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IHS Budget Formulation

Indian Health Service. IHS Budget Formulation. 2013 Virtual Tribal Consultation Summit November 5, 2013. Presentation Overview. IHS Budget IHS Budget Process Background Process Current Activities – FY 2016 Budget Formulation Additional Training Resources. IHS Budget.

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IHS Budget Formulation

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  1. Indian Health Service IHS Budget Formulation 2013 Virtual Tribal Consultation Summit November 5, 2013

  2. Presentation Overview • IHS Budget • IHS Budget Process • Background • Process • Current Activities – FY 2016 Budget Formulation • Additional Training Resources

  3. 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

  4. 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 2012Enacted • FY 2015 Tribal Recommendation • 19.7% increase over FY 2014 PB • $5.3 Billion total (approx. $870 million increase)

  5. 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

  6. 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

  7. IHS Preliminary Budget SubmissionJune HHS ConsultationMarch IHS Budget Formulation Process Individual Area Worksessions Oct-Dec Evaluation Session June National Budget Worksession Feb

  8. 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

  9. IHS Budget Phases Planning IHS, Tribes, Urbans Formulation IHS HHS OMB Approps SubComm/Full Comm Full House & Senate Conference Committee Present to Congress Execution IHS, Tribes, Urbans

  10. 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

  11. 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

  12. 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

  13. 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

  14. Thank you! Questions?

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