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Centers for Disease Control and Prevention

FY 2010 BudgetMay 14, 2009

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CDC/ATSDR FY 2010 President’s Budget Total Funding Level:

$10.1 billion, $22.5 million below FY 2009

Activity FY 2010 PBFY 2010 +/-

FY 2009

CDC Discretionary * $6.7 billion +$31.6 million

CDC Mandatory $3.4 billion ($54.1) million

– Vaccines for Children $3.3 billion ($54.1 million)

– EEOICPA $55.3 million $0

Total CDC/ATSDRTotal CDC/ATSDR $10.1 billion$10.1 billion ($22.5) million($22.5) million

CDC’s FY 2010 President’s Budget

*includes PHS Evaluation Transfers, Supplementals and ATSDR

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FY 2010 President Budget’s(Dollars in Thousands)

Budget Activity/Description FY 2008 Actual

FY 2009Appropriation

FY 2010President’s

Budget

FY 2010 +/-

FY 2009

Infectious Diseases Control $149,925 $157,426 $168,741 $11,315

HIV/AIDS, STD and TB Prevention $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

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FY 2010 President’s Budget(Dollars in Thousands)

Budget Activity/Description FY 2008 Actual

FY 2009Appropriation

FY 2010President’s

Budget

FY 2010 +/-

FY 2009

Global Health $302,371 $308,824 $319,134 $10,310

Terrorism $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

Vaccines for Children $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

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 +$1.6 million

Business Services and Support (BSS) +$12.7 million

Domestic Violence +$3.1 million

Emerging Infectious Diseases +11.1 million

Food Safety +4.4 million

Global Immunization Program +$10.1 million

Health Statistics +$13.9 million

HIV/AIDS Research and Domestic +$53.0 million

Nanotechnology +$5.0 Million

Navajo Nation Uranium Studies +$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

Health Marketing

Congressional Projects (PHIL)

Buildings and Facilities

Anthrax

($1.5 million)

($3.0 million)

($22.0 million)

($121.5 million)

($7.8 million)

* *Does not include Pay Raise

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Increased InvestmentsFY 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 CommunityHealth (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 (-$121.5million)

Congressional Projects (-$22.0Million)

Mind-Body Institute (-$1.5 million)

National Center for HealthMarketing (-$3.0 million)

Vaccines for Children (-$54.1million)

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HIV/AIDS +$53.0 million 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

Chronic Disease Prevention, Health Promotion and Genomics

+14.3 million

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.

Seven out of every ten American deaths are from chronic diseases each year. About one-fourth of people with chronic conditions have one or more daily activity limitations.

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Public Health Emergency Preparedness Cooperative Agreement (PHEP)

+$14.5 million

Public Health Emergency Preparedness Cooperative Agreement (PHEP)

+$14.5 million

Increased resources in FY 2010 will be used to provide additional funding to state and local health departments through the PHEP Cooperative agreement.

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.

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National Center for Health Statistics +$13.9 Million

National Center for Health Statistics +$13.9 Million

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

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.

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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.

Autism+$1.6 million

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.

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National Center for Health Marketing(-$3.0 million)

National Center for Health Marketing(-$3.0 million)

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

The FY 2010 Health Marketing budget will continue to fund CDC priority prevention areas.

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http://www.cdc.gov/fmo/fmofybudget.htm

Additional Budget Information

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Questions and Answers