Budget Exhibits

Budget Estimates for Appropriations Committees, Fiscal Year 2011

This statement summarizes budget information submitted to Congress for fiscal year 2011 by the Agency for Healthcare Research and Quality (AHRQ).

 

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 ("PHS Act"), 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 PHS Act shall not exceed [$397,053,000] $610,912,000.

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Amounts Available for Obligation1

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

Obligations2009 Actual2FY 2010 EstimateFY 2011 PB
Appropriation:Supplemental (P.L. 111-5)3$1,100,000,000$0$0
Transfer of Funds to NIH-$400,000,000$0$0
Subtotal, adjusted appropriation$700,000,000$0$0
Offsetting Collections from:
Federal funds pursuant to
Title IX of P.L. 102-410,
(Section 937(c) PHS Act)		HCQO$251,631,000$270,653,000$478,899,000
MEPS$55,300,000$58,800,000$59,300,000
Program Support$65,122,000$67,600,000$72,713,000
Subtotal, adjusted appropriation$372,053,000$397,053,000$610,912,000
Unobligated Balance Lapsing($452,818)--
Total obligations$1,071,600,182$397,053,000$610,912,000

1 Excludes funding from other HHS operating divisions provided through reimbursable agreements.
2 Reflects actual obligations. Excludes obligations from other reimbursable funds.
3 In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for research that compares the effectiveness of medical options. Of this total, $400,000,000 was transferred to the National Institutes of Health and a total of $400,000,000 will be allocated at the discretion of the Secretary of the Department of Health and Human Services. A new Federal Coordinating Council helped set the agenda for these funds. The remaining $300,000,000 was available for the AHRQ. These funds are available for obligation in FY 2009 and FY 2010. Of the 38 FTEs allocated for the ARRA funds, AHRQ is allocated 15 FTEs and the Office of the Secretary supports 22 FTEs with their ARRA funds.

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Summary of Changes

2010 Appropriation: $-0-
(Obligations): (397,053,000)

2011 Estimate: $-0-
(Obligations): (610,912,000)

Net change: $-0-
(Obligations): (+$213,859,000)

Changes2010 Current Budget BaseChange from Base
FTEBudget AuthorityFTEBudget Authority
IncreasesA. Built-in1. Annualization of 2010 pay raise--
(--)		--
(44,909,000)		--
(--)		--
(+230,000)
2. January 2011 Pay Raise--
(--)		--
(44,909,000)		--
(--)		--
(+1,369,000)
3. Rental payments to GSA--
(--)		--
(4,254,000)		--
(--)		--
(+58,000)
4. Service and Supply Funds and JFA  --
(--)		--
(763,000)
5. Inflation Costs on Other Objects  --
(--)		--
(+442,000)
Subtotal, Built-in  --
(--)		--
(+2,863,000)
B. ProgramHCQO: 1. Patient-Centered Health Research--
(--)		-
($21,000,000)		--
(--)		--
(+251,750,000)
HCQO: 2. Health Information Technology--
(--)		-
($27,645,000)		--
(--)		--
(+3,877,000)
MEPS--
(--)		--
($58,800,000)		--
(--)		--
(+500,000)
Research Management
(Patient-Centered Health Research)		--
(--)		--
($67,600,000)		--
(+15)		--
(+2,250,000)
Subtotal, Program  --
(+15)		--
(+258,377,000)
Total Increases  --
(+15)		--
(+261,240,000)
DecreasesA. Built-in1. Crosscut Activities--
(--)		-
$111,789,000		--
(--)		--
(-2,863,000)
Subtotal, Built-in  --
(--)		--
(-2,863,000)
B. ProgramHCQO: 1. General Patient Safety--
(--)		-
($90,585,000)		--
(--)		--
(-25,963,000)
HCQO: 2. Crosscutting Activities--
(--)		-
($111,789,000)		--
(--)		--
(-18,555,000)
Subtotal, Program  --
(--)		--
(-44,518,000)
Total Decreases  --
(--)		--
(-47,381,000)
Net change, Budget Authority    ----
   Net change, Obligations    (+15)(+213,859,000)

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Budget Authority by Activity

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

Budget Authority by Activity1
(Dollars in Thousands)

ActivityFY 2009 ActualFY 2010 EstimateFY 2011 PB
FTEAmountFTEAmountFTEAmount
1. Research on Health Costs, Quality, and Outcomes BA-0-0-0
    PHS Evaluation[0][251,631][0][270,653][0][478,899]
    Total Operational Level0251,6310270,6530478,899
2. Medical Expenditure Panel Surveys BA------
    PHS Evaluation-[55,300]-[55,800]-[59,300]
    Total Operational Level-55,300-55,800-59,300
3. Program Support BA------
    PHS Evaluation[289][65,122][300][67,600][315][72,713]
    Total Operational Level28965,12230067,60031572,713
Total, Budget Authority0000-0
Total PHS Evaluation[289][372,053][300][397,053][315][610,912]
Total Operations289372,053300397,053315610,912

1 Excludes funding from other HHS operating divisions provided through reimbursable agreements.

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Authorizing Legislation1

Legislation2010 Amount Authorized2010 Appropriations Act2011 Amount AuthorizedFY 2011 President's Budget
Research on Health Costs, Quality, and Outcomes:
Secs. 301 & 926(a) PHSAct		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
Medicare Trust Funds (MTF)4,3
Subtotal BA and MTF		Expired5 Expired5 
Program Support: Section 301 PHSAIndefinite$0Indefinite$0
Evaluation Funds: Section 937(c) PHSAIndefinite$397,0537Indefinite$610,912
   Total appropriations $397,053 $610,912
Total appropriation against definite authorizations----

Note: SSAN = Such Sums As Necessary.

1. Section 487(d)(3) PHSA makes one percent of the funds appropriated to NIH for National Research Service Awards 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, 2005.

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Appropriations History

YearBudget Estimates to CongressHouse AllowanceSenate AllowanceAppropriation
2002Budget 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$298,745,000
2003Budget Authority$-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$308,695,000
2004Budget Authority$-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$318,695,000
2005Budget Authority$-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$318,695,000
2006Budget Authority$-0-$318,695,000$-0-$-0-
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-$318,692,000$318,692,000$-0-
PHS Evaluation Funds$318,692,000$-0-$-0-$318,983,000
Total$318,692,000$318,692,000$318,692,000$318,983,000
2008Budget Authority$-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-$323,087,000$90,598,000$-0-
PHS Evaluation Funds$325,664,00051,913,000243,966,000$372,053,000
ARRA Funding P.L. 111-5$-0-$-0-$-0-$1,100,000,0001
Total$325,664,000$375,000,000$334,564,000$1,472,053,000
2010Budget Authority$-0-   
PHS Evaluation Funds$372,053,000$372,053,000$372,053,000$397,053,000
Total$372,053,000$372,053,000$372,053,000$397,053,000
2011Budget Authority$-0-   
PHS Evaluation Funds$610,912,000   
Total$610,912,000   

1 In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for research that compares the effectiveness of medical options. Of this total, $400,000,000 was transferred to the National Institutes of Health and a total of $400,000,000 will be allocated at the discretion of the Secretary of the Department of Health and Human Services. A new Federal Coordinating Council helped set the agenda for these funds. The remaining $300,000,000 was available for the AHRQ. These funds are available for obligation in FY 2009 and FY 2010. Of the 38 FTEs allocated for the ARRA funds, AHRQ is allocated 15 FTEs and the Office of the Secretary supports 22 FTEs with their ARRA funds.

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Appropriations Not Authorized by Law

ProgramLast Year of AuthorizationAuthorization Level in Last Year of AuthorizationAppropriations in Last Year of AuthorizationAppropriations in FY 2010
Research on Health Costs, Quality, and OutcomesFY 2005Such Sums As Necessary260,695,000397,053,000

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Current as of February 2010
Internet Citation: Budget Exhibits: Budget Estimates for Appropriations Committees, Fiscal Year 2011. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/mission/budget/2011/exhib11.html