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S. HRG. 102-226, PT. 2

DEPARTMENTS OF LABOR, HEALTH AND HUMAN
SERVICES, AND EDUCATION, AND RELATED
AGENCIES APPROPRIATIONS FOR FISCAL YEAR

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102nd

no. 12
pt.

+.2

COMMITTEE ON APPROPRIATIONS Docs

UNITED STATES SENATE

ONE HUNDRED SECOND CONGRESS

FIRST SESSION

ON

H.R. 2707/H.R. 3839

AN ACT MAKING APPROPRIATIONS FOR THE DEPARTMENT OF LABOR,
HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED
AGENCIES, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 1992, AND
FOR OTHER PURPOSES

38-711

Part 2 (Pages 1-1184)

Department of Health and Human Services
National Council on Disability

Printed for the use of the Committee on Appropriations

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1991

For sale by the U.S. Government Printing Office

Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-037043-4

COMMITTEE ON APPROPRIATIONS

ROBERT C. BYRD, West Virginia, Chairman

DANIEL K. INOUYE, Hawaii

ERNEST F. HOLLINGS, South Carolina
J. BENNETT JOHNSTON, Louisiana
QUENTIN N. BURDICK, North Dakota
PATRICK J. LEAHY, Vermont
JIM SASSER, Tennessee
DENNIS DECONCINI, Arizona
DALE BUMPERS, Arkansas

FRANK R. LAUTENBERG, New Jersey
TOM HARKIN, Iowa

BARBARA A. MIKULSKI, Maryland
HARRY REID, Nevada

BROCK ADAMS, Washington
WYCHE FOWLER, JR., Georgia

J. ROBERT KERREY, Nebraska

MARK O. HATFIELD, Oregon
TED STEVENS, Alaska
JAKE GARN, Utah

THAD COCHRAN, Mississippi
ROBERT W. KASTEN, JR., Wisconsin
ALFONSE M. D'AMATO, New York
WARREN RUDMAN, New Hampshire
ARLEN SPECTER, Pennsylvania
PETE V. DOMENICI, New Mexico
DON NICKLES, Oklahoma
PHIL GRAMM, Texas

CHRISTOPHER S. BOND, Missouri
SLADE GORTON, Washington

JAMES H. ENGLISH, Staff Director

MARY S. DEWALD, Chief Clerk

J. KEITH KENNEDY, Minority Staff Director

SUBCOMMITTEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES

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J. MICHAEL HALL, JAMES J. SOURWINE, CAROL C. MITCHELL, AMY SCHULTZ, and MARGARET

STEWART

Minority Professional Staff

BETTILOU TAYLOR and CRAIG A. HIGGINS

Administrative Support

GLADYS CLEARWATERS and SUSAN A. MCGOVERN

(II)

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION AND RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 1992

TUESDAY, MARCH 5, 1991

SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS,

U.S. SENATE,

Washington, DC.

The subcommittee met at 2:08 p.m., in room SD-126, Dirksen Senate Office Building, Hon. Harkin (chairman) presiding. Present: Senators Harkin, Burdick, Bumpers, Specter, Hatfield, and Gorton.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

OFFICE OF THE SECRETARY

STATEMENT OF HON. LOUIS W. SULLIVAN, SECRETARY

BUDGET REQUEST

Senator HARKIN. Good afternoon. The Subcommittee on Labor, Health and Human Services, Education, and Related Agencies will come to order.

I want to welcome Secretary Sullivan this afternoon to review with us the fiscal year 1992 budget for his Department. The 1992 total request for Department programs under the jurisdiction of this subcommittee, is $160.6 billion, of which $22.8 billion is for discretionary programs and $137.8 billion is for mandatory programs.

Again, as in the past years, we see mandatory spending increasing by 10.6 percent, well over the rate of inflation, while discretionary programs are increasing by only 0.9 of 1 percent, well below the rate of inflation. The request would permit mandatory programs to grow by $13.2 billion and discretionary programs have a net growth of only $200 million.

In addition to these requests, the Department will have an estimated $448 billion available from the permanent trust funds. This will result in total 1992 spending authority available to the Department to be an estimated $609 billion, or 41 percent of the entire Federal Government.

This afternoon's hearing will be followed by five additional hearings to examine in greater detail the requests of the various agencies in the Department of Health and Human Services. This hear

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