FIGURE 1-3 Public Health Service budgets, by agency (actual spending FY 2001, FY 2003, FY 2007, and President’s budget request, FY 2009).

FIGURE 1-3 Public Health Service budgets, by agency (actual spending FY 2001, FY 2003, FY 2007, and President’s budget request, FY 2009).

NOTES: This figure does not include data for the Agency for Toxic Substances and Disease Registry (ATSDR) or the Agency for Healthcare Research and Quality (AHRQ). Funding for ATSDR is included in CDC’s budget. As noted above in Figure 1-2, AHRQ has not had its own separate budget allocation since 2002.

*Although the figure shows the President’s budget request for FY 2009, an additional $300 million was included to reflect funds available to the FDA for FY 2009 as a result of the June 2008 Emergency Supplemental Appropriations Bill and the September 2008 Continuing Resolution.

SOURCE: OMB (2004, 2008a).

As demonstrated in Figure 1-2, HHS’s budget is dominated by the Centers for Medicare and Medicaid Services, whose spending3 grew from almost $350 billion in FY 2001 to $570 billion in FY 2007, with the President’s budget request for FY 2009 standing at $635 billion—

3

The CMS spending figures for 2001 and 2007 include discretionary spending as well as the mandatory outlays for Medicare and Medicaid/State Children’s Health Insurance Program (SCHIP).



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