Indian Health Facilities

Facilities and Environmental Health Support

#### Office of Environmental Health and Engineering Support

+-------------+-------------+-------------+-------------+-------------+
|             | 2002        | 2003        | 2004        | Increase    |
|             |             |             |             |             |
|             | Actual      | President's | Estimate    | or Decrease |
|             |             |             |             |             |
|             |             | Budget      |             |             |
+-------------+-------------+-------------+-------------+-------------+
| BA          | \           | \           | \           | +\$258,000  |
|             | $10,887,000 | $11,251,000 | $11,509,000 |             |
+-------------+-------------+-------------+-------------+-------------+
| FTE         | 83          | 83          | 83          | 0           |
+-------------+-------------+-------------+-------------+-------------+

**[PURPOSE AND METHOD OF OPERATION]{.underline}**

The Office of Environmental Health and Engineering Support sub-activity
funds personnel and operating costs for the Office of Environmental
Health and Engineering (OEHE) Headquarters.

Headquarters personnel have management responsibility for IHS facilities
and environmental health programs, provide direct technical services and
support to Area personnel, and perform critical management functions.
Headquarters management activities includes national policy development
and implementation, budget formulation, project review and approval,
congressional report preparation, quality assurance (internal control
reviews, Federal Managers Financial Integrity Act activities and other
oversight), technical assistance (consultation and training), long range
planning, meetings (with Members of Congress and their representatives,
with tribes, and with other Federal agencies), and recruitment and
retention. Typical direct support functions performed by OEHE personnel
who serve as project officers for health facilities construction
projects are: review and/or write technical justification documents,
participate in design reviews and site surveys, conduct onsite
inspections, and monitor project funding status.

The OEHE Headquarters funded positions are in Rockville, Dallas, and
Seattle. Headquarters personnel include engineers, sanitarians, health
facilities planners, real property managers, and support personnel. In
addition, Engineering Services staff located in Dallas and Seattle
provides architectural, engineering, construction services, contracting
services, and real property services. They provide direct services and
support to other Headquarters Divisions and Area personnel in preparing
project justifications, construction cost estimates, and project
designs, contracting for design and construction of new health care
facilities and existing facility improvements, conducting construction
inspections and facility inspections; leasing space for IHS program
operations; and providing management support.

Funding levels for the past 5 years are as follows:

+----------+-------------------+-------+------------------------------+
| [Y       | [Fun              | [F    |                              |
| ear]{.un | ding]{.underline} | TE]{. |                              |
| derline} |                   | under |                              |
|          |                   | line} |                              |
+----------+-------------------+-------+------------------------------+
| 1999     | \$ 9,277,000      | 95    | President\'s Budget          |
|          |                   |       |                              |
| 2000     | \$10,130,000      | 86    |                              |
|          |                   |       |                              |
| 2001     | \$10,432,000      | 86    |                              |
|          |                   |       |                              |
| 2002     | \$10,887,000      | 83    |                              |
|          |                   |       |                              |
| 2003     | \$11,251,000      | 83    |                              |
+----------+-------------------+-------+------------------------------+

**[ACCOMPLISHMENTS]{.underline}**

In FY 2002, OEHE Support funded personnel who have management
responsibilities for National policy development and implementation,
budget formulation, congressional report preparation, health care
facilities construction, and other national program related duties.

**[RATIONALE FOR BUDGET REQUEST]{.underline}**

### **TOTAL REQUEST** \-- The request of \$11,509,000 and 83 FTE is an increase of \$258,000 over the FY 2003 President\'s Budget of \$11,251,000 and 83 FTE. The increase includes the following:

[Pay Costs: +\$258,000]{.underline}

The request of \$258,000 would fund pay cost increases for
Federal/Tribal/Urban.

The IHS continues to strive to increase access for the IHS patient
population. Maintaining the current I/T/U health system is necessary in
eliminating disparities in health status between AI/ANs and the rest of
the U.S. population.