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Summary Tables
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 117
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Bu
dge
t T
otal
s in
Bil
lion
s of
Dol
lars
:R
ecei
pts
.....
......
......
......
......
......
......
......
......
......
......
......
......
...3,
316
3,34
03,
422
3,60
93,
838
4,08
94,
386
4,67
54,
946
5,23
15,
506
5,81
819
,344
45,5
20O
utl
ays
.....
......
......
......
......
......
......
......
......
......
......
......
......
....
3,98
24,
214
4,40
74,
596
4,75
44,
941
5,16
05,
348
5,52
65,
748
5,95
56,
181
23,8
5852
,615
Defi
cit
......
......
......
......
......
......
......
......
......
......
......
......
......
..66
587
398
498
791
685
277
467
257
951
745
036
34,
513
7,09
5
Deb
t h
eld
by t
he
publ
ic .
......
......
......
......
......
......
......
......
......
.14
,665
15,7
9016
,872
17,9
4718
,950
19,9
4620
,809
21,4
9522
,137
22,7
0323
,194
23,6
84
Gro
ss d
omes
tic
prod
uct
(G
DP
) ..
......
......
......
......
......
......
......
....
19,1
7720
,029
21,0
0322
,069
23,1
9424
,369
25,6
0526
,900
28,2
5329
,647
31,0
8932
,602
Bu
dge
t T
otal
s as
a P
erce
nt
of G
DP
:R
ecei
pts
.....
......
......
......
......
......
......
......
......
......
......
......
......
...17
.3%
16.7
%16
.3%
16.4
%16
.5%
16.8
%17
.1%
17.4
%17
.5%
17.6
%17
.7%
17.8
%16
.6%
17.1
%O
utl
ays
.....
......
......
......
......
......
......
......
......
......
......
......
......
....
20.8
%21
.0%
21.0
%20
.8%
20.5
%20
.3%
20.2
%19
.9%
19.6
%19
.4%
19.2
%19
.0%
20.5
%20
.0%
Defi
cit
......
......
......
......
......
......
......
......
......
......
......
......
......
..3.
5%4.
4%4.
7%4.
5%3.
9%3.
5%3.
0%2.
5%2.
1%1.
7%1.
4%1.
1%3.
9%2.
8%
Deb
t h
eld
by t
he
publ
ic .
......
......
......
......
......
......
......
......
......
.76
.5%
78.8
%80
.3%
81.3
%81
.7%
81.9
%81
.3%
79.9
%78
.4%
76.6
%74
.6%
72.6
%1 O
utl
ays
and
defi
cits
are
sta
nda
rdiz
ed t
o 12
mon
thly
ben
efit
paym
ents
, as
show
n o
n T
able
S–4
.
Tab
le S
–1.
Bu
dge
t T
otal
s 1
(In
billi
ons
of d
olla
rs a
nd a
s a
perc
ent
of G
DP
)
118 SUMMARY TABLES
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Pro
ject
ed d
efici
ts i
n t
he
pre
-pol
icy
bas
elin
e 1 ..
......
......
......
......
......
......
......
......
......
....
665
870
969
1,04
91,
103
1,11
51,
109
1,12
31,
136
1,24
21,
316
1,37
85,
345
11,5
40P
erce
nt
of G
DP
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..3.
5%4.
3%4.
6%4.
8%4.
8%4.
6%4.
4%4.
2%4.
1%4.
3%4.
3%4.
3%
Pro
pos
als
in t
he
2019
Bu
dge
t:C
han
ges
to m
and
ator
y sp
end
ing
and
rec
eip
ts:
Rep
eal a
nd
repl
ace
Oba
mac
are
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
...3
23–2
7–4
1–5
6–7
3–9
2–1
13–1
37–1
61–9
8–6
75S
upp
ort
at le
ast
$1 t
rill
ion
in p
riva
te/p
ubl
ic in
fras
tru
ctu
re in
vest
men
t ...
......
......
....
......
......
......
4511
1825
3129
2012
52
130
199
Pro
vide
pai
d pa
ren
tal l
eave
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
......
...1
12
22
22
22
37
19R
efor
m t
he
wel
fare
sys
tem
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...–2
1–2
3–2
5–2
5–2
7–2
7–2
7–2
9–2
9–2
8–1
23–2
63R
efor
m F
eder
al s
tude
nt
loan
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–6–1
2–1
6–1
9–2
2–2
4–2
5–2
6–2
7–2
7–7
5–2
03R
edu
ce im
prop
er p
aym
ents
Gov
ern
men
t-w
ide
.....
......
......
......
......
......
......
......
......
......
......
......
......
–*–1
–2–3
–6–6
–12
–22
–40
–59
–11
–151
Ref
orm
dis
abil
ity
prog
ram
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
......
–1–2
–2–2
–2–5
–8–1
2–1
7–2
2–9
–72
Ref
orm
ret
irem
ent
and
hea
lth
ben
efits
for
Fed
eral
em
ploy
ees
.....
......
......
......
......
.....
......
......
......
–3–1
–4–5
–6–8
–9–1
0–1
1–1
2–1
8–6
8L
imit
Far
m B
ill s
ubs
idie
s an
d m
ake
oth
er a
gric
ult
ura
l ref
orm
s ..
......
......
......
......
.....
......
......
......
–1–4
–5–6
–6–7
–7–7
–7–7
–23
–58
Eli
min
ate
was
tefu
l spe
ndi
ng
in M
edic
are
and
impr
ove
dru
g pr
icin
g an
d pa
ymen
t po
lici
es 2
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
......
–2–1
1–1
6–2
2–2
6–2
6–2
9–3
2–3
4–3
8–7
7–2
36O
ther
spe
ndi
ng
redu
ctio
ns
and
prog
ram
ref
orm
s 3 .
......
......
......
......
......
......
......
......
......
......
5–4
–13
–15
–11
–18
–22
–11
–56
–61
–68
–60
–278
Tot
al, c
han
ges
to m
anda
tory
spe
ndi
ng
and
rece
ipts
....
......
......
......
......
......
......
......
....
......
510
–30
–92
–108
–135
–166
–197
–292
–355
–419
–356
–1,7
86
Rep
rior
itiz
e d
iscr
etio
nar
y sp
end
ing:
Elim
inat
e th
e de
fens
e se
ques
ter
and
rais
e th
e ca
p on
def
ense
dis
cret
iona
ry s
pend
ing
......
......
3243
6676
8284
8586
8686
8535
077
7R
eorg
aniz
e G
over
nm
ent
and
appl
y tw
o-pe
nn
y pl
an t
o n
on-d
efen
se d
iscr
etio
nar
y sp
endi
ng
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–32
–27
–57
–92
–122
–140
–163
–187
–211
–235
–260
–438
–1,4
95P
has
e do
wn
th
e u
se o
f O
vers
eas
Con
tin
gen
cy O
pera
tion
s fu
ndi
ng
.....
......
......
......
....
......
...–1
3–5
–20
–33
–40
–43
–75
–94
–102
–109
–113
–141
–634
Pro
vide
201
8 em
erge
ncy
fu
ndi
ng
and
alig
n e
mer
gen
cy a
nd
disa
ster
fu
ndi
ng
wit
h
the
ten
-yea
r av
erag
e 4 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
111
–5–1
2–2
0–2
1–2
2–2
3–2
3–2
4–2
5–5
7–1
74T
otal
, rep
rior
itiz
e di
scre
tion
ary
spen
din
g ..
......
......
......
......
......
......
......
......
......
......
....
......
–211
–16
–62
–100
–120
–176
–218
–251
–283
–313
–287
–1,5
27
Deb
t se
rvic
e an
d in
dire
ct in
tere
st e
ffec
ts .
......
......
......
......
......
......
......
......
......
......
......
.....
......
...*
**
–3–9
–16
–26
–38
–54
–74
–98
–28
–319
Tot
al c
han
ges
to s
pen
din
g an
d r
ecei
pts
in
th
e 20
19 B
ud
get
....
......
......
......
....
......
...4
21–4
6–1
57–2
17–2
72–3
68–4
53–5
97–7
13–8
30–6
71–3
,631
Eff
ect
of p
ost-
poli
cy b
oost
to
econ
omic
gro
wth
....
......
......
......
......
......
......
......
......
......
......
....
......
......
......
–5–1
6–3
0–4
6–6
3–8
2–1
04–1
28–1
53–1
85–1
60–8
13
Tot
al d
efici
t re
du
ctio
n i
n t
he
2019
Bu
dge
t 5 .
......
......
......
......
......
......
......
......
......
......
.....
......
416
–62
–187
–263
–335
–451
–557
–725
–866
–1,0
15–8
32–4
,445
Res
ult
ing
defi
cits
in
th
e 20
19 B
ud
get
.....
......
......
......
......
......
......
......
......
......
......
......
....
665
873
984
987
916
852
774
672
579
517
450
363
4,51
37,
095
Per
cen
t of
GD
P .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
3.5%
4.4%
4.7%
4.5%
3.9%
3.5%
3.0%
2.5%
2.1%
1.7%
1.4%
1.1%
* $5
00 m
illi
on o
r le
ss.
1 I
ncl
ude
s ad
just
men
ts t
o st
anda
rdiz
e th
e n
um
ber
of b
enefi
t pa
ymen
ts in
eac
h y
ear.
See
Tab
le S
-3 f
or m
ore
info
rmat
ion
on
th
e ba
seli
ne.
2 I
ncl
ude
s th
e fo
llow
ing
cate
gori
es o
f pr
opos
als
on T
able
S–6
: A
ddre
ss f
rau
d an
d ab
use
in M
edic
are,
Eli
min
ate
was
tefu
l spe
ndi
ng
on G
over
nm
ent-
impo
sed
prov
ider
bu
rden
s in
Med
i-ca
re, E
lim
inat
e w
aste
ful s
pen
din
g, M
edic
are
dru
g pr
icin
g an
d pa
ymen
t im
prov
emen
ts, I
mpr
ove
the
Med
icar
e ap
peal
s sy
stem
, an
d M
edic
are
inte
ract
ion
s.3 I
ncl
ude
s in
tera
ctio
n b
etw
een
201
9 B
udg
et p
ropo
sals
an
d th
e ad
just
men
t to
sta
nda
rdiz
e th
e n
um
ber
of b
enefi
t pa
ymen
ts in
eac
h y
ear.
4 T
he
Bal
ance
d B
udg
et a
nd
Em
erge
ncy
Defi
cit
Con
trol
Act
of
1985
(B
BE
DC
A)
requ
ires
th
e ba
seli
ne
for
disc
reti
onar
y ap
prop
riat
ion
s, in
clu
din
g di
sast
er a
nd
emer
gen
cy s
pen
din
g, t
o re
flec
t th
e m
ost
rece
nt
enac
ted
leve
ls, e
xten
ded
thro
ugh
th
e bu
dget
win
dow
wit
h a
dju
stm
ents
for
infl
atio
n.
Th
is li
ne
repr
esen
ts t
he
effe
ct o
f pr
ovid
ing
nee
ded
emer
gen
cy f
un
d-in
g fo
r 20
18 a
nd
then
ali
gnin
g em
erge
ncy
an
d di
sast
er f
un
din
g w
ith
th
e av
erag
e of
fu
ndi
ng
prov
ided
ove
r th
e pr
evio
us
ten
yea
rs, r
elat
ive
to t
he
infl
ated
spe
ndi
ng
leve
ls in
th
e B
BE
DC
A b
asel
ine.
5 I
ncl
ude
s di
ffer
ence
s be
twee
n b
asel
ine
and
poli
cy e
stim
ates
of
the
outl
ay e
ffec
ts o
f 20
19 m
anda
tory
seq
ues
trat
ion
.
Tab
le S
–2.
Eff
ect
of B
ud
get
Pro
pos
als
on P
roje
cted
Defi
cits
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (-
) in
billi
ons
of d
olla
rs)
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 119
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Ou
tlay
s:D
iscr
etio
nar
y pr
ogra
ms:
Def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
590
611
637
668
678
690
705
719
737
755
774
793
3,37
87,
156
Non
-def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
610
661
656
659
670
669
676
689
705
721
738
756
3,33
06,
940
Su
btot
al, d
iscr
etio
nar
y pr
ogra
ms
......
......
......
......
......
......
......
......
.1,
200
1,27
11,
293
1,32
71,
349
1,35
91,
381
1,40
81,
442
1,47
61,
512
1,54
96,
708
14,0
96M
anda
tory
pro
gram
s:S
ocia
l Sec
uri
ty ..
......
......
......
......
......
......
......
......
......
......
......
......
......
...93
998
71,
047
1,10
91,
174
1,24
51,
319
1,39
81,
480
1,56
61,
656
1,75
25,
894
13,7
45M
edic
are
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...59
158
264
068
874
384
587
690
21,
005
1,10
31,
196
1,35
33,
792
9,35
0M
edic
aid
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...37
540
242
043
946
449
051
954
958
362
466
170
12,
332
5,45
0E
xch
ange
su
bsid
ies
(in
clu
din
g B
asic
Hea
lth
Car
e P
rogr
am)
.....
....
3948
4848
4952
5457
6063
6669
251
565
Oth
er m
anda
tory
pro
gram
s ...
......
......
......
......
......
......
......
......
......
.....
574
570
576
589
612
654
655
658
684
745
764
815
3,08
66,
751
Su
btot
al, m
anda
tory
pro
gram
s ..
......
......
......
......
......
......
......
......
..2,
519
2,58
82,
731
2,87
33,
042
3,28
63,
423
3,56
43,
811
4,10
04,
343
4,68
915
,355
35,8
61N
et in
tere
st .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.26
331
036
444
751
557
763
668
472
777
281
585
92,
538
6,39
6T
otal
ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
3,98
24,
170
4,38
84,
647
4,90
65,
222
5,43
95,
656
5,98
06,
348
6,67
07,
098
24,6
0156
,353
Rec
eip
ts:
Indi
vidu
al in
com
e ta
xes
......
......
......
......
......
......
......
......
......
......
......
......
.1,
587
1,66
01,
687
1,79
01,
917
2,05
02,
198
2,34
82,
504
2,70
02,
883
3,06
29,
642
23,1
40C
orpo
rati
on in
com
e ta
xes
.....
......
......
......
......
......
......
......
......
......
......
.....
297
218
225
265
273
314
374
417
435
417
406
414
1,45
13,
539
Soc
ial i
nsu
ran
ce a
nd
reti
rem
ent
rece
ipts
:S
ocia
l Sec
uri
ty p
ayro
ll t
axes
...
......
......
......
......
......
......
......
......
......
..85
185
290
594
199
51,
049
1,10
31,
164
1,22
61,
296
1,36
11,
442
4,99
411
,483
Med
icar
e pa
yrol
l tax
es
......
......
......
......
......
......
......
......
......
......
......
...25
625
927
528
730
432
233
935
937
940
142
244
81,
528
3,53
5U
nem
ploy
men
t in
sura
nce
.....
......
......
......
......
......
......
......
......
......
......
4648
4747
4746
4748
4950
5255
233
488
Oth
er r
etir
emen
t ..
......
......
......
......
......
......
......
......
......
......
......
......
.....
1010
1111
1212
1314
1415
1617
5913
5E
xcis
e ta
xes
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...84
108
108
112
118
121
124
128
132
136
140
146
584
1,26
5E
stat
e an
d gi
ft t
axes
....
......
......
......
......
......
......
......
......
......
......
......
......
..23
2517
1819
2123
2426
2829
3198
236
Cu
stom
s du
ties
....
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
3540
4447
4850
5152
5355
5658
240
515
Dep
osit
s of
ear
nin
gs, F
eder
al R
eser
ve S
yste
m .
......
......
......
......
......
......
8172
5549
5259
6773
7782
8691
282
691
Oth
er m
isce
llan
eou
s re
ceip
ts .
......
......
......
......
......
......
......
......
......
......
...48
4850
4747
4950
5252
5456
5724
351
5T
otal
rec
eipt
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
3,31
63,
340
3,42
43,
613
3,83
34,
095
4,38
94,
678
4,94
85,
233
5,50
85,
820
19,3
5445
,541
Defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...66
582
996
41,
033
1,07
31,
127
1,05
197
81,
032
1,11
51,
162
1,27
75,
247
10,8
12
Net
inte
rest
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
263
310
364
447
515
577
636
684
727
772
815
859
2,53
86,
396
Pri
mar
y de
fici
t ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.40
351
960
058
655
855
041
529
430
534
334
741
82,
709
4,41
6
On
-bu
dget
defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
.71
582
495
51,
000
1,02
91,
070
975
887
925
1,00
31,
035
1,14
25,
028
10,0
21O
ff-b
udg
et d
efici
t/su
rplu
s (–
) ...
......
......
......
......
......
......
......
......
......
......
..–4
95
933
4457
7691
107
112
127
135
219
791
Tab
le S
–3.
Bas
elin
e b
y C
ateg
ory
1
(In
billi
ons
of d
olla
rs)
120 SUMMARY TABLES
Tab
le S
–3.
Bas
elin
e b
y C
ateg
ory
1 —C
onti
nu
ed
(In
billi
ons
of d
olla
rs)
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Mem
oran
du
m, t
otal
s w
ith
pre
-pol
icy
econ
omic
ass
um
pti
ons
and
sta
nd
ard
ized
to
12 m
onth
ly b
enefi
t p
aym
ents
: 2
Rec
eipt
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
3,31
63,
340
3,41
93,
597
3,80
44,
051
4,32
94,
600
4,85
05,
115
5,36
65,
650
19,2
0044
,781
Ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.3,
982
4,21
04,
388
4,64
74,
906
5,16
65,
438
5,72
35,
986
6,35
76,
682
7,02
924
,545
56,3
22D
efici
t ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
665
870
969
1,04
91,
103
1,11
51,
109
1,12
31,
136
1,24
21,
316
1,37
85,
345
11,5
40
Mem
oran
du
m, b
ud
get
auth
orit
y fo
r d
iscr
etio
nar
y p
rogr
ams:
Def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
634
637
652
668
684
701
718
736
754
773
792
811
3,42
27,
287
Non
-def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
586
565
580
594
608
623
639
655
672
689
706
724
3,04
46,
489
Tot
al, d
iscr
etio
nar
y bu
dget
au
thor
ity
.....
......
......
......
......
......
......
.....
1,22
01,
202
1,23
21,
262
1,29
21,
324
1,35
71,
391
1,42
51,
461
1,49
81,
535
6,46
613
,776
* $5
00 m
illi
on o
r le
ss.
1 B
asel
ine
esti
mat
es a
re o
n t
he
basi
s of
th
e ec
onom
ic a
ssu
mpt
ion
s sh
own
in T
able
S–9
, wh
ich
inco
rpor
ate
the
effe
cts
of t
he
Adm
inis
trat
ion
’s fi
scal
pol
icie
s. B
asel
ine
tota
ls r
eflec
tin
g cu
rren
t-la
w e
con
omic
ass
um
ptio
ns
are
show
n in
a m
emor
andu
m b
ank.
2 W
hen
Oct
ober
1 f
alls
on
a w
eeke
nd,
cer
tain
man
dato
ry b
enefi
t pa
ymen
ts a
re a
ccel
erat
ed t
o th
e pr
evio
us
busi
nes
s da
y, a
nd
as a
res
ult
cer
tain
fisc
al y
ears
can
hav
e 11
or
13 b
enefi
t pa
ymen
ts r
ath
er t
han
th
e n
orm
al 1
2 pa
ymen
ts.
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 121
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Ou
tlay
s:D
iscr
etio
nar
y pr
ogra
ms:
Def
ense
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...59
063
467
872
173
074
475
974
374
475
576
878
33,
633
7,42
6N
on-d
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
610
636
626
584
549
498
483
470
461
452
443
436
2,74
05,
002
Su
btot
al, d
iscr
etio
nar
y pr
ogra
ms
......
......
......
......
......
......
......
......
....
1,20
01,
270
1,30
41,
305
1,28
01,
242
1,24
31,
214
1,20
51,
207
1,21
11,
219
6,37
312
,428
Man
dato
ry p
rogr
ams:
Soc
ial S
ecu
rity
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
...93
998
71,
046
1,10
81,
173
1,24
31,
317
1,39
51,
476
1,56
21,
652
1,74
85,
887
13,7
20M
edic
are
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
591
582
625
656
703
798
824
848
955
1,02
41,
107
1,25
73,
605
8,79
6M
edic
aid
and
Mar
ket-
Bas
ed H
ealt
h C
are
Gra
nt
.....
......
......
......
......
..37
540
041
248
348
049
551
252
854
656
457
959
72,
382
5,19
6E
xch
ange
su
bsid
ies
(in
clu
din
g B
asic
Hea
lth
Pro
gram
) ..
......
......
......
.39
4845
11...
......
......
......
......
......
......
......
......
......
......
......
...56
56O
ther
man
dato
ry p
rogr
ams
......
......
......
......
......
......
......
......
......
......
.....
574
577
567
575
590
626
621
617
636
664
662
680
2,97
96,
238
All
owan
ce f
or in
fras
tru
ctu
re in
itia
tive
....
......
......
......
......
......
......
......
....
......
......
...45
1118
2531
2919
114
112
919
3S
ubt
otal
, man
dato
ry p
rogr
ams
.....
......
......
......
......
......
......
......
......
..2,
519
2,59
32,
739
2,84
52,
964
3,18
73,
303
3,41
63,
632
3,82
54,
004
4,28
315
,038
34,1
99N
et in
tere
st .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...26
331
036
344
751
056
861
965
868
871
774
076
12,
507
6,07
0T
otal
ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...3,
982
4,17
34,
407
4,59
64,
754
4,99
65,
165
5,28
85,
526
5,74
85,
955
6,26
323
,918
52,6
97
Rec
eip
ts:
Indi
vidu
al in
com
e ta
xes
......
......
......
......
......
......
......
......
......
......
......
......
...1,
587
1,66
01,
688
1,79
11,
919
2,05
32,
202
2,35
32,
511
2,70
72,
890
3,07
09,
652
23,1
82C
orpo
rati
on in
com
e ta
xes
.....
......
......
......
......
......
......
......
......
......
......
......
.29
721
822
526
527
331
437
441
743
541
740
641
31,
451
3,53
9S
ocia
l in
sura
nce
an
d re
tire
men
t re
ceip
ts:
Soc
ial S
ecu
rity
pay
roll
tax
es
......
......
......
......
......
......
......
......
......
......
..85
185
290
594
199
41,
049
1,10
31,
164
1,22
61,
296
1,36
11,
442
4,99
211
,481
Med
icar
e pa
yrol
l tax
es
......
......
......
......
......
......
......
......
......
......
......
......
256
259
275
287
304
322
339
359
379
401
422
448
1,52
83,
536
Un
empl
oym
ent
insu
ran
ce ..
......
......
......
......
......
......
......
......
......
......
......
4648
4747
4849
5150
5253
5559
241
510
Oth
er r
etir
emen
t ..
......
......
......
......
......
......
......
......
......
......
......
......
......
..10
1011
1316
1921
2324
2526
2680
204
Exc
ise
taxe
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..84
108
108
112
119
106
109
111
114
117
121
125
555
1,14
4E
stat
e an
d gi
ft t
axes
....
......
......
......
......
......
......
......
......
......
......
......
......
....
2325
1718
1921
2324
2628
2931
9823
6C
ust
oms
duti
es .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
3540
4447
4850
5152
5354
5658
239
511
Dep
osit
s of
ear
nin
gs, F
eder
al R
eser
ve S
yste
m .
......
......
......
......
......
......
..81
7255
4953
6068
7378
8387
9228
569
8O
ther
mis
cell
aneo
us
rece
ipts
....
......
......
......
......
......
......
......
......
......
......
..48
4851
4747
4950
5253
5456
5824
451
6A
llow
ance
for
Oba
mac
are
repe
al a
nd
repl
acem
ent
.....
......
......
......
......
......
......
......
...–3
–9–3
–3–3
–3–3
–3–4
–4–2
0–3
8T
otal
rec
eipt
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..3,
316
3,34
03,
422
3,60
93,
838
4,08
94,
386
4,67
54,
946
5,23
15,
506
5,81
819
,344
45,5
20
Defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
665
833
984
987
916
908
778
612
579
517
450
445
4,57
47,
177
Net
inte
rest
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
263
310
363
447
510
568
619
658
688
717
740
761
2,50
76,
070
Pri
mar
y de
fici
t/su
rplu
s (–
) ...
......
......
......
......
......
......
......
......
......
......
......
..40
352
262
154
040
634
016
0–4
6–1
09–1
99–2
91–3
162,
067
1,10
7
On
-bu
dget
defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
...71
582
897
795
687
585
370
652
547
741
032
831
54,
367
6,42
3O
ff-b
udg
et d
efici
t/su
rplu
s (–
) ...
......
......
......
......
......
......
......
......
......
......
....
–49
57
3141
5472
8710
210
712
213
020
675
4
Tab
le S
–4.
Pro
pos
ed B
ud
get
by
Cat
egor
y(I
n bi
llion
s of
dol
lars
)
122 SUMMARY TABLES
Tab
le S
–4.
Pro
pos
ed B
ud
get
by
Cat
egor
y—C
onti
nu
ed(I
n bi
llion
s of
dol
lars
)
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Mem
oran
du
m, t
otal
s st
and
ard
ized
to
12 m
onth
ly b
enefi
t p
aym
ents
: 1
Rec
eipt
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..3,
316
3,34
03,
422
3,60
93,
838
4,08
94,
386
4,67
54,
946
5,23
15,
506
5,81
819
,344
45,5
20O
utl
ays
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
3,98
24,
214
4,40
74,
596
4,75
44,
941
5,16
05,
348
5,52
65,
748
5,95
56,
181
23,8
5852
,615
Defi
cit
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
665
873
984
987
916
852
774
672
579
517
450
363
4,51
37,
095
Mem
oran
du
m, b
ud
get
auth
orit
y fo
r d
iscr
etio
nar
y p
rogr
ams:
Def
ense
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...63
467
571
673
374
376
077
873
775
276
878
480
03,
729
7,57
0N
on-d
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
586
545
483
469
455
434
425
415
408
400
392
385
2,26
74,
266
Tot
al, d
iscr
etio
nar
y bu
dget
au
thor
ity
.....
......
......
......
......
......
......
....
1,22
01,
220
1,19
91,
202
1,19
81,
194
1,20
31,
152
1,16
01,
168
1,17
61,
185
5,99
611
,836
Mem
oran
du
m, r
epea
l &
rep
lace
Ob
amac
are—
Med
icai
d a
nd
ot
her
ou
tlay
s fo
r h
ealt
h c
are
cove
rage
:M
edic
aid
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
375
400
412
363
357
370
383
397
411
426
438
453
1,88
54,
011
Exc
han
ge S
ubs
idie
s (i
ncl
udi
ng
Bas
ic H
ealt
h P
rogr
am)
....
......
......
......
.39
4845
11...
......
......
......
......
......
......
......
......
......
......
......
...56
56M
arke
t-B
ased
Hea
lth
Car
e G
ran
t .
......
......
......
......
......
......
......
......
......
.....
......
......
......
......
120
123
126
128
131
134
138
141
144
497
1,18
5T
otal
, ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..41
444
845
749
448
049
551
252
854
656
457
959
72,
438
5,25
11 W
hen
Oct
ober
1 f
alls
on
a w
eeke
nd,
cer
tain
man
dato
ry b
enefi
t pa
ymen
ts a
re a
ccel
erat
ed t
o th
e pr
evio
us
busi
nes
s da
y, a
nd
as a
res
ult
cer
tain
fisc
al y
ears
can
hav
e 11
or
13 b
enefi
t pa
ymen
ts r
ath
er t
han
th
e n
orm
al 1
2 pa
ymen
ts.
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 123
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Ave
rage
s
2019
–20
2320
19–
2028
Ou
tlay
s:D
iscr
etio
nar
y pr
ogra
ms:
Def
ense
....
......
......
......
......
......
......
......
......
......
......
......
......
......
3.1
3.2
3.2
3.3
3.1
3.1
3.0
2.8
2.6
2.5
2.5
2.4
3.1
2.8
Non
-def
ense
....
......
......
......
......
......
......
......
......
......
......
......
.....
3.2
3.2
3.0
2.6
2.4
2.0
1.9
1.7
1.6
1.5
1.4
1.3
2.4
2.0
Su
btot
al, d
iscr
etio
nar
y pr
ogra
ms
......
......
......
......
......
......
.6.
36.
36.
25.
95.
55.
14.
94.
54.
34.
13.
93.
75.
54.
8M
anda
tory
pro
gram
s:S
ocia
l Sec
uri
ty ..
......
......
......
......
......
......
......
......
......
......
......
...4.
94.
95.
05.
05.
15.
15.
15.
25.
25.
35.
35.
45.
15.
2M
edic
are
.....
......
......
......
......
......
......
......
......
......
......
......
......
...3.
12.
93.
03.
03.
03.
33.
23.
23.
43.
53.
63.
93.
13.
3M
edic
aid
and
Mar
ket-
Bas
ed H
ealt
h C
are
Gra
nt
.....
......
.....
2.0
2.0
2.0
2.2
2.1
2.0
2.0
2.0
1.9
1.9
1.9
1.8
2.1
2.0
Exc
han
ge s
ubs
idie
s (i
ncl
udi
ng
Bas
ic H
ealt
h P
rogr
am)
.....
.0.
20.
20.
20.
1...
......
......
......
......
......
......
......
......
......
......
......
...0.
1*
Oth
er m
anda
tory
pro
gram
s ...
......
......
......
......
......
......
......
.....
3.0
2.9
2.7
2.6
2.5
2.6
2.4
2.3
2.2
2.2
2.1
2.1
2.6
2.4
All
owan
ce f
or in
fras
tru
ctu
re in
itia
tive
....
......
......
......
......
....
......
......
......
0.2
0.1
0.1
0.1
0.1
0.1
0.1
**
*0.
10.
1S
ubt
otal
, man
dato
ry p
rogr
ams
.....
......
......
......
......
......
.....
13.1
12.9
13.0
12.9
12.8
13.1
12.9
12.7
12.9
12.9
12.9
13.1
12.9
12.9
Net
inte
rest
....
......
......
......
......
......
......
......
......
......
......
......
......
...1.
41.
51.
72.
02.
22.
32.
42.
42.
42.
42.
42.
32.
12.
3T
otal
ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
......
20.8
20.8
21.0
20.8
20.5
20.5
20.2
19.7
19.6
19.4
19.2
19.2
20.6
20.0
Rec
eip
ts:
Indi
vidu
al in
com
e ta
xes
......
......
......
......
......
......
......
......
......
......
8.3
8.3
8.0
8.1
8.3
8.4
8.6
8.7
8.9
9.1
9.3
9.4
8.3
8.7
Cor
pora
tion
inco
me
taxe
s ..
......
......
......
......
......
......
......
......
......
.1.
51.
11.
11.
21.
21.
31.
51.
51.
51.
41.
31.
31.
21.
3S
ocia
l in
sura
nce
an
d re
tire
men
t re
ceip
ts:
Soc
ial S
ecu
rity
pay
roll
tax
es
......
......
......
......
......
......
......
.....
4.4
4.3
4.3
4.3
4.3
4.3
4.3
4.3
4.3
4.4
4.4
4.4
4.3
4.3
Med
icar
e pa
yrol
l tax
es
......
......
......
......
......
......
......
......
......
...1.
31.
31.
31.
31.
31.
31.
31.
31.
31.
41.
41.
41.
31.
3U
nem
ploy
men
t in
sura
nce
.....
......
......
......
......
......
......
......
......
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
Oth
er r
etir
emen
t ..
......
......
......
......
......
......
......
......
......
......
.....
*0.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
1E
xcis
e ta
xes
.....
......
......
......
......
......
......
......
......
......
......
......
......
..0.
40.
50.
50.
50.
50.
40.
40.
40.
40.
40.
40.
40.
50.
4E
stat
e an
d gi
ft t
axes
....
......
......
......
......
......
......
......
......
......
......
.0.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
10.
1C
ust
oms
duti
es .
......
......
......
......
......
......
......
......
......
......
......
......
.0.
20.
20.
20.
20.
20.
20.
20.
20.
20.
20.
20.
20.
20.
2D
epos
its
of e
arn
ings
, Fed
eral
Res
erve
Sys
tem
....
......
......
......
..0.
40.
40.
30.
20.
20.
20.
30.
30.
30.
30.
30.
30.
20.
3O
ther
mis
cell
aneo
us
rece
ipts
....
......
......
......
......
......
......
......
.....
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
All
owan
ce f
or O
bam
acar
e re
peal
an
d re
plac
emen
t ..
......
......
......
......
......
...–*
–*–*
–*–*
–*–*
–*–*
–*–*
–*T
otal
rec
eipt
s ..
......
......
......
......
......
......
......
......
......
......
......
.....
17.3
16.7
16.3
16.4
16.5
16.8
17.1
17.4
17.5
17.6
17.7
17.8
16.6
17.1
Defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..3.
54.
24.
74.
53.
93.
73.
02.
32.
11.
71.
41.
44.
02.
9
Net
inte
rest
....
......
......
......
......
......
......
......
......
......
......
......
......
...1.
41.
51.
72.
02.
22.
32.
42.
42.
42.
42.
42.
32.
12.
3P
rim
ary
defi
cit/
surp
lus
(–)
......
......
......
......
......
......
......
......
......
..2.
12.
63.
02.
41.
71.
40.
6–0
.2–0
.4–0
.7–0
.9–1
.01.
80.
6
On
-bu
dget
defi
cit
.....
......
......
......
......
......
......
......
......
......
......
......
3.7
4.1
4.7
4.3
3.8
3.5
2.8
2.0
1.7
1.4
1.1
1.0
3.8
2.6
Off
-bu
dget
defi
cit/
surp
lus
(–)
......
......
......
......
......
......
......
......
....
–0.3
**
0.1
0.2
0.2
0.3
0.3
0.4
0.4
0.4
0.4
0.2
0.3
Tab
le S
–5.
Pro
pos
ed B
ud
get
by
Cat
egor
y as
a P
erce
nt
of G
DP
(As
a pe
rcen
t of
GD
P)
124 SUMMARY TABLES
Tab
le S
–5.
Pro
pos
ed B
ud
get
by
Cat
egor
y as
a P
erce
nt
of G
DP
—C
onti
nu
ed(A
s a
perc
ent
of G
DP
)
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Ave
rage
s
2019
–20
2320
19–
2028
Mem
oran
du
m, t
otal
s st
and
ard
ized
to
12 m
onth
ly b
enefi
t p
aym
ents
:R
ecei
pts
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
..17
.316
.716
.316
.416
.516
.817
.117
.417
.517
.617
.717
.816
.617
.1O
utl
ays
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
...20
.821
.021
.020
.820
.520
.320
.219
.919
.619
.419
.219
.020
.520
.0D
efici
t ...
......
......
......
......
......
......
......
......
......
......
......
......
......
....
3.5
4.4
4.7
4.5
3.9
3.5
3.0
2.5
2.1
1.7
1.4
1.1
3.9
2.8
Mem
oran
du
m, b
ud
get
auth
orit
y fo
r d
iscr
etio
nar
y p
ro-
gram
s:D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
...3.
33.
43.
43.
33.
23.
13.
02.
72.
72.
62.
52.
53.
22.
9N
on-d
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
..3.
12.
72.
32.
12.
01.
81.
71.
51.
41.
31.
31.
22.
01.
7T
otal
, dis
cret
ion
ary
budg
et a
uth
orit
y ..
......
......
......
......
....
6.4
6.1
5.7
5.4
5.2
4.9
4.7
4.3
4.1
3.9
3.8
3.6
5.2
4.6
Mem
oran
du
m, r
epea
l &
rep
lace
Ob
amac
are—
Med
icai
d
and
oth
er o
utl
ays
for
hea
lth
car
e co
vera
ge:
Med
icai
d ..
......
......
......
......
......
......
......
......
......
......
......
......
......
....
2.0
2.0
2.0
1.6
1.5
1.5
1.5
1.5
1.5
1.4
1.4
1.4
1.6
1.5
Exc
han
ge S
ubs
idie
s (i
ncl
udi
ng
Bas
ic H
ealt
h P
rogr
am)
....
....
0.2
0.2
0.2
0.1
......
......
......
......
......
......
......
......
......
......
......
......
0.1
*M
arke
t-B
ased
Hea
lth
Car
e G
ran
t .
......
......
......
......
......
......
.....
......
......
......
......
...0.
50.
50.
50.
50.
50.
50.
50.
50.
40.
40.
4T
otal
, ou
tlay
s ..
......
......
......
......
......
......
......
......
......
......
......
.....
2.2
2.2
2.2
2.2
2.1
2.0
2.0
2.0
1.9
1.9
1.9
1.8
2.1
2.0
*0.0
5 pe
rcen
t of
GD
P o
r le
ss.
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 125
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Agr
icu
ltu
re:
Farm
Bil
l sav
ings
:L
imit
eli
gibi
lity
for
agr
icu
ltu
ral c
omm
od-
ity
paym
ents
to
$500
,000
Adj
ust
ed
Gro
ss I
nco
me
(AG
I) ..
......
......
......
......
.....
......
...–1
14–8
9–1
42–1
35–1
24–1
20–1
11–1
02–9
8–9
0–6
04–1
,125
Lim
it C
rop
Insu
ran
ce e
ligi
bili
ty t
o $5
00,0
00 A
GI
.....
......
......
......
......
......
......
......
......
......
–56
–58
–67
–71
–77
–84
–92
–102
–117
–252
–724
Lim
it C
rop
Insu
ran
ce p
rem
ium
su
bsid
ies
...
......
......
...–2
,231
–2,2
58–2
,482
–2,5
02–2
,540
–2,5
56–2
,587
–2,6
06–2
,609
–9,4
73–2
2,37
1S
trea
mli
ne
con
serv
atio
n p
rogr
ams
.....
.....
......
...–1
36–1
89–4
83–8
76–1
,291
–1,6
89–2
,017
–2,1
21–2
,120
–2,1
20–2
,975
–13,
042
Eli
min
ate
low
er p
rior
ity
Farm
Bil
l pro
-gr
ams
.....
......
......
......
......
......
......
......
......
......
...–5
4–1
12–9
4–9
8–1
00–1
00–1
00–1
00–1
00–1
00–4
58–9
58C
ap C
rop
Insu
ran
ce c
ompa
nie
s’ u
nde
r-w
riti
ng
gain
s ..
......
......
......
......
......
......
......
......
......
......
......
......
...–4
13–4
20–4
23–4
26–4
30–4
37–4
39–8
33–2
,988
Eli
min
ate
Foo
d fo
r P
rogr
ess
food
aid
pr
ogra
m .
......
......
......
......
......
......
......
......
......
...–1
66–1
66–1
66–1
66–1
66–1
66–1
66–1
66–1
66–1
66–8
30–1
,660
Elim
inat
e fa
rm p
aym
ent
limit
loop
hole
s ..
.....
......
–149
–143
–141
–137
–135
–132
–130
–128
–127
–126
–705
–1,3
48E
lim
inat
e L
ives
tock
For
age
Pro
gram
....
.....
......
–416
–421
–434
–444
–451
–456
–460
–462
–468
–471
–2,1
66–4
,483
Tot
al, F
arm
Bil
l sav
ings
.....
......
......
......
....
......
–1,0
35–3
,407
–3,7
76–4
,818
–5,2
60–5
,703
–6,0
50–6
,188
–6,2
24–6
,238
–18,
296
–48,
699
Est
abli
sh F
ood
Saf
ety
and
Insp
ecti
on S
er-
vice
(F
SIS
) u
ser
fee
.....
......
......
......
......
......
......
......
......
–660
–660
–660
–660
–660
–660
–660
–660
–660
–2,6
40–5
,940
Est
abli
sh A
nim
al a
nd
Pla
nt
Hea
lth
In
spec
-ti
on S
ervi
ce (
AP
HIS
) u
ser
fee
......
......
......
....
......
–23
–23
–23
–23
–23
–23
–23
–23
–23
–23
–115
–230
Est
abli
sh P
acke
rs a
nd
Sto
ckya
rds
Pro
gram
u
ser
fee
.....
......
......
......
......
......
......
......
......
....
......
–23
–23
–23
–23
–23
–23
–23
–23
–23
–23
–115
–230
Est
abli
sh A
gric
ult
ura
l Mar
keti
ng
Ser
vice
(A
MS
) u
ser
fee
.....
......
......
......
......
......
......
.....
......
–20
–20
–20
–20
–20
–20
–20
–20
–20
–20
–100
–200
Eli
min
ate
inte
rest
pay
men
ts t
o el
ectr
ic a
nd
tele
com
mu
nic
atio
ns
uti
liti
es .
......
......
......
....
......
–129
–127
–130
–130
–128
–129
–129
–129
–129
–129
–644
–1,2
89E
lim
inat
e th
e R
ura
l Eco
nom
ic D
evel
opm
ent
Pro
gram
....
......
......
......
......
......
......
......
......
....
......
......
...–1
58–1
60...
......
......
......
......
......
......
......
......
......
......
–318
–318
Ou
tyea
r m
anda
tory
eff
ects
of
disc
reti
onar
y ch
ange
s to
th
e C
onse
rvat
ion
Ste
war
dsh
ip
Pro
gram
....
......
......
......
......
......
......
......
......
....
......
......
...–2
7–1
35–1
80–1
80–1
80–1
80–1
80–1
80–1
80–5
22–1
,422
Tot
al, A
gric
ult
ure
....
......
......
......
......
......
....
......
...–1
,230
–4,4
45–4
,927
–5,8
54–6
,294
–6,7
38–7
,085
–7,2
23–7
,259
–7,2
73–2
2,75
0–5
8,32
8E
duca
tion
:C
reat
e si
ngl
e in
com
e-dr
iven
stu
den
t lo
an
repa
ymen
t pl
an 1 .
......
......
......
......
......
......
......
......
–2,4
29–6
,006
–9,3
65–1
1,88
3–1
3,88
5–1
5,45
8–1
6,31
7–1
7,22
8–1
7,69
5–1
8,09
9–4
3,56
8–1
28,3
65E
lim
inat
e su
bsid
ized
stu
den
t lo
ans
.....
......
.....
......
–1,5
00–2
,580
–2,8
86–2
,973
–2,9
92–3
,008
–3,0
50–3
,096
–3,2
16–3
,254
–12,
931
–28,
555
Elim
inat
e P
ublic
Ser
vice
Loa
n Fo
rgiv
enes
s ..
....
......
–1,7
20–2
,979
–3,8
73–4
,411
–4,8
51–5
,303
–5,5
11–5
,597
–5,7
58–5
,859
–17,
834
–45,
862
Eli
min
ate
acco
un
t m
ain
ten
ance
fee
pay
-m
ents
to
guar
anty
age
nci
es ..
......
......
......
.....
......
–656
......
......
......
......
......
......
......
......
......
......
......
......
......
...–6
56–6
56M
ove
Iraq
-Afg
han
ista
n S
ervi
ce G
ran
ts in
to
the
Pel
l Gra
nt
prog
ram
.....
......
......
......
......
......
......
......
......
......
......
......
...–1
–1–1
–1–1
–1–1
–6E
xpan
d Pe
ll G
rant
s to
sho
rt-t
erm
pro
gram
s ..
....
......
727
3440
4648
4949
5051
154
401
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
126 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Rea
lloc
ate
man
dato
ry P
ell f
un
din
g to
su
p-po
rt s
hor
t-te
rm p
rogr
ams
.....
......
......
......
.....
......
–7–2
7–3
4–4
0–4
6–4
8–4
9–4
9–5
0–5
1–1
54–4
01T
otal
, Edu
cati
on .
......
......
......
......
......
......
......
......
–6,3
05–1
1,56
5–1
6,12
4–1
9,26
7–2
1,72
9–2
3,77
0–2
4,87
9–2
5,92
2–2
6,67
0–2
7,21
3–7
4,99
0–2
03,4
44E
ner
gy:
Rep
eal b
orro
win
g au
thor
ity
for
Wes
tern
A
rea
Pow
er A
dmin
istr
atio
n (
WA
PA
) ...
.....
......
...–4
50–8
75–7
557
527
511
0–5
0–5
0–5
0–5
0–5
50–6
40D
ives
t W
AP
A t
ran
smis
sion
ass
ets
.....
......
....
......
......
......
–580
......
......
......
......
......
......
......
......
......
......
......
......
–580
–580
Div
est
Sou
thw
este
rn P
ower
Adm
inis
trat
ion
tr
ansm
issi
on a
sset
s ...
......
......
......
......
......
.....
......
......
...–1
5...
......
......
......
......
......
......
......
......
......
......
......
...–1
5–1
5D
ives
t B
onn
evil
le P
ower
Adm
inis
trat
ion
tr
ansm
issi
on a
sset
s ...
......
......
......
......
......
.....
......
......
...–1
,733
–488
–483
–493
–452
–386
–386
–386
–386
–3,1
97–5
,193
Ref
orm
th
e la
ws
gove
rnin
g h
ow P
ower
Mar
-ke
tin
g A
dmin
istr
atio
ns
esta
blis
h p
ower
ra
tes
.....
......
......
......
......
......
......
......
......
......
......
...–1
62–1
69–1
73–1
82–1
88–1
92–1
99–2
06–2
11–2
17–8
74–1
,899
Res
tart
Nu
clea
r W
aste
Fu
nd
Fee
in 2
021
....
......
......
......
......
...–3
59–3
59–3
64–3
67–3
64–3
60–3
60–3
60–1
,082
–2,8
93T
otal
, En
ergy
....
......
......
......
......
......
......
.....
......
...–6
12–3
,372
–1,0
95–4
49–7
70–9
01–9
99–1
,002
–1,0
07–1
,013
–6,2
98–1
1,22
0H
ealt
h a
nd
Hu
man
Ser
vice
s (H
HS
):C
reat
e ch
ild w
elfa
re fl
exib
le fu
ndin
g op
tion
...
......
......
......
......
...7
88
821
2218
1823
110
Ref
orm
th
e ti
tle
IV-E
ado
ptio
n a
ssis
tan
ce
savi
ngs
pro
visi
on ..
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Pro
vide
tri
bal a
cces
s to
th
e F
eder
al P
aren
t L
ocat
or S
ervi
ce .
......
......
......
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...R
eau
thor
ize
the
Pro
mot
ing
Saf
e an
d S
tabl
e Fa
mil
ies
prog
ram
(ti
tle
IV-B
) ..
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...E
xpan
d th
e R
egio
nal
Par
tner
ship
Gra
nts
pr
ogra
m .
......
......
......
......
......
......
......
......
....
......
...13
3540
4040
275
......
......
......
......
...16
820
0M
ain
tain
Fed
eral
fu
ndi
ng
for
key
chil
d ca
re
prog
ram
s ...
......
......
......
......
......
......
......
......
....
......
499
499
499
499
499
499
499
499
499
499
2,49
54,
990
Rea
uth
oriz
e an
d m
odif
y A
bsti
nen
ce E
du-
cati
on a
nd
the
Per
son
al R
espo
nsi
bili
ty
Edu
cati
on P
rogr
am .
......
......
......
......
......
....
......
...4
5266
152
38
......
......
......
......
...13
915
0R
eau
thor
ize
Hea
lth
Pro
fess
ion
Opp
ortu
nit
y G
ran
ts .
......
......
......
......
......
......
......
......
......
....
......
345
1813
42
......
......
......
......
......
......
8385
Dru
g pr
icin
g an
d pa
ymen
t im
prov
emen
ts:
Impr
ove
340B
pro
gram
inte
grit
y ..
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...M
edic
are:
Au
thor
ize
the
HH
S S
ecre
tary
to
leve
r-ag
e M
edic
are
Par
t D
pla
ns’
neg
otia
t-in
g po
wer
for
cer
tain
dru
gs c
over
ed
un
der
Par
t B
2 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Per
man
entl
y au
thor
ize
a su
cces
sful
pilo
t on
ret
roac
tive
Med
icar
e P
art
D c
over
-ag
e fo
r lo
w-i
ncom
e be
nefic
iari
es .
......
.....
......
......
...–2
0–3
0–3
0–3
0–3
0–4
0–4
0–4
0–4
0–1
10–3
00
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 127T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Incr
ease
Med
icar
e P
art
D p
lan
for
mu
-la
ry fl
exib
ilit
y ..
......
......
......
......
......
....
......
...–2
80–4
04–4
44–4
87–5
30–5
76–6
18–6
69–7
25–7
84–2
,145
–5,5
17E
lim
inat
e co
st-s
har
ing
on g
ener
ic
dru
gs f
or lo
w-i
nco
me
ben
efici
arie
s ..
....
......
–30
–40
–40
–20
–20
–10
–20
–10
–10
–10
–150
–210
Req
uir
e M
edic
are
Par
t D
pla
ns
to a
p-pl
y a
subs
tan
tial
por
tion
of
reba
tes
at t
he
poin
t of
sal
e ...
......
......
......
......
.....
......
1,78
52,
727
3,13
93,
533
3,93
04,
351
4,80
15,
356
5,98
36,
555
15,1
1442
,160
Exc
lude
man
ufa
ctu
rer
disc
oun
ts f
rom
th
e ca
lcu
lati
on o
f be
nefi
ciar
y ou
t-of
-po
cket
cos
ts in
th
e M
edic
are
Par
t D
co
vera
ge g
ap .
......
......
......
......
......
......
....
......
–1,4
90–2
,370
–3,3
60–4
,800
–5,3
00–4
,740
–5,3
60–5
,840
–6,3
30–7
,430
–17,
320
–47,
020
Est
abli
sh a
ben
efici
ary
out-
of-p
ocke
t m
axim
um
in t
he
Med
icar
e P
art
D
cata
stro
phic
ph
ase
.....
......
......
......
.....
......
...37
754
159
264
870
676
782
589
296
61,
045
2,86
47,
359
Add
ress
abu
sive
dru
g pr
icin
g by
man
u-
fact
ure
rs b
y es
tabl
ish
ing
an in
flat
ion
li
mit
for
rei
mbu
rsem
ent
of M
edic
are
Par
t B
dru
gs 2 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...Im
prov
e m
anu
fact
ure
rs’ r
epor
tin
g of
av
erag
e sa
les
pric
es t
o se
t ac
cura
te
paym
ent
rate
s 2 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Mod
ify
paym
ent
for
dru
gs h
ospi
tals
pu
rch
ase
thro
ugh
th
e 34
0B d
isco
un
t pr
ogra
m a
nd
requ
ire
a m
inim
um
le
vel o
f ch
arit
y ca
re f
or h
ospi
tals
to
rece
ive
a pa
ymen
t ad
just
men
t re
lat-
ed t
o u
nco
mpe
nsa
ted
care
2 ....
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...R
edu
ce W
hol
esal
e A
cqu
isit
ion
Cos
t (W
AC
)-ba
sed
paym
ents
2 ....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Ref
orm
exc
lusi
vity
for
firs
t ge
ner
ics
to
spu
r gr
eate
r co
mpe
titi
on a
nd
acce
ss
......
...–1
18–1
30–1
42–1
69–1
69–1
65–1
94–2
09–2
25–2
67–7
28–1
,788
Tot
al, M
edic
are
.....
......
......
......
......
.....
......
...24
430
4–2
85–1
,325
–1,4
13–4
03–6
06–5
20–3
81–9
31–2
,475
–5,3
16M
edic
aid:
Tes
t al
low
ing
Sta
te M
edic
aid
prog
ram
s to
neg
otia
te p
rice
s di
rect
ly w
ith
dru
g m
anu
fact
ure
rs a
nd
set
form
ula
ry f
or
cove
rage
....
......
......
......
......
......
......
.....
......
......
......
–5–1
0–1
0–1
0–1
0–1
0–1
0–1
0–1
0–3
5–8
5C
lari
fy d
efin
itio
ns
un
der
the
Med
icai
d D
rug
Reb
ate
Pro
gram
to
prev
ent
inap
prop
riat
ely
low
man
ufa
ctu
rer
reba
tes
.....
......
......
......
......
......
......
......
......
...–2
6–2
6–2
6–2
6–3
1–3
1–3
7–3
7–3
7–4
2–1
35–3
19T
otal
, Med
icai
d ..
......
......
......
......
......
.....
......
–26
–31
–36
–36
–41
–41
–47
–47
–47
–52
–170
–404
Tot
al, d
rug
pric
ing
and
paym
ent
impr
ovem
ents
.....
......
......
......
......
......
......
218
273
–321
–1,3
61–1
,454
–444
–653
–567
–428
–983
–2,6
45–5
,720
128 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Add
ress
opi
oids
:P
reve
nt
abu
sive
pre
scri
bin
g by
est
abli
sh-
ing
HH
S r
ecip
roci
ty w
ith
th
e D
rug
En
-fo
rcem
ent
Adm
inis
trat
ion
to
term
inat
e pr
ovid
er p
resc
ribi
ng
auth
orit
y ..
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...R
equ
ire
plan
par
tici
pati
on in
a p
rogr
am
to p
reve
nt
pres
crip
tion
dru
g ab
use
in
Med
icar
e P
art
D .
......
......
......
......
......
.....
......
...–1
0–1
0–1
0–1
0–1
0–1
0–1
0–1
0–1
0–1
0–5
0–1
00P
rovi
de c
ompr
ehen
sive
cov
erag
e of
sub
-st
ance
abu
se t
reat
men
t in
Med
icar
e 2
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tra
ck h
igh
pre
scri
bers
an
d u
tili
zers
of
pres
crip
tion
dru
gs in
Med
icai
d 2 .
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...R
equ
ire
cove
rage
of
all m
edic
atio
n a
ssis
t-ed
tre
atm
ent
opti
ons
in M
edic
aid
.....
......
......
3525
–20
–75
–110
–130
–135
–145
–150
–160
–145
–865
Pro
vid
e $5
bil
lion
ove
r fi
ve y
ears
to
ad-
dre
ss t
he
opio
id c
risi
s (n
on-a
dd
) 3 .
......
.....
......
500
800
950
1,00
01,
000
500
200
50...
......
......
...4,
250
5,00
0T
otal
, add
ress
opi
oids
.....
......
......
......
.....
......
...25
15–3
0–8
5–1
20–1
40–1
45–1
55–1
60–1
70–1
95–9
65E
lim
inat
e w
aste
ful F
eder
al s
pen
din
g:C
onso
lida
te g
radu
ate
med
ical
edu
cati
on
paym
ents
....
......
......
......
......
......
......
......
....
......
–370
–1,2
00–2
,090
–3,0
70–4
,120
–5,2
30–6
,270
–7,3
60–8
,580
–9,8
00–1
0,85
0–4
8,09
0R
edu
ce M
edic
are
cove
rage
of
bad
debt
s ...
......
...–4
00–1
,330
–2,8
20–3
,760
–4,0
90–4
,350
–4,6
20–4
,910
–5,2
20–5
,530
–12,
400
–37,
030
Mod
ify
paym
ents
to
hos
pita
ls f
or u
nco
m-
pen
sate
d ca
re ..
......
......
......
......
......
......
......
......
......
...–4
,100
–5,1
80–6
,000
–6,8
70–7
,690
–8,5
40–9
,420
–10,
370
–11,
370
–22,
150
–69,
540
Add
ress
exc
essi
ve p
aym
ent
for
post
-acu
te
care
pro
vide
rs b
y es
tabl
ish
ing
a u
nifi
ed
paym
ent
syst
em b
ased
on
pat
ien
ts’
clin
ical
nee
ds r
ath
er t
han
th
e si
te o
f ca
re ..
......
......
......
......
......
......
......
......
......
....
......
–780
–1,9
60–3
,420
–5,8
20–8
,640
–9,6
50–1
0,83
0–1
1,80
0–1
2,85
0–1
4,44
0–2
0,62
0–8
0,19
0P
ay a
ll h
ospi
tal-
own
ed p
hys
icia
n o
ffice
s lo
cate
d of
f-ca
mpu
s at
th
e ph
ysic
ian
of
fice
rat
e ..
......
......
......
......
......
......
......
......
......
–1,2
40–2
,260
–2,5
10–2
,810
–3,1
40–3
,490
–3,8
60–4
,280
–4,7
50–5
,640
–11,
960
–33,
980
Add
ress
exc
essi
ve h
ospi
tal p
aym
ents
by
redu
cin
g pa
ymen
t w
hen
a p
atie
nt
is
quic
kly
disc
har
ged
to h
ospi
ce .
......
......
.....
......
–70
–100
–110
–110
–120
–130
–140
–150
–160
–170
–510
–1,2
60E
xpan
d ba
sis
for
ben
efici
ary
assi
gnm
ent
for
Acc
oun
tabl
e C
are
Org
aniz
atio
ns
(AC
Os)
....
......
......
......
......
......
......
......
.....
......
......
......
......
...–1
0–1
0–2
0–2
0–2
0–2
0–2
0–2
0–4
0–1
40A
llow
AC
Os
to c
over
th
e co
st o
f pr
imar
y ca
re v
isit
s to
en
cou
rage
use
of
the
AC
O’s
pro
vide
rs ..
......
......
......
......
......
.....
......
......
......
–10
–10
–10
–10
–10
......
......
......
......
...–1
0–4
0–6
0E
xpan
d th
e ab
ilit
y of
Med
icar
e A
dvan
-ta
ge o
rgan
izat
ion
s to
pay
for
ser
vice
s de
live
red
via
tele
hea
lth
....
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 129T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Req
uir
e pr
ior
auth
oriz
atio
n w
hen
ph
ysi-
cian
s or
der
cert
ain
ser
vice
s ex
cess
ivel
y re
lati
ve t
o th
eir
peer
s 2 .
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Ref
orm
an
d ex
pan
d du
rabl
e m
edic
al
equ
ipm
ent
com
peti
tive
bid
din
g ..
......
....
......
......
......
–330
–600
–630
–690
–740
–780
–840
–910
–960
–2,2
50–6
,480
Ref
orm
ph
ysic
ian
sel
f-re
ferr
al la
w t
o be
tter
su
ppor
t an
d al
ign
wit
h a
lter
na-
tive
pay
men
t m
odel
s an
d to
add
ress
ov
eru
tili
zati
on 2 .
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
All
ow f
or F
eder
al/S
tate
coo
rdin
ated
re
view
of
dual
eli
gibl
e S
peci
al N
eeds
P
lan
mar
keti
ng
mat
eria
ls .
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Impr
ove
appe
als
not
ifica
tion
s fo
r du
ally
el
igib
le in
divi
dual
s in
In
tegr
ated
H
ealt
h P
lan
s ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Cla
rify
the
Par
t D
spe
cial
enr
ollm
ent
peri
-od
for
dual
ly e
ligib
le b
enefi
ciar
ies
.....
.....
......
...–3
8–5
3–5
7–6
2–6
7–7
2–7
7–8
3–8
9–9
5–2
77–6
93C
ance
l fu
ndi
ng
from
th
e M
edic
are
Im-
prov
emen
t F
un
d (M
IF)
.....
......
......
......
.....
......
......
......
......
......
...–1
93...
......
......
......
......
......
......
......
......
...–1
93–1
93G
ive
Med
icar
e be
nefi
ciar
ies
wit
h h
igh
de
duct
ible
hea
lth
pla
ns
the
opti
on t
o m
ake
tax
dedu
ctib
le c
ontr
ibu
tion
s to
H
ealt
h S
avin
gs A
ccou
nts
an
d M
edic
al
Sav
ings
Acc
oun
ts 4
.....
......
......
......
......
....
......
......
......
......
...61
01,
081
1,30
51,
513
1,61
91,
704
1,78
61,
847
2,99
611
,465
Tot
al, e
lim
inat
e w
aste
ful F
eder
al
spen
din
g ..
......
......
......
......
......
......
.....
......
–2,8
98–1
1,34
3–1
6,19
7–2
1,39
4–2
6,46
2–2
9,86
9–3
3,51
8–3
7,15
9–4
1,16
3–4
6,18
8–7
8,29
4–2
66,1
91E
lim
inat
e w
aste
ful s
pen
din
g on
G
over
nm
ent-
impo
sed
prov
ider
bu
rden
s in
M
edic
are:
Rep
eal t
he
Inde
pen
den
t P
aym
ent
Adv
isor
y B
oard
(IP
AB
) ..
......
......
......
.....
......
......
......
......
......
......
......
...1,
579
3,44
94,
591
5,36
66,
288
8,20
91,
579
29,4
82Im
prov
e an
d ta
ilor
the
way
Med
icar
e ed
u-ca
tes
bene
ficia
ries
abo
ut t
he p
rogr
am .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Eli
min
ate
the
repo
rtin
g bu
rden
an
d ar
bi-
trar
y re
quir
emen
ts f
or u
se o
f el
ectr
onic
h
ealt
h r
ecor
ds ..
......
......
......
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Elim
inat
e ar
bitr
ary
thre
shol
ds a
nd o
ther
bu
rden
s to
enc
oura
ge p
arti
cipa
tion
in
adva
nced
Alt
erna
tive
Pay
men
t Mod
els
2 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...S
impl
ify
and
elim
inat
e re
port
ing
burd
ens
for
clin
icia
ns
part
icip
atin
g in
th
e M
er-
it-b
ased
In
cen
tive
Pay
men
t S
yste
m ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tai
lor
the
freq
uen
cy o
f sk
ille
d n
urs
ing
faci
lity
su
rvey
s to
mor
e ef
fici
entl
y u
se
reso
urc
es a
nd
alle
viat
e bu
rden
for
to
p-pe
rfor
min
g n
urs
ing
hom
es .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...
130 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Eli
min
ate
the
un
nec
essa
ry r
equ
irem
ent
of a
fac
e-to
-fac
e pr
ovid
er v
isit
for
du
ra-
ble
med
ical
equ
ipm
ent
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tot
al, e
lim
inat
e w
aste
ful s
pen
din
g on
Gov
ern
men
t-im
pose
d pr
ovid
er
burd
ens
in M
edic
are
.....
......
......
......
.....
......
......
......
......
......
......
......
1,57
93,
449
4,59
15,
366
6,28
88,
209
1,57
929
,482
Add
ress
fra
ud
and
abu
se in
Med
icar
e:S
usp
end
cove
rage
an
d pa
ymen
t fo
r qu
esti
onab
le P
art
D p
resc
ript
ion
s an
d in
com
plet
e cl
inic
al in
form
atio
n .
......
.....
......
...–3
0–3
0–4
0–4
0–5
0–4
0–4
0–5
0–5
0–5
0–1
90–4
20P
reve
nt
abu
se o
f M
edic
are
cove
rage
wh
en
anot
her
sou
rce
has
pri
mar
y re
spon
si-
bili
ty f
or p
resc
ript
ion
dru
g co
vera
ge .
......
......
–10
–30
–30
–30
–40
–40
–50
–50
–60
–70
–140
–410
Exp
and
prio
r au
thor
izat
ion
to
addi
tion
al
Med
icar
e fe
e-fo
r-se
rvic
e it
ems
at h
igh
ri
sk o
f fr
aud,
was
te, a
nd
abu
se 2 ..
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
reve
nt
frau
d by
en
forc
ing
repo
rtin
g of
en
roll
men
t ch
ange
s th
rou
gh c
ivil
m
onet
ary
pen
alti
es f
or p
rovi
ders
an
d su
ppli
ers
wh
o fa
il t
o u
pdat
e en
roll
men
t re
cord
s ..
......
......
......
......
......
......
......
......
....
......
–2–2
–3–3
–3–3
–4–4
–4–4
–13
–32
All
ow r
evoc
atio
n a
nd
den
ial o
f pr
ovid
er
enro
llm
ent
base
d on
affi
liat
ion
wit
h a
sa
nct
ion
ed e
nti
ty .
......
......
......
......
......
....
......
......
......
......
...–6
–6–6
–6–6
–6–6
–11
–18
–53
Req
uire
cle
arin
ghou
ses
and
billi
ng a
gent
s ac
ting
on
beha
lf o
f Med
icar
e pr
ovid
ers
and
supp
liers
to
enro
ll in
the
pro
gram
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...E
nsu
re p
rovi
ders
th
at v
iola
te M
edic
are’
s sa
fety
req
uir
emen
ts a
nd
hav
e h
arm
ed
pati
ents
can
not
qu
ickl
y re
-en
ter
the
prog
ram
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Ass
ess
a pe
nal
ty o
n p
hys
icia
ns
and
prac
-ti
tion
ers
wh
o or
der
serv
ices
or
supp
lies
w
ith
out
prop
er d
ocu
men
tati
on .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...C
lari
fy a
uth
orit
y fo
r th
e H
ealt
hca
re
Fra
ud
Pre
ven
tion
Par
tner
ship
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Alt
er t
he
Ope
n P
aym
ents
rep
orti
ng
and
publ
icat
ion
cyc
le .
......
......
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
ubl
ish
th
e N
atio
nal
Pro
vide
r Id
enti
fier
fo
r co
vere
d re
cipi
ents
in t
he
Ope
n
Pay
men
ts P
rogr
am ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...Im
prov
e th
e sa
fety
an
d qu
alit
y of
car
e by
re
quir
ing
accr
edit
atio
n o
rgan
izat
ion
s to
pu
blic
ly r
epor
t M
edic
are
surv
ey a
nd
cert
ifica
tion
rep
orts
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tot
al, a
ddre
ss f
rau
d an
d ab
use
in
Med
icar
e ..
......
......
......
......
......
......
.....
......
–42
–62
–79
–79
–99
–89
–100
–110
–120
–135
–361
–915
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 131T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Med
icar
e ap
peal
s:Im
prov
e th
e M
edic
are
appe
als
syst
em 5 .
.....
......
112
112
112
112
112
112
112
112
112
112
560
1,12
0S
tren
gthe
n M
edic
aid
oper
atio
ns a
nd in
crea
se
Sta
te fl
exib
ilit
y:A
llow
Sta
tes
to a
pply
ass
et t
est
to m
od-
ified
adj
ust
ed g
ross
inco
me
stan
dard
po
pula
tion
s ..
......
......
......
......
......
......
......
......
...–5
0–1
00–1
90–2
00–2
20–2
30–2
40–2
60–2
70–2
90–7
60–2
,050
Red
uce
max
imu
m a
llow
able
hom
e eq
uit
y fo
r M
edic
aid
elig
ibil
ity
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Req
uir
e do
cum
enta
tion
of
sati
sfac
tory
im
mig
rati
on s
tatu
s be
fore
rec
eipt
of
Med
icai
d be
nefi
ts .
......
......
......
......
......
......
......
–170
–180
–190
–200
–210
–220
–230
–250
–260
–280
–950
–2,1
90In
crea
se li
mit
on
Med
icai
d co
paym
ents
fo
r n
on-e
mer
gen
cy u
se o
f em
erge
ncy
de
part
men
t ..
......
......
......
......
......
......
......
......
...–6
0–1
10–1
10–1
20–1
30–1
40–1
40–1
50–1
60–1
70–5
30–1
,290
Defi
ne
lott
ery
win
nin
gs a
nd
oth
er lu
mp-
sum
pay
men
ts a
s in
com
e fo
r pu
rpos
e of
M
edic
aid
elig
ibil
ity
.....
......
......
......
......
.....
......
–3–3
–4–5
–5–5
–6–6
–6–7
–20
–50
Incr
ease
flex
ibili
ty in
the
dur
atio
n of
sec
-ti
on 1
915(
b) m
anag
ed c
are
wai
vers
....
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
rovi
de a
pat
hw
ay t
o m
ake
perm
anen
t es
tabl
ish
ed M
edic
aid
man
aged
car
e w
aive
rs ..
......
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tota
l, st
reng
then
Med
icai
d op
erat
ions
an
d in
crea
se S
tate
flex
ibili
ty .
......
......
......
–283
–393
–494
–525
–565
–595
–616
–666
–696
–747
–2,2
60–5
,580
Add
ress
was
tefu
l spe
ndi
ng,
fra
ud
and
abu
se
in M
edic
aid:
Con
tin
ue
Med
icai
d D
ispr
opor
tion
ate
Sh
are
Hos
pita
l (D
SH
) al
lotm
ent
redu
c-ti
ons
.....
......
......
......
......
......
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
...–6
,510
–6,4
90–6
,470
......
...–1
9,47
0C
onso
lida
te p
rovi
der
enro
llm
ent
scre
enin
g fo
r M
edic
are,
Med
icai
d, a
nd C
hild
ren’
s H
ealt
h In
sura
nce
Pro
gram
(CH
IP)
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Impl
emen
t pr
e-pa
ymen
t co
ntr
ols
to
prev
ent
inap
prop
riat
e pe
rson
al c
are
serv
ices
pay
men
ts 2 .
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Str
eam
lin
e th
e M
edic
aid
term
inat
ion
s pr
oces
s ..
......
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Exp
and
Med
icai
d F
rau
d C
ontr
ol U
nit
re
view
to
addi
tion
al c
are
sett
ings
2 ....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Pro
hib
it M
edic
aid
paym
ents
to
publ
ic
prov
ider
s in
exc
ess
of c
osts
2 ....
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Tot
al, a
ddre
ss w
aste
ful s
pen
din
g,
frau
d an
d ab
use
in M
edic
aid
.....
......
......
......
......
......
......
......
......
......
......
......
......
...–6
,510
–6,4
90–6
,470
......
...–1
9,47
0
132 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Ch
ildr
en’s
Hea
lth
In
sura
nce
Pro
gram
(C
HIP
):E
xten
d C
HIP
thro
ugh
2019
wit
h re
form
s 4 ..
.2,
620
–560
2,56
551
0...
......
......
......
......
......
......
......
......
......
......
2,51
52,
515
Oth
er h
ealt
h: 6
Ref
orm
med
ical
liab
ilit
y 4,
7 .
......
......
......
....
......
...–1
78–7
12–1
,862
–3,2
53–4
,552
–6,0
98–7
,783
–8,6
14–9
,122
–9,9
45–1
0,55
7–5
2,11
9R
edu
ce t
he
grac
e pe
riod
for
Exc
han
ge
prem
ium
s 4
......
......
......
......
......
......
......
.....
......
–975
–325
......
......
......
......
......
......
......
......
......
......
......
......
–1,3
00–1
,300
Per
mit
fed
eral
ly-f
acil
itat
ed E
xch
ange
S
tate
s to
con
duct
Qu
alifi
ed H
ealt
h
Pla
n c
erti
fica
tion
....
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Pro
hib
it g
over
nm
enta
l dis
crim
inat
ion
ag
ain
st h
ealt
h c
are
prov
ider
s th
at
refu
se t
o co
ver
abor
tion
....
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Fu
lly
fun
d th
e R
isk
Cor
rido
rs p
rogr
am .
..81
2...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
rovi
de C
MS
Pro
gram
Man
agem
ent
impl
emen
tati
on f
un
din
g ..
......
......
......
......
......
1215
038
......
......
......
......
......
......
......
......
......
......
...20
020
0E
xten
d M
edic
are
En
roll
men
t A
ssis
tan
ce
Pro
gram
s th
rou
gh 2
019
.....
......
......
......
.38
38...
......
......
......
......
......
......
......
......
......
......
......
......
......
3838
Tot
al, o
ther
hea
lth
.....
......
......
......
......
....
850
–1,1
03–8
87–1
,824
–3,2
53–4
,552
–6,0
98–7
,783
–8,6
14–9
,122
–9,9
45–1
1,61
9–5
3,18
1P
ubl
ic h
ealt
h:
Ext
end
Hea
lth
Cen
ters
th
rou
gh 2
019
......
1,37
23,
235
1,93
968
36...
......
......
......
......
......
......
......
......
...5,
278
5,27
8E
xten
d th
e N
atio
nal
Hea
lth
Ser
vice
C
orps
th
rou
gh 2
019
.....
......
......
......
......
.54
210
217
5414
6...
......
......
......
......
......
......
......
501
501
Ext
end
Tea
chin
g H
ealt
h C
ente
rs G
radu
-at
e M
edic
al E
duca
tion
th
rou
gh 2
019
...
3060
......
......
......
......
......
......
......
......
......
......
......
......
......
...60
60E
xten
d Fa
mil
y to
Fam
ily
Hea
lth
In
form
a-ti
on C
ente
rs t
hro
ugh
201
9 ...
......
......
.....
14
41
......
......
......
......
......
......
......
......
......
......
...9
9E
xten
d th
e M
ater
nal
, In
fan
t, a
nd
Ear
ly
Ch
ildh
ood
Hom
e V
isit
ing
Pro
gram
th
rou
gh 2
019
.....
......
......
......
......
......
......
1612
032
026
464
16...
......
......
......
......
......
......
......
784
784
Ext
end
the
Spe
cial
Dia
bete
s P
rogr
am f
or
the
Nat
ion
al I
nst
itu
tes
of H
ealt
h a
nd
Indi
an H
ealt
h S
ervi
ce (
IHS
) th
rou
gh
2019
....
......
......
......
......
......
......
......
......
...84
203
103
6919
53
1...
......
......
......
......
399
403
Pro
vide
tax
exe
mpt
ion
for
IH
S H
ealt
h
Pro
fess
ion
s sc
hol
arsh
ip a
nd
loan
re
paym
ent
prog
ram
s in
ret
urn
for
ob
liga
tory
ser
vice
req
uir
emen
t 4 ..
......
......
......
512
1314
1414
1415
1719
5813
7T
otal
, pu
blic
hea
lth
....
......
......
......
......
...1,
557
3,83
72,
595
469
147
4117
1515
1719
7,08
97,
172
Inte
ract
ion
s:M
edic
are
Inte
ract
ion
s ..
......
......
......
......
.....
......
...19
038
147
153
861
366
570
876
080
786
32,
193
5,99
6M
edic
aid
Inte
ract
ion
s ..
......
......
......
......
.....
......
......
......
146
237
352
462
552
633
723
818
933
1,19
74,
856
Tot
al, I
nte
ract
ion
s ..
......
......
......
......
......
....
......
190
527
708
890
1,07
51,
217
1,34
11,
483
1,62
51,
796
3,39
010
,852
Tot
al, H
ealt
h a
nd
Hu
man
Ser
vice
s ....
...5,
027
15–5
,967
–16,
516
–24,
973
–29,
892
–31,
901
–36,
223
–46,
284
–49,
620
–53,
985
–77,
333
–295
,346
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 133T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Hom
elan
d S
ecu
rity
:E
xten
d ex
piri
ng
Cu
stom
s an
d B
orde
r P
ro-
tect
ion
(C
BP
) fe
es ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–3,4
06–4
,556
–4,7
96...
......
–12,
758
Incr
ease
cu
stom
s u
ser
fees
....
......
......
......
.....
......
...–1
13–1
26–1
37–1
48–1
62–1
76–1
91–2
06–2
23–2
14–6
86–1
,696
Incr
ease
imm
igra
tion
use
r fe
es .
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Est
abli
sh E
lect
ron
ic V
isa
Upd
ate
Sys
tem
u
ser
fee
4 ...
......
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Au
thor
ize
man
dato
ry o
utl
ays
for
U.S
. Coa
st
Gu
ard
Con
tin
uat
ion
Pay
.....
......
......
......
....
......
...5
67
99
1010
1010
1036
86E
lim
inat
e B
ran
dUS
A; m
ake
reve
nu
e av
ail-
able
to
CB
P .
......
......
......
......
......
......
......
.....
......
...60
66...
......
......
......
......
......
......
......
......
......
......
......
...12
612
6M
ake
full
Ele
ctro
nic
Sys
tem
for
Tra
vel
Au
thor
izat
ion
(E
ST
A)
rece
ipts
ava
ilab
le
to C
BP
4 ..
......
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...E
xpan
d au
thor
ity
of t
he
Avi
atio
n S
ecu
rity
C
apit
al F
un
d ..
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Est
abli
sh a
n im
mig
rati
on s
ervi
ces
sur-
char
ge 4
......
......
......
......
......
......
......
......
......
......
...–4
53–4
65–4
79–4
93–5
07–5
22–5
38–5
53–5
69–5
87–2
,397
–5,1
66In
crea
se w
orks
ite
enfo
rcem
ent
pena
ltie
s 4
....
......
...–1
3–1
4–1
5–1
5–1
5–1
5–1
5–1
5–1
5–1
5–7
2–1
47E
stab
lish
Nat
ion
al F
lood
In
sura
nce
Pro
-gr
am a
ffor
dabi
lity
ass
ista
nce
8 ....
......
......
.....
......
2–2
–11
2639
5064
8091
9554
434
Rea
uth
oriz
e th
e O
il S
pill
Lia
bili
ty T
rust
F
un
d ex
cise
tax
4, 9 ..
......
......
......
......
......
......
......
...–3
54–4
66–4
73–4
80–4
89–4
94–5
00–5
07–5
11–5
11–2
,262
–4,7
85T
otal
, Hom
elan
d S
ecu
rity
....
......
......
......
......
......
–866
–1,0
01–1
,108
–1,1
01–1
,125
–1,1
47–1
,170
–4,5
97–5
,773
–6,0
18–5
,201
–23,
906
Inte
rior
:C
ance
l Sou
ther
n N
evad
a P
ubl
ic L
and
Man
-ag
emen
t A
ct (
SN
PL
MA
) ba
lan
ces
.....
......
....
......
–83
–69
–78
......
......
......
......
......
......
......
......
......
......
...–2
30–2
30R
epea
l en
han
ced
geot
her
mal
pay
men
ts t
o co
un
ties
.....
......
......
......
......
......
......
......
......
....
......
–4–4
–4–4
–4–4
–4–4
–4–4
–20
–40
Rea
uth
oriz
e th
e F
eder
al L
and
Tra
nsa
ctio
n
Faci
lita
tion
Act
(F
LTF
A)
.....
......
......
......
....
......
...–5
–6–9
–12
–3...
......
......
......
......
......
......
......
–35
–35
Per
man
entl
y re
auth
oriz
e th
e F
eder
al L
ands
R
ecre
atio
n E
nh
ance
men
t A
ct (
FL
RE
A)
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...E
stab
lish
a P
ubl
ic L
ands
In
fras
tru
ctu
re
Fu
nd
......
......
......
......
......
......
......
......
......
.....
......
...15
242
061
476
676
476
678
181
084
287
82,
716
6,79
3T
otal
, In
teri
or .
......
......
......
......
......
......
......
....
......
6034
152
375
075
776
277
780
683
887
42,
431
6,48
8L
abor
:E
stab
lish
a p
aid
pare
nta
l lea
ve p
rogr
am:
Pro
vide
pai
d pa
rent
al le
ave
bene
fits
4, 9
, 10 .
....
......
700
1,00
01,
767
1,67
81,
942
2,17
42,
228
2,35
12,
464
2,56
87,
087
18,8
72E
stab
lish
an
Un
empl
oym
ent
Insu
ran
ce
(UI)
sol
ven
cy s
tan
dard
4, 9 .
......
......
......
.....
......
......
......
......
–633
–1,6
15–2
,230
–919
–1,6
13–9
27–1
,267
–1,9
07–4
,478
–11,
111
Impr
ove
UI
prog
ram
inte
grit
y 4,
9 .
......
......
......
...–8
3–1
88–2
11–2
11–1
74–1
95–1
81–2
29–1
94–2
16–8
67–1
,882
Pro
vide
for
Ree
mpl
oym
ent
Ser
vice
s an
d E
ligi
bili
ty A
sses
smen
ts 4,
9 .
......
......
......
....
......
......
...–7
3–4
65–4
40–4
17–4
45–4
13–3
46–4
13–2
77–1
,395
–3,2
89T
otal
, est
abli
sh a
pai
d pa
ren
tal l
eave
pr
ogra
m .
......
......
......
......
......
......
......
.....
......
617
739
458
–588
–879
615
2184
959
016
834
72,
590
134 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Impr
ove
Pen
sion
Ben
efit
Gu
aran
ty C
orpo
ra-
tion
(P
BG
C)
solv
ency
....
......
......
......
......
....
3274
–1,4
70–1
,564
–1,6
63–1
,760
–1,8
101,
428
–5,1
28–1
,901
–1,9
36–6
,383
–15,
730
Exp
and
For
eign
Lab
or C
erti
fica
tion
fee
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Ref
orm
th
e F
eder
al E
mpl
oyee
s’ C
ompe
nsa
-ti
on A
ct (
FE
CA
) ..
......
......
......
......
......
......
......
......
–62
–7–5
–5–5
–6–6
–8–8
–5–8
4–1
17R
efor
m t
he
Tra
de A
dju
stm
ent
Ass
ista
nce
pr
ogra
m .
......
......
......
......
......
......
......
......
....
......
...–9
8–2
11–3
18–2
81–2
60–1
58–7
7–8
1–1
12–1
48–1
,168
–1,7
44A
djus
t th
e H
IRE
Vet
s M
edal
lion
Pro
gram
....
......
...1
34
44
44
44
416
36T
otal
, Lab
or .
......
......
......
......
......
......
......
....
3253
2–9
46–1
,425
–2,5
33–2
,900
–1,3
551,
370
–4,3
64–1
,427
–1,9
17–7
,272
–14,
965
Tra
nsp
orta
tion
:A
ir T
raffi
c C
ontr
ol:
Ref
orm
Air
Tra
ffic
Con
trol
4 ...
......
......
......
....
......
......
......
......
......
...15
,495
16,2
4117
,027
17,8
7018
,674
19,4
9720
,536
31,7
3612
5,34
0O
utl
ay s
avin
gs f
rom
dis
cret
ion
ary
cap
adju
stm
ent
......
......
......
......
......
......
......
......
......
......
......
......
......
...–8
,681
–9,4
53–9
,829
–10,
060
–10,
173
–10,
173
–10,
173
–18,
134
–68,
542
Ref
orm
Ess
enti
al A
ir S
ervi
ce 4
......
......
......
......
......
......
......
......
......
...61
12
21
22
6271
Tot
al, T
ran
spor
tati
on .
......
......
......
......
......
....
......
......
......
......
......
...6,
875
6,78
97,
200
7,81
28,
502
9,32
610
,365
13,6
6456
,869
Tre
asu
ry:
Pro
vide
au
thor
ity
for
Bu
reau
of
En
grav
ing
and
Pri
nti
ng
to c
onst
ruct
new
fac
ilit
y 4 ...
....
......
–12
–32
–389
–360
–53
20–3
–222
–3–3
18–5
79In
crea
se a
nd
exte
nd
guar
ante
e fe
e ch
arge
d by
Gov
ern
men
t-sp
onso
red
ente
rpri
ses
....
......
...–2
12–9
67–1
,699
–2,3
50–3
,475
–4,2
58–4
,034
–3,3
98–2
,858
–2,4
01–8
,703
–25,
652
Su
bjec
t F
inan
cial
Res
earc
h F
un
d to
app
ro-
pria
tion
s w
ith
ref
orm
s to
th
e F
inan
cial
S
tabi
lity
Ove
rsig
ht
Cou
nci
l an
d O
ffice
of
Fin
anci
al R
esea
rch
4, 9 ..
......
......
......
......
......
......
...33
–13
–18
–18
–18
–18
–18
–18
–18
–17
–107
Incr
ease
del
iqu
ent
Fed
eral
non
-tax
deb
t co
llec
tion
s ..
......
......
......
......
......
......
......
......
......
...–3
2–3
2–3
2–3
2–3
2–3
2–3
2–3
2–3
2–3
2–1
60–3
20In
crea
se a
nd
stre
amli
ne
reco
very
of
un
-cl
aim
ed a
sset
s ..
......
......
......
......
......
......
.....
......
...–8
–8–8
–8–8
–8–8
–8–8
–8–4
0–8
0Im
plem
ent
tax
enfo
rcem
ent
prog
ram
inte
g-ri
ty c
ap a
dju
stm
ent
4 ...
......
......
......
......
......
......
...–1
52–7
87–1
,825
–3,0
33–4
,330
–5,5
54–6
,416
–6,9
31–7
,270
–7,5
05–1
0,12
7–4
3,80
3D
iscr
etio
nar
y ou
tlay
s fr
om t
ax e
nfo
rcem
ent
prog
ram
in
tegr
ity
cap
adju
stm
ent
(non
-ad
d)
.....
......
......
......
......
......
......
......
......
......
....
......
320
693
1,04
01,
386
1,73
71,
850
1,86
51,
875
1,88
51,
893
5,17
614
,544
Incr
ease
ove
rsig
ht
of p
aid
tax
retu
rn p
re-
pare
rs 4
......
......
......
......
......
......
......
......
......
....
......
–22
–31
–36
–39
–43
–47
–52
–57
–63
–67
–171
–457
Pro
vide
mor
e fl
exib
le a
uth
orit
y fo
r th
e In
tern
al R
even
ue
Ser
vice
to
addr
ess
corr
ecta
ble
erro
rs 4
.....
......
......
......
......
......
....
......
–42
–63
–65
–66
–69
–70
–73
–75
–76
–79
–305
–678
Tot
al, T
reas
ury
....
......
......
......
......
......
......
.....
......
–481
–1,8
87–3
,681
–5,4
57–8
,335
–10,
040
–10,
613
–10,
522
–10,
547
–10,
113
–19,
841
–71,
676
Vet
eran
s A
ffai
rs (
VA
):P
rovi
de f
or a
sm
ooth
tra
nsi
tion
to
the
new
V
eter
ans
Com
mu
nit
y C
are
prog
ram
....
....
......
...23
647
947
936
121
595
......
......
......
......
......
......
1,77
01,
865
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 135T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Cap
Pos
t–9/
11 G
I B
ill fl
igh
t tr
ain
ing
pro-
gram
s at
pu
blic
sch
ools
....
......
......
......
......
....
......
–43
–45
–46
–47
–49
–51
–53
–55
–57
–59
–230
–505
Ext
ensi
on o
f h
ome
loan
fee
s ..
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–356
......
...–3
56E
nh
ance
bu
rial
ben
efits
for
vet
eran
s ..
......
......
......
22
22
22
23
33
1023
Rei
nst
ate
CO
LA
rou
nd-
dow
n .
......
......
......
....
......
...–3
4–9
2–1
48–2
07–2
68–2
81–2
96–3
11–3
23–3
36–7
49–2
,296
Sta
nda
rdiz
e an
d en
han
ce V
A C
ompe
nsa
tion
an
d P
ensi
on b
enefi
t pr
ogra
ms
.....
......
......
....
......
–78
–80
–83
–85
–88
–90
–93
–95
–98
–397
–414
–1,1
87S
tan
dard
ize,
ext
end,
an
d im
prov
e ve
tera
n
Spe
cial
ly A
dapt
ed H
ousi
ng
prog
ram
s ..
....
......
...4
45
45
......
......
......
......
...1
122
24S
tan
dard
ize
and
impr
ove
vete
ran
voc
atio
n-
al r
ehab
ilit
atio
n a
nd
edu
cati
on b
enefi
t pr
ogra
ms
......
......
......
......
......
......
......
......
....
......
...72
–20
–22
–25
–26
–33
–35
–37
–39
–41
–21
–206
Ext
end
auth
orit
y fo
r se
curi
zati
on o
f ve
nde
e lo
ans
......
......
......
......
......
......
......
......
......
.....
......
...89
1952
350
355
458
......
...21
333
3E
xten
d h
ousi
ng
assi
stan
ce f
or h
omel
ess
vete
ran
s an
d in
clu
de p
erm
anen
t h
ousi
ng
opti
ons
.....
......
......
......
......
......
......
......
......
.....
......
29...
......
......
......
......
......
......
......
......
......
......
......
......
......
2929
Tot
al, V
eter
ans
Aff
airs
....
......
......
......
......
.....
......
277
267
239
6–1
59–3
55–4
20–4
91–4
55–1
,185
630
–2,2
76C
orps
of
En
gin
eers
:D
ives
t th
e W
ash
ingt
on A
qued
uct
....
......
......
....
......
......
......
......
–120
......
......
......
......
......
......
......
......
......
......
...–1
20–1
20R
efor
m in
lan
d w
ater
way
s fi
nan
cin
g 4
......
....
......
...–1
78–1
78–1
78–1
78–1
78–1
78–1
78–1
78–1
78–1
78–8
90–1
,780
Red
uce
th
e H
arbo
r M
ain
ten
ance
Tax
4, 9 .
.....
......
...26
528
129
229
930
731
432
333
334
535
91,
444
3,11
8T
otal
, Cor
ps o
f E
ngi
nee
rs ..
......
......
......
......
......
...87
103
–612
112
913
614
515
516
718
143
41,
218
En
viro
nm
enta
l Pro
tect
ion
Age
ncy
:E
xpan
d u
se o
f pe
stic
ide
lice
nsi
ng
fees
....
.....
......
...5
44
44
32
11
121
29In
tern
atio
nal
Ass
ista
nce
Pro
gram
s:T
rans
fer
fund
s fr
om O
vers
eas
Pri
vate
In
vest
men
t C
orpo
rati
on t
o D
evel
opm
ent
Fin
ance
Ins
titu
tion
....
......
......
......
......
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Offi
ce o
f P
erso
nn
el M
anag
emen
t (O
PM
):F
eder
al E
mpl
oyee
s H
ealt
h B
enefi
ts (
FE
HB
) P
rogr
am:
Pro
vide
OP
M a
uth
orit
y to
inco
rpor
ate
prov
isio
ns
of t
he
An
ti-K
ickb
ack
Act
to
the
FE
HB
Pro
gram
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Mod
ify
the
Gov
ern
men
t co
ntr
ibu
tion
to
FE
HB
pre
miu
ms
.....
......
......
......
......
......
......
......
......
......
...–1
92–3
01–3
21–3
42–3
63–3
87–4
12–4
39–8
14–2
,757
Mod
ify
exis
tin
g st
atu
te o
n in
dem
nit
y be
n-
efit
plan
s in
FE
HB
....
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
rovi
de t
ax p
reem
ptio
n f
or F
eder
al E
m-
ploy
ees
Den
tal/V
isio
n P
rogr
am .
......
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...T
otal
, Fed
eral
Em
ploy
ees
Hea
lth
B
enefi
ts (
FE
HB
) P
rogr
am .
......
.....
......
......
......
......
...–1
92–3
01–3
21–3
42–3
63–3
87–4
12–4
39–8
14–2
,757
136 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Ref
orm
ret
irem
ent
ben
efits
for
Fed
eral
em
ploy
ees:
Incr
ease
em
ploy
ee c
ontr
ibu
tion
s to
50%
of
cos
t, p
has
ed in
at
1% p
er y
ear
4 ..
......
......
......
......
–2,2
67–4
,602
–6,4
42–8
,068
–9,4
41–9
,456
–9,4
70–9
,480
–9,4
79–2
1,37
9–6
8,70
5E
lim
inat
e F
eder
al E
mpl
oyee
Ret
irem
ent
Sys
tem
CO
LA
; red
uce
Civ
il S
ervi
ce
Ret
irem
ent
Sys
tem
CO
LA
by
0.5%
....
.....
......
–1,1
19–1
,783
–2,5
24–3
,350
–4,2
47–5
,213
–6,2
50–7
,357
–8,5
39–9
,798
–13,
023
–50,
180
Eli
min
ate
the
Spe
cial
Ret
irem
ent
Su
pple
-m
ent
.....
......
......
......
......
......
......
......
......
.....
......
–497
–867
–1,2
74–1
,596
–1,8
18–2
,028
–2,2
90–2
,540
–2,7
62–3
,003
–6,0
52–1
8,67
5C
han
ge r
etir
emen
t ca
lcu
lati
on f
rom
h
igh
–3 y
ears
to
hig
h–5
yea
rs .
......
......
.....
......
–277
–339
–405
–476
–549
–623
–698
–778
–860
–944
–2,0
46–5
,949
Red
uce
th
e G
-fu
nd
inte
rest
rat
e ...
......
......
......
...–6
94–3
82–1
,142
–671
–798
–877
–957
–1,0
52–1
,132
–1,2
16–3
,687
–8,9
21L
oss
of m
anda
tory
off
sett
ing
rece
ipts
fr
om r
etir
emen
t pr
opos
als
.....
......
......
......
......
......
...11
,580
14,0
4716
,094
17,9
1919
,486
19,6
9219
,898
20,0
9820
,283
59,6
4015
9,09
7D
iscr
etio
nar
y ef
fect
of
reti
rem
ent
prop
osal
s ...
......
......
......
......
......
......
......
......
......
......
...–6
,461
–7,4
82–8
,026
–8,5
44–8
,919
–8,6
19–8
,324
–8,0
34–7
,743
–30,
513
–72,
152
Tot
al, r
efor
m r
etir
emen
t be
nefi
ts f
or
Fed
eral
em
ploy
ees .
......
......
......
......
....
......
–2,5
87–5
19–3
,382
–4,4
67–6
,105
–7,6
15–8
,578
–9,6
23–1
0,70
9–1
1,90
0–1
7,06
0–6
5,48
5To
tal,
Offi
ce o
f Per
sonn
el M
anag
emen
t ...
......
...–2
,587
–519
–3,5
74–4
,768
–6,4
26–7
,957
–8,9
41–1
0,01
0–1
1,12
1–1
2,33
9–1
7,87
4–6
8,24
2O
ther
In
depe
nde
nt
Age
nci
es:
Fed
eral
Com
mu
nic
atio
ns
Com
mis
sion
:E
nac
t S
pect
rum
Lic
ense
Use
r F
ee .
......
....
......
...–5
0–1
50–3
00–4
50–5
00–5
00–5
00–5
00–5
00–5
00–1
,450
–3,9
50C
ondu
ct s
pect
rum
au
ctio
ns
belo
w 6
gig
a-h
ertz
....
......
......
......
......
......
......
......
......
......
......
......
...–3
00–3
00...
......
......
......
......
......
......
......
......
...–6
,000
–600
–6,6
00T
otal
, Fed
eral
Com
mu
nic
atio
ns
Com
mis
sion
....
......
......
......
......
......
....
......
–50
–450
–600
–450
–500
–500
–500
–500
–500
–6,5
00–2
,050
–10,
550
Res
tru
ctu
re t
he
Con
sum
er F
inan
cial
Pro
tec-
tion
Bu
reau
.....
......
......
......
......
......
......
......
....
......
–147
–610
–656
–672
–687
–704
–720
–737
–755
–773
–2,7
72–6
,461
Eli
min
ate
the
Sec
uri
ties
an
d E
xch
ange
C
omm
issi
on R
eser
ve F
un
d ..
......
......
......
......
......
......
...–1
7–4
1–5
0–5
0–5
0–5
0–5
0–5
0–5
0–1
58–4
08A
llow
Dis
tric
t of
Col
um
bia
Cou
rts
to r
etai
n
bar
exam
an
d ap
plic
atio
n f
ees
11 ..
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Ref
orm
th
e P
osta
l Ser
vice
.....
......
......
......
......
......
...–4
,592
–4,5
86–4
,530
–4,5
01–4
,453
–4,4
38–4
,436
–4,3
92–4
,308
–4,2
54–2
2,66
2–4
4,49
0D
ives
t T
enn
esse
e V
alle
y A
uth
orit
y (T
VA
) tr
ansm
issi
on a
sset
s ...
......
......
......
......
......
.....
......
241
–3,7
60–1
9–1
9–1
9–1
9–1
9–1
9–1
9–1
9–3
,576
–3,6
71M
anda
tory
eff
ects
of
agen
cy e
lim
inat
ion
s ..
....
......
......
......
......
......
...–1
......
......
......
......
......
......
......
......
......
–1–1
Tot
al, O
ther
In
depe
nde
nt
Age
nci
es ..
......
.....
......
–4,5
48–9
,423
–5,8
46–5
,693
–5,7
09–5
,711
–5,7
25–5
,698
–5,6
32–1
1,59
6–3
1,21
9–6
5,58
1C
ross
-cu
ttin
g re
form
s:R
epea
l an
d re
plac
e O
bam
acar
e:P
ropo
sal m
odel
ed a
fter
th
e G
rah
am-C
as-
sidy
-Hel
ler-
Joh
nso
n b
ill:
4
Med
icai
d re
form
s ...
......
......
......
......
......
.....
......
–2,8
85–6
7,16
5–9
2,35
0–9
8,06
0–1
04,4
75–1
12,3
50–1
26,1
55–1
40,8
00–1
59,9
45–1
79,3
85–3
64,9
35–1
,083
,570
Mar
ket-
Bas
ed H
ealt
h C
are
Gra
nt
prog
ram
....
......
......
......
......
......
......
.....
......
......
......
146,
000
146,
000
157,
000
168,
000
179,
000
190,
000
190,
000
210,
000
220,
000
617,
000
1,60
6,00
0
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 137T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Oth
er 4
.....
......
......
......
......
......
......
......
.....
......
...15
,142
–4,9
91–4
1,21
7–4
8,94
6–5
0,89
1–5
3,81
5–5
7,22
1–6
0,38
7–6
3,43
5–6
6,09
1–1
30,9
03–4
31,8
52T
otal
, pro
posa
l mod
eled
aft
er t
he
Gra
ham
-Cas
sidy
-Hel
ler-
Joh
nso
n
bill
....
......
......
......
......
......
......
......
....
......
...12
,257
73,8
4412
,433
9,99
412
,634
12,8
356,
624
–11,
187
–13,
380
–25,
476
121,
162
90,5
78A
ddit
ion
al d
efici
t re
duct
ion
:M
edic
aid
refo
rms
......
......
......
......
......
.....
......
......
......
–4,5
00–1
1,41
0–1
9,92
0–2
8,63
0–3
7,63
5–4
2,64
0–4
8,14
5–5
3,84
5–5
8,94
0–6
4,46
0–3
05,6
65M
arke
t-B
ased
Hea
lth
Car
e G
ran
t pr
ogra
m .
......
......
......
......
......
......
......
.....
......
......
...–2
6,00
0–2
3,24
0–3
1,41
7–3
9,52
8–4
7,57
3–5
5,55
0–5
2,45
8–6
9,29
5–7
6,05
8–1
20,1
85–4
21,1
19S
tate
impl
emen
tati
on .
......
......
......
......
.....
......
1,00
075
025
0...
......
......
......
......
......
......
......
......
......
......
2,00
02,
000
Oth
er .
......
......
......
......
......
......
......
......
.....
......
...–1
0,00
0–2
1,00
0–5
,000
......
...–7
50–7
50–7
50–7
50–7
50–7
50–3
6,75
0–4
0,50
0T
otal
, add
itio
nal
defi
cit
redu
ctio
n .
......
......
–9,0
00–5
0,75
0–3
9,40
0–5
1,33
7–6
8,90
8–8
5,95
8–9
8,94
0–1
01,3
53–1
23,8
90–1
35,7
48–2
19,3
95–7
65,2
84T
otal
, rep
eal a
nd
repl
ace
Oba
mac
are
......
....
......
3,25
723
,094
–26,
967
–41,
343
–56,
274
–73,
123
–92,
316
–112
,540
–137
,270
–161
,224
–98,
233
–674
,706
Ref
orm
wel
fare
pro
gram
s:R
efor
m t
he
Su
pple
men
tal N
utr
itio
n
Ass
ista
nce
Pro
gram
....
......
......
......
......
.....
......
–17,
169
–18,
521
–20,
451
–20,
468
–21,
615
–22,
213
–22,
353
–23,
686
–23,
893
–23,
157
–98,
224
–213
,526
Red
uce
Tem
pora
ry A
ssis
tan
ce f
or N
eedy
Fa
mil
ies
(TA
NF
) bl
ock
gran
t ..
......
......
.....
......
–1,1
55–1
,435
–1,5
14–1
,552
–1,5
84–1
,600
–1,6
00–1
,600
–1,6
00–1
,600
–7,2
40–1
5,24
0S
tren
gth
en T
AN
F ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...E
lim
inat
e th
e T
AN
F C
onti
ngen
cy F
und
...
......
...–5
45–6
08–6
08–6
08–6
08–6
08–6
08–6
08–6
08–6
08–2
,977
–6,0
17G
et n
oncu
stod
ial p
aren
ts t
o w
ork
.....
......
....
......
45
78
109
1113
1415
3496
Str
engt
hen
Ch
ild
Su
ppor
t en
forc
emen
t an
d es
tabl
ish
men
t ...
......
......
......
......
......
......
...–2
2–4
2–5
7–6
8–7
6–8
0–8
2–8
2–8
3–9
4–2
65–6
86E
stab
lish
a C
hil
d S
upp
ort
tech
nol
ogy
fun
d ..
......
......
......
......
......
......
......
......
......
......
...63
–12
–20
–28
–37
–110
–120
–131
–194
–205
–34
–794
Eli
min
ate
Soc
ial S
ervi
ces
Blo
ck G
ran
t (S
SB
G)
.....
......
......
......
......
......
......
......
....
......
...–1
,411
–1,6
49–1
,700
–1,7
00–1
,700
–1,7
00–1
,700
–1,7
00–1
,700
–1,7
00–8
,160
–16,
660
Sh
ift
SS
BG
exp
endi
ture
s to
Fos
ter
Car
e an
d P
erm
anen
cy ..
......
......
......
......
......
....
......
...18
2122
2222
2323
2323
2310
522
0R
equ
ire
Soc
ial S
ecu
rity
Nu
mbe
r (S
SN
) fo
r C
hil
d T
ax C
redi
t &
Ear
ned
In
com
e T
ax C
redi
t ..
......
......
......
......
......
......
......
.....
......
–1,1
86–1
,218
–1,1
64–1
,086
–1,1
04–1
,009
–921
–903
–790
–702
–5,7
58–1
0,08
3P
rom
ote
Wel
fare
to
Wor
k P
roje
cts
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...T
otal
, ref
orm
wel
fare
pro
gram
s ..
......
......
...–2
1,40
3–2
3,45
9–2
5,48
5–2
5,48
0–2
6,69
2–2
7,28
8–2
7,35
0–2
8,67
4–2
8,83
1–2
8,02
8–1
22,5
19–2
62,6
90R
efor
m d
isab
ilit
y pr
ogra
ms
and
test
new
ap
proa
ches
:Im
prov
e S
SI
you
th t
ran
siti
on t
o w
ork
.....
......
...–5
–28
646
21–6
–35
–59
–80
–108
40–2
48S
impl
ify
adm
inis
trat
ion
of
the
SS
I pr
o-gr
am .
......
......
......
......
......
......
......
......
......
......
......
......
–347
–86
–68
–50
–29
–18
–66
19–5
51–5
79T
est
new
app
roac
hes
to
incr
ease
labo
r fo
rce
part
icip
atio
n .
......
......
......
......
......
.....
......
100
100
100
100
100
–2,3
84–5
,070
–9,1
71–1
3,61
0–1
8,63
250
0–4
8,36
7R
educ
e 12
mon
th r
etro
acti
ve D
isab
ilit
y In
sura
nce
(DI)
ben
efits
to
six
mon
ths
...
......
...–3
62–6
69–8
46–9
92–1
,057
–1,1
26–1
,198
–1,2
68–1
,337
–1,4
01–3
,926
–10,
256
138 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Cre
ate
slid
ing
scal
e fo
r m
ult
i-re
cipi
ent
Su
pple
men
tal S
ecu
rity
In
com
e (S
SI)
fa
mil
ies
.....
......
......
......
......
......
......
......
......
......
–588
–618
–636
–693
–661
–631
–702
–720
–738
–814
–3,1
96–6
,801
Off
set
over
lapp
ing
un
empl
oym
ent
and
disa
bili
ty p
aym
ents
4, 9 .
......
......
......
......
....
......
......
...–8
1–2
09–2
55–2
81–2
96–3
11–3
25–3
43–3
56–8
26–2
,457
Rei
nst
ate
the
reco
nsi
dera
tion
rev
iew
ap
plic
atio
n s
tage
in 1
0 S
tate
s ..
......
......
......
...91
–76
–295
–424
–362
–354
–420
–469
–519
–579
–1,0
66–3
,407
Eli
min
ate
Wor
kers
Com
pen
sati
on (
WC
) R
ever
se O
ffse
ts ..
......
......
......
......
......
......
......
......
......
......
...–2
2–2
2–2
3–2
5–2
6–2
8–3
0–3
1–6
7–2
07C
han
ge t
he
repr
esen
tati
ve f
ee a
nd
ap-
prov
al p
roce
ss .
......
......
......
......
......
......
......
......
......
...3
1629
4341
4544
4445
9131
0E
lim
inat
e th
e re
quir
emen
t fo
r re
pres
en-
tati
ve p
ayee
s to
pro
vide
an
an
nu
al
acco
un
tin
g re
port
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...A
dmin
istr
ativ
e L
aw J
udge
(AL
J) r
efor
ms
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...T
otal
, ref
orm
dis
abil
ity
prog
ram
s an
d te
st n
ew a
ppro
ach
es .
......
......
....
......
–764
–1,7
16–1
,972
–2,2
79–2
,270
–4,8
10–7
,735
–12,
002
–16,
607
–21,
857
–9,0
01–7
2,01
2R
edu
ce im
prop
er p
aym
ents
:R
edu
ce im
prop
er p
aym
ents
Gov
ern
men
t-w
ide
......
......
......
......
......
......
......
......
......
.....
......
......
...–7
19–1
,482
–2,3
83–4
,288
–4,5
49–9
,652
–20,
480
–38,
024
–57,
633
–8,8
72–1
39,2
10P
rovi
de a
ddit
ion
al d
ebt
coll
ecti
on a
uth
or-
ity
for
civi
l mon
etar
y pe
nal
ties
(C
MP
s)
and
asse
ssm
ents
.....
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
All
ow G
over
nm
ent-
wid
e u
se o
f C
BP
en
try/
exit
dat
a to
pre
ven
t im
prop
er
paym
ents
....
......
......
......
......
......
......
......
....
......
......
......
......
–1–5
–13
–19
–25
–34
–39
–47
–19
–183
Au
thor
ize
Soc
ial S
ecu
rity
Adm
inis
tra-
tion
(S
SA
) to
use
all
col
lect
ion
too
ls t
o re
cove
r fu
nds
in c
erta
in s
cen
ario
s ...
.....
......
...–1
–2–2
–4–4
–5–6
–7–7
–7–1
3–4
5H
old
frau
d fa
cili
tato
rs li
able
for
ove
rpay
-m
ents
....
......
......
......
......
......
......
......
......
....
......
......
......
......
......
...–1
–1–1
–1–1
......
...–1
–2–6
Incr
ease
ove
rpay
men
t co
llec
tion
th
resh
-ol
d fo
r O
ld A
ge, S
urv
ivor
s, a
nd
Dis
abil
-it
y In
sura
nce
....
......
......
......
......
......
......
....
......
–11
–72
–91
–102
–124
–148
–167
–219
–233
–231
–400
–1,3
98E
xclu
de S
SA
deb
ts f
rom
dis
char
ge in
ba
nkr
upt
cy .
......
......
......
......
......
......
......
....
......
–7–1
5–2
1–2
5–3
0–3
2–3
4–3
5–3
7–3
9–9
8–2
75A
llow
SS
A t
o u
se c
omm
erci
al d
atab
ase
to
veri
fy r
eal p
rope
rty
.....
......
......
......
......
.....
......
–26
–40
–50
–61
–62
–62
–70
–73
–77
–83
–239
–604
Impr
ove
coll
ecti
on o
f pe
nsi
on in
form
atio
n
from
Sta
tes
and
loca
liti
es .
......
......
......
.....
......
1828
24–4
41–1
,058
–1,5
05–1
,618
–1,5
34–1
,442
–1,3
32–1
,429
–8,8
60T
otal
, red
uce
impr
oper
pay
men
ts ..
......
......
–27
–820
–1,6
23–3
,022
–5,5
80–6
,321
–11,
573
–22,
383
–39,
859
–59,
373
–11,
072
–150
,581
Infr
astr
uct
ure
init
iati
ve:
En
cou
rage
incr
ease
d S
tate
, loc
al, a
nd
priv
ate
infr
astr
uct
ure
by
awar
din
g co
mpe
titi
ve in
cen
tive
gra
nts
....
......
......
......
...1,
000
5,00
011
,000
17,5
0021
,750
19,5
0013
,250
7,25
03,
000
750
56,2
5010
0,00
0
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 139T
able
S–6
. M
and
ator
y an
d R
ecei
pt
Pro
pos
als—
Con
tin
ued
(Defi
cit
incr
ease
s (+
) or
decr
ease
s (–
) in
mill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Add
ress
th
e n
eed
for
inve
stm
ent
in r
ura
l in
fras
tru
ctu
re .
......
......
......
......
......
......
......
......
41,3
503,
407
2,85
11,
058
399
300
245
200
145
4549
,065
50,0
00S
upp
ort
bold
, in
nov
ativ
e, a
nd
tran
sfor
ma-
tive
pro
ject
s ..
......
......
......
......
......
......
.....
......
...15
140
770
2,47
54,
327
5,13
53,
972
2,22
078
420
27,
727
20,0
40E
xpan
d ex
isti
ng
Fed
eral
infr
astr
uct
ure
cr
edit
pro
gram
s ..
......
......
......
......
......
.....
......
...31
193
31,
556
2,17
82,
800
2,48
91,
867
1,24
462
2...
......
7,77
814
,000
Est
abli
sh a
Fed
eral
Cap
ital
Rev
olvi
ng
Fu
nd
12 ..
......
......
......
......
......
......
......
......
.....
......
1,86
71,
733
1,60
01,
467
1,33
31,
200
–53
–57
–61
–65
8,00
08,
964
Exp
and
flex
ibil
ity
and
broa
den
eli
gibi
lity
fo
r P
riva
te A
ctiv
ity
Bon
ds 4
......
......
......
....
......
3113
829
645
761
675
383
989
394
599
21,
538
5,96
0T
otal
, in
fras
tru
ctu
re in
itia
tive
....
.....
......
...44
,574
11,3
5118
,073
25,1
3531
,225
29,3
7720
,120
11,7
505,
435
1,92
413
0,35
819
8,96
4A
uth
oriz
e ad
diti
onal
Afg
han
Spe
cial
Im
mi-
gran
t V
isas
.....
......
......
......
......
......
......
......
.....
......
2225
2623
2223
2018
1819
118
216
Eli
min
ate
allo
cati
ons
to t
he
Hou
sin
g T
rust
F
un
d an
d C
apit
al M
agn
et F
un
d 4 ...
......
....
......
...–2
63–1
58–2
27–2
96–3
57–3
85–3
99–4
19–4
26–4
33–1
,301
–3,3
63E
xten
d Jo
int
Com
mit
tee
man
dato
ry s
equ
es-
trat
ion
....
......
......
......
......
......
......
......
......
....
......
......
......
......
......
......
......
......
......
......
...8,
342
–21,
297
–28,
570
–31,
298
......
...–7
2,82
3L
ease
Sh
ared
Sec
onda
ry L
icen
ses
.....
......
....
......
...–5
0–5
5–5
5–6
0–6
5–7
0–7
0–8
0–8
0–8
5–2
85–6
70Im
prov
e cl
arit
y in
wor
ker
clas
sifi
cati
on a
nd
info
rmat
ion
rep
orti
ng
requ
irem
ents
4 ..
....
100
100
–100
......
......
......
......
......
......
......
......
......
–100
–105
......
...–2
05T
otal
, cro
ss-c
utt
ing
refo
rms
.....
......
......
.....
100
25,4
468,
162
–38,
230
–47,
322
–59,
991
–82,
597
–110
,961
–185
,627
–246
,290
–300
,460
–111
,935
–1,0
37,8
70
Tota
l, m
and
ator
y an
d r
ecei
pt
pro
pos
als
...
5,15
99,
793
–30,
248
–91,
766
–109
,661
–135
,651
–164
,371
–196
,910
–292
,276
–355
,469
–421
,691
–357
,533
–1,7
88,2
50N
ote:
For
rec
eipt
eff
ects
, pos
itiv
e fi
gure
s in
dica
te lo
wer
rec
eipt
s. F
or o
utl
ay e
ffec
ts, p
osit
ive
figu
res
indi
cate
hig
her
ou
tlay
s. F
or n
et c
osts
, pos
itiv
e fi
gure
s in
dica
te h
igh
er
defi
cits
.1 T
he
sin
gle
inco
me-
driv
en r
epay
men
t pl
an p
ropo
sal h
as s
izab
le in
tera
ctiv
e ef
fect
s w
ith
th
e pr
opos
als
to e
lim
inat
e su
bsid
ized
loan
s an
d P
ubl
ic S
ervi
ce L
oan
For
give
nes
s.
Th
ese
effe
cts,
$19
.2 b
illi
on o
ver
10 y
ears
, are
incl
ude
d in
th
e si
ngl
e in
com
e-dr
iven
rep
aym
ent
plan
su
btot
al.
2 E
stim
ates
wer
e n
ot a
vail
able
at
the
tim
e of
Bu
dget
pu
blic
atio
n.
3 T
his
fu
ndi
ng
is in
clu
ded
wit
hin
th
e es
tim
ates
of
the
prop
osal
to
repe
al a
nd
repl
ace
Oba
mac
are.
4 T
he
esti
mat
es f
or t
his
pro
posa
l in
clu
de e
ffec
ts o
n r
ecei
pts.
Th
e re
ceip
t ef
fect
s in
clu
ded
in t
he
tota
ls a
bove
are
as
foll
ows:
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2019
–20
2320
19–
2028
Giv
e M
edic
are
ben
efici
arie
s w
ith
hig
h d
e-du
ctib
le h
ealt
h p
lan
s th
e op
tion
to
mak
e ta
x de
duct
ible
con
trib
uti
ons
to H
ealt
h
Sav
ings
Acc
oun
ts a
nd
Med
ical
Sav
ings
A
ccou
nts
.....
......
......
......
......
......
......
......
......
......
......
......
......
...61
01,
071
1,28
51,
493
1,59
91,
674
1,74
61,
807
2,96
611
,285
Ext
end
Ch
ildr
en’s
Hea
lth
In
sura
nce
Pro
-gr
am t
hro
ugh
201
9 w
ith
ref
orm
s ..
......
.....
......
...–3
88–5
8...
......
......
......
......
......
......
......
......
......
......
......
...–4
46–4
46R
efor
m m
edic
al li
abil
ity
.....
......
......
......
......
.....
......
–24
–222
–548
–987
–1,4
76–2
,067
–2,6
87–3
,079
–3,2
90–3
,475
–3,2
57–1
7,85
5R
edu
ce t
he
grac
e pe
riod
for
Exc
han
ge p
re-
miu
ms
.....
......
......
......
......
......
......
......
......
......
......
–164
–55
......
......
......
......
......
......
......
......
......
......
......
......
–219
–219
Pro
vide
tax
exe
mpt
ion
for
IH
S H
ealt
h P
ro-
fess
ion
s sc
hol
arsh
ip a
nd
loan
rep
aym
ent
prog
ram
s in
ret
urn
for
obl
igat
ory
serv
ice
requ
irem
ent
.....
......
......
......
......
......
......
......
......
...5
1213
1414
1414
1517
1958
137
140 SUMMARY TABLES
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als
2019
–20
2320
19–
2028
Est
abli
sh E
lect
ron
ic V
isa
Upd
ate
Sys
tem
u
ser
fee
.....
......
......
......
......
......
......
......
......
....
......
–25
–28
–31
–34
–38
–42
–46
–52
–57
–64
–156
–417
Mak
e fu
ll E
lect
ron
ic S
yste
m f
or T
rave
l A
uth
oriz
atio
n (
ES
TA
) re
ceip
ts a
vail
able
to
CB
P ..
......
......
......
......
......
......
......
......
......
......
......
......
......
...–1
71–1
77–1
83–1
89–1
96–2
02–2
09–2
16–5
31–1
,543
Est
abli
sh a
n im
mig
rati
on s
ervi
ces
sur-
char
ge .
......
......
......
......
......
......
......
......
......
....
......
–453
–465
–479
–493
–507
–522
–538
–553
–569
–587
–2,3
97–5
,166
Incr
ease
wor
ksit
e en
forc
emen
t pe
nal
ties
....
......
...–1
3–1
4–1
5–1
5–1
5–1
5–1
5–1
5–1
5–1
5–7
2–1
47R
eau
thor
ize
the
Oil
Spi
ll L
iabi
lity
Tru
st
Fu
nd
exci
se t
ax .
......
......
......
......
......
......
....
......
...–3
54–4
66–4
73–4
80–4
89–4
94–5
00–5
07–5
11–5
11–2
,262
–4,7
85P
rovi
de p
aid
pare
nta
l lea
ve b
enefi
ts ..
......
....
......
......
......
......
......
......
–962
–971
–1,0
01–1
,194
–1,3
00–1
,401
–1,4
95–1
,933
–8,3
24E
stab
lish
an
Un
empl
oym
ent
Insu
ran
ce (
UI)
so
lven
cy s
tan
dard
....
......
......
......
......
......
......
......
......
......
......
–633
–1,6
15–2
,230
–919
–1,6
13–9
27–1
,267
–1,9
07–4
,478
–11,
111
Impr
ove
UI
prog
ram
inte
grit
y ...
......
......
......
....
......
......
...1
921
7266
9869
127
105
103
568
Pro
vide
for
Ree
mpl
oym
ent
Ser
vice
s an
d E
ligi
bili
ty A
sses
smen
ts ..
......
......
......
......
......
......
......
...3
1469
125
128
199
307
287
469
211
1,60
1R
efor
m A
ir T
raffi
c C
ontr
ol .
......
......
......
......
......
......
......
......
......
......
...15
,495
16,2
4117
,027
17,8
7018
,674
19,4
9720
,536
31,7
3612
5,34
0R
efor
m E
ssen
tial
Air
Ser
vice
....
......
......
......
....
......
......
......
......
......
...15
215
616
016
416
817
217
730
81,
149
Pro
vide
au
thor
ity
for
Bu
reau
of
En
grav
ing
and
Pri
nti
ng
to c
onst
ruct
new
fac
ilit
y ..
......
......
–12
–32
–389
–360
–53
20–3
–222
–3–3
18–5
79S
ubj
ect
Fin
anci
al R
esea
rch
Fu
nd
to a
ppro
-pr
iati
ons
wit
h r
efor
ms
to t
he
Fin
anci
al
Sta
bili
ty O
vers
igh
t C
oun
cil a
nd
Offi
ce o
f F
inan
cial
Res
earc
h ..
......
......
......
......
......
....
......
...–1
5050
5050
5050
5050
5019
944
9Im
plem
ent
tax
enfo
rcem
ent
prog
ram
inte
g-ri
ty c
ap a
dju
stm
ent
.....
......
......
......
......
......
......
...–1
52–7
87–1
,825
–3,0
33–4
,330
–5,5
54–6
,416
–6,9
31–7
,270
–7,5
05–1
0,12
7–4
3,80
3In
crea
se o
vers
igh
t of
pai
d ta
x re
turn
pre
-pa
rers
....
......
......
......
......
......
......
......
......
.....
......
...–1
7–1
8–2
1–2
3–2
5–2
8–3
1–3
4–3
8–4
1–1
04–2
76P
rovi
de m
ore
flex
ible
au
thor
ity
for
the
Inte
rnal
Rev
enu
e S
ervi
ce t
o ad
dres
s co
rrec
tabl
e er
rors
....
......
......
......
......
......
....
......
...–7
–11
–12
–12
–13
–13
–14
–15
–15
–16
–55
–128
Ref
orm
inla
nd
wat
erw
ays
fin
anci
ng
.....
......
....
......
–178
–178
–178
–178
–178
–178
–178
–178
–178
–178
–890
–1,7
80R
edu
ce t
he
Har
bor
Mai
nte
nan
ce T
ax .
......
......
......
265
281
292
299
307
314
323
333
345
359
1,44
43,
118
Incr
ease
em
ploy
ee c
ontr
ibu
tion
s to
50%
of
cost
, ph
ased
in a
t 1%
per
yea
r ..
......
......
....
......
......
......
–2,2
67–4
,602
–6,4
42–8
,068
–9,4
41–9
,456
–9,4
70–9
,480
–9,4
79–2
1,37
9–6
8,70
5P
ropo
sal m
odel
ed a
fter
th
e G
rah
am-C
assi
-dy
-Hel
ler-
Joh
nso
n b
ill
......
......
......
......
......
....
......
3,45
28,
617
2,50
32,
829
2,88
32,
959
3,19
23,
473
3,67
64,
092
20,2
8437
,676
Off
set
over
lapp
ing
un
empl
oym
ent
and
disa
bili
ty p
aym
ents
.....
......
......
......
......
......
......
......
......
......
...3
67
1418
2529
3116
133
Exp
and
flex
ibil
ity
and
broa
den
eli
gibi
lity
for
P
riva
te A
ctiv
ity
Bon
ds .
......
......
......
......
.....
......
...31
138
296
457
616
753
839
893
945
992
1,53
85,
960
Eli
min
ate
allo
cati
ons
to t
he
Hou
sin
g T
rust
F
un
d an
d C
apit
al M
agn
et F
un
d ..
......
......
......
...–6
2–7
4–7
3–7
8–8
2–8
4–8
5–8
7–8
9–9
0–3
69–8
04Im
prov
e cl
arit
y in
wor
ker
clas
sifi
cati
on a
nd
info
rmat
ion
rep
orti
ng
requ
irem
ents
....
....
100
100
–100
......
......
......
......
......
......
......
......
......
–100
–105
......
...–2
05T
otal
rec
eipt
eff
ects
of
man
dato
ry
prop
osal
s ...
......
......
......
......
......
......
......
...10
02,
003
4,32
7–5
,274
6,02
32,
791
2,37
81,
417
2,32
82,
180
2,95
09,
870
21,1
23
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 141
5 T
he
2019
Bu
dget
req
ues
ts $
127
mil
lion
in m
anda
tory
res
ourc
es t
o su
ppor
t M
edic
are
appe
als
adju
dica
tion
at
the
Offi
ce o
f M
edic
are
Hea
rin
gs a
nd
App
eals
an
d th
e D
epar
t-m
enta
l App
eals
Boa
rd. W
hil
e th
e to
tal m
anda
tory
req
ues
t is
$12
7 m
illi
on a
nn
ual
ly, t
he
cost
to
the
Gov
ern
men
t is
$11
2 m
illi
on a
nnu
ally
, wh
ich
refl
ects
Med
icar
e P
art
A
and
Par
t B
con
trib
uti
ons,
net
of
prem
ium
s.6 In
add
itio
n t
o th
e pr
opos
als
list
ed, t
he
Bu
dget
req
ues
ts m
anda
tory
app
ropr
iati
ons
for
the
Ris
k C
orri
dors
pro
gram
an
d fo
r C
ost
Sh
arin
g R
edu
ctio
n p
aym
ents
. Th
ese
prop
os-
als
hav
e n
o de
fici
t ef
fect
.7 In
add
itio
n t
o ef
fect
s w
ith
in H
HS,
th
e es
tim
ates
for
th
e pr
opos
al in
clu
de e
ffec
ts w
ith
in O
PM
an
d T
reas
ury
.8 W
hil
e th
is p
ropo
sal i
ncr
ease
s G
over
nm
ent
outl
ays
in t
he
form
of
mea
ns-
test
ed a
ssis
tan
ce t
o lo
w-i
nco
me
poli
cyh
olde
rs, t
he
Nat
ion
al F
lood
In
sura
nce
Pro
gram
is a
lso
acce
l-er
atin
g pr
emiu
m in
crea
ses
on o
ther
pol
icyh
olde
rs t
hat
cu
rren
tly
do n
ot p
ay f
ull
-ris
k pr
emiu
ms.
9 N
et o
f in
com
e of
fset
s.10
Th
e pa
id p
aren
tal l
eave
pro
posa
l con
sist
s of
$27
,196
mil
lion
in b
enefi
t an
d pr
ogra
m a
dmin
istr
atio
n c
osts
ove
r th
e 20
19–2
028
peri
od, o
ffse
t by
$8,
324
mil
lion
in s
avin
gs
asso
ciat
ed w
ith
incr
ease
d S
tate
rev
enu
es.
11 T
he
prop
osal
wou
ld a
llow
th
e D
istr
ict
of C
olu
mbi
a (D
C)
Cou
rts
to r
etai
n a
por
tion
of
the
bar
exam
inat
ion
an
d ap
plic
atio
n f
ees
it c
urr
entl
y de
posi
ts in
to t
he
DC
Cri
me
Vic
tim
’s C
ompe
nsa
tion
Fu
nd.
Ret
ain
ed f
ees
are
esti
mat
ed a
t $3
60,0
00 a
nn
ual
ly b
egin
nin
g in
201
9.12
Th
e F
eder
al C
apit
al R
evol
vin
g F
un
d is
cap
ital
ized
wit
h $
10 b
illi
on in
man
dato
ry f
un
ds in
201
9. A
gen
cy r
epay
men
ts t
o th
e fu
nd
are
refl
ecte
d as
off
sett
ing
coll
ecti
ons,
wh
ich
re
duce
th
e to
tal o
utl
ays
esti
mat
ed f
rom
th
e fu
nd
over
th
e 10
yea
r w
indo
w. H
owev
er, t
he
init
ial $
10 b
illi
on in
cap
ital
izat
ion
fu
ndi
ng
is f
ull
y ex
pen
ded
by 2
023.
Tab
le S
–6.
Man
dat
ory
and
Rec
eip
t P
rop
osal
s—C
onti
nu
ed(D
efici
t in
crea
ses
(+) o
r de
crea
ses
(–) i
n m
illio
ns o
f dol
lars
)
142 SUMMARY TABLES
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als,
20
19–
2028
Cu
rren
t L
aw B
ase
Cap
s: 1
Def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
549
562
576
590
605
620
636
652
669
686
703
6,30
0N
on-D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.51
653
054
355
657
058
459
961
463
064
666
25,
935
Tot
al, B
ase
Cu
rren
t L
aw C
aps
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...1,
065
1,09
21,
119
1,14
61,
175
1,20
51,
235
1,26
71,
299
1,33
21,
366
12,2
36
Pro
pose
d B
ase
Cap
Ch
ange
s: 2
Def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...+5
4+6
5+8
4+8
7+8
9+9
2+9
1+9
0+8
9+8
8+8
7+8
61N
on-D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
–54
–65
–87
–109
–132
–155
–179
–202
–226
–250
–274
–1,6
80T
otal
, Bas
e C
ap C
han
ges
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.+*
–*–3
–22
–43
–64
–88
–113
–137
–162
–188
–820
Pro
pos
ed B
ase
Cap
s:
Def
ense
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
603
627
660
677
694
712
727
742
758
774
790
7,16
1N
on-D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.46
246
545
644
743
842
942
041
240
439
638
84,
255
Tot
al, P
rop
osed
Bas
e C
aps
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...1,
065
1,09
21,
116
1,12
41,
132
1,14
11,
147
1,15
41,
162
1,17
01,
178
11,4
16
Ad
dit
ion
al N
on-D
efen
se (
ND
D)
Cap
Red
uct
ion
s fo
r B
ud
get
Pro
posa
ls: 3
Air
Tra
ffic
Con
trol
Ref
orm
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
......
......
......
......
...–1
0–1
0–1
0–1
0–1
0–1
0–1
0–7
1F
eder
al E
mpl
oyee
Ret
irem
ent
Cos
t S
har
e R
edu
ctio
n .
......
......
......
......
......
......
......
......
.....
......
......
......
–6–7
–8–9
–9–9
–8–8
–8–7
2T
otal
, Pro
pose
d N
DD
Cap
Red
uct
ion
s ...
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
...–6
–7–1
8–1
9–1
9–1
9–1
8–1
8–1
8–1
43
Pro
pos
ed B
ase
Cap
s w
ith
Ad
dit
ion
al N
DD
Ad
just
men
ts:
Def
ense
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
603
627
660
677
694
712
727
742
758
774
790
7,16
1N
on-D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.46
246
545
044
042
041
040
139
338
637
837
04,
112
Tot
al, P
rop
osed
Bas
e C
aps
wit
h A
dju
stm
ents
....
......
......
......
......
......
......
......
......
......
......
1,06
51,
092
1,11
01,
117
1,11
41,
122
1,12
81,
135
1,14
41,
152
1,16
011
,273
Cap
Ad
just
men
ts: 4
Ove
rsea
s C
onti
nge
ncy
Ope
rati
ons
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
....
7810
181
7068
6812
1212
1212
447
Def
ense
5 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..66
8973
6666
6610
1010
1010
409
Non
-Def
ense
6 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
1212
84
22
22
22
238
Em
erge
ncy
Req
uir
emen
ts ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...68
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...P
rogr
am I
nte
grit
y 7 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...2
23
33
44
44
44
35D
isas
ter
Rel
ief 8
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...7
77
77
77
77
77
67W
ildfi
re S
upp
ress
ion
7 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
22
22
22
22
22
15
Tot
al, C
ap A
dju
stm
ents
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
154
111
9281
7980
2424
2424
2456
4
Tot
al, P
rop
osed
Dis
cret
ion
ary
Cap
s:
Def
ense
...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
675
716
733
743
760
778
737
752
768
784
800
7,57
0N
on-D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.54
448
746
845
543
342
441
540
740
039
238
54,
266
Tot
al, P
rop
osed
Dis
cret
ion
ary
Cap
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
.1,
219
1,20
31,
201
1,19
71,
193
1,20
21,
152
1,15
91,
168
1,17
61,
185
11,8
37
Tab
le S
–7.
Pro
pos
ed D
iscr
etio
nar
y C
aps
for
2019
Bu
dge
t(N
et b
udge
t au
thor
ity
in b
illio
ns o
f dol
lars
)
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 143T
able
S–7
. P
rop
osed
Dis
cret
ion
ary
Cap
s fo
r 20
19 B
ud
get—
Con
tin
ued
(Net
bud
get
auth
orit
y in
bill
ions
of d
olla
rs)
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Tot
als,
20
19–
2028
Mem
oran
du
m -
App
ropr
iati
ons
Cou
nte
d O
uts
ide
of D
iscr
etio
nar
y C
aps:
21st
Cen
tury
CU
RE
S A
ppro
pria
tion
s 9 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
11
1*
11
**
*...
......
......
...4
Non
-BB
ED
CA
Em
erge
ncy
Fu
nd
ing
10 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–5...
......
......
......
......
......
......
......
......
......
......
......
......
......
–5*
$50
0 m
illi
on o
r le
ss.
1 T
he
caps
pre
sen
ted
her
e ar
e eq
ual
to
the
leve
ls e
stim
ated
for
201
8 th
rou
gh 2
021
in t
he
Bal
ance
d B
udg
et a
nd
Em
erge
ncy
Defi
cit
Con
trol
Act
of
1985
(B
BE
DC
A)
wit
h s
epar
ate
cate
go-
ries
of
fun
din
g fo
r “d
efen
se”
(or
Fu
nct
ion
050
) an
d “n
on-d
efen
se”
prog
ram
s an
d in
clu
de O
MB
est
imat
es o
f Jo
int
Com
mit
tee
enfo
rcem
ent
(als
o kn
own
as
“seq
ues
trat
ion
”).
For
202
2 th
rou
gh 2
028,
th
e ca
ps a
re a
ssu
med
to
grow
at
curr
ent
serv
ices
gro
wth
rat
es.
2 T
he
Adm
inis
trat
ion
’s p
ropo
sed
chan
ges
to t
he
caps
bu
ild
off
the
prop
osal
s in
th
e 20
18 B
udg
et t
hat
was
tra
nsm
itte
d on
May
23,
201
7: p
ropo
sed
incr
ease
s to
th
e ex
isti
ng
defe
nse
cap
s fo
r 20
18 a
nd
2019
are
off
set
wit
h d
ecre
ases
to
the
non
-def
ense
cap
s. A
fter
201
9, t
he
2019
Bu
dget
pro
pose
s de
fen
se c
aps
thro
ugh
202
8 th
at r
esou
rce
the
Adm
inis
trat
ion
’s N
atio
nal
S
ecu
rity
an
d N
atio
nal
Def
ense
Str
ateg
ies.
Non
-def
ense
cap
s re
flec
t an
an
nu
al t
wo
perc
ent
(or
“2-p
enn
y”)
decr
ease
eac
h y
ear.
3 T
hes
e ca
p re
duct
ion
s ar
e fo
r re
form
s in
th
e B
udg
et t
hat
wou
ld s
hif
t th
e F
eder
al A
viat
ion
Adm
inis
trat
ion
’s a
ir t
raffi
c co
ntr
ol f
un
ctio
n t
o an
inde
pen
den
t, n
on-g
over
nm
enta
l org
aniz
a-ti
on b
egin
nin
g in
202
2 an
d re
duce
Fed
eral
age
ncy
cos
ts t
hro
ugh
ch
ange
s to
cu
rren
t ci
vili
an e
mpl
oyee
ret
irem
ent
plan
s.4 T
he
fun
din
g am
oun
ts b
elow
are
exi
stin
g or
pro
pose
d ca
p ad
just
men
ts t
hat
are
des
ign
ated
pu
rsu
ant
to S
ecti
on 2
51(b
)(2)
of
BB
ED
CA
.5 T
he
outy
ear
OC
O a
mou
nts
for
def
ense
for
202
0 th
rou
gh 2
023
are
con
sist
ent
wit
h t
he
Nat
ion
al S
ecu
rity
an
d N
atio
nal
Def
ense
Str
ateg
ies,
wh
ile
amou
nts
fro
m 2
024
thro
ugh
202
8 re
flec
t n
otio
nal
pla
ceh
olde
rs c
onsi
sten
t w
ith
a p
oten
tial
tra
nsi
tion
of
cert
ain
OC
O c
osts
into
th
e ba
se b
udg
et w
hil
e co
nti
nu
ing
to f
un
d co
nti
nge
ncy
ope
rati
ons.
Th
e pl
aceh
olde
r am
oun
ts f
or 2
024
thro
ugh
202
8 do
not
refl
ect
spec
ific
deci
sion
s or
ass
um
ptio
ns
abou
t O
CO
fu
ndi
ng
in a
ny
part
icu
lar
year
.6 T
he
outy
ear
OC
O a
mou
nts
for
non
-def
ense
in t
he
2019
Bu
dget
refl
ect
not
ion
al p
lace
hol
ders
con
sist
ent
wit
h a
pot
enti
al t
ran
siti
on o
f ce
rtai
n O
CO
cos
ts in
to t
he
base
bu
dget
. T
he
plac
ehol
der
amou
nts
do
not
refl
ect
spec
ific
deci
sion
s or
ass
um
ptio
ns
abou
t O
CO
fu
ndi
ng
in a
ny
part
icu
lar
year
.7 T
he
Bu
dget
pro
pose
s n
ew c
ap a
dju
stm
ents
rel
ated
to
prog
ram
inte
grit
y in
th
e In
tern
al R
even
ue
Ser
vice
an
d w
ildfi
re s
upp
ress
ion
in t
he
Dep
artm
ents
of A
gric
ult
ure
an
d th
e In
teri
or.
For
mor
e in
form
atio
n o
n t
hes
e pr
opos
als
see
the
Bu
dget
Pro
cess
ch
apte
r of
th
e A
nal
ytic
al P
ersp
ecti
ves
volu
me
of t
he
Bu
dget
.8 “
Dis
aste
r R
elie
f” a
ppro
pria
tion
s ar
e am
oun
ts d
esig
nat
ed a
s su
ch b
y th
e C
ongr
ess
prov
ided
th
ey a
re f
or a
ctiv
itie
s ca
rrie
d ou
t pu
rsu
ant
to a
Pre
side
nti
al d
isas
ter
decl
arat
ion
un
der
the
Rob
ert
T. S
taff
ord
Dis
aste
r R
elie
f an
d E
mer
gen
cy A
ssis
tan
ce A
ct.
Th
ese
amou
nts
are
hel
d to
a f
un
din
g ce
ilin
g th
at is
det
erm
ined
on
e ye
ar a
t a
tim
e ac
cord
ing
to a
sta
tuto
ry
form
ula
. T
he
Adm
inis
trat
ion
pro
pose
s to
ch
ange
th
is f
orm
ula
to
addr
ess
the
decl
inin
g ce
ilin
g fo
r D
isas
ter
Rel
ief
appr
opri
atio
ns,
as
disc
uss
ed in
th
e B
udg
et P
roce
ss c
hap
ter
of
the
An
alyt
ical
Per
spec
tive
s vo
lum
e of
th
e B
udg
et. O
MB
cu
rren
tly
esti
mat
es t
he
2019
cei
lin
g to
be
$7.4
bil
lion
un
der
curr
ent
law
. T
he
Adm
inis
trat
ion
is r
equ
esti
ng
$6.7
bil
lion
for
D
isas
ter
Rel
ief
in 2
019,
bu
t do
es n
ot e
xpli
citl
y re
ques
t di
sast
er-d
esig
nat
ed a
ppro
pria
tion
s in
an
y ye
ar a
fter
th
e bu
dget
yea
r. A
pla
ceh
olde
r se
t at
th
e bu
dget
yea
r re
ques
t le
vel i
s in
clu
ded
in e
ach
of
the
outy
ears
.9 T
he
21st
Cen
tury
CU
RE
S A
ct p
erm
itte
d fu
nds
to
be a
ppro
pria
ted
each
yea
r an
d n
ot c
oun
ted
tow
ards
th
e di
scre
tion
ary
caps
so
lon
g as
th
e ap
prop
riat
ion
s w
ere
spec
ifica
lly
prov
ided
fo
r th
e au
thor
ized
pu
rpos
es.
Th
ese
amou
nts
are
dis
play
ed o
uts
ide
of t
he
disc
reti
onar
y ca
p to
tals
for
th
is r
easo
n a
nd
the
leve
ls in
clu
ded
thro
ugh
th
e bu
dget
win
dow
refl
ect
auth
o-ri
zed
leve
ls.
10
Th
e 20
19 B
udg
et in
clu
des
perm
anen
t ca
nce
llat
ion
s of
bal
ance
s of
em
erge
ncy
fu
ndi
ng
in t
he
Dep
artm
ents
of
En
ergy
an
d H
ousi
ng
and
Urb
an D
evel
opm
ent
that
are
not
des
ign
ated
pu
rsu
ant
to B
BE
DC
A. T
hes
e ca
nce
llat
ion
s ar
e n
ot b
ein
g re
-des
ign
ated
as
emer
gen
cy, t
her
efor
e n
o sa
vin
gs a
re b
ein
g ac
hie
ved
un
der
the
caps
nor
wil
l th
e ca
ps b
e ad
just
ed f
or t
hes
e ca
nce
llat
ion
s.
144 SUMMARY TABLES
2017
E
nac
ted
120
18E
stim
ate
220
19R
equ
est
2019
Req
ues
t le
ss20
17 E
nac
ted
Dol
lar
Per
cen
t
Bas
e D
iscr
etio
nar
y F
un
din
g:C
abin
et D
epar
tmen
ts:
Agr
icu
ltu
re 3
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
.....
22.7
22.5
19.0
–3.7
–16.
4%C
omm
erce
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
9.3
9.3
9.9
+0.6
+6.1
%D
efen
se 2
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
......
......
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......
.....
523.
257
4.5
597.
1+7
3.9
+14.
1%E
duca
tion
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
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....
66.9
67.8
59.9
–7.1
–10.
5%E
ner
gy .
......
......
......
......
......
......
......
......
......
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......
......
......
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......
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......
......
......
......
......
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30.2
30.0
29.2
–1.0
–3.4
%N
atio
nal
Nu
clea
r S
ecu
rity
Ad
min
istr
atio
n .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
12.8
12.8
15.1
+2.2
+17.
5%O
ther
En
ergy
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.17
.317
.214
.1–3
.3–1
8.9%
Hea
lth
an
d H
um
an S
ervi
ces 4
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.87
.186
.369
.5–1
7.6
–20.
3%H
omel
and
Sec
uri
ty (
DH
S) 2
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
42.4
44.1
46.0
+3.6
+8.6
%H
ousi
ng
and
Urb
an D
evel
opm
ent
(HU
D):
HU
D g
ross
tot
al (
excl
ud
ing
rece
ipts
) ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..48
.047
.739
.2–8
.8–1
8.3%
HU
D r
ecei
pts
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–14.
0–1
0.3
–10.
0+3
.9–2
8.2%
Inte
rior
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..13
.513
.411
.2–2
.3–1
6.8%
Just
ice
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
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......
......
......
......
...28
.428
.128
.0–0
.4–1
.3%
Lab
or .
......
......
......
......
......
......
......
......
......
......
......
......
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......
......
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......
......
......
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......
......
...12
.012
.09.
4–2
.6–2
1.4%
Sta
te a
nd
Oth
er I
nte
rnat
ion
al P
rogr
ams 3 .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
38.7
38.1
28.3
–10.
4–2
6.9%
Tra
nsp
orta
tion
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..19
.319
.215
.6–3
.7–1
9.2%
Tre
asu
ry .
......
......
......
......
......
......
......
......
......
......
......
......
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......
......
......
......
......
......
......
......
......
......
......
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......
......
...12
.712
.612
.3–0
.4–3
.0%
Vet
eran
s A
ffai
rs ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...74
.477
.383
.1+8
.7+1
1.7%
Maj
or A
gen
cies
:C
orps
of
En
gin
eers
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..6.
26.
04.
8–1
.4–2
2.2%
En
viro
nm
enta
l Pro
tect
ion
Age
ncy
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.8.
28.
05.
4–2
.8–3
3.7%
Gen
eral
Ser
vice
s A
dmin
istr
atio
n .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–1.2
–0.9
0.6
+1.8
N/A
Nat
ion
al A
eron
auti
cs &
Spa
ce A
dmin
istr
atio
n .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..19
.719
.519
.6–0
.1–0
.3%
Nat
ion
al S
cien
ce F
oun
dati
on ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
7.5
7.4
5.3
–2.2
–29.
5%S
mal
l Bu
sin
ess
Adm
inis
trat
ion
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
0.8
0.8
0.6
–0.2
–24.
5%S
ocia
l Sec
uri
ty A
dmin
istr
atio
n 4
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...9.
39.
38.
8–0
.5–4
.9%
Oth
er A
gen
cies
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
20.8
20.6
18.0
–2.8
–13.
5%C
han
ges
in m
anda
tory
pro
gram
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–20.
1–1
8.6
–18.
6N
/AA
dju
stm
ent
for
2018
Bu
dget
Pol
icy
2 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–58.
2...
......
......
...N
/A
Su
bto
tal,
Bas
e D
iscr
etio
nar
y F
un
din
g ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...1,
085.
91,
065.
01,
092.
0+6
.1+0
.6%
Cap
Ad
just
men
t F
un
din
g:O
vers
eas
Con
tin
gen
cy O
pera
tion
s:D
efen
se 2
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
82.8
65.8
89.0
+6.2
+7.5
%H
omel
and
Sec
uri
ty .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
0.2
0.2
......
...–0
.2–1
00.0
%
Tab
le S
–8.
2019
Dis
cret
ion
ary
Ove
rvie
w b
y M
ajor
Age
ncy
(Net
bud
get
auth
orit
y in
bill
ions
of d
olla
rs)
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 145T
able
S–8
. 20
19 D
iscr
etio
nar
y O
verv
iew
by
Maj
or A
gen
cy—
Con
tin
ued
(Net
bud
get
auth
orit
y in
bill
ions
of d
olla
rs)
2017
E
nac
ted
120
18E
stim
ate
220
19R
equ
est
2019
Req
ues
t le
ss20
17 E
nac
ted
Dol
lar
Per
cen
t
Sta
te a
nd
Oth
er I
nte
rnat
ion
al P
rogr
ams
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.20
.820
.812
.0–8
.8–4
2.2%
Adj
ust
men
t fo
r 20
18 B
udg
et P
olic
y 2
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
–8.9
......
......
......
N/A
Su
btot
al, O
vers
eas
Con
tin
gen
cy O
pera
tion
s ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...10
3.7
77.8
101.
0–2
.7–2
.6%
Em
erge
ncy
Req
uir
emen
ts:
Agr
icu
ltu
re a
nd
Inte
rior
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
0.6
0.2
......
...–0
.6–1
00.0
%D
efen
se .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
......
......
......
......
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.....
......
...4.
7...
......
......
...N
/AH
omel
and
Sec
uri
ty .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
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......
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....
7.4
18.7
......
...–7
.4–1
00.0
%H
ousi
ng
and
Urb
an D
evel
opm
ent
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
8.2
......
......
......
–8.2
–100
.0%
Tra
nsp
orta
tion
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..1.
5...
......
......
...–1
.5–1
00.0
%C
orps
of
En
gin
eers
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..1.
0...
......
......
...–1
.0–1
00.0
%N
atio
nal
Aer
onau
tics
& S
pace
Adm
inis
trat
ion
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
0.2
......
......
......
–0.2
–100
.0%
Sm
all B
usi
nes
s A
dmin
istr
atio
n ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..0.
5...
......
......
...–0
.5–1
00.0
%S
ubt
otal
, Em
erge
ncy
Req
uir
emen
ts .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
19.4
23.6
......
...–1
9.4
–100
.0%
Em
erge
ncy
Hu
rric
ane
Req
ues
t: 5
All
owan
ce f
or D
efen
se H
urr
ican
e R
equ
est
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
...1.
2...
......
......
...N
/AA
llow
ance
for
Non
-Def
ense
Hu
rric
ane
Req
ues
t ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...42
.8...
......
......
...N
/AS
ubt
otal
, Em
erge
ncy
Req
ues
t ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
......
44.0
......
......
......
N/A
Pro
gram
In
tegr
ity:
Hea
lth
an
d H
um
an S
ervi
ces
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...0.
40.
40.
5+0
.0+9
.7%
Tre
asu
ry 6
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...0.
4+0
.4N
/AS
ocia
l Sec
uri
ty A
dmin
istr
atio
n
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...1.
51.
51.
4–0
.1–8
.8%
Su
btot
al, P
rogr
am I
nte
grit
y ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
2.0
1.9
2.2
+0.3
+13.
6%
Dis
aste
r R
elie
f: 7
Hom
elan
d S
ecu
rity
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.6.
76.
76.
7–0
.1–0
.9%
Hou
sin
g an
d U
rban
Dev
elop
men
t ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...1.
4...
......
......
...–1
.4–1
00.0
%S
ubt
otal
, Dis
aste
r R
elie
f ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
8.1
6.7
6.7
–1.5
–18.
2%
Wil
dfire
Su
ppre
ssio
n O
pera
tion
s 6 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
...1.
5+1
.5N
/A
Su
bto
tal,
Cap
Ad
just
men
t F
un
din
g ...
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
..13
3.2
154.
011
1.4
–21.
8–1
6.4%
Tot
al, D
iscr
etio
nar
y B
ud
get
Au
thor
ity
Un
der
th
e C
aps
.....
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
1,21
9.1
1,21
9.0
1,20
3.4
–15.
7–1
.3%
Mem
oran
du
m -
App
ropr
iati
ons
Cou
nte
d O
uts
ide
of D
iscr
etio
nar
y C
aps:
21st
Cen
tury
CU
RE
S A
ppro
pria
tion
s: 8
Hea
lth
an
d H
um
an S
ervi
ces
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...0.
90.
90.
8–0
.1–1
0.4%
Non
-BB
ED
CA
Em
erge
ncy
App
ropr
iati
ons:
9
En
ergy
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
......
–4.7
–4.7
N/A
Hou
sin
g an
d U
rban
Dev
elop
men
t ..
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
......
......
......
–*–*
N/A
146 SUMMARY TABLES
Tab
le S
–8.
2019
Dis
cret
ion
ary
Ove
rvie
w b
y M
ajor
Age
ncy
—C
onti
nu
ed(N
et b
udge
t au
thor
ity
in b
illio
ns o
f dol
lars
)
* $5
0 m
illi
on o
r le
ss.
1 2
017
En
acte
d re
flec
ts t
he
actu
al a
mou
nts
, an
d in
clu
de m
any
chan
ges
that
occ
ur
afte
r ap
prop
riat
ion
s ar
e en
acte
d th
at a
re p
art
of b
udg
et e
xecu
tion
su
ch a
s tr
ansf
ers,
ree
stim
ates
, an
d th
e re
basi
ng
as m
anda
tory
an
y ch
ange
s in
man
dato
ry p
rogr
ams
enac
ted
in a
ppro
pria
tion
s bi
lls.
2 A
t th
e ti
me
the
2019
Bu
dget
was
pre
pare
d, 2
018
appr
opri
atio
ns
rem
ain
ed in
com
plet
e an
d th
e 20
18 c
olu
mn
refl
ects
at
the
acco
un
t le
vel e
nac
ted
full
-yea
r an
d an
nu
aliz
ed c
onti
nu
ing
appr
opri
atio
ns
prov
ided
un
der
the
Con
tin
uin
g A
ppro
pria
tion
s A
ct, 2
018
(Div
isio
n D
of
Pu
blic
Law
115
–56,
as
amen
ded
by D
ivis
ion
A o
f P
ubl
ic L
aws
115–
90 a
nd
115–
96).
Th
e 20
18
leve
ls a
re f
urt
her
adj
ust
ed t
hro
ugh
pol
icy
allo
wan
ces
to il
lust
rati
vely
refl
ect
the
base
an
d O
vers
eas
Con
tin
gen
cy O
pera
tion
s to
tals
pro
pose
d in
th
e A
dmin
istr
atio
n’s
am
ende
d 20
18
Bu
dget
req
ues
t. T
hes
e al
low
ance
s ap
pear
wit
hin
th
e D
epar
tmen
t of
Def
ense
, th
e D
epar
tmen
t of
Hom
elan
d S
ecu
rity
, an
d G
over
nm
ent-
wid
e.3 F
un
din
g fo
r F
ood
for
Pea
ce T
itle
II
Gra
nts
is in
clu
ded
in t
he
Sta
te a
nd
Oth
er I
nte
rnat
ion
al P
rogr
ams
tota
l. A
lth
ough
th
e fu
nds
are
app
ropr
iate
d to
th
e D
epar
tmen
t of
Agr
icu
ltu
re,
the
fun
ds a
re a
dmin
iste
red
by t
he
U.S
. Age
ncy
for
In
tern
atio
nal
Dev
elop
men
t.
4 F
un
din
g fr
om t
he
Hos
pita
l In
sura
nce
an
d S
upp
lem
enta
ry M
edic
al I
nsu
ran
ce t
rust
fu
nds
for
adm
inis
trat
ive
expe
nse
s in
curr
ed b
y th
e S
ocia
l Sec
uri
ty A
dmin
istr
atio
n t
hat
su
ppor
t th
e M
edic
are
prog
ram
are
incl
ude
d in
th
e H
ealt
h a
nd
Hu
man
Ser
vice
s to
tal a
nd
not
in t
he
Soc
ial S
ecu
rity
Adm
inis
trat
ion
tot
al.
5 T
he
emer
gen
cy h
urr
ican
e re
ques
t re
pres
ents
th
e A
dmin
istr
atio
n’s
pen
din
g pr
opos
al f
or a
ddit
ion
al H
urr
ican
e re
lief
an
d re
cove
ry f
un
din
g th
at w
as t
ran
smit
ted
to t
he
Con
gres
s on
N
ovem
ber
17, 2
017.
6 T
he
Bu
dget
pro
pose
s n
ew c
ap a
dju
stm
ents
rel
ated
to
prog
ram
inte
grit
y in
th
e In
tern
al R
even
ue
Ser
vice
an
d w
ildfi
re s
upp
ress
ion
in t
he
Dep
artm
ents
of A
gric
ult
ure
an
d th
e In
teri
or.
For
mor
e in
form
atio
n o
n t
hes
e pr
opos
als
see
the
Bu
dget
Pro
cess
ch
apte
r of
th
e A
nal
ytic
al P
ersp
ecti
ves
volu
me
of t
he
Bu
dget
.7 “
Dis
aste
r R
elie
f” a
ppro
pria
tion
s ar
e am
oun
ts d
esig
nat
ed a
s su
ch b
y th
e C
ongr
ess
prov
ided
th
ey a
re f
or a
ctiv
itie
s ca
rrie
d ou
t pu
rsu
ant
to a
Pre
side
nti
al d
isas
ter
decl
arat
ion
un
der
the
Rob
ert
T. S
taff
ord
Dis
aste
r R
elie
f an
d E
mer
gen
cy A
ssis
tan
ce A
ct.
Th
ese
amou
nts
are
hel
d to
a f
un
din
g ce
ilin
g th
at is
det
erm
ined
on
e ye
ar a
t a
tim
e ac
cord
ing
to a
sta
tuto
ry
form
ula
. T
he
Adm
inis
trat
ion
pro
pose
s to
ch
ange
th
is f
orm
ula
to
addr
ess
the
decl
inin
g ce
ilin
g fo
r D
isas
ter
Rel
ief
appr
opri
atio
ns,
as
disc
uss
ed in
th
e B
udg
et P
roce
ss c
hap
ter
of
the
An
alyt
ical
Per
spec
tive
s vo
lum
e of
th
e B
udg
et. O
MB
cu
rren
tly
esti
mat
es t
he
2019
cei
lin
g to
be
$7.4
bil
lion
un
der
curr
ent
law
. T
he
Adm
inis
trat
ion
is r
equ
esti
ng
$6.7
bil
lion
for
D
isas
ter
Rel
ief
in 2
019.
8 T
he
21st
Cen
tury
CU
RE
S A
ct p
erm
itte
d fu
nds
to
be a
ppro
pria
ted
each
yea
r fo
r ce
rtai
n a
ctiv
itie
s an
d n
ot c
oun
ted
tow
ard
the
disc
reti
onar
y ca
ps s
o lo
ng
as t
he
appr
opri
atio
ns
wer
e sp
ecifi
call
y pr
ovid
ed f
or t
he
auth
oriz
ed p
urp
oses
. T
hes
e am
oun
ts a
re d
ispl
ayed
ou
tsid
e of
th
e di
scre
tion
ary
caps
tot
als
for
this
rea
son
.
9 T
he
2019
Bu
dget
incl
ude
s pe
rman
ent
can
cell
atio
ns
of b
alan
ces
of e
mer
gen
cy f
un
din
g in
th
e D
epar
tmen
ts o
f E
ner
gy a
nd
Hou
sin
g an
d U
rban
Dev
elop
men
t th
at a
re n
ot d
esig
nat
ed
purs
uan
t to
BB
ED
CA
. Th
ese
can
cell
atio
ns
are
not
bei
ng
re-d
esig
nat
ed a
s em
erge
ncy
, th
eref
ore
no
savi
ngs
are
bei
ng
ach
ieve
d u
nde
r th
e ca
ps n
or w
ill t
he
caps
be
adju
sted
for
th
ese
can
cell
atio
ns.
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 147
Act
ual
Pro
ject
ion
s
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Gro
ss D
omes
tic
Pro
du
ct (
GD
P):
N
omin
al le
vel,
bill
ion
s of
dol
lars
....
......
......
......
......
......
......
......
......
...18
,624
19,3
7220
,262
21,2
6322
,345
23,4
8224
,672
25,9
2327
,235
28,5
9830
,001
31,4
6132
,991
P
erce
nt
chan
ge, n
omin
al G
DP,
yea
r/ye
ar ..
......
......
......
......
......
......
....
2.8
4.0
4.6
4.9
5.1
5.1
5.1
5.1
5.1
5.0
4.9
4.9
4.9
R
eal G
DP,
per
cen
t ch
ange
, yea
r/ye
ar .
......
......
......
......
......
......
......
.....
1.5
2.2
3.0
3.2
3.1
3.0
3.0
3.0
3.0
2.9
2.8
2.8
2.8
R
eal G
DP,
per
cen
t ch
ange
, Q4/
Q4
.....
......
......
......
......
......
......
......
......
1.8
2.5
3.1
3.2
3.1
3.0
3.0
3.0
3.0
2.9
2.8
2.8
2.8
G
DP
ch
ain
ed p
rice
inde
x, p
erce
nt
chan
ge, y
ear/
year
....
......
......
......
.1.
31.
71.
61.
71.
92.
02.
02.
02.
02.
02.
02.
02.
0
Con
sum
er P
rice
In
dex
, 2 p
erce
nt
chan
ge, y
ear/
year
.....
......
......
......
1.3
2.1
2.1
2.0
2.2
2.3
2.3
2.3
2.3
2.3
2.3
2.3
2.3
Inte
rest
rat
es, p
erce
nt:
3
9
1-da
y T
reas
ury
bil
ls 4
......
......
......
......
......
......
......
......
......
......
......
......
0.3
0.9
1.5
2.3
2.9
3.0
3.0
2.9
2.9
2.9
2.9
2.9
2.9
1
0-ye
ar T
reas
ury
not
es .
......
......
......
......
......
......
......
......
......
......
......
...1.
82.
32.
63.
13.
43.
63.
73.
73.
63.
63.
63.
63.
6
Un
emp
loym
ent
rate
, civ
ilia
n, p
erce
nt 3
.....
......
......
......
......
......
......
....
4.9
4.4
3.9
3.7
3.8
3.9
4.0
4.2
4.3
4.5
4.7
4.8
4.8
Not
e: A
mor
e de
tail
ed t
able
of
econ
omic
ass
um
ptio
ns
appe
ars
in C
hap
ter
2, “
Eco
nom
ic A
ssu
mpt
ion
s an
d In
tera
ctio
ns
wit
h t
he
Bu
dget
,” in
th
e A
nal
ytic
al P
ersp
ecti
ves
volu
me
of t
he
Bu
dget
.1 B
ased
on
info
rmat
ion
ava
ilab
le a
s of
mid
-Nov
embe
r 20
17.
2 S
easo
nal
ly a
dju
sted
CP
I fo
r al
l urb
an c
onsu
mer
s.3 A
nn
ual
ave
rage
.4 A
vera
ge r
ate,
sec
onda
ry m
arke
t (b
ank
disc
oun
t ba
sis)
.
Tab
le S
–9.
Eco
nom
ic A
ssu
mp
tion
s 1
(Cal
enda
r ye
ars)
148 SUMMARY TABLES
Act
ual
2017
Est
imat
e
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Fin
anci
ng:
Un
ified
bu
dget
defi
cit:
Pri
mar
y de
fici
t/su
rplu
s (–
) ...
......
......
......
......
......
......
......
......
......
......
......
......
.....
403
522
621
540
406
340
160
–46
–109
–199
–291
–316
Net
inte
rest
....
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...26
331
036
344
751
056
861
965
868
871
774
076
1U
nifi
ed b
udg
et d
efici
t ...
......
......
......
......
......
......
......
......
......
......
......
......
......
..66
583
398
498
791
690
877
861
257
951
745
044
5A
s a
perc
ent
of G
DP
....
......
......
......
......
......
......
......
......
......
......
......
......
.....
3.5%
4.2%
4.7%
4.5%
3.9%
3.7%
3.0%
2.3%
2.1%
1.7%
1.4%
1.4%
Oth
er t
ran
sact
ion
s af
fect
ing
borr
owin
g fr
om t
he
publ
ic:
Ch
ange
s in
fin
anci
al a
sset
s an
d li
abil
itie
s: 1
Ch
ange
in T
reas
ury
ope
rati
ng
cash
bal
ance
....
......
......
......
......
......
......
......
–194
191
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Net
dis
burs
emen
ts o
f cr
edit
fin
anci
ng
acco
un
ts:
Dir
ect
loan
an
d T
rou
bled
Ass
et R
elie
f P
rogr
am (
TA
RP
) eq
uit
y pu
r-ch
ase
acco
un
ts .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
.54
101
9487
8790
8780
6959
5046
Gu
aran
teed
loan
acc
oun
ts .
......
......
......
......
......
......
......
......
......
......
......
....
–14
15
32
–*–2
–4–5
–9–8
–1N
et p
urc
has
es o
f n
on-F
eder
al s
ecu
riti
es b
y th
e N
atio
nal
Rai
lroa
d R
etir
e-m
ent
Inve
stm
ent
Tru
st (
NR
RIT
) ..
......
......
......
......
......
......
......
......
......
....
1–1
–1–1
–1–1
–1–1
–1–1
–*–*
Net
ch
ange
in o
ther
fin
anci
al a
sset
s an
d li
abil
itie
s 2 ...
......
......
......
......
......
–15
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...S
ubt
otal
, ch
ange
s in
fin
anci
al a
sset
s an
d li
abil
itie
s ..
......
......
......
......
....
–167
292
9889
8888
8475
6349
4145
Sei
gnio
rage
on
coi
ns
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
–*–*
–*–*
–*–*
–*–*
–*–*
–*–*
Tot
al, o
ther
tra
nsa
ctio
ns
affe
ctin
g bo
rrow
ing
from
th
e pu
blic
....
......
......
..–1
6829
298
8888
8884
7562
4941
45T
otal
, req
uir
emen
t to
bor
row
fro
m t
he
publ
ic (
equ
als
chan
ge in
deb
t h
eld
by t
he
publ
ic)
......
......
......
......
......
......
......
......
......
......
......
......
......
..49
81,
124
1,08
21,
075
1,00
499
686
268
764
256
649
149
0
Ch
ange
s in
Deb
t S
ub
ject
to
Sta
tuto
ry L
imit
atio
n:
Ch
ange
in d
ebt
hel
d by
th
e pu
blic
.....
......
......
......
......
......
......
......
......
......
......
......
.49
81,
124
1,08
21,
075
1,00
499
686
268
764
256
649
149
0C
han
ge in
deb
t h
eld
by G
over
nm
ent
acco
un
ts .
......
......
......
......
......
......
......
......
...16
814
814
312
311
665
8911
956
53–5
5–1
38C
han
ge in
oth
er f
acto
rs .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
...4
12
32
22
21
12
2T
otal
, ch
ange
in d
ebt
subj
ect
to s
tatu
tory
lim
itat
ion
....
......
......
......
......
......
....
670
1,27
41,
227
1,20
11,
121
1,06
395
380
869
962
043
835
3
Deb
t S
ub
ject
to
Sta
tuto
ry L
imit
atio
n, E
nd
of
Yea
r:D
ebt
issu
ed b
y T
reas
ury
....
......
......
......
......
......
......
......
......
......
......
......
......
......
.....
20,1
8021
,452
22,6
7823
,877
24,9
9726
,059
27,0
1127
,818
28,5
1729
,137
29,5
7429
,926
Adj
ust
men
t fo
r di
scou
nt,
pre
miu
m, a
nd
cove
rage
3 ...
......
......
......
......
......
......
......
2930
3233
3536
3738
3838
3940
Tot
al, d
ebt
subj
ect
to s
tatu
tory
lim
itat
ion
4 ...
......
......
......
......
......
......
......
......
..20
,209
21,4
8322
,709
23,9
1025
,032
26,0
9427
,048
27,8
5628
,555
29,1
7529
,613
29,9
66
Deb
t O
uts
tan
din
g, E
nd
of
Yea
r:
Gro
ss F
eder
al d
ebt:
5 D
ebt
issu
ed b
y T
reas
ury
....
......
......
......
......
......
......
......
......
......
......
......
......
......
.20
,180
21,4
5222
,678
23,8
7724
,997
26,0
5927
,011
27,8
1828
,517
29,1
3729
,574
29,9
26D
ebt
issu
ed b
y ot
her
age
nci
es .
......
......
......
......
......
......
......
......
......
......
......
......
.26
2625
2423
2221
2019
1817
16T
otal
, gro
ss F
eder
al d
ebt
......
......
......
......
......
......
......
......
......
......
......
......
......
20,2
0621
,478
22,7
0323
,901
25,0
2026
,081
27,0
3227
,838
28,5
3629
,155
29,5
9129
,942
As
a pe
rcen
t of
GD
P .
......
......
......
......
......
......
......
......
......
......
......
......
......
..10
5.4%
107.
2%10
8.1%
108.
3%10
7.9%
107.
0%10
5.6%
103.
5%10
1.0%
98.3
%95
.2%
91.8
%
Tab
le S
–10.
F
eder
al G
over
nm
ent
Fin
anci
ng
and
Deb
t(D
olla
r am
ount
s in
bill
ions
)
BUDGET OF THE U. S. GOVERNMENT FOR FISCAL YEAR 2019 149T
able
S–1
0.
Fed
eral
Gov
ern
men
t F
inan
cin
g an
d D
ebt—
Con
tin
ued
(Dol
lar
amou
nts
in b
illio
ns)
Act
ual
2017
Est
imat
e
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Hel
d by
:D
ebt
hel
d by
Gov
ern
men
t ac
cou
nts
....
......
......
......
......
......
......
......
......
......
......
.5,
540
5,68
95,
831
5,95
46,
070
6,13
56,
223
6,34
36,
399
6,45
26,
397
6,25
8D
ebt
hel
d by
th
e pu
blic
6 ...
......
......
......
......
......
......
......
......
......
......
......
......
......
..14
,665
15,7
9016
,872
17,9
4718
,950
19,9
4620
,809
21,4
9522
,137
22,7
0323
,194
23,6
84A
s a
perc
ent
of G
DP
....
......
......
......
......
......
......
......
......
......
......
......
......
......
...76
.5%
78.8
%80
.3%
81.3
%81
.7%
81.9
%81
.3%
79.9
%78
.4%
76.6
%74
.6%
72.6
%
Deb
t H
eld
by
the
Pu
bli
c N
et o
f F
inan
cial
Ass
ets:
Deb
t h
eld
by t
he
publ
ic .
......
......
......
......
......
......
......
......
......
......
......
......
......
......
....
14,6
6515
,790
16,8
7217
,947
18,9
5019
,946
20,8
0921
,495
22,1
3722
,703
23,1
9423
,684
Les
s fi
nan
cial
ass
ets
net
of
liab
ilit
ies:
Tre
asu
ry o
pera
tin
g ca
sh b
alan
ce .
......
......
......
......
......
......
......
......
......
......
......
..15
935
035
035
035
035
035
035
035
035
035
035
0C
redi
t fi
nan
cin
g ac
cou
nt
bala
nce
s:D
irec
t lo
an a
nd
TA
RP
equ
ity
purc
has
e ac
cou
nts
....
......
......
......
......
......
.....
1,28
11,
382
1,47
61,
563
1,65
01,
740
1,82
71,
906
1,97
52,
034
2,08
42,
130
Gu
aran
teed
loan
acc
oun
ts .
......
......
......
......
......
......
......
......
......
......
......
......
..14
1520
2325
2523
1914
4–4
–4G
over
nm
ent-
spon
sore
d en
terp
rise
pre
ferr
ed s
tock
....
......
......
......
......
......
......
.93
9595
9595
9595
9595
9595
95N
on-F
eder
al s
ecu
riti
es h
eld
by N
RR
IT ..
......
......
......
......
......
......
......
......
......
....
2525
2423
2221
2019
1818
1817
Oth
er a
sset
s n
et o
f li
abil
itie
s ...
......
......
......
......
......
......
......
......
......
......
......
......
.–5
8–5
8–5
8–5
8–5
8–5
8–5
8–5
8–5
8–5
8–5
8–5
8T
otal
, fin
anci
al a
sset
s n
et o
f li
abil
itie
s ..
......
......
......
......
......
......
......
......
.....
1,51
51,
809
1,90
61,
995
2,08
32,
172
2,25
62,
331
2,39
42,
443
2,48
52,
530
Deb
t h
eld
by t
he
publ
ic n
et o
f fi
nan
cial
ass
ets
.....
......
......
......
......
......
....
13,1
5113
,981
14,9
6515
,952
16,8
6717
,775
18,5
5319
,164
19,7
4320
,260
20,7
0921
,154
As
a pe
rcen
t of
GD
P .
......
......
......
......
......
......
......
......
......
......
......
......
....
68.6
%69
.8%
71.3
%72
.3%
72.7
%72
.9%
72.5
%71
.2%
69.9
%68
.3%
66.6
%64
.9%
* $5
00 m
illi
on o
r le
ss.
1 A
dec
reas
e in
th
e T
reas
ury
ope
rati
ng
cash
bal
ance
(w
hic
h is
an
ass
et)
is a
mea
ns
of fi
nan
cin
g a
defi
cit
and
ther
efor
e h
as a
neg
ativ
e si
gn.
An
incr
ease
in c
hec
ks o
uts
tan
din
g (w
hic
h
is a
liab
ilit
y) is
als
o a
mea
ns
of fi
nan
cin
g a
defi
cit
and
ther
efor
e al
so h
as a
neg
ativ
e si
gn.
2 In
clu
des
chec
ks o
uts
tan
din
g, a
ccru
ed in
tere
st p
ayab
le o
n T
reas
ury
deb
t, u
nin
vest
ed d
epos
it f
un
d ba
lan
ces,
all
ocat
ion
s of
spe
cial
dra
win
g ri
ghts
, an
d ot
her
liab
ilit
y ac
cou
nts
; an
d, a
s an
off
set,
cas
h a
nd
mon
etar
y as
sets
(ot
her
th
an t
he
Tre
asu
ry o
pera
tin
g ca
sh b
alan
ce),
oth
er a
sset
acc
oun
ts, a
nd
profi
t on
sal
e of
gol
d.3 C
onsi
sts
mai
nly
of
debt
issu
ed b
y th
e F
eder
al F
inan
cin
g B
ank
(wh
ich
is n
ot s
ubj
ect
to li
mit
), th
e u
nam
orti
zed
disc
oun
t (l
ess
prem
ium
) on
pu
blic
issu
es o
f Tre
asu
ry n
otes
an
d bo
nds
(o
ther
th
an z
ero-
cou
pon
bon
ds),
and
the
un
real
ized
dis
cou
nt
on G
over
nm
ent
acco
un
t se
ries
sec
uri
ties
.4 T
he
stat
uto
ry d
ebt
lim
it is
app
roxi
mat
ely
$20,
456
bill
ion
, as
incr
ease
d af
ter
Dec
embe
r 8,
201
7.5 T
reas
ury
sec
uri
ties
hel
d by
th
e pu
blic
an
d ze
ro-c
oupo
n b
onds
hel
d by
Gov
ern
men
t ac
cou
nts
are
alm
ost
all m
easu
red
at s
ales
pri
ce p
lus
amor
tize
d di
scou
nt
or le
ss a
mor
tize
d pr
e-m
ium
. A
gen
cy d
ebt
secu
riti
es a
re a
lmos
t al
l mea
sure
d at
fac
e va
lue.
Tre
asu
ry s
ecu
riti
es in
th
e G
over
nm
ent
acco
un
t se
ries
are
oth
erw
ise
mea
sure
d at
fac
e va
lue
less
un
real
ized
di
scou
nt
(if
any)
.6 A
t th
e en
d of
201
7, t
he
Fed
eral
Res
erve
Ban
ks h
eld
$2,4
65.4
bil
lion
of
Fed
eral
sec
uri
ties
an
d th
e re
st o
f th
e pu
blic
hel
d $1
2,20
0.0
bill
ion
. D
ebt
hel
d by
th
e F
eder
al R
eser
ve B
anks
is
not
est
imat
ed f
or f
utu
re y
ears
.
