DEPARTMENT
of HEALTH
and HUMAN
SERVICES
Fiscal Year
2024
Office of Inspector General
Justification of Estimates for Congress
A Message From Inspector General Christi A. Grimm
I am pleased to present the Department of Health and Human Services (HHS or the Department), Office of Inspector General (OIG) fiscal year (FY) 2024 budget request. OIG would use requested funding to protect the integrity, effectiveness, and efficiency of more than 100 HHS programs as well as the health and welfare of the people they serve.
For FY 2024, OIG requests a total of $514.8 million for independent, objective oversight of HHS programs. The request includes $123.3 million for oversight of HHS's Public Health and Human Services (PHHS) programs and $391.5 million for oversight of the Medicare and Medicaid programs, including Health Care Fraud and Abuse Control (HCFAC) Program activities and law enforcement activities coordinated with HHS and the Department of Justice.
With the requested FY 2024 resources, OIG would continue to conduct mission-critical oversight and enforcement to combat fraud, waste, and abuse in HHS programs through, for example, the detection of fraud schemes, misspent funds, and improper payments. The requested resources would advance OIG's longstanding oversight in key PHHS areas including the health and safety of infants and children served by HHS programs; the quality, safety, and integrity of services provided by public health programs; and grants and contracts management. OIG would continue its extensive oversight of the Medicare and Medicaid programs, focusing on key areas such as improving nursing homes; ensuring the integrity of growing managed care programs; addressing high costs of prescription drugs; and advancing access to care while reducing disparities. Across our work, we use a risk-based approach to target high-impact opportunities to improve health, promote well-being, enhance program integrity, and identify potential savings.
Additionally, the FY 2024 budget includes rebasing essential mandatory HCFAC funding for investigative, enforcement, and oversight activities to address urgently needed resources, including OIG criminal investigative agents, to combat serious health care fraud and abuse in Medicare, Medicaid, and the Children's Health Insurance Program. Furthermore, resources requested in the FY 2024 budget would support new investment in OIG's oversight of HHS's emergency preparedness, response, and recovery activities, and in enforcement activities targeting emergency-related fraud and abuse.
OIG delivers positive results for the American people. OIG holds accountable bad actors who harm people and steal from taxpayer-funded programs. OIG's audits and evaluations identify program weaknesses and recommend program improvements. OIG uses data analytics to identify trends and potential program vulnerabilities. To foster compliance and integrity, OIG produces guidance and other resources for industry stakeholders. The FY 2024 budget request would enable OIG to remain an agile organization that pivots quickly to address emerging oversight needs.
OIG appreciates the continued support of Congress and HHS to advance the OIG mission to protect the health and well-being of all Americans.
/s/
Christi A. Grimm
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Inspector General | |
Table of Contents | |
AGENCY OVERVIEW | 6 |
Mission, Vision, and Values | 6 |
Organizational Chart | 7 |
Organizational Components | 8 |
SECTION I: EXECUTIVE SUMMARY | 11 |
Preface to FY 2024 Budget Request | 11 |
FY 2024 Budget Request Overview | 14 |
Overview of Performance | 16 |
All Purpose Table | 17 |
Appropriations Language | 18 |
Nonrecurring Expenses Fund (NEF) | 19 |
SECTION II: BUDGET EXHIBITS | 22 |
Summary of Changes | 22 |
Budget Authority by Activity | 23 |
Amounts Available for Obligation | 24 |
Program Authorization Legislation | 25 |
Appropriations History | 26 |
SECTION III: BUDGET NARRATIVES | 29 |
Adjustments to Base Funding Requirements | 29 |
PHHS Oversight and Enforcement | 31 |
Initiative: Emergency Preparedness, Response, and Recovery | 32 |
HCFAC Oversight and Enforcement | 39 |
SECTION IV: SUPPORTING EXHIBITS | 45 |
Object Classification Tables | 45 |
Detail of FTE | 53 |
Detail of Positions | 54 |
Resources for Cyber Activities | 56 |
Recent Accomplishments | 57 |
Performance for Priority Outcomes | 62 |
Physicians' Comparability Allowance | 78 |
SECTION V: OIG SPECIAL REQUIREMENTS | 79 |
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Acronyms
ACF | Administration for Children and Families |
ACL | Administration for Community Living |
ARP | American Rescue Plan |
AHRQ | Agency for Healthcare Research and Quality |
AI/AN | American Indian and Alaska Native |
BA | Budget Authority |
CDC | Centers for Disease Control and Prevention |
FDA | Food and Drug Administration |
FTE | Full Time Equivalent |
FY | Fiscal Year |
HCFAC | Health Care Fraud and Abuse Control |
HHS | Department of Health and Human Services |
HRSA | Health Resources and Services Administration |
IIJA | Infrastructure Investment and Jobs Act |
IT | Information Technology |
MSI | Mission Support and Infrastructure |
NIH | National Institutes of Health |
OAS | Office of Audit Services |
OCIG | Office of Counsel to the Inspector General |
OEI | Office of Evaluation and Inspections |
OI | Office of Investigations |
OIG | Office of Inspector General |
OMP | Office of Management and Policy |
PB | President's Budget |
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Telecom Argentina SA published this content on 10 March 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 13 March 2023 13:27:52 UTC.