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ical Care

jorizing legislation - Chapter 55 of Title 10 U.S.C.; P.L. 106-398; and P.L. 107-107.

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program provides for the cost of medical care rendered in non-Federal and in uniformed service faci tive duty and retired PHS commissioned officers and dependents of eligible personnel.

activity fulfills the mandatory medical care obligations of the Public Health Service to Commissione ers and their dependents. Medical care to eligible beneficiaries is authorized under the Dependents' ical Care Act, as amended by P.L. 89-614, which allows for an expanded and uniform program of me to active duty and retired members of the uniformed services, and dependents of active duty, retired a ased members. Health care provided in a uniformed service facility is billed directly to the Public He ice by that organization. When medical care is provided to dependents or retirees in a private facility ian Health and Medical Program of the Uniformed Services (TRICARE) acts as the Government's ag range payment and, in turn, bills the Public Health Service for the services rendered. In addition, con cal care is arranged for active duty officers who are not stationed in an area accessible to uniformed ities.

legislation is being proposed to allow for the adjustment of accrual amounts that uniformed services ntly pay into the Department of Defense Uniformed Service Retiree Health Care Fund for Medicareole beneficiaries. The adjustment would allow accrual rates to reflect more accurately the all-officer vosition of the Public Health Service Commissioned Corps. The FY 2004 budget includes $13 millio ifference between the rate under existing law and the rate that would result from the proposal..

ling and beneficiary levels for the past five years were as follows:

Funding Level


1999 2000 2001 2002 2003


27,500 27,500 27,500 27,500 27,500

tionale for FY 2004 Budget Request

e request of $54,391,000 will provide medical care for under age 65 beneficiaries. The FY 2004 reque lects increases in the cost of drugs and inpatient and outpatient care for all beneficiaries in Federal and 2-Federal facilities. The request also includes the costs of the proposal to allow for adjustment of cum Tual rates for Medicare eligible beneficiaries.

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The Program Support Center's Performance Plan and Report reviews past years and looks to the future, reflecting steady progress in defining and delivering quality, competitive Government support products and services to our customers.

The PSC provides Federal government administrative and logistical support services to HHS and other Federal agencies. Services include: acquisition and contract management services; medical supply repackaging and distribution services; building and security services; Federal occupational health services; personnel and payroll services; facilities and materiel management services; telecommunications services, accounting and financial management services; and information technology services. The PSC is committed to earning and maintaining a reputation as a quality, responsive, value-oriented, technically competent, and customer-service oriented organization.

PSC's FY 2002 accomplishments include:

Achieved unqualified audit opinions for all six customer OPDIVs in the FY 2001
audits of financial statements and there were no new material weaknesses in all six of
those audits.

Developed a comprehensive competitive sourcing plan in accordance with the
President's Management Agenda. The FY 2002 competitive sourcing goal of 5% was

Began and substantially completed development of a new PSC billing system in FY
2002. The PSC Revenue, Invoicing, and Cost Estimation System (PRICES) was
delivered and made operational on November 15, 2002.

The Payment Management System team processed more than 300,000 payments
totaling more than $244B to grantees while collecting approximately $10M in interest
eared on Federal Funds on deposits with grantees.

Brought the HHS Department on-line to the new state-of-the-art PeopleSoft personnel
system. The PeopleSoft system was fully deployed in October 2002, four months
ahead of schedule.

Successfully implemented a number of best practices and state-of-the-art automated
tools such as Help Tool, Application Messaging, and People Tools to enhance the HR
process and improve customer relations.

Streamlined our work structures and processes to increase direct access of customers
to service decision points.

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Conducted a review of our business practices and began preparation of business cases
that will recommend actions to refine, improve or change our business practices.

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