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Overview
Insupportofthe2013NationalDrugControlStrategy(Strategy),thePresidentrequests$25.4 billioninFiscalYear(FY)2014toreducedruguseanditsconsequencesintheUnitedStates. Thisrepresentsanincreaseof$0.9billion(3.7%)overtheFY2012finallevelof$24.5billion. ThePresidents2013NationalDrugControlStrategywillarticulatetheAdministrationsvision fora21stcenturydrugpolicythatisbasedonscienceandevidence,encompassingprevention, earlyintervention,treatment,recovery,criminaljusticereform,effectivelawenforcement,and internationalcooperation.EffortsprovidedbyFederalfundinginclude: preventingillicitdruguseandaddictionbeforetheironset; bringingmoreAmericansinneedoftreatmentintocontactwiththeappropriatelevel ofcare; protectingpublicsafetywhilealsoensuringthatdruginvolvedoffendershavethe opportunitytoendtheirdruguseandrebuildtheirlives; counteringdrugproductionandtraffickingwithintheUnitedStates; implementingnewstrategiestosecureourbordersagainstillicitdrugflows; workingwithourinternationalpartnerstoreducedrugproductionandtrafficking, strengthenruleoflawandsupportalternativelivelihoodsinsourcecountries. Thebudgetwillcontinuetosupportabalancedapproachthatbringsallsectorsofsociety togetherinanationalefforttoimprovepublichealthandpublicsafety.
12
10.7
Figure1:DrugControlResourcesbyFunction
FY2012
9.5 9.4 9.6
10
9.2
FY2013 FY2014
9.4
BudgetAuthorityinBillions
4.0
3.9
3.7
1.8
1.9 1.4
Preventionand Treatment
DomesticLaw Enforcement
Interdiction
International
OfficeofNationalDrugControlPolicy
April2013
TheconsolidatedNationalDrugControlBudgetdetailsagencyresourcesbyfunction. Functionscategorizetheactivitiesofagenciesintocommondrugcontrolareas.Figure1 detailsfundingbyfunction. ConsistentwiththerestructuringofthedrugcontrolbudgetinFY2012,theFY2014request includesaprogramnewtotheNationalDrugControlBudget.Thenewprogram,whichwillbe reflectedintheNationalDrugControlStrategy,FY2014BudgetandPerformanceSummary,is theDepartmentofJusticesByrneMemorialJusticeAssistanceGrantprogram.Thisprogram, whichnowhasareasonablemethodologytoestimatedrugcontrolfunding,providescritical assistancetostateandlocallawenforcementinaddressingcommunityproblemswith narcoticsandmuchneededsupportfortheirlocaleffortstoreducesubstanceabuse.
HighlightsoftheFY2014BudgetbyFunction
Prevention
Federalresourcestotaling$1.4billionsupporteducationandoutreachprogramsthatare intendedtodiscouragetheuseofcontrolledsubstances,whileencouragingcommunity outreacheffortsfocusedongettingthosewhohavebeguntouseillicitdrugstoceasetheir use.Thisrepresentsa5percentincrease($69.6million)overtheFY2012level;themajor effortsarehighlightedbelow: DrugFreeCommunitiesSupportProgram(DFC)
OfficeofNationalDrugControlPolicy:$85.7million
OfficeofNationalDrugControlPolicy
April2013
SubstanceAbusePreventionandTreatmentBlockGrant
DepartmentofHealthandHumanServicesSubstanceAbuseandMentalHealthServices Administration(SAMHSA):$364.0million
SAMHSAsStrategicPreventionFrameworkStateIncentiveGrants(SPFSIG)tostates, tribes,andterritoriesusesapublichealthapproachthatsupportsthedeliveryofeffective programs,policiesandpracticestopreventsubstanceusedisorders.ThePartnershipsfor Success(PFS)programbuildsonthesuccessoftheSPFSIGprogram,focusingon implementingtheSPFtostrengthenpreventioncapacityandinfrastructureatthestate, territorial,andcommunitylevels;preventingtheonsetandreducingtheprogressionof substanceabuse;andleveraging,redirecting,andaligningstatewidefundingstreamsand resourcestofocusonpromotingevidencebasedsubstanceabuseprevention.InFY2014, SAMHSArequests$36.7milliontoimplementanewcohortofPFSgrants,awardingupto 32grants. AntiDopingActivities/WorldAntiDopingAgency(WADA)Dues
OfficeofNationalDrugControlPolicy:$9.7million
OfficeofNationalDrugControlPolicy
April2013
Treatment
TheFY2014Budgetproposes$9.3billioninFederalfundsforearlyintervention,treatment andrecoveryservices.Theseservicesfocusonassistingindividualswithsubstanceuse disorderstobecomefreefromthehealthconsequencesoftheuseofillicitdrugs,including abuseofprescriptiondrugs.Thisrepresentsanincreaseof18percent($1,413.3million)over theFY2012level.Themajoreffortsarehighlightedbelow: Medicare&Medicaidfundedsubstanceabusetreatmentservices
DepartmentofHealthandHumanServices,CentersforMedicare&MedicaidServices:$4,670.0million
Thisformulabasedfundingtostatessupporttheprovisionofsubstanceabusetreatment services,providingmaximumflexibilitytostatestorespondtotheirlocaland/orregional emergentissuesimpactinghealth,publichealth,andpublicsafetythroughaconsistent Federalfundingstream.Individualswhoareinneedofsuchservicesandhavenoorlimited healthinsurancecoverageforsubstanceusedisordertreatmentandrecoverysupport servicesrelyonservicesfundedbytheblockgrant.Thegrantalsoallowsstatestoprovide arangeofclinicalandrecoverysupportservicestoclientsduringtreatmentandrecovery. Italsosupportsplanning,coordination,needsassessment,qualityassurance,andhasset asidesforHIV,programdevelopmentandevaluation.Approximately80%ofthis$1.82 Billionprogramisestimatedforthesetreatmentandtheseotherservices. DrugCourts
DepartmentofHealthandHumanServicesSAMHSA:$41.3million DepartmentofJusticeOfficeofJusticePrograms:$44.0million
OfficeofNationalDrugControlPolicy
April2013
Screening,BriefIntervention,andReferraltoTreatment(SBIRT)
DepartmentofHealthandHumanServicesSAMHSA:$30.0million
TheSBIRTprogramprovidesgrantstohealthcareproviderstointerveneearlyinthe diseaseprocessbeforeindividualsachievedependencyandtomotivatetheaddictedclient toengageinsubstanceabusetreatment.Sincethebeginningofthisprogram,morethan 1.4millionindividualshavebeenscreened,with19percentrequiringabriefintervention, brieftreatment,orreferraltospecialtytreatmentprograms.InFY2014,morethan 140,000individualsareestimatedtobeservedbytheprogram.Therequestwillsupport41 grants(25continuationsand16new)andonecontracts.Grantfundswillfurtherintegrate SBIRTwithinmedicaltreatmentsettingstoprovideearlyidentificationandinterventionto atriskindividualswithinthecontextoftheirprimarycareprovider. AccesstoRecovery(ATR)
DepartmentofHealthandHumanServicesSAMHSA:$65.0million
StateandtribalATRgrantswillsupporttheprovisionoftreatmentandrecoverysupport servicestothosewithsubstanceusedisorders.SAMHSAplanstoaward19,threeyear grantsof$3.2million.ATRwillcontinuetoutilizeavoucherbasedpaymentmechanismto ensurefreeandgenuineclientchoiceandtheexpansionofbothtraditionalandfaithbased serviceproviders.Themajorityofservicesprovidedareexpectedtoberecoverysupportin natureandnotgenerallysupportedthroughinsurancemechanisms.ATRgrantfundswill alsosupportcreatinglinkageswithstatehealthinformationexchangestoensure coordinationandnonduplicationofservices,andwillincreasetheavailabilityofandaccess totrainingandcertificationprogramsfornontraditionalproviders,suchasfaithbasedand peerproviders. HomelessAssistanceGrantsContinuumofCare
DepartmentofHousingandUrbanDevelopment:$570.0million
OfficeofNationalDrugControlPolicy
April2013
BureauofPrisons(BOP)DrugTreatmentEfforts
DepartmentofJustice,BureauofPrisons:$109.9million
AsfortypercentofinmatesenteringBOParediagnosedwithasubstanceusedisorder, BOPcontinuestodevelopevidencebasedtreatmentpracticestomanageandtreatdrug usingoffenders.TheBureausstrategyincludesearlyidentificationthroughapsychology screening,drugeducation,nonresidentialdrugabusetreatment,intensiveresidentialdrug abusetreatment(RDAP)andcommunitytransitiontreatment.Incoordinationwiththe NationalInstituteonDrugAbuse,BOPconductedarigorous3yearoutcomestudyofthe residentialdrugabusetreatmentprogrambeginningin1991.Theresultsindicatedthat maleparticipantsare16percentlesslikelytorecidivateand15percentlesslikelyto experiencesubstanceabuserelapsethansimilarlysituatedinmateswhodidnotparticipate inRDAP.Femaleinmatesarefoundtobe18percentlesslikelytorecidivatethaninmates whodidnotparticipateintreatment. SubstanceAbusetreatmentforVeterans
DepartmentofVeteransAffairs:$687.4million
DomesticLawEnforcement
Nearly$9.6billioninFY2014Federalresourcesarerequestedtosupportdomesticlaw enforcementefforts(includingstateandlocalassistance,aswellasFederalinvestigation, prosecution,andcorrections),anincreaseof$123.4million(1.3%)overtheFY2012level.The majoreffortsarehighlightedbelow. HighIntensityDrugTraffickingAreas(HIDTA)Program
OfficeofNationalDrugControlPolicy:$193.4million
TheHIDTAprogramprincipallysupportstheenforcementaspectoftheNationalDrug ControlStrategybyprovidingassistancetoFederal,state,local,andtriballawenforcement agenciesoperatinginareasdeterminedtobecriticaldrugtraffickingregionsoftheUnited States.TheHIDTAprogramcurrentlyincludes28regionalHIDTAs,whichcomprise approximately16percentofallcountiesintheUnitedStatesand60percentoftheU.S. population.Assuch,theprogramprovidesresourcestotheseagenciesineachHIDTA regiontocarryoutactivitiesthataddressthespecificdrugthreatsofthatregion.The HIDTAprogramplaysakeyroleinhelpingtokeepcommunitiessafe,andsupportsaplace basedpolicydesignedtoincreasetheimpactofgovernmentdollarsbyleveragingplace consciousplanningandplacebasedprogramming.Itisaregionalprogram,locally managed,andtiedtoanationalmission.Itprincipallysupportsdrugsupplyreductionby bringingtogetherandprovidingassistancetoFederal,state,local,andtriballaw enforcementagenciesoperatinginareasdeterminedtobecriticaldrugtraffickingregions
OfficeofNationalDrugControlPolicy
April2013
FederalLawEnforcementTrainingCenter(FLETC)
DepartmentofHomelandSecurity:$48.8million
OfficeofNationalDrugControlPolicy
April2013
Interdiction
TheFederalbudgetrequestforinterdictionefforts,whichincludeinterceptingandultimately disruptingshipmentsofillegaldrugsandtheirprecursors,aswellastheproceeds,totals$3.7 billioninFY2014,adecreaseof$331.5million(8.2%)overtheFY2012level.Themajorefforts arehighlightedbelow. CustomsandBorderProtection(CBP)
DepartmentofHomelandSecurity:$2,344.6million
DepartmentofDefenseDrugInterdiction
DepartmentofDefense:$471.2million
International
Theprofitsfromillicitdrugtraffickingareapowerfulandcorrosiveforceweakeningtheruleof lawinaffectedcountriesandpreventinggovernmentsfromeffectivelyreducingorcontaining othertransnationalthreatssuchasterrorism,insurgency,organizedcrime,weapons trafficking,moneylaundering,humantrafficking,andpiracy.TheFY2014Budgetrequests over$1.4billiontoprovideawiderangeofdrugcontrolactivitiesprimarilyfocusedonor conductedinareasoutsideoftheUnitedStates,adecreaseof$378.7million(20.7%)fromthe FY2012level.Theseprogramshelpfacilitatethedisruptionordismantlementofthemost significantinternationaldrugorganizations,andincreasethedemandreductionanddrug enforcementcapabilitiesofpartnernations.Themajoreffortsarehighlightedbelow.
OfficeofNationalDrugControlPolicy
April2013
DEAsInternationalEfforts
DepartmentofJustice:$417.7million
DoDInternationalCounternarcoticsEfforts
DepartmentofDefense:$350.9million
OfficeofNationalDrugControlPolicy
10
April2013
PerformanceMeasurement
PerformancemeasurementisanimportanttoolforONDCPinitsoversightofFederalagencies itenablesONDCPtoassesstheextenttowhichtheStrategysGoalsandObjectivesaremet, andthecontributionsofdrugcontrolagencies.Twolawsserveaskeyfoundationsfor ONDCPsperformanceeffortstheOfficeofNationalDrugControlPolicyReauthorization Actof2006(P.L.109469)andtheGovernmentPerformanceandResultsModernizationActof 2010(GPRMA). ONDCPtracksandreportsonprogressoftheStrategyasreflectedinperformancemeasures andtargetsestablishedfortheStrategysGoalsandObjectives.Assessingthecontributionsof drugcontrolAgenciesinachievingtheGoalsandObjectivesoftheStrategydrawsupon GPRMAdataandotheragencyinformation.Forassessinginteragencyprogress,thekey mechanismisthePerformanceReportingSystem(PRS)whichwasdesignedtoappraisethe performanceofthelargeandcomplexinteragencyFederaleffortsetforthintheStrategy.The PRSwasdevelopedthroughanextensiveinteragencyprocessthatbroughttogetherFederal partnerswithexpertiseintheareasofdrugcontrolpolicy,programs,anddata. ThePRSmonitorskeyperformancemeasurestoinformONDCPoninteragencyprogresstowards theStrategys2Goalsand7Objectives.ThePRSdesignreportwaspublishedinApril2012andis availableonlineathttp://www.whitehouse.gov/sites/default/files/ondcp/prs_2012.pdf.Thefirst PRSassessmentreportwillbepublishedin2013andwilladdressprogresstodate.This informationwillbeusedtoinformbudgetformulationandresourceallocation,Strategy implementation,policymaking,andplanning.
OfficeofNationalDrugControlPolicy
11
April2013
Table1:FederalDrugControlSpendingbyFunction
FY2012FY2014 (BudgetAuthorityinMillions)
FY2013 FY2012 Annualized Final CR Function Treatment 7,848.3 8,082.4 Percent 32.0% 32.9% Prevention 1,339.2 1,289.5 Percent 5.5% 5.3% DomesticLawEnforcement 9,439.5 9,348.8 Percent 38.5% 38.1% Interdiction 4,036.5 3,869.7 Percent 16.5% 15.8% International 1,833.7 1,946.0 Percent 7.5% 7.9%
FY2014FY12FY14Change Request Dollars Percent 9,261.6 36.5% 1,408.7 5.5% 9,562.9 37.7% 3,705.0 14.6% 1,455.0 5.7% +1,413.3 +18.0% +5.2% +1.3% 8.2% 20.7%
+69.6
+123.4
331.5
378.7
Total Supply/Demand DemandReduction Percent SupplyReduction Percent Total $24,497.2 $24,536.4 $25,393.2 +$896.1 +3.7% +16.1% 3.8% +3.7%
+1,482.9
577.0 +$896.1
$24,536.4 $25,393.2
Note:Detailmaynotaddduetorounding.
OfficeofNationalDrugControlPolicy
12
April2013
Table2:FederalDrugControlSpendingbyAgency
(BudgetAuthorityinMillions)1 DepartmentofAgriculture U.S.ForestService CourtServicesandOffenderSupervisionAgencyforthe DistrictofColumbia DepartmentofDefense DrugInterdictionandCounterdrugActivities2/OPTEMPO DefenseHealthProgram TotalDoD DepartmentofEducation FederalJudiciary DepartmentofHealthandHumanServices AdministrationforChildrenandFamilies CentersforMedicare&MedicaidServices3 HealthResourcesandServicesAdministration IndianHealthService NationalInstituteonAlcoholAbuseandAlcoholism NationalInstituteonDrugAbuse SubstanceAbuseandMentalHealthServicesAdministration4 TotalHHS DepartmentofHomelandSecurity CustomsandBorderProtection FederalLawEnforcementTrainingCenter ImmigrationandCustomsEnforcement UnitedStatesCoastGuard5 OfficeofCounternarcoticsEnforcement TotalDHS DepartmentofHousingandUrbanDevelopment CommunityPlanningandDevelopment DepartmentoftheInterior BureauofIndianAffairs BureauofLandManagement NationalParkService TotalInterior FY2012 Final 15.2 56.3 FY2013 CR 15.2 57.5 FY2014 Request 13.2 60.6
1,775.1 94.4 1,869.4 63.7 1,118.1 20.0 3,500.0 17.8 98.0 61.6 1,051.4 2,479.3 7,228.2 2,280.3 48.5 523.5 1,332.5 1.8 4,186.6 446.0 10.0 5.1 3.3 18.4
1,632.5 108.2 1,740.7 58.9 1,125.4 20.0 3,720.0 17.9 96.4 62.0 1,058.6 2,447.0 7,421.9 2,280.3 48.7 523.5 1,253.3 1.8 4,107.6 446.0 9.5 5.1 3.3 17.9
1,084.0 119.7 1,203.6 137.1 1,153.2 20.0 4,670.0 18.2 112.4 62.2 1,071.6 2,415.8 8,370.2 2,344.6 48.8 485.0 1,127.8 0.0 4,006.2 570.0 9.5 5.1 3.3 17.9
OfficeofNationalDrugControlPolicy
13
April2013
FY2012 Final 230.3 3,396.9 39.6 2,357.0 527.5 243.4 20.0 78.8 248.8 580.1 7,722.5 6.6 238.5 105.6 24.5 368.6 494.6 173.7 668.3 28.7 2.7 31.4 60.3 637.8 24,497.2
FY2013 CR 232.8 3,377.7 41.0 2,400.4 530.7 237.5 20.1 75.0 250.5 580.1 7,746.0 6.6 240.0 106.2 24.7 370.8 494.6 173.7 668.3 27.6 2.7 30.3 60.3 663.0 24,536.4
FY2014 Request 244.5 3,517.7 40.2 2,428.9 523.0 380.9 0.0 76.4 251.5 656.3 8,119.3 6.6 193.4 95.4 22.6 311.4 510.5 134.6 645.1 28.1 2.2 30.3 60.9 687.4 25,393.2
DepartmentofJustice AssetsForfeitureFund BureauofPrisons CriminalDivision DrugEnforcementAdministration OrganizedCrimeDrugEnforcementTaskForceProgram OfficeofJusticePrograms NationalDrugIntelligenceCenter U.S.Attorneys U.S.MarshalsService U.S.MarshalsServiceFederalPrisonerDetention TotalJustice DepartmentofLabor EmploymentandTrainingAdministration OfficeofNationalDrugControlPolicy HighIntensityDrugTraffickingAreas OtherFederalDrugControlPrograms SalariesandExpenses TotalONDCP DepartmentofState BureauofInternationalNarcoticsandLawEnforcementAffairs UnitedStatesAgencyforInternationalDevelopment TotalState DepartmentofTransportation FederalAviationAdministration NationalHighwayTrafficSafetyAdministration TotalTransportation DepartmentoftheTreasury InternalRevenueService DepartmentofVeteransAffairs VeteransHealthAdministration7
1
Detailmaynotaddduetorounding. 2 AstheOverseasContingencyOperations(OCO)amountshavenotyetbeenfinalized,thisamountincludesFY2014basebudgetresourcesonly. 3 TheestimatesfortheCentersforMedicare&MedicaidServices(CMS)reflectMedicaidandMedicarebenefitoutlaysforsubstanceabuse treatment;theydonotreflectbudgetauthority.TheestimatesweredevelopedbytheCMSOfficeoftheActuary. 4 IncludesbudgetauthorityandfundingthroughevaluationsetasideauthorizedbySection241ofthePublicHealthService(PHS)Act. 5 TheUSCGbudgetsbyappropriationratherthanindividualmissions.TheUSCGprojectsresourceallocationsbymissionthroughuseofanactivity basedcostingsystem.Actualallocationswillvarydependinguponoperationalenvironmentandmissionneed. 6 StateDepartmentamountsincludefundingappropriatedorrequestedforoverseascontingencyoperations. 7 VAMedicalCarereceivesadvanceappropriations;FY2014fundingwasprovidedintheConsolidatedandFurtherContinuingAppropriationsAct, 2013(PublicLaw1136).
OfficeofNationalDrugControlPolicy
14
April2013