Congressional Justification FY 2023

DEPARTMENT OF HEALTH AND HUMAN SERVICES

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health (NCCIH)

On this page:

• Organization Chart
• Appropriation Language
• Amounts Available for Obligation
• Budget Mechanism Table
• Major Changes in Budget Request
• Summary of Changes
• Budget Graphs
• Budget Authority by Activity
• Authorizing Legislation
• Appropriations History
• Justification of Budget Request
• Budget Authority by Object Class
• Salaries and Expenses
• Detail of Full-Time Equivalent Employment (FTE)
• Detail of Positions

NATIONAL INSTITUTES OF HEALTH

NATIONAL CENTER FOR COMPLEMENTARY AND INTEGRATIVE HEALTH

For carrying out section 301 and title IV of the PHS Act with respect to complementary and integrative health, $183,368,000.

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Amounts Available for Obligation ¹

(Dollars in Thousands)

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Budget Mechanism - Total ¹

(Dollars in Thousands)

¹ All items in italics and brackets are non-add entries.

Major Changes in the Budget Request

Major changes by budget mechanism and/or budget activity detail are briefly described below. Note that there may be overlap between budget mechanisms and activity detail, and these highlights will not sum to the total change for the FY 2023 budget request for the NCCIH, which is $183.4 million, an increase of $29.2 million from the FY 2022 CR level. Within the request level, NCCIH will pursue its highest research priorities through strategic investments and careful stewardship of appropriated funds.

Research Project Grants (+$26.7 million; total $112.3 million): NCCIH will support a total of 203 Research Project Grant (RPG) awards in FY 2023. Noncompeting RPGs will decrease by $3.6 million, while Competing RPG awards will increase by $29.3 million.

R&D Contracts (+$0.2 million; total $11.4 million): NCCIH will continue its annual support to the National Health Interview Survey (NHIS) and other mission-supporting Research and Development Contracts.

Intramural Research (+$1.5 million; total $16.2 million): NCCIH will continue to support intramural research activities, including the NIH Pain Research Center.

Research Management and Support (+$2.2 million; total $21.8 million): NCCIH will manage a full-time equivalent staff level of 100 and fund the costs of pay raises, benefit increases, and other inflation.

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Summary of Changes

(Dollars in Thousands)

Fiscal Year 2023 Budget Graphs

History of Budget Authority and FTEs:

Distribution by Mechanism:

Change by Selected Mechanisms:

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Budget Authority by Activity¹

(Dollars in Thousands)

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Authorizing Legislation

	PHS Act/Other Citation	U.S. Code Citation	2022 Amount Authorized		FY 2022 CR	2023 Amount Authorized		FY 2023 President’s Budget
Research and Investigation	Section 301	42§241	Indefinite			Indefinite
					$154,162,000			$183,368,000
National Center for Complementary and Integrative Health	Section 401(a)	42§281	Indefinite			Indefinite
Total, Budget Authority					$154,162,000			$183,368,000

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Appropriations History

Justification of Budget Request

National Center for Complementary and Integrative Health

Authorizing Legislation: Section 301 and title IV of the Public Health Service Act, as amended.

Budget Authority (BA):

Program funds are allocated as follows: Competitive Grants/Cooperative Agreements; Contracts; Direct Federal/Intramural and Other.

Overall Budget Policy: The FY 2023 President’s Budget request for NCCIH is $183.4 million, an increase of $29.2 million or 18.9 percent above the FY 2022 CR level. $26.0 million of this increase will be allocated to expanding NCCIH research into pain and pain management.

Director's Overview

The mission of the National Center for Complementary and Integrative Health (NCCIH) is to define, through rigorous scientific investigation, the fundamental mechanisms, usefulness, and safety of complementary and integrative health approaches and their roles in improving health and health care.

Americans spend approximately $30.2 billion per year on complementary health treatments, practices, and products.¹ This diverse group of health practices includes nutritional, psychological, and physical approaches that may have originated outside of conventional medicine. These include natural products, such as dietary supplements, plant-based products, and probiotics, as well as mind and body approaches, such as yoga, massage therapy, meditation, mindfulness-based stress reduction, spinal manipulation, and acupuncture. These treatment and self-care options are typically used in conjunction with conventional medicine to promote health and well-being, manage symptoms of a disease or condition, or alleviate side effects of medications. Integrative health care seeks to bring conventional and complementary approaches together in a safe, coordinated way with the goal of improving clinical care for patients, restoring health, promoting resilience, and preventing disease.

During the last few years, NCCIH has continued to expand research efforts around pain and pain management. The Center supported research on natural products for pain management, including cannabinoids and terpenes. The Center funded a large-scale, multisite, multicomponent clinical trial investigating the use of spinal manipulation and patient self-management to prevent back pain chronicity. Finally, the Center continued support of the National Institutes of Health (NIH)–Department of Defense (DoD)–Department of Veterans Affairs (VA) Pain Management Collaboratory.

As a responsible steward of resources, we are highly selective and support a broad range of scientifically meritorious basic, mechanistic, clinical, translational, dissemination, and implementation research. We focus on areas with the greatest impact by prioritizing research topics that show scientific promise and are amenable to rigorous scientific inquiry. We strive to invest in research that will drive new discoveries and may lead to improved public health and health care. The following are some of our recent efforts to respond to the ever-changing world and to enhance human health and well-being.

The importance of complementary and integrative health approaches during a pandemic

As the COVID-19 pandemic continues to take lives around the world, the social distancing measures put in place to stop the spread of the SARS-CoV-2 virus have profoundly affected daily life, shutting down businesses, schools, and cities, adding to the stress caused by illness and grief. As the stress and social isolation of the pandemic took a toll on the population, complementary and integrative health approaches were uniquely positioned to help. Many complementary and integrative health practices, such as yoga, mindfulness meditation, and basic relaxation techniques, can help promote resilience during stressful or adverse life events. The ability to implement these practices into self-care routines at home makes them ideal during a socially isolated pandemic. In response to the pandemic, NCCIH worked to expand research related to behavioral interventions for stress management, evaluate natural products for the treatment and management of COVID-19, and improve digital health care interventions (e.g., mobile health [mHealth], telemedicine and telehealth, health information technology [IT], and wearable devices) for long-distance treatment and self-care. The Center supported research to improve the understanding, prevention, and treatment of “long COVID,” a condition characterized by prolonged COVID-19 symptoms. In addition to these efforts, the NCCIH Office of Communications and Public Liaison worked to dispel misinformation about dangerous and ineffective alternative medicine approaches for the treatment or prevention of COVID-19.

The COVID-19 pandemic also highlighted a need for research that focuses on health and the whole person. For example, although COVID-19 is a respiratory infection, chronic conditions in other body systems are important factors in its severity and mortality and, layered with socioeconomic factors, serve to exacerbate the burden of COVID-19. COVID-19 may be the first major pandemic of our lifetime, but Americans have been facing the realities of “non-communicable epidemics” for some time—opioid abuse, chronic pain, obesity, diabetes, and suicide. As a nation, the United States is in an alarmingly poor overall state of health. This situation manifests in the decline in life expectancy and the prevalence of multiple chronic conditions in individuals, such as obesity, diabetes, cardiovascular disease, and degenerative joint disease. Many of these chronic diseases are not only linked to chronic pain and COVID-19 severity but also share common roots, such as poor diet, sedentary lifestyle, and chronic stress. Now, more than ever, there is a need to look at the multiple factors that promote either health or disease and scientifically consider the whole person as a complex system in which health and disease are part of a bidirectional continuum.

The current biomedical research model is superb in advancing the diagnosis and pharmacologic treatment of organ-specific diseases with growing precision. This knowledge is based on an increasingly sophisticated understanding of pathogenesis—the mechanisms by which diseases occur. On the other hand, health restoration through self-care, lifestyle, or behavioral interventions is much less studied. This is a new area of focus for NCCIH, which is referred to as research on whole person health and is highlighted in our most recent strategic plan. Research on whole person health focuses on health as a biopsychosocial process that involves the whole person. By deepening our scientific understanding of the connections that exist across domains of human health, we can better understand how conditions interrelate, define multicomponent interventions that address these problems, and improve how we support patients through the full continuum of their health experience, including the return to health.

The pain and opioid misuse epidemic

Pain is a major public health problem and is the most common reason why Americans use complementary and integrative health practices. Chronic pain affects millions of people, lacks effective treatments, and is a primary driver of opioid use disorders. There is an urgent need for nonaddictive approaches that can relieve or reduce pain and increase functional ability. NCCIH has taken on this challenge by investing heavily in pain and pain management research.

The Center’s Intramural Research Program conducts basic, clinical, and translational research focusing on the role of the brain in perceiving, modifying, and managing pain. NCCIH is also leading an effort to establish and maintain an intramural pain research center within the NIH Clinical Center. The NIH Pain Research Center is an evolving, multidisciplinary, multi-Institute initiative. Its mission is to better understand the mechanisms of diverse pain states to recommend personalized therapies to better manage or prevent the development of chronic pain.

Through its Extramural Research Program, NCCIH supports pain and pain management research across the clinical pipeline from basic and mechanistic research through dissemination and implementation research. These efforts focus on understanding the basic biology of pain, identifying novel natural products for pain management, optimizing behavioral approaches to manage pain and opioid cravings, evaluating pain management options in real-world settings, and improving the implementation of evidence-based practices.

NCCIH Framework for Clinical Research

Efforts related to dissemination and implementation research

The focus of research that NCCIH supports is the use of science to enhance and maintain human health through complementary and integrative health approaches. It is important that the lessons learned from this research are relevant to inform and improve the quality of health, delivery of services, and utilization and sustainability of evidence-based treatment options. For many years, it has been assumed that tools and interventions deemed efficacious within clinical or community-based trials would be readily adopted and implemented; however, compelling evidence suggests that this has not been the case. This is true across all biomedical specialties, not just complementary and integrative health. NCCIH is seeking to remedy the gap between research and treatment by investing in dissemination and implementation research. Dissemination research seeks to understand how best to spread and sustain knowledge about cutting-edge, evidence-based interventions. Implementation science seeks to understand why efficacious tools and interventions are not being adopted and how those barriers can be overcome. NCCIH has made dissemination and implementation research a high scientific priority. The goals of this effort are to facilitate the uptake and adoption of evidence-based complementary and integrative health approaches, to advance the fields of dissemination and implementation science, and to increase awareness of the importance of dissemination and implementation research. NCCIH plans to accomplish this goal through targeted stakeholder outreach, expanded funding opportunities, and updated messaging. The following are some of the efforts the Center has undertaken in this area.

In 2019, NCCIH convened an expert panel to discuss implementation methodologies and potential paths forward. The panel identified many factors that can impact the implementation of evidence-based interventions. These include insurance coverage, patient expectations, physician recommendations, cultural background, and intervention availability. This meeting identified the landscape of issues to be addressed for successful implementation of evidence-based practices and has helped shape the Center’s strategies for advancing this area of science.

NCCIH is working to support research that evaluates hurdles to the dissemination and implementation of evidence-based practices and develops strategies to pass them. The Center has released funding opportunities specific to these issues. In addition, NCCIH expanded pragmatic clinical research initiatives such as the NIH Health Care Systems Research Collaboratory, the Pragmatic and Implementation Studies for the Management of Pain to Reduce Opioid Prescribing (PRISM), and the NIH-DoD-VA Pain Management Collaboratory to include dissemination and implementation research. The hope is that research supported by these initiatives will increase uptake of evidence-based treatments by engaging policymakers, payers, health care providers, and patients across diverse patient care settings.

In addition to new funding opportunities, NCCIH has worked to communicate the importance of dissemination and implementation research. The Center published a scientific review article on the topic, included dissemination and implementation research as a scientific priority in its most recent strategic plan, and added dissemination and implementation research to its framework for clinical research. These moves were intended to highlight the importance of this area of research and to encourage investigators to think about implementation at the beginning of a study.

Program Descriptions

Extramural Basic Research (Not Pain Related)

The NCCIH extramural basic research program seeks to understand the fundamental science of complementary health approaches such as their biology, physiology, and physical, chemical, and behavioral properties. This includes research on basic physiological and pathophysiological mechanisms relevant to complementary and integrative health. It also includes identifying and understanding the active components of a complementary health approach and how these components produce effects. Depending on the question, basic and mechanistic studies may be performed in the laboratory, in experimental models, or with research participants. NCCIH is also energizing the research community to overcome the methodologic and technologic obstacles hindering basic research on natural products and nonpharmacologic therapies, as well as encouraging the incorporation of cutting-edge technologies to monitor and enhance these interventions. The following is an example of research supported by this program.

Researchers from the Massachusetts Institute of Technology and the Salk Institute for Biological Studies evaluated how social isolation impacts the brain and how that compares to hunger. The researchers used functional magnetic resonance imaging (fMRI) to monitor brain activity following 10 hours of social isolation or fasting. They found similarities in the brain’s craving responses to social isolation and hunger. Specifically, a small structure in the midbrain called the substantia nigra pars compacta and ventral tegmental area (SN/VTA) responded to both food cues after fasting and social cues after isolation. The SN/VTA consists mostly of dopaminergic neurons, which are nerve cells that create and release the brain chemical dopamine. In other parts of the brain, including the striatal and cortical regions, neural responses differed between craving food and craving social interaction. Both fasting and social isolation narrowed and focused the brain’s motivational response to the specific type of deprivation. The finding of an SN/VTA response to social cues after isolation supports the idea that positive social interactions are indeed a basic human need and that acute loneliness is an unpleasant state that motivates people to repair what is lacking, similar to hunger. The researchers indicated that a vital next question is how much and what kinds of positive social interaction are sufficient to fulfill social needs and thus eliminate the neural craving response.²

Budget Policy:

The FY 2023 President’s Budget request for extramural basic research (non-pain) is $28.7 million, a decrease of $0.8 million compared with the FY 2022 CR level.

Extramural Clinical Research (Not Pain Related)

The NCCIH extramural clinical research program supports trials of complementary and integrative health approaches, including early- and mid-phase testing to assess biological signatures of these interventions in humans (and replication of these effects), define appropriate dosage, refine the components and mode of intervention delivery, determine optimal frequency or duration of the intervention, assess feasibility, and enhance adherence. The Center also supports later stage full-scale efficacy and effectiveness trials when the evidence base is sufficient to justify them. When interventions have been found effective, the Center supports pragmatic or implementation trials to integrate the interventions into health care systems. The following is an example of research supported by this program.

Researchers from New York University Grossman School of Medicine and Boston University compared the effect of Kundalini yoga to cognitive behavioral therapy (CBT) for the treatment of generalized anxiety disorder (GAD). GAD is a condition in which people feel extremely worried about things like health, money, or family problems, even when there’s little reason to worry about them. People with GAD find it hard to control their anxiety and focus on other things. CBT is an effective first-line, evidence-based psychotherapy for GAD, but many people do not receive CBT because of cost, stigma, or logistical reasons. Increasingly, people are seeking alternative interventions, such as yoga, outside the medical system. This study sought to help fill a knowledge gap on the potential benefits of yoga for GAD and how it compares to CBT. The study was a randomized, controlled, single-blind clinical trial with 230 participants. Each participant was assigned to one of three interventions: Kundalini yoga, CBT, and a control stress education course. The researchers found that Kundalini yoga was helpful for adults with GAD but not as effective as CBT. However, they noted that given the increasing costs of health care and barriers to accessing trained mental health professionals, yoga may play a role in GAD management as a more easily accessible intervention.³

Budget Policy:

The FY 2023 President’s Budget request for extramural clinical research (non-pain) is $40.6 million, an increase of $0.8 million compared with the FY 2022 CR level.

Extramural Pain and Pain Management Research

Pain is a major public health problem and is the most common reason why Americans use complementary and integrative health practices. Therefore, NCCIH has made pain management a major emphasis in its research efforts. The NCCIH extramural pain and pain management research program supports basic and clinical research on the biological basis of pain and the development, evaluation, and implementation of complementary and integrative pain management techniques. The following is an example of research supported by this program.

Researchers from Stanford University found that a single 2-hour pain self-management skills class is no less effective than an 8-week, 16-hour cognitive behavioral therapy (CBT) program for reducing pain catastrophizing, pain intensity, and pain interference in adults with chronic low-back pain. Previous research had shown that a CBT program that focuses on pain self-management skills can help people with chronic low-back pain feel better, at least in part by reducing pain catastrophizing (a pattern of response that includes paying a lot of attention to the pain and feeling helpless). However, because CBT typically involves 8 to 12 group sessions, some people may not be able to participate because of time, cost, or limited availability of therapists. More rapid and efficient options would be valuable. The investigators who conducted this study wanted to know if a single 2-hour pain self-management skills class could be as effective as CBT. In the study, 263 adults with chronic low-back pain were randomly assigned to a single 2-hour pain relief skills class, an 8-session (16-hour) group CBT program, or a single 2-hour back pain health education class that did not teach pain management skills. The study indicated that a single pain management skills class can have meaningful benefits for patients with chronic low-back pain. The researchers suggested that this new intervention could improve access to care due to its adaptability and low cost. They cautioned, however, that the study’s participants were mostly White and of high socioeconomic status. More research is needed to determine if similar results can be obtained with participants of different socioeconomic status or in racially/ethnically diverse populations ⁴

Budget Policy:

The FY 2023 President’s Budget request for extramural pain and pain management research is $66.0 million, an increase of $26.0 million compared with the FY 2022 CR level.

Intramural Research

The NCCIH Division of Intramural Research conducts basic, clinical, and translational research focusing on the role of the nervous system, other physiological systems, and psychosocial factors in perceiving, modifying, and managing pain, with the long-term goal of improving clinical management of chronic pain through the integration of pharmacologic and nonpharmacologic approaches. Research projects include investigating the role of the brain in pain processing and control, and how factors such as emotion, attention, environment, and genetics affect pain perception. The program includes research that explores how chronic pain produces changes in the brain that can modify how the brain reacts to pain medications such as opioids. The program both engages and leverages the exceptional basic and clinical research talent and resources of other neuroscience and neuroimaging efforts within the NIH intramural community. The NCCIH intramural program provides a rich environment for the training and development of clinical and basic scientists. The following is an example of research supported by this program.

NCCIH researchers compared the neural effects of placebo pain relief in people with fibromyalgia and healthy individuals. Fibromyalgia is a common disorder that involves widespread pain, tenderness, fatigue, and other symptoms. People with fibromyalgia and other individuals with chronic pain have anatomical, functional, and neurochemical changes in brain regions and neural pathways involved in placebo analgesia (pain relief in response to a “medicine” that contains no active pain-relieving ingredients). In a recent study, researchers investigated whether people with fibromyalgia differ from healthy control subjects in their behavioral and neural responses to placebo pain relief. In this study, 32 participants with mild-to-moderate fibromyalgia and chronic pain were matched with 46 healthy control subjects. These participants underwent placebo analgesic experiments during fMRI scans. The investigators found that there was no difference between the participants with fibromyalgia and the healthy control subjects in either pain intensity ratings or neural placebo-related responses, indicating that the placebo effect in individuals with fibromyalgia is comparable to that of healthy control subjects. Across all participants, placebo analgesia resulted in decreased pain intensity and unpleasantness ratings, less pain-related activity within the brain’s right insula and bilateral secondary somatosensory cortex, and reduced neurologic pain signature response. The results of this study also suggested that the placebo effects were driven more by conditioning than expectation. These findings might unveil new therapeutic strategies for people with chronic pain. The researchers recommend that future studies evaluate fibromyalgia patients who have more severe pain and disease burden to determine how these factors might affect placebo analgesia.⁵

Budget Policy:

The FY 2023 President’s Budget request for intramural research is $16.2 million, an increase of $1.5 million compared with the FY 2022 CR level.

Extramural Research Training and Capacity Building

Improving the capacity of the field to carry out rigorous research on complementary and integrative health approaches is a priority for the NCCIH. To increase the number, quality, and diversity of investigators conducting this research, NCCIH supports a variety of training and career development activities for predoctoral students, postdoctoral fellows, and early-career investigators. NCCIH’s training strategies include innovative approaches that incorporate an understanding of the wide variety of modalities and specializations represented in the complementary and integrative health fields. In addition to scientists trained in key biomedical and behavioral research disciplines, the Center has opportunities for clinician-scientists, including conventionally trained physicians, complementary health practitioners, and other health care professionals (e.g., clinical psychologists, nurses) who conduct research across a wide range of complementary and integrative health approaches, including a program to support research training for clinicians through the National Clinical and Translational Science Awards (CTSA) Program. NCCIH also has career development funding opportunities for individuals from groups who are underrepresented in scientific research (e.g., racial and ethnic minority populations) and are interested in careers in complementary and integrative health research. In addition to these funding initiatives, NCCIH supports workshops to help students and fellows connect to NIH funding opportunities, understand how to interact with NIH staff to develop research proposals, navigate the NIH peer review process successfully, develop resilience to overcome career roadblocks, and develop plans for a successful research career. The following is an example of recently published results from a supported investigator.

A clinician-scientist supported through a career development award helped develop a new metric for measuring mental states during meditation. Meditation practices are often used to promote interoception, an internally oriented attention to bodily sensations. However, exactly how meditation impacts internal attention states, such as the focus on breath, has been unclear because of a lack of measurement tools to objectively assess mental states during meditation. This study aimed to address this measurement gap. The team of researchers from the University of Texas at Austin, University of Toronto, University of Wisconsin-Madison, and University of California, San Francisco tested the feasibility of applying multi-voxel pattern analysis (MVPA) to single-subject fMRI neural data to learn and recognize internal attention states important for breath-focused meditation. The results of this study have helped make invisible internal processes visible and quantifiable. The researchers concluded that their findings establish the feasibility of using MVPA classifiers to objectively assess mental states during meditation. The development of measures to precisely assess the attentional qualities cultivated by meditation may provide the measurement power needed to rigorously test the attentional and emotional mechanisms through which meditation may improve health and well-being⁶

Budget Policy:

The FY 2023 President’s Budget request for extramural research training and capacity is $10.1 million, a decrease of $0.5 million compared with the FY 2022 CR level.

Research Management Support (RMS)

Through its RMS activities, NCCIH provides administrative, budgetary, information technology, logistical, and scientific support in the review, award, monitoring, and management of research grants, training awards, and contracts. RMS functions also encompass strategic planning, coordination, and evaluation of programs. The Center uses Qlik Sense, a data analytics platform, to compile interactive reports and enhanced dashboards to provide NCCIH leadership with trend data and performance indicators to ensure responsible stewardship of public funds. In addition to these activities, NCCIH disseminates objective, evidence-based information to the public, scientists, and health care providers to help them make informed decisions about the use of complementary and integrative health practices. All information is freely available on the NCCIH website (nccih.nih.gov) or through the NCCIH Information Clearinghouse.

Budget Policy:

The FY 2023 President’s Budget request for RMS is $21.8 million, an increase of $2.2 million compared with the FY 2022 CR level.

¹Nahin RL, Barnes PM, Stussman BJ. Expenditures on complementary health approaches: United States, 2012. National Health Statistics Reports; no. 95. Hyattsville, MD: National Center for Health Statistics. 2016.

²Tomova L, Wang KL, Thompson T, et al. Acute social isolation evokes midbrain craving responses similar to hunger. Nature Neuroscience. 2020;23(12):1597-1605.

³Simon NM, Hofmann SG, Rosenfield D, et al. Efficacy of yoga vs cognitive behavioral therapy vs stress education for the treatment of generalized anxiety disorder: a randomized clinical trial. JAMA Psychiatry. 2021;78(1):13-20.

⁴Darnall BD, Roy A, Chen AL, et al. Comparison of a single-session pain management skills intervention with a single-session health education intervention and 8 sessions of cognitive behavioral therapy in adults with chronic low back pain: a randomized clinical trial. JAMA Network Open. 2021;4(8):e2113401.

⁵Frangos E, Čeko M, Wang B, et al. Neural effects of placebo analgesia in fibromyalgia patients and healthy individuals. Pain. 2021;162(2):641-652.

⁶Weng HY, Lewis-Peacock JA, Hecht FM, et al. Focus on the breath: brain decoding reveals internal states of attention during meditation. Frontiers in Human Neuroscience. 2020;14:336.

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Budget Authority by Object Class¹

(Dollars in Thousands)

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Salaries and Expenses

(Dollars in Thousands)

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Detail of Full-Time Equivalent Employment (FTE)

NATIONAL INSTITUTES OF HEALTH

National Center for Complementary and Integrative Health

Detail of Positions¹