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.

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Language Analysis

Language Provision	Explanation
"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.

Language Provision

Explanation

"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.

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Amounts Available for Obligation¹

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

Obligations		2007	2008	2009
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).

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Summary of Changes

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

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

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

Changes			2008 Current Budget Base		Change from Base
Changes			Full Time Equivalent (FTE)	Budget Authority	(FTE)	Budget Authority
Increases	A. Built-in	1. 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. Program	1. Research on Health Costs, Quality and Outcomes; increase for Affordable Choices Decision Tool	-- (277)	-- (276,564,000)	-- (+1)	-- (+6,201,000)
	B. Program	Subtotal, Program			-- (+1)	-- (+6,201,000)
	Total Increases				-- (+1)	-- (+8,322,000)
Decreases	A. Built-in	1. Absorption of the build-in increases			-- (--)	-- (-2,121,000)
	A. Built-in	Subtotal, Built-in			-- (--)	-- (-2,121,000)
	B. Program	1. Research of Health Costs, Quality and Outcomes Program			-- (--)	-- (-15,101,000)
	B. Program	Subtotal, Program			-- (--)	-- (-5,165,000)
	Total, Decreases				-- (--)	-- (-17,222,000)
Net change, Budget Authority Net change, Obligations					-- (--)	-- (-$8,900,000)

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Budget Authority (BA) by Activity¹

(Dollars in Thousands)

Activity	2007		2008		2009
Activity	FTE	Amount	FTE	Amount	FTE	Amount
1. Research on Health Costs, Quality, & Outcomes BA	0	0	0	0		0
PHS Evaluation	[273]	[260,983]	[277]	[276,564]	[278]	[267,664]
Total Operational Level	273	260,983	277	276,564	278	267,664
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 Level	22	2,700	22	2,700	22	2,700
Total, Budget Authority	0	0	0	0		0
Total PHS Evaluation	[295]	[318,983]	[299]	[334,564]	[300]	[325,664]
Total Operations	295	318,983	299	334,564	300	325,664

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).

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Authorizing Language¹

Legislation	2008 Amount Authorized	2008 Enacted	2009 Amount Authorized	FY 2009 Budget Request
Research on Health Costs, Quality, and Outcomes: Secs. 301 & 926(a) Public Health Service Act (PHSA)	SSAN	$0	SSAN	$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 PHSA	Indefinite	$0	Indefinite	$0
Evaluation Funds: Section 927(c) PHSA	Indefinite	$334,564,000	Indefinite	$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.

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Appropriations History Table

Year		Budget Estimates to Congress	House Allowance	Senate Allowance	Appropriation
2000	Budget Authority	$26,667,000	$104,403,000	$19,504,000	$116,424,000
	PHS Evaluation Funds	179,588,000	70,647,000	191,751,000	88,576,000
	Total¹	$206,255,000	$175,050,000	$211,255,000	$205,000,000
Rescission	Budget Authority	$26,667,000	$104,403,000	$19,504,000	$115,223,000
	PHS Evaluation Funds	179,588,000	70,647,000	191,751,000	88,576,000
	Total¹	$206,255,000	$175,050,000	$211,255,000	$203,799,000
2001	Budget Authority	$-0-	$123,669,000	$-0-	$104,963,000
	PHS Evaluation Funds	249,943,000	99,980,000	269,943,000	164,980,000
	Total	$249,943,000	$223,649,000	$269,943,000	$269,943,000
Rescission	Budget Authority	$-0-	$123,669,000	$-0-	$104,816,000
	PHS Evaluation Funds	249,943,000	99,980,000	269,943,000	164,980,000
	Total	$249,943,000	$223,649,000	$269,943,000	$269,796,000
2002	Budget Authority	$-0-	$168,445,000	$291,245,000	$2,600,000
	PHS Evaluation Funds	306,245,000	137,800,000	-0-	296,145,000
	Total	$306,245,000	$306,245,000	$291,245,000	$298,745,000
2003	Budget Authority	$-0-		$202,645,000	$-0-
	PHS Evaluation Funds	250,000,000		106,000,000	303,695,000
	Bioterrorism	-0-		5,000,000	5,000,000
	Total	$250,000,000	$0	$313,645,000	$308,695,000
2004	Budget Authority	$-0-	$-0-	$-0-	$-0-
	PHS Evaluation Funds	279,000,000	303,695,000	303,695,000	318,695,000
	Total	$279,000,000	$303,695,000	$303,695,000	$318,695,000
2005	Budget Authority	$-0-	$-0-	$-0-	$-0-
	PHS Evaluation Funds	303,695,000	303,695,000	318,695,000	318,695,000
	Total	$303,695,000	$303,695,000	$318,695,000	$318,695,000
2006	Budget 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
2007	Budget 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
2008	Budget 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
2009	Budget 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.

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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

AHRQ Exhibits and Narrative

Performance Budget Submission for Congressional Justification, Fiscal