Department of Health, Education and Welfare · DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE...

tTotals for the Department of Defense—Civil are distributed as follows:

1969

pFederal funds:

Enacted/transmitted 1,292,010 1,266,088RepaymentsSeparate transmittal:

(D) Civilian pay 5,771 5,414( E ) Military pay 45 41

Deductions for offsetting receipts —40,484 —40,484

Total Federal funds 1,257,342 1,231,059

Trust funds:Enacted/transmitted 25,001 31,663Deductions for offsetting receipts —15,823 —15,823

Total trust funds 9,178 15,840

Total Department of Defense—Civil _ 1,266,520 1,246,899

1970

NOA

1,242,541 _

-45 ,415 _

LA

- - -

Exp.

1,292,706 _

3574

-45 ,415 _

NL

- 1 9 7

M 9 7 ,

25,- 1 5 ,

9,

1,206,

126

090 _ . .921 ___

169 ___

295

- 1 9 7

- 1 9 7

1,

1

247,

77- 1 5 ,

I I ,

,259,

652

793921 ___

872 ___

524

- 1 9 7

- 1 9 7>

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

CONSUMER PROTECTION AND EN-VIRONMENTAL HEALTH SERVICE

Federal Funds

General and special funds:Food and drug control 651 NOA

E.xp.

Air pollution control 651 NOAExp.

62,830

62,267

64,17438,604

58,974I>1,58959,810

88,45065,482

\ 72,698

f 69,410

u 95,80077,965

12,135

9,600

7,35012,483

Permits expanded oral contraceptive and drug equivalency re-search, extension of intensified drug inspection program, andanalysis of more drug samples. 1970 estimate reflects transferof several hazardous product and food activities to this account.

Provides for expanded research in fuels and vehicles, grants toState and local control agencies, enforcement and technicalassistance activities, and research on effects of air pollution.

Proposed for separate transmittal, civilian pay act supplemental.Includes $21,900 thousand recommended to carry out authorizing legislation to be proposed.

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Digitized for FRASER http://fraser.stlouisfed.org/ Federal Reserve Bank of St. Louis

1970

to

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued

Account and functional code 1968enacted

1969estimate

1970 Increase ordecrease ( —)

Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE—Continued

CONSUMER PROTECTION AND EN-VIRONMENTAL HEALTH SERVICE-Con.

Federal Funds—Continued

Environmental control. __ . ,651 NOAExp.

Buildings and facilities .651 NOAExp.

Salaries and expenses, Office of the NOAAdministrator _ _ 651

Exp.

Expired accounts._ ___ _ 651 Exp.

Public enterprise funds:Revolving fund for certification Exp.

and other services _ 651

41,73628,027

1,150677

15,686

17,231

3,770

545

42,83037,172

3.127

17,570c8

D 9AQ

U5018,563

1,498

57,69852,810

4009,284

| 6,203

9,790

478

14,86815,638

4006,157

-11,774

-8,773

-1,020

Estimate reflects transfer of mosquito control and radiologicalhealth activities to this account. Small increases are providedfor uranium miner research, hazardous radiation protection,and water supply activities.

Provides for repairs to existing facilities.

Decrease reflects transfer of radiological health activities toEnvironmental control appropriation.

(These activities have been transferred to other accounts.)

(Industry fees finance certification of antibiotics, insulin, coloradditives, establishment of pesticide tolerances, and expensesof certain advisory committees.)

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1970

Intragovernmental funds:Advances and reimbursements.651 Exp.

Total Federal funds Consumer NOAProtection and Environ- Exp.mental Health Service.

HEALTH SERVICES AND MENTALHEALTH ADMINISTRATION

Federal Funds

General and special funds:Mental health 651 NOA

Exp.

Saint Elizabeths Hospital (in- NOAdefinite) 651

Exp.

Health services research and de- NOAvelopment 651 Exp.

Limitation payable from SocialSecurity trust funds.

c Proposed for separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.

185,576151,121

345,283

233,089

10,749

10,668

54,26749,695(4,075)

- 6

209,820185,646

341,133c-799

» -3,867E - 4 9 4

285,219

11,396c791

D 1,174

12,503

49,93154,110(4,320)

232,799219,737

} 367,129

J 332,064

| 10,405

10,176

44,97554,977

6

22,97934,091

31,156

46,845

-2,975

-2,327

-4,956867

(-4,320)

Increase is for community mental health centers, training, andnarcotic addict and alcoholic rehabilitation programs.

1970 estimate provides for staffing increase and full-year costs forthe community mental health center established at the hospital.The decrease reflects transfer of funding for research andtraining activities to the Mental health appropriation.

Reflects transfer of community health services activities to Com-prehensive health planning and services appropriation. Authorityto transfer Social Security trust funds is reassigned to thesame appropriation.

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1970



1969stimate

1970stimate

Increase ordecrease ( - )

Explanation


HEALTH SERVICES AND MENTALHEALTH ADMINISTRATION—Con.


General and special funds—ContinuedComprehensive health planning NOA

and services. Exp.


Regional medical programs 651 NOAExp.

Communicable diseases 651 NOA

Hospital construction.

Exp.

_651 NOAExp.

58,81423,630

69, 928

60,646

293,487258,520

176,290146,133

61,90750,768

62,144c-692

D-5,814E-1,677

62,830

258,368232,129

v212,030181,727

(4,320)

120,64196,479

38,731

44,834

258,415280,462

35,74035,594

(4,320)

58,73445,711

-15,230

-17,996

4748,333

1969 transfer of funds will initiate rubella immunization program.1970 increase provides expanded grants for comprehensivestatewide and area health planning, broadened programs ofrubella immunization, and comprehensive health projects aswell as increased project grants for migrant health activities.

Appropriation language requests reassignment of Social Securitytrust fund transfer from the Health services research and de-velopment appropriation.

Increase is primarily for continuation and new operational grantsin 48 regions for utilization of advanced diagnosis and treat-ment techniques in heart, cancer, stroke, and related diseases;increase also represents transfer of chronic disease activities tothis account.

Decrease represents transfer of mosquito and pesticide controlprograms to the Environmental control and Food and drugcontrol appropriations.

Facilities for approximately 15,000 general hospital beds and9,000 long-term care beds will be constructed or modernized.

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1970

Repayments deposited in miscel- LAlaneous receipt accounts. NL

District of Columbia medical NOAfacilities 651 LA

Exp.NL

Patient care and special health NOAservices 651

Exp.

National health statistics 651 NOAExp.

Retired pay of commissioned NOAofficers (indefinite) 651 Exp.

Buildings and facilities 651 NOAExp.

Salaries and expenses, Office of the NOAAdministrator 651

Exp.

Indian health services 651 NOA

Exp.

1 -"

65,064

64,280

8,3179,621

11,29010,290

1,237747

8,551

8,725

84,835

82,290

-91

70,390^285

D1,003

69,710

8,2258,137

13,04111,712

3,518

9,073

^788,662

91,642

«> 1,654

89,279

-91

7,5007,500

731750

72,224

69,824

9,7739,452

16,70015,280

2,1009,100

9,978

8,839

99,581

96,800

7,7,500500731750

-412

1,1

3

25

5

7

114

548315

659568

,100582

598

177

,299

.521

Provides grants and low-interest loans for modernization ofhospital facilities and construction of other medical facilities inthe District of Columbia.

Provides for continued operation of 11 hospitals and 167 out-patient facilities. Workload estimates for 1970 indicate anaverage of 2,310 inpatients per day and 1,948,200 visits tooutpatient facilities.

Increase provides for expanded responsibilities in collecting familyplanning statistics and continued assistance to State vitalstatistics agencies.

Retired officers receiving benefits will increase from 974 to1,125. Increase also provides expanded dependents' medicalcare benefits.

Estimate provides for essential repair and improvement projects.

Estimate provides for support of management and centralservices for Health Services and Mental Health Administrationprograms.

Increase provides for expansion of preventive health care pro-grams, family planning activities, and expanded programs forutilizing nonprofessional health personnel.

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c Proposed for separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.v Includes $18,000 thousand recommended to carry out authorizing legislation to be proposed. 00


1970

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars) —Cont inued


1969estimate

1970estimate

Increase ordecrease ( —)

Explanation


HEALTH SERVICES AND MENTALHEALTH ADMINISTRATION-Con.

Federal Funds-— Continued

General and special funds—ContinuedIndian health facilities 651 NOA

Exp.

Emergency health 059 NOAExp.

Chronic diseases 651 NOA

Expired accounts.

Exp.

_651 Exp.

Public enterprise funds:Operation of commissaries, nar- Exp.

cotic hospitals 651

Intragovernmental funds:Public Health Service manage- Exp.

ment fund 651

16,84812,050

8,9478,983

27,923

52,109

12,993

- 2

126

18,15625,529

8,906

28,942°296U40

41,952

2,956

20,00023,644

7,7287,587

16,791

56

-2

1,844-1,885

7,728-1,319

-29,378

-25,161

-2,900

- 2

Estimate provides for water and sewage disposal facilities serving7,100 new and improved Federal and tribal housing units;31 projects providing sanitation facilities for 3,270 existinghomes; and 7 outpatient care facilities and miscellaneousimprovements.

Estimate provides for a resumption of budget authority financing.

Decrease reflects transfer of programs to Regional medicalprograms and Health services research and developmentappropriations.

(Provides canteen services for narcotic hospitals.)

(Activities are now financed under other accounts.)

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1970

Service and supply fund 651 Exp.

Working capital fund, narcotic Exp.hospitals 651

Advances and reimbursements_651 Exp.

Total Federal funds Health NOAServices and Mental Health LAAdministration. Exp.

NL

Trust Funds

Health Services and Mental Health NOAAdministration (permanent)..651 Exp.

NATIONAL INSTITUTES OF HEALTH

Federal Funds

General and special funds:Biologies standards 651 NOA

Exp.

National Cancer Institute 651 NOAExp.

National Heart Institute 651 NOAExp.

D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.

11

-60

1,811

1,206,121-91

962,969-91

323310

8,6497,580

183,356186,033

165,947164,326

-268

-7

1,484

1,194,908-91

1,115,262-91

367375

8,4998,180

184,953161,425

166,928142,710

-93

18

465

1,297,9107,409

1,259,211659

277323

8,3387,407

184,402178,595

163,141155,965

175

25

-1,019

103,0027,500

143,949750

-90-52

-161-773

-55117,170

-3,78713,255

(Finances procurement and other services for Health Servicesand Mental Health Administration.)

(Finances occupational therapy programs for narcotic patients.)

Continues research programs to develop and improve vaccinesand provides for continuation of studies on tumor-producingfactors in vaccines and for biologies regulatory activities.

Continues cancer research programs, provides for radiationtherapy development, and for the third National CancerSurvey.

Estimate provides for continued cardiovascular research andclinical phase of heart cooperative drug studies and for clinicaltests of devices developed in artificial heart program.

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1970

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued fcO

ndfu al code 1968enacted

1969estimate

1970estimate


Explanation


NATIONAL INSTITUTES OF HEALTH—Continued


General and special funds—ContinuedNational Institute of Dental Re- NOA

search 651 Exp.

National Institute of Arthritis and NOAMetabolic Diseases 651 Exp.

National Institute of Neurological NOADiseases and Stroke _ _ 651 Exp.

National Institute of Allergy and NOAI nfectious Diseases 651 Exp.

National Institute of General NOAMedical Sciences 651 Exp.

National Institute of Child Health NOAand Human Development. _651 Exp.

National Eye Institute 651 NOAExp.

30,28826,846

143,954141,569

126,956119,349

94,24290,532

160,250154,975

68,62165,761

29,98325,765

143,888121,719

128,931106,307

96,84085,073

163,514136,548

73,12759,140

30,06228,286

139,968133,699

103,485110,629

103,92295,429

157,803156,798

78,41171,295

25,77812,165

792,521

- 3 , 9 2 011,980

-25,4464,322

7,08210,356

-5,71120,250

5,28412,155

25,77812,165

Continues research programs in oral diseases and deformities;provides for dental research institutes and for dental cariestask force.

Estimate provides for continued research in the preclinical andclinical sciences; provides for cystic fibrosis research and forthe artificial kidney-chronic uremia program.

Decrease reflects transfer of programs to new National EyeInstitute. Estimate provides for continued support of re-search in diseases and disorders of the nervous system.

Continues research in the chronic and degenerative diseases;provides for studies of drug resistance, antiviral substances,and transplantation immunology.

Estimate permits continued research in the basic biomedicalsciences and research and training programs in anesthesiology,surgery, and radiology and provides for trauma research centers.

Continues research in rriman reproduction, growth, and aging;provides increases for research in birth control and familyplanning and for mental retardation research centers.

Increase provides for establishing this new institute which willexpand research programs in eye diseases and visual disorders.

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1970

Environmental health sciences_651 NOAExp.

General research and services .651 NOAExp.

John E. Fogarty International NOACenter for Advanced Study in Exp.the Health Sciences 651

Health manpower 651 NOAExp.

Dental health 651 NOAExp.

Construction of health educational NOAresearch, and library facilities Exp.

651

National Library of Medicine_651 NOAExp.


Salaries and expenses, Office of the NOADirector. 651 Exp.

Scientific activities overseas (spe- NOAcial foreign currency program) Exp.

651

17,28920,711

81,14181,029

500

164,47771,504

238,000107,131

21,67413,112

10,71515,526

15,0007.890

18,01715,928

84,80971,503

600395

172,176109,255

10,2244,379

93,200127,472

18,16022.309

11,198

15,00012.329

19,00417,911

74,80973.482

3,4602,525

218,824165,907

11,8888,675

126,100165,595

22,18223,405

4,40014,471

7,1936,438

15,32215,360

9871,983

-10,0001,979

2,8602,130

46,64856,652

1,6644,296

32,90038,123

4,0221,096

4,4003,273

7,1936,438

3223.031

Increase provides two new environmental health institutes.

Estimate continues upgrading of laboratory and animal resources,computer research, and provides for general clinical researchcenters. Decrease largely due to transfer of United States-Japan science program to National Institute of Allergy andInfectious Diseases.

Increase provides for expanded program to promote the inter-national exchange of individuals for research and teaching inthe health sciences, and to operate an international conferenceand seminar program.

Increase provides additional support to health education institu-tions and scholarships and loans to health professions students.

Increase provides for expansion of the dental auxiliary utilizationprogram and continued research and training in dental science.

Increase provides for construction of facilities for about 1,300first-year students in health professions and nursing schools.

Increase provides for initiation of a biomedical communicationsnetwork by the Lister Hill National Center for BiomedicalCommunications.

Increase provides equipment for the Dental Health Center, forconstruction planning of the Lister Hill Center and neurology-allergy virus research facility, and for repairs, improvements,and master utilities extension at National Institutes of Health.

Estimate provides management and central services for theNational Institutes of Health programs.

Supports selected overseas scientific research through the use ofexcess foreign currencies.

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1970

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continuedto


1969estimate

1970 Increase ordecrease (—)

Explanation


NATIONAL INSTITUTES OF HEALTH-Continued


General and special funds—ContinuedExpired accounts 651 Exp.

Payment of sales insufficiencies NOAand interest losses 651

Public enterprise funds:Health education loans:

Health professions educationfund: 651

Authorization to spend debt NOAreceipts.

Participation sales insuffi- NOAciencies. Exp.

Nurse training fund:Authorization to spend, debt NOA

receipts.Participation sales insuffi- NOA

ciencies. Exp.

General research support grants Exp.651

13,856

48

11,500

1519,465

3,500

511,603

-13,586

7,253

32

13011,456

386,880

7351,841

2222,929

-7,253

- 3 2

605-9,615

184-3,951

(Projects completed in 1969.)

Funds available from participation sales in 1968 will finance loansto health professions students.

Funds available from participation sales in 1968 will financeloans to nursing students.

(Grants from funds appropriated to the National Institutes ofHealth and the National Institute of Mental Health are madeto schools and nonprofit institutions to promote self-selectedbiomedical research and research training projects.)

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1970

National Institutes of Health Exp.management fund 651

Service and supply fund 651 Exp.

Total Federal funds National NOAInstitutes of Health. Exp.

OFFICE OF EDUCATION

Federal Funds

General and special funds:Elementary and secondary educa-

tion 601Permanent

NOA

-341

1,546,3091,284,871

1,667,213

1,0001,417,002

183

i529,602

506,373

13,50016,019

1,409,0491,247,224

1,475,993

1,0001,362,356

600-150

520,830"16

405,507

171,90035,290

20,90019,000

21

1,499,4491,448,828

w 515,062

1,010,814

1,445,512200

-450

1 315,167

456,020

105,000

162,440

31,10024,243

21

90,400201,604

1 49,883

-1,00083,156-400-300

-205,679

50,513

-66,900

127,150

10,2005,243

NOALAExp.NL

Repayments deposited in mis- LAcellaneous receipt accounts. NL

School assistance in federally NOAaffected areas 601

Exp.

Education professions develop- NOAment 609 Exp.

Teacher Corps 601 NOAExp.

D Proposed for separate transmittal, civilian pay act supplementalw Includes $9,397 thousand recommended to carry out authorizing legislation to be proposed.

(Finances management services of the National Institutes ofHealth.)

(Finances procurement of computer and other central servicesfor the National Institutes of Health.)

Increases in programs for the poor, including grants to schoolswith concentrations of children from low-income or non-English-speaking families, or with high dropout rates, will be partiallyoffset by decreases in categorical grants for library books,equipment, and guidance counseling. Budget also proposesappropriation of $1,226 million to permit schools to plan 1971programs for educationally deprived children.

Decrease will allow full funding of legislation to be proposed whichwill more equitably distribute funds to school districts affectedby Federal activities.

Decrease due to transfer of college teacher fellowships to theHigher education appropriation. Elementary and secondaryteacher training will reach approximately 45,000 teacherscompared to 41,000 in 1969.

Increase will permit recruitment of 2,000 new interns and teachersand support for 2,389 corps members.

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1970

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1969estimate

1970estimate


Explanation


OFFICE OF EDUCATION-Continued


General and special funds—ContinuedHigher education 602 NOA

LAElxp.

NL


Vocational education. .603 NOAElxp.

Libraries and community serv- NOAices 609 Exp.

Education for the handicapped NOA601 Exp.

1,155,682

2,000

879,402

41,218

909

262,900258,844

156,500131,422

53,40040,955

694,247A 11,161

D1602,000

935,754A 11,161

19,000

-300

248,216242,458

143,144123,983

78,85058,766

895,259

2,000

982,850

12,000

-500

279,216255,489

155,625159,858

85,85071,016

31,00013,031

12,48135,875

7,00012,250

Direct Federal grants and loans for construction of academicfacilities will be decreased, but use of interest subsidy grantswill allow program level to remain constant. Increases instudent aid programs will provide an additional 174,000grants, loans, and guaranteed loans for students in 1970.Funds are provided to begin special tutorial services for thedisadvantaged. Includes Upward Bound, formerly carriedunder Office of Economic Opportunity.

New programs will begin cooperative school and work grants, andmodel vocational school projects. Support for regular vocationalclassroom activities continues at 1969 level, but new legislationrequires that 40% of funds will be used for disadvantaged,handicapped, and postsecondary students.

Increases will provide additional adult basic education, educa-tional broadcasting facilities, and Library of Congress cata-loging services.

Increase provides for expansion of model early childhood centersand research programs for physically and mentally handicappedchildren.

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Research and training. _609 NOAExp.

Education in foreign languages NOAand world affairs 602 Exp.

Research and training (special NOA

foreign currency program) __609 Exp.

Salaries and expenses 609 NOA

Exp.

Civil rights education 601 NOA

Exp.

Educational broadcasting facil- NOAities 609 Exp.

Defense educational activities:(Assistance for elementary and Exp.

secondary education) __ 601 NLRepayments deposited in mis- LA

cellaneous receipt accounts. NL(Assistance to higher educa-

tion) 602Exp.NL

90,96766,692

15,7002,249

857

37,520

38,125

10,000

7,437

6,737

61,733312

1 -459

75,86910

1 -628

89,41772,579

15,70014,400

1,000800

41,763"694

41,300

10,730

10,758

4,3757,575

8,02250

-400

10,515

-600

90,000102,446

20,00015,592

4,000

2,024

1 43,375

42,115

1 13,750

11,200

5,152

15,005

-400

2,000

-600

58329.867

4,3001,192

3,000

1,224

918

815

2,953

442

-4,375-2,423

6,983-50

-8,515


A Proposed for separate trans mi ttal under existing legislation, other than pay supplemental.D Proposed for separate transmittal, civilian pay act supplemental.x Includes $60 thousand recommended to carry out authorizing legislation to be proposed.

Estimate provides for expansion of experimental communityschool in the District of Columbia, increased dissemination ofinformation, and additional funds for evaluation studies;offset by termination of completed projects.

Increase will support grants to American institutions for studiesabout foreign nations.

Increased use of excess foreign currencies will support training ofU.S. scholars overseas.

Increase will provide additional staff for new programs authorizedby 1968 legislation.

Provides for additional grants to assist school boards in the processof desegregating their schools.

Activities now included in Libraries and community servicesappropriation.

(Activities now included in Elementary and secondary educationappropriation.)

(Activities now included in Higher education appropriation.)

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1970

toSO



1969 1970 Increase ordecrease ( - )

Explanation



federal Funds—Continued

General and special funds—ContinuedDefense educational activities—Continued

(Other aid to education) _.. 609 Exp.

Total defense educational ac- LAtivities. Exp.

NL

Arts and humanities educational NOAactivities __ __ _601 Exp.

Colleges for agriculture and the NOAmechanic arts (permanent) _602 Exp.

Promotion of vocational educa- NOAtion, Act of Feb. 23, 1917 (per- Exp.manent). _ _ _____ _603

Public enterprise funds:Student loan insurance fund __ 602 NOA

LAExp.NL

6,464

-1,087144,066

-765

1,000917

2,5502,550

7,1616,263

- 22

- 4 52

928

-1,00019,465-950

400

2,6002,600

7,1616,968

-292292

1,251292

2,750

-1,00019.755

-1,000

200

2,6002,600

7,1617,161

8,3682,458

10,5212,455

1,822

290-50

-200

193

8,6602,1669,2702,163

(Activities are now included in the Research and training appro-priation.)

(Activities now included in Elementary and secondary educationand Education professions development appropriations.)

Annual grants of $50 thousand are made to each State, theDistrict of Columbia, and Puerto Rico.

Crants under this authorization are supplemental to basic grantsto States under amendments of 1968.

Insures loans made by banks and other credit institutions tocollege and vocational students.

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1970

Higher education facilities loan LAfund 602

Authorization to spend debt LAreceipts.

Participation sales insufficien- NOAcies.

Permanent, indefinite NOAExp.NL


Total Federal funds Office of NOAEducation. LA

Exp.NL

SOCIAL AND REHABILITATIONSERVICE

Federal Funds

General and special funds:Grants to States for maintenance

payments 652NOA

Exp.

Work incentives.

100,000

925

1,8005\S

61.661

-9,325

4,006,418102,824

3.517.058103,208

173,854

10,000

281

100,000

3,275

1,6003,42876,847

3,543,507101,842

3,375,79995.339

3,051,900A 373,5242,938,046A 373,524

117,50090,085

2,118,300A 278,0222,118,018* 222,022

2,918

1,5912,53474,293

3,586,8562,508

3,778,72886,998

1 3,719,084

1 3,719,000

164,640163,265

| 3,057,025

2,915,000* 56,000

1 -100,000

1 -366

-894-2,554

43,349-99,334402,929-8,341

293,660

407,430

47,14073,180

660,703

| 630,960

Interest subsidy grants, using private capital for constructionfinancing, will replace this direct loan program.

.604 NOAExp.

Grants to States for medical as- NOAsistance 651

Exp.

A Proposed for separate transmittal under existing legislation, other than pay supplemental.

1969 supplemental matches increased State expenditures in allcategories. 1970 increase reflects costs of additional caseloadunder Aid to Families with Dependent Children, and for thedisabled.

1970 funds will assist about 175,000 welfare recipients in workexperience and training, and provide care for an average of146,000 children. All States will participate.

1969 supplemental matches increased State expenditures in allcategories. Increases in 1970 reflect higher medical costs,greater utilization of services, and an increase of 700,000 inpersons served to 10.2 million. All 50 States and 4 jurisdictionsare expected to participate in programs in 1970.

ooS3

a125o

fcOCO


1970

toCO00

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)— Continued



Explanation


SOCIAL AND REHABILITATIONSERVICE—Continued


General and special funds—ContinuedSocial services and administra- NOA

tion 653 Exp.

Assistance for repatriated U.S. NOAnationals __652

Exp.

Grants for rehabilitation services NOAand facilities 653 Exp.

Mental retardation. 653 NOAExp.

594,800590,856

545A 100

538

368,990369,417

32,5566,207

730,720

729,000

*700

681

564,123509,300

33,62922,376

135,920

138,144

55

43

195,133139,883

1,07316,169

Increase is primarily for intensified social service to families withdependent children and caseload-related administrative costs.

1969 supplemental is required to meet unanticipated increase innumber of repatriates from Cuba. Provides income mainte-nance, social service, and medical care for mentally ill and otherindigent repatriates.

Increase will assist States to rehabilitate 265,000 disabled in-dividuals, 15% more than in 1969; initiate a program of workevaluation for the disadvantaged; and expand services fordisabled in poor neighborhoods.

Increase provides grants to 176 State residential institutionsserving 27,887 retardates, and training 15,326 individuals; 60construction projects will be supported as well as 80 initialstaffing grant projects for community facilities providingservices to 8,320 retardates; and will inaugurate approximately33 projects for services to 5,000 retardates and support givento 80 projects training 850 students in the Student WorkExperience and Training program.

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1970

Maternal and child health.___651 NOANOA comparable to 1970 request

Exp.

Child welfare 653 NOANOA comparable io 1970 request

Exp.

Development of programs for the NOAaging 653 Exp.

Juvenile delinquency prevention NOAand control 653 Exp.

Rehabilitation research and train- NOAing 653 Exp.

Cooperative research or demon- NOAstration projects 653 Exp.

Research and training (special NOAforeign currency program)._653 Exp.

Salaries and expenses.

235,600(179,908)218,308

(55,692)

18,45011,510

4,365

63,93754,101

3,1502,263

5,0004,024

21,380

20,162

265,400(209.200)246,320

(56,200)

23,00018,933

5,0003,638

64,00059,259

3,1502,220

5,0004,353

26,361»1,23427,376

230,700

216,372

57,000

44,435

* 29,50027,686

15,0009,853

64,00060.795

6,5002,950

5,0004,762

28,780

28,610

-34,700

-29,948

57,000

44,435

6,5008,753

10,0006,215

1,536

3,350730

409

1,185

1,234

...653 NOA

Exp.A Proposed for separate transmittal under existing legislation, other than pay supplemental.D Proposed for separate transmittal, civilian pay act supplemental.Y Includes $316 thousand recommended to carry out authorizing legislation to be proposed.z Includes $29,250 thousand recommended to carry out authorizing legislation to be proposed.

Decrease results from transfer of child welfare activities to thefollowing appropriation.

Increase also includes cost of the 1970 White House Conference onChildren and Youth, and higher tuition and continuation costsfor training and research in child welfare services.

Increase is for preconference costs of the 1971 White HouseConference on Aging and the foster grandparent programformerly funded under the Office of Economic Opportunity.

Provides for first full-year costs of program planning, prevention,and rehabilitation through the support of 149 projects, 95more than 1969; the training of 4,000 individuals; and thedevelopment of 17 model projects and 18 technical projects.

Supports 341 research and demonstration projects, 13.687 train-eeships, 658 teaching grants, 159 fellowships, and 19 researchand training centers.

Provides project grants relating to prevention and reduction ofdependency, coordination between private and public welfareagencies, improvement of welfare administration, and incomemaintenance experiments.

Excess foreign currencies support research in rehabilitation,maternal and child health, social welfare, and aging.

Provides support activities of various grants and contract pro-grams associated with rehabilitation services to needy, dis-abled, and other disadvantaged people.

oo

fcO


1970



1969estimate

1970estimate


Explanation



Federal Funds—ContinuedGeneral and special funds—Continued

Assistance to refugees in the NOAUnited States 653

Reappropriation __ NOALAExp.

NLRepayments deposited in mis- LA

cellaneous receipt accounts. NL

Grants to States for public assist-

ance:(Health) 651 NOAExp.

(Maintenance payments) __ 652 NOAExp.

Grants for correctional rehabil- NOAitation study 653 Exp.

Total Federal funds Social NOAand Rehabilitation Service. LA

Exp.NL

47,276

4,5003,524

51,513

3,492

1,807,6421,805,518

3,451,6583,338,397

800800

5,981,4683,170

5,966,8603,138

] 63,784A 2,853

j i>38

4,19061,380A 2,853

4.050-380

44,318

8,000

600

7,396,0573,810

7,188,0633,670

| 82,732

4,5501 78,882

4,400-400

8,789,1334,150

8,588,9674,000

16,057

36014,649

350-20

-44,318

-8,000

-600

1,393,076340

1,400,904330

1969 supplemental covers unanticipated welfare, education, andtransportation costs. Increase in 1970 due primarily to main-tenance payments and medical assistance required by Cubanrefugees.

These activities are covered by the separate appropriations forgrants to States for maintenance payments, and for medicalassistance, and social services and administration.

(Study was completed in 1968.)

wd

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ICO

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1970

SOCIAL SECURITY ADMINISTRATION

Federal Funds

General and special funds:Payment to trust funds for health NOA

insurance for the aged 651 Exp.

Payment for military service NOAcredits 652 Exp.

Payment for special benefits for NOAthe aged 652 Exp.

Consumer credit training 653 NOAExp.

Public enterprise funds:Operating fund, Bureau of Federal Exp.

Credit Unions 653

Intragovernmental funds:Advances and reimbursements_653 Exp.

Total Federal funds Social NOASecurity Administration. Exp.

A Proposed for separate transmittal under existing legislation, other than pay supplemental.D Proposed for separate transmittal, civilian pay act supplemental.

1,279,659906,631

105,000105,000

134

7

1,384,6591,011,772

1,360,2271.733.255

105,000210.000

225,545225,545

256

1,690,7722,169,056

1,545,4131.545.413

105,000105,000

364,151364.151

300283

-265

2,014,8642,014,582

185,186-187.842

-105,000

138,606138,606

300283

-521

324,092-154,474

Increase reflects additional enrollees in the Supplementary Medi-cal Insurance program and higher than estimated 1968 and1969 costs, and for uninsured participants in the hospital in-surance program for whom total benefit and administrativecosts are paid out of general fund appropriations.

Provides for 5th of 50 installments to pay the Government'sobligation to the Social Security trust fund for costs resultingfrom military service.

Increase provides for 1968 costs of benefits for noninsuredpersons aged 72 and over.

Provides training in consumer education to Federal Credit Unionofficers and others interested in limited-income groups, andresearch on development and operation of credit unions in low-income areas.

(The chartering, supervision, and examination of Federal CreditUnions are financed by fees for services performed.)

3

>t"1

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1970

GOoto


Account and functional code 1968 1969 1970 Increase ordecrease ( - )

Explanation


SOCIAL SECURITY ADMINISTRATION—Continued

Trust Funds

Limitation on salaries and expenses, NOASocial Security Administration.

Federal old-age and survivorsinsurance trust fund (per-manent) 652

Receipts appropriated:(Contributions on earnings)(Deposits by States)(Federal employer contribu-

tions) .(Federal payment for special

benefits for the aged.)(Federal payment for non-

contributory military serv-ice credits.)

(Interest on investments) _ _ _(Other)

NOALA

(715,328)

23,754,645-114,000

(20,229,869)(2,035,561)

(397,000)

(78,000)

(900,116)(99)

(768,145)( 1 4 7 )

27,841,852

(23,738,000)(2,268,000)

(469,000)

(225,545)

(156,000)

(985,000)(307)

(885,000)

31,085,250

(26,215,000)(2,712,000)

(499,000)

(364,151)

(78,000)

(1,217,000)(99)

(98,708)

3,243,398

(2,477,000)(444,000)

(30,000)

(138,606)

(-78,000)

(232,000)( -208)

Provides for a 6.7% increase in Social Security workload andan 11.6% increase in output of health insurance carriers andfiscal intermediaries.

The old-age and survivors and disability insurance programsprovide protection against income loss due to death, retire-ment, or disability. Increase in 1969 receipts reflects anincrease in tax rate from 7.6% to 8.4% and an increase in thecontribution base from $6,700 to $7,800 on January 1, 1968.Increase in 1970 reflects the full-year cost of the tax rate increaseas well as the effect of the tax on a larger labor force at higheraverage wage levels. Increases in expenditures reflect: (1)The net increase in beneficiary rolls of 691,000 OASI bene-ficiaries and 158,000 DI beneficiaries; and (2) the higheraverage benefits paid more than 3 million new beneficiarieseach year, resulting from their history of higher average coveredwages.

I>CO

o


1970

Expenditures and net lending Exp.NL

(Benefit payments)(Vocational rehabilitation serv-

ices.)(Administrative expenses and

construction.)(Payment to railroad retirement

account.)(Investments in non-Federal

securities.)(Discount on investments)

Federal disability insurance trust NOAfund (permanent) 652 LA

Receipts appropriated:(Contributions on earnings)(Deposits by States)(Federal employer contribu-

tions.)(Federal payment for noncon-

tributory military servicecredits.)

(I nterest on investments)(Other)


(Benefit payments)(Vocational rehabilitation serv-


construction.)(Premiums on investments)(Payments to railroad retire-

ment account.)(Investments in non-Federal se-

curities.)

21,623,728-114,000

(20,737,093)(291)

(448,934)

(437,634)

(-114,000)

(-224)

2,874,173-74,000

(2,448,375)(202,994)(48,000)

(16,000)

(84,497)(306)

2,236,583-74,000

(2,088,352)(15,393)

(112,367)

(60)(20,410)

(-74,000)

24,640,761

(23,711,000)(765)

(460,995)

(468,000)

3,759,085

(3,216,000)(313,000)(63,000)

(32,000)

(135,000)(85)

2,604,819

(2,434,000)(16,963)

(135,857)

(18,000)

25,637,939

(24,636,000)(921)

(496,018)

(505,000)

3,958,081

(3,339,000)(346,000)(63,000)

(16,000)

(194,000)(81)

2,802,157

(2,624,000)(19,944)

(145,213)

(13,000)

997,178

(925,000)

(156)

(35,023)

(37,000)

198,996

(123,000)(33,000)

(-16,000)

(59,000)(-4)

197,338

(190,000)(2,981)

(9,356)

(-5,000)

The numbers of beneficiaries are as follows (in thousands):1968 1969 1970

Retired workers and their actual estimate estimatedependents 15,085 15,526 15,951

Disabled workers andtheir dependents 2,141 2,366 2,524

Survivors of deceasedworkers 5,535 5,853 6,185

Disabled children of re-tired and deceasedworkers 219 232 247

Benefits to noninsuredpersons aged 72 andover 729 679 598

soa

Iw

>oMo

Proposed for separate transmittal, civilian pay act supplemental.

CO

8


1970

ANALYSIS OF BUDGET AUTHORITY

1968 1969

AND OUTLAYS

1970

BY AGENCY

Increase or

(in thousands of dollars)—Continued

Explanation


00

SOCIAL SECURITY ADMINISTRATION-Continued

Trust Funds—Continued

Federal hospital insurance trust NOAfund (permanent) 651 LA

Receipts appropriated:(Contributions on earnings)(Deposits by States)(Federal employer contri-

butions.)(Federal payment for hospital

insurance for the uninsured.)(Federal payment for noncon-

tributory military servicecredits.)

(Receipts from railroad retire-ment account.)

(Interest on investments)(Other)


( Benefit payments)(Administrative expenses and

construction.)(Investments in non-Federal

securities.)

Federal supplementary medical in- NOAsurance trust fund (permanent)

651

3,917,418-15,000

(3,169,689)(279,360)

(65,000)

(272,631)

(11,000)

(44,049)

(59,973)(716)

3,814,994-15,000

(3,736,322)(78,672)

(-15,000)

1,353,179

5,368,161

(3,975,000)(396,000)

(79,000)

(748,968)

(22,000)

(54,168)

(93,000)(25)

4,471.151

(4,367,000)(104,150)

1,910,324

5,467,287

(4,134,000)(437,000)

(80,000)

(617,262)

(11,000)

(62,000)

(126,000)(25)

5,043,905

(4,940,000)(103,905)

1,864,188

99,126

(159,000)(41,000)(1,000)

(-131,706)

(-11,000)

(7,832)

(33,000)

572,754

(573,000)(-245)

-46,136

Federal hospital insurance for the aged (Medicare) consists of2 trust funds: (1) The hospital insurance fund which paysfor services rendered to almost all the aged by hospitals,extended care facilities, and home health agencies; and (2)the supplementary medical insurance fund which pays fordoctor's bills and related services for about 95% of the agedwho have voluntarily enrolled in the supplementary program.The hospital insurance program is currently financed by a1.2% employer-employee payroll tax for persons covered bythe social security and railroad retirement systems, and bygeneral fund payments for services rendered to eligible agedpersons not insured by either of these systems. The supplemen-tary program is financed by a monthly premium payment fromeach enrollee matched by Federal fund appropriations. Thecurrent monthly rate of $4 per enrollee will remain in effectthrough 1970.

Increased hospital insurance trust fund expenditures in 1970result from: (1) growth in the number of covered aged; (2)higher hospital and extended care facility costs.

1970 decrease reflects late payment of the 1968 Federal contribu-tion into the trust fund in 1969.

W

do

55

o


1970

Receipts appropriated:(Contributions from partici-

pants.)(Federal contributions)(Interest on investments)(Other)

Expenditures: Exp.(Benefit payments)(Administrative expenses and

construction.)

Total trust funds Social NOASecurity Administration. LA

Exp.NL

SPECIAL INSTITUTIONS

Federal Funds

General and special funds:American Printing House for the

Blind:Education of the blind 609 NOA

Exp.

National Technical Institute forthe Deaf:

Salaries and expenses 603 NOAExp.

Construction. _603 NOAExp.

Total National Technical In- NOAstitute for the Deaf. Exp.

(698,465)

(634,000)(20,103)

(611)

1.532.267(1,389,622)(142,645)

31,899,415-203,000

29.207.572-203,000

1,2251.225

2,615345

2,615345

(905,000)

(984,287)(21,000)

(37)

1.750,837(1,567,000)(183,837)

38,879,422

33,467,568

1,3401,340

8002,375

8002,375

(917,000)

(928,151)(19,000)

(37)

1,807,023(1,598,000)(209,023)

42,374,806

35,291,024

1,4041,404

2,8512,626

13,766595

16,6173,221

(12,000)

(-56,136)(-2,000)

56,186(31.000)(25.186)

3,495,384

1,823,456

6464

2,051251

13,766595

15,817846

(The number of beneficiaries receiving services are as follows(in millions) :

1968 1969 1970actual estimate estimate

Hospital insurance program. _. 3.9 4.1 4.2Supplementary medical insur-

ance program 7.7 8.2 8.5)

Increase reflects larger school enrollment of blind children andincreases in per capita costs.

Increase in number of students served from 70 to 275.

Increase provides for full construction costs.

oo

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a

oC


1970

ANALYSIS

and functional

OF BUDGET AUTHORITY

1968 1969

AND OUTLAYS BY AGENCY

1970 Increase ordecrease ( - )

(in thousands of dollars)—Continued

Explanation

00oO5


SPECIAL INSTITUTIONS-Continued


General and special funds—ContinuedModel Secondary School for the

Salaries and expenses 601 NO AExp.

Construction 601 NOAExp.

Total Model Secondary School NOAfor the Deaf. Exp.

Gallaudet College:Salaries and expenses 602 NOA

Exp.

Construction 602 NOAExp.

Total Gallaudet College.._. NOAExp.

Howard University:Salaries and expenses 602 NOA

Exp.

42517

275

70017

2,919

2,804

2,196234

5,1153,038

15,534

15,725

400311

44586

845397

3,635°56

3,555

1,585

3,6915,140

17,830°401

17,588

415403

351513

766916

1 4,2571

4,292

8671,093

5,1245,385

1 20,445

20,015

1592

- 9 4427

- 7 9519

566

737

867-492

1,433245

2,214

2,427

Covers pilot operation of secondary school for the deaf.

Planning for the construction of this facility will continue.

Increase provides for a rise in enrollment, higher faculty salaries,and improvements in instructional program.

Increase is for miscellaneous planning and construction.

Provides for increase in faculty salaries and improvements ininstructional program.

dQ

I—ICD


1970

Construction 602 NOA

Exp.

Freedmen's Hospital 651 NOA

Exp.Total Howard University.... NOA

Exp.

Total Federal funds special NOAinstitutions. Exp.

Trust Funds

Freedmen's Hospital 651 Exp.

DEPARTMENTAL MANAGEMENT

Federal Funds

General and special funds:Salaries and expenses, Office of the NOA

Secretary 653Reappropriation NOA

Exp.Limitation payable from social

security trust funds.

Salaries and expenses, Office of NOACommunity and Field Serv-ices 653 Exp.

Limitation payable from socialsecurity trust funds and Bu-reau of Federal Credit Unionsoperating funds.

D Proposed for separate transmittal, civilian pay act supplemental.

3,926

2,188

6,937

7,83826,39725,751

36,05230,376

2

7,139

407.429

(1.211)

2,161

1.798(1.815)

2,2096,026

8,739"291

8,608

29,47032.222

36,14641,474

8,237°216

8.895(1.282)

2,50°°215

2,/uy(2.079)

22,710

10.120

1 9,109

9,20052,26439.335

76,17550.261

1 5,975

6.239(398)

1 9,989

9.112(3.342)

20,501

4,094

79

59222,7947.113

40,0298.787

-2,478

-2,656(-884)

7,266

6.403(1.263)

Funds requested are primarily for construction of a new teachinghospital.

The increase allows for more staff and program improvements.

Decrease reflects transfer of civil rights compliance activity toOffice of community and field services appropriation.

Increase is for workload and assumption of the civil rights com-pliance activity.

OO

00O


1970

800



Explanation


DEPARTMENTAL MANAGEMENT—Con.


General and special funds—ContinuedSalaries and expenses, Office of the NOA

Comptroller 653 Exp.Limitation payable from social

security trust funds.

Salaries and expenses, Office ofAdministration 653

Limitation payable from socialsecurity trust funds.

Surplus property utilization.__653

Salaries and expenses, Office of theGeneral Counsel. .653

Limitation payable from socialsecurity trust fund and re-volving fund for certificationand other services.

NOA

Exp.

NOA

Exp.

NOA

Exp.

6,7486,537

(991)

2,427

2,235(271)

1,158

1,122

1,935

1,790(1,408)

8,5257,921

(1.255)

2,612

2,777(302)

1,186i> 5 7

1,213

2,105»56

2,131(1,375)

i

i

!

10,42510,184(1,808)

5,234

4,978(359)

1,255

1,236

2,282

2,242(1,416)

1,9002,263

(553)

2,389

2,201(57)

12

23

121

111(41)

Increase provides for additional audit staff.

Increase is for administrative management and State merit sys-tem activities.

Provides for distribution of surplus real and personal propertyto State agencies for education, public health, and civil defensepurposes.

Increase is for additional staff to carry out new program re-sponsibilities of the Secretary, operating agencies, and regionaloffices.

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1970

Payment to the Corporation for NOAPublic Broadcasting 609 Exp.

IntragovernmentaLfunds:Working capital fund 653 Exp.

Advances and reimbursements.653 Exp.

Total Federal funds depart- NOAmental management. Exp.

PROPOSED LEGISLATION

Federal Funds

General and special funds:Grants to States for maintenance NOA

payments 652 Exp.

Trust Funds

Federal old-age and survivors in- NOAsurance trust fund 652 Exp.

Federal disability insurance trust NOAfund 652 Exp.

Total trust funds proposed NOAlegislation. Exp.

SUMMARY

Federal funds:(As shown in detail above) _ NOA

LAExpNL

B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.

539

776

21,60822,226

14,368,211105,903

12,947,253106,255

5,0005,000

-210

-1,077

30,95029,359

15,511,209105,561

15,351,88398,918

B 20,000B 20,000

-15

-50

55,16053,926

• -81,000B-81,000

• 1,300,000B 1,500,000

B 400,000B 100,000

1,700,0001,600,000

17,471,34614,067

17,333.24091,657

15,00015,000

195

1,027

24,21024,567

-81,000-81,000

1,300,0001,500,000

400,000100,000

1,700,0001,600,000

1,960,137-91,4941,981,357-7,261

Provides for Federal grants to Corporation for Public Broad-casting, a non-Federal agency created to improve and extendeducational television and radio services throughout the Na-tion.

Legislation will be proposed which will increase Social Securitybenefits by 10% and raise the minimum benefit for retiredworkers from $55 to $80 per month effective Jan. 1, 1970.Because of this increase welfare caseloads and average monthlymaintenance payments to the aged will be reduced. Theincreased Social Security benefits will be financed by anincrease in taxable wages from $7,800 to $9,000 per year andin the combined employee-employer tax rate from 9.6% to10.4% effective Jan. 1, 1970.

3Oo

a

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1970

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—ContinuedCO

oAccount and functional code 1968enacted


Explanation


SUMMARY—Continued

Federal funds—ContinuedDeductions for offsetting receipts:

Proprietary receipts from thepublic 600

650

850

900Repayments deposited in mis-

cellaneous receipt accounts(included in detail above).

NOAExp.NOAExp.NOAExp.NOAExp.LANL

Total Federal funds NOALAExp.NL

Trust funds:(As shown in detail above) _

Deductions for offsetting receipts:Interfund transactions 650


850

NOALAExp,NL

NOAExp.NOAExp.NOAExp.

-989

-2,199

-984

-599

(-623)

14,363,440105,903

12,942,482106,255

31,899,738-203,000

29,207,884-203,000

-458,044

-1,846

-6,339

-989

-1,367

-983

-600

(-1,921)

15,507,270105,561

15,347,94498,918

38,879,789

33,467,943

-486,000

-417

-262

-989

-1,438

-985

-600

(-2,441)

17,467,33414,067

17,329,22891,657

44,075,083

36,891,347

-518,000

-347

-50

-71

-2

(-520)

1,960,064-91,494

1,981,284-7,261

5,195,294

3,423,404

-32,000

70

212

Wdoo

I iCO

o>

CO

o


1970

Total trust funds

Intergovernmental transactions..651

652

Total Department of Health,Education, and Welfare, t

Total budget authority

Total outlays

tTotals for the Department are

Federal funds:Enacted/transmittedRepaymentsSeparate transmittal:

(A) Existing legislation.(B) Proposed legislation

Deductions for offsetting

Total Federal funds.

Trust funds:Enacted/trans mittedSeparate transmittal:

( B) Proposed legislation( D) Civilian pay

Deductions for offsetting

Total trust funds

NOALAExp.NL

NOAExp.NOAExp.

NOALA

Exp.NL

31,433,509-203,000

28,741,655-203,000

J -917,631

| -94,000

44,785,318-97,097

44,688,221

40,672,506-96,745

40,575,761

distributed as follow

14

receipts

receipts

Intragovernmental transactions

15

38

38

— 7Total Department of Health, Edu-

cation, and Welfare.- __ __ _._ 51

38,393,110

32,981,264

-1,755,255

-413,545

51,731,580105,561

51,837,141

46,160,40898,918

46,259,326

i :

43,556,686

36,372,950

-1,556,413

-458,151

59,009,45614,067

59,023,523

51,687,61491,657

51,779,271

1969

NOA LA Exp

845,549 107,482 14,742— 1 Q21

665 660

- 3 , 9 3 9 -__

6 D9

- 3

, 5 0 7 , 2 7 0 105,561 15,347

879 ,789

- 4 8 6 , 6 7 9

, 3 9 3 , 1 1 0 __-

168 800

, 7 3 1 , 5 8 0 1

33,450

- 47

*6

32,981

- 2 , 168

05,561 46,160

5,163,576

3,391,686

198,842

-44,606

7,277,876-91,494

7,186,382

5,527,206-7,261

5,519,945

N

223 100

660

939

944 98

530

413679

,264

,800

,408 98

L

,839,921

,918

,918

NOA

17,532,

- 6 1 ,- 4 ,

17,467,

42,375,

i, 700,

- 5 1 8 ,

43,556,

- 2 014,

59,009,

346

000012

334

083

000

397

686

164

456

1970

LA

16,508-2,441

14,067

14,067

Exp.

17,338,240

56,000-61,000-4,012

17,329,228

35,290,613

1,600 000734

-518,397

36,372,950

-2,014,564

51,687,614

NL

94,- 2

91,

91

098441

657

—

657

g

aW

'POO

o

CA

i —> —


1970

% Totals for the Department of Defense—Civil are distributed as follows:

Federal funds:Enacted/transmittedRepaymentsSeparate transmittal:

) Wage-board supplemental( D ) Civilian pay( E ) Military pay__

Deductions for offsetting receipts

Total Federal funds.

Trust funds:Enacted/trans mittedSeparate transmittal:

( C ) Wage-board supplemental( D ) Civilian pay

Deductions for offsetting receipts

1970

Total trust funds

Total Department of Defense -Civil..

NOA1,224,560 _

1289, 802

147-44,844 _

1, 189,793

25, 090

117 _179

-15,921 _

9,465 _

1,199,258

LA

-236

-236

-236

Exp.1,292,848 .

1179, 163 .

137-44,844 .

1,257,421

28,481

110 .172

-15,921 .

12,842 .

1,270,263

NL

-236

-236

-236

1971

NOA1,341,208

LA

-368

-49,879

Exp.1,449,131 _

11 .639

10 .-49,879 .

NL

-368

1,291,329

37, 555

-368 1,399,912

39, 650

7

-368

-27,755 -27,755

9,800

1,301,129

11,909

H

oo

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE *

CONSUMER PROTECTION AND EN-VIRONMENTAL HEALTH SERVICE

Federal Funds

General and special funds:Food and drug control

Air pollution control

653

653

NOA

Exp.

NOAExp.

60,438

61,173

88,44856,922

71,989c 19

«> 2,185

71,186

95,63879,657

I 89,549

84,678

' 106,003104,200

15,266

13,492

10,36524,543

Provides for expanded research on health effects of food additivesand pesticides, increased surveillance of hazardous products,and continuation of the intensified inspection program fordrug manufacturing.

Allows an expanded program of research on controls for sulfurand nitrogen oxides, and increased financial and technicalsupport of State and local air pollution control efforts.

c Proposed (or separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.F Recommended to carry out authorizing legislation to be proposed.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary con-

tinuing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

SI

oo


1971

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued CO(—1

oAccount and functional code 1969enacted

1970estimate


Explanation

DEPARTMENT OF HEALTH

CONSUMER PROTECTION ANDENVIRONMENTAL HEALTH SERVICE-

Continued


Environmental control 653 NOAExp.


Office of the Administrator...653 NOA

Exp.

Expired accounts 653 Exp.

Public enterprise funds:Revolving fund for certification Exp.

and other services 653

[ntragovernmental funds:Advances and reimbursements Exp.

653

Total Federal funds Consumer NOAProtection and Environ- Exp.mental Health Service.

42,82736,193

417

17,978

18,273

1,193

-233

- 6

209,691173,932

55,15851,428

3004,500

6,159D 304

E 509,726

620

231,892217,117

, EDUCATION, AND WELFARE*—Continued

»50,78052,125

6,500

j 4,775

6,080

266

251,107253,849

-4,378697

-3002,000

-1,738

-3,646

-354

19,21536,732

Decrease reflects transfer of certain food protection activities tothe Food and drug control appropriation.

Unobligated balances provide for construction of Food and DrugAdministration district headquarters and regional laboratoryfacilities for environmental health research.

Decrease reflects transfer of certain administrative functions tothe Food and drug control account.

(These activities have been transferred to other accounts.)

(Industry fees finance certification of various drugs, food addi-tives, and cosmetics.)

3

3a


1971


Federal Funds

General and special funds:Mental health:

(Development of health re- NOAsources) 651 Exp.

(Prevention and control of NOAhealth problems) 653

Exp.

Total mental health NOA

Exp.

Saint Elizabeths Hospital (in- NOAdefinite) 652

Exp.

Health services research and de- NOAvelopment 651 Exp.


252,310226,503

83,663

58,978

335,973

285,481

13,380

11,564

49,92746,303(4,320)

265,044260,926

92,859c - 9 0 8

•> -5,795E - 5 5 665,285

357,903c-908

D - 5 , 7 9 5

326,211

11,660'751

o 1,742= 26

13,917

44,97554,596

236,150266,302

} T 110,506

J 80,460

| 346,656

)

346.762

} 14,823

J 14.454

' 57,40349.130

-28,8945.376

24,906

15.175

-3,988

20.551

644

537

12,428-5.466

Decrease results from carryover of 1970 funds to 1971 for con-struction of community mental health centers.

Increase is for greater support to local communities for mentalhealth centers, for addiction and alcoholism treatment, andfor an expanded public education program on the dangers ofdrug abuse and alcoholism.

Provides for a staffing increase and expansion of outpatient services,particularly within the Community Mental Health Centerat the hospital.

Reflects an expansion in research programs which seek newways of containing increases in health costs and new means ofdelivering health services.

c Proposed for separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.F Recommended to carry out authorizing legislation to be proposed.s Includes $14,336 thousand recommended to carry out authorizing legislation to be proposed.T Includes $76,000 thousand recommended to carry out authorizing legislation to be proposed.2 Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for

uing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

31

iaw

most accounts. Temporary contin- co


1971


Co

to


1970estimate


Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE *—Continued



General and special funds—ContinuedComprehensive health planning

and services:(Development of health re- NOA

sources) 651 Exp.Limitation payable from Social

Security trust funds.

(Prevention and control of NOAhealth problems) 653

Exp.

Total comprehensive health NOAplanning and services.

Exp.

Maternal and child health. „ _ _652 NOAExp.

Family planning services. __ _652 NOAExp.

20,84010.422

155,449

116,658

176,289

127,080

265,400250,467

27,76523,820(4,320)

186,265°-4,766

157,058

214,030»-4,766

180,878

228,500223,194

'30,36526,867(4,320)

1 F 216,813

188,408

1 247,178

215,275

255,339240,800

B12,000* 4,000

2,6003,047

35,314

31,350

37,914

34,397

26,83917,606

12,0004,000

Provides expanded support for 113 existing comprehensive area-wide planning agencies and initial funding for 12 new agencies.

Provides for a broadened program of comprehensive healthcenters and service projects, including transfer of centersformerly funded by the Office of Economic Opportunity.

Most of the increase is for family planning services. Remainderis for new health centers for mothers, infants, and youth, andfull-year costs of existing health centers.

Proposed legislation provides for project grants to deliver familyplanning services to low income persons.

o

3GO


1971

Regional medical programs:(Development of health re- NOA

sources) 651 Exp.

(Prevention and control of NOAhealth problems) 653 Exp.

Total regional medical pro- NOAgrams. Exp.

Communicable diseases 653 NOA

Exp.

Medical facilities construction.651 NOA

LAExp.NL


Proposed for separate trans mitt al under proposed legislation.Proposed for separate transmittal. wage-board supplemental.Proposed for separate transmittal, civilian pay act supplemental.

61,90746,279

61,90746,279

54,217

59,581

265,866

7,500264,168

i -"

83,76367,761

16,21810,957

99,98178,718

38,603r |OO

D 1,868'440

44,801

153,923«>178£30

278,844750

-93

F 90,34586,281

'6,1575,124

96,50291,405

1 41,538

48.574

' 59,321

'30,000256.066

15.000-93

6,58218.520

-10,061-5.833

-3,47912,687

489

3,773

-64,810

1 -8.528

Increase permits continuation and new operational grants inall 55 existing regions. Emphasis will be placed on continuingeducation programs for health professionals and on demon-strations of new methods for delivering health services in theprivate sector.

Emphasis will be placed on demonstrating new methods to pre-vent, control, and treat kidney disease, increasing publicawareness of the adverse relationship between smoking andhealth, and on expanding technical assistance to the Statesto improve nutrition surveillance and delivery of services.Reduction in budget authority reflects the elimination ofchronic disease control programs.

Increase primarily due to transfer of regional operations fromOffice of the Administrator. Reduction in tuberculosis andvenereal disease control programs offset by pay increases.

Decrease for grants reflects shift to guaranteed loans and interestsubsidies for construction and modernization of private,nonprofit medical facilities. Grants will support constructionof ambulatory care and rehabilitation facilities. Direct loansare provided for public facilities ineligible for the loan guarantyprogram.

uing

iH

Wo©

I3

Proposed for separate transmittal, military pay act supplemental.Recommended to carry out authorizing legislation to be proposed.Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary contin-

ppropriation not shown here, are in effect for the period July 1 to Jan. 30. CO


1971


CO



Explanation




General and special funds—ContinuedPatient care and special health NOA

services 652

Exp.

National health statistics 651 NOAExp.

Retired pay of commissioned NOAofficers 653 Exp.


72,383

69,381

8,2258,160

14,26513,058

9.142

72,224^921

°2,532* 1,78874,924

9,6418,827

16,70015,280

2,1006,177

79,889

78,963

9,9189,671

19,50118,945

6,531

2,424

4,039

277844

2,8013,665

-2,100354

Provides for continued operation of 9 Public Health Servicehospitals and 244 outpatient facilities with an expected work-load of 2,130 inpatients per day in the hospitals and 1,782,200visits per year to the outpatient facilities. Increase reflectshigher drug and hospital supply costs, and greater use of con-tract medical care in other than PHS hospitals. System will alsooperate 20 additional health units to serve Federal personnelemployed in Government buildings.

Provides for coordination of information for evaluating familyplanning centers, increased statistical advice to State healthagencies, and initiation of a survey to make population projec-tions more accurate.

Retired officers and their survivors receiving benefits will increasefrom 981 on June 30, 1969, to 1,111 in 1970 and to 1,241 in1971. Increase also provides for rise in medical care costs andincreased hospital utilization by eligible beneficiaries.

Unobligated funds will be utilized for essential repair and im-provement projects and to plan a joint Veterans Administra-tion-PHS hospital in Seattle, Wash.

tddao

Ulo>


1971

Office of the Administrator.. .653 NOA

Exp.

Indian health services. _652 NOA

Exp.

Indian health facilities 652 NOAExp.

Emergency health .059 NOAExp.

9,380

8,640

94,282

92,804

18,15614,604

7,822

29,37830,323

1,893

-5

9,898»641'50

10,419

101,510'650i>656

«1,201101,288

20,95224,044

4,0004,957

18,669

1,390

5

1 11,812

10,633

1 113,217

110,939

17,95023,799

3,7554,665

11,878

3

1,223

214

9,200

9,651

-3,002-245

-245-292

-6,791

-1,390

-2

Increase results from transfers among Health Services and MentalHealth Administration programs and to provide improvedmanagement and central services.

Increase provides for improved staff-patient ratios in out-patient and inpatient care facilities, increased workloads forcontract care, new initiatives in mental health and nutrition,and the staffing of new facilities.

Reduction in medical facilities construction is partially offset byincreases for running water and adequate waste disposal facili-ties for 7,100 new or improved Indian homes and sanitationfacilities improvements for 1,140 other Indian homes.

Reduction reflects reprograming of unobligated balances whichwill provide for a decrease in medical stockpile activities, and aslight increase in technical assistance and training for emergencyhospital and ambulance services.

Chronic diseases 653 NOAExp.


Public enterprise funds:Operation of commissaries, nar- Exp.

cotic hospitals 652c Proposed for separate transmittal, wage-board supplemental,o Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal. military pay act supplemental.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continuing

appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

d

W

Woo

td

00


1971


CO


1970estimate

1971 Increase ordecrease ( — )

Explanation




Intragovernmental funds:Service and supply fund 652

Working capital fund, narcotichospitals 652

Advances and reimbursements .653

Total Federal funds HealthServices and Mental HealthAdministration.

Trust Funds

Health Services and Mental HealthAdministration (permanent, in-definite) 652

Exp.

Exp.

Exp.

NOALAExp.NL

NOAExp.

936

-44

1,879

1,469,0287,407

1,349,516- 9 3

468218

-146

22

708

1,388,187- 9 3

1,467,723657

369281

, EDUCATION,

-20

62

98

1,386,80229,907

1,542,63314,907

244270

1

AND WELFARE *—Continued

126

40

-610

28,615

89,160

-125-11

(Finances supplies, accounting, and other services.)

(Finances occupational therapy programs for narcotic patients.)

3GOO


1971


Federal Funds

General and special funds:Biologies standards 651 NOA

Exp.

National Cancer Institute 651 NOA

National Heart and Lung Insti-tute 651

Exp.

NOA

National Institute of Dental Re-search __ __-651

Exp.

NOAExp.

National Institute of Arthritis and NOAMetabolic Diseases 651 Exp.

National Institute of Neurological NOADiseases and Stroke 651 Exp.

8,4997,917

184,952

177,769

166,928

154,018

29,98427,972

143,888135,741

128,931120,052

8,2257,726

180,656c-921

» -4 ,041• - 1 , 9 1 8

173,647

160,429c-650

•> -5,015* -1,201

153,727

29,27827,762

137,585134,851

101,206110,912

8,6408,387

202,383

189,435

171,747

164,217

34,56330,316

132,152131,566

96,97298,840

415661

28,607

15,788

18,184

10,490

5,2852,554

-5,433-3,285

-4,234-12,072

Continues research programs to develop and improve vaccines andprovides for biologies regulatory activities.

Provides for intensified research on viruses causing cancer.

Provides for initiation of national heart and lung disease preven-tion program.

Provides for intensified research on dental caries.

Although program level provides for continued research in thepreclinical and clinical sciences, cystic fibrosis research, and forthe artificial kidney-chronic uremia program, the reductionshown arises because 1970 amount does not reflect fundsplaced in reserve.

Although program level provides for continued research indiseases and disorders of the nervous system, the reductionshown arises because 1970 amount does not reflect fundsplaced in reserve.

c Proposed for separate transmittal, wage-board supplemental.o Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental,z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary contin-

uing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

3Oo

Oo

CO


1971


CO

00


Explanation


NATIONAL INSTITUTES OF HEALTH—Ccntinued


National Institute of Allergy and NOAInfectious Diseases 651 Exp.

National Institute of General NOAMedi cal Sciences 651 Exp.

National Institute of Child Health NOAand Human Development. _651 Exp.


National Institute of Environmen- NOAtal Health Sciences 651 Exp.

John E. Fogarty International NOACenter for Advanced Study in Exp.the Health Sciences 651

96,84087,868

163,513151,609

73,12766,621

18,01719,388

600565

102,33794,115

154,203155,745

75,81575,700

23,67110,651

18,32318,363

2,9541,497

99,21996,260

148,376147,510

93,30382,419

25,68623,017

19,84319,955

2,6642,841

-3,1182,145

-5,827-8,235

17,4886,719

2,01512,366

1,5201,592

-2901,344

Although program level provides for continued research inchronic and degenerative diseases, studies of drug resistance,antiviral substances, and transplantation immunology thereduction shown arises because 1970 amount does not reflectfunds placed in reserve.

Although program level provides for continued research in thebasic biomedical sciences, research and training programs inanesthesiology, surgery, and radiology, and for trauma researchcenters, the reduction shown arises because 1970 amount doesnot reflect funds placed in reserve.

Provides for expansion of research in population and familyplanning, child health and nutrition, and mental retardation.

Provides for expansion of research in diseases and disorders ofthe eye.

Provides for expansion of basic research on biomedical effects ofenvironmental hazards.

Provides for promoting the international exchange of individualsfor research and teaching in the health sciences, and operatingan international conference and seminar program.

wda

i


1971


Dental health 651 NOAExp.

Research resources 651 NOAExp.

Construction of health educa- NOAtional, research, and library Exp.facilities 651

National Library of Medicine. 651 NOAExp.

169,643114,512

10,2243,373

84,81077,138

93,200133,432

18,16017,050

15,0008,578

32

3,938

212,336145,531

10,8879,535

68,81281,518

126,100190,922

19,57324,730

1,0007,429

7,589"2186,510

3,4559,355

1,822

"242,234209,000

10,95410,160

63,70169,716

126,100195,800

v 19,76921,924

731

1 8,206

7,395

32,44411,832

1,169

29,89863,469

67625

-5,111-11,802

4,878

196-2,806

-1,000-6,698

399

885

28,9892,477

-653

Provides additional support to medical, dental, and other healtheducation institutions.

Provides for continuation of dental auxiliary utilization pro-gram and for research and training in dental science.

Reflects transfer of computer services to the NIH managementfund.

Provides for construction of facilities for about 1,300 first-yearstudents in health professions and nursing schools.

Provides for continuation of services to the biomedical communityand for continued research on a biomedical communicationsnetwork.

Repairs and improvements will be accomplished through use ofunobligated balances.

Provides executive management and program direction forNational Institutes of Health.

Provides for expansion of support for selected overseas scientificresearch through the use of excess foreign currencies.

Buildings and facilities 651 NOA

Exp.

Office of the Director 651 NOA

Exp.Scientific activities overseas (spe- NOA

cial foreign currency pro- Exp.gram) 651

Payment of sales insufficiencies NOAand interest losses 651


D Proposed for separate transmittal, civilian pay act supplemental.u Includes $22,549 thousand recommended to carry out authorizing legislation to be proposed.v Includes $5,792 thousand recommended to carry out authorizing legislation to be proposed.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

I4

©

00


1971


00too


1970estimate

1971estimate


Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE * —Cont inued

NATIONAL INSTITUTES OF HEALTH—Continued


Public enterprise funds:Health professions education fund NOA

651 Exp.

Nursing training fund_ _651 NOAExp.

[ntragovernmental funds:General research support grants Exp.

651

National Institutes of Health Exp.management fund _ _ _ _ 651

Service and supply fund_ _651 Exp.

Grants management fund 651 Exp.

Total Federal funds National NOAInstitutes of Health. Exp.

6,19213,733

2455,390

-1.502

-1,489

-7,180

1,412,7851.316,493

5,9773,000

1,5611,770

-10

1,438,4451,446,808

1,8801,880

1,2031,203

- 9 8

1,542,0391,525,475

-4,097-1,120

-358-567

- 8 8

103,59478,667

No new loans will be made to health profession students in1971 from this fund.

No new loans will be made to nursing students in 1971.

(Grants from funds appropriated to the National Institutes ofHealth and the National Institute of Mental Health are madeto schools and nonprofit institutions to promote self-selectedbiomedical research and research training projects.)

(Finances management services of the National Institutes ofHealth.)

(Finances procurement of computer and other central services.)

do

gj


1971

OFFICE OF EDUCATION

Federal FundsGeneral and special funds:

Elementary and secondary educa-tion: 601

Current NOA

Permanent NOACurrent LA

Exp.NL


Education for the handi- NOAcapped 601 Exp.

Vocational and adult educa- NOAtion 603

Permanent, indefinite NOAExp.

Higher education: 602Current NOAPermanent NOACurrent LA

Exp.NL


1f

1

1,996,839

1,0001,830,651

86-658

78,85056,145

248,216

7,161260,052

714,0272,6002,000

914,05415,677-595

606,746on

1,010,814

1,796,451

330-316

85,85073,383

279,216

7,161261,370

806,0802,6002,000

1,013,1329,000-634

* 1,479,893B 425,000

5001,609,435B 212,500

65-421

* 95,00081,000

A A 352,346

7,161321,577

811,2002,6002,000

1,117,8885,000-681

287,819

-25,219

-105

9,150

7,617

73,130

60,207

5,120

100,756

-47

Provides for an increase in programs for educationally deprivedchildren and proposes an appropriation for 1972 of $1,300 mil-'lion to permit schools to plan in advance for academic year 1971-72.In addition, proposed legislation will modify present law to pro-vide $425 million to be distributed on the basis of need to schooldistricts enrolling arge numbers of children whose parents areemployed on Federal property.

Increases provide for expansion of demonstration programs, grantsto States to start new classroom activities, and research pro-grams for handicapped children.

Estimate includes $55 million for adult basic education programspreviously shown in the community education account. Theremaining increase of $18 million will provide for the expansionof cooperative work education and model vocational schoolprograms.

Increases in student aid programs will provide an additional150,100 grants, and direct and guaranteed loans for studentsin 1971. Direct Federal grants for the construction of academicfacilities will be terminated, but Federal interest subsidy grantswill reduce the cost to colleges of loans from the private sector.Additional efforts will be made to assist 2-year and predomi-nantly Negro institutions.

D Proposed for separate transmittal, civilian pay act supplemental.w Includes $1,470,643 thousand recommended to carry out authorizing legislation to be proposed.Y Includes $84,500 thousand recommended to carry out authorizing legislation to be proposed.Z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.AA Includes $55,000 thousand recommended to carry out authorizing legislation to be proposed.

oQ

13

to


1971

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued COtotoAccount and functional code 1969

enacted1970

estimate1971 Increase or

decrease ( — )Explanation


OFFICE OF EDUCATION—Continued


Education professions develop- NOAment 601 Exp.

Community education 608 NOA

Exp.

Research and development 608 NOAExp.

Educational activities overseas NOA(special foreign currency pro- Exp.gram) 608


Exp.

Civil rights education .601 NOA

Exp.

192,80030,458

143,144

115,303

89,41784,714

1,000364

42,458

41,917

10,797

8,239

126,100180,888

107,709<>300

141,867

113,37693,535

1,000881

43,367» 1,31043,180

14,000A 10,000

13,200A 1,000

"136,100137,708

Estimate includes funds previously shown in the Teacher Corpsaccount. Increase of $10 million will permit training 87,000teachers and teacher aides (compared to 58,000 in 1969), therecruitment of 2,200 new Teacher Corps interns and teachers,and continued support for 3,082 Corps members.

Decrease is due to transfer of adult basic education to the Voca-tional and adult education appropriation and to terminateuniversity community services grants. Funds are provided forpublic and college libraries.

Provides for expansion of experimental schools program andgreater support of evaluation and demonstration efforts.

Increased use of excess foreign currencies will support trainingof U.S. scholars overseas.

Provides additional staff for the administration of expandedresearch and Follow Through programs.

Supplemental in 1970 will enable expansion of university centersand State agencies providing technical assistance and trainingfor schools requesting assistance in desegregating.

a

a


1971

Expired accounts:(Elementary and secondary Exp.

education) 601 NL(Higher education) 602 Exp.(Other education aids) 608 NOA

Exp.

Total expired accounts NOAExp.NL

Payment of participation sales in- NOAsufficiencies 608

Public enterprise funds:Student loan insurance fund __ 602 NOA

LAExp.NL

Higher education facilities loanfund: 602

Current NOAPermanent, indefinite NOACurrent LA

Exp.NL

Intragovernmental funds:Advances and reimbursements_608

Total Federal funds Office ofEducation.

Exp.

NOALAExp.NL

10.72262

7,9194,3755,132

4,37523,773

62

168

- 8 686

-79985

3,1071,720

100,0003.042

77.097

11.705

3,536,593101,833

3.379.61791,754

2,346

1,000

6,810

10,156

1,7559,0713,9299,047

2,9181,591

12,67472,530

3,221,90710,121

3,645.64689,957

2,093

450

3,492

6,035

5,73112,2693,098

11,844

2,9521,733

6,39394,137

3,557,79013,667

3,755,920109,944

i -2B-550

-3,318

1 -4,121

| 7,174

1 1.966

1 176

1 15,326

J 339,429

| 130,261

(Activities in this account have been transferred to Elementaryand secondary education, Higher education, and Communityeducation appropriations administered by the Office of Ed-ucation.)

H

Payments are made in connection with defaulted loans which areassumed under the guaranteed loan program.

Direct loan program has been replaced by interest subsidygrants using private capital for construction financing.

A Proposed for separate transmittal under existing legislation, other than pay supplemental.D Proposed for separate transmittal, civilian pay act supplemental.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.BB Includes $7,000 thousand recommended to carry out authorizing legislation to be proposed.

w

oo

CO

to


1971

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued 00to


1970estimate


Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE* — Cont inued


Federal Funds

General and special funds:Grants to States for public assist- NOA

ance:(Providing or financing medical

services) 652 Exp.

(Public assistance) 702 NOA

Exp.

(Social and individual serv- NOAices) 703

Exp.

Total grants to States for NOApublic assistance.

Exp.

2,398,719

2,284,665

3,627,336

3,617,901

391,136

378,355

6,417,191

6,280,921

2,676,012*-22,183

2,633,177A - 2 0 , 7 5 4

4,220,966* 129,507

4,209,326A 129,507

511,253A 39,429489,699A 38,000

7,408,231A 146,753

7,332,202A 146,753

3,109,685B-235,000

3,070,496B-215,000

1 4,964,673

4,847,298

577,592

574,006

8,651,950B-235,000

8,491,800B-215,000

220,856

243,073

614,200

508,465

26,910

46,307

861,966

797,845

The 1970 supplemental reflects changes in State estimates.Increases in 1971 reflect higher medical costs, greater utiliza-tion of services, and an increase of 1.1 million persons to 11.3million. Proposed legislation reflects limitation on Federalmatching grants for long-term institutional care and incen-tives for increased utilization of more efficient health carefacilities.

The 1970 supplemental is for increases in State estimates for pay-ments under Aid to Families With Dependent Children(AFDC) and for social services. The 1971 increase is due tofurther increases in AFDC caseloads and payment levels andto the newly authorized vendor payments to intermediate carefacilities on behalf of adult recipients.

Reflects increased costs for administering maintenance payments. and providing services to recipients.

W

do

o>


1971

Work incentives 604 NOAExp.

117,50032.563

129,640137,750

170,000199,000

571,640561,610

32,00027,100

15,00012,900

81,43570,800

7,0004,000

37,439

38,000(390)

107,012

4,988103,4604,900-700

40,36061,250

38,22862,648

3,640-546

3,424

9,93510,428

5,000129

413

2,000(30)

1 24,624

1 23,639

-145

1971 funds provide training for an average of 117,500 welfarerecipients and day care for 233,000 children, an increase of37,500 and 139,000, respectively.

Increase will assist States to serve 992,000 disabled individuals,11% more than in 1969.

Includes funding for the 1971 White House Conference on Agingand for jointly funded efforts with other agencies in areawidemodel service projects.

The program will concentrate early attention on youth withcritical behavior problems.

Major increase is for studies into income maintenance-relatedprograms, in social service delivery, in extending earning powerservice, and in development of State social service planning.

Excess foreign currencies support research, demonstration, andresearch training in social and rehabilitation services.

Rehabilitation services and fa- NOA 401,546 533,412cilities 703 Exp. 352,762 498,962

Programs for the aging 703 NOA 23,000 28,360Exp. 16,155 27,646

Juvenile delinquency prevention NOA 5,000 15,000and control 703 Exp. 1,394 9,476

Research and training 703 NOA 67,150 71,500Exp. 60,950 60,372

Social and rehabilitation activities NOA 5,000 2,000overseas (special foreign cur- Exp. 3,048 3,871rency program) 703

Salaries and expenses 703 NOA 27,595 34,385"2,641

Exp. 26,464 36,000Limitation payable from Social (348) (360)


Assistance to refugees in the NOA 66,897 82,714United States 702 » 94

LA 3,812 4,568Exp. 64,343 80,244NL 3,733 4,477

Repayments deposited in mis- LA 1 —388 —555cellaneous receipt accounts. NL J

A Proposed for separate transmittal under existing legislation, other than pay supplemental,B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.2 Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.c c Includes $9,215 thousand recommended to carry out authorizing legislation to be proposed.

Provides for administrative support for the various grant andcontract programs associated with periodic assistance to theneedy, disabled, or other disadvantaged persons.

Estimate includes an 18% increase in education assistance,and a 30% increase in welfare assistance and services, pri-marily for refugees resettled outside Florida.

oo

I

58

00fcO


1971



1970estimate


Explanation




General and special funds—ContinuedGrants for correctional rehabili- Exp.

tation study 703

Total Federal funds Social NOAand Rehabilitation Service. LA

Exp.NL

Trust Funds

Gifts and donations, refugee assist- NOAance (permanent, indefinite)..702


Federal Funds

General and special funds:Payments to Social Security trust

funds:(Providing or financing medical NOA

services) 652 Exp.

600

7,130,8793,424

6,839,2003,345

1

1,371,2271,755,255

8,454,7304,013

8,333,2763,922

1,556,4131,556,413

, EDUCATION, AND WELFARE *--Continued

9,438,4764,288

9,293,6704,200

2,134,9702,134,970

1 984,021

1 960,672

578,557578,557

(Study was completed in 1968.)

Increase reflects a rise in the Federal matching payment to theSupplementary medical insurance trust fund from $4 to $5.30per month for each enrollee, and the increased costs for unin-sured participants in the hospital insurance program for whomtotal benefit and administrative costs are paid out of generalfund appropriations.

a9

sso

aIi


1971

(Retirement and social insurance) NOA701 Exp.

Total payments to Social Se- NOAcurity trust funds. Exp.

Consumer credit training 703 NOAExp.

Special benefits for disabled coalminers 701

NOA

Exp.

Public enterprise funds:Operating fund, Bureau of Federal Exp.

Credit Unions 703

Intragovernmental funds:Advances and reimbursements_703 Exp.

319,545413.545

1,690,7722,168.800

246

1

1,690,7722,169,047

(807,492)

458,151458,151

2,014,5642,014,564

300283

10,000A 10,00010,000

A 10,000

65

4

2,034,8642,034,916

(921.200)D(21,276)

464,916464,916

2,599,8862,599,886

500489

1 A 160,000

| A 150,000

-43

2,760,3862,750,332

1 (997,461)

(2,800)

6,7656,765

585,322585,322

200206

140,000

130,000

-108

- 4725,522715,416

(54.985)

(2,800)

Increase provides for costs of benefits for certain aged persons.

Provides training in consumer education to Federal Credit Unionofficers and others interested in limited-income groups, and re-search on development and operation of credit unions in low-income areas.

Supplemental are for increased payments to coal miners totallydisabled by pneumoconiosis (black lung disease).

(The chartering, supervision, and examination of Federal CreditUnions are financed by fees for services performed.)

Total Federal funds Social NOASecurity Administration. Exp.

Trust Funds

Limitation on salaries and expenses.

Limitation on construction

A Proposed for separate transmittal under existing legislation, other than pay supplemental,D Proposed for separate transmittal, civilian pay act supplemental.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.

Provides for a 4.3% increase in Social Security workload and a4.6% increase in output of health insurance carriers and fiscalintermediaries.

oo

o

o

ICO


1971

COfcO00

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)— C o n t i n u e d


1970estimate


Expla nation

tddo

3

g

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE*—Continued



Federal old-age and survivors insur-ance trust fund: 701

PermanentCurrentReceipts appropriated:

(Contributions on earnings)

(Deposits by States)

NOANOA

(Federal employer contribu-tions.)

(Federal payment for specialbenefits for the aged.)

(Federal payment for noncon-tributory military servicecredits.)

(Interest on investments)

(Other)

27,347,571

(23,223,620)

(2,260,117)

(469,000)

(225,545)

(156,000)

(I 013,062)

(226)

31,531,254

(26,571,000)

(2,644,000)

(559,000)

(364,151)

(78,000)

(1,314,000)

(1,103)

34,507,9751 1,912,721B -1,064,000]

(29,128,000)1(1,597,000)B (-960,000) f

(2,893,000)1 (184,000)B (-65,000) f

(561,000)»(-23,000)

(370,916)

(78,000)

(1,477,000)B (-16,000)

(59)

1 (-21,000)

(6,765)

(147,000)

(-1,044)

The old-age and survivors and disability insurance programsprovide protection against income loss due to death, retirementor disability. Increase in 1971 reflects, in part, a contributionrate increase in January 1971, and its effect on a larger laborforce at higher average wage levels. Increases in expendituresreflect increased OASI and DI beneficiaries and the higheraverage benefits paid each year.

The numbers of beneficiaries are as follows (in thousands):1969 1970 1971

Retired workers and their de- actualpendents 15,588

Disabled workers and their de-pendents 2,335

Survivors of deceased workers. 5,963Benefits to noninsured persons

aged 72 and over 676 603 539

1970estimate16,006

2,4876,237

estimate16,433

2,6376,485


1971

Expenditures Exp.(Benefit payments)(Vocational rehabilitation serv-


(construction.)(Payment to railroad retirement

accounts.)(Discount on investments and

purchase of accrued interest.)

Federal disability insurance trustfund: 701

Permanent NOACurrent NOAReceipts appropriated:





(Interest on investments)(Other)

Expenditures Exp.(Benefit payments)(Vocational rehabilitation serv-


construction.)(Payments to railroad retire-

ment account.)

24,690,495(23,732,010)

(1,806)

(465,087)

(491,482)

(109)

3,705,191

(3,132,036)

(337,398)

(63,000)

(32,000)

(140,684)(73)

2,613,170(2,443,437)

(14,891)

(133,514)

(21,328)

27,375,677(26,356,000)

(1.457)

(495,220)

(523,000)

4,344,829

(3,680,000)

(355,000)

(78,000)

(16,000)

(216,000)(-171)

2,993,609(2,798,000)

(19,424)

(158,186)

(18,000)

30,794,186(29,706,000)

(1,676)

(524,510)

(562,000)

3,418,509(3,350,000)

(219)

(29,290)

(39,000)

4,984,019B 22,000

(4,164,000)B ( 2 1 , 0 0 0 )

(422,000)1* (1,000)1(80,000)

(16,000)

(302,000)(19)

3,396,715(3,191,000)

(22,600)

(166,115)

(17,000)

661,190

(505,000)

(68,000)

(2,000)

(86,000)(190)

403,106(393,000)

(3,176)

(7,929)

(-1,000)

It is proposed to limit the OASDI contribution rate which isscheduled to rise from 8.4% to 9.2% on Jan. 1, 1971, to 8.6%instead, in order to offset a corresponding increase in HealthInsurance contribution rate. In addition, several improvementshave been proposed in the cash benefit program for which it isproposed to provide additional financing by increasing themaximum taxable wage base from $7,800 to $9,000 effectiveJan. 1, 1971. Revenue resulting from this action will provideadditional receipts of $204 million as follows (in millions ofdollars):

OASI D.I. H.I. TotalEffect of change on

contribution rate —1,210.7 1,210.7Effect of changes in tax

wage base 146. 7 22. 0 35. 3 204. 0

Total - 1 , 0 6 4 . 0 22.0 1,246.0 204.0

in cut attuunu;

B Proposed for separate transmittal under proposed legislation.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted a

appropriations, not shown here, are in effect for the period July 1 to Jan. 30.appropriations for most accounts. Temporary continuing

1O

1

I3

8

CObO


1971

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued00CO


1970estimate


Explanation




Federal hospital insurance trustfund: 652





(Federal payment for hospitalinsurance for the uninsured.)


(Transfers from railroad retire-ment account.)

(Interest payments from rail-road retirement account.)


(Other)

Expenditures Exp.(Benefit payments)(Administrative expenses and

construction.)(Incentive reimbursement ex-

perimentation) .

5,344,065

(3,918,334)

(425,902)

(79,000)

(748,968)

(22,000)

(53,776)

(392)

(95,852)

(-158)

4,758,172(4,653,976)

(104,196)

5,576,828

(4,238,000)

(429,000)

(91,000)

(617,262)

(11,000)

(61,307)

(2,230)

(127,774)

(-745)

5,372,333(5,225,000)

(146,647)

(687)

6,085,852»»1,246,000

(4,458,000)B (1,138,000)

(460,000)• (70,000)

(87,000)• (23,000)(878,688)

(11,000)

(61,000)

(2,200)

(127,950)• (15,000)

(14)

6,460,484(6,325,000)

(133,784)

(1,700)

1,755,024

(1,358,000)

(101,000)

(19,000)

(261,426)

(-307)

(-30)

(15,176)

(759)

1,088,151(1,100,000)(-12,863)

(1,013)

This fund pays for medical services rendered to persons over age65 by hospitals, extended care facilities, and home healthagencies. The increase in receipts results from a larger laborforce and higher average wage levels. Increased hospital in-surance trust fund outlays in 1971 result from (1) growth in thenumber of covered aged, (2) greater use of covered services,and (3) higher costs in hospitals, extended care facilities, andhome health agencies.

In order to maintain the Hospital Insurance Trust fund on anactuarially sound basis, legislation will be proposed to. increasethe portion of the combined employer-employee payroll taxallocated to the fund from 1.2% to 1.8%, effective Jan. 1, 1971.The change in the allocation will provide $1,211 million inreceipts. In addition, the proposed increase in the wage basewill increase trust fund receipts by $35 million.

Wdoa

3o


1971

Federal supplementary medical in- NOAsurance trust fund (permanent)

652Receipts appropriated:

(Contributions from partici-pants.)

(Federal contributions)(Interest on investments)(Other)

Expenditures Exp.(Benefit payments)(Administrative expenses and

construction.)(Incentive reimbursement ex-

perimentation.)

Total trust funds Social NOASecurity Administration. Exp.


Federal Funds

General and special funds:American Printing House for the NOA

Blind 608 Exp.

National Technical Institute forthe Deaf .603

Model Secondary School for theDeaf 601

NOAExp.

NOA

Exp.

1,910,600

(902,821)

(984,287)(23,515)

(-22)

1,839,530(1,644,842)

(194,687)

38,307,42733,901,367

1,3401,340

8001,780

845

143

1,854,083

(922,000)

(928,151)(4,000)(-68)

2,165,424(1,949,000)

(216,231)

(193)

43,306,99437,907,043

1,4041,404

2,8514,703

766D 12

1,514

2,497,309

(1,242,000)

(1,245,282)(10,000)

(27)

2,313,929(2,078,000)

(235,449)

(480)

48,279,15542,965,314

1,4761,476

19,7447,582

1 2,432

2,500

643,226

(320,000)

(317,131)(6,000)

(95)

148,505(129,000)(19,218)

(287)

4,972,1615,058,271

7272

16,8932,879

1,654

986

The supplementary medical insurance fund pays for doctor billsand related services for about 95 % of the aged who have volun-tarily enrolled in the program. Higher receipts in 1971 resultfrom an increase in the enrollee monthly premium (matched byFederal fund appropriations) from $4 to $5.30, effectiveJuly 1,1970.

Increased outlays result from growth in numbers of enrollees,greater utilization of services, and higher physicians fees. Thenumber of beneficiaries receiving services are as follows (inmillions): 1969 1970 1971

actual estimate estimateHospital insurance program 4.4 4.4 4.5Supplementary medical insur-

ance program 9.0 9.3 9.7

Increase reflects larger school enrollment of blind children andhigher per capita costs.

Provides for construction costs of new Institute facilities and alimited increment in the number of students served.

Covers first full year of operation and continuation of planningfor construction.

B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-

ing appropriations, not shown here, are in effect for the period July I to Jan. 30.

oa

>aO

oo


1971

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued 0000to


1970estimate

197!estimate


Explanation


SPECIAL INSTITUTIONS—ContinuedFederal Funds—Continued

General and special funds—Continued

Gallaudct College 602 N0A

Exp.

Howard University 602 N0A

Exp.

Total Federal funds special N0Ainstitutions. Exp.



Office for Civil Rights 703 NOA

Exp.Limitation payable from Social


Office of Child Development, _703 NOAExp.

Departmental management _ _ _ 703 NOA

Exp.

3,691

4,381

29,470

30,358

36,14638,002

25,950

26,201

5,124°156

6,621

52,264*7,700• 1,43036,948

71,70751,190

5,239°4575,438

(856)

29,877°2,87932,370

J 7,150

6,680

| 36,185

49,026* 3,500

66,98770,764

1 7,927

7,841(947)

11,4554,804

1 37,070

36,533

1,870

59

-25,209

) 15,578

-4,72019,574

2,231

2,403(91)

11,4554,804

4,314

4,163

Increase provides for a rise in enrollment, higher faculty salaries,and improvements in instructional program.

1970 supplemental is for increased cost of constructing a teachinghospital. Decrease in 1971, primarily for construction, is par-tially offset by increases in faculty salaries and improvementsin instructional programs, and for more staff and programimprovement at Freedmen's Hospital.

Provides additional staff to insure uniform application of title VIrequirements throughout the country, and to strengthenactivities in education, health, and social services programs,including contract compliance.

This new organization will administer Head Start and plan,coordinate, and evaluate Federal activities affecting youngchildren.

The increase will provide additional resources to the Secretary tomanage and coordinate the many activities of this Department.

d

iOS3

I


1971


Intragovernmental funds:Working capital fund 703 Exp.

Advances and reimbursements_703 Exp.

Total Federal funds depart- NOAmental management. Exp.

FAMILY ASSISTANCE


Family assistance 702 NOAExp.

SUMMARY

Federal funds:(As shown in detail above) _

Deductions for offsetting receipts:Proprietary receipts from the

public 400

600

650

700

850

NOALAExp.NL

NOAExp.NOAExp.NOAExp.NOAExp.NOAExp.

(6,228)

1,457

-844

25,95026,814

15,511,844112,664

15,292.62195,006

i -!, -3«

1 -2,025

1 -1,089

] -1,963

(6,652)

-1,237

-50

38,45236,521

16,880,18314,041

17,233.19794,536

2

-380

-/, 180

-1,033

-940

(5,788)

56,45249,178

•600,000• 500,000

19,660,03947,862

19.741,821129,051

-2

-413

-1,180

-1,033

-1,000

(-864)

1,237

50

18,00012.657

600,000500,000

1 2,813,677

| 2. 543,139

-33

-60

The proposed Family Assistance Act will extend income assistanceto all poor families with children, improve adult maintenancepayments, and increase training and day care services forwelfare recipients.

dSIoow

©

>

8

A Proposed for separate transmittal under existing legislation, other than pay supplemental.B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continuing

appropriations, not shown here, are in effect for the period July 1 to Jan. 30. 00


1971



Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREz—Continued

SUMMARY—Continued

Federal funds—ContinuedDeductions for offsetting receipts—Con.

Repayments deposited in mis- LAcellaneous receipt accounts NL(included in detail above).

Total Federal funds NOALAExp.NL

Trust funds:(As shown in detail above) _

Deductions for offsetting receipts:Interfund transactions 701


700

850

Total trust funds _

NOAExp.

NOAExp.NOAExp.NOAExp.NOAExp.

NOAExp.

{-urn)

15,506,412112,664

15,287,18995,006

38,307,896

33,901,585

-512, B10

-296

-78

-7,921

37,786,79133,380,480

(-1,598)

16,876,64814,041

17,229,66294,536

43,307,363

37,907,324

-541,000

-272

-78

-5,431

42,760,58237,360,543

{-1,895)

19,656,41147,862

19,738,193129,051

48,279,39942,965,584

-579,000

-156

-78

-1,150

47,699,01542,385,200

(-297)

2,813,584

2,543,046

4,972,036

5,058,260

-38,000

116

4,281

4,938,4335,024,657

WdoaH3

COo>

>


1971

Intragovernmentai transactions. _652 NOAExp.

701 NOAExp.

Total Department of Health, NOAEducation, and Welfare. J LA

Total budget authority _

Exp.NL

Total outlays-

I -1,755,255

i -'"•*'51,124,403

112,664

51,237,067

46,498,86995,006

46,593,875

-1,556,413

-458,151

57,622,66614,041

57,636,707

52,575,64194,536

52,670,177

-2,134,970

-464,916

64,755,54047,862

64,803,402

59,523,507129,051

59,652,558

-578,557

-6,765

\ 7,166,695

7,166,695

1 6,982,381

J6,982,381

OO

I

g3

Io

CO00O

JTotals for the Department are distributed as follows:1970 1971

Federal funds: NOA LA ExpEnacted/transmitted 16,705,938 15,639 17,075,444Repayments - 1 , 5 9 8Separate transmittal:

(A) Existing legislation 174,453 157,753(B) Proposed legislation


NL96,134

- 1 , 5 9 8

NOA18,698,039

LA Exp.49,757 19,079,996

- 1 , 8 9 5

Total Federal funds_ 16,876,648 14,041 17,229,662 94, 536

160,000802,000-3,628

160,325501,500-3,628

19,656,411

43,307,363 37,907,324Trust funds:

Enacted/ transmittedSeparate transmittal:

(B) Proposed legislationDeductions for offsetting receipts —546,781 —546,781

48,075,399 42, 965, 584

Total trust funds 42, 760, 582 37,360,543

Intragovernmentai transactions —2,014,564 —2,014,564

Total Department of Health, Educa-tion, and Welfare 57,622,666 14,041 52,575,641 94,536

NL130,946- 1 , 8 9 5

47,862 19,738,193 129,051

47,

-2,

64,

704,-580

699,

599,

755,

000384 .

015 .

886 .

540 47,862

-

42

-7

59,

580,

385

599

523,

384

200

886

507 129,051

z Current estimates of annual budget authority are used in the 1970 column, in the absence of regular, enacted appropriations for most accounts. Temporary continu-ing appropriations, not shown here, are in effect for the period July 1 to Jan. 30.


1971

00


Account and functional code 1970 1971 1972 Increase orenacted estimate estimate decrease ( —)

Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE o

FOOD AND DRUG ADMINISTRATION

Federal Funds

General and special funds:Food and drug control 653 NOA

Exp.

Buildings and facilities 653 Exp.

Public enterprise funds:Revolving fund for certification and Exp.

other services 653

Total Federal funds Food and NOADrug Administration. Exp.

ENVIRONMENTAL HEALTH SERVICE

Federal Funds

General and special funds:Environmental control 653 NOA

Exp.

76,302 81,639 1 95,193 9, 742 Estimate provides for increased emphasis on nutrition and foodD 3,687 > safety, reevaluation of potent drugs, more efficient processing

E 125 j of new drug applications, and establishment of a National68, 623 79,049 94, 119 \5,070 Center for Food and Drug Safety Evaluation.

3,500 4,000 500 (Estimate provides for repair and improvement of buildings andfacilities.)

—528 (Industry fees finance certification of various drugs, food addi-tives, and cosmetics.)

76,30268,095

85,45182,549

95,19398,119

56,613

53,202

37,323°446E280

48,400

9,74215,570

—38,049 (Activities under this account have been transferred to theEnvironmental Protection Agency and to other appropriationswithin the Department of Health, Education, and Welfare.)

48,400

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O

f

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1972

Buildings and facilities,... 653 Exp.

Total Federal funds Environ- NOAmental Health Service. Exp.


Federal Funds


(Development of health re- NOAsources) 651

Exp.

(Prevention and control of health NOAproblems) 653

Exp.

Total mental health NOA

Saint Elizabeths Hospital (indefi-nite) 652

Exp.

NOA

Exp.

2,235 1,954

56,613 38,04955,437 50,354

264,397

265,792

89,819

76,455

354,216

342,247

16,883

16,720

— 1,954 (Activities under this account have been transferred to theEnvironmental Protection Agency and to other appropriationswithin the Department of Health, Education, and Welfare.)

-38,049-50,354

238,296»733U57

256,830

147, 700c 100°926E 192

89,007

385, 996c 100

D 1,659

345,837

19, 598c445

D 1,890

21,567

238,407

253,248

183,665

117,327

—779 Net decrease results from phasing out of psychiatric residencysupport programs, with increase for training of paraprofes-sional personnel and research into drug abuse, alcoholism, and

—3,582 delinquency.

34, 747 Increase is for additional staff support for community mentalhealth centers which have had Federal construction grants, andnew initiatives in community drug abuse and alcoholism treat-ment and education programs.

28, 320

422,072

370,575

33, 968

24,738

21,291

22,939

-675

1,372

Estimate provides for staff expansion and overall improvementsin patient care, including closer working relationships with thesocial and legal services provided by the District of Columbiagovernment.

c Proposed for separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.

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1972


Account and functional code 1970 1971 1972 Increase or Explanationenacted estimate estimate decrease ( - )

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE o—Continued



General and special funds—ContinuedHealth services research and de- NOA 42,593 57,403 1 61,484 3,858 Estimate expands research and development of health mainte-

velopment 651 D 186 [ nance organizations and development of a coordinated Federal,E 37 J State, and local health data system.

Exp. 32,870 49,395 52,308 2,913

Comprehensive health planning andservices:

(Development of health re- NOA 20,676 25,343 28,667 3,324 Provides expanded support for 137 existing area wide healthsources) 651 Exp. 16,711 20,331 26,298 5,967 planning agencies and initial funding for 14 new agencies.

(Prevention and control of health NOA 185,211 221,822 1 223,070 804 Includes transfer of comprehensive centers formerly funded byproblems) 653 D 349 > the Office of Economic Opportunity, and termination of certain

E 95 I categorical grant programs.Exp. 172,997 196,318 194,702 -1,616

Total comprehensive health NOA 205,887 247,165] 251,737 4,128planning and services. D 349 L

= 95 JExp. 189,708 216,649 221,000 4,351

Maternal and child health 652 NOA 277,903 255,659 1 326,372 70,502 Increase is for an expanded family planning program, a largerD 211 j range of medical services for mothers and children, and a new

Exp. 272,826 248,196 287,730 39,534 training program for nurse midwives and pediatric nurses.

W

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1972

Regional medical programs:(Development of health re- NOA 79,044

sources) 651

Exp. 74,119

(Prevention and control of health NOA 17, 542problems) 653

Exp. 25,642

Total regional medical pro- NOAgrams.

Exp. 99,761

Disease control 653 NOA 41,882

Exp. 48,943

Medical facilities construction.651 NOA 179,693

LA 5,000Contract authority _ LA

Exp. 278,029NL 5,635

Repayments deposited in mis- LA 1 —100cellaneous receipts accounts. NL j

95,139D 151

E 2 1

83,084

11,363D 1 2 0

= 1524,591

96, 586 106, 502

£36107,675

43, 922c l l O

D 1,445E 3 2 0

52,893

185,285

10,00030,000

249,8605,500-100

46,226 —49,085 Decrease reflects redirection of existing project grant funds inthe 55 regions to new types of regional efforts in the use ofhealth care technology, quality control in patient care, and

—6,380 development of new ways to use paramedical personnel.76,704

6,230

52,456

84,531

78,043

£0,805

108,695

30,000242,837 1

10,900 f-100

—5,268 Decrease reflects transfer of nutrition surveillance program tothe Disease control account.

7,827 -16,764

-54,353

-23,144

32,246 Increase reflects transfer of some activities from Regional medicalprograms and Environmental control accounts.

27,912

—86,819 Decrease primarily reflects shift to guaranteed loans and interestsubsidies.

-1 ,623


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1972



1971estimate

1972 Increase orestimate decrease (—)

Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Q—Continued



General and special funds—ContinuedPatient care and special health NOA

services 652

Exp.

National health statistics 651 NOA

Exp.

Retirement pay and medical bene- NOAfits for commissioned officers.653 Exp.

Buildings and facilities 652 Exp. 3,580

Office of the Administrator... .653 NOA 10,807

Exp. 9,905

79,116

79,165

9,366

9,056

16,56715,585

79,794c 351

D 2,118* 1,83084,373

9,668M15

E 3210,035

19,50118,945

69,979

69,517

15,253

13,099

23,19622,070

-14,114

-14,856

5,138

3,064

3,6953,125

9,149 5,066

10,212]M88

*77 j10,844

11,788

11,585

1,011

741

Decrease reflects the cost of providing medical care to PHSbeneficiaries in community facilities or other Federal hospitals.90 Federal employees health units will be operated in 1972.

Increase reflects initiation of a national nutrition health examina-tion survey and updating vital and health statistics.

Retired officers and their survivors receiving benefits will increasefrom 1,030 on June 30, 1970, to 1,151 in 1971 and to 1,270 in1972. The increase will also provide for higher costs and in-creased utilization of medical care benefits.

—4,083 (Unobligated funds will be used for essential repair and improve-ment projects, including air pollution control facilities at SaintElizabeths Hospital.)

Increase results from transfers among Health Services and MentalHealth Administration programs and to provide improvedmanagement and central services.

d©aw

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1972

Indian health services 652 NOA

Indian health facilities.

Exp.

.652 NOAExp.

Emergency health 059 NOA

107,695

103,978

20,95215,660

4,083

117,764 )= 750

°3,027 I* 1, 290 J120,575

18, 71523,418

3, 755

137,576

132,576

18,78919,500

4,031

]Exp. 593 6,531 5,531

Public enterprise funds:Operation of commissaries, narcotic

hospitals 652 Exp. —3 2

Intragovernmental funds:Service and supply fund 652 Exp. - 1 6 5 108 108 . . .

Working capital fund, narcotic hos-pitals 652 Exp. - 4 4 3

Grants management fund 651 Exp. —8,858 __.

Advances and reimbursements.653 Exp. —512 861 248

Total Federal funds Health NOA 1,464,229 1,579,269 1,602,762Services and Mental Health LA 4,900 39, 900 29,900Administration. Exp. 1,509,084 1,576,917 1,642,028

NL 5,535 5,400 10,800

C Proposed for separate transmittal, wage-board supplemental.D Proposed for separate transmittal, civilian pay act supplemental.E Proposed for separate transmittal, military pay act supplemental.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the

14,745 Increase provides for expanded programs of mental health,family planning, and dental care. Programs to train Indians ascommunity health representatives will be enlarged and specialefforts will be undertaken to improve the physical and opera-

12,001 tional quality of Indian hospitals.

74 Estimate will provide safe water and adequate waste disposal—3,918 facilities to 8,000 new units of Indian housing. Also included

are 52 projects to reduce air pollution at Indian health facilities.

89 Estimate reflects a reduction in stockpile refurbishment activi-ties, and a continued program of technical assistance tocommunities.

- 1 , 0 0 0

—2 (Provides canteen service for narcotic patients.)

(Finances supplies, accounting, and other services.)

— 1 (Finances occupational therapy programs for narcotic patients.)

-613

23,493-10,00065,1115,400

oaSO

OO

d

provisions of sec. 410, Public Law 91-204.


1972

00oO


Account and functional code 1970 1971 1972 Increase orenacted estimate estimate decrease (—)

Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREQ—ContinuedwH

Wdo

443447


Trust Funds

Public Health Service trust funds(permanent, indefinite) 652 NOA

Exp.


Federal Funds

General and special funds:Biologies standards 651 NOA 8,237

Exp. 8,353

National Cancer Institute 651 NOA 181,357

Exp. 186,259

287399

237261

- 5 0-138

8,819c l 9

D257

• 3 2 .8,940

230,355clOO

D 1,526£253

213,557

8,636

9,149

232,234

227,107

In 1972, amounts formerly included in the research traininggrant programs of various Institutes providing institutionalsupport for health professions schools have been moved to theHealth manpower appropriation. The 1970 and 1971 amountsdo not reflect this shift.

-491 Continues biologies regulatory activities and research to developand improve vaccines.

209

Continues existing research on causes of cancer.

I

CO

to

13,550


1972

National Heart and Lung Insti- NOA 160,549t ute 651

Exp. 161,048

National Institute of Dental Re- NOA 28,744search 651

193,455 ]c84 I

"792= 117 ,

176,314

35,247c 17

"281

194,448

183,540

38,400

Continues research on sickle cell anemia and on preventingdiseases of the heart and lungs.

7,226

2, 769 Expands research on causes of dental caries.

Exp. 27,413 32,694 36,551

National Institute of Arthritis and NOA 131, 678 138,309 ] 134,400Metabolic Diseases 651 c 72 i

Exp. 134,902 139,358 131,257

National Institute of Neurological NOA 97,265 105, 790 ] 95,496Diseases and Stroke 651 c 131 I

3,857

—4,924 Continues research in the preclinical and clinical sciences, cysticfibrosis research and the artificial kidney-chronic anemia pro-gram.

-8 ,101

— 11,155 Continues research on diseases and disorders of the nervoussystem.

oa

Exp. 112,366

National Institute of Allergy and NOA 97,290I nfectious Diseases 651

Exp. 93,017

National Institute of General NOA 148,209Medical Sciences 651

Exp. 1 5 1 , 6 1 9

9107,437

102,218c64

D666= 114

97,087

166,072c l4

D217

U 9156,065

99,311

98,431

99,428

150,091

149.079

-8 ,126

—4,631 Continues research on chronic and degenerative diseases, drugresistance, antiviral substances, and transplantation immunol-ogy.

2,341

-16,231

-6 ,986

Continues research in basic medical sciences, research andtraining programs in anesthesiology, surgery and radiology andtrauma research centers.


>

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1972



Explanation

00


NATIONAL INSTITUTES OFHEALTH Continued


General and special funds—ContinuedNational Institute of Child Health NOA 76,058 94,423 1 102,532

and Human Development 651 c 32 ID486 I

National Eye Institute 651 NOA 22,814 30,984

Exp.

°90M6

9,880 21,298

National Institute of Environmen- NOA 17,418 20,620] 25,039tal Health Sciences 651 ' 9 I

Exp. 16,964 19,480 23,064

Research resources 651 NOA 67,039 66,2011 67,916

7,497 Expands research in population and family planning, child health,and nutrition, mental retardation.

Exp. 69,616 79,589 92,050 12,461

32,434 1,339 Expands research in diseases and disorders of the eye.

26,098 4,800

4,234 Expands research on health effects of environmental pollutants.

3,584

1,640 Continues support for general clinical research centers, primatecenters, and laboratory and animal resources.

ido

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to

Exp. 75,597 69,829 67.577 -2,252


1972

John E. Fogarty International Cen-ter for Advanced Study in theHealth Sciences 651

NOA

Exp.

Health manpower 651 NOA

National Library of Medicine._651 NOA

Exp.


Office of the Director 651 NOA

Scientific activities overseas (spe-cial foreign currency program) 651

Cancer research initiatives 651

Exp.

NOAExp.

NOAExp.

2,775

1,788

343,914

Exp. 322,151

19,142

24,273

1,6153,191

8,037

7,385

3,4557,753

3,582° 48

2.752

427,950

a 642

376,789

4,962

8,206"450

U l8,874

28,94411,482

3,252

3,125

« 540,801

466,000

21,486

22,155

3,325

7,785

11,083

11,125

25,54517,220

A 100,000A 30,000

—384 Continues international exchange of health science researchersand teachers and international conference and seminar programs.

373

112,060 Expands assistance to medical and dental schools to increaseenrollments and shorten curriculums.

89. 211

279 Continues support of information services to biomedical com-munity and research on a biomedical communications network.

-3,280

3,3252,823

2,416

2,251

-3,3995,738

Provides for construction planning of research facilities for theNational Institute of Environmental Health Sciences and forrepairs and improvements.

Provides executive management and program direction for theNational Institutes of Health.

Continues support for selected overseas scientific research throughuse of excess foreign currencies.

100,000 Budget amendments will be proposed to provide for a major30,000 initiative in cancer research using all pertinent institutes and

agencies.PropoiPropoiPropo:Propo:1970

ed for separate transmittal under existing legislation, other than pay supplemental.ed for separate transmittal, wage-boed for separate transmittal

, wage-b(, civilian

ting 1ard supplemental.pay act supplemental.

ed for separate transmittal, military pay act supplemental.ppropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91—204.

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§

Includes $463,457 thousand recommended to carry out authorizing legislation to be proposed.


1972

CO

oANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued

Account and functional code 1970 1971 1972 Increase or Explanationenacted estimate estimate decrease (—)

D E P A R T M E N T OF HEALTH, EDUCATION, A N D WELFARE c—Continued

NATIONAL INSTITUTES OFHEALTH Continued


Public enterprise funds:Health professions education NOA 1,089 2,035 2,432 397 No new loans will be made to health professions students in 1972

fund 651 Exp. 7,813 2,035 2,432 397 from this fund.

Nurse training fund __651 NOA 1,604 1,048 1,568 520 No new loans will be made to student nurses in 1972 from thisExp. 4,443 1,048 1,568 520 fund.

lntmrov(>rnm»ntal funrln*

General research support grants_651 Exp. 483 —1,647 —1,716 —69 (Grants from funds appropriated to the National Institutes ofHealth and the National Institute of Mental Health are madeto schools and nonprofit institutions to promote self-selectedbiomedical research and research training projects.)

National Institutes of Health Exp. 1,461 —38 313 351 (Finances management services.)

management fund 651

Grants management fund 651 Exp. —2,554 (Provides for the Departmentwide grant management activities.)

Service and supply fund 651 Exp. —1,589 173 277 104 (Finances procurement of computer and other central services.)

Total Federal funds National NOA 1,418,289 1,694,288 1,889,549 195,261Institutes of Health. Exp. 1,423,632 1,553,513 1,704,495 150,982

M

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1972

OFFICE OF EDUCATION

Federal Funds

General and special funds:Elementary and secondary educa-

tion:Current 601 NOAPermanent NOACurrent LA

ExP.NL


School assistance in federally af- NOAfected areas 601

Exp.

Emergency school assistance___601 NOA

Exp.

Education for the handicapped.601 NOAExp.

Vocational and adult education_603 NOAPermanent, indefinite NOA

Exp.

602,3981,010,814

1,0001,471,232

351-453

520,498

656,372

85,00079,090

367,9467,161

285,686

1,846,468 | 1,855,218

5001,706,901

211-400

550,621"36

511,688

74,853B 425,000

74,853B 25,000

105,00089,311

494,1967,161

414,981

,794,589200

-400

440,000

486,569

8,250

87,677

-110,657

-25,119

Estimate reflects the termination of the school equipment andminor remodeling program and the addition of the FollowThrough program to this account.

Decrease reflects concentration of assistance on those districtswhere Federal impact is the greatest.

} 500,147 Legislation has been proposed to provide a total of $1.5 billionB 1,000,000 j for project grants to school districts that are desegregating

1 200, 147 under court order or are voluntarily attempting to overcome theB 300, 000 J educational disadvantages of racial isolation.

110,000 5,000 Increase is for expansion of demonstration programs, catalytic102,668 13,357 funds for teacher education, and research programs for

handicapped children.

468,912 | —25, 284 Estimate provides for the consolidation of the vocational educa-7,161 j tion programs into 4 categories: basic grants to States, research

485,641 70,660 and special projects, adult education, and planning andevaluation.

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>nood3B Proposed for separate trans mitt al under proposed legislation.

D Proposed for separate transmittal, civilian pay act supplemental.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.


1972


Account and functional code 1970 1971 1972stimati

Increase ordecrease ( - )

Explanation

COh—i




General and special funds—ContinuedHigher education: 602

Current NOA 838,851

Permanent NOA 2,600

Current LA 1,775

Exp. 1,024,070

NL 5,061

Repayments deposited in miscel- LA | —877laneous receipt accounts. NL j

Education professions develop- NOA 117,675ment 601 Exp. 166,377

Libraries and educational com- NOA 126,713munications. 608

Exp. 157,772

Research and development _ _608 NOA 82,325

Exp. 87,823

963,088

2,600D 151

2,0001,184,141

4,677

-901

135,800137,969

85,040 1«> 2 4 0 j

94,604

• 100,0002,600

400,0001,135,738

"30,0001,712

-1,000

135,800135,764

"29,400

58,909

948, 872 Increase is for proposed reform of student aid programs underwhich grants, work-study payments, and subsidized loanswill be concentrated on lower income students. Over 2 millionstudents will receive benefits from this reform. In addition,access to unsubsidized but federally guaranteed loan funds

—21,368 will be improved for students of all income levels. Funds forpredominantly Negro institutions will also increase.

-99

Continuation of program at same funding level will support—2,205 demonstration projects to improve the training, selection,

and utilization of educational personnel.

98,077 105,000"3,000

94,204 110,992)• 2,700 |

—55, 880 Reflects a reduction in the public library services, college libraryresources, librarian training, and educational broadcasting fa-

—35,695 cilities programs. The public libraries construction programhas been terminated and the Library of Congress catalogingprograms transferred to the Library of Congress.

9,923 Increase provides for expansion of Sesame Street, nationalachievement study, and experimental schools program. Pro-

19,488 posed legislation is to establish a National Institute of Educa-tion.

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1972

Educational activities overseas(special foreign currency pro-gram) 608

Salaries and expenses 608

Civil rights education 601

NOA 1,000 3,000 3,000 _ Use of excess foreign currencies will support training of U.SExp. 774 1,587 2,353 766 schools overseas.

NOA 44, 677 45,164 } 48, 979 1, 808 Estimate provides some additional personnel to staff new educa-D 2,007 ] tional initiatives and strengthened management.

Exp. 47,456 47,245 48,750 1,505

NOA 18,997 19,000 1 -19,151 The functions previously funded under title IV of the CivilD 151 I Rights Act of 1964 have been assumed under the emergency

Exp. 10, 608 20, 193 12, 798 - 7 , 395 school assistance program.

3

Public enterprise funds:Student loan insurance fund 602

Higher education facilities loanfund 602

Permanent, indefinite

Intragovernmental funds:Advances and reimbursements_608

Total Federal funds Office ofEducation.

NOALAExp.NL

NOANOALAExp.NL

Exp.

NOALAExp.NL

-74611,572

-8523,175

2,9181,657

20,16494,035

2,404

3, 830,48413,017

4,008,976101,292

- 2 , 36020,360

-1,6746,393

2, 9521,733

-40,612-3,10074,137

-3,570 13,570 1

-1,098 17, 740 |

2,9611,649

15,975 15,700 j

4,859,978-19,053

4,397,90384,117

5, 724,221402,170

4, 722,34813,952

-18, 000 Payments are made in connection with defaulted loans which areassumed under the guaranteed loan program.

1,923

40, 537 Direct loan program has been replaced by interest subsidy grantsusing private capital for construction financing.

- 4 9 , 362

864,243421,223324,445-70,165

B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.s Includes $1,620,087 thousand recommended to carry out authorizing legislation to be proposed.T Includes $134,800 thousand recommended to carry out authorizing legislation to be proposed.u Includes $25,000 thousand recommended to carry out authorizing legislation to be proposed.

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00i—i


1972


Account and functional code 1970 1971 1972 Increase or Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE e—Continued


Federal Funds

General and special funds:Grants to States for public assist-

ance:(Providing or financing medical NOA 2,594,696 3,109,685 3,827,619 1 167,477 1971 supplemental reflects change in State estimates. Increase

services) 652 A 106,457 B —444,000 J in 1972 results from higher medical costs and an estimatedExp. 2, 726, 845 3,143,623 3,827, 619 1 133,539 increase of 2 million persons receiving Medicaid services. Pro-

A 106,457 B—444,000 J posed legislation will curtail overutilization of institutionalinpatient care and place increased emphasis on ambulatoryand preventive medical care.

(Public assistance) 702 NOA 4,357,230 4,943,551 6,655,321} 987,132 1971 supplemental reflects change in State estimates for paymentsA 673,638 B - 5 1 , 0 0 0 j under Aid to Families with Dependent Children (AFDC).

Exp. 4,142,440 4,919,138 6,655,321 \ 1,011,545 Increase is due to higher AFDC caseloads and payment levels.A 673,638 B—51,000 j Increased social security benefits will reduce the required

maintenance assistance for those also receiving social security.

(Social and individual serv- NOA 546,978 598,714] v 928, 753 62,547 1971 supplemental reflects change in State estimates. Increase inices).. _ . . . 703 A 267, 492 j 1972 reflects higher costs for administering maintenance pay-

Exp. 576,064 584,239 j 937,060 85,329 ments and providing services to recipients. Authority will beA 267, 492 j sought to limit 1972 expenditures to 110% of 1971 outlays

which would reduce expenditures below current State estimates.

Total grants to States for NOA 7,498,904 8,651,950 11,411,693 \ 1,217,156public assistance. A 1̂ 047, 587 B—495,000 j

Exp. 7,445,349 8,647,000 11,420,000] 1,230,413A 1,047,587 B -495,000 J

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1972

Work incentives- _604 NOA

Exp.

Rehabilitation services and facil- NOAities 703 Exp.

Special programs for the aging. 703 NOAExp.

102,000

86,618

497,268441,365

27, 75927,319

98,000 1 275,000118

146,462

570,390544,495

33,65030,650

231,400

605,000554,000

25,85032,000

176,882 Estimate provides training for an average of 160,000 welfarerecipients and day care for 200,000 children, an increase of

84,938 48,500 and 83,000, respectively.

34, 610 Increase provides for concentrated rehabilitation of 45,000 dis-9,505 abled welfare recipients. Estimate also includes $34,800 thou-

sand for mental retardation programs under the new Develop-mental Disabilities Act.

— 7,800 Decrease in funding for community grant programs is partially1, 350 offset by increased funds to provide 29,200 new opportunities

for senior volunteer services. White House Conference was fullyfunded in 1971, with Conference to be held November-De-cember 1971.

a

Youth development and delin- NOAquency prevention 703 Exp.

Research and training. 703 NOAExP.

Social and rehabilitation activities NOAoverseas (special foreign currency Exp.program) 703


Exp.

10,0004,085

69,92359,581

2,0004,092

33,495

29,604

(360)

15,0009,650

76,43568, 755

4,0003,100

34,067 1° 1, 536 f35,040

(390)

F 10,00013,500

67,00070,700

10,0004,020

36,881

36,400

(400)

—5,000 Decrease is made possible by an anticipated conversion to3, 850 development of model prevention and rehabilitation systems.

—9,435 Research has been held to higher priority projects for 1972, with1, 945 an increase in income maintenance studies. Training programs

will focus on fields in short supply, or where no other Federalsupport is available.

6,000 Excess foreign currencies support overseas research, demonstra-920 tions, and research training in social and rehabilitation services.

1,278

1,360

(10)

Provides for administrative support for all grant programs insocial and rehabilitation services, except refugee assistance.

Limitation payable from socialsecurity trust fund.

A Proposed for separate transmittal under existing legislation, other than pay supplemental.B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.F Recommended to carry out authorizing legislation to be proposed.Q1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91—204.

v Includes $225 thousand recommended to carry out authorizing legislation to be proposed.

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1971estimate

1972 Increase orestimate decrease ( —)

Explanation

00


SOCIAL AND REHABILITATIONSERVICE-Continued


General and special funds—ContinuedAssistance to refugees in the United NOA

States 702LAExp.NL

Repayments deposited in miscel- LAI?neous receipt accounts. NL

Intragovernmental funds:Advances and reimbursements. 703 Exp.

Total Federal funds Social and NOARehabilitation Service. LA

Exp.NL


Federal Funds

General and special funds:Payment to Social Security trust

funds:

83,214

21

8,324,5633,760

8,178,1753,278

107,600 138,000

4,19880,1413,716-438

4,400104,1854,175-700

6,000132,1455,755

-1,000

31, 920 Estimate provides for an expected 37% increase in welfare assist-ance and services, primarily for refugees resettled outsideFlorida.

29,540

-300

- 6

10,640,413 12,084,424 1,444,0113, 700 5,000 1,300

10,636,930 11,999,165 1,362,2353,475 4,755 1,280

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1972

(Providing or financing medical NOA 1, 556,413 2,134,970 1, 927, 751 —207,219 Estimate reflects a rise in the Federal matching payment to theservices) 652 Exp. 1,556,413 2,134,970 1,927,751 - 2 0 7 , 2 1 9 Supplementary medical insurance trust fund from $5.30 to

$5.60 per month for each enrollee, and the decreased costs foruninsured participants in the hospital insurance program forwhom total benefit and administrative costs are paid out ofgeneral fund appropriations.

(Retirement and social insur- NOA 458,151 464,916 537,546 72,630 Provides annual payment to Social Security trust funds forance) 701 Exp. 458,151 464,916 537,546 72,630 benefits based on noncontributory military service credits,

and for retirement benefits paid to certain uninsured agedindividuals.

Total payments to Social NOA 2,014,564 2,599,886 2,465,297 -134 ,589Security trust funds. Exp. 2,014,564 2,599,886 2,465,297 -134 ,589

Special benefits for disabled coal NOA 10,000 384 ,200] 131,602 Payments are made to coal miners who are totally disabled dueminers 701 > to pneumoconiosis and to surviving widows of coal miners

Current, indefinite NOA 6,734 252,598 J whose deaths resulted from pneumoconiosis; the 1972 requestExp. 10, 381 241, 194 384,000 142, 806 includes the unfunded balance of payments made in 1970 plus

estimated obligations for payments made in 1971 and 1972which shall be charged to subsequent appropriations.

Social Security overseas (special NOA 750 750 Research on social security will be supported by excess foreignforeign currency program)__.703 Exp. ___• 150 150 currencies.

Intragovernmental funds:Advances and reimbursements _703 Exp. 4

Total Federal funds Social NOA 2,031,298 2,852,484 2,850,247 - 2 , 2 3 7Security Administration. Exp. 2,024,949 2,841,080 2,849,447 8,367

^Proposed for separate transmittal, civilian pay act supplemental.QI970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.

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Explanation

00I—i00


SOCIAL SECURITY ADMINIS-TRATION—Continued

Trust Funds

Limitation on salaries and expenses _


Federal old-age and survivors insur-ance trust fund: 701


(Contributions on earnings) ___



(Federal payment for specialbenefits for the aged.)

(943,499) (997,231)} (1,101,000)D(31,546)[

(2,800) (18,194)

31,745,986 34,308,283 39,064,577"-1,118,000 B - 8 6 1 , 0 0 0

(72, 223) (Provides for a composite A%% increase in 1972 of workload per-formed by the Social Security Administration and a 9}i% in-crease in work performed by health insurance carriers andintermediaries.)

(15, 394) (Estimate provides for the acquisition of sites and design for 4payment centers. Funds available from prior years provide forcompletion of other construction already in progress.)

(26,637,237) (28,554,000) (32,446,000) | (4,347,000)B ( - 9 9 1 , 0 0 0 ) B(_536,000)J

(2, 758,436) (3,131,000) (3,702,000) I (558,000)B ( - 7 6 , 0 0 0 ) B ( - 8 9 , 0 0 0 ) |

(559,000) (561,000) (544,000) i (-17,000)B ( - 2 3 , 0 0 0 ) B(_23,000)|

(364,151) (370,916) (350,546) (-20,370)

5,013,294 The old-age and survivors and disability insurance programsprovide financial protection against earnings loss due to death,retirement, or disability. Increase reflects higher payroll taxrate effective Jan. 1, 1971, from 4.2% to 4.6% each for em-ployers and employees of taxable earnings up to a maximum of$7800 I i 1972 fl h f l l ff fpy py g p$7,800 a year. Increases in 1972 reflect the full-year effect ofthe tax rate increase as well as an increase in the labor force athigher wage levels.

Increases in benefits reflect the higher benefits of newer bene-ficiaries computed on higher wage histories.

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(Other)

Expenditures Exp.

(Benefit payments)

(Vocational rehabilitation serv-ices.)

(Administrative expenses andconstruction.)

(Payment to railroad retirementaccounts.)

(Discount on investments andpurchase of accrued interest.)

Federal disability insurance trustfund: 701

Permanent.._ NOACurrent NOAReceipts appropriated:



(78,000) (78,000)


(137,000) (59,000)

(87,000)(1,348,087) (1,613,000) (1,885,000)1"(-28,000) »(—213,000)]

(1,075) (367) (31) (-336)

The number of beneficiaries is as follows (in millions):1970 1971 1972

Retired workers and their actual estimate estimatedependents 16.8 17.1 17.6

Disabled workers and theirdependents 2.5 2.7 2.8

Survivors of deceasedworkers 6.3 6.5 6.7

27,320,345 30,965,443 32,248,423 1B 1,035,000 « 2,857,000 {

(26,266,928) (29,817,000) (31,026,000)1B (1,035,000) B (2,791,000)1

(1,239) (1,911) (2,096)

(474,005) (541,531) (546,327)

(578,818) (605,000)

(-647)

(674,000)1« (66,000){

3,104,980 It is proposed to increase the maximum taxable earnings basefrom $7,800 to $9,000 effective Jan. 1, 1971. In addition, to

(2,965,000) place the hospital insurance trust fund on a sound actuarialbasis, there will be proposed an increase in the hospital insuance

(185) tax rate and an equivalent decrease in the OASDI rate. Thesechanges will provide adequate financing for several improve-

(4, 796) ments in the cash benefit program including a 6% across theboard cost of living increase effective Jan. 1, 1971, and other

(135,000) improvements including automatic cost of living increaseseffective at later dates.

[In millions of dollars]

4,380,004

(3,691,942)

(371,416)

(78,000)

4,959,617- B 390,000

(4,083,000)(-352,000)

(456,000)B (-25,000)

(79,000)« (-7,000)

5,442,010 1B-707,000 {

(4,407,000)1(-577,000)1

(503,000)1« (-69,000)1

(73,000)B (-11,000)1

165,393

(99,000)

(3,000)

(-10,000)

Effect of change intax rate

Effect of changes intax wage base

Total

OASDI DI HI Total

-2,718 -906 3,567 -51

2,070 249 541 2,860

-648 -657 4,108 2,803

BProposed for separate transmittal under proposed legislation.^Proposed for separate transmittal, civilian pay act supplemental.Q1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.

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1972


Account and functional code 1970 1971 1972 Increase or Explanationenacted cstim&tc cstirnzttc QCCTCSLSC \ —)

00too

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Q—ContinuedW

SOCIAL SECURITY ADMINIS- | §TRATION—Continued I O


OFed eral disability insurance trust fund—Con. {#Receipts appropriated—Continued j

(Federal payment for noncon- (16,000) (16,000) (50,000) (34,000) , 2tributory military service I Qcredits.) >

(Interest on investments) (222,826) (326,000) (409,000) \ (39,000)B (-6,000) B (-50,000)1

(Other) (-180) (-383) (10) (393) W

Expenditures Exp. 2,953,943 3,453,427 3,651,737 1 343,310B 83,000 « 228,000 (

(Benefit payments) (2,778,118) (3,231,000) (3,416,000) 1 (322,000)B (83,000) B (220,000)1

(Vocational rehabilitation serv- (16,487) (21,879) (25,482)1 (11,603)ices.) B(8,000)J

(Administrative expenses and (149,030) (188,547) (196,255) (7,708)construction.)

(Payments to railroad retire- (10,439) (12,000) (14,000) (2,000)ment account.)

(Other) (-130) _


1972

Federal hospital insurance trustfund: 652

Permanent NOA 5,613, 794 6,056, 774 6,100, 760 1 2, 751,686 This fund pays for medical services rendered to aged persons byCurrent NOA B 1,633,000 B 4, 340, 700 J hospitals, extended care facilities, and home health agencies. InReceipts appropriated: order to maintain the hospital insurance trust fund on an

(Contributions on earnings) (4, 248, 925) (4,369,000) (4, 721,000) 1 (2, 508,000) actuarially sound basis, legislation will be proposed to increaseB (1,479,000) B (3,635,000)] the portion of the combined employer-employee payroll tax

(Deposits by States) (444, 864) (498,000) (548,000) j (362,000) allocated to the hospital insurance trust fund and reduce by anB (103,000) B (415,000) I equivalent amount the OASDI tax rate. Legislation is proposed

(Federal employer contribu- (91,000) (87,000) (80,000)1 (20,000) and designed to solve the problem of rising medical costs,tions.) B (31,000) B (58,000)] curtail overutilization of hospital services, and provide increased

(Federal payment for hospital (617,262) (862,849) (503,351) ( -359 ,498) program control.insurance for the uninsured.)

(Federal payment for noncon- (11,000) (11,000) (48,000) (37,000)tributory military servicecredits.)

(Transfers from railroad retire- (61,307) (62,000) (61,000)1 (20,000)ment account.; B (21,000) f

(Interest payments from rail- (2,230) (2,000) (2,000)road retirement account.)

(Interest on investments) (137,197) (164,916) (137,400)1 (164,184)B (20,000) B (211,700)1

(Other) (9) (9) (9)

Expenditures Exp. 4,952,911 5,969,910 6,852,797 1 532,887 (Increased outlays in 1972 result from (1) growth in the number ofB 6,700 B - 343 ,300 J aged, (2) greater use of facilities, and (3) higher costs in

(Benefit payments) (4, 803,900) (5,819, 700) (6, 690,000)J (520, 300) hospitals, extended care facilities, and home health agencies.B(—350,000)} Legislation will be proposed to institute a system of cost

(Administrative expenses and (148,669) (148,868) (160,570) (11,702) sharing by Medicare beneficiaries and encourage the use ofconstruction.) lower cost extended care facilities and home health services

(Incentive reimbursement ex- (343) (1,342) (2,228)1 (886) as alternatives to hospitalization.)perimentation). B (6,700) B (6,700) J

B Proposed for separate transmittal under proposed legislation.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410. Public Law 9 1 - 2 0 4 .

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Federal supplementary medical in-surance trust fund: 652

Permanent NOA 1,875,703 2, 510,984 2,744,416 1 236,032 The supplementary medical insurance fund pays for doctor billsCurrent B 400 *3,000 j and related services for about 9 5 % of the aged who have volun-Receipts appropriated: tarily enrolled in the program. Higher receipts in 1972 result

(Contributions from partici- (936,000) (1,255,000) (1,347,000) (92,000) from an increase in the enrollee monthly premium (matched bypants.) Federal fund appropriations) from $5.30 to $5.60, effective

(Federal contributions) (928,151) (1,245,282) (1,376,400) (131,118) July 1, 1971.(Interest on investments) (11,536) (10,686) (21,000)1 (12,914)

"(400) • (3,000) |(Other) (16) (16) (16)

Expenditures:Permanent Exp. 2,196,296 2,314,611 2,572,871 ] 238,260 Increased outlays result from growth in the number of bene-Current B —29,200 B —49,200 | ficiaries, greater utilization of services, and higher physicians

(Benefit payments) (1.979,287) (2,070,300) (2,300,000)1 (209,700) fees. The number of beneficiaries receiving services are asB (-30,000) B (-50,000) | follows (in millions):

(Administrative expenses and (217,009) (243,943) (272,202) (28,259) J970 1971 1972Construction.) actual estimate estimate

(Incentive reimbursement ex- (368) (669) 1 (301) Hospital insurance program.__ 4.4 4.5 4.6perimentation.) B (800) B (800)] Supplementary medical insur-

a n c e program 9.2 9.5 9.8Total trust funds Social NOA 43,615,487 47,961,058 56,127,463 8,166,405

Security Administration. Exp. 37,423,495 43,798,891 48,018,328 4,219,437 Legislation will be proposed to control program costs and dis-courage overutilization of services.

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1972


Federal Funds

General and special funds:American Printing House for the NOA 1,404 1,517 1,580 63 Increase reflects larger school enrollment of blind children and

Blind: Education of the blind Exp. 1,404 1,517 1,580 63 higher per capita costs.608

National Technical Institute for NOA 2,851 19, 744 { 4,119 —21,325 1971 supplemental reflects a revision in the costs of construc-the Deaf 603 A 5,700 j tion. Estimate reflects the completion of new facilities and

Exp. 2,976 7,582 12,826 1 8,094 provides for operational costs.A 2,850 1

Model Secondary School for the NOA 781 2,432 1 17,460 15,008 Provides for construction of new facilities and a limited incrementDeaf___ __ __601 D 20 j in the number of students served.

Exp. 681 2,500 3,650 1,150

Gallaudet College 602 NOA 5,619 7,097 1 11,260 4,042 Provides for higher faculty salaries, the construction of a foodD 121 ] service facility, and a health center.

Exp. 5,153 6,630 7,903 1,273

Howard University 602 NOA 61,964 36,185 1 45,543 8,122 Provides for higher faculty salaries and general strengtheningD 1,236 J of the university's academic program.

Exp. 32,725 49,483 51,525 2,042

Total Federal funds special NOA 72,619 74,052 79,962 5,910institutions. Exp. 42,939 67,712 80,334 12,622

A Proposed for separate transmittal under existing legislation, other than pay supplemental.B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal, civilian pay act supplemental.Q1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.

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1972



DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREQ—Continued

OFFICE OF CHILD DEVELOPMENT

Federal Funds

General and special funds:Child development 601 NOA 5,917 1 392,654 386,620 Increase reflects the transfer of the Head Start appropriation

D 117 j from the Office of Economic Opportunity and a larger program

Exp 3,930 148,915 144,985 of the early childhood research and development activities.



Office for Civil Rights 703 NOA 5,894 8,043 } 10,344 1,878 Estimate provides additional staff to strengthen contract com-D423 J pliance activity.

Exp. 4,675 8,358 10,205 1,847

Departmental management....703 NOA 34,615 41,223 } 45,625 2,159 Increase will provide additional resources to the Secretary toD 2,243 j manage and coordinate the many activities of this Department.

Exp. 33,719 42,825 44,259 1,434

Intragovernmental funds:

Working capital fund 703 Exp. 5,801 —6,623 200 6,823 (Fund provides for centralized management services.)

Advances and reimbursements.703 Exp. —428 _

Total Federal funds depart- NOA 40,509 51,932 55,969 4,037mental management. Exp. 43,767 44,560 54,664 10,104

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WELFARE REFORM ANDCOMMUNITY SERVICES

Federal Funds

General and special funds:Welfare reform 702 NOA B 580,774 580,774

Exp. • 502,000 502,000

Community services 703 NOA B 162,000 162,000Exp. B 162,000 162,000

Total Federal funds welfare NOA 742,774 742,774reform and community serv- Exp. 664,000 664,000

The proposed welfare reform to be effective in 1973 will extendincome assistance to all poor families with children, improveadult maintenance payments, and increase training and daycare services for welfare recipients.

Proposed legislation would increase funds for foster care, adop-tions, and managerial capacity of State and local governments.

SUMMARY

Federal funds:(As shown in detail above) ._ NOA 17,314,907 21,881,950 25,517,755 1 4,048,328

21,677 24,547 437,070 fLAExp.NL

Deductions for offsetting receipts:Proprietary receipts from the NOA 1

p. I

17,355,054 21,255,448 23,963,51529,507110,105

-261

-872public 400 Exp,

600 NOA 1Exp. 1

650 NOA 1 -5,880Exp. f

700 NOA I -913Exp. f

850 NOA 1 -22,144Exp. I

Repayments deposited in miscel- LA 1 (—1,868)laneous receipt accounts (in- NL jeluded in detail above).

92,992

-260

-938

-1,378

-918

-1,729

(-2,101)

-260

-18,012

-17,374

-17,913

-19,757

(-2,500)

i2,644,582

-17,074

-15,996

-16,995

-18,028

(-399)

B Proposed for separate transmittal under proposed legislation.D Proposed for separate transmittal. civilian pay act supplemental.Q 1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 91-204.

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1972

toANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued

Account and functional code 1970 1971 1972 Increase or Explanationenacted estimate estimate decrease (~)


SUMMARY—Continued

Federal Funds—Continued wTotal Federal funds NOA 17,284,837 21,876 727 25,444,438 1 3,980,234 2

LA 21,677 24,547 437,070 j oExp. 17,324,984 21,250,224 23,890,199 1 2,576,490 gNL 110,105 92,992 29,507 j

Trust funds: §(As shown in detail above) NOA 43,615,930 47,961,345 56,127,700 8,166,355

Exp. 37,423,942 43,799,290 48,018,589 4,219,299Deductions for offsetting receipts:

Interfund transactions 701 NOA 1 -589,257 -617,000 -754t000 -137,000Exp. f >

Proprietary receipts from the NOA 1 -278 -140 —140public __650 Exp. j

700 NOA 1 -41 -41 -41Exp. J

850 NOA 1 -5,431 -1,150 1,150Exp. I

Total trust funds NOA 43,020,923 47,343,014 55,373,519 8,030,505Exp. 36,828,935 43,180,959 47,264,408 4,083,449

Intragovernmentaltransactions.._652 NOA J-1,556,413 -2,119,131 -1,927,751 191,380

701 NOA 1 -458,151 -464,916 -537,546 -12,630ExP . J

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1972

Total Department of Health,Education, and Welfare.!

Total budget authority

Total outlays

NOALA

Exp.NL

58,291,19621,677

58,312,873

52.139,355110.105

52,249,460

66,635,69424,547

66,660,241

61,847,13692,992

61,940,128

78,352,660437,070

78,789,730

68,689.31029.507

68,718,817

i

i

12,129,489

12,129,489

6,778,689

6,778,689

tTotals for the Department are distributed as follows:1971

NOA LA Exp.Federal funds:

Enacted/transmitted 20,363,051 67,260 20,143,851Repayments —2,101Separate transmittal:

(A) Existing legislation 1,053,287 1,047,587(B) Proposed legislation 425,000 25,000(c) Wage-board supplemental 2,326 2,242(D) Civilian pay 32,604 - 4 0 , 6 1 2 31,319(E) Military pay 5,682 5,449


Total Federal funds. 21,876,727 24,547 21,250,224

Trust funds:Enacted/transmitted 47,835,945Separate transmittal:

(B) Proposed legislation 125,400Deductions for offsetting receipts —618,331

42,703,790

1,095,500-618,331

Total trust funds 47,343,014 43, 180,959

Intragovernmental transactions —2,584,047 —2,584,047

Total Department of Health, Educa-tion, and Welfare 66,635,694 24,547 61,847,136

NL

95,093-2 ,101

92,992

92,992

1972

NOA

24,066,980

LA

439,570- 2 , 5 0 0

Exp.

23,427,364

100,0001,350,774

-73,316 -

32,850501,700

831,286

232-73,316

25,444,438 437,070 23,890,199

Q1970 appropriations are shown net of amounts withdrawn in accordance with the provisions of sec. 410, Public Law 9 1 - 2 0 4 .

NL

32,007-2 ,500

29,507

53,352,000 45,326,089

2,775,-754,

55,373,

-2 ,465 ,

78,352,

700181

519

297

660 437,070

2,692,-754,

47,

- 2 ,

68,

264,

465

689,

500181

408

797

310 29,507

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1972estimate


Explanation

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

FOOD AND DRUG ADMINISTRATION

Federal Funds

General and special funds:Food, drug, and product safety.653 NOA

Exp.

Buildings and facilities _. ,653 NOAE*p.

Public enterprise funds:Revolving fund for certification and Exp.

other services 653

Total Federal funds Food and NOADrug Administration. Exp.

87,503

84,960

110,745

105,710

144,024 1•38,845 1140,715 1• 29,743 f

29

88

87,50385,077

4,000

110,745109,710

5,0009,000

187,869179,458

5,0005,000

77,12469,748

72,124 Provides for increased inspection and surveillance of foods anddevelopment of improved techniques for the detection of food

64,748 contaminants; strengthened review, evaluation, and monitoringof drugs; and increased inspection and evaluation to minimizehazards in toys, household chemicals, cosmetics, and other con-sumer products. Proposed consumer safety legislation will dealwith fish and fishery products, medical devices, and productsafety.

Provides for repairs and improvements at the National Centerfor Toxicological Research and at FDA headquarters and fieldfacilities.

(Industry fees finance certification of various drugs, food addi-tives, and cosmetics.)

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Federal Funds


(Development of health re- NOA 238,890 276,993sources) 651 Exp. 259,747 267,077

(Prevention and control of NOA 150,328 335,204health problems) 653 Exp. 100,606 152,135

Total mental health NOA 389,218 612,197Exp. 360,353 419,212

Saint Elizabeths Hospital (indefi- NOA 23,796nite). 652 Exp. 25,132

Health services planning and NOA 360,329development. 651

LA 10,000

Exp. 414,776

NL 2,243

258,774270.309

353,396257,240

—18,219 Net decrease reflects the phasing out of undergraduate and psy-3,232 chiatric residency training programs, partially offset by an in-

crease in research into drug abuse, alcoholism, and other specialprograms.

18,192 Reflects expansion of community drug programs and transfer105,105 of $10 million in alcoholism projects from the Office of Eco-

nomic Opportunity.

612,170527,549

- 2 7108,337

24,93624,749

419,267B 27,000

24,775B 30,000383,227 ;

B 8 , 4 0 016,364

B600

Repayments deposited in miscel- LA ) —97 —150laneous receipt accounts. NL fB Proposed for later trans mitt al under proposed legislation.

28,27128,123

329,596 IB 60,000 I

398,063 ^B29,700

11,126B 6 , 3 0 0

-150

3,3353,374

Provides for expansion of staff and resources to improve inpatientand outpatient care.

—111,446 Decrease reflects the shift in emphasis from grants for the con-struction of medical facilities to loans and loan guarantees andexpiration of legislation for the District of Columbia medicalfacilities construction program. These are partially offset by the

36,598 transfer of comprehensive health planning from the Healthservices delivery appropriation and expansion of areawidehealth planning agencies. Proposed legislation would provideFederal grant and loan support for health maintenance organi-zations.

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1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)— Continued

bO


1972estimate

1973estimate

Increase ordecrease (—)

Explanation




General and special funds—ContinuedHealth services delivery.. 652 NOA

Exp.

598,762 739,523 1 T 745,657 524 Increases are provided for migrant health projects, maternal and6 5,610 j child health, and expansion of family planning services to an

562,446 650,698 j 687,651 31,343 estimated 2.2 million women. 700.000 more than 1972. Thes 5,610 j estimate also reflects the partial financing of the National

Health Services Corps through reimbursements by communi-ties served, the transfer of $20 million in community healthprojects from OEO, and transfer of comprehensive health proj-ects to other accounts. 1972 supplemental and the 1973 requestprovide funds for continued operation of the PHS hospitals andclinics through 1973.

Reflects transfer of immunization VD, rubella, and rodentcontrol projects from Health services delivery. Expands lead-based paint poisoning control programs, the National Institutefor Occupational Safety and Health, and programs of the Centerfor Disease Control.

Provides for the implementation of a cooperative Federal-State-local health statistics system and the securing of data forplanning and delivery of health services.

Retired officers and their survivors receiving benefits will increasefrom 1,136 in 1971 to 1,257 in 1972, and 1,384 in 1973.

Preventive health services 653

National health statistics 651

Retirement pay and medical bene-fits for commissioned officers_653

NOAExp.

NOAExp.

NOAExp.

89,09193,691

10,34210.102

21,34919,999

86,96181,714

15,90013,668

24,66023,849

«153,820139,452

18,65917,822

29,16329,088

66,85957,738

2,7594,154

4,5035,239

8CO

CO


1973


Office of the Administrator 653 NOAExp.

Indian health services 652 NOAExp.

Indian health facilities 652 NOAExp.

Emergency health 059 NOAExp.

Public enterprise funds:Medical facilities guarantee and NOA

loan fund 651 LAContract authority LA

Exp.

Operation of commissaries, Lexington 65

Exp.

Intragovernmental funds:Service and supply fund 652 Exp.

Working capital fund, Lexing- Exp.ton ___652

Advances and reimbursements _ 653 Exp.

Total Federal funds Health NOAServices and Mental Health LAAdministration. Exp.

NL

5.931

11,03611.089

125,752123,365

18,71519,633

4,0309,225

30,000

1

-353

27

8.676

12,35912,342

152,995149,484

30,44234,700

4,2025,000

G 50,00030,000

-5

-1

250

22

19,45710.151

12,59012.504

161,629161.129

43,68934.700

4,2684,349

1

-15

-3

-25

21

19,4571,475

231162

8,63411.645

13,247

66-651

-80,000

-10

-2

-275

-1

8,415 544 -84

Increase provides for pollution controls and repairs, improve-ments and renovations for the Center for Disease Control,Saint Elizabeths Hospital, PHS hospitals and clinics, and theLexington narcotic hospital.

Provides management and administration for the Health Servicesand Mental Health Administration.

Increases reflect continued effort to improve health standards ofIndians and Alaska natives.

Increase is primarily to bring water and sanitation facilities to14,000 new and existing Indian housing units, and for replace-ment of a 125 bed hospital at Tuba City, Ariz.

Estimate reflects maintenance of a national stockpile of medicalsupplies and equipment and technical assistance to States andcommunities for providing emergency health services.

1972 supplemental is for payment under loan guarantees whennecessary. 1973 program continues to provide for medicalfacility construction.

(Provides canteen service for narcotic patients.)

—275 (Finances supplies, and accounting and other services.)

— 1 (Finances occupational therapy programs for narcotic patients.)

- 6 2 8

1,652,42039,903

1.663.8322,146

2,206,05284,625

1.822.13916.814

2,218,969-150

2.080,17517,276

12,917-84,775258.036

462

G Supplemental now requested.T Includes $19,000 thousand recommended to carry out authorizing legislation to be proposed.u Includes $8,500 thousand recommended to carry out authorizing legislation to be proposed.

oo

O

H3

toCOO


1973

ANALYSIS OF BUDGET AUTHORITY AND

Account and functional code 1971 1972enacted estimate

DEPARTMENT OF HEALTH,


Trust Funds

Public Health Service trust funds NOA 820 979

(permanent, indefinite) 652 Exp. 646 897



Biologies standards 651 NOA 9,277 9,205Exp. 9.235 9.311

National Cancer Institute 651 NOA 233,132 337,670Exp. 196.438 278.100

National Heart and Lung Insti- NOA 194,901 232,168tute 651 Exp. 164,421 190.490

National Institute of Dental Re- NOA 35,430 43,404search ..651 Exp. 30.606 34,770

National Institute of Arthritis and NOA 137,956 153,180Metabolic Diseases 651 Exp. 136,175 136,513

National Institute of Neurological NOA 103,485 116,609Diseases and Stroke 651 Exp. 102.972 91.161

OUTLAYS BY ACENCY (in thousands of dollars)—Continued


Explanation

EDUCATION, AND WELFARE-Continued

1,048 69 Gifts to the Public Health Service are used for the benefit of978 81 patients at its hospitals.

Continues biologies regulatory activities and research to developand improve vaccines.

Provides major expansion of the effort to conquer cancer.

Provides for expanded efforts into research on sickle cell disease,arteriosclerosis, and other lung and heart diseases.

Provides for expanded research into the causes and prevention ofdental cavities and gum diseases.

Provides for expanded research on digestive diseases, arthritis,cystic fibrosis. diabetes, and kidney disease.

Continues research on disorders and diseases of the nervoussystem.

9,2979.416

430,000335.127254,416221.07544,07642,309

158,394149,834

117,298100.328

92105

92,33057.02722,24830.585

6727.5395,21413.321

6899.167

CO


1973

National Institute of Allergy and NOAInfectious Diseases 651 Exp.

National Institute of General Med- NOAical Sciences 651 Exp.

National Institute of Child Health NOAand Human Development. _ -651 Exp.


National Institute of Environmen- NOAtal Health Sciences 651 Exp.

Research resources 651 NOAExp.

John E. Fogarty International Cen- NOAter for Advanced Study in the Exp.Health Sciences 651


National Library of Medicine. .651 NOAExp.


Office of the Director 651 NOA'Exp.

Scientific activities overseas (spe- NOAcial foreign currency program) Exp.

651

102,337100,483

160,194153,711

94,74780,752

30,03022,056

20,15118,592

66,32065,602

3,6662,679

428,658387,609

21,43625,574

3,087

8,9038,970

28,94410,206

108,76993,027

173,513152,445

116,91692,030

37,25530,857

26,43622,485

74,94865,744

4,2883,243

673,599498,326

24,08623,635

3,5655,491

11,05411,042

25,54517,220

111,907104,376

175,716163,906

126,696112,728

37,20137,605

28,81727,079

74,92969,973

4,4653,903

532,655604,277

28,10424,766

8,5007,000

11,52611,597

25,61926,027

3,13811,349

2,20311,461

9,78020,698

-546,748

2,3814,594

-194,229

177660

-140,944105,951

4,0181,131

4,9351,509

472555

748,807

Continues research on hepatitis, allergy, and transplantationimmunology.

Continues research in basic medical sciences and genetics.

Expands research in population, aging, and child health.

Continues research efforts on the diseases and disorders of theeye.

Provides increased research efforts in chemical mutagenesis, pes-ticides, and other environmental factors affecting health.

Provides support for general clinical research centers, privatecenters, and laboratory and animal resources.

Continues international exchange of health science researchersand teachers, and the international conference and seminarprograms.

Decrease reflects use of unobligated balances from 1972. Esti-mates provide for continued assistance to medical, dental,nursing, and other health professions schools to increase enroll-ments, reform curriculums, and stabilize finances.

Expands support of information services to the biomedical com-munity and research on a biomedical communications network.

Includes funds mainly for extension and updating of the utilitiessystem, additional pollution controls, and solid waste handling.

Provides for executive and program direction of the NationalInstitutes of Health.

Continues support for selected overseas research through the useof excess foreign currency.

Woow>

td{

to

5


1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thoaMnd* of dollars)—Continued

800

nd fu al code 1971enacted

1972estimate


Explanation


NATIONAL INSTITUTES OFHEALTH-Continued

Federal Fund*—Continued

Public enterprise fundstHealth professions education fund NOA 2,312

651 Exp. 2.041

Nurse training fund 651 NOA 1,241Exp. 788

Intragovernmental funds:General research support grants Exp. 5,082

651

National Institutes of Health man- Exp.agement fund 651

-2,084

Grants management fund 651 Exp. —10,372

Service and supply fund 651 Exp. -249

2,432 2,127 —305 Provides interest payments and loan cancellations on student2,432 2.127 -305 loans made prior to 1971.

1,568 1,873 305 Provides interest payments and loan cancellations on student1,568 1,873 305 loans made prior to 1971.

—1,716 —1,716 ._ (Grants from funds appropriated to the NIH research institutesand the National Institute of Mental Health are made toschools and nonprofit institutions to promote self-selectedbiomedical research and training projects.)

-1,270 1,270 (Finances management services for the National Institutes ofHealth.)

_ _ (Provides for departmentwide grant management and paymentactivities.)

327 392 65 (Finances procurement of computer and other central services.)

Total Federal funds National NOA 1,683,120Institutes of Health. Exp. 1,514,374

2,176,210 2,183,6161,757,231 2,054,002

7,406296,771

aI

CO


1973

OFFICE OF EDUCATION

Federal Funds

General and special funds:Education revenue sharing 604 NOA

Exp.

Elementary and secondary educa- NOAtion 601 LA

Exp.NL


School assistance in federally NOAaffected areas 601 Exp.

Emergency school assistance..601 NOAExp.

Education for the handicapped.061 NOAExp.

Vocational and adult education:Current... 603 NOAPermanent, indefinite NOA

Exp.

1,846,468500

1,801,908235

-394

550,675527,042

74,85351,239

105,00085,564

494,1967,161

411,178

2,025,528250

1.876,122111

-350

612,620517,105

B223,911B 110,000

1,786,893 1

1.872,646 1

-325

F 430,910478.347

B 500,000 "1,000,00022,662

B 80,665 -381,000

115,750104,668

569,0277,161

517,641

131,109113.559

542,127 17,161 f

552,711

223,911 Proposed legislation for Education revenue sharing would con-110,000 solidate school aid into five broad areas with total NOA of

$3.2 billion in 1973. These funds would supplement amountsreflected in other accounts for more than 30 separate categoricalgrants and would insure that no State could receive less in 1973than in 1972 under present programs.

—238,885 Decrease reflects transfer of programs for dropout prevention,bilingual education, follow through, and planning and evalua-

—4,129 tion to the educational renewal account, termination of theschool equipment and minor remodelling programs, and transferof library resources to the Library resources account.

—181,710 Net decrease reflects reduction of assistance in the low impact—38,758 districts and increased assistance in those districts where

Federal impact is the greatest.

500,000 Legislation has been proposed to provide financial support to—22,662 school districts that are desegregating under court order or300,335 are voluntarily attempting to overcome the educational dis-

advantages of minority groups isolation.

15,359 Reflects expansion of special demonstration programs, teacher8,891 training, educational technology and communication pro-

grams, and innovation and development activities. Researchrelating to the education of handicapped children will be trans-ferred to the proposed National Institute of Education.

—26,900 Estimate reflects transfer of programs designed to develop anddemonstrate career education models and planning and evalua-

35,070 tion to the Educational renewal account.

oa

3

B Proposed for later transmittal under proposed legislation.f Recommended to carry out authorizing legislation to be proposed. CO


1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued 00oo

DEPARTMENT OF

1972

HEALTH,

1973 Increase or

EDUCATION, AND

Explanationi

WELFARE—Continued

OFFICE OF EDUCATION—Continued


General and special funds—ContinuedHigher education:

Current 602 NOA

Permanent NOACurrent LA

Exp.

NLRepayments deposited in miscel- LA

laneous receipt accounts. NL

Library resources 605 NOAExp.

Educational renewal _ .605 NOAExp.

Educational activities overseas NOA(special foreign currency pro- Exp.gram) 605

963,337

2,6002,000

1,193,736

8,977-911

79,990101,470

233,877224,616

3,0001,749

1,342,776B 259,500

2,6002,000

1.287,986

2,000-1,000

85,10991,909

249,338250,620

3,0002,749

1,476,326-288,000

2,600

1,218,556B - 2 8 , 5 0 0

""-lYi'o'o

v136,730107,154

363,000238,800

5,0003,627

—415,950 Estimate provides for full forward funding of student aid grantsthrough a proposed 1972 supplemental, an increase for specialservices for disadvantaged students at the post-secondary level,and for a new initiative in minority education improvement.

—99,930 Construction grant support will be replaced by constructionloan subsidies targeted on priority institutions. Decrease re-flects anticipated funding of student loans through secondary

—100 market mechanism.

51,621 Estimate provides for school book grants formerly in Elementary15,245 and secondary education account, the transfer of educa-

tional broadcasting facilities to the Educational renewal ac-count, and for a decrease in Federal support for library services.

113,662 Estimate provides for the reduction in programs chiefly targeted— 11,820 on production of new educational personnel and of lower pri-

ority demonstration efforts. It further provides for consolidationof existing demonstration programs and for the pilot phase of amore concentrated approach to education renewal at the Stateand local levels.

2,000 Use of excess foreign currencies will support overseas training and878 research for American personnel and students.

iMOP


1973

Salaries and expenses 605 NOA 48,419 50,985 66,200 15,215Exp. 49,725 51,012 65,105 14,093

Civil rights education 601 NOA 19,218 19,666 -19,666Exp. 19,132 19,513 19,000 -513

Provides for the consolidation of ail other education salaries andexpenses activities.

Activities previously funded under this account will be carriedon under the proposed Emergency school assistance program.

Public enterprise funds:Student loan insurance fund___602 NOA

LA

Exp.NL

Higher education facilities loan andinsurance fund:

Current 602 NOAPermanent, indefinite NOACurrent LA

Exp.NL


Total Federal funds Office of NOAEducation. LA

Exp.NL

3,16914,831

-2 ,25613,291

2,9521,697

17,12939,673

-769

4,436,61216,026

4,481,46360,871

-15,809 115,809

6 12,765 ]-1 ,01218,383

2,9611,649

-5,62823,700

5,831,86129,474

4,816,01249,960

-2,779 131,826 1

-3 ,50225,2616 5,765

2,921 11,627

w3,35216,571 111,321 f

5,885,73633,753

5,144,46841,102

16,282 1972 supplemental will provide additional funds to make pay-ments on defaulted loans under the guaranteed loan program.

3,153

3,290

9,820

Increase provides initial funding for proposed academic facilitiesloan insurance. Direct loan program is replaced by interestsubsidy grants using private capital for construction financing.

53,8754,279

328,456-8,858

oaw

SI

NATIONAL FOUNDATION FOR HIGHEREDUCATION

Federal Funds

General and special funds:National Foundation for Higher NOA

Education 602 Exp.B 3 , 0 0 0B 1,000

100,000B 30,000

97,00029,000

B Proposed for later transmittal under proposed legislation.G Supplemental now requested.v Includes $14,000 thousand recommended to carry out authorizing legislation to be proposed.w Includes $3,352 thousand recommended to carry out authorizing legislation to be proposed.

1Legislation is proposed to establish a National Foundation for

Higher Education to support institutional innovations.


1973


fcO



Explanation


NATIONAL INSTITUTE OF EDUCATION

Federal Funds

General and special funds:National Institute of Educa- NOA

tion 605 Exp.

SOCIAL AND REHABILITATION SERVICE

Federal Funds


ance:(Providing or financing medical NOA

services) 652Exp.

3,339,868

3,362,253

(Public assistance) _ .702 NOA 5,599,065

Exp. 5,486,413

B 3 , 0 0 0 B125,000 122,000 Legislation is proposed to establish a National Institute ofB 2,500 B 50,000 47,500 Education for support of research and development.

3,827,619^224,012

4,176,8746 224,012

6,656,0086 52,450

7,102,1676 52,450

4,477,687 1B - 7 0 9 , 2 2 0 [

4,141,687 1«-709,220 f

7,554,108 1B -150,000 {

6,988,108 1B-150,000 f

—283,164 1972 supplemental reflects revised State estimates for increasedmedical cost and utilization. Decrease in 1973 results from

—968,419 proposed legislation to emphasize more cost effective careand effect of wage and price guidelines.

695,650 1972 supplemental reflects revised State estimates for mainte-nance assistance. The net increase in 1973 reflects a rise in the

—316,509 number of recipients eligible for assistance, offset by decreasesbecause of social security benefit extensions, increased rehabili-tation of recipients and improved quality control and manage-ment of State payment systems. The decrease in outlaysreflects an advance payment to States in 1972 to ease the fiscalpressure caused by mounting public assistance costs.

ft)

&

CD

CO


1973

Social and individual serv- NOAices) 703

Exp.

Total grants to States forpublic assistance.

Work incentives 607 NOAExp.

Socialices.

and rehabilitation serv- NOA-703

Exp.

Research and training activities NOAoverseas (special foreign cur- Exp.rency program) 703


Exp.

Assistance to refugees in the NOAUnited States 704 LA

Exp.NL


760,204

794,089

928,066« 526,979

976,959G526,979

1,337,909 | -117,136 1972 supplemental reflects revised State estimates. 1973 decreaseJ resulting from the implementation of new regulations defining

1,239,870 1 —264,068 reimbursable services and requiring separate accounting sys-] terns, is partially offset by an increased number of partici-

pants.

NOA 9,699,137

Exp. 9,642,755

i

98,180128,951

695,475

626,825

4,0002,621

36,783

37,258

108,4733,657

107,6192,471

-419

11,411,693G 803,441

12,256,000G803,441

13,369,704 I-859,220 j

295,350

12,369,665 1-1,548,996B-859,220 J

259,136195,000

830,664

723,000

8,0004,020

41,111 16 2,850 f40,440 16 2,850 f

140,5033,600

129,6473,250

-809

205,000270,000

* 928,913B 10,000838,000B 2 , 3 4 8

10,0005,100

58,174

55,670

157,5003,500

151,875 13,125 f

-1,475

-54,13675,000

Reflects an increase in program level of $79 million with anincrease of 26,500 in average enrollment from 122,500 and anincrease in the children receiving care of 47,600 from 138,400.

108,249 1973 increases are directed to the rehabilitation of additionalpublic assistance recipients and programs for the aging. Pro-

117,348 posed legislation would modify the youth development demon-stration programs.

2,000 Excess foreign currencies support overseas research, demonstra-1,080 tion, and research training.

14,213 1973 increase provides for major expansion in staff, as proposedin 1972 public assistance supplemental, and in contractual

12,380 support to carry out Federal administrative initiatives forimproving financial management and quality control in Statewelfare systems.

16,897 1973 estimate assumes Cuban airlift will not be resumed. Thenumber of recipients of welfare services is nevertheless estimated

22,103 to increase by 7,500 to 96,400.

-66*6

B Proposed for later transmittal under proposed legislation.6 Supplemental now requested.x Includes $836,243 thousand recommended to carry out authorizing legislation to be proposed.

OO

>

1


1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)— Continued CO


1972estimate


Explanation


SOCIAL AND REHABILITATION

SERVICE-Continued


I ntragovernmental funds:Advances and reimbursements.703 Exp. — 1,662

Total Federal funds Social and NOA 10,642,048Rehabilitation Service. LA 3,238

Exp. 10,544,367

NL 2,052



Payments to social security trustfunds:

(Providing or financing medical NOA 2,134,970services) 652

Exp. 2,119,131

(Retirement and social in- NOA 464,916surance) 701 Exp. 464,916

13,497,398 13,880,071 382,6732,791 2,025 -766

14,154,398 12,833,438 -1,320,9602,441 1.650 -791

1,927,751

1,927,751

537,546537,546

1,949,840 1 197,089 Estimate reflects a rise in the Federal matching payment to the, ,175,000

1,949,840»175,000

supplementary medical insurance trust fund from $5.60 to197,089 $5.80 per month for each enrollee, and decreased costs for un-

insured participants in the hospital insurance program forwhom total benefit and administrative costs are paid out ofgeneral fund appropriations.

525,645 —11,901 Provides annual payment to social security trust funds for bene-525,645 —11,901 fits based on noncontributory military service credits, and for

retirement benefits paid to certain uninsured aged individuals.

4


1973

Total payments tosecurity trust funds.

social NOA 2,599,886 2,465,297

Exp. 2,584,047 2.465,297

2,475,485 1»175,000 f

2,475,485B 175,000

185,188

185,188

Special benefits for disabled coal NOAminers 701Current indefinite NOA

Exp.Intragovernmental funds:


591,839 557,102 1 —34,737 Payments are made to coal miners totally disabled by pneumo-[• coniosis and to surviving widows of coal miners whose deaths

342,106 J resulted from pneumoconiosis.319,310 570,108 555,117 -14,991

- 7 7 77 - 7 7

Total Federal funds Social Se- NOA 2,941,992 3,057,136 3,207,587curity Administration. Exp. 2,903,280 3,035,482 3,205,602

Trust Funds

Limitation on salaries and expenses..

Limitation on construction.

(1,044,991) (1,136,340) (1.231,071)

(2,800) (18,194) (1,000)

Federal old-age and survivors insur- NOA 33,981,976 37,966,479 44,585,678ance trust fund (permanent) ..701 Exp. 32,267,825 35,825,309 37,515,298

Federal disability insurance trust NOA 4,910,448 5,297,713 5,969,012fund (permanent) 701 Exp. 3,605,792 4,214,733 4,498,826

150,451170.120

(94,731) Work output of the Social Security Administration remains rela-tively stable from 1972 to 1973, except for a special project toconvert a file presently consisting of 300 million hard copyrecords and documents to magnetic tape. The work output ofhealth insurance carriers and intermediaries is expected to in-crease by 9.9% in 1973.

(—17,194) Estimate provides for completion of acquisition of available landadjacent to headquarters site and a decision to meet spacerequirements through lease construction.

6,619,199 The old-age, survivors, and disability insurance programs will1,689,989 provide assistance to an estimated 28.3 million beneficiaries in

1973, compared with 27.3 in 1972. The increase under present671,299 law reflects a rise in the maximum taxable earnings base from284,093 $7,800 to $9,000 effective Jan. 1, 1972. Increases in 1973 reflect

the full-year effect of the higher earnings base, an increase inthe tax rate effective Jan. 1,1973, and an expansion in the laborforce at higher wage levels. The 1972 increase exceeds normalgrowth because it also includes the added cost of carrying onan annual basis the 10% increase in cash benefit amountsenacted by the Congress in Public Law 92-5, effective January1971.

oo5d

B Proposed for later transmittal under proposed legislation.

§O

8


1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars)—Continued 00


Explanation




I ntragovernmental funds—ContinuedFederal hospital insurance trust fund

(permanent 652 NOA 6,018,161 6,001,698 6,837,666Exp. 5,592,456 6,434,129 7,129,237

Federal supplementary medical in-surance trust fund (permanent) NOA 2,515,511 2,754,471 2,893,040

652 Exp. 2,282,635 2,537,962 2,787,186

Social security trust funds (proposedlegislation):

Federal old-age and survivors in-surance trust fund 701

Federal disability insurance trustfund 701

NOA B - 1 , 2 3 0 , 0 0 0 B _ 3 , 4 6 7 , 0 0 0Exp. "7,000 B3, 116,000NOA B - 4 4 1 , 0 0 0 B - 8 4 6 , 0 0 0Exp B6,000 B384.000

835,968 This fund pays for health care services rendered to aged persons695,108 by hospitals, extended care facilities and home health agencies.

Increased outlays in 1973 under present law result fromincreases in the size of the covered population and cost ofcovered services.

138,569 The supplementary medical insurance trust fund pays for doctor249,224 bills and related services for about 96% of the aged, who

have voluntarily enrolled in the program. Higher receipts in1973 under present law result from an increase in the enrolleemonthly premium (matched by Federal fund appropriations)from $5.60 to $5.80, effective July 1, 1972. Increased outlaysunder present law result from growth in the number of bene-ficiaries, greater utilization of services and higher physicians'fees, consistent with wage and price controls. Medicare bene-ficiaries receiving reimbursed services are estimated at 4.7million under hospital insurance and 11.4 million under supple-mentary coverage.

-2,237,000 It is proposed to increase the maximum taxable earnings base3,109,000 from $9,000 to $10,200 retroactive to Jan. 1, 1972. In addition,—405,000 the total tax rate (including health insurance) would be set

378,000 at 10.8% on Jan. 1, 1973, instead of the 11.3% that would

o

CO

00


1973

Federal hospital insurance trust NOA " 1,871,000 "5,388,000fund 652 Exp __ "1,000 "448,000

Federal supplementary medical NOAinsurance trust fund 652 Exp.

Total social security trust NOAfunds (proposed legislation). Exp.

"1,000"228,000"72,000

"200,000 "1,303,000" 15,000 "4,020,000


Federal Funds

General and special funds:American Printing House for the NOA

Blind 605 Exp.

National Technical Institute for NOAthe Deaf 603 Exp.

Model Secondary School for the NOADeaf 601 Exp.

Gallaudet College 602 NOAExp.

Howard University 602 NOAExp.

Total Federal funds special NOAinstitutions. Exp.

3,517,000447,000

228,00071,000

1,5171.517

25,4444,151

2,4622,386

7,2798,081

38,19738,920

74,89955,055

1,5801,580

7,61913,212

17,4823,670

13,2869,183

60,48653,215

100,45380,860

1,6971,697

4,69415,000

4,6008,800

9,30012,300

57,13562,300

77,426100,097

117117

-2,9251,788

-12,8825,130

-3,9863,117

-3,3519,085

-23,02719,237

have gone into effect on that date under existing law. Thesechanges will provide adequate financing for several improve-ments in cash and health benefits, including a 5% across-the-board cost of living increase effective June 1972, and otherimprovements such as automatic cost of living increases,extension of Medicare coverage and revision in cost-sharingfeatures.

1,103,0004,005,000

Total trust funds Social Secu- NOA 47,426,096 52,220,361 61,588,396 9,368,035rity Administration. Exp. 43,748,708 49,027,133 55,950,547 6,923,414

Increase reflects an expanded enrollment of blind children.

Estimate reflects a decrease from one-time construction costs in1972 partially offset by an increase to reflect expansion in thenumber of students served.

Estimate reflects a decrease from one-time construction costs in1972 partially offset by an increase for the purchase of special-ized equipment for the new facility and for additional staff.

Estimate reflects a decrease from one-time construction costs in1972, partially offset by increased institutional costs.

Estimate reflects a decrease from one-time construction costs in1972, partially offset by increases for cost of education andconstruction in 1973.

3O

Proposed for later transmittal under proposed legislation.


1973

ANALYSIS OF BUDGET AUTHORITY AND OUTLAYS BY AGENCY (in thousands of dollars) —Continued


Explanation

00



Federal Funds

General and special funds:Office of Child Development...601 NOA

Exp.

OFFICE OF THE SECRETARY


Office for Civil Rights 703 NOAExp.

8,6937,188

10,83010,560

13,06512,895

Departmental management 703 NOA

Reappropriation NOAExp.

Intragovernmental funds:Working capital fund .703 Exp.


Total Federal funds Office of NOAthe Secretary. Exp.

7,918 390,568 408,541 17,973 Estimate provides for the continuation of the Office of Child3,822 215,514 378,610 163,096 Development and Head Start research, demonstration, and

service programs for preschool children.

2,235 Allows additional staff to handle increased workloads in contract2,335 compliance and title VI enforcement.

46,096 47,892 53,620 6,228 Increases include additional staff for strengthening regionaloffices and improving the effectiveness of departmental op-erations.

—818 (Fund provides for centralized management services.)

43,109

-7,935

-3,157 _.

54,78939,204

48,525

-372

58,72258,713

50053,200

-1,190

67,18564,905

4,675

-818

8,4636,192

wd

w

CD


1973

WELFARE REFORM

Federal Funds

General and special funds:Welfare reform 702 NOA

ExpSUMMARY

Federal funds:(As shown in detail above) NOA 21,581,301 27,435,145

LA 59,167 116,890Exp. 21,290,477 26,053,559NL 65,069 69,215

Deductions for offsetting receipts:Proprietary receipts from the NOA 1 -382 -350

public 400 Exp. J600 NOA 1 -659 -17,663

Exp. f650 NOA 1 -1,884 -17,405

Exp. [700 NOA 1 -729 -17,652

Exp. f850 NOA 1 -22,745 -875

Exp. fRepayments deposited in miscel- LA j {-1,821) (-2,309)

laneous receipt accounts (in- NL jeluded in detail above).

Total Federal funds NOA 21,554,902 27,381,200LA 59,167 116,890Exp. 21,264,078 25,999,614NL 65,069 69,215

B Proposed for later trattsmittal under proposed legislation.

B 450,000 450,000 Provides Government-wide funds to plan and prepare for welfareB 350,000 350,000 reform. Benefit payments will not begin until 1974.

28,792,000 135,628 [

26,470,755 160,028 [

-350 .

-20,741

-21,465

-20,654

-22,905

(-3,050)

1,275,593

408,009

-3,078

-4,060

-3,002

-22,030

(-741)

28,705,885 1 1,243,42335,628 f

26,384,640 1 375.83960,028 1

jWo©

a©

I


1973


CO

o

nd fu al code 1971enacted

1972estimate


Explanation

oDEPARTMENT OF HEALTH, EDUCATION, AND WELFARE—Continued

SUMMARY-Continued

Trust funds:(As shown in detail above) NOA 47,426,916 52,221,340 61,589,444

Exp. 43.749,354 49,028,030 55,951,525Deductions for offsetting receipts:

Interfund transactions 700 NOA 1 -626,266Exp. f

Proprietary receipts from the NOA 1 —676public 650 Exp. f

700 NOA 1 -45Exp. 1

850 NOA 1 -1,150Exp.

-720,000

-92/

-45

-792,000

-991

-45

Intragovernmental transactions _ _ 650 NOAExp.

700 NOAExp.

-464,916 -537,546 -525,645

9,368,1046,923,495

-72,000

-70

Total trust funds NOA 46,798,779 51,500,374 60,796,408 9,296,034Exp. 43,121,217 48,307,064 55,158,489 6,851,425

-2,119,131 -1,927,751 -2,124,840 -197,089

11,901

o>


1973

Total Department of Health, NOA 65,769,634 76,416,277Education, and Welfare.! LA 59,167 116,890

86,851,808 1 10,354,26935,628

Total budget authority. 65,828,801 76,533,167 86,887,436

Exp.NL

61,801,24865,069

71,841,38169,215

78,892,64460,028

10,354,269

7,042,076

Total outlays _ 61,866,317 71,910,596 78,952,672 7,042,076

ft)

ft)oa

{Totals for the Department of Health, Education, and Welfare are distributed as follows:

Federal funds:Enacted and recommended hereinRepayments deposited in miscellaneous

receipt accountsProposed additional:

Supplementals now requestedFor later trans mittal:

(B ) Proposed legislationDeductions for offsetting receipts

NOA

25,780,744

LA Exp.

76,434 25,149,093

-2,309

861,901

792,500-53 ,945

12,765

30,000

8 1 1 , 9 0 1

92,565-53,945

NL

63, 924

-2,309

7,000

600

Total Federal funds. 27,381,200 116,890 25,999,614 69,215

Trust funds:Enacted and recommended hereinFor later trans mittal:

(B) Proposed legislationDeductions for offsetting receipts

Total trust funds

Intragovernmental transactions

Total

52,021,340 49,013,030

200,000-720,966

51,500,374

15,000 _ _ _ _ _-720,966

48,307,064

-2,465,297 -2,465,297

76,416,277 116,890 71,841,381 69,215

1973

JVCM TA -Ecp!

27, 756, 464 38, 678 26, 200, 684

-3,050

1,035,536 270,071-86,115 -86,115

28,705,885 35,628 26,384,640

60,286,444 51,931,525

1,303,000 4,020,000

-793,036 -793,036

60,796,408 55,158,489

-2,650,485 -2,650,485

86,851,808 35,628 78,892,644

NL

51,013

-3,050

5,765

6,300

60,028

60,028

CO


1973

2 2 0 THE BUDGET FOR FISCAL YEAR 1974

BUDGET ACCOUNTS LISTING (in thousands of dollars)— Cont inued

Account and functional code 1972 1973 1974 Increase or

enacted estimate estimate decrease (—)

DEPARTMENT OF DEFENSE—CIVIL—Continued

SUMMARY-ContinuedTrust funds:

(As shown in detail above) BA 30,101 32,143 34,212 2,0690 31,544 32,368 34,206 1,838

Deductions for offsetting receipts:Proprietary receipts from 400 BAl -18,438 -19,740 -18,360 1,380

the public 0 j800 BAl -142 -138 -138

0 fTotal trust funds BA 11,521 12,265 15,714 3,449

0 12,964 12,490 15,708 3,218

Total Department of De- BA 1,624,620 1,881,135 1,513,942 -367,193fense-Civil. 0 1,529,557 1,752,788 1,623,105 -129,683

DEPARTMENT OF HEALTH, EDUCATION, A N D WELFARE

FOOD AND DRUGADMINISTRATION

Federal Funds

General and special funds:Salaries and expenses 653 BA 112,409 163,670 1 161,140 14,722

i-17,252 {0 104,897 153,000 159,432 6,432

Buildings and facilities 653 BA 5,000 5,0000 212 3,000 4,000 1,000

Public enterprise funds:Revolving fund for certification and 0 371

other services 653

Total Federal funds Food and BA 112,409 146,418 166,140 19,722Drug Administration. 0 105,480 156,000 163,432 7,432


Federal Funds


(Development of health re- BA 289,726 268,737 1 230,272 930sources) 651 * -39,395 j

0 307,449 293,645 273,529 1 6,457*-29,930 G - 3 , 3 5 7 }

See footnotes at end of table.


1974

THE FEDERAL PROGRAM BY AGENCY AND ACCOUNT 2 2 1

BUDGET ACCOUNTS LISTING (in thousands of dollars)— Continued

Account and functional code 1972 1973 1974 Increase orenacted estimate estimate decrease ( —)

DEPARTMENT OF HEALTH, EDUCATION, A N D WELFARE—Continued



General and special funds—Continued(Prevention and control of health BA 323,283 405,086 1 » 1,051,459 677,082

problems) 653 « -30,709 ]0 173,786 289,210 315,077 1 30,164

• -13,481 6 - 9 , 1 8 4 ]

Total mental health BA 613,009 673,823 1 » 1,281,731 678,012G - 7 0 , 1 0 4 I

0 481,235 582,855 588,606 1 36,6216-43,411 6^12,541 \

Payment for Saint Elizabeths BA 38,000 38,000Hospital 652 0 38,000 38,000

Saint Elizabeths Hospital: In- BA 27,947 36,007 -36,007definite 652 0 23,905 35,358 5,728 -29,630

Health services planning and devel- BA 474,165 330,187 D 103,081 1 6,081opment ." 651 6-173,187 B 60,000 j

0 405,819 412,000 352,240 ] -99,9006-20,100 6-78,240

B 18,000

Health services delivery 652 BA 747,250 751,295 1 "851,530 145,4756-45,240 I

0 681,767 711,201 796,503 1 76,5256-16,773 6-25,550 ]

Preventive health services 653 BA 88,762 157,372 1 ° 125,080 -15,0206-17,272 J

0 78,229 129,171 131,031 1 -10,7306-2,341 6-14,931 j

National health statistics 651 BA 16,146 19,264 1 °22,821 4 ' 8 2 1

6-1,264 J0 13,956 18,543 19,721 1 3,000

6-1,543 6 279]

Retirement pay and medical bene- BA 23,960 29,163 34,103 4,940fits for commissioned officers: 0 21,165 29,088 33,000 3,912Indefinite 653

Buildings and facilities 652 BA 19,457 1 12,000 -5506-6,907 j

0 4,111 10,351 12,556 1 4,0006-4,351 6-2,556]

Office of the Administrator 653 BA 12,681 13,126 14,304 1,1780 12,631 13,111 14,281 1,170


510-000 O - 73 - 15


1974

222 THE BUDGET FOR FISCAL YEAR 197 4

BUDGET ACCOUNTS LISTING (in thousands of dollars)—Continued


1973estimate





General and special funds—ContinuedIndian health services 652 BA

Indian health facilities 652 BA0

Emergency health 059 BA0

Public enterprise funds:Medical facilities guarantee and BA

loan fund 651 0

Operation of commissary, Lexington 0Clinical Research Center 652

Intragovernmental funds:Service and supply fund 652 0

Working capital fund, Lexington 0Clinical Research Center 652

Consolidated working funds 653 0

Total Federal funds Health BAServices and Mental Health 0Administration.

Trust Funds

Public Health Service trust funds: BAPermanent, indefinite 652 0


Federal Funds

General and special funds:

155,301

144,828

30,44224,771

4,2844,701

50,000- 1

172,748 I•-4 ,708 j

166,864

44,54936,136

3,0002,983

176,968

175,729

41,71742,637

6,0005,000

8,928

8,865

-2 ,8326,501

3,0002,017

- 2 - 5

-279

85

-1,080

2,243,9461,895,849

563619

-171

8

- 3 9

1,931,3092,058,943

2,1641,453

4

2,767,3352,099,495

3,1622,430

171

- 4

39

836,02640,552

998977

Biologies standards

National Cancer

National Hearttute

Institute

and Lung

6b 1

651

Insti-651

BA

oBA0

BA0

9,2948,949

378,933258,898

232,688193,527

432,250354,289

255,322221,939

500,000445,000

265,000249,804

67,75090,711

9,67827,865



1974



Account and functional code . 1972 1973 1974 Increase orenacted estimate estimate decrease (—)




General and special funds—ContinuedNational Institute of Dental Re- BA 43,404 44,422 1 38,452 -2,302

search 651 G -3,668 j0 38,241 42,811 39,937 1 -952

-2,795 G—873

National Institute of Arthritis, BA 153,353 159,1211 133,608 -9,285Metabolic and Digestive G —16,228 JDiseases 651 0 146,399 151,011 142,070 \ -5,461

G -9,854 G —6,374 J

National Institute of Neurological BA 116,750 117,899 1 101,198 -6,464Diseases and Stroke 651 G -10,237 J

0 104,981 103,300 115,963 1 8,278e -2,926 6-7,311 ]

National Institute of Allergy and BA 109,176 112,669 1 98,693 -4,008Infectious Diseases 651 G —9,968 J

0 105,865 107,890 103,027 1 -1,517G -6,657 G —3,311 j

National Institute of General Med- BA 173,472 176,001 1 138,573 -15,646ical Science 651 G -21,782 j

0 161,668 167,777 146,861 1 -11,184c -15,757 G -6,025 J

National Institute of Child Health BA 116,510 127,265} 106,679 -4,423and Human Development 651 6 —16,163 j

0 97,528 113,276 120,1311 -1,364« -3,972 c -12,191 f

National Eye Institute 651 BA 37,132 37,392 1 32,092 -2,313c -2,987 J

0 31,907 37,788 31,985 1 -7,790G _ 5 0 0 G -2,487 f

National Institute of Environ- BA 26,436 29,017 1 25,263 -850mental Health Sciences 651 G -2,904 j

0 24,051 27,275 26,940 1 89G —1,664 e —1.240 I

Research resources 651 BA 74,981 75,027 1 88,632 15,737« -2,132 j

0 70,945 72,642 96,664 1 23,590G _ 8 5 0 c -1,282 I

John E. Fogarty Center 651 BA 4,307 4,545 1 3,586 -3404,545 1-619 j3,983

e-1460 3,503 3,983 4,585 1 275

« -473 fSee footnotes at end of table.


1974

224 THE BUDGET FOR FISCAL YEAR 1974



1973stimate

1974stimate

Inc




General and special funds—ContinuedHealth manpower 651 BA 673,451

0 455,706

National Library of Medicine__651 BA 24,127

0 22,522

Buildings and facilities 651 BA

0

Office of the Director 651 BA

0

Scientific activities overseas (special BAforeign currency program) 651 0

Public enterprise funds:Health professions education BA

fund 651 0

Nurse training fund 651 BA0

Intragovernmental funds:General research support grants.651 0

National Institutes of Health man- 0

agement fund 651

Grants management fund 651 0

Service and supply fund 651 0

Total Federal funds National BAInstitutes of Health. 0EDUCATION DIVISION

Office of Assistant Secretary forEducation

Federal Funds

3,565

1,785

11,324

10,947

25,54512,282

2,5691,631

1,640

-411

-1,205

-1,473

5,976

533,628 1G -93,010 j

605,250« -26,050

28,568 1« -3,494

25,230G - 1 , 2 3 0

8,500 16-500 j

6,246

11,678 1G -618 f12,113

6-600

25,61920,447

2,1272,127

1,873

1,873

12,000

-1,537

382,180

656,160 1«-60,960 j

» 24,994

26,264 1.6-2,264 J

8,000 _

7,000

12,000

11,565 1e-18 1

1,91218,843

2,2502,250

1,7501,750

-1,690

-58,438

16,000

-80

754

940

34

-23,707-1,604

123123

-123

-123

-12,000

-153

-2,301

2,218,6561,751,921

1,2,

467

998,613015,196

1,964,8622,140,300

-467

-33,751125,104

General and special funds:Salaries and expenses 605 BA

01,4951,345

1,8521,816

357471



1974

THE FEDERAL PROGRAM BY AGENCY AND ACCOUNT 225




EDUCATION DIVISION—Continued


General and special funds—ContinuedPostsecondary innovation 602 BA

Total Federal funds Office BAof Assistant Secretary for 0Education.

OFFICE OF EDUCATION

Federal Funds

15,000 15,000

1,4951,345

16,8521,816

15,357471

General and special funds:Education revenue sharing 604

Elementary and secondary educa-tion _ 601

Indian education. _ 601

School assistance in federallyaffected areas 601

Emergency school assistance 601

Education for the handicapped.601

Occupational, vocational, and adulteducation 603

Permanent, indefinite. _

Higher education. _ __ . _602

Permanent

BAO

BA

0

BA

BA0

BAO

BA0

BA

BA0

BA

BA0

2,028,804

1,887,810

612,634649,302

73,39671,952

115,75093,674

569,027

7,161508,541

1,444,915

2,6001,287,140

1,786,8936-15,8151,863,237

6-13,841

18,000'-18,000

430,910467,542

270,64059,309

131,109113,881

542,127G - 2 , 0 0 0

7,161538,1006-100

577,500'-44,300

2,7001,336,345

6 995

i

i

i

!

1J

<

B 2,527,366> 1,692,699

o 76,000

553,9166-1,974

°60,500131,018

270,640202,436

D 93,60989,950

D 45,000

298,1836-1,900

1,747,914

2,700447,112

= 1.054,678

2,527,3661,692,699

-1,695,078

1-1,297,454

-370,410-336,524

143,127

-37,500-23,931

-502,288

| -241,717

95,204

j 164,450



1974

226 THE BUDGET FOR FISCAL YEAR 1-9174


nd fu ode 1972enacted

1973estimate

1974estimate

Increase ordecrease (—)




General and special funds—ContinuedLibrary resources 605 BA 85,109

0 75,178

Educational development 605 BA 249,358

0 204,059

Educational activities overseas BA 3,000(special foreign currency pro-gram) 605 0 2,279

Salaries and expenses 605 BA0

Civil rights education 601 BA0

Public enterprise funds:Student loan insurance fund..602 BA

Higher education facilities loan and BAinsurance fund 602

Permanent, indefinite BA0

Intragovernmental funds:Consolidated working fund 605 0

Total Federal funds Office of BAEducation. 0

Trust Funds

Special statistical compilations and BAsurveys: Permanent, indefinite.605 0

NATIONAL INSTITUTE OF EDUCATION

Federal Funds

General and special funds:National Institute of Education_605 BA

0

Total Federal funds Educa- BAtion Division. 0

Total trust funds Education BADivision. 0


52,003

50,612

19,799

22,314

12,765

26,589

2,961

1,731

24,469

-207

5,281,013

4,903,714

5,281,013

4,903,714

140,587 1.•-2,857 1106,731

337,365•-11,890« -30,650

247,046G - 5 , 8 3 5

5,000 1G - 2 , 0 0 0 J

3,129G - 3 9 3

81,04778,596

-137,730

72,744 -33,987

120,375 -174,450

295,922 1-18,766 f

3,000 .

4,407 1«-1,150 I

88,11881,669

35,945

521

7,071

3,073

13,391

29,047 1M7,593 j30,374

e 15,793

2,921

1,627

14,361

1,564

57,883

55,200 1« 1,800 |

2,948 1

1,549 j15,576

11,827

11,243

10,833

-51

1,215

5,374,225

4,868,661

5,097,602

4,975,084

12

10

-276,623

106,423

110,000

43,000

5,485,720

4,913,006

162,197

118,110

5,276,651

5,095,010

52,197

75,110

-209,069

182,004

12

10


1974






Federal Funds


ance:(Providing or financing medical BA 4,366,602 5,023,500 5,271,862 7 533,213

services) 652 « -295,851 B -11,000 j0 4,601,293 4,596,676 5,246,555 1 934,730

e -295,851 B -11,000 I

(Public assistance) 702 BA 6,154,367 6,983,295 5,528,546 1—1,117,460c -495,289 B -158,000 j

0 6,558,733 6,457,592 5,528,380] -591,923-495,289 B -158,000

(Social and individual serv- BA 1,694,165 1,337,909 1 2,090,640 -652,475ices) 703 c 1,405,206 j

0 1,931,877 1,039,343 1 1,890,640 -553,909« 1,405,206 {

Total grants to States for BA 12,215,134 13,344,704 12,891,048 1-1,236,722public assistance. G 614,066 B —169,000 j

0 13,091,903 12,093,611 12,665,575 1 -211,102^614,066 B -169,000 j

Work incentives 607 BA 259,198 454,483 1 534,434 241,514« -161,563 {

0 171,103 500,000 596,563 1 145,000G - 1 0 5 , 0 0 0 G -56,563 j

Social and rehabilitation serv- BA 830,664 1,029,113 1 D 964,128 -22,036ices 703 G -42,949 J

0 726,404 940,296 992,101 1 78,6566-34,753 6_7,902(

Research and training activities BA 8,000 10,000 4,000 -6,000overseas (special foreign cur- 0 2,965 4,183 7,552 3,369rency program) 703

Salaries and expenses 703 BA 45,003 60,215 1 78,800 20,5856-2,000 I

0 39,988 57,711 75,779 1 19,7506-1,815

5,779 1- 1 3 3 f

Assistance to refugees in the United BA 138,990 145,000 90,000 -55,000States 702 0 129,173 143,217 103,000 -40,217

Allied services 703 BA B20 ,000 20,000See footnotes at end of table.


1974

228 THE BUDGET FOR FISCAL YEAR 19 74

BUDGET ACCOUNTS LISTING (in thousands of dollars)— Continued

1972 f973 f974 Increase orenacted estimate estimate decrease (—)

Account and functional code


SOCIAL AND REHABILITATIONSERVICE-Continued


Intragovernmental funds:Consolidated working fund 703 0 -4,120

Total Federal funds Social and BA 13,496,988Rehabilitation Service. 0 14,157,416

15,451,069 14,413,410 -1,037,65914,211,516 14,206,972 -4,544

SOCIAL SECURITYADMINISTRATION

Federal Funds

General and special funds:Payments to social security trust

funds:(Providing or financing medical BA 1,927,751

services) 6520 1,916,647

(Retirement and social insur- BAance) 701 0

537,546537,546

1,949,840 1G - 9 8 , 6 2 6 j1,953,838 1

G -98,626 J

525,645525,645

2,616,393

2,616,393

493,788493,788

765,179

761,181

-31,857-31,857

Total payments to social BA 2,465,297security trust funds.

0 2,454,193

2,475,485 1G -98,626 J2,479,483 1«-98,626 f

3,110,181

3,110,181

733,322

729,324

Special benefits for disabled coal BAminers 701 0

Supplemental security income pro- BAgram 702

0

Intragovernmental funds:Consolidated working fund 703 0

595,956417,951

1,526,5001,486,000

~G77,~207 I

"V 76,445

967,868 -558,632965,500 -520,500

2,211,636 2,134,429

2,207,676 1 2,131,993G 762 f

-324

Total Federal funds Social Se- BA 3,061,253 3,980,566curity Administration. 0 2,871,820 3,943,302

6,289,685 2,309,1196,284,119 2,340,817

Trust Funds

Limitation on salaries and expenses. _


(1,150,167) (1,256,498)1 (1,887,898) (484,851)G (146,549)1

Federal old-age and survivors insur-ance trust fund: Permanent

Federal disability insurance trustfund: Permanent 701

Federal hospital insurance trust fund:Permanent _ _652


(18,194)

BA 37,916,3210 35,848,168

BA 5,291,1400 4,309,292

BA 6,031,1330 6,275,514

(1,000) -(1,000)

44,049,80643,816,702

5,979,7465,559,187

8,619,8136,856,081

51,484,82449,064,261

6,784,0066,474,353

12,401,0989,216,989

7,435,0185,247,559

804,260915,166

3,781,2852,360,908


1974





SOCIAL SECURITYADMINISTRATION—Con.

Trust Funds—-Continued

Federal supplementary medical insur- BA 2,734,349 2,884,735 3,780,008 895,273ance trust fund: Permanent.__652 0 2,543,6% 2,716,793 3,395,192 678,399

Social Security trust funds (pro-posed legislation):

Federal old-age and survivors in- BA 8 9,000 9,000surance trust fund 701 0 • -308,000 -308,000

Federal disability insurance trust 0 B -2,000 -2,000fund 701

Federal hospital insurance trust BA U0,000 10,000fund 652 0 B -345,000 -345,000

Federal supplementary medical in- BA B5,000 5,000surance trust fund 652 0 B —171,000 -171,000

Total social security trust funds BA 24,000 24,000(proposed legislation). 0 -826,000 -826,000

Total trust funds Social Secu- BA 51,972,942 61,534,100 74,473,936 12,939,836rity Administration. 0 48,976,671 58,948,763 67,324,795 8,376,032


Federal Funds

General and special funds:American Printing House for the BA

Blind 605 0

National Technical Institute for the BADeaf 603

0

Model Secondary School for the BADeaf 601 0

Gallaudet College 602 BA0

Howard University 602 BA0

Total Federal funds special BAinstitutions. 0


1,5801,580

7,619

12,332

17,4912,873

13,3719,469

61,34149,449

101,40275,704

1,6971,697

4,694 16 1,915 J18,600

4,6258,863

9,48612,486

58,88172,500

81,298114,146

1,8171,817

6,487

9,610 1G I . 9 1 5 j

3,9628,492

10,49210,001

57,87371,355

80,631103,190

120120

-122

-7,075

-663-371

1,006-2,485

-1,008-1,145

-667-10,956


1974

2 3 0 THE BUDGET FOR FISCAL YEAR 19»7,4





Federal Funds

General and special funds:Office of Child Development...601 BA 390,414 415,556 443,800 28,244

0 215,623 385,300 420,470 35,170

OFFICE OF THE SECRETARY


Office for Civil Rights 703 BA 10,713 14,909 1 17,943 4,673G - 1 , 6 3 9 [

0 10,247 14,863 17,900 1 3,798G - 1 , 2 0 0 <= —439 [

Office of Consumer Affairs 609 BA 1,434 1,076 1,200 1240 1,315 1,176 1,183 7

Departmental Management.___703 BA 49,356 57,084 1 122,198 64,450« -721

Reappropriation BA 1,385 J0 50,347 57,521 104,309 1 46,739

G _336 G _385 fI ntragovernmental funds:

Working capital fund 703 0 -2 ,441 -147 200 347

Consolidated working fund 703 0 -1 ,395

Total Federal funds Office of BA 61,503 72,094 141,341 69,247the Secretary. 0 58,072 71,877 122,768 50,891

SUMMARY

Federal funds:(As shown in detail above) BA 26,967,587 29,562,643 31,543,855 1,981,212

0 26,035,599 27,869,286 30,635,756 2,766,470Deductions for offsetting receipts:

Proprietary receipts from the BAl -659 -350 -300 50public 400 0 |

600 BAl -2,090 -4,137 -4,332 -1950 f

650 BAl -3,115 -3,679 -3,745 -660 f

700 BAl -986 -3,062 -3,286 -2240 f

850 BAl -22,783 -16,857 -19,610 -2,7530 }

Total Federal funds BA 26,937,954 29,534,558 31,512,582 1,978,0240 26,005,966 27,841,201 30,604,483 2,763,282



1974





SUMMARY—Continued

Trust funds:(As shown in detail above) BA 51,973,510 61,536,271 74,477,110 12,940,839

0 48,977,289 58,950,224 67,327,235 8,377,011Deductions for offsetting receipts:

Interfund transactions 701 BAl -748,531 -828,800 -996,700 -167,9000 j

850 BAl / - /0 J

Proprietary receipts from the BAl — 4 —7 —12 —5public 600 0 |

650 BAl -354 -2,028 -3,028 -1,0000 j

700 BAl -42 -42 -42

0 1Total trust funds . _ _. BA 51,224,579 60,705,395 73,477,328 12,771,933

0 48,228,358 58,119,348 66,327,453 8,208,105

Intragovernmental transactions...652 BAl -1,916,646 -1,855,212 -2,616,393 -761,1810 J

701 BAl -537,546 -525,645 -493,788 31,8570 j

Total Department of Health, BA 75,708,334 87,859,096 101,879,729 14,020,633Education, and Welfare. 0 71,780,132 83,579,692 93,821,755 10,242,063

DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

HOUSING PRODUCTION AND MORT-GAGE CREDIT: FEDERAL HOUSINGADMINISTRATION

Federal Funds

General and special funds:Salaries and expenses, housing pro- BA 17,000 15,748 5,300 -10,448

duction and mortgage credit pro- 0 17,000 15,748 5,300 -10,448grams 555

Public enterprise funds:Nonprofit sponsor assistance._.555 BA 4,000 1,000 -1,000

0 1,085 250 -1,000 -1,250

Low-rent public housing loans and 0 -30,925 -10,000 -10,000other expenses 555

College housing—loans and otherexpenses: 602

Participation sales insufficiencies- BA 13,458 12,864 13,297 1 118Permanent, indefinite BA 9,294 420 105 j

0 37,056 10,786 -10,000 -20,786

Housing for the elderly or handi- 0 -1,475 -7,800 -17,843 -10,043capped fund 555


1974

Department of Health, Education and Welfare · DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE...

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