HRSA oversees a drug discount program for certain safety-net health care providers. HRSA also supports the nation's poison control centers and vaccine injury compensation programs, which distribute awards to individuals and families who have been injured by certain vaccines, after proving it to the National Vaccine Injury Compensation Program. The awards come from a trust fund that is funded by an excise tax on all vaccines. Whenever anyone gets a vaccine, there is a $.75 excise tax. The fund currently has almost $4 billion available (as of September 2019) for compensations to petitioners and for attorneys fees and costs of the program. History Predecessors Most of HRSA's bureaus have predecessors within the Public Health Service (PHS) Bureau of Medical Services or the Community Health Divisions of the Bureau of State Services; these were two of the three principal operating agencies of PHS from 1943 to 1966. During the U.S. Public Health Service reorganizations of 1966–1973, these were both absorbed into the short-lived Health Services and Mental Health Administration (HSMHA), which was formed in 1968 to bring together most of the Public Health Service's divisions other than its research and environmental health programs. The goal was to coordinate divisions with similar focus with a holistic rather than fragmented approach; however, it came to be seen as large and unwieldy. In 1973, HSMHA was abolished and split into four parts: the Center for Disease Control and National Institute of Mental Health were spun off within PHS, and the remaining functions were split between the newly established Health Services Administration and Health Resources Administration. The Health Services Administration inherited the system of hospitals that descended from PHS's founding in 1798. A few of HRSA's programs have origins outside PHS, though. The Maternal and Child Health Bureau originates from a 1969 split of the Children's Bureau, with its special projects, training, and research programs moving into PHS. The Bureau of Primary Health Care's system of Community Health Centers were initially part of the Office of Economic Opportunity, but were moved into the PHS in 1974. Establishment and later history HRSA was established on October 1, 1982, when the Health Resources Administration and the Health Services Administration were merged. Dr. Robert Graham was the first administrator of the Health Resources and Services Administration. In November 2019, Thomas Engels was appointed administrator of the Health Resources and Services Administration, replacing administrator George Sigounas. Engels left the