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U.S. Department of Health and Human Services
(Selected Programs)
Purchaser: Federal Government
Program: Health Resources and Services Administration, Centers for Disease Control and Indian Health Services grants

Description: The Public Health Service division of the U.S. Department of Health and Human Services administers health care spending programs through the Health Resources and Services Administration (HRSA), Centers for Disease Control (CDC) and Indian Health Services (IHS) grants.

HRSA programs provide health services to groups with special needs, such as mothers and infants, disadvantaged minorities, HIV-infected individuals, vulnerable and special need populations. CDC programs are designed for disease and injury prevention; the IHS programs provide federal health services to American Indians and Alaska Natives.

HRSA –The Health Resources and Services Administration provides financing and direct services through block grants to states, state subgrants or direct grants to local entities. Some HRSA programs, such as the Maternal and Child Health Services Block Grant and Healthy Start program, focus on the special needs of women and children. HRSA also administers several programs that focus on the treatment and prevention of HIV/AIDS and spends the majority of these funds through the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. In fiscal 1997, HRSA awarded Texas $59 million in Ryan White Act funding. HRSA also provides funding for a variety of health programs for the elderly, rural areas and health care facilities that include community health centers and migrant health centers.

CDC –The Centers for Disease Control help state and local health entities to control infectious diseases, reduce chronic diseases and to protect citizens from environmental and workplace hazards.

IHS –The Indian Health Services is the primary health care provider for American Indians and Alaska natives. The IHS provides comprehensive health care services that include: preventive care programs, emergency medical services, pharmacy services, substance abuse programs and diabetes, nutrition, environmental health, dental and mental health programs.

The federal government spent an estimated $313 million in Texas for the HRSA, CDS and IHS programs in fiscal 1998. About $170 million of this total went through state agencies. The remainder, $143 million, went directly to local entities for health care related expenditures.

Texas Total, Fiscal 1998
Amount Spent: Local Entities
HRSA: $110,083,371
CDC: $26,302,152
IHS: $6,798,370
Total HRSA , CDC & IHS: $143,183,893
  State Agency
HRSA: $86,057,537
CDC: $84,179,176
IHS: 0
Total HRSA, CDC & IHS: $170,236,713
  Total State & Local Entities
HRSA: $196,140,908
CDC: $110,481,328
HIS: $6,798,370
Total HRSA, CDC & IHS: $313,420,606
Type of Funding: Federal

Source: U.S. Department of Health and Human Services Administration