TABLE 2.

Comparison of Prospective Trends in Funding for Public Health and Other Relevant Expenditure Categories

	President's Request/National Health Expenditure Estimates									Congressional Budget Office Baseline
	Percentage of Gross Domestic Producta			Percentage of Real Per Capita Expenditureabc			Percentage of All Health Spendingde			Percentage of Gross Domestic Producta			Percentage of Real Per Capita Expenditureabc			Percentage of All Health Spendingde
	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017	1-Year Growth Rate, 2008–2009	5-Year Growth Rate, 2009–2013	Out-Year Growth Rate, 2009–2017
Public health funding
Discretionary FDAf (OT)	19.50			20.76
Discretionary HRSAf (OT)	−3.25			−2.22
Discretionary IHSf (OT)	−4.61			−3.60
Discretionary CDCf (OT)	−10.44			−9.49
Discretionary NIHf (OT)	−1.52			−0.48
Discretionary SAMSAf (OT)	−7.05			−6.07
Discretionary health, federalg (OT)	−2.00			−0.97
Discretionary DHHSf (OT)	−6.01			−5.02
Discretionary function 550, totala (OT)	−2.56	−6.27		−1.53	−4.08					−0.91	−3.76		0.13	−1.51
Discretionary function 551, health care servicesa (OT)	−3.24	−6.31		−2.22	−4.12					−1.03	−4.55		0.02	−2.32
Public health, federalde	6.87	5.26	5.17	8.43	7.70	7.21	4.25	3.80	3.30
Public health, state and localde	1.86	1.00	1.48	3.35	3.34	3.45	−0.64	−0.41	−0.31
Public health, combinedde	2.76	1.84	2.25	4.27	4.20	4.23	0.24	0.42	0.44
State/local grants, disease control (preventive health)g (OT)	−3.60			−2.58
Research/development, health, non-NIHg (OT)	0.56			1.63
Relevant benchmark expenditures
Total defense discretionarya (OT)	2.80	−7.85		3.89	−5.69					−7.33	−4.81		−6.35	−2.59
Total nondefense discretionarya (OT)	−2.00	−6.26		−0.97	−4.07					−1.97	−3.46		−0.93	−1.21
National health expendituresde (all-source)	2.52	1.41	1.80	4.01	3.76	3.78
Total federal health expendituresde	2.91	2.01	2.57	4.42	4.38	4.56	0.39	0.59	0.75
Total federal Medicare expendituresde	3.21	2.04	2.63	4.72	4.41	4.62	0.68	0.62	0.81
Total federal Medicaid expendituresde	3.12	2.48	3.02	4.63	4.86	5.02	0.59	1.06	1.19
Total state and local health expendituresde	2.08	1.40	1.92	3.57	3.75	3.90	−0.42	−0.01	0.11
Total state and local Medicaid expendituresde	3.21	2.63	3.16	4.72	5.01	5.16	0.68	1.20	1.33
Total state and local health expenditures, net of Medicaidde	0.86	−0.03	0.40	2.33	2.29	2.35	−1.62	−1.42	−1.38
Total private health expendituresde	2.37	1.03	1.27	3.86	3.37	3.24	−0.15	−0.38	−0.52
Total function 550, healtha (OT)	1.45	0.59		2.52	2.94					2.55	1.13		3.63	3.49
Total function 551, health care servicesa (OT)	1.76	1.32		2.83	3.69					2.97	1.64		4.06	4.02
Total federal grants to states/local communities, nondefenseg (OT)	−1.62	−2.67		−0.58	−0.40
Total federal grants to states/local communities, healthg (OT)	1.60	1.73		2.67	4.11
Total federal grants to states/local communities, health, net of Medicaid/SCHIPg (OT)	−9.93	−8.40		−8.98	−6.25
Total federal research and development, nondefenseg (OT)	−1.20			−0.15
Total federal research and development, healthg (OT)	−1.13			−0.08

Note. FDA = Food and Drug Administration; OT = outlay funding category; HRSA = Health Resources and Services Administration; IHS = Indian Health Service; CDC = Centers for Disease Control and Prevention; NIH = National Institutes of Health; SAMSA = Substance Abuse and Mental Health Services Administration; DHHS = Department of Health and Human Services; SCHIP = State Children's Health Insurance Program. Funding annualized with compound annual growth rate and displayed as a percentage. “Out-year” refers to beyond the prospective, or currently requested, fiscal year expenditures.

^aCongressional Budget Office, Analysis of the President's Budgetary Proposals for Fiscal Year 2009 and related tables.¹⁵

^bStatistical Abstract of the United States, 2008.¹⁶

^cAdjusted with the implicit price deflator for gross domestic product (FY2000 = 100.00) Price index source: Congressional Budget Office (2008).¹⁷

^dOffice of the Actuary, National Health Expenditure Accounts.¹⁸

^eNot reported in Budget Authority, Outlay, or Program Level categories.

^fPublic Budget Database, Office of Management and Budget, February 2008.¹⁹

^gFiscal Year 2009 president's budget (February 2008).²⁰