of $1.293 trillion. the budget authorization is broken down as follows: program budget authority (in millions) food and drug administration $3,329 health resources and services administration $11,004 indian health service $6,104 centers for disease control and prevention $6,767 national institutes of health $33,669 substance abuse and mental health services administration $5,535 agency for healthcare research and quality $0 centers for medicare & medicaid services $1,169,091 administration for children and families $52,121 administration for community living $1,997 departmental management $340 non-recurring expense fund $-400 office of medicare hearings and appeals $186 office of the national coordinator $43 office for civil rights $30 office of inspector general $82 public health and social services emergency fund $2,667 program support center $749 offsetting collections $-629 other collections $-163 total $1,292,523 the fy2020 budget included a $1.276 billion budget decrease for the centers for disease control, and a $4.533 billion budget decrease for the national institutes of health. these budget cuts, along with other changes since 2019, comprised a total decrease of over $24 billion in revised discretionary budget authority across the entire department of health and human services for fiscal year 2020. additional details of the budgeted outlays, budget authority, and detailed budgets for other years, can be found at the hhs budget website. programs the department of health & human services' administers 115 programs across its 11 operating divisions. the united states department of health & human services (hhs) aims to "protect the health of all americans and provide essential human services, especially for those who are least able to help themselves." these federal programs consist of social service programs, civil rights and healthcare privacy programs, disaster preparedness programs, and health related research. hhs offers a variety of social service programs geared toward persons with low income, disabilities, military families, and senior citizens. healthcare rights are defined under hhs in the health insurance portability and accountability act (hipaa) which protect patient's privacy in regards to medical information, protects workers health insurance when unemployed, and sets guidelines surrounding some health insurance. hhs collaborates with the office of the assistant secretary for preparedness and response and office of emergency management to prepare and respond to health emergencies. a broad array of health related research is supported or completed under the hhs; secondarily under hhs, the health resources & service administration houses data warehouses and makes health data available surrounding a multitude of topics. hhs also has vast offering of health related resources and tools to help educate the public on health policies and pertinent population health information. some examples of available resources include disease prevention, wellness, health insurance information, as well as links to healthcare providers and facilities, meaningful health related materials, public health and safety information. some highlights include: health and social science research preventing disease, including immunization services assuring food and drug safety medicare (health insurance for elderly and disabled americans) and medicaid (health insurance for low-income people) health information technology financial assistance and services for low-income families improving maternal and infant health, including a nurse home visitation to support first-time mothers head start (pre-school education and services) faith-based and community initiatives preventing child abuse and domestic violence substance abuse treatment and prevention services for older americans, including home-delivered meals comprehensive health services for native americans assets for independence medical preparedness for emergencies, including potential terrorism child support enforcement the health insurance portability and accountability act (hipaa) this program is to ensure the accountability of medical professionals to respect and carry-out basic human health rights, under the act of the same name. in the united states, the government feels that it is essential for the american people to understand their civil duty and rights to all of their medical information. that includes: health insurance policies or medical records from every doctor or emergency visit in one's life. through health & human services one is able to file a complaint that their hipaa rights have been violated or a consultant that will be able to decide if their rights were violated. social services this branch has everything to do with the social justice, wellness, and care of all people throughout the united states. this includes but is not limited to people who need government assistance, foster care, unaccompanied alien children, daycares (headstart included), adoption, senior citizens, and disability programs. social services is one of (if not) the largest branch of programs underneath it that has a wide variety throughout the united states at a state and local level. prevention and wellness the prevention and wellness program's main idea is to give the american people the ability to live the healthiest and best lifestyle physically that they can. they are the ones who deal with vaccines and immunizations, which fight from common diseases to deadly ones. the nutrition & fitness program that are the basics of healthy eating and regular exercise. health screenings & family health history which are crucial in the knowledge of each individual's health and body. a severely important one especially in today's society is mental health and substance abuse in where they help people with mental illness and drug abuse. lastly, they help with environmental health where people are researching and studying how our environments both physical and metaphorically have a short- and long-term effect on our health and wellness. strengthening communities fund in june 2010, the department of health & human services created the strengthening communities fund as part of the american recovery and reinvestment act. the fund was appropriated $50 million to be given as grants to organizations in the united states who were engaged in capacity building programs. the grants were given to two different types of capacity builders: state, local and tribal governments engaged in capacity building: grants will go to state local and tribal governments to equip them with the capacity to more effectively partner with faith-based or non-faith based nonprofit organizations. capacity building in this program will involve education and outreach that catalyzes more involvement of nonprofit organizations in economic recovery and building up nonprofit organization's abilities to tackle economic problems. state, local and tribal governments can receive up to $250,000 in two year grants nonprofit social service providers engaged in capacity building: they will make grants available to nonprofit organizations who can assist other nonprofit organizations in organizational development, program development, leadership, and evaluations. nonprofits can receive up to $1 million in two year grants biodefense hhs plays a role in protecting the united states against bioterrorism events. in 2018, hhs released a new national biodefense strategy required by passage of the 2016 biodefense strategy act. the biodefense strategy required implementation of a biodefense strategy after a 2015 blue ribbon study panel on biodefense report found that the 2009 national strategy for countering biological threats was inadequate in protecting the u.s. the strategy adopted these five central recommendations: creating a single centralized approach to biodefense; implementing an interdisciplinary approach to biodefense that brings together policy makers, scientists, health experts, and academics; drawing up a comprehensive strategy to address human, plant, and animal health; creating a defense against global and domestic biological threats; and creating a proactive policy to combat the misuse and abuse of advanced biotechnology. hhs also runs the biodefense steering committee, which works with other federal agencies including the u.s. department of state, u.s. department of defense, u.s. food and drug administration, u.s. department of homeland security, and the environmental protection agency. hhs specifically oversees project bioshield, established in 2003 and operating since 2004, and its development and production of genetically based bio-weapons and vaccines. hhs together with dhs are authorized under the homeland security act of 2002 to deploy the weapons and vaccines produced by project bioshield on the us general public under martial law during "emerging terrorist threats" or public health emergencies. both hhs and dhs have similar authorities through state-based legislation adopted from model state emergency health powers act provisions. criticisms and controversies in 2016, a published us senate report revealed that several dozen unaccompanied children from central america, some as young as 14 years old, were released from custody to traffickers where they were sexually assaulted, starved or forced to work for little or no pay. the hhs sub agency office of refugee resettlement (orr) released approximately 90,000 unaccompanied children during 2013–2015 but did not track their whereabouts or properly screen families accepting these children. to prevent similar episodes, the homeland security and health & human services departments signed a memorandum of understanding in 2016, and agreed to establish joint procedures within one year for dealing with unaccompanied migrant children. as of 2018 they have failed to do so. between october and december 2017, officials from orr tried to contact 7,635 children and their sponsors. from these calls, officials learned that 6,075 children remained with their sponsors. twenty-eight had run away, five had been removed from the united states and fifty-two had relocated to live with a non sponsor. however, officials have lost track of 1,475 children. orr claims it is not legally liable for the safety and status of the children once released from custody. hhs is evidenced to be actively coercing and forcing bio-substances such as antipsychotics on migrating children without consent, and under questionable medical supervision. medical professionals state that wrongly prescribed antipsychotics are especially dangerous for children, and can cause permanent psychological damage. medical professionals also state dhs and hhs incarceration and separation policies are likewise causing irreparable mental harm to the children. children are also dying in hhs custody. the forced drugging, deaths, and disappearances of migrating mexican and central american children might be related to dhs falsely labeling them and their families as 'terror threats' before hhs manages their incarcerations. despite a federal court order, the dhs separation practices started by obama and mandated by the trump administration's "zero-tolerance" policy have not been halted, and hhs has not stopped forcing drugs on the children it incarcerates. in august 2022, the office of the inspector general for health and human services reported that nih had failed in its oversight of clinical trials, with slightly over half of sample trial results either being tardy for publication or remaining unpublished on clinicaltrials.gov after several years from the stated completion dates. freedom of information act processing performance in the latest center for effective government analysis of 15 federal agencies which receive the most freedom of information act (foia) requests published in 2015 (using 2012 and 2013 data, the most recent years available), the dhhs ranked second to last, earning an f by scoring 57 out of a possible 100 points, largely due to a low score on its particular disclosure rules. it had deteriorated from a d− in 2013. related legislation 1946: hospital survey and construction act (hill-burton act) pl 79-725 1949: hospital construction act pl 81-380 1950: public health services act amendments pl 81-692 1955: poliomyelitis vaccination assistance act pl 84-377 1956: health research facilities act pl 84-835 1960: social security amendments (kerr-mill aid) pl 86-778 1961: community health services and facilities act pl 87-395 1962: public health service act pl 87-838 1962: vaccination assistance pl 87-868 1963: mental retardation facilities construction act/community mental health centers act pl 88-164 1964: nurse training act pl 88-581 1965: community health services and facilities act pl 89-109 1965: medicare (united states)|medicare pl 89-97 1965: mental health centers act amendments pl 89-105 1965: heart disease, cancer, and stroke amendments pl 89-239 1966: comprehensive health planning and service act pl 89-749 1970: community mental health service act pl 91-211 1970: family planning services and population research act pl 91-572 1970: lead-based paint poisoning prevention act pl 91-695 1971: national cancer act pl 92-218 1974: research on aging act pl 93-296 1974: national health planning and resources development act pl 93-641 1979: department of education organization act (removed education functions) pl 96-88 1987: department of transportation appropriations act pl 100-202 1988: medicare catastrophic coverage act pl 100-360 1989: department of transportation and related agencies appropriations act pl 101-164 1996: health insurance portability and accountability act pl 104-191 2000: child abuse reform and enforcement act p.l. 106-177 2010: patient protection and affordable care act pl 111-148