Impact of the Establishment of the Defense Health Program Appropriation on thePlaning, Programming, and Budgeting System within the Department of Defense

摘要

This thesis examines the impact of the establishment of the Defense HealthProgram (DHP) Appropriation on the Planning, Programming, and Budgeting System (PPBS) within the Department of Defense. A brief history of the PPBS is presented to explain why the Department of Defense adopted the system in the early 1960's. The PPBS process is then described, with the focus on the Programming portion from a Department of the Navy perspective. The events which led to the creation of the DHP Appropriation are recounted, and the provisions of Program Budget Decision 742 which created the DHP are examined. The effect of the DHP on the PPBS and specifically on preparing the Program Objectives Memoranda (POMs) for fiscal years 1994-1999 and 1996-2001 are then discussed. Finally, problems with using the PPBS to estimate medical program costs and several proposed reforms are addressed.... Planning, Programming, and Budgeting System, Defense Health Program Appropriation.