Strengthening the National Health Service Corps The Budget invests $5.1 billion for health centers, including $3.75 billion in mandatory resources, to serve over 27 million patients in FY 2017. Today, more than 1,300 health centers operate over 9,000 service delivery sites and provide health care services to 1 in 14 people in the United States. Throughout this time, health centers have become an essential primary care provider for the nation’s most vulnerable populations. Health Centersįor 50 years, health centers have delivered comprehensive, high-quality, cost-effective primary health care to patients regardless of their ability to pay. Finally, the Budget includes an additional two years of funding for the Children’s Health Insurance Program through FY 2019 to align with the maintenance of effort requirement and ensure comprehensive and affordable coverage for beneficiaries as well as budgetary stability for states. This common sense proposal makes expansion as good of a deal for states that choose to expand now as states that have already done so. To encourage more states to take up this important option, the Budget would give any state that chooses to expand Medicaid eligibility three years of full federal support, no matter when the state expands. As of January 2016, 30 states and the District of Columbia have elected to expand Medicaid to low income adults with household income up to 133 percent of the federal poverty level (Louisiana will make the 31st state). As a result, nearly 18 million Americans have gained coverage since enactment of the Affordable Care Act. The Affordable Care Act is making quality, affordable health coverage available to millions of Americans who would otherwise be uninsured through the expansion of Medicaid, the Marketplaces, and other private insurance reforms. Expanding Access to Health Insurance Coverage The Budget continues to make investments in federal public health and safety net programs to help individuals without coverage get the medical services they need while strengthening local economies. The Budget builds on the successes of the Affordable Care Act by extending funding for the Children’s Health Insurance Program, improving and expanding coverage provided to American Indians and Alaska Natives through the Indian Health Service (IHS), expanding capacity in the nation’s health centers, making strategic investments in the health care workforce to increase access for rural and underserved populations, and targeting Medicare and Medicaid payments to better support primary and preventive care. The Affordable Care Act is working to expand health insurance coverage to millions of Americans, including many gaining coverage and access to health care for the first time. Building Upon the Success of the Affordable Care Act With this funding, HHS will continue to create opportunities for all Americans by ensuring the building blocks for success are available at every stage of life, promote science and innovation, protect the nation’s public health and national security, and focus on the responsible stewardship of taxpayer dollars. The Budget proposes $82.8 billion in discretionary budget authority and additional mandatory funding to further support specific initiatives in the discretionary budget. The President’s fiscal year (FY) 2017 Budget for HHS includes investments needed to support the health and well being of the nation and legislative proposals that taken together would save on net an estimated $242 billion over 10 years. The Budget for the Department of Health and Human Services (HHS) continues and expands on critical investments in health care, scientific research, medical innovation, disease prevention, early education, social services, human development, and emergency preparedness to protect the health and well-being of the American people. The Department of Health and Human Services enhances the health and well-being of Americans by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services. Advancing the Health, Safety, and Well-Being of the Nation The FY 2016 and FY 2017 mandatory figures reflect current law and mandatory proposals reflected in the Budget. This approach allows increases and decreases in this book to reflect true funding changes. Budget data in this book are presented “comparably” to the FY 2017 Budget, since the location of programs may have changed in prior years or be proposed for change in FY 2017. Details in this document may not add to the totals due to rounding.
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