Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
EDT OP-5 Exhibit
DHP
107
I. Description of Operations Financed:
This Budget Activity Group is comprised of two primary categories that provide support for education and training opportunities for personnel funded by the
Defense Health Program:
Uniformed Services University of the Health Sciences (USUHS) - Resources required for operation and maintenance of the Department of Defense funded
university that produces physicians, advanced practice nurses, advanced practice dentists and other health professionals from the School of Medicine, Graduate
School of Nursing, Postgraduate Dental College, College of Allied Health Sciences, National Capital Area Graduate Medical Education Residency Programs and
Graduate Education Programs leading to undergraduate, masters or doctoral degrees in medicine, dentistry, nursing, public health, healthcare administration,
clinical psychology and the health and biomedical sciences.
Other Education and Training - Resources required for specialized skills training and professional development education programs for health care personnel at
the Medical Education and Training Campus (METC), San Antonio, Texas; U.S. Army Medical Department Center and School, Fort Sam Houston, Texas; School
of Aerospace Medicine, Wright-Patterson Air Force Base, Ohio; Air Force medical professions education and training programs and Navy Bureau of Medicine and
Surgery sponsored schools. Also includes educational programs for health care personnel at federal and private sector academic institutions and medical
facilities. Professional development provides officer, enlisted and civilian medical personnel with the specialized skills and knowledge required to perform highly
technical health service missions. Other Education and Training funds for medical readiness training functions transferred in FY 2021 to the Departments of the
Air Force, Army and Navy in accordance with the Defense Wide Review actions to transfer medical readiness functions outside of medical treatment facilities to
the respective military departments.
II. Force Structure Summary:
Education and Training resources provide tuition and other educational expenses for specialized skills training and professional development education programs
for health care personnel, as well as educational programs for health care personnel at federal and private sector academic institutions and medical
facilities. USUHS resources fund operation and maintenance requirements necessary to operate a DoD-funded medical school that trains doctors; offers graduate
programs for nurses and professionals in the biological sciences; provides professional development education, undergraduate degree programs through the
USUHS-METC Affiliation, specialized skills training and other training necessary to accomplish the mission.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
EDT OP-5 Exhibit
DHP
108
III. Financial Summary ($ in Thousands):
FY 2022
Congressional Action
A. BA Subactivities
FY 2021
Actuals
Budget
Request
Amount
Percent
Appropriated
Current
Enacted
FY 2023
Request
1. Uniformed Services University of the Health
Sciences
$184,168
$177,924
$5,000
2.81%
$182,924
$182,924
$184,964
2. Other Education and Training
$126,339
$155,310
$2,500
1.61%
$157,810
$157,810
$149,881
Total
$310,507
$333,234
$7,500
2.25%
$340,734
$340,734
$334,845
1. The Defense Health Program reprogrammed the FY 2021 Health Professions Scholarship Program (HPSP) funds (-$6,000K) to the Departments of the Army, Air Force and Navy in accordance with the
transfer of the HPSP to the Service Departments in the FY 2021 President's Budget. HPSP funds were provided for increased scholarships for trauma surgeons.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
III. Financial Summary ($ in Thousands): (Cont.)
EDT OP-5 Exhibit
DHP
109
B. Reconciliation Summary
Change
FY 2022/FY 2022
Change
FY 2022/FY 2023
BASELINE FUNDING
$333,234
$340,734
Congressional Adjustments (Distributed)
7,500
Congressional Adjustments (Undistributed)
0
Adjustments to Meet Congressional Intent
0
Congressional Adjustments (General Provisions)
0
SUBTOTAL APPROPRIATED AMOUNT
340,734
Fact-of-Life Changes (2022 to 2022 Only)
0
SUBTOTAL BASELINE FUNDING
340,734
Supplemental
0
Reprogrammings
0
Price Changes
10,234
Functional Transfers
-6,854
Program Changes
-9,269
CURRENT ESTIMATE
340,734
334,845
Less: Supplemental
0
NORMALIZED CURRENT ESTIMATE
$340,734
$334,845
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
III. Financial Summary ($ in Thousands): (Cont.)
EDT OP-5 Exhibit
DHP
110
FY 2022 President's Budget Request (Amended, if applicable) ........................................................................................................................................... $333,234
1. Congressional Adjustments ........................................................................................................................................................................................................ $7,500
a) Distributed Adjustments .......................................................................................................................................................................................... $7,500
1) a. Fetal Alcohol Spectrum Disorders Prevention and Clinical Guidelines: ..................................................................................$5,000
2) b. Specialized Medical Pilot Program: ..........................................................................................................................................$2,500
b) Undistributed Adjustments............................................................................................................................................................................................. $0
c) Adjustments to Meet Congressional Intent .................................................................................................................................................................... $0
d) General Provisions ........................................................................................................................................................................................................ $0
FY 2022 Appropriated Amount ................................................................................................................................................................................................ $340,734
2. Supplemental Appropriations ............................................................................................................................................................................................................. $0
a) Supplemental Funding ................................................................................................................................................................................................... $0
3. Fact-of-Life Changes .......................................................................................................................................................................................................................... $0
a) Functional Transfers ...................................................................................................................................................................................................... $0
b) Technical Adjustments .................................................................................................................................................................................................. $0
c) Emergent Requirements ................................................................................................................................................................................................ $0
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
III. Financial Summary ($ in Thousands): (Cont.)
EDT OP-5 Exhibit
DHP
111
FY 2022 Baseline Funding ........................................................................................................................................................................................................ $340,734
4. Reprogrammings (Requiring 1415 Actions) ....................................................................................................................................................................................... $0
a) Increases ....................................................................................................................................................................................................................... $0
b) Decreases ..................................................................................................................................................................................................................... $0
Revised FY 2022 Estimate ........................................................................................................................................................................................................ $340,734
5. Less: Item 2, Supplemental Appropriation and Item 4, Reprogrammings ......................................................................................................................................... $0
a) Less: Supplemental Funding ......................................................................................................................................................................................... $0
FY 2022 Normalized Current Estimate .................................................................................................................................................................................... $340,734
6. Price Change ............................................................................................................................................................................................................................ $10,234
7. Functional Transfers .................................................................................................................................................................................................................. $-6,854
a) Transfers In ................................................................................................................................................................................................................... $0
b) Transfers Out ........................................................................................................................................................................................................ $-6,854
1) Army Defense Health Program FTEs Realigned to the Department of the Army: ..................................................................... $-6,854
In accordance with the FY 2021 Secretary of Defense Memo, Department of Defense Reform Focus in 2020, the Defense
Health Program continues the transfer of Army's Medical Readiness activities which occur outside of the Military Treatment
Facilities to the Department of the Army. The Defense Health Agency transfers 66 FTEs and associated funding for
education and training readiness functions from the Other Education and Training program element to the Department of the
Army.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
III. Financial Summary ($ in Thousands): (Cont.)
EDT OP-5 Exhibit
DHP
112
8. Program Increases ...................................................................................................................................................................................................................... $5,023
a) Annualization of New FY 2022 Program ....................................................................................................................................................................... $0
b) One-Time FY 2023 Increases ....................................................................................................................................................................................... $0
c) Program Growth in FY 2023 ................................................................................................................................................................................... $5,023
1) a. Executive Order Minimum Wage Adjustment for Federal Contractors: ...................................................................................$5,023
Additional funding to address the estimated impacts of Executive Order (E.O.) 14026, Increasing the Minimum Wage for
Federal Contractors, dated April 27, 2021. E.O. 14026, Section 4(a) requires the Department of Labor to implement
regulations to increase the minimum wage to $15 per hour by January 30, 2022, on contracts covered by the Fair Labor
Standards Act, the Service Contract Act (SCA), or the Davis Bacon Act (DBA). The E.O. also applies only to Federal
Contractors and Subcontractors on new contract actions entered into on or after January 30, 2022. In the Education and
Training Budget Activity Group, the increase was applied to OP-32 line 989. The FY 2022 Education and Training Budget
Activity Group base budget is $340,734K. The FY 2022 Education and Training baseline contractor staffing is 279 CMEs.
9. Program Decreases ................................................................................................................................................................................................................. $-14,292
a) Annualization of FY 2022 Program Decreases ............................................................................................................................................................. $0
b) One-Time FY 2022 Increases .............................................................................................................................................................................. $-7,500
1) a. Fetal Alcohol Spectrum Disorders Prevention and Clinical Guidelines: ................................................................................. $-5,000
Adjustment to reverse one-time Fetal Alcohol Spectrum Disorders Prevention and Clinical Guidelines funding increase which
was issued to the Uniformed Services University of the Health Sciences’ (USUHS) for fetal alcohol spectrum disorder
studies. Adjustment decreases other services from non-federal sources funding in the USUHS program element. The FY
2022 Uniform Services University of the Health Sciences program element baseline funding is $182,924K.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
III. Financial Summary ($ in Thousands): (Cont.)
EDT OP-5 Exhibit
DHP
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2) b. Specialized Medical Pilot Program: ........................................................................................................................................ $-2,500
Adjustment to reverse one-time Specialized Medical Pilot Program funding increase which was issued to the Defense Health
Agency for military orthopedic surgeons advanced arthroscopy skill course. Adjustment decreases other services from non-f
ederal sources funding in the Other Education and Training program element. The FY 2022 Other Education and Training
program element baseline funding is $157,810K.
c) Program Decreases in FY 2023 ........................................................................................................................................................................... $-6,792
1) a. Education and Training Equipment Requirement Reduction: ................................................................................................ $-3,920
Reduces Education and Training equipment requirements following conclusion of simulation equipment purchases in FY
2021 and FY 2022 at the Defense Health Agency’s activities. The use of simulation equipment provide meaningful, realistic
and effective related training for healthcare providers who lack the experiential knowledge necessary to care for critically-ill
patients in a manner that optimizes patient outcomes while minimizing risks to the patient care team. The Defense Heath
Agency reduced equipment funds from the Other Education and Training program element. The FY 2022 Other Education
and Training program element baseline funding is $157,810K.
2) b. Education and Training Travel Reduction: ............................................................................................................................. $-2,872
Reduces Education and Training travel requirements at the Defense Health Agency through consolidation of education and
training programs. The FY 2022 Education and Training travel baseline funding is $22,077K.
FY 2023 Budget Request .......................................................................................................................................................................................................... $334,845
x
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
EDT OP-5 Exhibit
DHP
114
IV. Performance Criteria and Evaluation Summary:
(Student Load Count)
FY 2021
Actuals
FY 2022
Estimate
FY 2023
Estimate
Change
Change
FY 2021/2022
FY 2022/2023
Officer Acquisition
1
692
697
697
5
0
Graduate Medical Education (GME)
2
3,943
4,027
4,046
84
19
Medical Education and Training Campus (METC)
3
3,691
8,983
9,053
5,292
70
Other Training
4
2,647
2,647
2,647
0
0
1. Officer Acquisition programs represent the Uniformed Services University of the Health Sciences Medical Students. Values represent student load for a year.
2. Graduate Medical Education includes initial and advanced skills training programs, and leadership programs for officer and enlisted personnel. Values represent student load for a year.
3. Medical Education and Training Campus: The student loads illustrated reflect annual workload projections based upon actual Defense Health Agency and Uniformed Services University of the Health Sciences (USUHS)
requirement training programs and courses. Medical Education and Training Campus (METC) include enlisted training programs for Army (MOS), Navy (NEC), and Air Force (AFSC) requirements, as well as Public Health, Nuclear
Medicine, Medical Laboratory Technicians, Surgery Technicians, Preventive Medicine, Pharmacy Technicians, Dental Assistants, and Combat Medic. These are centrally managed within Army Training Resource Requirement
System (ATRRS). Warrior Care Training and Soft Skills Training are components of the METC training curriculum (Warrior Task - Field Task Battle Drills). Increase in FY 2022 is attributed to the increase in the number of College of
Applied Health Sciences students at USUHS.
4. Other Training student loads illustrated reflect the average daily student numbers based upon actual Defense Health Agency requirement training programs and courses. Other Training includes courses offered at the
Continuing Education Program Office (CEPO); Joint Medical Executive Skills Institute (JMESI); Military Treatment Facility (MTF OPS) - Medical Treatment Network (MTN), leadership and skills progression courses as well as
service specific professional development training. Values represent student load for a year.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
EDT OP-5 Exhibit
DHP
115
V. Personnel Summary:
FY 2021
FY 2022
FY 2023
Change
FY 2021/
FY 2022
Change
FY 2022/
FY 2023
Active Military End Strength (E/S) (Total)
13,330
14,254
11,287
924
-2,967
Officer
7,132
7,273
5,702
141
-1,571
Enlisted
6,198
6,981
5,585
783
-1,396
Active Military Average Strength (A/S) (Total)
13,986
13,793
12,771
-193
-1,022
Officer
7,289
7,203
6,488
-86
-715
Enlisted
6,697
6,590
6,283
-107
-307
Civilian FTEs (Total)
1,156
1,155
1,162
-1
7
U.S. Direct Hire
1,113
1,112
1,119
-1
7
Foreign National Direct Hire
1
1
1
0
0
Total Direct Hire
1,114
1,113
1,120
-1
7
Foreign National Indirect Hire
1
1
1
0
0
Reimbursable Civilians
41
41
41
0
0
Average Annual Civilian Salary ($ in thousands)
138.1
132.5
138.5
-5.7
6.1
Contractor FTEs (Total)
271
279
217
8
-62
Personnel Summary Explanations:
Explanation of Changes in Active Military End Strength: The net increase from FY 2021 to FY 2022 (+924) reflects execution adjustments (+1,260: Air Force
+428; Army +507; Navy +325) and includes the technical adjustment made by the military departments for the revised drawdown reductions (-336: Army: +2; Air
Force: -57; Navy -281) to comply with Section 719 of the FY 2020 National Defense Authorization Act (NDAA) that limits the realignment or reduction of military
medical E/S authorizations and to reflect executable Service plans for the drawdown. The net decrease from FY 2022 to FY 2023 (-2,967) includes technical
adjustment made by the military departments for the revised drawdown reductions to comply with Section 719 of the FY 2020 National Defense Authorization Act
(NDAA) accounts for (-45), and reductions by Component as follows: Army (-2,281): transfer of the following programs to the Department of the Army: 1) Army
readiness functions (-1,235): 2) In-Military Treatment Facility Army Readiness Programs (-6); as well as transfers the U.S. Transportation (TRANSCOM) Surgeon
General Office (-1); reductions to establish Student RICS (-1,038); and internal realignment of the Military Training Network (MTN) program to DHA (-1). Navy (-
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
V. Personnel Summary: (Cont.)
EDT OP-5 Exhibit
DHP
116
14): transfer of the following programs to the Department of the Navy: 1) Military Sealift Command (-2); and 2) Research and Development Lab (-2); as well as and
internal realignment of the Military Training Network (MTN) program to DHA (-2); and Navy BUMED internal realignments to other BAGs (-8). Air Force (-627):
transfer non-military treatment facilities resources to the Department of the Air Force (-622) as well as and internal realignment of the Military Training Network
(MTN) program to DHA (-5).
Explanation of changes in Civilian FTEs: The net decrease from FY 2021 to FY 2022 (-1) reflects the adjustment to USUHS’ FTEs to match program execution
(+31), a Defense Health Agency internal realignment (-1) for the Safety and Occupational Health Program and FY 2021 execution adjustments (-31: DHA-
Comptroller +46, Navy -28, Army -25, DCFM -12, and Air Force -12) based on FY 2021 actual FTE execution. The net increase FY 2022 to FY 2023 (+7) reflects
the following changes by component: Army (-13): Transfer of the Education and Training readiness programs to the Department of the Army (-66) and internal
realignment from other BAGs (+53). Navy (-11): internal realignment to other BAGs (-11). Air Force: internal realignment from other BAGs (+31).
Explanation of changes in Contractor FTEs: The increase from FY 2021 to FY 2022 (+8) is accounted for in the Other Education and Training program element
(+8) and is attributed to actual execution within the Education and Training programs at the Defense Health Agency. The decrease from FY 2022 to FY 2023 (-62)
reflects downward adjustments to the contract resources in the Other Education and Training program element (-62) for ongoing consolidation of services at the
Defense Health Agency in accordance with the FY 2017 National Defense Authorization Act Section 702.
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
EDT OP-5 Exhibit
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VI. OP 32 Line Items as Applicable (Dollars in thousands):
Change from FY 2021 to FY 2022
Change from FY 2022 to FY 2023
FY 2021
Program
Price
Growth
Program
Growth
FY 2022
Program
Price
Growth
Program
Growth
FY 2023
Program
101
EXEC, GEN’L & SPEC SCHEDS
150,544
3,417
-10,374
143,587
5,923
3,526
153,036
103
WAGE BOARD
3,403
77
438
3,918
162
-1,899
2,181
104
FN DIRECT HIRE (FNDH)
62
1
63
3
-1
65
0199
TOTAL CIVILIAN PERSONNEL COMPENSATION
154,009
3,495
-9,936
147,568
6,088
1,626
155,282
308
TRAVEL OF PERSONS
13,288
399
8,390
22,077
464
-5,279
17,262
0399
TOTAL TRAVEL
13,288
399
8,390
22,077
464
-5,279
17,262
401
DLA ENERGY (FUEL PRODUCTS)
3
0
19
22
-2
2
22
412
NAVY MANAGED SUPPLY, MATL
1,059
88
167
1,314
78
-44
1,348
414
AIR FORCE CONSOL SUST AG (SUPPLY)
0
0
3
3
0
3
416
GSA SUPPLIES & MATERIALS
0
0
1,090
1,090
23
18
1,131
417
LOCAL PURCH SUPPLIES & MAT
0
0
457
457
10
4
471
422
DLA MAT SUPPLY CHAIN (MEDICAL)
0
0
32
32
0
1
33
0499
TOTAL DEFENSE WORKING CAPITAL FUND SUPPLIES AND
MATERIALS
1,062
88
1,768
2,918
109
-19
3,008
503
NAVY FUND EQUIPMENT
0
0
496
496
0
19
515
506
DLA MAT SUPPLY CHAIN (CONST & EQUIP)
0
0
474
474
3
10
487
507
GSA MANAGED EQUIPMENT
0
0
566
566
12
3
581
0599
TOTAL DEFENSE WORKING CAPITAL FUND EQUIPMENT
PURCHASES
0
0
1,536
1,536
15
32
1,583
614
SPACE & NAVAL WARFARE CENTER
804
4
90
898
25
923
671
DISA DISN SUBSCRIPTION SERVICES (DSS)
44
3
15
62
2
-1
63
0699
TOTAL OTHER FUND PURCHASES
848
7
105
960
27
-1
986
707
AMC TRAINING
741
4
-745
0
0
0
0
771
COMMERCIAL TRANSPORT
335
10
127
472
0
9
481
0799
TOTAL TRANSPORTATION
1,076
14
-618
472
0
9
481
Defense Health Program
Operation and Maintenance, Defense-Wide
Fiscal Year (FY) 2023 President's Budget
Education and Training OP-5 Exhibit
VI. OP 32 Line Items as Applicable (Dollars in thousands):
(Cont.)
EDT OP-5 Exhibit
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Change from FY 2021 to FY 2022
Change from FY 2022 to FY 2023
FY 2021
Program
Price
Growth
Program
Growth
FY 2022
Program
Price
Growth
Program
Growth
FY 2023
Program
901
FOREIGN NATIONAL INDIRECT HIRE (FNIH)
1
0
3
4
0
4
914
PURCHASED COMMUNICATIONS (NON-FUND)
66
2
240
308
6
314
915
RENTS (NON-GSA)
287
9
446
742
16
-3
755
917
POSTAL SERVICES (U.S.P.S)
0
0
17
17
0
17
920
SUPPLIES & MATERIALS (NON-FUND)
20,262
608
8,039
28,909
607
-8,488
21,028
921
PRINTING & REPRODUCTION
922
28
-104
846
18
-43
821
922
EQUIPMENT MAINTENANCE BY CONTRACT
2,508
75
-387
2,196
46
65
2,307
923
FACILITIES SUST, REST, & MOD BY CONTRACT
82
2
-84
0
0
9
9
925
EQUIPMENT PURCHASES (NON-FUND)
17,992
540
6,833
25,365
533
-3,920
21,978
932
MGT PROF SUPPORT SVCS
8,836
265
-7,512
1,589
33
-18
1,604
934
ENGINEERING & TECH SVCS
514
15
-529
0
0
0
0
936
TRAINING AND LEADERSHIP DEVELOPMENT (OTHER
CONTRACTS)
1,909
57
-1,966
0
0
0
0
960
OTHER COSTS (INTEREST AND DIVIDENDS)
2,200
0
-2,200
0
0
216
216
964
OTHER COSTS (SUBSISTENCE AND SUPPORT OF
PERSONS)
0
0
541
541
11
-1
551
986
MEDICAL CARE CONTRACTS
5,697
234
-2,664
3,267
131
-164
3,234
987
OTHER INTRA-GOVT PURCH
9,900
297
5,277
15,474
325
1,179
16,978
988
GRANTS
32,088
963
-2,734
30,317
637
1,413
32,367
989
OTHER SERVICES
33,745
1,012
18,720
53,477
1,123
-2,634
51,966
990
IT CONTRACT SUPPORT SERVICES
3,215
96
-1,160
2,151
45
-102
2,094
0999
TOTAL OTHER PURCHASES
140,224
4,203
20,776
165,203
3,531
-12,491
156,243
9999
GRAND TOTAL
310,507
8,206
22,021
340,734
10,234
-16,123
334,845
