IHS Budget Formulation

Indian Health Service

2013 Virtual Tribal Consultation SummitNovember 5, 2013

Presentation Overview

• IHS Budget• IHS Budget Process

– Background– Process– Current Activities – FY 2016 Budget

Formulation– Additional Training Resources

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IHS Budget

• The IHS FY 2013 budget consisted of discretionary and mandatory appropriations as well as third party collections.

• FY 2013 Full-Year CR level– $4.130B discretionary budget authority– $147M mandatory appropriation (SDPI)– $997M (est) collections

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Budget Updates

• FY 2014 President’s Budget - $4.4 Billion– House Markup is $4.1 Billion– Senate Markup is $4.4 Billion– Tribal recommendation is 22.58% increase over FY

2012 Enacted• FY 2015 Tribal Recommendation

– 19.7% increase over FY 2014 PB– $5.3 Billion total (approx. $870 million increase)

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IHS Budget

• Since 2008, the IHS budget has increased by 23%.– CHS budget has increased by 38%; this

means increased access to care for patients• IHS partnership with Tribes has been key• IHS continues to be a priority for this

Administration

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IHS Budget Formulation

Background•First convened to develop FY 2000 request•Purpose: to ensure Tribes, Indian organizations and other key stakeholders are actively involved and have meaningful input in the IHS budget formulation process•Prior to FY 2000 and internal “enhancement” process used with Tribal consultation occurring at the national level with NIHB

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IHS Budget Formulation Process

HHS Consultation March

EvaluationSession

June

Individual Area Worksessions

Oct-Dec

National BudgetWorksession

Feb

IHS Preliminary Budget Submission

June

Budget Formulation Activity

• October – December: Area work sessions• February – March: National Budget

meeting– Consolidate budget recommendations

• March – HHS Tribal Consultation• May – June: Evaluation/Planning Meeting

– Evaluates and Plans process

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Formulation

Present toCongress

Execution

Planning IHS, Tribes, Urbans

HHS

OMB

Approps SubComm/Full CommFull House & Senate

Conference Committee

IHS, Tribes, Urbans

IHS

IHS Budget Phases

BFWG Composition

• Co-chairs selected• Two Tribal representatives from each of

the 12 IHS Areas• Technical staff participate and support

Area reps • National Indian organizations also

participate at discretion of the IHS Director

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Tribal Budget RecommendationsFY 2015

• Phase-In Full Funding of IHS over 12 years• Fully fund Current Services• Protect Prior Year Health Care Gains & Advance Tribal

Health • Increases for:

– Hospitals and Health Clinics– Mental Health– Purchased/Referred Care– Contract Support Costs– Alcohol & Substance Abuse Services– Health Care Facilities Construction

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Current Activities - FY 2016

• Area Sessions – now through December• Area recommendations due to HQ

Budget tables – December 20, 2013 All other deliverables – December 31, 2013

• Area roll-up tables to national worksession participants – January 30, 2014

• National Budget Formulation Worksession – February 11-13, 2014, Washington, D.C. Metro Area Half-Day Afternoon Orientation – February 11, 2014 Worksession – February 12-13, 2014

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IHS Budget Formulation

For more information about IHS Budget Formulation contact:

– IHS Office of Finance and Accounting, Division of Budget Formulation, 301-443-1270

– www.ihs.gov/BudgetFormulation

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Thank you!

Questions?

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