This is one in a series of articles wrapping up congressional action on the fiscal 1985 appropriations for major domestic agencies.
For fiscal 1985, Congress gave many of the Health and Human Services Department's programs a big funding increase -- and substantially more than President Reagan had requested.
The National Institutes of Health, the maternal and child health program, immunization programs, Head Start and health professions training programs, among others, came away with more money than the president had sought. In addition, Congress kept alive the community services and work incentives (WIN) programs and maintained family planning as a separate program, with a modest $2 million increase to $142 million, instead of merging it into a block grant.
The continuing resolution provided $79.6 billion for the department, or about $2.4 billion more than the president's request. Some of that amount was advance funding for welfare programs in 1986.
In addition, Congress approved whatever sums will be needed to maintain current service levels of the refugee aid programs -- expected to be between $420 million and $440 million -- and health planning -- estimated at $79 million. In round numbers, therefore, HHS will end up with about $80 billion.
That figure does not represent the total the department will spend, however. HHS is also responsible for managing the Social Security old-age, disability and Medicare hospital trust funds, whose outlays will total $240 billion in fiscal 1985 but are not subject to the regular appropriations process.
About three-quarters of the $80 billion is for welfare and medical care programs for the poor or aged. Medicaid will get nearly $22 billion; Supplemental Security Income, about $9.3 billion; the Treasury contribution to the doctor-insurance portion of Medicare (Part B), about $17.9 billion; aid to disabled coal miners, more than $1 billion, and Aid to Families with Dependent Children, about $8.2 billion, part from previously appropriated funds.
The appropriation also includes:
* $478 million for the maternal and child health block grant that helps fund local clinics and services. This compares with $399 million the previous year and Reagan's $407 million request.
* $234.5 million for training health professionals, compared with $207.5 million in 1984 and a request of $115.3 million. The administration had argued that, in many cases, there were no personnel shortages and thus government training funds were unnecessary.
* $410.5 million for the Centers for Disease Control, including increases for immunization, disease control and occupational safety and health programs. The CDC had received $380.5 million in fiscal 1984 and the president had sought $370 million for fiscal 1985.
* $5.146 billion for the National Institutes of Health, $651 million more than last year and $580 million more than Reagan had sought.
* $922.6 million for programs to combat alcoholism, drug abuse and mental health problems, compared with $849 million in 1984 and a request of $845 million.
* $2.1 billion to help poor people pay their fuel bills, an increase of $25 million over last year. Reagan had requested $1.875 billion.
* The block grant to help states provide social services programs was maintained at $2.7 billion, the same level as last year and the amount Reagan had requested.
* $1.075 billion for the Head Start program, compared with $996 million last year and an administration request of $995 million.
* $372 million for community services grants, intended to help states design antipoverty programs. Reagan had sought to kill the program.