**ACTIVITY/MECHANISM BUDGET SUMMARY**

Department of Health and Human Services

Indian Health Facilities - 75-0391-0-1-551

**Equipment**

+-------------+-------------+-------------+-------------+-------------+
|             | 2002        | 2003        | 2004        | Increase    |
|             |             |             |             |             |
|             | Actual      | President's | Estimate    | or Decrease |
|             |             |             |             |             |
|             |             | Budget      |             |             |
+-------------+-------------+-------------+-------------+-------------+
| BA          | \           | \           | \           | \$0         |
|             | $16,294,000 | $16,294,000 | $16,294,000 |             |
+-------------+-------------+-------------+-------------+-------------+

**PURPOSE AND METHOD OF OPERATION**

The IHS manages approximately \$310 million in laboratory, x-ray, and
biomedical equipment. Accurate diagnosis and effective therapeutic
procedures depend in large part on clinicians using modern and effective
medical equipment to assure the best possible health outcomes. The
average life expectancy for the current medical inventory is
approximately 6 years depending on the intensity of use, maintenance,
and technical advances. In addition, this activity funds equipment for
replacement clinics built by Tribes using non-IHS funding sources,
replacement of ambulances, and the transfer of available excess
Department of Defense medical equipment to IHS and Tribal health
programs.

Funding levels for the last 5 fiscal years follows:

+----------------+-----------------------------------------------------+
| [Year          | [Funding ]{.underline}                              |
|  ]{.underline} |                                                     |
|                | \$13,243,000                                        |
| 1999           |                                                     |
|                | \$14,330,000                                        |
| 2000           |                                                     |
|                | \$16,294,000                                        |
| 2001           |                                                     |
|                | \$16,294,000                                        |
| 2002           |                                                     |
|                | \$16,294,000 President's Budget                     |
| 2003           |                                                     |
+----------------+-----------------------------------------------------+

**[ACCOMPLISHMENTS]{.underline}**

In 2002, the medical equipment program distributed approximately
\$10,000,000 to IHS and tribal health care programs to purchase new or
replace older medical equipment used in diagnosing and treating
illnesses. For those tribes building replacement clinics, using non-IHS
funding sources, \$5,000,000 was awarded to 53 tribes. The remaining
\$1,300,000 was used to purchase new and like-new equipment from DOD
through the TRANSAM program and to purchase ambulances for tribal
emergency medical services programs.

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

**[TOTAL REQUEST]{.underline}** --- The request of \$16,294,000 is at
same level as the FY 2003 President\'s Budget of \$16,294,000.

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