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Saturday, November 21, 2009

BIO's Analysis of Bush's 2004 Budget

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Other Department of Health and Human Services Programs

The Department of Health and Human Services (HHS) is the nation's largest health insurer. The Department is charged with promoting and protecting the health and well-being of all Americans, and provides world leadership in biomedical and public health sciences. HHS addresses these objectives through programs in basic and applied science, public health, income support, child development, and the financing of health and social services.

HHS Biodefense Initiative
Many of the previously proposed bioterrorism efforts are ongoing, some under the new Department of Homeland Security, but efforts of the Centers for Disease Control and other HHS departments continue. In addition, the HHS budget proposes to allow the pre-purchase of bioterrorism countermeasures as soon as experts agree that they are safe and effective and "can ultimately be licensed." FDA is granted additional authority to license products for emergency use.

The National Institutes of Health (NIH)
The NIH Budget is proposed at $27.9 billion-not a significant increase over previous years, though maintaining the previous "doubling" of the agency's budget; however, $1.6 billion in increased funds are again provided to expand biodefense efforts.

The budget proposes $100 million in additional funding for international AIDS prevention efforts.

Funding highlights
  • The Budget provides $27.9 billion for the NIH to complete the 5-year doubling of the NIH funding. In 2004, NIH will support more than 35,920 grants, an increase of more than 8,800 from 1998.
  • The FY'04 Budget supports the NIH request of $1.6 billion for biodefense research. NIH will coordinate its homeland security research with the Department of Homeland Security and the Office of Science Technology Policy.
  • An increase of $25 million is provided in R&D contracts to fund studies arising from the Best Pharmaceuticals for Children Act.
  • The FY'04 NIH budgets $15.2 billion to fund 39,520 investigator-initiated research project grants - the highest level in the agency's history.

Disease Prevention
$100 million of targeted disease prevention is proposed to prevent the onset of diabetes, obesity and asthma.

An additional $100 million in funding is proposed for prevention of influenza, including a proposal to move toward cell-based technology for flu vaccine production.

The budget also includes a $100 million increase for AIDS Drug Assistance Programs (ADAP), and an additional $10 million for increased screenings for breast and cervical cancer.

Centers for Disease Control (CDC)
The proposed budget includes $4.23 billion for the Centers for Disease Control-a decrease of $33 million from last year's proposal. Programs and research supporting international HIV/AIDS initiatives receive $293 million under the proposed budget.

HHS Spending
 2002 (actual)2003 (estimate)2004 (request)
HHS
(Discretionary)
$59.692 billion$63.339 billion$65.013 billion
% Change*---5.75% increase2.57% increase
FDA
 
$1.370 billion$1.387 billion$1.407 billion
% Change*---1.2% increase1.4% increase
CDER
 
$352.6 million$352.6 million$485.8 million
% Change*------27.4% increase
CBER
 
$155.8 million$155.8 million$162.7 million
% Change*------4.2% increase
CFSAN
 
$312 million$312 million$413.2 million
% Change*------24.5% increase
CVM
 
$82.9 million$82.9 million$85.2 million
% Change*------2.7% increase
NIH
 
$23.294 billion$27.359 billion$27.907 billion
% Change*---14.8% increase2% increase
CDC
 
$4.45 billion$4.26 billion$4.23 billion
% Change*---4.4% decrease0.7% decrease

* % Change from the previous year.

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