FIGURE 5.2 Organization of the Substance Abuse and Mental Health Services Administration (SAMHSA).

Figure 5.3 shows the organization of NIH after the reorganization. The reorganization added approximately 1,600 positions to NIH, all but 31 assigned directly to the three institutes. These 31 positions were research-related positions from the Office of the Administrator at ADAMHA and were assigned to the Office of the Director at NIH.

Although the reorganization appears to have had limited direct effect on the AIDS research programs of the three institutes, the Congressional Report language accompanying the Reorganization Act raised concerns about the amount of attention the three institutes devoted to AIDS. The bill required NIDA and NIMH to each create an Office on AIDS, which:

… shall be responsible for the coordination of research and determining the direction of the Institute with respect to AIDS research related to: (1) Primary prevention of the spread of HIV, including transmission via drug abuse [sexual behavior in the case of NIMH]; (2) drug abuse services research [mental health services research for NIMH]; and (3) other matters determined appropriate by the Director.

The bill made no specific mention of NIAAA.

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