CDC/ATSDR FY 2009 Resource Allocations: American Indian/Alaska Native Programs

CDC/ATSDRFY 2009 Resource

Allocations:American Indian/Alaska

Native Programs

Improving Financial Management for a stronger CDC

Introduction

The following tables represent CDC/ATSDR resources committed to programs that benefit American Indian/Alaska Native (AI/AN) populations and communities. Fiscal information is summarized according to organizational and disease-specific programs, and by defined funding allocation categories.



73% VFC

Non VFC

CDC/ATSDR FY 2009 Total Funding Allocations for AI/AN Programs

Total Funding with VFC $168,275,464

Total Funding without VFC$46,009,312


Total CDC Funding with VFC Total CDC Funding without VFC

$1

$20,000,001

$40,000,001

$60,000,001

$80,000,001

$100,000,001

$120,000,001

$140,000,001

$160,000,001

$180,000,001

CDC FY 2009 Total Funding Allocations for AI/AN Programs (w/o ATSDR)

$167,637,959

$45,371,807

Millions


Funding Resources Aligned with Coordinating Center Total Funding

FY2009 w/ VFCTotal Funding

FY2009 w/o VFCCenter/Institute/Office (CC/CIO)

Coordinating Center for Infectious Diseases $129,574,394 $7,308,242 NCVZED $106,000 $106,000 NCHHSTP $3,542,458 $3,542,458 NCIRD $122,605,845 $339,693 NCPDCID $3,320,091 $3,320,091 Coordinating Center for Health Promotion $27,568,187 $27,568,187 NCBDDD $200,000 $200,000 NCCDPHP $27,368,187 $27,368,187 Coordinating Center for Health Information and Service $1,665,361 $1,665,361 NCHS $1,665,361 $1,665,361 Coordinating Center for Environmental Health and Injury Prevention $2,240,561 $2,240,561 NCEH $788,371 $788,371 NCIPC $1,452,190 $1,452,190 National Institute for Occupational Safety and Health $322,140 $322,140 Coordinating Office for Terrorism Preparedness & Emergency Response $4,651,716 $4,651,716 Office of the Director $1,615,600 $1,615,600 OWCD $496,079 $496,079 OMHD/OD $1,119,521 $1,119,521 CDC-CC/CIO Grand Total $167,637,959 $45,371,807 ATSDR Total $637,505 $637,505 CDC/ATSDR Grand Total $168,275,464 $46,009,312


CDC Funding Resources Aligned with Disease Specific

Programs (with ATSDR): A Comparison

FUNDING LEVELFY 2008

FUNDING LEVEL

FY 2009Percent

of Change

Chronic Disease Prevention and Health Promotion $ 25,884,960 $

27,286,210 5%Cancer $11,502,097 $14,077,332 22%Cross-cutting Programs $7,178,202 $5,613,762 -22%Diabetes $3,349,585 $4,039,402 21%Tobacco $2,162,395 $2,064,618 -5%Heart Disease and Stroke Prevention $1,010,000 $975,000 -3%Maternal Child Health $292,584 $147,749 -50%Adolescent and School Health $390,097 $368,347 -6%

Infectious Diseases $ 7,715,374 $

7,390,219 -4%Infectious Disease Prevention (new category for FY 09) N/A $46,000 N/AInfectious Diseases in Alaska Natives $2,631,565 $3,380,091 28%HIV/AIDS $3,194,327 $2,493,544 -22%STDs $1,117,005 $898,891 -20%Vaccine-preventable diseases (non-VFC funds) $321,477 $339,693 6%Viral Hepatitis (not reported for 09) $217,000 $232,000 7%Other $234,000 $0 -100%

Public Health Emergency Preparedness $ 5,192,034

$ 4,651,716 -10%

Public Health Capacity, Strategic Partnerships and Training (OD) $ 1,612,545

$ 1,627,600 1%

Environmental Health $ 614,686 $ 788,371 28%Environmental Public Health Services/Research $614,686 $788,371 28%

Health Statistics $ 1,424,746 $

1,665,361 17%Injury Prevention $ 581,920 $ 1,452,190 150%Unintentional Injuries $435,920 $150,000 -66%Violence Prevention $146,000 $1,302,190 792%

Birth Defects/Developmental Disabilities $ 250,000 $

200,000 -20%

Occupational Health $ 310,140 $

310,140 0%

Health Marketing $ 229,000 $ -

-100%

CDC Total w/o VFC $ 43,815,405 $

45,371,807 4%

Vaccines for Children $ 64,263,901 $

122,266,152 90%

CDC Total with VFC $108,079,306 $167,637,959 55%

ATSDR $ 682,470 $

637,505 -7%

CDC/ATSDR Grand Total with VFC $108,761,776 $168,275,464 55%


Vaccines for Children (VFC),

$122M, 73%

Chronic Disease Prevention and

Health Promotion, $27M, 16%

Infectious Dis-eases, $7M, 4% Public Health

EmergencyPreparedness,

$4M, 3%Training

and Strategic Partner-

ships $1.6M, 1%

Environ-mental Health,

$788K, 1%Health Sta-tistics,

$1.6M, 1%Injury Preven-

tion, $1.4M, 1%Birth Defects and

DevelopmentalDisabilities,

$200K, 0.4%

Occupational Health, $310K, 0.7%

CDC Funding for Disease Specific Programs (with VFC)


Chronic Disease Prevention andHealth Promo-tion, $27M ,

60%

Infectious Diseases,

$7M, 16%Public Health Emergency

Preparedness, $4M, 10%

Training and Strategic

Partnerships, $1.6M, 4%

Environmental Health, $788K,

2%Health Sta-tistics, $1.6 , 4%

Injury Pre-vention,

$1.4M , 3%Birth Defects and

DevelopmentalDisabilities, $200K, 0.4%

Occupational Health, $310M, 1%

CDC Funding for Disease Specific Programs (w/o VFC)


Funding Allocation CategoriesAI/AN Awardees (Direct) : Competitively awarded programs (i.e., grants,cooperative agreements) where the awardees' is a tribe/tribal government, Tribal organization, tribal epidemiology, Alaska Native organization, tribal college, university, or urban Indian Health program.

Intramural AI/AN: Intramural programs whose purpose is to primarily or substantially benefit AI/AN.**This category would include costs [salary, fringe, travel, etc.] associated withCDC staff or contractors whose time/effort primarily or substantially (50% orbetter) benefit AI/AN.

Extramural AI/AN Benefit: Competitively awarded programs where thepurpose of the award is to primarily or substantially benefit AI/AN.

Federal AI/AN Benefit: Federal Intra-Agency Agreements where thepurpose of the agreement is to primarily or substantially benefit AI/AN.

Indirect AI/AN: Service programs where funding for AI/ANs can reasonablybe estimated from available data on the number of AI/ANs served** **This category applies only to the Vaccines for Children program and to NCHS.


CDC Funding Allocation Categories Aligned with Disease Specific Programs (with VFC)

Disease Specific Programs

AI/ANAwardees

Intramural AI/AN

Extramural AI/AN

Federal AI/AN

Indirect AI/AN

Vaccines for Children (VFC)

$122,266,152

Chronic Disease Prevention and Health Promotion $20,590,186 $1,166,79

1 $3,931,499 $1,679,711

Infectious Diseases $2,295,195 $3,993,35

3 $485,000 $534,694 Public Health EmergencyPreparedness $4,651,716 Training and Strategic Partnerships (OD) $596,905 $878,585 $124,140 $27,970 Environmental Health $230,209 $552,270 $5,892 Health Statistics $1,665,361 Injury Prevention $141,717 $1,160,473 $150,000 Birth Defects and DevelopmentalDisabilities $200,000 Occupational Health $310,140 CDC Funding AllocationCategories - Grand Totals $23,854,212 $6,790,99

9 $10,662,968 $2,398,267 $123,931,513


AI/AN Awardee, $23M, 14%

Extramural AI/AN, $10M,

6%

Federal AI/AN, $2M, 2%

Intramu-ral, $6M,

4%

Indirect, $123M,51%

AI/AN FY 2009 Funding Allocation Categories

(with VFC)


Federal AI/AN Intramural AI/AN Extramural AI/AN AI/AN Awardee Indirect AI/AN $2.3M $6M $10M $22M

$65M

$2M $6M $10M

$23M

$123M

CDC Funding Allocation CategoriesComparison FY 08 vs FY 09 (with VFC)

FY 2008 FY 2009


CDC Funding Allocation Categories for FY 2008 and FY 2009

Funding Allocation With VFC Percent Without VFC Percent

Category FY 2008 FY 2009 Change FY 2008 FY 2009 Change

AI/AN Awardees $22,839,514 $23,854,212 4% $22,839,514

$23,854,212 4%

Intramural AI/AN $6,856,724 $6,790,999 -1% $6,856,724 $6,790,999 -1%

Extramural AI/AN $10,687,986 $10,662,968 -0.20% $10,687,98

6 $10,662,96

8 -0.20%

Federal AI/AN $2,006,435 $2,398,267 20% $2,006,435 $2,398,267 20%

Indirect AI/AN $65,688,647 $123,931,513 89% $1,424,746 $1,665,361 17%

CDC Grand Total $108,079,306

$167,637,959 55% $43,815,40

5 $45,371,80

7 4%


AI/AN Awardees , $23M, 53%

Intramural AI/AN, $6M, 15%

Extramural AI/AN,

$10M, 23%

Federal AI/AN, $2M, 5%

Indirect AI/AN, $1M , 4%

AI/AN FY 2009 Funding Allocation Cat-egories (w/o VFC)

CDC Funding Allocation Categories Comparison FY 08 vs FY 09 (w/o VFC)


AI/AN Awardee

Extramural AI/AN

Intramural AI/AN

Federal AI/AN

Indirect AI/AN

$22M

$10.6M

$6.8M

$2M

$1.4M

$23M

$10.6M

$6.7M

$2.3M

$1.6M

FY 2009 FY 2008


CDC/ATSDR

AI/AN$168M, 2%

CDC/ATSDR and AI/AN FY 2009 Fund-ing (with VFC)

Based on CDC direct funding


CDC/ATSDR

AI/AN$45M, 1%

CDC/ATSDR and AI/AN Funding FY 2009 (w/o VFC)

Based on CDC direct funding


Based on FY 2009 disease line funding

CDC Program/Office CDC Disease Line Funding AI/AN Funding Percent of

Funds

Chronic $882M $27M 3%

HIV/AIDS $848M $2.5M 0.29%

Cancer $340M $14M 4%

Environmental Health $185M $788M 0.43%

STD $152M $889K 1%

Injury Prevention $145M $1.5M 1%

Tobacco $106M $2.1M 2%

Diabetes $66M $4M 6%

Heart Disease $54M $975K 2%


$ 882 M

$ 27 M

AI/AN Funding by Disease Specific Programs

Chronic AI/AN

AI/AN 3%



$848 M

$2.5 M


HIV/AIDS AI/AN

AI/AN 0.29%



$ 889 M

$152 M


STD AI/AN

AI/AN 1%



$ 66 M

$ 4 M


DIABETES AI/AN

AI/AN 6%



$106 M

$2.1 M


TOBACCO AI/AN

AI/AN 2%



$ 145 M

$ 1.5 M


INJURY PREVENTION AI/AN

AI/AN 1%



$340 M

$14 M


CANCER AI/AN

AI/AN 4%


$54 M

$ 975 K

HEART DISEASE AI/AN

AI/AN 2%


$185 M

$788 K


ENVIRONMENTAL HEALTH AI/AN

AI/AN 0.43%





Sub-Budget Committee collaboration

Expanding Division based involvement for health impact across CDC/ATSDR

Program project initiative with CDC/ATSDR Financial Strategies Committee

Increase visibility in Budget Submission health initiatives

Align with CDC/ATSDR health goals and objectives for performance and results based management

Collaborate further with HHS and OPDIV shared resource initiatives

TCAC CDC/ATSDR Strategic Funding Direction


Thank You


CDC/ATSDR FY 2009 Resource Allocations: American Indian/Alaska Native Programs

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