Centers for Disease Control and Prevention FY 2010 Budget May 14, 2009
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Transcript of Centers for Disease Control and Prevention FY 2010 Budget May 14, 2009
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Centers for Disease Control and Prevention
FY 2010 BudgetMay 14, 2009
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CDC/ATSDR FY 2010 President’s Budget Total Funding Level:
$10.1 billion, $22.5 million below FY 2009
Activity FY 2010 PBFY 2010 +/-
FY 2009
CDC Discretionary * $6.7 billion +$31.6 million
CDC Mandatory $3.4 billion ($54.1) million
– Vaccines for Children $3.3 billion ($54.1 million)
– EEOICPA $55.3 million $0
Total CDC/ATSDRTotal CDC/ATSDR $10.1 billion$10.1 billion ($22.5) million($22.5) million
CDC’s FY 2010 President’s Budget
*includes PHS Evaluation Transfers, Supplementals and ATSDR
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FY 2010 President Budget’s(Dollars in Thousands)
Budget Activity/Description FY 2008 Actual
FY 2009Appropriation
FY 2010President’s
Budget
FY 2010 +/-
FY 2009
Infectious Diseases Control $149,925 $157,426 $168,741 $11,315
HIV/AIDS, STD and TB Prevention $1,002,130 $1,006,375 $1,060,299 $53,924
Immunization $684,634 $716,048 $717,460 $1,412
Zoonotic, Vector-Borne, and Enteric Disease $67,846 $ 67,978 $73,122 $5,144
Chronic Disease and Health Promotion $833,827 $881,686 $896,239 $14,553
Birth Defects, Developmental Disabilities, Disability and Health $127,366 $138,022 $142,016 $3,994
Prev Health and Health Services Block Grant $97,270 $102,000 $102,034 $34
Health Information and Service $276,778 $279,356 $291,784 $12,428
Injury Prevention and Control $134,837 $145,242 $148,615 $3,373
Environmental Health $154,486 $185,415 $186,401 $986
Occupational Safety and Health $381,954 $360,059 $368,388 $8,329
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FY 2010 President’s Budget(Dollars in Thousands)
Budget Activity/Description FY 2008 Actual
FY 2009Appropriation
FY 2010President’s
Budget
FY 2010 +/-
FY 2009
Global Health $302,371 $308,824 $319,134 $10,310
Terrorism $1,479,455 $1,514,657 $1,546,809 $32,152
Public Health Research $31,000 $31,000 $31,170 $170
Public Health Improvement and Leadership $224,899 $209,136 $188,586 ($20,550)
Buildings and Facilities $55,022 $151,500 $30,000 ($121,500)
Business Services Support $371,847 $ 359,877 $ 372,662 $12,785
PHS Evaluation Transfer (non-add) $325,673 $ 331,251 $ 300,852 ($399)
ATSDR $74,039 $ 74,039 $ 76,792 $2,753
Vaccines for Children $2,719,702 $ 3,377,911 $3,323,770 ($54,141)
EEOICPA $0 $55,358 $55,358 $0
User Fees $2,226 $ 2,226 $ 2,226 $ 0
TOTAL, CDC/ATSDR Program Level $9,171,614 $10,124,135 $10,101,606 ($22,529)
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Budget Overview of Increases*
Autism +$1.6 million
Business Services and Support (BSS) +$12.7 million
Domestic Violence +$3.1 million
Emerging Infectious Diseases +11.1 million
Food Safety +4.4 million
Global Immunization Program +$10.1 million
Health Statistics +$13.9 million
HIV/AIDS Research and Domestic +$53.0 million
Nanotechnology +$5.0 Million
Navajo Nation Uranium Studies +$2.0 million
* Includes Pay Raise
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Budget Overview of Increases*
Paralysis Resource Center +$2.0 million
Pay Raise +19.7 million
Public Health Emergency Preparedness (PHEP) Cooperative Agreement
+$14.5 million
Racial and Ethnic Approach to Community Health (REACH)
+$4.1 million
Safe Motherhood/Infant Health +$5.1 million
School Health +$5.1 million
Strategic National Stockpile (SNS) +$25.4 million
* Includes Pay Raise
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Budget Overview of Decreases**
Mind-body Research Program
Health Marketing
Congressional Projects (PHIL)
Buildings and Facilities
Anthrax
($1.5 million)
($3.0 million)
($22.0 million)
($121.5 million)
($7.8 million)
* *Does not include Pay Raise
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Increased InvestmentsFY 2010 Program Increases Above FY 2009
(Dollars in Millions) HIV/AIDS Research and Domestic ($53.0)
Strategic National Stockpile (SNS) ($25.4)
Pay Raise ($19.7)
Public Health Emergency Preparedness(PHEP) Coop. Agreement ($14.5)Health Statistics ($13.9)
Business Services and Support (BSS) ($12.7)
Emerging Infectious Diseases ($11.1)
Global Immunization Program ($10.1)
Safe Motherhood/Infant Health ($5.1)
School Health ($5.1)
Nanotechnology ($5.0)
Racial and Ethnic Approach to CommunityHealth (REACH) ($4.1)Food Safety ($4.4)
Domestic Violence ($3.1)
Navajo Nation Uranium Studies ($2.0)
Paralysis Resource Center ($2.0)
Autism ($1.6)
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Decreased Investments
FY 2010 Program Decreases Below FY 2009 (Dollars in Millions)
Anthrax (-$7.8 million)
Buildings and Facilities (-$121.5million)
Congressional Projects (-$22.0Million)
Mind-Body Institute (-$1.5 million)
National Center for HealthMarketing (-$3.0 million)
Vaccines for Children (-$54.1million)
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HIV/AIDS +$53.0 million HIV/AIDS
+$53.0 million
Increased resources in FY 2010 will be used to reduce HIV infections, increase access to care, and reduce health disparities.
– Approximately $27 million will support efforts of state and local health departments to test 600,000 persons with HIV and identify 6,000 new HIV infections per year, with an emphasis on African Americans, Hispanics and MSM of all races and ethnicities.
– Approximately $11 million will support efforts of state and local health departments to provide and evaluate active referral and linkage to care or other supportive services to at least 5,000 people living with HIV/AIDS or their partners; and support the delivery and evaluation of behavioral interventions to more than 2,000 newly and previously diagnosed people living with HIV.
– Remaining funds will be used to promote program collaboration and service integration to prevent HIV, STDs, viral hepatitis, and TB; increase the capacity of health departments and CBOs to deliver effective evidence-based HIV prevention interventions to high-risk populations.
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Chronic Disease Prevention, Health Promotion and Genomics
+14.3 million
Chronic Disease Prevention, Health Promotion and Genomics
+14.3 million
School Health (+5.1 million)
– CDC will fund 10 additional state education agencies (22 states and one tribe currently funded) to assist these agencies in meeting the health and safety needs of their K-12 students.
Safe Motherhood – Prevention of Teen Pregnancy (+5.1 million)
– Increase will support the President’s initiative to prevent teen pregnancies. CDC will expand its current teen pregnancy prevention efforts to promote evidence-based interventions.
Racial and Ethnic Approach to Community Health (REACH) (+4.1 million)
– REACH will fund 12 to 15 additional communities at $200,000-$250,000 for two -year planning grants. The REACH program promotes the ongoing development and dissemination of innovative and effective strategies that respond to the unique needs of diverse communities.
Seven out of every ten American deaths are from chronic diseases each year. About one-fourth of people with chronic conditions have one or more daily activity limitations.
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Public Health Emergency Preparedness Cooperative Agreement (PHEP)
+$14.5 million
Public Health Emergency Preparedness Cooperative Agreement (PHEP)
+$14.5 million
Increased resources in FY 2010 will be used to provide additional funding to state and local health departments through the PHEP Cooperative agreement.
During FY 2010, the PHEP cooperative agreement will continue to provide technical assistance and resources to public health departments to improve their emergency preparedness and response capabilities.
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National Center for Health Statistics +$13.9 Million
National Center for Health Statistics +$13.9 Million
These include:
– Collecting a full 12 months of core birth and death data from states
– Conducting the National Health Information Survey (NHIS) in at least 30,625 households covering 76,562 persons and redesigning a new sample for NHIS to ensure it accurately reflects the shifting U.S. population
– Conducting nationally representative surveys of health care providers in physician offices, community health centers, hospital outpatient and emergency departments, and other selected settings; and maintaining continuous field operations for the National Health and Nutrition Examination Survey (NHANES)
– Maintaining timely release of data files; the quality of reports released in print and on the internet; and the number and quality of data access tools that ensure data are available in easily accessible forms
Increased resources in FY 2010 will be used to fully fund all sample sizes and surveys and will reinstate the reductions in operational capacity that have been implemented in the past several years.
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Increased resources in FY 2010 will be used to support the President’s Initiative for autism surveillance activities to include a broader age-range of target populations and support efforts of the Study to Explore Early Development (SEED) to address public concern over the causes of autism and other developmental disabilities.
Autism+$1.6 million
Autism+$1.6 million
CDC’s leadership in the area of autism is focused on understanding rates and trends, advancing public health research into risk and protective factors, improving early detection and diagnosis, and increasing awareness among the public and private healthcare providers.
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National Center for Health Marketing(-$3.0 million)
National Center for Health Marketing(-$3.0 million)
This reduction will maintain full funding for, and will not have a negative impact on, key communication tools:
– the Community Guide
– the Morbidity and Mortality Weekly Report
– the CDC website
The FY 2010 Health Marketing budget will continue to fund CDC priority prevention areas.
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http://www.cdc.gov/fmo/fmofybudget.htm
Additional Budget Information
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Questions and Answers