CDC/ATSDRPresident’s Budget Request

Fiscal Year 2012

Centers for Disease Control and Prevention

Public health in AmericaA cost-effective investment

• Many of our greatest health gains in the past century have come from public health investments• Historic opportunity to strengthen public

health and expand proven interventions

• Investments in public health support personal responsibility and empower communities to prevent illness, injury, disability and death

CDC budget historyFunding over the past five years

• Compares to FY 2010 enacted level

• Builds on FY 2011PB key program increases and $100 million administrative savings

• Includes new budget structure, aligned with improved organizational design

• Reduces number of budget lines

• Launches several new flexible, comprehensive programs

Budget proposal for fiscal year 2012

FY 2011 priority areasKey increases carried forward

• Winnable Battles• Domestic HIV/AIDS Prevention (+$32M)

• National Healthcare Safety Network (+$12.3M)

• Teen Pregnancy Prevention (+$11M)

• Food Safety (+$8M)

• Health Statistics (+$23.2M)

• Section 317 Immunization (+$17M)• Global Water, Sanitation and Hygiene (+$10M)

• Public Health Workforce Programs (+$10M)

FY 2011 priority areasKey increases carried forward

• Nanotechnology (+$7M)• STD Prevention (+$7M)• Field Epidemiology Lab Training and

Sustainable Management Development (+$6.8M)

• Global Maternal, Newborn, and Child Health (+$2M)

• Autism (+$1.8M)• National Violent Death Reporting

System (+$1.5M)

FY 2012 priority areasIn addition to increases carried forward

from FY 2011

• Strategic National Stockpile (+$59M)

• Domestic HIV/AIDS (+$58M)

• Business Services Support (+$51M)

• Polio Eradication (+$11M)

• Viral Hepatitis (+$5M)

• Quarantine Migration (+$1M)

Chronic Disease Prevention•Block Grant eliminated (–$100M)

•REACH and Healthy Communities eliminated (–$63M)

•Genomics (–$11M)

Preparedness and Response Support•PHEP Grant reduced by 10% (–$71M)

•Academic Centers and Advanced Practice Centers eliminated (–$35M)

•CDC Preparedness reduced (–$19M)

Key decreasesProposed for FY 2012

Environmental Health• Asthma/Lead Poisoning Prevention (–$33M)

• Built Environment eliminated (–$3M)

• Climate Change reduced (–$1M)

Infectious Disease Activities• Prion Disease eliminated (–$5M)

Occupational Safety and Health • Education Research Centers eliminated (–$24M)

• National Occupational Research Agenda Agricultural Sector eliminated (–$23M)

Key decreasesProposed for FY 2012

• Launching the “Chronic Disease Prevention and Health Promotion Grant Program” for States and Territories

• Consolidating existing birth defects funding into three new areas: Child Health and Development; Health and Development for People with Disabilities; and PH Approach to Blood Disorders

• Initiating the new “Healthy Home and Community Environments” Program

• Establishing World Trade Center as a mandatory program

Maximizing investmentsNew CDC programs

• Expansion of Services

• Preventive services without cost sharing

• National Prevention Strategy

• New programs and policies, including menu labeling, and Medicare personal wellness plan

• Prevention and Public Health Fund• Prevent the leading causes of death

• Build essential public health detection and response

• Use information for action

Prevention and Public Health FundOne of ACA’s public health pillars

2010 2011 2012 2013 2014 2015 to 2019

$500 million $750 million $1 billion $1.25 billion $1.5 billion $2 billion/yr

Community prevention is key to preventing disease and reducing long run cost growth•Community Transformation Grants ($221M)

•Chronic Disease State Grants ($158M)

•Tobacco Control ($79M)

•Immunization Support ($62M)

•HIV/AIDS Prevention ($30M)

•Unintentional Injury Prevention ($20M)

•Baby Friendly ($2.5M)

Prevent the leading causes of deathPrevention Fund for FY 2012

Critical to stop outbreaks and preparing for and stopping natural or terrorist disasters• Public Health Detection and Response Capacity

Grant ($40M)• Epidemiology and Laboratory Capacity ($40M)• Public Health Workforce ($25M)• Healthcare Associated Infections ($20M)• Environmental Public Health

Tracking Network ($9M)

Building essential public health detection and response

Prevention Fund for FY 2012

Key to ensuring results, identifying if and where course corrections are needed, and monitoring impact of ACA• Healthcare Surveillance/Health Statistics ($35M)

• Community Guide/Prevention Task Force ($10M)

Information for actionPrevention Fund for FY 2012

FY 2012 budget request(Dollars in millions)

Budget Activity/Description FY 2010FY

2011CRFY

2012PBFY 2012+/-

FY 2010Immunization and Respiratory Diseases 721.2 821.3 721.7 +0.5

HIV/AIDS, Viral Hep, STD and TB Prevention 1,118.7 1,088.5 1,187.5 +68.8

Emerging and Zoonotic Diseases 281.2 312.9 349.1 +67.9

Preventive Health and Health Services Block Grant 100.2 100.3 - 0 - –100.2

Chronic Disease and Health Promotion 924.4 1,166.5 1,185.5 +261.1

Birth Defects, Developmental Disabilities, Disability and Health 143.6 143.6 143.9 +0.3

Injury Prevention and Control 148.8 148.8 167.5 +18.7

Environmental Health 181.0 216.0 137.7 –43.3

Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

FY 2012 budget request(Dollars in millions)

Budget Activity/Description FY 2010FY

2011CRFY

2012PBFY 2012+/-

FY 2010

Public Health Scientific Services 440.7 490.4 493.6 +52.9

Occupational Safety and Health 374.6 374.6 259.9 –114.7

Global Health 354.4 354.4 381.2 +26.8

Public Health Preparedness and Response 1,522.3 1,522.6 1,452.6 –69.7

Public Health Leadership and Support 194.4 185.5 162.6 –31.8

Buildings and Facilities 69.1 69.2 30.0 –39.1

Business Services Support 366.7 366.8 417.5 +50.8

Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

FY 2012 budget request(Dollars in millions)

Budget Activity/Description FY 2010FY

2011CRFY

2012PBFY 2012+/-

FY 2010

TOTAL PROGRAM LEVEL FUNDING 6,941.4 6,750.5 7,090.4 +149.0

Agency for Toxic Substances and Disease Registry 76.8 76.8 76.3 –0.5

Public Health and Social Services Emergency Fund Transfer - 0 - - 0 - 30.0 +30.0

Affordable Care Act 48.0 - 0 - - 0 - –48.0

Vaccines for Children 3,760.6 3,899.1 4,031.0 +270.4

Energy Employees Occupational Illness Compensation Program Act

55.4 55.4 55.4 - 0 -

Other User Fees 2.2 2.2 2.2 - 0 -

TOTAL AGENCY FUNDING 10,884.4 10,784.0 11,255.3 +370.9

Funding includes budget authority, PHS Evaluation and ACA Prevention Funds

For more budget information

http://www.cdc.gov/fmo