Program Description

Provides tertiary health services in the metropolitan area and super tertiary services to all regions in Puerto Rico. It has 287 beds. This Hospital accepts patients suffering from complicated health conditions that require high levels of specialized medical care. In addition, it serves as a training facility to the different health professionals and promotes clinical research to improve the care of patients. Among the super tertiary services this Hospital offers are urological services, lipotropic services, dialysis, trauma center, plasmaphyresis, bone marrow, nuclear medicine, orthopedics, intensive medical-surgical services, neurosurgery, birthing center and nursery.

Statistical Data	2011	2012	2013
Admissions	9,907	9,798	10,287
Average stay	7	7	7
Daily Average Census	192	211	222
Days/Patient	71,331	77,232	81,087

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

Patients 16 years of age and older referred by regional, area, municipal and private hospitals.

The Pediatric Hospital currently has 162 beds. The distribution, up to June 30, 2010 was 55 General Pediatrics, 30 Pediatric Surgery, 25 Neonatal Intensive Care, 10 Pediatric Intensive Care, 15 in Oncology and 3 units on Bone Marrow Transplant. It also has 7 Isolation rooms which are distributed as follows: 2 units for general surgery, 2 pediatric units and 3 pediatric intensive care units.

The Hospital also has an Emergency Room and 4 Surgical Rooms outfitted with instruments and equipment required for all pediatric surgeries. During that same fiscal period, 3,761 surgical procedures were performed. Practically, all pediatric services necessary for the diagnosis and treatment of pediatric medical conditions are offered in this facility. Such services are offered in an environment that has been adapted to the needs and characteristics of the pediatric population. The majority of services are highly specialized. Among the services offered are: intensive care for premature, pediatric retinopathy intensive care, medical genetics, bone marrow transplants, cardiology, hematology and gastroenterology, endocrinology, neurology and others.

Within the surgical specialty there are innumerable services that require specialized and competent knowledge, skills and personnel to tend to the patient's health problems: general pediatric surgery, ophthamology, urology, neurology, orthopedics, EENT (Eye ,Ear, Nose and Throat specialist) and thoracic surgery. Surgeons count with the support of the Department of Anesthesiology of the Medical Sciences campus and the ASEM.

Education and research are integral parts of the Hospital's capabilities. The most modern and scrutinize medical attention is guaranteed.

Statistical Data	2011	2012	2013
Admissions	4,544	4,791	4,794
Average stay	8	8	8
Beds in use	162	163	171
Daly average census	126	126	131
Days/Patient	45,463	45,463	47,748
Emergency room visits	6,827	6,827	8,534
External clinics visits	18,099	18,099	19,100
Surgical interventions	3,217	3,217	3,400

Customers

Minors up to 17 years old

Program Description

Provide the indigent population access to quality medical services through the financing of medical expenses when income and/or resources are insufficient. Anyone that applies for the Health Services Insurance Card is eligible according to the category and indigence parameters established at the federal and state levels. It should be noted, that the Department of Health is the state agency designated to administer the Federal Medical Assistance Program (Title XIX of the Social Security Act, which began in Puerto Rico on January 1, 1966, by virtue of Public Act 89-97 of July 30, 1965 and Title XIX, also known as the Children's Health Insurance Program.

Customers

Any person with limited or no income, that seeks eligibility for the Commonwealth of Puerto Rico's Medical Health Plan, better known as Medicaid or Health Reform Program.

Program Description

Implements public policy related to the health sector and directs the agency's programs. It is composed by the following offices: Secretary of Health, Auxiliary Secretary, Legal Counsel, Communications, Internal Audit, Federal Affairs, Special Aides, General Health Council, the Fund for Catastrophic Illnesses Office, and the Office of the Pan-American Health Organization (OPS, Spanish acronym). This last office places Puerto Rico within an international context, as advisor and beneficiary of the experiences of other countries within the perspective of scientific-technological developments and needs within the health area. In addition, it includes the Commission for Suicide Prevention, (Act 227-1999, as amended), the Puerto Rico Commission for Food and Nutrition (Act 10-1991) and the Office of Implementation and Monitoring of HIPAA. The latter has the responsibility of overseeing compliance with the HIPAA law by making sure the entities ascribed to the Department of Health tend to and provide follow-up to the administrative phase. The Investigations Office is included in this program to assist the Secretary with areas related to the provision of quality services to citizens and sound administration of the Department of Health and its subsidiaries.

Customers

The general population

Program Description

The Demographic Registry of Puerto Rico (RDPR, Spanish acronym), is the custodian of vital statistic records that contain the demographic data of citizens. It provides service of the highest quality to guarantee confidentiality, privacy and security for the registration of vital events and issuance of documents. It is also responsible for compiling, through its certificates and documents, social, demographic, epidemiological and medical-clinical data about the Puerto Rican population. This data serves as basis for scientific research, report generation, decision making and for the implementation of public policy. The Registry includes one central office, 7 regional directorates and 78 local registries as well as 3 special registries.

In the local offices, all births, marriages, deaths and fetal deaths that occur in Puerto Rico are registered. On the other hand, the Registry has responsibilities of an administrative as well as judicial nature, such as: emancipations, legitimizations, adoptions, late registrations by judicial order, annulment of marriages and marriages by proxy.

Statistical Data	2011	2012	2013
Birth certificates issued	871,154	872,025	880,745
Death certificates issued	112,540	112,653	113,665
Inscriptions - Subtotal	96,001	96,098	97,085
Locations - mechanized clearances	20,236	20,256	20,460
Locations - other transactions	22,779	22,801	23,030
Other certifications such as negative certifications, marriage licenses and other	19,391	19,411	19,131
Quality control - control, review and verification transactions	96,343	96,440	97,440
Rare causes and AIDS deaths processed and verified	16	16	12
Registration - Births	45,186	45,231	45,700
Registration - Deaths	29,763	29,793	30,100
Registration - Marriages	20,450	20,470	20,675
Registration - Stillborn	602	603	610
Shipments - permits to transfer corpses	27,938	27,966	28,250
Stillborn death certificates issued	129	129	205
Subtotal certificates issued	1,112,344	1,113,457	1,124,082
Vital operations - Children recognition	3,341	3,346	1,810
Vital operations - adoptions	342	342	345
Vital operations - divorces received and controlled	14,614	14,629	14,775
Vital operations - emancipations for minors 18 years	2,680	2,683	2,685
Vital operations - legitimization of children from other marriages	120	120	150
Vital operations - other adoption transactions, late registrations, marriages by proxy, marriage signature registers, medical legal deaths and others	28,417	28,447	28,750
Vital operations - system corrections	2,544	2,547	2,675
Vital operations Subtotal	52,058	52,114	23,030
Wedding certificates issued	81,192	81,273	82,086

Customers

The entire population of Puerto Rico.

Program Description

Administer the state public health facilities that provide primary, secondary and tertiary medical-hospital services in the different medical specialties and sub-specialties. Through this Program, services of the highest quality in hospitalization, emergency and external clinics are made available to the community within the serviced geographical area. This program encompasses the health services offered through the unsold health facilities. This includes the Bayamon Regional Hospital and the following health centers: Naguabo, Las Piedras, Yabucoa, Santa Isabel, Adjuntas, Vieques and the Public Health Unit of Río Piedras. Emergency rooms operate 24 hours a day in: Aguas Buenas, Barceloneta, Camuy, Castañer, Ciales, Corozal, Culebra, Dorado, Guánica, Guayanilla, Jayuya, Isabela, Lajas, Lares, Maricao, Maunabo,Morovis, Quebradillas, Sabana Grande, Toa Alta, Toa Baja and Trujillo Alto.

Customers

The general public, with emphasis on the medically indigent population

Program Description

Serves as an institutional and support tool for the Department of Health's executives to facilitate the decision making process and allow them to meet established goals in an efficient and productive manner. In addition, it counsels the Secretary of Health in matters pertaining to the health of the population by analyzing the data generated by the Department and identifying predominant health tendencies. Some of the activities that need to be completed in order to meet established goals are: systematize and institutionalize the planning process, formulate short and long term plans, monitor the quality of the services, develop and analyze health related statistics, allow easy access to the patient medical records and information, and determine eligibility to the Puerto Rico's Government Medical Plan.

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

The Department, Federal Government institutions, other public agencies, private entities, students and the general public.

Program Description

This program is part of the Department of Agriculture's Federal Food and Consumer Services Program. It provides services to low income pregnant women, infants and children from 1 to 5 years of age who are at nutritional risk. The program includes nutritionists, nurses and doctors that evaluate the participant's medical-nutritional needs to establish the food supplements each should have, according to their risk and dietary needs. The program provides food stamps that can be redeemed in previously authorized commercial establishments. There are 700 authorized stores throughout Puerto Rico. The foods provided to the participants must meet the nutritional criteria established by the Federal Government, which includes: sources of protein, calcium, iron and vitamins C and A, among others.

Statistical Data	2011	2012	2013
Children	413,844	417,982	421,743
Infants	162,786	164,413	165,392
Nursing infants	22,449	22,673	22,877
Post- partum	44,657	45,103	45,508
Pregnant women	96,626	97,592	98,470

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

Composed of low income pregnant, lactating or post-partum women; as well as infants and children from 1 to 5 years of age, that are at nutritional risk during a critical period of their development, and that qualify according to the criteria of eligibility by income. On average 199,077 cases are seen on a monthly basis.

Program Description

Develops standards; plans and evaluates primary health services through a preventive, comprehensive and holistic focus on the individual within the context of a family group. As of Administrative Order No. 179 of January 15, 2003, a new focus for health services became official. It is founded on the following principles: the prevention of risk factors associated with non-contagious chronic illnesses; restructuring to create effective promotional models in response to public health and aimed at protecting the health and security of the individuals and the communities through vaccination; monitoring epidemiological diseases and the environmental aspects that affect public health. The program revolves around the provision of health maintenance and disease prevention services, with an emphasis on the medically indigent population, specifically on high risk groups such as women, children with special health needs, adolescents and the elderly. Through this Program, specialized services are also offered to the handicapped population from 0 to 21 years of age and to victims of sexual assault. In addition, assessment and treatment for patient with HIV and other contagious diseases. Vaccination services are offered as well as diagnostic and intervention services for eligible handicapped infants from birth to 2 years of age as provided by Act 51 of June 6, 1966, as amended, that created the Office of the Auxiliary Secretary of Integrated Educational Services for Handicapped Persons, known as the Special Education Act. It is important to note that this Program also includes the Fund for the Treatment of Non-Fatal Catastrophic Illnesses that offers financial assistance to patients that lack the financial resources, and to their families.

Statistical Data	2011	2012	2013
Cancer preventive services	102	102	102
Cases of aids deaths	389	322	314
Cases receiving benefits from the catastrophic illness fund	188	190	200
Issuing cards to seniors	14,281	14,281	13,648
Services to rape victims (counseling, therapy, referrals, education, etc.)	52,000	52,000	52,000
Sexually transmitted diseases diagnosed cases	12,744	13,818	13,818
Special children services	83,598	83,598	83,598
Vaccination - doses administered	3,963,132	3,963,132	1,242,410

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013

Customers

Children, pregnant women, adolescents, the elderly and physically and mentally handicapped persons, as well as patients with Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency Syndrome (AIDS) and sexually transmitted diseases

Program Description

Oversees and complies with the sanitation laws and regulations of the Department of Health. Also responsible for public health in the areas of food services, milk safety, drinking water control, zoonosis, animal control, dengue fever control, the cleanliness of the surrounding environments, sanitary engineering and radiological health.

Provides guidance, has an evaluation process and maintains reliable information regarding all of the problems related to environmental health. The system has 3 levels. The central level exercises the functions of technical support, evaluation and training; and formulates the standards and procedures related with the regulation of environmental health. The regional level exercises the administrative duties and provides direction for the system according to the standards and procedures established by the central level. Finally, the local level carries out field operations, which include: inspections, reinspections, taking of samples for chemical, bacteriological and physical analysis, confiscations, embargoes, condemnations, cancels licenses, handles complaints, lifting of condemnations, pesticide spraying in communities, sanitation surveys, cleaning campaigns, issuing of permits, endorsements, certifications, granting of extensions of time and investigation of complaints in the programs and service areas, and first response services in the event of emergencies.

Statistical Data	2011	2012	2013
Aqueducts bacteriological samples	3,575	6,170	3,000
Food factory inspection	1,656	1,368	1,000
Inspection of milk facilities	597	484	500
Restaurants and food services inspections	13,466	13,799	10,000
X-ray machine inspection	1,612	720	1,000

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

Environmental health services have an impact on the entire population of Puerto Rico. In addition, they also have an impact abroad, as is the case of the production and distribution of food and drugs that are made in, or sent out of the Country.

Program Description

Plans, issues standards, and expedites licenses to regulate and provide accreditation for health institutions and services. One of its functions is to make certain that all health facilities are established in an orderly manner by ensuring compliance with the laws, regulations and state and federal standards and make sure that all institutions are duly authorized, licensed and certified so that the beneficiaries receive the appropriate quality services. Among its activities is the Certification of Need and Convenience required to establish health facilities in Puerto Rico; the regular inspection of the facilities committed to drug manufacturing and distribution; the regulation of clinical and anatomical laboratory operations, blood banks, plasmapheresis and serumpheresis; the inspection required to certify health facilities participating in the Medicaid, Medicare and the Clinical Laboratory Improvement Amendments (CLIA). The inspection of state, municipal and private ambulances; the inspection and licensing of Tattoo Studios; the maintenance of a Demographic Artists Registry; authorizes the issuing of Health Certificates by physicians and administers the Patient's Bill of Rights. On the other hand, it investigates complaints related to health services and the Board of Drug Bioequivalent is ascribed to it. The Board's purpose is to educate patients regarding the use, accessibility and benefits of bioequivalent drugs.

Customers

This Program grants licenses and inspects health installations, establishments, ambulances, products and drugs.

• 72 Hospital
• 5 Extended Care Units
• 6 Health Houses
• 7 Rehabilitation Centers
• 6 Mental Health Centers
• 2 Mental Retardation Medical Installations
• 39 Renal Units
• 28 Ambulatory Surgery Centers
• 15 Emergency Wards
• 1 Public Health Units
• 127 Diagnostic and Treatment Centers
• 2 Psychosocial Rehabilitation Centers
• 47 Home Health Services Programs
• 37 Hospices
• 32 Pharmaceutical Industries
• 736 Medicine Chests
• 877 Clinical Pathology Laboratories, Blood Banks y Medical Offices
• 985 Pharmacies
• 44 Druggist shops
• 35 Sales Agents
• 66 Wholesale Drug Distributors (OTC)
• 184 Retail Drug Distributors (OTC)
• 1,200 State, Municipal and Private Ambulances
• 696 Doctors authorized to issue Health Certificates, Tattoo and Body Piercing Artists
• 278 Certificates of Need and Convenience issued to establish newly created, purchased or remodeled facilities, among others
• 8 Abortion Centers
• 1,447 Biological Products
• 19 Veterinary Installations
• 3 Wholesale Veterinary Drug Distributors
• 105 Retail Veterinary Drug Distributors

Program Description

Advises the Health Secretary regarding the implementation of Act. No. 11 of June 23, 1976, as amended, known as the Puerto Rico's Integrated Health Services Reform Act and the different Health Professionals Examining Boards Organic Acts. Establishes and develops the administrative mechanisms for the sound operation of the Examining Board and audits the existing laws and regulations that govern them. The Medical Discipline Examining Board has the duty to regulate the practice of medicine in Puerto Rico and the development of medical education programs for students living on the island, but attending foreign medical schools. In addition, oversees and maintains custody of the records of the medical professionals, and reminds these professionals to comply with all registration and continuing education requirements.

Statistical Data	2011	2012	2013
Administrative hearings	15	71	82
Board meetings	322	388	268
Continuing education authorized institutions	200	160	181
Exams offered	82	77	79
Investigative hearings	55	129	418
Permanent licenses	5,078	4,576	6,938
Provisional licenses	4,303	5,295	7,083
Registered professionals	64,974	64,974	66,725

The statistical data was information provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

106,212 health professionals, including pharmacists, doctors, technologists, therapists, 28 examining boards and 53 health professions

Mental Retardation

Program Description

Provides individually focused, habilitation services and clinical treatment, through the Division of Services to Persons with Mental Retardation. The Division currently provides services to a total population of 658 persons between the ages of 15 to 55 years of age. These persons obtain services through the 8 Habilitation Development Centers (CDH, Spanish acronym), located in the municipalities of Bayamón, Cayey, Aibonito, Aguadilla, Ponce, Vega Baja, Juana Díaz and Río Grande. These centers provide holistic services in the areas of: Psychology, Social Work, Nursing, Occupational Therapy, Service Mediators, Rehabilitation Counselors, Consultation Services, Nutrition/Diet, Dental Clinic (Dentist), and Clinics.

The services offered at the Habilitation Development Centers are founded on psycho-educational programming aimed primarily at the development of independent living skills and abilities for the participant's prompt inclusion into the community. The participants benefit from the following independent living skills and abilities: self care and self help, domestic skills, skills and abilities conducive to community, for example: self-care and self-help, domestic skills, skills abilities conducive to community adjustment, social-emotional adjustment skills, the use of free time and recreation, functional-education, health and security, workforce preparation skills, job postings with agencies as well as with public and private entities.

Habilitation services are offered through 4 private institutions (Psycho-pedagogical Institute, the Modesto Gotay Foundation, the Shalom Center and the John Crisming Center), community homes and family homes, throughout the island. In the community homes, services are offered to 282 participants.

The program offers support to families with participants in homes by providing a housekeeper. This service is provided up to 4 hours a day up to two times a day, 7 days a week. There are currently 57 participants benefitting from this service.

The community homes, classified as community or substitute homes, are contracted by private providers through the Division. These providers must apply for the permits required by law (ARPE Use Permit, Fire Department and Environmental Health). In addition, a public and driver's liability policies are required. These homes are part of the community; homes are required to maintain a family atmosphere and total inclusion of the participant in the community. The provider offers the participant different community activities such as: movies, beaches, bowling, church, recreational activities, and activities planned by the community. Said homes may house 1 to 6 participants and the level of support required depends on the participant's condition. The homes are divided according to gender or according to physical needs.

The strategy of establishing Community Homes complies with the national tendency of non-institutionalization, and with the 5 year deinstitutionalization plan pursuant to the Federal Court case against the Mental Retardation Program (Case #99-1435 (PG), and the Olmsted VLC decision, 527 U.S. 581).

Statistical Data	2011	2012	2013
Customers served	800	875	875

Customers

Patients with mental retardation, including: children, adolescents and adults of both sexes, between the ages of 9 and 55 years of age. Services are currently being provided to a population of 658 persons with another 140 persons on a waiting list.

Program Description

Provides managerial and administrative support to the programmatic areas of the Department to facilitate the achievement of its goals. It also collaborates with the formulation of public policy in the managerial and administrative fields as well as contributes to the development of effective strategies. It plans, develops and coordinates the responsibilities, in the administrative aspect, of the Department's central offices, which are: Purchases and Auctions, Finances, General Services, Health Facilities, Facility Lease Agreements, Risk and Security Office, Human Resources Office and Budgeting Office. On the other hand, it coordinates the implementation of the Secretary's management strategies, revises work plans and proposals for contracts, and plans and coordinates the administrative functions of the Department.

Customers

Department of Health's Programmatic Units and the general public.

Program Description

Comprised of the Central Administration Unit of the Health Department's Laboratory Institute; the Special Clinical and Sanitary Laboratories at the central level; Health Department Laboratories in Ponce, Mayagüez and Arecibo and the Toxicology Laboratory; the Office for Certification of Hygienic Laboratories on the island; and the Proficiency Service for Clinical Laboratories. The Public Health Laboratory at the Central level offers clinical services in general bacteriology, immunology, rabies, tuberculosis and parasitology, certified by the Centers for Disease Control and Prevention (CDC) and directly related to that Center. The Rabies Laboratory is the only such facility for Puerto Rico and the Virgin Islands. The Alcohol Toxicology Laboratory offers its services to the Police, the Court System, the Department of Justice and the Administration for Compensation of Automobile Accidents. The sanitary component of the Public Health Laboratory includes: Potable Water Chemistry and Microbiology, Milk Chemistry and Microbiology and Food Chemistry and Microbiology.

The Office of Sanitary Laboratory Certification was established in 1986, at the request of the Environmental Protection Agency (EPA). This Agency's Certifying Officers (approved and certified by the EPA) certify the drinking water labs of the Aqueducts and Sewer Authority (AAA, Spanish acronym) and others laboratories on the island. It also handles the Department of Health's Proficiency Program, which measures the quality of the services offered by Puerto Rico's clinical laboratories, both public and private, by sending unidentified samples regularly to all of clinical laboratories.

Statistical Data	2011	2012	2013
Certification visits	64	50	67
Clinical laboratories	300,000	280,000	165,663
Environmental laboratories	32,208	30,000	21,892
Forensic Toxicology Lab: Court appearance	1,030	1,000	908
Forensic Toxicology Lab: Machine check	869	850	866
Forensic Toxicology Lab: No sender samples	869	800
Forensic toxicology laboratory: samples analyzed	1,725	900	711
Proficiencies program; samples submitted	206,165	180,000	158,807
Samplers collector certifications	362	329	287
Samples prepared	206,165	200,000	176,203
Samples submitted	206,165	180,000	158,807
Technical trainings	20	20	14

The statistical data was provided by the Agency during the budgetary process for fiscal year 2012-2013.

Customers

The Department of Health, the Department of Justice, the Administration for Automobile Accident Compensation, the Commission for Traffic Safety, Federal Agencies, all certified laboratories in Puerto Rico, educational entities and professional associations.

Program Description

Develop standards, plans and evaluates primary health services focused on prevention. It also provides disease prevention services with emphasis on the medically indigent population, specially the high risk groups: women, children and adolescents, children with special needs, the elderly, Alzheimer's patients and rape victims. Educates and treats patients with of HIV and AIDS, as well as other contagious diseases, with emphasis on community services.

Customers

Residents of marginalized and needy communities in Puerto Rico, specifically those from the special communities and the public housing projects.

Program Description

Monitors public policy as it relates to the Health Services Card and oversees the medical-hospital services, through private or governmental health installations in each municipality. Guarantees that all persons, without regard to economic condition, have access to health services 24 hours a day.

Customers

The public that qualifies for services through the Health Reform.

FISCAL YEAR 2012-2013 PROPOSED BUDGET

The proposed consolidated budget for Fiscal Year 2012-2013 amounts to $825,833,000. This amount includes $264,722,000 from the Joint Resolution General Fund, $16,910,000 from Special Appropriations, $15,120,000 from State Special Funds, $425,397,000 in Federal Funds and $103,684,000 in Revenues from Internal Sources.

Operational expenses reflect a decrease of $53,248,000 when compared to funds assigned in fiscal year 2011-2012 due to a loss of non-recurring ARRA funds, to adjustments in the Public Corporations¿ Consumption Estimates for 2012-2013 and to the implementation of an early retirement incentive program.

Resources from the Joint Resolution General Fund will allow the Department to comply with its programmatic objectives and to place a bigger emphasis on the Health Promotion and Protection Program and on the University Adult Hospital and the University Pediatric Hospital.

Special Appropriations include, $8,000,000 to comply with Act 150 of August 19, 1996, which created the Catastrophic Illness Services Fund; $1,800,000 assigned for Hepatitis C (Act 42 of January 3, 2003); $350,000 to comply with formulation of public policy for the community with autistic disorders or conditions (Act 318 of December 28, 2003); $550,000 to be transferred to the Society for Education and Rehabilitation of Puerto Rico (SER); and $300,000 for the Mercedes Rubí Foundation. In addition, $250,000 are included to cover the operating costs of the Coordinating Board (Donations and Transplants Act); $150,000 for the Modesto Gotay Foundation, $100,000 for the Program for the Prevention and Vigilance of Children's Medical Emergencies (Act 259 of August 31, 2000), $30,000 for the Histotechnological Examining Board (Act 258 of August 31, 2000); $30,000 for the Examining Board of Naturopathy (Act 208 of December 30, 1997); $1,000,000 to comply with Act No. 139 of August 19, 2008, known as the Medical Licensing and Discipline Board Act, which rules the practice of medicine in Puerto Rico and is ascribed to the Department of Health; $30,000 to comply with Act 237 of August 15, 1999, to establish the Alzheimer's Registry, $10,000 to comply with Act 254 of September 3, 2003, to regulate the practice of Massage Therapy; $100,000 for the Commission on Food and Nutrition (Act 10 of January 8, 1999); $25,000 to Regulate the Practice of Smoking in Designated Public and Private Places (Act 40 of August 3, 1993); $250,000 for Puerto Rico's Renal Council (Joint Resolution 204 of August 8, 2006) $500,000 for the Aerial Subsidy of the Municipality of Vieques; $10,000 for the Professional Council Examining Board (Act 147 of August 9, 2002), $10,000 to Regulate the Practice of Psychology (Act 96 of June 4, 1983), $40,000 for the Commission for the Implementation of Public Policy for the Prevention of Suicide (Act 227 of August 12, 1999), $300,000 for operating costs of the American Cancer Society, $75,000 for the Puerto Rican Cancer League and $3,000,000 for the Trauma Center at Mayagüez.

State Special Funds are from the sale of the Puerto Rico Lottery and the Fund for the Treatment of Curable Catastrophic Illnesses; funds raised from the issuance of licenses, birth certificates, death certificates, certification of professionals and others. Revenues from Internal Sources are generated through medical insurance billing and collections, paying customers and from services rendered by the Health Services Card at the University Adult Hospital, the University Pediatric Hospital and in other public health installations.

The contributing federal programs include Supplemental Nutrition Program for Women, Infants and Children, Medical Assistance Program, HIV Care Formula Grant, Bioterrorism Hospital Preparedness Program and the Maternal and Child Health Services Block Grant. These resources are used to certify medically-indigent health insurance beneficiaries and to provide educational services in food and nutrition to nutritionally at-risk women and children. They also allow support and treatment services to be offered to HIV positive patients; women, infants and children with special needs.