FY 2024 Operating Plan (PDF - 302 KB)
Primary Care
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Native Hawaiian Health Care | 27.000 | 27.000 |
| Health Center Tort Claims | 120.000 | 120.000 |
| Ending the HIV Epidemic Initiative | 157.250 | 157.250 |
| Intimate Partner Violence and Project Catalyst | 2.000 | 2.000 |
| Primary Care Associations (Technical Assistance) | 2.500 | 2.500 |
| School-Based Health Centers | 55.000 | 55.000 |
| Alcee L. Hastings Program for Advanced Cancer Screening in Underserved Communities | 10.000 | 10.000 |
| Early Childhood Development | 30.000 | 30.000 |
| Other Health Centers Funding | 1,454.022 | 1,454.022 |
| Subtotal, Health Centers | 1,857.772 | 1,857.772 |
| Free Clinics Medical Malpractice | 1.000 | 1.000 |
| Total, Primary Health Care | 1,858.772 | 1,858.772 |
Health Workforce
National Health Service Corps
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Placement at Health Care Facilities within Indian Health Service | 15.600 | 16.000 |
| Maternity Care Target Areas | 5.000 | 8.000 |
| Other National Health Services | 105.000 | 104.600 |
| Subtotal, National Health Service Corps | 125.600 | 128.600 |
Training for Diversity
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Centers of Excellence | 28.422 | 28.422 |
| Health Careers Opportunity Program | 16.000 | 16.000 |
| Faculty Loan Repayment | 2.310 | 2.310 |
Scholarships for Disadvantaged Students
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Midwife Training | 5.000 | 5.000 |
| Other Scholarships for Disadvantaged Students | 50.014 | 50.014 |
| Subtotal, Scholarships for Disadvantaged Students | 55.014 | 55.014 |
Subtotal, Training for Diversity
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Subtotal, Training for Diversity | 101.746 | 101.746 |
Primary Care Training and Enhancement
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Eating Disorders Screening and Referrals | 1.000 | 1.000 |
| Other Primary Care Training and Enhancement | 48.924 | 48.924 |
| Subtotal, Primary Care Training and Enhancement | 49.924 | 49.924 |
Training in Oral Health Care
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| State Oral Health Workforce Grants | - | 15.000 |
| General Dentistry Program | 13.000 | 13.000 |
| Pediatric Dentistry Program | 13.000 | 13.000 |
| Other Oral Health | 16.673 | 1.673 |
| Subtotal, Training in Oral Health Care | 42.673 | 42.673 |
Medical Student Education
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Medical Student Education1 | 60.000 | 60.000 |
Pediatric Specialty Loan Repayment Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Pediatric Specialty Loan Repayment Program | 10.000 | 10.000 |
Interdisciplinary, Community-Based Linkages
Area Health Education Centers
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Rural Health Care Simulation Labs | 3.000 | 3.000 |
| Other Area Health Education Centers | 44.000 | 44.000 |
| Subtotal, Area Health Education Centers | 47.000 | 47.000 |
Geriatric Programs
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Geriatric Programs | 47.245 | 48.245 |
Behavioral Health Workforce Education and Training
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Mental and Substance Use Disorder Workforce Training Demonstration | 9.700 | 9.700 |
| Addiction Medicine Fellowship Program | 25.000 | 25.000 |
| Peer Support | 14.000 | 14.000 |
| Substance Use Disorder Treatment and Recovery Loan Repayment Program | 40.000 | 40.000 |
| Other Behavioral Health Workforce Education and Training | 64.300 | 64.300 |
| Subtotal, Behavioral Health Workforce Education and Training | 153.000 | 153.000 |
Mental and Behavioral Health
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Graduate Psychology Education | 25.000 | 25.000 |
| Other Mental Health | 19.053 | 19.053 |
| Subtotal, Mental and Behavioral Health | 44.053 | 44.053 |
Subtotal, Interdisciplinary, Community-Based Linkages
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Subtotal, Interdisciplinary, Community-Based Linkages | 291.298 | 292.298 |
Workforce Information and Analysis
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Workforce Information and Analysis | 5.663 | 5.663 |
Public Health Preventative Medicine
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Public Health Preventative Medicine | 18.000 | 18.000 |
Nursing Programs
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Advanced Education Nursing: Sexual Assault Nurse Examiners Program | 15.000 | 15.000 |
| Advanced Education Nursing: Certified Nurse Midwives | 8.000 | 8.000 |
| Advanced Education Nursing: Other Advanced Education Nursing | 66.581 | 66.581 |
| Subtotal, Advanced Education Nursing | 89.581 | 89.581 |
| Nurse Education, Practice, Quality and Retention: Experiential Learning Opportunities | 10.750 | 10.750 |
| Nurse Education, Practice, Quality and Retention: Registered Nurse Shortage | 4.750 | 9.750 |
| Nurse Education, Practice, Quality and Retention: Other | 43.913 | 43.913 |
| Subtotal, Nurse Education, Practice, Quality and Retention | 59.413 | 64.413 |
| Nurse Practitioner Optional Fellowship Program | 6.000 | 6.000 |
| Nursing Workforce Diversity | 24.343 | 24.343 |
| Nurse Corps Loan Repayment & Scholarship Program | 92.635 | 92.635 |
| Nurse Faculty Loan Program | 28.500 | 28.500 |
| Subtotal, Nursing Programs | 300.472 | 305.472 |
Children's Hospitals Graduate Medical Education Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Children's Hospitals Graduate Medical Education Program | 385.000 | 390.000 |
Total, Health Workforce
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, Health Workforce | 1,390.376 | 1,404.376 |
National Practitioner Data Bank (user fee)
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| National Practitioner Data Bank (user fee) | 18.814 | 18.814 |
Maternal and Child Health
Maternal and Child Health Block Grant
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Grants to States | 593.808 | 593.308 |
| Special Projects of Regional and National Significance (SPRANS) | 70.224 | 68.224 |
| SPRANS - Maternal Mortality (State Maternal Health Innovation Grants) | 55.000 | 55.000 |
| SPRANS - Maternal Mental Health Hotline | - | - |
| SPRANS - Minority Serving Institutions | 10.000 | 10.000 |
| SPRANS - Oral Health | 5.250 | 5.250 |
| SPRANS - Epilepsy | 3.642 | 3.642 |
| SPRANS - Sickle Cell | 7.000 | 7.000 |
| SPRANS - Fetal alcohol syndrome | 1.000 | 1.000 |
| SPRANS - Early Childhood Education Expert Grants | 10.000 | 10.000 |
| SPRANS - Infant - Toddler Court Teams | 18.000 | 18.000 |
| SPRANS - Regional Pediatric Pandemic Network | 25.000 | 25.000 |
| SPRANS - Hereditary Hemorrhagic Telangiectasia Centers for Excellence | 2.000 | 2.000 |
| SPRANS - National Fetal Infant and Child Death Review | 5.000 | 5.000 |
| Subtotal, SPRANS | 212.116 | 210.116 |
| Community Integrated Service Systems (CISS) | 10.276 | 10.276 |
| Subtotal, Maternal and Child Health Block Grant | 816.200 | 813.700 |
Autism and Other Developmental Disorders
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Leadership Education In Neurodevelopment & Related Disabilities (LEND) | 38.245 | 38.245 |
| Other Autism and Other Developmental Disorders | 18.099 | 18.099 |
| Subtotal, Autism and Other Developmental Disorders | 56.344 | 56.344 |
Sickle Cell Service Demonstrations
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Sickle Cell Service Demonstrations | 8.205 | 8.205 |
Early Hearing Detection and Intervention
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Early Hearing Detection and Intervention | 18.818 | 18.818 |
Emergency Medical Services for Children
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Emergency Medical Services for Children | 24.334 | 24.334 |
Healthy Start
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Other Healthy Start | 144.500 | 145.000 |
| Subtotal, Healthy Start | 144.500 | 145.000 |
Heritable Disorders in Newborns & Children
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Severe Combined Immune Deficiency Funding | 4.000 | 4.000 |
| Other Heritable Disorders in Newborns & Children | 16.883 | 16.883 |
| Subtotal, Heritable Disorders | 20.883 | 20.883 |
Screening and Treatment for Maternal Mental Health and Substance Use Disorders
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Screening and Treatment for Maternal Mental Health and Substance Use Disorders | 10.000 | 11.000 |
Pediatric Mental Health Care Access
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Pediatric Mental Health Care Access | 13.000 | 13.000 |
Poison Control Centers
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Poison Control Centers | 26.846 | 26.846 |
Innovation for Maternal Health
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Innovation for Maternal Health | 15.300 | 15.300 |
Integrated Services for Pregnancy and Postpartum Women
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Integrated Services for Pregnancy and Postpartum Women | 10.000 | 10.000 |
| Maternal Mental Health Hotline2 | 7.000 | 7.000 |
Total, Maternal and Child Health
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, Maternal and Child Health | 1,171.430 | 1,170.430 |
Ryan White HIV/AIDS Program
Emergency Relief - Part A
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Emergency Relief - Part A | 680.752 | 680.752 |
Comprehensive Care - Part B
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| AIDS Drug Assistance (Section 2616 & 311 (c) of PHS Act) | 900.313 | 900.313 |
| Other Part B | 464.565 | 464.565 |
| Subtotal, Part B | 1,364.878 | 1,364.878 |
Subtotal, Parts A and B
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Subtotal, Parts A and B | 2,045.630 | 2,045.630 |
Early Intervention - Part C
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Early Intervention - Part C | 208.970 | 208.970 |
Children, Youth, Women & Families - Part D
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Children, Youth, Women & Families - Part D | 77.935 | 77.935 |
Education and Training Centers - Part F
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Education and Training Centers - Part F | 34.886 | 34.886 |
AIDS Dental Services - Part F
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| AIDS Dental Services - Part F | 13.620 | 13.620 |
Special Projects of National Significance
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Special Projects of National Significance | 25.000 | 25.000 |
Domestic HIV Initiative
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Domestic HIV Initiative | 165.000 | 165.000 |
Subtotal, Ryan White HIV/AIDS Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Subtotal, Ryan White HIV/AIDS Program | 525.411 | 525.411 |
Total, HIV/AIDS
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, HIV/AIDS | 2,571.041 | 2,571.041 |
Health Systems
Organ Transplantation
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Modernization Initiative | - | 23.000 |
| Other Organ Transplantation | 31.549 | 31.049 |
| Subtotal, Organ Transplantation | 31.549 | 54.049 |
Other Health Systems
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| National Cord Blood Inventory | 19.266 | 19.266 |
| C.W. Bill Young Cell Transplantation Program | 33.009 | 33.009 |
| Hansen's Disease Center | 13.206 | 13.706 |
| Payment to Hawaii | 1.857 | 1.857 |
| National Hansen's Disease Program - Buildings and Facilities | 0.122 | 0.122 |
Total, Health Systems
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, Health Systems | 99.009 | 122.009 |
Rural Health
Rural Health Policy Development
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Rural Health Policy Development | 11.076 | 11.076 |
Rural Health Outreach Grants
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Other Rural Health Outreach Grants | 54.975 | 54.475 |
| Delta States Network Grant Program3 | 27.000 | 29.000 |
| Northern Border Regional Commission (NBRC) | 3.000 | 4.000 |
| Appalachian Region Healthcare Support Program | - | 1.500 |
| Rural Maternity and Obstetrics Management Strategies (RMOMS) | 8.000 | 12.000 |
| Subtotal, Rural Health Outreach Grants | 92.975 | 100.975 |
Rural Hospital Flexibility Grants
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Small Rural Hospital Improvement Grant Program | 20.942 | 20.942 |
| Rural Emergency Hospital Technical Assistance Program | 5.000 | 5.000 |
| Dept. of Veterans Affairs Electronic Health Record | 1.000 | 1.000 |
| Other Rural Hospital Flexibility Grants | 37.335 | 37.335 |
| Subtotal, Rural Hospital Flexibility Grants | 64.277 | 64.277 |
State Offices of Rural Health
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| State Offices of Rural Health | 12.500 | 12.500 |
Radiation Exposure Screening and Education Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Radiation Exposure Screening and Education Program | 1.889 | 1.889 |
Black Lung
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Black Lung | 12.190 | 12.190 |
Rural Communities Opioid Response Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Rural Centers of Excellence | 10.000 | 10.000 |
| NBRC Workforce Training Activities | 4.000 | 4.000 |
| Other Rural Communities Opioid Response Program | 131.000 | 131.000 |
| Subtotal, Rural Communities Opioid Response Program | 145.000 | 145.000 |
Rural Hospital Stabilization Pilot Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Rural Hospital Stabilization Pilot Program | - | 4.000 |
Rural Residency Planning and Development Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Family Medicine/Obstetrics Training | 2.000 | 2.000 |
| Other Rural Residency Development Program | 10.500 | 10.700 |
| Subtotal, Rural Residency Planning and Development | 12.500 | 12.700 |
Total, Office of Rural Health Policy
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, Office of Rural Health Policy | 352.407 | 364.607 |
HRSA-Wide Activities and Program Support
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| HRSA-Wide Activities and Program Support | 163.500 | 165.000 |
| Oral Health Literacy | 0.300 | 0.300 |
| Community Projects/Congressionally Directed Spending | 1,521.681 | 890.788 |
Office of the Advancement of Telehealth
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Telehealth Centers of Excellence | 8.500 | 8.500 |
| Telehealth Technology-Enabled Learning | - | 4.000 |
| Other Telehealth | 29.550 | 29.550 |
| Subtotal, Office of the Advancement of Telehealth | 38.050 | 42.050 |
Office of Pharmacy Affairs/340B Drug Pricing Program
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Office of Pharmacy Affairs/340B Drug Pricing Program | 12.238 | 12.238 |
Total, HRSA-Wide Activities and Program Support
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, HRSA-Wide Activities and Program Support | 1,735.769 | 1,110.376 |
Family Planning
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Family Planning | 286.479 | 286.479 |
Health Resources and Services
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Subtotal, HRS Program Level | 9,484.097 | 8,906.904 |
| Subtotal, HRS Budget Authority | 9,465.283 | 8,888.090 |
| Discretionary Program Level | 9,484.097 | 8,906.904 |
Administration
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Vaccine Injury Compensation Trust Fund Direct Operations | 15.200 | 15.200 |
| Countermeasures Injury Compensation Program | 7.000 | 7.000 |
Total, HRSA Discretionary Program Level
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, HRSA Discretionary Program Level | 9,506.297 | 8,929.104 |
Total, HRSA Discretionary Budget Authority
Dollars in Millions| Activities | FY 2023: Final | FY 2024: Final |
|---|
| Total, HRSA Discretionary Budget Authority | 9,487.483 | 8,910.290 |
Footnotes
1 Minimum amount of a grant under Medical Student Education not less than $1,000,000.
2 Maternal Mental Health Hotline was appropriated as a SPRANS project in FY23 but is shown as comparable in FY24 as a new program authorized in section 330 of the PHS Act.
3 Included is $15,000,000 for HRSA's collaboration with the Delta Regional Authority (DRA).