.

Health Resources and Services Administration
(HRSA) FY2016 Budget Request and Funding
History: Fact Sheet
Elayne J. Heisler
Specialist in Health Services
May 26, 2015
Congressional Research Service
7-5700
www.crs.gov
R44054

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HRSA FY2016 Budget Request and Funding History: Fact Sheet

Agency Overview
The Health Resources and Services Administration (HRSA) within the Department of Health and
Human Services (HHS) is the federal agency charged with improving the health safety net by
providing access to health care for those who are uninsured, isolated, or medically vulnerable.
The agency currently awards funding to more than 3,000 grantees, including community-based
organizations; colleges and universities; hospitals; state, local, and tribal governments; and
private entities to support health services projects, such as training health care workers or
providing specific health services.1
HRSA is organized into five bureaus: (1) Primary Care; (2) Health Workforce;2 (3) Maternal and
Child Health; (4) HIV/AIDS; and (5) Healthcare Systems. In addition to these bureaus, HRSA has
10 offices. Some offices focus on specific populations or health care issues (e.g., Office of
Women’s Health, Office of Rural Health Policy), while others provide agency-wide support or
technical assistance to HRSA’s regional offices (e.g., Office of Planning, Analysis and
Evaluation; Office of Regional Operations). This fact sheet focuses on the agency’s funding; a
number of specific HRSA programs are described in more detail in other CRS reports.3
Funding Sources
HRSA has four major sources of funding, described here in order of magnitude: (1) discretionary
appropriations, (2) mandatory funds directly appropriated from the Patient Protection and
Affordable Care Act (ACA, P.L. 111-148, as amended) and extended in subsequent legislation,
(3) Public Health Service (PHS) Program Evaluation Set-Aside funds,4 and (4) user fees. HRSA
receives its discretionary appropriation through the Labor, Health and Human Services, and
Education appropriations act.5 HRSA also began receiving mandatory appropriations from the
ACA to support specific programs.6 For example, the ACA established the Community Health
Center Fund (CHCF) to support health centers and the National Health Service Corps.7 HRSA
programs also receive transfers from the ACA-created Prevention and Public Health Fund
(PPHF).8 In addition to mandatory and discretionary funding, HRSA programs receive funds from
the PHS Program Evaluation Set-Aside and collect user fees.

1 See HRSA’s website at http://www.hrsa.gov.
2 The Bureau of Health Workforce was created in May 2014 by combining the Bureau of Health Professions, which
administered most of HRSA’s primary care training programs, and the Bureau of Clinician Recruitment and Service,
which administered the NHSC, NURSE Corps, and the Faculty Loan Repayment Program.
3 See CRS Report R43930, Maternal and Infant Early Childhood Home Visiting (MIECHV) Program: Background and Funding;
CRS Report R43911, The Community Health Center Fund: In Brief; CRS Report R43937, Federal Health Centers: An
Overview; CRS Report R43177, Health Workforce Programs in Title VII of the Public Health Service Act; CRS Report
R43920, National Health Service Corps: Changes in Funding and Impact on Recruitment; and CRS Report R42428, The
Maternal and Child Health Services Block Grant: Background and Funding.
4 For more information, see CRS Report R43304, Public Health Service Agencies: Overview and Funding.
5 For more information, see CRS Report R43967, Labor, Health and Human Services, and Education: FY2015
Appropriations.
6 These programs are described in CRS Report R41278, Public Health, Workforce, Quality, and Related Provisions in
ACA: Summary and Timeline.
7 CRS Report R43911, The Community Health Center Fund: In Brief.
8 See Appendix C of CRS Report R43304, Public Health Service Agencies: Overview and Funding.
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HRSA FY2016 Budget Request and Funding History: Fact Sheet

The President’s FY2016 budget request included new mandatory funding proposals that would
have extended ACA funding that had been slated to end in FY2015. After the President’s FY2016
budget request was released, the Medicare Access and CHIP Reauthorization Act of 2015
(MACRA, P.L. 114-10) was enacted, which extended mandatory funding for the CHCF (which
supports health centers and the National Health Service Corps), Teaching Health Centers,
Maternal and Infant Home Visiting, and Family-to-Family Information Centers.9 Table 1 presents
enacted funding for HRSA in FY2011 through FY2015. It also shows the President’s request for
FY2016, and amounts enacted for FY2016 under MACRA. The FY2016 funding cycle is still in
process.
Table 1. Health Resources and Services Administration (HRSA)
(Millions of Dollars, by Fiscal Year)
2016
2016
Bureau or Activity
2011
2012
2013
2014
2015
req.
Enacteda
Primary Care
4,149
2,817
2,992
3,636
5,001
4,191
—
Health Centers
2,481
2,672
2,856
3,545
4,901
4,092
—
Discretionary (non-add)
(1,481)
(1,472)
(1,391)
(1,397)
(1,392)
(1,392)
—
CHCF Transfer (non-add)
(1,000)
(1,200)
(1,465)
(2,145)
(3,509)
—
(3,600)
New mandatory proposal,
—
—
—
—
—
(2,700) —
non-add)
Health Center Tort Claims
100
95
89
95
100
100
—
School Based Health
50
50
47
—
—
—
—
Centers (ACA Sec. 4101(a))
Health Center Construction
1,500
—
—
—
—
—
—
(ACA Sec. 10503(c))
Hansen’s Disease Programsb 18
—
—
—
—
— —
Health Workforce
1,357
1,086
1,001
1,043
1,058
1,799
—
National Health Service
315
295
285
283
287
810
—
Corps (NHSC)
Discretionary (non-add)
(25)
—
—
—
—
(287)
—
CHCF Transfer (non-add)
(290)
(295)
(285)
(283)
(287)
— (310)
New mandatory proposal,
—
—
—
—
—
(523) —
(non-add)
Training for Diversityc 95
85
80
81
82
85
—
Primary Care Training and
39
39
37
37
39
39
—
Enhancement
Rural Physician Training
—
—
—
—
—
4
—
Grants
Interdisciplinary,
72
73
62
72
73
53
—
Community-Based Linkagesd
PPHF Transfer (non-add)
—
(12)
(2)
—
—
— —
Public Health Workforce
30
33
8
18
21
17
—
Development
PPHF Transfer (non-add)
(20)
(25)
—
—
—
—
—
Nursing Workforce
242
231
218
224
232
232
—
Developmente
Children’s Hospital GME
268
265
251
264
265
100f
—
Payments

9 CRS Report R43962, H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015.
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HRSA FY2016 Budget Request and Funding History: Fact Sheet

2016
2016
Bureau or Activity
2011
2012
2013
2014
2015
req.
Enacteda
GME Targeted Support (new
—
—
—
—
—
400f
—
mandatory proposal)
Teaching Health Center
230
—
—
—
—
—
60
GME Payments (ACA
Sec.5508(c))
Other Health Workforce
41
35
34
37
39
39
—
Programsg
National Practitioner Data
24
28
27
27
19
20
—
Bank (User Fees)
Maternal and Child Health
1,128
1,208
1,193
1,220
1,254
1,352
—
Maternal and Child Health
656
639
605
634
637
637
—
Block Grant
Healthy Start
104
104
98
101
102
102
—
Home Visiting (ACA Sec.
250
350
380
371
400
— 400
2951)
Home Visiting (New
—
—
—
—
—


500
—
mandatory proposal)h
Family-to-Family Health
5
5
5
3
5
2.5i
5
Centers (ACA Sec. 5507)
Other Maternal and Child
113
112
105
110
112
112
—
Health Programsj
Ryan White HIV/AIDS
2,337
2,392
2,249
2,313
2,319
2,323
—
PHS Evaluation Fund (non-
(25)
(25)
(25)
(25)
—
—
—
add)
Health Care Systems
87
101
95
103
103
118
—
Health Care Systems
82
96
91
75
76
76
—
Programsk
Hansen’s Disease Programs
—
18
17
17
17
17
—
340B Drug Pricing Programs
4
4
4
10
10
25
—
User fee (non-add)
—
—
—
—
—
(7.5) —
Rural Health
138
138
131
142
147
128
—
Other Activities
467
460
436
446
448
465
—
Family Planning
299
294
278
286
286
300
—
Program Management
162
160
151
153
154
157
—
Vaccine Injury
6
6
6
6
7.5
7.5
—
Compensation Program
Operations
Total, Program Level
9,663
8,202
8,097
8,902
10,330
10,375
—
Less Funds From Other Sources

PHS Evaluation Set-Aside 25
25
25
25
—
—
—
User Fees
24
28
27
27
19
28
—
ACA Mandatory Funds:
20
37
2
—
—
—
—
PPHF Transfers
ACA Mandatory Funds:
1,290
1,495
1,750
2,428
3,796
3,796 3,910
CHCF Transfers
ACA Mandatory Funds:
2,035
405
432
374
405
2.5 470
Other
New Mandatory Proposals
—
—
—
—
—
4,123
—
for FY2016
Total, Discretionary Budget
6,269
6,212
5,861
6,046
6,112
6,225
N/A
Authority
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HRSA FY2016 Budget Request and Funding History: Fact Sheet

Sources: The funding amounts are from congressional budget justification documents and HHS’s Budget in Brief,
available at http://www.hhs.gov/budget/; and from P.L. 114-10.
Note: Individual amounts may not add to subtotals or totals due to rounding.
a. Shows funds appropriated in Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). The
appropriations process for FY2016 is ongoing; therefore, remaining amounts and totals are not yet available.
b. Beginning in FY2012, the Hansen’s Disease Programs appears under Health Care Systems.
c. Training for Diversity includes Centers for Excel ence, Scholarships for Disadvantaged Students, and the
Health Careers Opportunity Program.
d. Interdisciplinary, Community-Based Linkages include Area Health Education Centers, Geriatric Programs,
and Mental and Behavioral Health Education and Training, and Clinical Training for Interdisciplinary Practice.
e. Nursing Workforce Development include NURSE Corps; Advanced Nursing Education; Nursing Workforce
Diversity; Nurse Education, Practice, Quality and Retention; Nurse Faculty Loan Program; and
Comprehensive Geriatric Education.
f.
The President’s FY2016 budget proposed new mandatory funding for Targeted Support for Graduate
Medical Education, which would be used to provide additional support for the Children’s Hospital GME
Payment Program and full support for the Teaching Health Center GME program.
g. Other Health Workforce Programs include Health Care Workforce Assessment, Patient Navigator
(FY2011 only), and Oral Health Training.
h. The President’s FY2016 budget proposed new mandatory funds to extend and expand the home visiting
program through FY2025, including $500 million for FY2016.
i.
P.L. 113-93 provided $2.5 million for this program for FY2015, which was repealed when P.L. 114-10
provided a full year of funding ($5 million) for this program for FY2015.
j.
Other Maternal and Child Health Programs include Autism and Other Developmental Disorders, Traumatic
Brain Injury, Sickle Cell Services Demonstration, Universal Newborn Hearing Screening, Emergency Medical
Services for Children, and Heritable Disorders.
k. Health Care Systems Programs include Organ Transplantation, National Cord Blood Inventory, C.W. Bil
Young Cell Transplantation Program, and Poison Control Centers.

Author Contact Information

Elayne J. Heisler

Specialist in Health Services
eheisler@crs.loc.gov, 7-4453

Congressional Research Service
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