Indian Health Service IHS Budget Formulation 2013 Virtual

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

Presentation Overview • IHS Budget Process – Background – Process – Current Activities – FY 2016 Budget Formulation – Additional Training Resources 1

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. 130 B discretionary budget authority – $147 M mandatory appropriation (SDPI) – $997 M (est) collections 2

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 2012 Enacted • FY 2015 Tribal Recommendation – 19. 7% increase over FY 2014 PB – $5. 3 Billion total (approx. $870 million increase) 3

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 4

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 5

IHS Budget Formulation Process Evaluation Session June Individual Area Worksessions Oct-Dec HHS Consultation National Budget Worksession Feb March IHS Preliminary Budget Submission June 6

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 7

IHS Budget Phases Planning IHS, Tribes, Urbans IHS Formulation HHS OMB Present to Congress Execution Approps Sub. Comm/Full Comm Full House & Senate Conference Committee IHS, Tribes, Urbans 8

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 9

Tribal Budget Recommendations FY 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 10

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 11

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/Budget. Formulation 12

Thank you! Questions? 13