AHRQ Exhibits and Narrative

Budget Estimates for Appropriations Committees, Fiscal Year 2010

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

Appropriation Language—Agency for 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 Public Health Service Act shall not exceed $372,053,000.

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Amounts Available for Obligation1

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

Obligations2008 Actual2Appropriated 20092010 President's Budget (PB)
Appropriation:Supplemental (P.L. 111-5)3$0$1,100,000,000$0
Transfer of Funds to NIH$0-$400,000,000$0
Subtotal, adjusted appropriation$0$700,000,000$0
Offsetting Collections from:
Federal funds pursuant to
Title IX of P.L. 102-410,
(Section 937(c) PHS Act)
HCQO$276,356,000$314,053,000$314,053,000
MEPS$55,300,000$55,300,000$55,300,000
Program Support$2,696,000$2,700,000$2,700,000
Subtotal, adjusted appropriation$334,352,000$372,053,000$372,053,000
Unobligated Balance Lapsing$212,000--
Total obligations$334,564,000$1,072,053,000$372,053,000

1 Excludes the following amounts for reimbursements:
FY 2008: $25,529,000 ($7,820,000 for National Research Service Awards [NRSAs] and $17,709,000 for other reimbursements).
FY 2009: $25,529,000 ($7,820,0000 for NRSAs and $17,709,000 for other reimbursements).
FY 2010: $25,529,000 ($7,820,000 for NRSAs and $17,709,000 for other reimbursements).
2 Reflects actual obligations.
3 In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for Comparative Effectiveness Research. Of this total, $400,000,000 was transferred to the National Institute of Health. A total of $400,000,000 is available for Comparative Effectiveness Research to be allocated at the discretion of the Secretary of the Department of Health and Human Services. A new Federal Coordinating Council for Comparative Effectiveness Research will help set the agenda for these funds. The remaining $300,000,000 is available for the AHRQ to conduct and support comparative effectiveness research. These funds are available for obligation in FY 2009 and FY 2010.

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Summary of Changes

2009 Appropriation: $-0-
(Obligations): (372,053,000)

2010 Estimate: $-0-
(Obligations): (372,053,000)

Net change: $-0-
(Obligations): (0)

Changes2009 Current Budget BaseChange from Base
Full Time Equivalent (FTE)Budget Authority(FTE)Budget Authority
IncreasesA. Built-in1. Annualization of 2009 pay raise--
(--)
--
(43,037,000)
--
(--)
--
(+456,000)
2. January 2010 Pay Raise--
(--)
--
(43,037,000)
--
(--)
--
(+1,416,,000)
3. Rental payments to General Services Administration (GSA)--
(--)
--
(4,285,000)
--
(--)
--
(+106,000)
6. Inflation Costs on Other Objects  --
(--)
--
(+500,000)
Subtotal, Built-in  --
(--)
--
(+2,478,000)
B. ProgramSubtotal, Program  --
(--)
--
(--)
Total Increases  --
(+1)
--
(+2,478,000)
DecreasesA. Built-in1. HCQO: Crosscutting Activities Related to Quality, Effectiveness and Efficiency—Research Grants--
--
-
$39,602,000
--
(--)
--
(-2,478,000)
Subtotal, Built-in  --
(--)
--
(-2,478,000)
B. ProgramTotal, Decreases  (--)
(--)
--
(-2,478,000)
Net change, Budget Authority
   Net change, Obligations
  --
(--)
--
(--)

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Budget Authority (BA) by Activity1

(Dollars in Thousands)

Activity20082009 Omnibus2009 Recovery Act22010
FTEAmountFTEAmountFTEAmountFTEAmount
1. Research on Health Costs, Quality, & Outcomes BA-0-0-700,000380
    PHS Evaluation[278][276,564][278][314,053][--][0][278][314,053]
    Total Operational Level278276,564278314,053 700,000316314,053
2. Medical Expenditure Panel Surveys BA--------
    PHS Evaluation-[55,300]-[55,300]-[0]-[55,300]
    Total Operational Level-55,300-55,300-0 55,300
3. Program Support BA--------
    PHS Evaluation[22][2,700][22][2,700][--][0][22][2,700]
    Total Operational Level222,700222,700-0222,700
Total, Budget Authority0000-700,000380
Total PHS Evaluation[300][334,564][300][372,053][--][0][300][372,053]
Total Operations300334,564300372,053 700,000338372,053

1 Excludes the following amounts for reimbursements:
FY 2008: $25,529,000 ($7,820,000 for National Research Service Awards [NRSAs] and $17,709,000 for other reimbursements).
FY 2009: $25,529,000 ($7,820,0000 for NRSAs and $17,709,000 for other reimbursements).
FY 2010: $25,529,000 ($7,820,000 for NRSAs and $17,709,000 for other reimbursements).
2In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for Comparative Effectiveness Research. Of this total, $400,000,000 was transferred to the National Institute of Health. A total of $400,000,000 is available for Comparative Effectiveness Research to be allocated at the discretion of the Secretary of the Department of Health and Human Services. A new Federal Coordinating Council for Comparative Effectiveness Research will help set the agenda for these funds. The remaining $300,000,000 is available for the AHRQ to conduct and support comparative effectiveness research. These funds are available for obligation in FY 2009 and FY 2010. The number of FTE in FY 2010 includes an estimated 38 non-permanent FTEs to be compensated using Recovery Act funds.

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Authorizing Language1

Legislation2009
Amount
Authorized
2009
Omnibus
2010
Amount
Authorized
FY 2010
President's
Budget
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 937(c) PHSAIndefinite$372,053,000Indefinite$372,053,000
   Total appropriations $372,053,000 $372,053,000
Total appropriation against definite authorizations----

Note: SSAN = Such Sums As Necessary.

1. Section 487(d)(3)(B) PHSA makes one percent of the funds appropriated to the National Institutes of Health (NIH) 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

YearBudget Estimates
to Congress
House AllowanceSenate AllowanceAppropriation
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-$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   
Total$372,053,000   

1 In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for Comparative Effectiveness Research. Of this total, $400,000,000 was transferred to the National Institute of Health. A total of $400,000,000 is available for Comparative Effectiveness Research to be allocated at the discretion of the Secretary of the Department of Health and Human Services. A new Federal Coordinating Council for Comparative Effectiveness Research will help set the agenda for these funds. The remaining $300,000,000 is available for the AHRQ to conduct and support comparative effectiveness research. These funds are available for obligation in FY 2009 and FY 2010.

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Current as of May 2009
Internet Citation: AHRQ Exhibits and Narrative: Budget Estimates for Appropriations Committees, Fiscal Year 2010. May 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cpi/about/mission/budget/2010/exhib10.html