1. 1 Indian Health Service INDIAN HEALTH SERVICE BUDGET WEBINAR FY 2012 PRESIDENT'S BUDGET REQUEST

2. FY 2012 President’s Budget Request Discretionary Budget Authority FY 2010 Enacted $4,052,375,000 FY 2012 Request $4,623,808,000 Difference +$571,433,000 (+14%) 2 Indian Health Service

3. 3 Summary of Changes Current Services:+$327.493 M Commissioned Officer Pay Costs+$4.102 M Inflation +$155.308 M Population Growth +$96.550 M Staffing and Operating Costs for New Facilities+$71.533 M

4. 4 Indian Health Service Staffing of New Facilities Pos Dollars Chickasaw Nation Med Ctr, OK586,532 Lake County Hlth Ctr, CA313,036 Elbowoods Health Center, SD888,387 Cheyenne River Hlth Ctr, SD 257 26,089 Absentee Shawnee Hlth Ctr, OK938,981 Vinita Health Center, OK898,665 PlaceholderNA9,843 Total616$ 71,533 Dollars in Thousands

5. 5 Indian Health Service Summary of Changes Program Increases:+$270.559 M Contract Health Services/CHEF+$ 89.635 M Indian Hlth Care Improvement Fund+$ 54.000 M Hlth Care Facilities Construction+$ 53.958 M Contract Support Costs+$ 50.000 M Chronic Diseases & Alc/Sub Abuse+$ 6.529 M Business Operations Support+$ 6.033 M Health IT Security+$ 4.000 M Direct Operations+$ 3.404 M IHCIA Implementation+$ 2.000 M Improve 3 rd Party Collections+$ 1.000 M

6. 6 Indian Health Service Health Care Facilities Construction ProjectAmount Barrow, AK Hospital$62,184,000 Kayenta, AZ Hlth Center$10,000,000 San Carlos, AZ Hlth Center$10,000,000 S. California YRTC $2,000,000 Total$84,184,000 Note: The total request for Health Care Facilities Construction is $85,184,000. In addition to these projects, $1M is included in the Indian Health Care Improvement Act Implementation amount to assess the feasibility of modular construction.

7. 7 Indian Health Service Summary of Changes Savings:-$26.619 M Grant Savings-$ 7.000 M Sanitation Facilities Construction-$ 19.619 M

8. 8 Indian Health Service INDIAN HEALTH SERVICE BUDGET WEBINAR FY 2012 PRESIDENT'S BUDGET REQUEST