695,000
Bioterrorism-0- 5,000,0005,000,000
Total$250,000,000$0$313,645,000$308,695,000
2004Budget Authority$-0-$-0-$-0-$-0-
PHS Evaluation Funds279,000,000303,695,000303,695,000318,695,000
Total$279,000,000$303,695,000$303,695,000$318,695,000
2005Budget Authority$-0-$-0-$-0-$-0-
PHS Evaluation Funds303,695,000303,695,000318,695,000318,695,000
Total$303,695,000$303,695,000$318,695,000$318,695,000
2006Budget Authority$-0-$318,695,000$$
PHS Evaluation Funds$318,695,000$-0-$323,695,000$318,692,000
Total$318,695,000$318,695,000$323,695,000$318,692,000
2007Budget Authority$-0-$-0-$-0-$-0-
PHS Evaluation Funds$318,692,000$-0-$-0-$318,692,000
Total$318,692,000$-0-$-0-$318,692,000
2008Budget Authority$-0-$329,564,000$329,564,000$-0-
PHS Evaluation Funds$329,564,000$-0-$-0-$334,564,000
Total$329,564,000$329,564,000$329,564,000$334,564,000
2009Budget Authority$-0-$$$
PHS Evaluation Funds$325,664,000---
Total$325,664,000$$$

1 Includes proposed $5.0 million from the Public Health and Social Services Emergency Fund.

Return to Contents
Proceed to Next Section

Current as of February 2008
Internet Citation: AHRQ Exhibits and Narrative: Performance Budget Submission for Congressional Justification, Fiscal . February 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/mission/budget/2009/exhib09.html