S. HRG. 102-226, PT. 2 DEPARTMENTS OF LABOR, HEALTH AND HUMAN 102nd no. 12 +.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, 38-711 Part 2 (Pages 1-1184) Department of Health and Human Services 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 FRANK R. LAUTENBERG, New Jersey BARBARA A. MIKULSKI, Maryland BROCK ADAMS, Washington J. ROBERT KERREY, Nebraska MARK O. HATFIELD, Oregon THAD COCHRAN, Mississippi CHRISTOPHER S. BOND, Missouri 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 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) CONTENTS Department of Health and Human Services: Office of Human Development Services Page Department of Health and Human Services: National Heart, Lung, and Blood Institute 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 |