S. HRG. 102-226, PT. 2 DEPARTMENTS OF LABOR, HEALTH AND HUMAN HEARINGS BEFORE A 38-711 SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS"cs UNITED STATES SENATE ONE HUNDRED SECOND CONGRESS FIRST SESSION ON J Part 2 (Pages 1-1184) Department of Health and Human Services 60 A6 102nd no. 12 H.R. 2707/H.R. 3839 AN ACT MAKING APPROPRIATIONS FOR THE DEPARTMENT OF LABOR, U.S. GOVERNMENT PRINTING OFFICE Printed for the use of the Committee on Appropriations 2 For sale by the U.S. Government Printing Office ISBN 0-16-037043-4 COMMITTEE ON APPROPRIATIONS ROBERT C. BYRD, West Virginia, Chairman DANIEL K. INOUYE, Hawaii FRANK R. LAUTENBERG, New Jersey BARBARA A. MIKULSKI, Maryland J. ROBERT KERREY, Nebraska THAD COCHRAN, Mississippi JAMES H. ENGLISH, Staff Director SUBCOMMITTEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES TOM HARKIN, Iowa, Chairman ARLEN SPECTER, Pennsylvania J. MICHAEL HALL, JAMES J. SOURWINE, CAROL C. MITCHELL, AMY SCHULTZ, and MARGARET STEWART ROBERT C. BYRD, West Virginia 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 the Assistant Secretary for Health Agency for Health Care Policy and Research Alcohol, Drug Abuse, and Mental Health Administration National Institute of Allergy and Infectious Diseases National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Child Health and Human Development National Institute of Environmental Health Sciences John E. Fogarty International Center for Advanced Study in the National Institute of Neurological and Communicative Disorders and National Institute on Deafness and Other Communication Dis- National Institute of General Medical Sciences National Institute of Arthritis and Musculoskeletal and Skin Dis- 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, The subcommittee met at 2:08 p.m., in room SD-126, Dirksen 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 |