INCREASED FUNDING FOR BBEDCA PROGRAM INTEGRITY ADJUSTMENTS Department of Health and Human Services Department of Health and Human Services FHI Trust Fund, Payments from the General Fund (uninsured and Program Management) Increased funding for BBEDCA program integrity adjustments Centers for Medicare and Medicaid Services Payments to Health Care Trust Funds Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 75–0580–6–1–5712011 actual2012 est.2013 est.
Obligations by program activity:
0004General Fund Transfers to HI114
0900Total new obligations (object class 94.0)114
Memorandum (non-add) entries:
1940Unobligated balance expiring114
Change in obligated balance:
3030Obligations incurred, unexpired accounts114
3040Outlays (gross)–114
Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4100Outlays from new mandatory authority114
4190Outlays, net (total)114
Increased funding for BBEDCA program integrity adjustments Program ManagementOf the funds made available for Program Management by Public Law 112–10, $1,211,899 are hereby cancelled. Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the Health Care Fraud and Abuse Control base or cap adjustment for 2012, the President's Budget proposes to offset the increase to the HCFAC 2012 base funding with unobligated multi-year Healthcare Integrated General Ledger Accounting System and Contracting Reform funding provided in Public Law 112–10.Program and Financing(in millions of dollars)Identification code 75–0511–6–1–5502011 actual2012 est.2013 est.
Obligations by program activity:
0001Program operations–1
0900Total new obligations (object class 25.2)–1
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1701Change in uncollected payments, Federal sources–1
1750Spending auth from offsetting collections, disc (total)–1
1930Total budgetary resources available–1
Change in obligated balance:
Obligated balance, start of year (net):
3000Unpaid obligations, brought forward, Oct 1 (gross)–1
3010Uncollected pymts, Fed sources, brought forward, Oct 11
3030Obligations incurred, unexpired accounts–1
3050Change in uncollected pymts, Fed sources, unexpired1
Obligated balance, end of year (net):
3090Unpaid obligations, end of year (gross)–1–1
3091Uncollected pymts, Fed sources, end of year11
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross–1
Additional offsets against gross budget authority only:
4050Change in uncollected pymts, Fed sources, unexpired1
Federal Hospital Insurance Trust Fund Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 75–8005–6–7–5712011 actual2012 est.2013 est.
Obligations by program activity:
0001Direct program activity–1
0900Total new obligations (object class 94.0)–1
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1133Unobligated balance of appropriations temporarily reduced–1
1160Appropriation, discretionary (total)–1
1930Total budgetary resources available–1
Change in obligated balance:
3030Obligations incurred, unexpired accounts–1
3040Outlays (gross)1
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross–1
Outlays, gross:
4010Outlays from new discretionary authority–1
4180Budget authority, net (total)–1
4190Outlays, net (total)–1
Health Care Fraud and Abuse Control Account Increased funding for BBEDCA program integrity adjustments Health Care Fraud and Abuse Control AccountFor an additional amount for "Health Care Fraud and Abuse Control Account" and in addition to amounts otherwise available for program integrity and program management, $271,722,199, to remain available through September 30, 2013, to be transferred from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as authorized by section 201(g) of the Social Security Act; of which $140,041,412 shall be for Centers for Medicare and Medicaid Services Program Integrity Activities, including administrative costs, to conduct oversight activities for the Medicare program including, but not limited to, Medicare Advantage and the Medicare Prescription Drug Program authorized in title XVIII of the Social Security Act and for activities described in section 1893 of such Act and for Medicaid and Children's Health Insurance Program ("CHIP'') program integrity activities; of which $68,081,621 shall be for the Department of Health and Human Services Office of Inspector General to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act; and of which $63,599,166 shall be for the Department of Justice to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act: Provided, That, of the amount provided under this heading, $1,211,899 is provided to meet the terms of section 251(b)(2)(C)(ii) of the Balanced Budget and Emergency Deficit Control Act of 1985: Provided further, That, of the amount provided under this heading, $270,510,300 is additional new budget authority specified for purposes of subsection 251(b)(2)(C) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended: Provided further, That the amount provided under this heading shall be treated for purposes of section 251(b)(2)(C) as being included under this heading in the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012. Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the base or the cap adjustment for 2012, the President's Budget proposes to increase the 2012 base funding to $311 million (which is fully offset) and to provide the additional $270 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(C) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended.Program and Financing(in millions of dollars)Identification code 75–8393–6–7–5712011 actual2012 est.2013 est.
Obligations by program activity:
0101CMS discretionary BASE1
0103CMS discretionary CAP139
0104Other discretionary CAP131
0900Total new obligations271
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101Appropriation (special or trust fund)272
1144Approp temporarily reduced (Sec 527, HR 2055)–1
1160Appropriation, discretionary (total)271
1930Total budgetary resources available271
Change in obligated balance:
3030Obligations incurred, unexpired accounts271
3040Outlays (gross)–271
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross271
Outlays, gross:
4010Outlays from new discretionary authority271
4180Budget authority, net (total)271
4190Outlays, net (total)271
Object Classification(in millions of dollars)Identification code 75–8393–6–7–5712011 actual2012 est.2013 est.
Direct obligations:
25.3Other purchases of goods and services from Government accounts (HHS/DOJ)63
25.3Other purchases of goods and services from Government accounts (HHS/OIG)68
25.6Medical care (CMS)140
99.9Total new obligations271
Office of the Inspector General Office of the Inspector General Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 75–0128–6–1–5512011 actual2012 est.2013 est.
Obligations by program activity:
0803HCFAC Discretionary allocation adjustment68
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700Collected68
1750Spending auth from offsetting collections, disc (total)68
1930Total budgetary resources available68
Change in obligated balance:
3030Obligations incurred, unexpired accounts68
3040Outlays (gross)–68
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross68
Outlays, gross:
4010Outlays from new discretionary authority68
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030Federal sources–68
Object Classification(in millions of dollars)Identification code 75–0128–6–1–5512011 actual2012 est.2013 est.
99.9Total new obligations68
Employment SummaryIdentification code 75–0128–6–1–5512011 actual2012 est.2013 est.
2001Reimbursable civilian full-time equivalent employment208
Legal Activities and U.S. Marshals Salaries and Expenses, General Legal Activities Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 15–0128–6–1–9992011 actual2012 est.2013 est.
Obligations by program activity:
0880Health Care Fraud salaries and expenses30
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700Collected30
1750Spending auth from offsetting collections, disc (total)30
1930Total budgetary resources available30
Change in obligated balance:
3030Obligations incurred, unexpired accounts30
3040Outlays (gross)–30
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross30
Outlays, gross:
4010Outlays from new discretionary authority30
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030Federal sources–30
Object Classification(in millions of dollars)Identification code 15–0128–6–1–9992011 actual2012 est.2013 est.
99.9Total new obligations30
Employment SummaryIdentification code 15–0128–6–1–9992011 actual2012 est.2013 est.
2001Reimbursable civilian full-time equivalent employment77
Salaries and Expenses, United States Attorneys Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 15–0322–6–1–7522011 actual2012 est.2013 est.
Obligations by program activity:
0801Health Care Fraud salaries and expenses25
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700Collected25
1750Spending auth from offsetting collections, disc (total)25
1930Total budgetary resources available25
Change in obligated balance:
3030Obligations incurred, unexpired accounts25
3040Outlays (gross)–25
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross25
Outlays, gross:
4010Outlays from new discretionary authority25
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030Federal sources–25
Object Classification(in millions of dollars)Identification code 15–0322–6–1–7522011 actual2012 est.2013 est.
99.9Total new obligations25
Employment SummaryIdentification code 15–0322–6–1–7522011 actual2012 est.2013 est.
2001Reimbursable civilian full-time equivalent employment70
Federal Bureau of Investigation Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 15–0200–6–1–9992011 actual2012 est.2013 est.
Obligations by program activity:
0801Health Care Fraud salaries and expenses8
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700Collected8
1750Spending auth from offsetting collections, disc (total)8
1930Total budgetary resources available8
Change in obligated balance:
3030Obligations incurred, unexpired accounts8
3040Outlays (gross)–8
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross8
Outlays, gross:
4010Outlays from new discretionary authority8
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030Federal sources–8
Object Classification(in millions of dollars)Identification code 15–0200–6–1–9992011 actual2012 est.2013 est.
99.9Total new obligations8
Employment SummaryIdentification code 15–0200–6–1–9992011 actual2012 est.2013 est.
2001Reimbursable civilian full-time equivalent employment30
Social Security Administration Social Security Administration Supplemental Security Income Program Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 28–0406–6–1–6092011 actual2012 est.2013 est.
Obligations by program activity:
0001Program Integrity Cap Adjustment46
0900Total new obligations (object class 25.3)46
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1100Appropriation46
1160Appropriation, discretionary (total)46
1930Total budgetary resources available46
Change in obligated balance:
3030Obligations incurred, unexpired accounts46
3040Outlays (gross)–46
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross46
Outlays, gross:
4010Outlays from new discretionary authority46
4180Budget authority, net (total)46
4190Outlays, net (total)46
Federal Disability Insurance Trust Fund Increased funding for BBEDCA program integrity adjustments Program and Financing(in millions of dollars)Identification code 28–8007–6–7–6512011 actual2012 est.2013 est.
Obligations by program activity:
0001Program Integrity Cap Adjustment94
0900Total new obligations (object class 94.0)94
Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101Appropriation (special or trust fund)94
1160Appropriation, discretionary (total)94
1930Total budgetary resources available94
Change in obligated balance:
3030Obligations incurred, unexpired accounts94
3040Outlays (gross)–94
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross94
Outlays, gross:
4010Outlays from new discretionary authority94
4180Budget authority, net (total)94
4190Outlays, net (total)94
Limitation on Administrative Expenses Increased funding for BBEDCA program integrity adjustments Limitation on Administrative ExpensesFor an additional amount for "Limitation on Administrative Expenses" for the cost associated with continuing disability reviews under titles II and XVI of the Social Security Act and for the cost associated with conducting redeterminations of eligibility under title XVI of the Social Security Act, $140,695,700 may be expended, as authorized by section 201(g)(1) of the Social Security Act, from any one or all of the trust funds referred to therein: Provided, That such amount is additional new budget authority specified for purposes of subsection 251(b)(2)(B) of the Balanced Budget and Emergency Deficit Control Act of 1985, and shall be treated for such purposes as being included under this heading in the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012. Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the cap adjustment for 2012, the President's Budget proposes to provide the additional $140 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(B) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended.Program and Financing(in millions of dollars)Identification code 28–8704–6–7–6512011 actual2012 est.2013 est.
Obligations by program activity:
0001Program Integrity Cap Adjustment140
Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700Collected - Program Integrity Cap Adjustment140
1750Spending auth from offsetting collections, disc (total)140
1900Budget authority (total)140
1930Total budgetary resources available140
Change in obligated balance:
3030Obligations incurred, unexpired accounts140
3040Outlays (gross)–140
Budget authority and outlays, net:
Discretionary:
4000Budget authority, gross140
Outlays, gross:
4010Outlays from new discretionary authority140
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030Federal sources - Program Integrity Cap Adjustment–140
Object Classification(in millions of dollars)Identification code 28–8704–6–7–6512011 actual2012 est.2013 est.
Direct obligations:
11.1Personnel compensation: Full-time permanent32
12.1Civilian personnel benefits20
23.3Communications, utilities, and miscellaneous charges25
25.1Advisory and assistance services63
99.9Total new obligations140
Employment SummaryIdentification code 28–8704–6–7–6512011 actual2012 est.2013 est.
1001Direct civilian full-time equivalent employment320