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GAO-23-105897 1 (2022-10-04)

handle is hein.gao/gaonsk0001 and id is 1 raw text is: 0G O   U.S. Government Accountability Office
Specific Fiscal Year 2022 Provisions for
Department of Health and Humnan Services

GAO-23-105897* October 2022
Report to Congressional Committees

The Consolidated Appropriations Act, 2022 appropriated about $1.3 billion to the Department of Health and Human
Services (HHS) for 901 projects at the request of Members of Congress. The act includes specific provisions that
designate an amount of funds for a particular recipient, such as a nonprofit organization or a local government, to use for
a specific project. These provisions are called Congressionally Directed Spending in the U.S. Senate and Community
Project Funding in the U.S. House of Representatives. Members of Congress had to meet certain requirements under
Senate and House rules in order to have their requests included as provisions in the act. Such requirements included that
Members post requests online and certify that they had no financial interest in the projects. The House also required
Members to demonstrate community support for requests.
This report examines how HHS intends to identify provisions, distribute the funds made available through these
provisions, and ensure the funds are spent for the purposes Congress intended. For more information on this report and
others in this series, including background and methodology, visit https://www.gao.gov/tracking-funds.

What are the intended
uses of these funds?

The $1.3 billion is designated to support 901 projects that have a wide variety of
purposes, including upgrading health facilities, supporting mental and behavioral health
programs, improving water and sanitation infrastructure, and supporting programs to
reduce family poverty.

Department of Health and Human Services: Fiscal Year 2022 Community Project
Funding/Congressionally Directed Spending Provisions

Subunit
Health Resources
and Services
Administration
Substance Abuse
and Mental Health
Services
Administration
Indian Health
Service
Administration for
Children and
Families
Administration for
Community Living

Budget
account
Program Management
Health Surveillance
and Program Support

Indian Health Facilities  9

Children and Family
Services Programs
Aging and Disability
Services Programs

Number of      Percentage of budget
fiscal year 2022 account designated for
provisions     fiscal year 2022 provisionsa

652
186

39
15

87%
49%
4%
02%
1%

Examples of projects
Upgrades to facilities and equipment for
hospitals, community health centers, and other
organizations providing health care
Support for mental and behavioral health
programs, including suicide prevention and
treatment of substance abuse, at various
health care facilities
Improvements to water and sanitation
infrastructure
Support for programs for children and families,
including to prevent homelessness and child
abuse
Support for programs for older adults,
including home-based care and rehabilitation
services

Source: GAO analysis of Consolidated Appropriations Act, 2022 and accompanying joint explanatory statement and information provided by the Department of Health and Human
Services. I GAO-23-105897
'Based on total amount appropriated for each of the budget accounts for fiscal year 2022.

GAO-23-105897 Tracking the Funds: Department of Health and Human Services

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