Source: https://www.everycrsreport.com/reports/R44375.html
Timestamp: 2020-07-09 12:33:10
Document Index: 343359104

Matched Legal Cases: ['art 1', '§290', 'art 2', '§290', 'art 3', '§290', '§300', '§300', '§1922', '§300', '§1955', '§300', '§581', '§290', '§300']

SAMHSA FY2017 Budget Request and Funding History: A Fact Sheet - EveryCRSReport.com
SAMHSA FY2017 Budget Request and Funding History: A Fact Sheet
February 11, 2016 R44375
The Substance Abuse and Mental Health Services Administration (SAMHSA), at the U.S. Department of Health and Human Services (HHS), is the lead federal agency for increasing access to behavioral health services. SAMHSA supports community-based mental health and substance abuse treatment and prevention services through formula grants to the states and U.S. territories and through competitive grant programs to states, territories, tribal organizations, local communities, and private entities. SAMHSA also engages in a range of other activities, such as technical assistance, data collection, and workforce development.
SAMHSA and most of its programs and activities are authorized under Public Health Service Act (PHSA) Title V, which organizes SAMHSA in three centers: the Center for Substance Abuse Treatment (CSAT), the Center for Substance Abuse Prevention (CSAP), and the Center for Mental Health Services (CMHS).
Each center has general statutory authority, called Programs of Regional and National Significance (PRNS), under which it has established grant programs for states and communities to address their important substance abuse and mental health needs. PHSA Title V also authorizes a number of specific grant programs, referred to as categorical grants.
SAMHSA’s two largest grant programs are separately authorized under PHSA Title XIX, Part B. The Community Mental Health Services block grant falls within CMHS. The full amount of the Substance Abuse Prevention and Treatment block grant falls within CSAT, although no less than 20% of each state’s block grant must be used for prevention.
In addition to the three statutorily established centers, SAMHSA’s budget reflects a fourth category, “health surveillance and program support,” for other activities such as collecting data, providing statistical and analytic support, raising public awareness, collaborating with other agencies, developing and supporting the behavioral health workforce, and maintaining the National Registry of Evidence-based Programs and Practices (NREPP).
The last comprehensive reauthorization of SAMHSA and its programs occurred in 2000 as part of the Children’s Health Act, which also added “charitable choice” provisions allowing religious organizations to receive funding for substance abuse prevention and treatment services without altering their religious character. Since 2000, Congress has expanded some of SAMHSA’s programs and activities without taking up comprehensive reauthorization of the agency. Explicit authorizations of appropriations for many of SAMHSA’s grants and activities expired at the end of FY2003; many of these programs have continued to receive funding through the annual appropriations process.
The total amount of funding available to SAMHSA (i.e., total program level) traditionally includes discretionary budget authority provided in annual appropriations acts, Public Health Service (PHS) Program Evaluation Set-Aside funds, Prevention and Public Health Fund (PPHF) transfers, and data request and publications user fees. Also, SAMHSA’s FY2017 budget request proposes new mandatory spending that, if enacted, would be in addition to the budgetary resources noted above.
Table 1 presents SAMHSA’s FY2017 budget request in the context of SAMHSA’s funding history since FY2014.
February 11, 2016 (R44375)
SAMHSA Overview
SAMHSA and most of its programs and activities are authorized under Public Health Service Act (PHSA) Title V, which organizes SAMHSA in three centers:
Center for Substance Abuse Treatment (CSAT)1
Center for Substance Abuse Prevention (CSAP)2
Center for Mental Health Services (CMHS)3
SAMHSA's two largest grant programs are separately authorized under PHSA Title XIX, Part B. The Community Mental Health Services block grant falls within CMHS.4 The full amount of the Substance Abuse Prevention and Treatment block grant falls within CSAT, although no less than 20% of each state's block grant must be used for prevention.5
In addition to the three statutorily established centers, SAMHSA's budget reflects a fourth category, "health surveillance and program support," for other activities such as collecting data, providing analytic support, raising public awareness, developing the behavioral health workforce, and maintaining the National Registry of Evidence-based Programs and Practices.
The last comprehensive reauthorization of SAMHSA and its programs occurred in 2000 as part of the Children's Health Act,6 which also added "charitable choice" provisions allowing religious organizations to receive funding for substance abuse prevention and treatment services without altering their religious character.7 Since 2000, Congress has expanded some of SAMHSA's programs and activities without taking up comprehensive reauthorization of the agency. Explicit authorizations of appropriations for many of SAMHSA's grants and activities expired at the end of FY2003; many of these programs have continued to receive funding through the annual appropriations process.
Discretionary Budget Authority. The main source of funding for SAMHSA is the discretionary budget authority it receives through the annual appropriations process.8 SAMHSA is funded through the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Labor-HHS-ED) appropriations act.
PHS Program Evaluation Set-Aside Funds. The PHS Evaluation Tap allows the HHS Secretary to redistribute a portion of eligible PHS agency appropriations for program evaluation across HHS. In the annual Labor-HHS-ED appropriations acts, Congress specifies the maximum percentage for the set-aside and directs specific amounts of funding from the tap to a number of HHS programs.9
Prevention and Public Health Fund (PPHF) Transfers. The Patient Protection and Affordable Care Act (ACA) established the Prevention and Public Health Fund (PPHF) and provided it with a permanent annual mandatory appropriation.10 PPHF funds are to be transferred by the HHS Secretary for prevention, wellness, and public health activities.11 PPHF funds are available to the HHS Secretary on October 1 of each year, when the new fiscal year begins. The Administration's annual budget proposal for the PPHF reflects its intended distribution and use of the funds.12
Table 1 presents SAMHSA's FY2017 budget request in the context of SAMHSA's funding history since FY2014. Program-level funding is shown in bold for each major budget account. PHS evaluation funds, PPHF transfers, and one of the proposed new mandatory spending programs are shown as "non-adds" in parentheses. All three proposed new mandatory spending programs, PHS evaluation funds, PPHF transfers, and user fees are subtracted from program-level funding to show discretionary budget authority.
Table 1. SAMHSA Funding, FY2014–FY2017 Request
PHSA Title V, Part B, Subpart 1 [42 U.S.C. §290bb et seq.].
PHSA Title V, Part B, Subpart 2 [42 U.S.C. §290bb-21 et seq.].
PHSA Title V, Part B, Subpart 3 [42 U.S.C. §290bb-31 et seq.].
PHSA Title XIX, Part B, Subpart I [42 U.S.C. §300x et seq.].
PHSA Title XIX, Part B, Subpart II [42 U.S.C. §300x-21 et seq.]; PHSA §1922(a)(1) [42 U.S.C. §300x-22(a)(1)].
P.L. 106-310, Titles XXXI-XXXIV.
PHSA §1955 [42 U.S.C. §300x-65]; PHSA §581 et seq. [42 U.S.C. §290kk et seq.].
ACA Section 4002 [42 U.S.C. §300u-11]. The Middle Class Tax Relief and Job Creation Act of 2012 reduced ACA's annual appropriations to the PPHF over the period FY2013-FY2021 by a total of $6.250 billion (see P.L. 112-96, Section 3205, 126 Stat. 194).
SAMHSA Justification of Estimates for Appropriations Committees for FY2017, pp. 311–317.