Fiscal Years 2002-2009 Obligations, Disbursements, and Expenditures for Selected Organizations Involved in Health-Related Activities
GAO-10-533R, May 28, 2010
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This report responds to Congress' request for information on federal funds provided for fiscal years 2002 through 2009 to selected organizations involved in health-related activities and their affiliates: Advocates for Youth, the Guttmacher Institute, the International Planned Parenthood Federation, the Planned Parenthood Federation of America, the Population Council, and the Sexuality Information and Education Council of the United States. Specifically, Congress requested that GAO identify the amount of federal funds provided to the selected organizations and their affiliates for each of fiscal years 2002 through 2009 and the sources of these federal funds (for example, family planning grants authorized under Title X of the Public Health Service Act). Congress also asked us to provide information on expenditures of federal funds reported by these organizations and their affiliates. For this report, GAO identified (1) reported obligations and disbursements of federal funds that the Department of Health and Human Services (HHS) and the United States Agency for International Development (USAID) provided directly to the selected organizations and their affiliates, and (2) expenditures of federal funds reported by organizations and their affiliates in instances in which an organization or an affiliate met the Office of Management and Budget audit threshold and submitted an audit report. Expenditures included both funds provided directly by HHS, USAID, and other federal entities such as the U.S. Department of Housing and Urban Development, and funds provided indirectly to the organizations or their affiliates, such as funds through the Medicaid program. This information updates GAO's May 16, 2003, report that provided information on fiscal year 2001 expenditures of federal funds by the organizations and their affiliates.
In summary, for the period of fiscal years 2002 through 2009, HHS and USAID reported obligating about $217 million and $347 million, respectively, to the selected organizations and their affiliates GAO reviewed, and disbursing about $188 million and $319 million, respectively, in accordance with these obligations. The selected organizations and their affiliates GAO reviewed reported spending a total of about $967 million in federal funds. This includes funds provided directly by HHS and USAID and federal funds provided indirectly, such as from federal grants to states that in turn provide the funds to these organizations. HHS and USAID reviewed a draft of this report and provided technical comments, which GAO incorporated as appropriate.