Centers for Disease Control and Prevention CDC Coalition

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Transcript Centers for Disease Control and Prevention CDC Coalition

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