S. HRG. 102-226, Рт. 2 DEPARTMENTS OF LABOR, HEALTH AND HUMAN 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, Part 2 (Pages 1-1184) Department of Health and Human Services Printed for the use of the Committee on Appropriations 38-711 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 JIM SASSER, Tennessee FRANK R. LAUTENBERG, New Jersey BARBARA A. MIKULSKI, Maryland MARK O. HATFIELD, Oregon THAD COCHRAN, Mississippi JAMES H. ENGLISH, Staff Director J. KEITH KENNEDY, Minority Staff Director SUBCOMMITTEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND 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 U.S. SENATE, SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS, 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 |