TABLE A-1 HHS Outlays by Operating Division (Fiscal Year 2010)

Operating Division Outlays (in millions of $) Percentage of Total Outlays

Centers for Medicare & Medicaid Services

732,896                         

85.80           

Administration for Children and Families

56,370                         

6.60           

National Institutes of Health

33,052                         

3.87           

Health Resources and Services Administration

8,569                         

1.00           

Centers for Disease Control and Prevention

6,957                         

0.81           

Public Health and Social Services Emergency Fund

4,890                         

0.57           

Indian Health Service

4,350                         

0.51           

Substance Abuse and Mental Health Services

3,325                         

0.39           

Food and Drug Administration

2,117                         

0.25           

Administration on Aging

1,512                         

0.18           

Program Support Center

575                         

0.07           

Departmental Management

497                         

0.06           

Agency for Healthcare Research and Quality

80                         

0.01           

Office of the National Coordinator

115                         

0.01           

Medicare Hearings and Appeals

64                         

0.01           

Office of Inspector General

91                         

0.01           

Office for Civil Rights

34                         

0.00           

Prevention and Wellness

10                         

0.00           

Health Insurance Reform Implementation Fund

21                         

0.00           

World Trade Center Health Program Fund

0                         

0.00           

Offsetting Collections

–1,351                         

–0.16           

Total Health and Human Services

854,174                         

100.00           

SOURCE: HHS, 2011.

of primary care and public health. Yet, while they share certain objectives, HRSA and CDC are two very different agencies, and located more than 600 miles apart; they have very different responsibilities for fostering the health of the U.S. population.

Among HHS agencies, HRSA and CDC have especially important roles to play in improving population health. HRSA plays a strategic role in helping to ensure access to health services for uninsured and vulnerable populations. Among its other activities, it provides funding to support the provision of primary care services at community health centers, Ryan White clinics, and rural health clinics, as well as training programs for the primary care workforce and maternal and child health care programs. And with its focus on health promotion, prevention, and preparedness, CDC is recognized as a global leader in public health. The agency works with local and state health departments on a number of efforts, including implementing disease surveillance systems, preventing and controlling infectious and



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