" ! SENATE 110TH CONGRESS

2d Session 

REPORT

110–410 

Calendar No. 866 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATION BILL, 

2009 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

U.S. SENATE 

ON

S. 3230 

JULY 8, 2008.—Ordered to be printed 
Departments of Labor, Health and Human Services, and Education, and Related Agencies 

Appropriation Bill, 2009 (S. 3230) 
43–299 PDF 

Calendar No. 866 

110TH CONGRESS REPORT " ! SENATE 2d Session 110–410 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2009 

JULY 8, 2008.—Ordered to be printed 

Mr. HARKIN, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 3230] 

The Committee on Appropriations reports the bill (S. 3230) making appropriations for Departments of Labor, Health and Human 

Services, and Education, and related agencies for the fiscal year 

ending September 30, 2009, and for other purposes, reports favorably thereon and recommends that the bill do pass. 

Amount of budget authority 

Total of bill as reported to the Senate ............. $626,463,029,000 

Amount of 2008 appropriations ........................ 600,467,001,000 

Amount of 2009 budget estimate ...................... 618,683,815,000 

Bill as recommended to Senate compared to— 

2008 appropriations .................................... ∂25,996,028,000 

2009 budget estimate ................................. ∂7,779,214,000 
(2) 

C O N T E N T S 

Page 

Summary of Budget Estimates and Committee Recommendations .................... 4 

Overview ................................................................................................................... 4 

Highlights of the Bill ............................................................................................... 4 

Initiatives ................................................................................................................. 6 

Title I: Department of Labor: 

Employment and Training Administration .................................................... 11 

Employee Benefits Security Administration .................................................. 23 

Pension Benefit Guaranty Corporation .......................................................... 23 

Employment Standards Administration ......................................................... 24 

Occupational Safety and Health Administration ........................................... 29 

Mine Safety and Health Administration ........................................................ 30 

Bureau of Labor Statistics ............................................................................... 33 

Office of Disability Employment Policy .......................................................... 34 

Departmental Management ............................................................................. 34 

General Provisions ........................................................................................... 39 

Title II: Department of Health and Human Services: 

Health Resources and Services Administration ............................................. 41 

Centers for Disease Control and Prevention .................................................. 69 

National Institutes of Health .......................................................................... 90 

Substance Abuse and Mental Health Services Administration .................... 128 

Agency for Healthcare Research and Quality ................................................ 139 

Centers for Medicare and Medicaid Services ................................................. 142 

Administration for Children and Families ..................................................... 147 

Administration on Aging .................................................................................. 161 

Office of the Secretary ...................................................................................... 166 

General Provisions ........................................................................................... 176 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 178 

Impact Aid ......................................................................................................... 182 

School Improvement Programs ........................................................................ 184 

Indian Education .............................................................................................. 188 

Innovation and Improvement .......................................................................... 189 

Safe Schools and Citizenship Education ......................................................... 198 

English Language Acquisition ......................................................................... 200 

Special Education ............................................................................................. 201 

Rehabilitation Services and Disability Research ........................................... 204 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 210 

National Technical Institute for the Deaf ............................................... 210 

Gallaudet University ................................................................................. 210 

Career, Technical, and Adult Education ........................................................ 211 

Student Financial Assistance .......................................................................... 214 

Student Aid Administration ............................................................................ 215 

Higher Education ............................................................................................. 216 

Howard University ........................................................................................... 227 

College Housing and Academic Facilities Loans ............................................ 227 

Historically Black College and University Capital Financing Program ...... 228 

Institute of Education Science ......................................................................... 228 

Departmental Management: 

Program Administration ........................................................................... 231 

Office for Civil Rights ............................................................................... 231 

Office of the Inspector General ................................................................ 231 

General Provisions ........................................................................................... 232 
Page

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Title IV: Related Agencies: 

Committee for Purchase from People who are Blind or Severely Disabled ............................................................................................................... 233 

Corporation for National and Community Service ........................................ 233 

Corporation for Public Broadcasting ............................................................... 236 

Federal Mediation and Conciliation Service .................................................. 237 

Federal Mine Safety and Health Review Commission .................................. 237 

Institute of Museum and Library Services ..................................................... 237 

Medicare Payment Advisory Commission ...................................................... 238 

National Council on Disability ........................................................................ 238 

National Labor Relations Board ...................................................................... 238 

National Mediation Board ............................................................................... 239 

Occupational Safety and Health Review Commission ................................... 239 

Railroad Retirement Board .............................................................................. 239 

Social Security Administration ........................................................................ 241 

Title V: General Provisions ..................................................................................... 245 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the Senate .......................................................................................................................... 246 

Compliance With Paragraph 7(C), Rule XXVI of the Standing Rules of the 

Senate ................................................................................................................... 246 

Compliance With Paragraph 12, Rule XXVI of the Standing Rules of the 

Senate ................................................................................................................... 247 

Bugetary Impact of Bill ........................................................................................... 252 

Disclosure of Congressionally Directed Spending Items ...................................... 252 

Comparative Statement of New Budget Authority ............................................... 289 
(4) 

SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2009, the Committee recommends total budget authority of $626,474,029,000 for the Departments of Labor, Health 

and Human Services, and Education, and Related Agencies. Of this 

amount, $153,139,000,000 is current year discretionary funding, including offsets. 

OVERVIEW 

The Labor, HHS, and Education and Related Agencies bill constitutes the largest of the non-defense Federal appropriations bills 

being considered by Congress this year. It is the product of extensive deliberations, driven by the realization that no task before 

Congress is more important than safeguarding and improving the 

health and well-being of all Americans. This bill is made up of over 

300 programs, spanning three Federal departments and numerous 

related agencies. But the bill is more than its component parts. 

Virtually every element of this bill reflects the traditional ideal of 

democracy: that every citizen deserves the right to a basic education and job skills training; protection from illness and want; and 

an equal opportunity to reach one’s highest potential. 

HIGHLIGHTS OF THE BILL 

Job Training.—The Committee recommends $2,994,510,000 for 

State grants for job training, an increase of $25,061,000 over last 

year and $499,054,000 more than the request. The Committee also 

recommends $1,650,516,000 for the Office of Job Corps, an increase 

of $40,010,000 over the fiscal year 2008 level and $85,817,000 more 

than the request. 

Worker Protection.—The Committee bill provides $851,515,000 to 

ensure the health and safety of workers, including $504,620,000 for 

the Occupational Safety and Health Administration [OSHA] and 

$346,895,000 for the Mine Safety and Health Administration. This 

total is $33,667,000 more than the fiscal year 2008 level and 

$17,780,000 more than the budget request. The Committee also has 

focused resources at OSHA, the Bureau of Labor Statistics and National Institute of Occupational Safety and Health on understanding the extent and potential causes of under-reporting of 

workplace injuries and illness. 

Child Labor.—The Committee bill includes $86,074,000 for activities designed to end abusive child labor. This is $5,000,000 

above the fiscal year 2008 level. 

National Institutes of Health.—A total of $30,254,524,000 is recommended to fund biomedical research at the 27 Institutes and 

Centers that comprise the NIH. This represents an increase of 
5 

$1,025,000,000 over the fiscal year 2008 level and the budget request. 

Health Centers.—The recommendation includes $2,215,022,000 

for health centers, $150,000,000 over the fiscal year 2008 level. 

Nursing Education.—The Committee recommends $167,652,000 

for nursing education, $11,606,000 over the fiscal year 2008 level. 

Autism.—The Committee bill includes $63,400,000 for prevention 

of and support for families affected by autism and other related developmental disorders. This is an increase of $9,834,000 over last 

year’s appropriation. 

Centers for Disease Control and Prevention.—A total of 

$6,507,795,000 is provided in this bill for the Centers for Disease 

Control and Prevention. This is an increase of $76,790,000 over the 

fiscal year 2008 level. This level does not include funding for the 

influenza pandemic, which is appropriated in the HHS Office of the 

Secretary. 

Colorectal Cancer.—The Committee bill provides $38,974,000 for 

prevention efforts around colorectal cancer. Included in this 

amount is $25,000,000 to establish a national surveillance campaign, with grants to local communities to support colorectal 

screenings and polyp removal for low-income individuals. 

Substance Abuse and Mental Health.—The Committee bill provides $3,388,636,000 for substance abuse and mental health programs. Included in this amount is $2,163,579,000 for substance 

abuse treatment, $191,271,000 for substance abuse prevention and 

$930,383,000 for mental health programs. 

Pandemic Influenza.—The Committee recommendation includes 

$507,000,000 to prepare for and respond to an influenza pandemic. 

Funds are available for the development and purchase of vaccine, 

antivirals, necessary medical supplies, diagnostics, and other surveillance tools. 

Head Start.—The Committee bill includes $7,104,571,000 for the 

Head Start Program. This represents an increase of $226,595,000 

over the 2008 comparable level. 

Title I (Education).—The Committee has provided 

$14,529,901,000 for title I grants to LEAs, an increase of 

$631,026,000 over the fiscal year 2008 appropriation, and 

$491,265,000 for school improvement grants, the same amount as 

the fiscal year 2008 level. 

Student Financial Aid.—The Committee recommends 

$18,761,809,000 for student financial assistance. The maximum 

discretionary Pell Grant Program award level is increased to 

$4,310. This funding, combined with mandatory funding provided 

in the College Cost Reduction and Access Act, would increase the 

maximum award to $4,800 for the 2009/2010 school year. The Committee bill includes $70,000,000 for Federal Perkins loan cancellations, an increase of $5,673,000. 

Higher Education Initiatives.—The Committee bill provides 

$1,856,214,000 for initiatives to provide greater opportunities for 

higher education, including $838,178,000 for Federal TRIO programs, an increase of $10,000,000, and $308,423,000 for GEAR UP, 

an increase of $5,000,000. The bill also provides $47,540,000 for 

Teacher Quality Enhancement Grants, an increase of $13,878,000. 
6 

Education for Individuals With Disabilities.—The Committee bill 

provides $12,511,631,000 to help ensure that all children have access to a free and appropriate education. This amount includes 

$11,424,511,000 for Part B grants to States, an increase of 

$477,000,000 over last year and $140,000,000 more than the budget request. The recommended level will reverse the declining share 

of Federal resources for educating students with disabilities and 

raise it to 17.3 percent. 

Rehabilitation Services.—The bill recommends $3,379,109,000 for 

rehabilitation services. These funds are essential for families with 

disabilities seeking employment. The Committee restored funding 

for several important programs proposed for elimination, such as 

Supported Employment State Grants, Projects with Industry, Recreational programs and programs for migrant and seasonal farmworkers and rejected the Department’s proposal to freeze State 

grant funding at the fiscal year 2008 level. 

Services for Older Americans.—For programs serving older Americans, the Committee recommendation includes $3,187,303,000. 

This recommendation includes $213,785,000 for senior volunteer 

programs, $571,925,000 for community service employment for 

older Americans, $361,348,000 for supportive services and centers, 

$161,316,000 for family caregiver support programs and 

$801,481,000 for senior nutrition programs. For the medical research activities of the National Institute on Aging, the Committee 

recommends $1,077,448,000. 

Corporation for Public Broadcasting.—The Committee bill recommends an advance appropriation for fiscal year 2011 of 

$430,000,000 for the Corporation for Public Broadcasting. In addition, the Committee bill includes $29,181,000 for conversion to digital broadcasting and $26,283,000 for the replacement project of the 

interconnection system in fiscal year 2009 funding. 

INITIATIVES 

Improving Teacher Quality 

Research has proven conclusively that improving teacher quality 

is the most important thing schools can do to help students succeed 

academically. If we are truly going to meet the goal of leaving no 

child behind, a strong teacher is needed in every classroom. For too 

many students, however, especially those in disadvantaged schools, 

good teachers are the exception rather than the rule. High-poverty 

schools are more likely to employ teachers who are unprepared, inexperienced and don’t know their subject area than schools in more 

affluent areas. As a result, the students who need the best instruction—those students most at risk of being left behind—tend to have 

the worst teachers. This is no way to close the achievement gap. 

For the most part, local school districts bear the responsibility of 

recruiting, hiring, and retaining teachers. States set the rules on 

licensing, and the work of preparing most teachers is performed by 

colleges and universities. But the Federal Government also plays 

a key role in promoting teacher quality. Most notably, the No Child 

Left Behind Act requires that all public school teachers of core academic subjects must be ‘‘highly qualified.’’ 
7 

Congress also appropriates significant funding for teachers. The 

Committee recommendation for fiscal year 2009 includes more than 

$3,645,491,000, through 14 separate programs, specifically for hiring teachers or improving teacher quality. This total doesn’t include title I grants to LEAs, which can also be used for those purposes. 

The Committee has made it a top priority to identify and provide 

strategic increases in programs that can help schools improve 

teacher quality. They are described below. 

Teacher Quality Enhancement Grants.—Preparing teachers the 

right way will ensure they have the skills necessary and support 

required to succeed in the classroom. Unfortunately, one-third of 

new teachers leave the profession within the first 5 years and this 

imposes significant costs on school systems throughout the United 

States. By investing in high-quality teacher preparation models, 

such as professional development schools, we can more effectively 

prepare and support teachers as they start their careers. Professional development schools partner universities with schools that 

practice state-of-the-art approaches and train novices in the classrooms of expert teachers while they are completing coursework. 

The Committee recommends $47,540,000, an increase of 

$13,878,000 over the fiscal year 2008 level of $33,662,000. 

School Leadership.—Principals are the instructional leaders of a 

school and, therefore, responsible for maintaining high standards 

for their teachers and providing them with effective professional 

development. And yet very little attention has been paid to professional development for principals themselves. While this is an allowable use under the improving teacher quality State grants program, only a tiny fraction of this program’s funding is used for that 

purpose. The Committee has attempted to meet the meet for better 

principals by recommending a small but significant increase for the 

school leadership program. The Committee recommendation for fiscal year 2009 is $19,220,000, a $4,746,000 increase over the fiscal 

year 2008 level of $14,474,000. The administration proposed eliminating the program. 

Advanced Credentialing.—For the same reasons as the increase 

for the school leadership program cited above, the Committee recommends a $1,000,000 increase to the National Board of Professional Teaching Standards [NBPTS] for the purpose of developing 

a new National Board certification for principals. The Committee 

hopes that the principal certification will prove as successful as the 

NBPTS’s existing programs for teachers. The administration proposed eliminating the program. 

Special Education Personnel Development.—According the Department of Education’s Interim Report on Teacher Quality under 

the No Child Left Behind Act, almost 6 out of 10 school districts 

had difficulty attracting highly qualified applicants in special education. Special education is an area where there is a problem of 

adequate supply and one major cause is the insufficient capacity to 

train all of the special educators needed. The Committee recommends $93,153,000, an increase of $5,000,000 over the fiscal 

year 2008 level to build the leadership programs that are needed 

to meet the demand for special educators. 
8 

Teaching of Traditional American History.—The Committee recommends $120,000,000 for supporting professional development for 

teachers of American history. The fiscal year 2008 level was 

$117,904,000, and the budget request is $50,000,000. 

In addition, the Committee recommendation maintains funding 

at the fiscal year 2008 level for several programs that the administration proposed reducing or eliminating. They include: improving 

teacher quality State grants ($2,935,249,000), National Writing 

Project ($23,581,000), Teach for America ($11,790,000) and two 

Teachers for a Competitive Tomorrow programs ($1,966,000). Finally, the Committee proposes an increase of $631,026,000 for title I grants to LEAs, for a total of $14,529,901,000. 

Mental Health Promotion and Prevention 

The Committee notes that mental illness is a major public health 

concern. Approximately one-quarter of all Americans had a 

diagnosable mental disorder within the past year, and fully a quarter of those had a serious mental illness that significantly disrupted their ability to function. Major mental disorders are estimated to cost the United States at least $317,600,000,000 each 

year in lost earnings, disability benefits and health care expenditures. In addition, mental disorders are the leading cause of disability in the United States and Canada for those between the ages 

of 15 and 44. 

The Committee is also aware that many of these disorders begin 

in childhood: half of all lifetime cases of mental illnesses begin by 

age 14. While effective treatments do exist, there can be serious 

delays between the age at which symptoms appear and when people actually seek, and receive, treatment. These delays can lead to 

a more severe, more difficult to treat illness, and to the development of co-occurring substance abuse disorders. Research has 

shown a strong link between early mental health problems and the 

subsequent development of substance abuse, school failure, risky 

behavior and criminal activity. 

The Committee believes that given the magnitude of the problem, our Nation must begin to take a public health approach to 

mental health. Early identification, prevention and treatment of 

mental disorders must be regarded with the same importance as 

they are for physical disorders. Fundamental to such an approach 

is promoting strategies for young children and their parents that 

reduce the risk factors involved in developing mental health problems, and that improve protective factors that serve to buffer 

against such problems. The Committee has provided 

$7,200,853,000, an increase of $255,713,000 over the fiscal year 

2008 level, for programs across various health, education and social 

service systems that strengthen parenting, foster resilience in children, provide for early intervention, and promote mental wellness. 

Head Start.—The Committee has included $7,104,571,000 for 

Head Start, an increase of $226,595,000 over the 2008 comparable 

level. The Head Start program provides comprehensive services 

that improve the cognitive and social development of children, as 

well as promote school readiness. 

Home Visitation.—The Committee has included $12,000,000 to 

promote evidence-based home visitation interventions. This is an 
9 

increase of $2,000,000 above last year’s level and the administration request. Research has shown that home visitation programs 

can reduce incidents of child abuse and neglect. These programs 

are also associated with long-term positive effects for mothers and 

their children, such as reduced substance abuse, fewer mental 

health and behavior problems, lowered criminal activity, greater 

work-force participation, and delayed initiation of sexual activity. 

Project Launch.—The Committee recommends $20,369,000 for 

the Project Launch program at the Substance Abuse and Mental 

Health Services Administration [SAMHSA]. This is an increase of 

$13,000,000 over last year’s level. The administration proposed to 

eliminate this program, which promotes the emotional, physical, 

and emotional wellness of young children from birth to 8 years of 

age. 

Family Treatment.—The Committee recommends $17,000,000 for 

residential substance abuse treatment programs for pregnant and 

postpartum women and their children, an increase of $5,210,000 

over last year’s level. The administration proposed eliminating this 

program. 

Child Traumatic Stress.—The Committee recommendation includes $38,000,000 for the national child traumatic stress initiative, an increase of $4,908,000 over last year. This initiative improves access to care, treatment, and services for children and adolescents exposed to traumatic events. 

Mental Health Integration in Schools.—The Committee recommendation includes $5,913,000, an increase of $1,000,000 over 

the fiscal year 2008 level, for the mental health integration in 

schools program, which provides grants to increase student access 

to mental health care by linking schools with their local mental 

health systems. 

Data Collection.—The Committee recognizes the need for population-based sources of data on adults with serious mental illness 

and children with serious emotional disturbance. The Committee 

has included $3,000,000 above the request to improve surveillance 

activities among these groups. 

Elimination of Fraud, Waste, and Abuse 

For fiscal year 2009, the Committee has increased funding for a 

variety of activities aimed at reducing fraud, waste, and abuse of 

taxpayer dollars. These program integrity initiatives have been 

shown to be a wise investment of Federal dollars resulting in billions of dollars of savings from Federal entitlement programs—unemployment insurance, Medicare and Medicaid, and Social Security. 

Unemployment Insurance Program Integrity.—The Committee 

recommendation includes $50,000,0000, an increase of $40,000,000, 

to conduct eligibility reviews of claimants of Unemployment Insurance. This increase will save an estimated $200,000,000 annually 

in inappropriate Unemployment Insurance payments. 

Social Security Program Integrity.—The Committee recommendation includes $504,000,000 for conducting continuing disability reviews [CDRs] and redeterminations of eligibility for Social Security 

Disability and Supplemental Security Income benefits. CDRs save 

$10 in benefit payments for every $1 spent to conduct these activi-
10 

ties, while redeterminations save $7 in payments for every $1 for 

doing this work. 

Health Care Program Integrity.—In fiscal year 2006, Medicare and Medicaid outlays accounted for nearly $1 out of every $5 of the 

total Federal outlays. Fraud committed against Federal health care 

programs puts Americans at increased risk and diverts critical resources from providing necessary health services to some of the Nation’s most vulnerable populations. The Committee has included $198,000,000 for Health Care Fraud 

and Abuse Control [HCFAC] activities at the Center for Medicare 

and Medicaid Services. No discretionary funds were provided for 

this activity in fiscal year 2008. 

Investment in health care program integrity more than pays for 

itself based on 10 years of documented recoveries to the Medicare 

Part A Trust Fund. The historical return on investment for the life 

of the Medicare Integrity program has been about 13 to 1. 

REPROGRAMMING AND TRANSFER AUTHORITY 

The Committee has included bill language delineating permissible transfer authority in general provisions for each of the Departments of Labor, Health and Human Services, and Education, 

as well as specifying reprogramming authority in a general provision applying to all funds provided under this act, available for obligation from previous appropriations acts, or derived from fees collected. 
(11) 

TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2008 ............................................................................. $3,576,268,000 

Budget estimate, 2009 ........................................................................... 3,060,923,000 

Committee recommendation ................................................................. 3,618,556,000 

The Committee recommends $3,618,556,000 for this account, 

which provides funding primarily for activities under the Workforce 

Investment Act [WIA]. The comparable fiscal year 2008 level is 

$3,576,268,000 and the administration request is $3,060,923,000. 

Training and employment services is comprised of programs designed to enhance the employment and earnings of economically 

disadvantaged and dislocated workers, operated through a decentralized system of skill training and related services. This appropriation is generally forward-funded on a July-to-June cycle. Funds 

provided for fiscal year 2009 will support the program from July 

1, 2009 through June 30, 2010. A portion of this account’s funding, 

$1,772,000,000, is advance appropriated, yet still available for the 

forward-funded program year. 

Pending reauthorization of the Workforce Investment Act, the 

Committee is acting on a current law request, deferring without 

prejudice proposed legislative language under the jurisdiction of 

the authorizing committees. The Committee recommendation includes language in section 109 of the general provisions requiring 

that the Department take no action to amend, through regulatory 

or other administrative action, the definition established in 20 CFR 

677.220 for functions and activities under title I of the Workforce 

Investment Act until such time as legislation reauthorizing the act 

is enacted. This language is continued from last year’s bill. 

The Committee expects that, while the Workforce Investment 

Act, Wagner-Peyser Act, and Trade Adjustment Act are in the process of being altered and renewed, the administration also will refrain from unilateral changes to the administration, operation and 

financing of employment and training programs. Therefore, legislative language is included in section 110 of the general provisions 

that prohibits the Department from taking such action while Congress considers legislation reauthorizing these acts. 

While the Committee is interested in ensuring that more training is accomplished with the funds available—a stated concern of 

the Department as well—the Committee disagrees with the Department’s proposed solutions, which are funding cuts and consolidation of programs. The Committee believes these policy solutions 

are not the right ones to move American workers forward in a competitive global marketplace. 
12 

Grants to States 

The Committee recommendation includes $2,994,510,000 for 

Training and Employment Services Grants to States. The fiscal 

year 2008 comparable amount is $2,969,449,000 and the budget request includes $2,495,456,000 for this purpose. 

The budget request also proposes legislative language to increase 

the amount of funds that a local workforce board may transfer between the adult and dislocated worker assistance program from the 

30 percent under current law to 40 percent, with the approval of 

the Governor. The Committee bill does not provide the recommended increase to 40 percent and the Committee notes that 

many States report that no funds have been transferred under this 

authority while other States have received waivers from the Department to transfer 100 percent of such funds. 

The budget request also includes language allowing the Secretary to reallocate funds available under the Adult, Youth and 

Dislocated Worker programs if the total amount of unexpended balances in a State exceeds 30 percent during program year 2007. 

These funds would be reallocated using program year 2008 funds 

to States that have unexpended balances lower than 30 percent. 

The Committee recommendation does not include the requested 

language and notes that this issue is most appropriately addressed 

during the reauthorization of the Workforce Investment Act. 

Adult Employment and Training.—For Adult Employment and Training Activities, the Committee recommends $864,199,000. The 

comparable fiscal year 2008 level is $861,540,000 and the budget 

request includes $712,000,000 for this purpose. This program is formula-funded to States and further distributed to local workforce investment boards. Services for adults will be provided through the 

One-Stop system and most customers receiving training will use 

their individual training accounts to determine which programs 

and providers fit their needs. The act authorizes core services, 

which will be available to all adults with no eligibility requirements, and intensive services, for unemployed individuals who are 

not able to find jobs through core services alone. 

Funds made available in this bill support program year 2009 activities, which occur from July 1, 2009 through June 30, 2010. The 

bill provides that $152,199,000 is available for obligation on July 

1, 2009, and that $712,000,000 is available on October 1, 2009. 

Both categories of funding are available for obligation through 

June 30, 2010. 

Youth Training.—For Youth Training, the Committee rec- ommends $930,500,000. The comparable fiscal year 2008 level is 

$924,069,000 and the budget request includes $840,500,000 for this 

purpose. The purpose of Youth Training is to provide eligible youth 

with assistance in achieving academic and employment success 

through improving educational and skill competencies and providing connections to employers. Other activities supported include 

mentoring, training, supportive services, and summer employment 

directly linked to academic and occupational learning, incentives 

for recognition and achievement, and activities related to leadership development, citizenship, and community service. Funds made 

available for youth training support program year 2009 activities, 

which occur from April 1, 2009 through June 30, 2010. 
13 

Dislocated Worker Assistance.—For Dislocated Worker Assistance, the Committee recommends $1,199,811,000. The comparable 

fiscal year 2008 level is $1,183,840,000 and the budget request includes $942,956,000 for this purpose. This program is a State-operated effort that provides core and intensive services, training, and 

support to help permanently separated workers return to productive, unsubsidized employment. In addition, States use these funds 

for rapid response assistance to help workers affected by mass layoffs and plant closures. Also, States may use these funds to carry 

out additional statewide employment and training activities, which 

may include implementation of innovative incumbent and dislocated worker training, and programs such as Advanced Manufacturing Integrated Systems Technology. 

Funds made available in this bill support program year 2009 activities, which occur from July 1, 2009 through June 30, 2010. The 

bill provides that $351,811,000 is available for obligation on July 

1, 2009, and that $848,000,000 is available on October 1, 2009. 

Both categories of funding are available for obligation through 

June 30, 2010. 

Federally Administered Programs 

Dislocated Worker Assistance National Reserve.—The Committee 

recommends $282,092,000 for the Dislocated Worker National Reserve, which is available to the Secretary for activities such as responding to mass layoffs, plant and/or military base closings, and 

natural disasters across the country, which cannot be otherwise anticipated, as well as technical assistance and training and demonstration projects, including the Community-Based Job Training 

Initiative. 

Funds made available in this bill support program year 2009 activities, which occur from July 1, 2009 through June 30, 2010. The 

bill provides that $70,092,000 is available for obligation on July 1, 

2009, and that $212,000,000 is available on October 1, 2009. Both 

categories of funding are available for obligation through June 30, 

2010. 

The Committee bill continues language authorizing the use of 

funds under the dislocated workers program for projects that provide assistance to new entrants in the workforce and incumbent 

workers, as well as to provide assistance where there have been 

dislocations across multiple sectors or local areas of a State. 

The Committee appreciates the actions taken by the Department 

to address the economic diversification opportunity brought on by 

the recent closures of U.S. pineapple plantations and encourages 

the Department to consider continuing possible collaborations between State and statewide agricultural organizations that mitigate 

worker dislocation and help workers transition in a changing economy. 

Community-Based Job Training Initiative.—Within the Committee recommendation for the Dislocated Worker Assistance National Reserve, $125,000,000 is available to continue the Community College/Community-Based Job Training Grant initiative. The 

comparable fiscal year 2008 level is $122,816,000 and the budget 

request includes $125,000,000 for this purpose. Funds used for this 

initiative should strengthen partnerships between workforce in-
14 

vestment boards, community colleges, and employers, to train 

workers for high-growth, high-demand industries in the new economy. The Committee recommendation includes a general provision 

requiring these grants to be awarded competitively. 

The Committee is particularly interested in the Department 

awarding competitive grants under this initiative for energy efficiency and renewable energy worker training activities authorized 

under section 171(e) of the Green Jobs Act of 2007. To date, very 

little of the grant funding has been provided for such activities and 

the Committee believes a greater training investment needs to be 

made in areas such as renewable electric power, biofuels, energyefficiency assessment and environmentally sustainable manufacturing. Therefore, the Committee directs the Department to consult 

with the Committee prior to announcing a solicitation for grant applications under this initiative. 

Native American Programs.—For Native American programs, the Committee recommends $52,758,000, the same as the comparable 

fiscal year 2008 level. The budget request includes $45,000,000 for 

this purpose. This program is designed to improve the economic 

well-being of Native Americans (Indians, Eskimos, Aleuts, and Native Hawaiians) through the provision of training, work experience, 

and other employment-related services and opportunities that are 

intended to aid the participants to secure permanent, unsubsidized 

jobs. 

Migrant and Seasonal Farmworker Programs.—For Migrant and Seasonal Farmworkers, the Committee recommends $82,740,000. 

The comparable fiscal year 2008 level is $79,668,000, while the 

budget proposes to eliminate funding for this purpose. Authorized 

by the Workforce Investment Act, this program is designed to serve 

members of economically disadvantaged families whose principal 

livelihood is derived from migratory and other forms of seasonal 

farmwork, or fishing, or logging activities. Enrollees and their families are provided with employment training and related services intended to prepare them for stable, year-round employment within 

and outside of the agriculture industry. 

The Committee recommendation provides that $76,710,000 be 

used for State service area grants. The Committee recommendation 

also includes bill language directing that $5,500,000 be used for migrant and seasonal farmworker housing grants, of which not less 

than 70 percent shall be for permanent housing. The principal purpose of these funds is to continue the network of local farmworker 

housing organizations working on permanent housing solutions for 

migrant and seasonal farmworkers. The Committee recommendation also includes $530,000 to be used for section 167 training, 

technical assistance and related activities, including funds for migrant rest center activities. Finally, the Committee wishes to again 

advise the Department regarding the requirements of the Workforce Investment Act in selecting an eligible entity to receive a 

State service area grant under section 167. Such an entity must 

have already demonstrated a capacity to administer effectively a 

diversified program of workforce training and related assistance for 

eligible migrant and seasonal farmworkers. 

Women in Apprenticeship.—The Committee recommends 

$983,000 for program year 2009 activities as authorized under the 
15 

Women in Apprenticeship and Non-Traditional Occupations Act of 

1992. The comparable fiscal year 2008 level is $983,000, while the 

budget proposes to eliminate funding for this purpose. These funds 

provide for technical assistance to employers and unions to assist 

them in training, placing, and retraining women in nontraditional 

jobs and occupations. 

YouthBuild.—The Committee recommends $58,952,000 for the 

YouthBuild program. The comparable fiscal year 2008 level is 

$58,952,000 and the budget request includes $50,000,000 for this 

purpose. 

The YouthBuild program provides the opportunity for eligible 

youth to learn construction trade skills by building or rehabilitating housing for low-income individuals, earn a high school diploma or equivalency degree, and prepare for postsecondary training. Personal counseling and training in life skills and financial 

management also are provided. The students are a part of a minicommunity of adults and youth committed to each other’s success 

and to improving the conditions in their neighborhoods. 

The Committee notes that 76,000 YouthBuild students have built 

or rehabilitated 17,000 units of affordable housing since 1994. Construction projects range from constructing new homes to restoring 

multi-unit buildings to rebuilding entire neighborhoods. In particular, the Committee is aware of YouthBuild successes and continued potential in communities along the Gulf of Mexico, where 

recent hurricanes created a need for both skilled construction labor 

and low-income housing construction itself. 

National Activities 

Pilots, Demonstrations, and Research.—The Committee recommends $31,438,000 for pilots, demonstration and research authorized by section 171 of the Workforce Investment Act. The comparable fiscal year 2008 level is $48,508,000 and the budget request includes $16,000,000 for this purpose. These funds support 

grants or contracts to conduct research, pilots or demonstrations 

that improve techniques or demonstrate the effectiveness of programs. 

The Committee bill also includes language under section 105 of 

the general provisions that requires the Department to submit an 

operating plan by July 1, 2009 which details the planned expenditure of these funds. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee 

recommendation 

Aerospace Worker Joint Apprenticeship Training Committee [AWJATC], Seattle, WA, for skills training for 

the aerospace industry ................................................................................................................................ $500,000 

Bay Area Workforce Development Board, Green Bay, WI, to address re-entry planning, family reunification, mentoring and life skills intervention for incarcerated women ......................................................... 250,000 

Blackhawk Technical College, Janesville, WI, for employment and training activities .................................. 1,000,000 

Brevard Workforce Development Board, Rockledge, FL, for retraining of aerospace industry workers .......... 250,000 

Central Council of Tlingit-Haida Indian Tribes of Alaska, Juneau, AK, for job training programs ............... 250,000 

City of Baltimore, Baltimore, MD, for the City of Baltimore’s YouthWorks summer job program ................. 1,250,000 

City of Jackson, MS, for the Jackson Transitional Job Project for job training and employment programs 

for the Homeless ......................................................................................................................................... 100,000 
16 

Project Committee recommendation 

City of Lewiston, ME, for job training programs ............................................................................................. 350,000 

City of Milwaukee, Milwaukee, WI, for youth internships and occupational training in the green-collar 

employment sector ....................................................................................................................................... 400,000 

City of Oakland, CA, for the Oakland Green Jobs Initiative ........................................................................... 300,000 

City of Santa Ana, CA, for employment and job training services ................................................................ 750,000 

Community College of Allegheny County, Pittsburgh, PA, for job training ..................................................... 100,000 

Community College of Beaver County, Monaca, PA, for job training ............................................................. 100,000 

Community Solutions for Clackamas County, Oregon City, OR, for the Working for Independence job 

training and workforce development program ............................................................................................ 200,000 

Community Transportation Association of America, Washington, DC, for the Joblinks program ................... 450,000 

Congreso de Latinos Unidos, Philadelphia, PA, for job training .................................................................... 100,000 

Des Moines Area Community College, Des Moines, IA, for Project Employment ............................................ 400,000 

Eisenhower Foundation, Washington, DC, to replicate and evaluate job-training and supportive services 

programs for disadvantaged workers in Des Moines, Iowa ....................................................................... 350,000 

Esperanza, Philadelphia, PA, for workforce development ............................................................................... 100,000 

Florida Community College at Jacksonville, Jacksonville, FL, for employment, training and assessment 

programs for veterans recently returning to civilian life ........................................................................... 100,000 

Goodwill Industries Inc., Chicago, IL, to expand the Goodwill Works initiative ............................................. 250,000 

Goodwill Industries of Southeastern Wisconsin, Inc., Milwaukee, WI, to provide training, employment and 

supportive services, including for individuals with disabilities ................................................................. 300,000 

Groden Center, Providence, RI, for job readiness training for adults with Asperger’s Syndrome ................. 350,000 

Groundwork Providence, Providence, RI, for workforce training ...................................................................... 150,000 

Harrisburg Area Community College, Harrisburg, PA, for job training ........................................................... 100,000 

Hawkeye Community College, Waterloo, IA, for an Advanced Manufacturing Training Center ...................... 250,000 

Healthcare Industry Grant Corporation, Dorchester, MA, for an incumbent health care worker skills training program ................................................................................................................................................. 200,000 

Hispanic Center, Pittsburgh, PA, for job training ........................................................................................... 100,000 

Impact Services Corporation, Philadelphia, PA, for workforce development .................................................. 100,000 

Iowa Central Community College, Fort Dodge, IA, for job training activities ................................................ 250,000 

Jobs for Maine’s Graduates, Inc., Augusta, ME, for career development for at-risk youth ........................... 300,000 

Kentucky Community and Technical College System, Louisville, KY, for career training programs for disabled veterans ............................................................................................................................................. 100,000 

Kershaw County, Camden, SC, for workforce training programs in partnership with Kershaw, Lee, and 

Central Carolina Technical College ............................................................................................................. 250,000 

Manufacturers Association of Central New York, Syracuse, NY, to improve employment and training in 

the manufacturing sector ............................................................................................................................ 300,000 

Maui Community College Remote Rural Hawaii Job Training Project, Kahului, HI, for training and education ........................................................................................................................................................... 2,200,000 

Maui Community College Training & Education Opportunities, Kahului, HI, for training and education ..... 2,000,000 

Maui Economic Development Board, Kihei, HI, for high tech training ........................................................... 475,000 

Maui Economic Development Board, Kihei, HI, for rural computer utilization training program .................. 300,000 

Maui Economic Development Board, Kihei, HI, to integrate job training activities in a health center ........ 150,000 

Minnesota State Colleges and Universities, Office of the Chancellor, St. Paul, MN, to continue a statewide veterans re-entry education program ................................................................................................. 1,000,000 

Minot State University, Minot, ND, for the Job Corps Executive Management Program ................................ 650,000 

Mississippi State University, Mississippi State, MS, for the Mississippi Integrated Workforce Performance 

System ......................................................................................................................................................... 400,000 

Mississippi Valley State University, Itta Bena, MS, for training and development at the Automated Identification Technology [AIT]/Automatic Data Collection [ADC] Program ...................................................... 150,000 

Montana AFL–CIO, Helena, MT, for workforce development and training activities ...................................... 200,000 

Nevada Partners for a Skilled Workforce, North Las Vegas, NV, for the Build Nevada Initiative ................. 500,000 

Nine Star Enterprises, Anchorage, AK, for a job training initiative ............................................................... 125,000 

Northwestern Alaska Career and Technical Center, Nome, AK, for job training programs for high school 

students ....................................................................................................................................................... 200,000 

NW Works—Autism Inclusion Initiative, Winchester, VA, for program development, training, and acquisition of equipment ........................................................................................................................................ 100,000 

Penn Asian Senior Services, Jenkintown, PA, for job training ........................................................................ 100,000 

Pennsylvania Association for Individuals with Disabilities, Johnstown, PA, for job training ........................ 100,000 

Philadelphia Shipyard Development Corporation, Philadelphia, PA, for job training ..................................... 200,000 

Project ARRIBA, El Paso, TX, for workforce development and economic opportunities in the West Texas 

region ........................................................................................................................................................... 100,000 

Rapides Parish Police Jury Office of Economic and Workforce Development, Alexandria, LA, for workforce 

development, employer-based training and education and work-based training for out-of-schoolyouth ............................................................................................................................................................ 300,000 

ReCycle North, Burlington, VT, for workforce development and training activities ....................................... 500,000 
17 

Project Committee recommendation 

Roca, Inc., Chelsea, MA, for a transitional employment program for high-risk youth and young adults 

ages 16–24 ................................................................................................................................................. 150,000 

Rural Opportunities Inc., Harrisburg, PA, for workforce development ............................................................ 100,000 

San Francisco Department of Economic and Workforce Development, San Francisco, CA, for the Green 

Jobs Workforce Development Training Pilot project .................................................................................... 250,000 

Seattle-King County Workforce Development Council, Seattle, WA, for demand side workforce development approach training .............................................................................................................................. 150,000 

Sinclair Community College, Dayton, OH, for workforce development and training activities ...................... 150,000 

South Carolina Association of Community Development Corporation, Charleston, SC, for development of 

self-employment job centers ....................................................................................................................... 300,000 

Southwest Alaska Vocation and Education Center, King Salmon, AK, for workforce development and 

training ........................................................................................................................................................ 200,000 

United Auto Workers Region 9, Local 624, New York, for incumbent worker training ................................... 450,000 

University of Maryland, Baltimore, Baltimore, MD, For the Life Sciences Workforce Training Center ........... 1,500,000 

University of Southern Mississippi, Hattiesburg, MS, for workforce training in Marine Composite .............. 250,000 

University of West Florida, Pensacola, FL, to provide job training programs for veterans ........................... 100,000 

Vermont Agency of Human Services, Waterbury, VT, for an employment services program for veterans 

with disabilities ........................................................................................................................................... 1,000,000 

Vermont Association of Business, Industry & Rehabilitation, Williston, VT, for employment services to atrisk populations ........................................................................................................................................... 200,000 

Vermont HITEC, Williston, VT, for health care training ................................................................................... 1,000,000 

Washington Technology Center, Seattle, WA, for a workforce training and retention project ....................... 50,000 

Washington State Board for Community & Technical Colleges, Federal Way, WA, for training, on-the-job 

support and career development services in the long-term care sector in Washington State ................. 75,000 

Washington Workforce Association, Vancouver, WA, to prepare students to enter secure, local, high-demand occupations in Washington’s workforce through job shadowing, internships, and scholarships ... 450,000 

YouthCare, Seattle, WA, for a technology training program for homeless and out-of-school youth ............. 100,000 

Reintegration of Ex-offenders.—The Committee recommendation 

includes $103,493,000 to continue funding for the Reintegration of 

Ex-offenders program. The comparable fiscal year 2008 level is 

$73,493,000, while the budget request includes $39,600,000 for this 

program. The Responsible Reintegration of Ex-offenders program 

targets critical funding to help prepare and assist ex-offenders to 

return to their communities, such as pre-release services, mentoring, and case management. The program also provides support, 

opportunities, education and training to youth who are court-involved and on probation, in aftercare, on parole, or who would benefit from alternatives to incarceration or diversion from formal judicial proceedings. The Committee recommends $60,000,000 to continue a mentoring 

initiative that began in program year 2006. The Committee intends 

for these funds to be used to implement mentoring strategies that 

integrate educational and employment interventions and prevent 

youth violence. Funds shall be used first to continue grants, subject 

to additional need and performance, made with program year 2007 

and 2008 funds. The balance should be used for additional grants 

for mentoring strategies serving schools with high rates of school 

dropout or identified as persistently dangerous. 

Within the Committee recommendation, sufficient funding is 

available to initiate a competitive grant program, targeting national community-based organizations with demonstrated capacity 

and proven track records of effectiveness in preparing young ex-offenders and dropouts to re-enter the workforce. The Committee intends for the Department to initiate such a competition using program year 2009 funds. 

The Committee urges the Department to award grants to organizations that will: (1) implement programs, practices, or strategies 
18 

shown in well-designed randomized controlled trials to have sizable, sustained effects on important workforce and reintegration 

outcomes; (2) adhere closely to the specific elements of the proven 

program, practice, or strategy; and (3) obtain sizable matching 

funds for their project from other Federal or non-Federal sources, 

such as the Adult Training formula grant program authorized 

under the Workforce Investment Act of 1998, or State or local programs. 

Evaluation.—The Committee recommends $4,835,000 to provide 

for the continuing evaluation of programs conducted under the 

Workforce Investment Act, as well as of federally funded employment-related activities under other provisions of law. The comparable fiscal year 2008 level is $4,835,000 and the budget request 

includes $9,000,000 for this purpose. 

Community-based Job Training Grants.—The Committee recommends $125,000,000 for this initiative from the Dislocated 

Worker National Reserve, as described earlier in this section. This 

is the same financing arrangement provided for in last year’s bill. 

The budget request includes $125,000,000 for this initiative. The 

Committee recommendation includes a general provision requiring 

these grants to be awarded competitively. 

The Committee is particularly interested in the Department 

awarding competitive grants under this initiative for energy-efficiency and renewable energy worker training activities authorized 

under section 171(e) of the Green Jobs Act of 2007. To date, very 

little of the grant funding has been provided for such activities and 

the Committee believes a greater training investment needs to be 

made in areas such as renewable electric power, biofuels, energyefficiency assessment and environmentally sustainable manufacturing. Therefore, the Committee directs the Department to consult 

with the Committee prior to announcing a solicitation for grant applications under this initiative. 

Denali Commission.—The Committee recommends $6,755,000 for 

the Denali Commission, as authorized in Public Law 108–7, for job 

training in connection with infrastructure building projects it funds 

in rural Alaska. The comparable fiscal year 2008 level is 

$6,755,000 and the budget proposes to eliminate funding for this 

purpose. Funding will allow un- and under-employed rural Alaskans to train for better jobs in their villages. 

Job Training for Employment in High Growth Industries.—The 

Committee continues to have a strong interest in the initiatives 

funded from H–1B fees for job training services and related capacity-building activities. The Committee is concerned that 90 percent 

of the funds made available under the High Growth Job Training 

Initiative have not been awarded on a competitive basis. The Committee recommendation continues language included in last year’s 

bill which requires awards under the High Growth Job Training 

Initiative, Community Based Job Training Grants and Workforce 

Innovation in Regional Economic Development initiative to be 

made on a competitive basis. 

The Committee is particularly interested in the Department 

awarding competitive grants under this initiative for energy efficiency and renewable energy worker training activities authorized 

under section 171(e) of the Green Jobs Act of 2007. To date, very 
19 

little of the grant funding has been provided for such activities. 

The Committee believes a greater training investment needs to be 

made in areas such as renewable electric power, biofuels, and energy-efficiency assessment and environmentally sustainable manufacturing. Therefore, the Committee directs the Department to consult with the Committee prior to announcing a solicitation for 

grant applications under the Job Training for Employment in High 

Growth Industries’ initiative. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2008 ............................................................................. $521,625,000 

Budget estimate, 2009 ........................................................................... 350,000,000 

Committee recommendation ................................................................. 571,925,000 

The Committee recommends $571,925,000 for community service 

employment for older Americans. The comparable fiscal year 2008 

level is $521,625,000 and the budget request includes $350,000,000. 

This program, authorized by title V of the Older Americans Act, 

provides part-time employment in community service activities for 

unemployed, low-income persons aged 55 and over. It is a forwardfunded program, so the fiscal year 2009 appropriation will support 

the program from July 1, 2009, through June 30, 2010. 

The program provides a direct, efficient, and quick means to assist economically disadvantaged older workers because it has a 

proven effective network in every State and in practically every 

county. Administrative costs for the program are low, and the vast 

majority of the money goes directly to low-income seniors as wages 

and fringe benefits. 

The program provides a wide range of vital community services 

that would not otherwise be available, particularly in low-income 

areas and in minority neighborhoods. Senior enrollees provide necessary and valuable services at Head Start centers, schools, hospitals, libraries, elderly nutrition sites, senior center, and elsewhere in the community. 

A large proportion of senior enrollees use their work experience 

and training to obtain employment in the private sector. This not 

only increases our Nation’s tax base, but it also enables more lowincome seniors to participate in the program. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2008 ............................................................................. $888,700,000 

Budget estimate, 2009 ........................................................................... 958,800,000 

Committee recommendation ................................................................. 958,800,000 

The Committee recommends $958,800,000 for Federal Unemployment Benefits and Allowances. The comparable fiscal year 2008 

amount is $888,700,000 and the budget request includes 

$958,800,000 for this purpose. Trade adjustment benefit payments 

are expected to increase from $606,000,000 in fiscal year 2008 to 

$667,000,000 in fiscal year 2009, while trade training in fiscal year 

2009 will amount to roughly $259,000,000 for an estimated 100,000 

participants. 

The Trade Adjustment Assistance Reform Act of 2002 consolidated the previous Trade Adjustment Assistance [TAA] and 

NAFTA Transitional Adjustment Assistance programs, into a single, enhanced TAA program with expanded eligibility, services, and 
20 

benefits. Additionally, the act provides a program of Alternative 

Trade Adjustment Assistance for Older Workers. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2008 ............................................................................. $3,307,370,000 

Budget estimate, 2009 ........................................................................... 2,782,914,000 

Committee recommendation ................................................................. 3,692,363,000 

The Committee recommends $3,692,363,000 for this account. The 

recommendation includes $3,603,028,000 authorized to be drawn 

from the Employment Security Administration account of the unemployment trust fund, including $40,000,000 in additional program integrity activities described later in this account, and 

$89,335,000 to be provided from the general fund of the Treasury. 

The funds in this account are used to provide administrative 

grants and assistance to State agencies which administer Federal 

and State unemployment compensation laws and operate the public 

employment service. 

The Committee bill continues language that allows States to pay 

the cost of penalty mail from funds allotted to them under the 

Wagner-Peyser Act and allows States to use funds appropriated 

under this account to assist other States if they are impacted by 

a major disaster declared by the President. 

The Committee recommends a total of $2,831,872,000 for unemployment insurance activities. 

For unemployment insurance [UI] State operations, the Committee recommends $2,782,145,000. These funds are available for 

obligation by States through December 31, 2009. However, funds 

used for automation acquisitions are available for obligation by 

States through September 30, 2011. 

The recommendation includes $10,000,000 to conduct in-person 

reemployment and eligibility assessments and unemployment insurance improper payment reviews. In addition, $40,000,000 is 

available for this purpose through a discretionary cap adjustment, 

as provided for in the fiscal year 2009 budget resolution. The Committee is particularly interested in a portion of these funds being 

used for technology-based overpayment prevention, detection and 

collection infrastructure investments. 

These program integrity activities will save more than $200,000,000 annually in overpayments from the unemployment 

insurance trust fund. The Committee bill includes language proposed in the budget request that requires the Secretary of Labor 

to submit interim and final reports on the outcomes achieved 

through these activities, their associated estimated savings, and 

identification of best practices that may be replicated. 

In addition, the Committee recommendation provides for a contingency reserve amount should the unemployment workload exceed an average weekly insured claims volume of 3,487,000. This 

contingency amount would fund the administrative costs of the unemployment insurance workload over the level of 3,487,000 insured 

unemployed per week at a rate of $28,600,000 per 100,000 insured 

unemployed, with a pro rata amount granted for amounts of less 

than 100,000 insured unemployed. The President’s budget provides 

for a contingency threshold level of 2,790,000. 
21 

For unemployment insurance national activities, the Committee recommends $9,727,000. These funds are directed to activities that 

benefit the State/Federal unemployment insurance program, including helping States adopt common technology-based solutions to 

improve efficiency and performance, supporting training and contracting for actuarial support for State trust fund management. 

For the Employment Service allotments to States, the Committee recommends $703,776,000, which includes $22,883,000 in general 

funds together with an authorization to spend $680,893,000 from 

the Employment Security Administration account of the unemployment trust fund, which is the same as the comparable fiscal year 

2008 amounts. The budget request does not include any funds for 

this purpose. These funds are available for the program year of 

July 1, 2009 through June 30, 2010. The Committee also recommends $20,026,000 for Employment 

Service national activities, the same amount as the budget request. 

The comparable fiscal year 2008 amount is $19,677,000 for these 

activities. 

As proposed by the administration, the Committee recommends 

a consolidation of funding sources for foreign labor certification activities. While the President’s budget proposed to create a new account for this consolidation, the Committee recommends funding of 

$70,237,000 under this account. The comparable fiscal year 2008 

funding level is $54,004,000 and the President’s budget includes 

$77,970,000 for this purpose. In addition, $13,000,000 is estimated 

to be available from H–1B fees for processing H–1B alien labor certification applications. 

The budget request also includes legislative proposals that would 

authorize fees for the PERM, H–2A and H–2B programs. The Committee bill defers actions on these proposals, which need to be considered by the appropriate committees of jurisdiction. 

The Committee urges the Department to develop and implement 

program integrity objectives and performance measures related to 

the foreign labor certification program. The Department of Labor 

Inspector General has identified this as an area of major concern. 

For One-Stop Career Centers and Labor Market Information, the 

Committee recommends $52,059,000, the same amount as the comparable fiscal year 2008 level. The budget request includes 

$48,880,000 for these activities. The Committee recommendation 

includes funding for America’s Career Information Network, improving efficiency in labor market transactions, and measuring and 

displaying WIA performance information. 

The Committee has provided funds above the budget request to 

enable the Secretary to make competitive grants to the State agencies that administer the Wagner-Peyser Act and State unemployment insurance programs. The Committee intends that not less 

than $2,000,000 of such funds be made available for such agencies 

to, in coordination with one-stop delivery systems, identify job 

openings in the renewable energy and energy efficiency sector and 

refer workers to job openings and such training programs, among 

other activities authorized under the Green Jobs Act of 2007. 

The Committee recommends $14,393,000 for the Work Incentives 

Grants program, the same amount as the fiscal year 2008 funding 

level. The budget request proposes to eliminate funding for these 
22 

activities. This program helps persons with disabilities find and retain jobs through the One-Stop Career Center system mandated by 

the Workforce Investment Act. Funding will support the Disability 

Program Navigator initiative, which is intended to ensure that 

One-Stop systems integrate and coordinate mainstream employment and training programs with essential employment-related 

services for persons with disabilities. The Committee recommendation includes sufficient funding for evaluation, capacity building, 

training, and technical assistance, which continues to be needed 

given the expansion to 47 States. 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2008 ............................................................................. $437,000,000 

Budget estimate, 2009 ........................................................................... 422,000,000 

Committee recommendation ................................................................. 422,000,000 

The Committee recommends $422,000,000 for this account, the 

same amount the budget request. The fiscal year 2008 funding 

level is $437,000,000 for this purpose. The appropriation is available to provide advances to several accounts for purposes authorized under various Federal and State unemployment compensation 

laws and the Black Lung Disability Trust Fund, whenever balances 

in such accounts prove insufficient. The Committee recommendation assumes that fiscal year 2009 advances will be made to the 

Black Lung Disability Trust Fund, as proposed in the budget request. 

The separate appropriations provided by the Committee for all 

other accounts eligible to borrow from this account in fiscal year 

2009 are expected to be sufficient. Should the need arise, due to 

unanticipated changes in the economic situation, laws, or for other 

legitimate reasons, advances will be made to the appropriate accounts to the extent funds are available. Funds advanced to the 

Black Lung Disability Trust Fund are now repayable with interest 

to the general fund of the Treasury. 

PROGRAM ADMINISTRATION

Appropriations, 2008 ............................................................................. $130,836,000 

Budget estimate, 2009 ........................................................................... 144,011,000 

Committee recommendation ................................................................. 131,153,000 

The Committee recommendation includes $84,368,000 in general funds for this account, as well as authority to expend $46,785,000 

from the Employment Security Administration account of the unemployment trust fund, for a total of $131,153,000. 

General funds in this account provide the Federal staff to administer employment and training programs under the Workforce Investment Act, the Older Americans Act, the Trade Act of 1974, the 

Denali Commission Act, the Women in Apprenticeship and NonTraditional Occupations Act of 1992, and the National Apprenticeship Act. Trust funds provide for the Federal administration of employment security functions under title III of the Social Security 

Act. 

The Committee believes that the public workforce system is 

strengthened by the effective participation of all of the stakeholders 

in the system and urges that the Department use a portion of its 

discretionary funds to support that participation through grants 
23 

and contracts to intergovernmental, business, labor, and community-based organizations dedicated to training and technical assistance in support of Workforce Investment Boards and their members. 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $139,313,000 

Budget estimate, 2009 ........................................................................... 147,871,000 

Committee recommendation ................................................................. 139,313,000 

The Committee recommends $139,313,000 for the Employee Benefits Security Administration [EBSA], the same amount as the fiscal year 2008 funding level. The budget request includes 

$147,871,000. 

The EBSA is responsible for the enforcement of title I of the Employee Retirement Income Security Act of 1974 [ERISA] in both 

civil and criminal areas. EBSA is also responsible for enforcement 

of sections 8477 and 8478 of the Federal Employees’ Retirement 

Security Act of 1986 [FERSA]. In accordance with the requirements 

of FERSA, the Secretary of Labor has promulgated regulations and 

prohibited transactions class exemptions under the fiduciary responsibility and fiduciary bonding provisions of the law governing 

the Thrift Savings Plan for Federal employees. In addition, the Secretary of Labor has, pursuant to the requirement of section 

8477(g)(1) of FERSA, established a program to carry out audits to 

determine the level of compliance with the fiduciary responsibility 

provisions of FERSA applicable to Thrift Savings Plan fiduciaries. 

EBSA provides funding for the enforcement and compliance; policy, 

regulation, and public services; and program oversight activities. 

PENSION BENEFIT GUARANTY CORPORATION

The Corporation’s estimated obligations for fiscal year 2009 in- clude single employer benefit payments of $4,818,000,000, multiemployer financial assistance of $100,000,000 and administrative 

expenses of $444,722,000. Administrative expenses are comprised 

of three activities: (1) Pension insurance activities, $68,548,000; (2) 

pension plan termination expenses, $240,406,000; and (3) operational support, $135,768,000. Such expenditures will be financed 

by permanent authority. The budget request proposes to make 

these funds available until expended. 

The Pension Benefit Guaranty Corporation is a wholly owned 

Government corporation established by the Employee Retirement 

Income Security Act of 1974. The law places it within the Department of Labor and makes the Secretary of Labor the chair of its 

board of directors. The corporation receives its income primarily 

from insurance premiums collected from covered pension plans, assets of terminated pension plans, collection of employer liabilities 

imposed by the act, and investment earnings. The primary purpose 

of the corporation is to guarantee the payment of pension plan benefits to participants if covered defined benefit plans fail or go out 

of existence. 

The President’s budget proposes to continue from last year’s bill 

a contingency fund for the PBGC that provides additional adminis-
24 

trative resources when the number of participants in terminated 

plans exceeds 100,000. When the trigger is reached, an additional 

$9,200,000 becomes available for every 20,000 participants in terminated plans. A trigger also is included for additional investment 

management fees for plan terminations or asset growth. The Committee recommendation includes this language to ensure that the 

PBGC can take immediate, uninterrupted action to protect participants’ pension benefits. The Committee expects to be notified immediately of the availability of any funds made available by this 

provision. 

The President’s budget also includes language that provides additional funds for investment management fees for changes in investment policies approved by the Board. The proposed language 

also allows PBGC additional obligation authority for unforeseen 

and extraordinary pre-termination expenses, after approval by the 

Office of Management and Budget and notification of the Committees on Appropriations of the House of Representatives and Senate. 

The Committee bill only includes the requested language related to 

unforeseen expenses. 

The single-employer program protects about 33.8 million participants in approximately 28,900 defined benefit pension plans. The 

multi-employer insurance program protects about 9.9 million participants in more than 1,500 plans. 

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $420,925,000 

Budget estimate, 2009 ........................................................................... 468,660,000 

Committee recommendation ................................................................. 438,359,000 

The Committee recommends $438,359,000 for this account. The 

bill contains authority to expend $2,022,000 from the special fund 

established by the Longshore and Harbor Workers’ Compensation 

Act; the remainder of $436,337,000 are general funds. In addition, 

an amount of $32,308,000 is available by transfer from the black 

lung disability trust fund. The Committee continues to recommend 

bill language that authorizes the Employment Standards Administration to assess and collect fees to defray the cost for processing 

applications for homeworker and special minimum wage certifications, and applications for registration under the Migrant and 

Seasonal Agricultural Worker Protection Act. 

The Employment Standards Administration is involved in the administration of numerous laws, including the Fair Labor Standards 

Act, the Immigration and Nationality Act, the Migrant and Seasonal Agricultural Workers’ Protection Act, the Davis-Bacon Act, 

the Family and Medical Leave Act, the Federal Employees’ Compensation Act [FECA], the Longshore and Harbor Workers’ Compensation Act, and the Federal Mine Safety and Health Act (black 

lung). 

This recommendation provides sufficient funding to offset the impact of inflation, and includes more than $5,000,000 to hire new investigators to conduct inspections and investigations of industries 

with high concentrations of low-wage and other vulnerable work-
25 

ers, and industries with high levels of wage and hour violations, including overtime violations. 

The Committee requests the Department to include, as part of its 

fiscal year 2010 budget justification, a detailed report on its enforcement efforts aimed at low-wage industries, including: the 

measures being used to gauge compliance; the enforcement strategy being pursued in each of these industries; the number of investigators who are bilingual (and in what languages); the number of 

investigations prompted by complaints from workers and those initiated by the Department; the number of workers covered by those 

investigations; the employer practices that form the basis of complaints; and the findings and actions taken, including recovery of 

back wages. 

The Committee is concerned about the misclassification of employees as independent contractors, which undermines enforcement 

of the Nation’s worker-protection laws. The Committee encourages 

the Wage and Hour Division to focus increased attention of investigative personnel and resources to detecting and taking enforcement actions against the illegal misclassification of workers and 

unreported cash pay. The Committee requests that the fiscal year 

2010 budget justification include detailed information on the Department’s enforcement strategy and record on misclassification 

and unreported cash pay, including: the measures established to 

gauge compliance; the number of investigations prompted by complaints from workers and those initiated by the Department; the 

number of workers covered by those investigations; descriptive data 

on the employer practices that form the basis of the complaint; and 

the findings and actions taken, including recovery of back pay, 

other compensatory measures, and cross-referral of complaints to 

the Internal Revenue Service. 

The Committee is concerned that the proposed regulations to the 

Family and Medical Leave Act [FMLA] published on February 11, 

2008, have suggested alterations to the current regulations without 

collecting objective, high-quality data to support these changes. The 

Committee believes that the Department should move expeditiously 

to promulgate regulations to implement the new military leave provisions to the FMLA that Congress enacted in the National Defense Authorization Act of 2008. However, the Committee also believes the Department needs to do more on the non-military aspect 

of the proposed regulation and should conduct an objective, comprehensive survey of both employers and employees, as was done 

in 2000, on the need for the proposed changes to the current rules. 

Therefore, the Committee requests the Department to withhold 

from finalizing regulations (not including rules on the military family leave provisions as discussed in 73 Fed. Reg. at 7925–33) that 

are not based on the survey described above, unless the results of 

such survey show an objective and compelling need for changes to 

the current regulations. 

The recommendation includes $1,000,000 to continue activities 

for the expeditious startup of a system to resolve claims of victims 

for bodily injury caused by asbestos exposure. This may include 

contracts with individuals or entities having relevant experience to 

assist in jump starting the program, as described in S. 852, the 

Fair Act of 2005. Activities to shorten the lead-time for implemen-
26 

tation of asbestos activities encompass procedures for the processing of claims, including procedures for the expediting of exigent 

health claims, and planning for promulgation of regulations. Funds 

not needed for this purpose, because authorizing legislation has not 

been enacted, should be used for additional investigations as outlined in the budget request. 

The Committee recommendation includes a rescission of 

$63,000,000 in unexpended balances from H–1B fee receipts the 

Department has been unable to spend over the past several fiscal 

years. The budget proposes to rescind $30,000,000 of these balances. 

SPECIAL BENEFITS

Appropriations, 2008 ............................................................................. $203,000,000 

Budget estimate, 2009 ........................................................................... 163,000,000 

Committee recommendation ................................................................. 163,000,000 

The Committee recommends $163,000,000 for this account. The 

comparable fiscal year 2008 amount is $203,000,000 and the budget request includes $163,000,000 for this purpose. The appropriation primarily provides benefits under the Federal Employees’ 

Compensation Act [FECA]. 

The Committee recommends continuation of appropriation language to provide authority to require disclosure of Social Security 

account numbers by individuals filing claims under the Federal 

Employees’ Compensation Act or the Longshore and Harbor Workers’ Compensation Act and its extensions. 

The Committee recommends continuation of appropriation language that provides authority to use the FECA fund to reimburse 

a new employer for a portion of the salary of a newly reemployed 

injured Federal worker. The FECA funds will be used to reimburse 

new employers during the first 3 years of employment not to exceed 75 percent of salary in the worker’s first year, declining thereafter. 

The Committee recommendation also continues language allowing carryover of unobligated balances from fiscal year 2008 to be 

used in the following year. 

The Committee again includes appropriation language that retains the drawdown date of August 15. The drawdown authority 

enables the agency to meet any immediate shortage of funds without requesting supplemental appropriations. The August 15 drawdown date allows flexibility for continuation of benefit payments 

without interruption. 

The Committee recommends continuation of appropriation language to provide authority to deposit into the special benefits account of the employees’ compensation fund those funds that the 

Postal Service, the Tennessee Valley Authority, and other entities 

are required to pay to cover their fair share of the costs of administering the claims filed by their employees under FECA. The Committee concurs with requested bill language to allow use of fair 

share collections to fund capital investment projects and specific 

initiatives to strengthen compensation fund control and oversight. 
27 

SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2008 ............................................................................. $208,221,000 

Budget estimate, 2009 ........................................................................... 188,130,000 

Committee recommendation ................................................................. 188,130,000 

The Committee recommends an appropriation of $188,130,000 in 

fiscal year 2009 for special benefits for disabled coal miners. This 

is in addition to the $62,000,000 appropriated last year as an advance for the first quarter of fiscal year 2009. These funds are used 

to provide monthly benefits to coal miners disabled by black lung 

disease and to their widows and certain other dependents, as well 

as to pay related administrative costs. 

The Black Lung Consolidation of Administrative Responsibility 

Act, enacted on November 2, 2002, amends the Black Lung Benefits Act to transfer part B black lung benefits responsibility from 

the Commissioner of Social Security to the Secretary of Labor, thus 

consolidating all black lung benefit responsibility under the Secretary. Part B benefits are based on claims filed on or before December 31, 1973. The Secretary of Labor is already responsible for 

the part C claims filed after December 31, 1973. In fiscal year 

2009, an estimated 27,700 beneficiaries will receive benefits. 

By law, increases in black lung benefit payments are tied directly 

to Federal pay increases. The year-to-year decrease in this account 

reflects a declining beneficiary population. 

The Committee recommends an advance appropriation of 

$56,000,000 for the first quarter of fiscal year 2010, the same as 

the administration request. These funds will ensure uninterrupted 

benefit payments to coal miners, their widows, and dependents. 

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION

PROGRAM

Appropriations, 2008 ............................................................................. $49,387,000 

Budget estimate, 2009 ........................................................................... 49,654,000 

Committee recommendation ................................................................. 49,654,000 

The Committee recommends $49,654,000 for the Energy Employees Occupational Illness Compensation Program [EEOICP]. The 

comparable fiscal year 2008 amount is $49,387,000 and the budget 

request includes $49,654,000 for this program. 

The objective of the EEOICP is to deliver benefits to eligible employees and former employees of the Department of Energy, its contractors and subcontractors or to certain survivors of such individuals, as provided in the Energy Employees Occupational Illness 

Compensation Program Act. The mission also includes delivering 

benefits to certain beneficiaries of the Radiation Exposure Compensation Act. 

The Department of Labor’s Office of Workers’ Compensation Programs within the Employment Standards Administration is responsible for adjudicating and administering claims filed by employees 

or former employees (or their survivors) under the act. 

The Committee recommends a direct appropriation to the Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health [CDC/NIOSH] under the Department 

of Health and Human Services, as proposed in the budget request. 

Previously, the appropriations act provided the Department of 
28 

Labor with the authority to transfer appropriated funds to CDC/ 

NIOSH for authorized activities. 

In 2009, the volume of incoming claims under part B of the 

EEOICP is estimated to remain stable at about 8,500 claims from 

Department of Energy [DOE] employees or survivors, and private 

companies under contract with DOE, who suffer from a radiationrelated cancer, beryllium-related disease, or chronic silicosis as a 

result of their work in producing or testing nuclear weapons. 

Under part E, the Department is expected to receive approximately 10,000 new claims during fiscal year 2009. Under this authority, the Department provides benefits to eligible DOE contractor employees or their survivors who were found to have workrelated occupational illnesses due to exposure to a toxic substance 

at a DOE facility. 

The Committee expects the administration to refrain from unilateral changes to reduce the cost of benefits for current or pending 

cohorts of atomic weapons workers with cancer under the Energy 

Employees Occupational Illness Compensation Program until such 

time as Congress approves proposed changes. 

BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2008 ............................................................................. $1,067,644,000 

Budget estimate, 2009 ........................................................................... 1,071,644,000 

Committee recommendation ................................................................. 1,071,644,000 

The Committee recommends $1,071,644,000 for this account in 

2009. The comparable fiscal year 2008 amount is $1,067,644,000 

and the budget request includes $1,071,644,000 for this purpose. 

The appropriation language continues to provide indefinite authority for the Black Lung Disability Trust Fund to provide for 

benefit payments. The recommendation assumes that 

$1,014,317,000 for benefit payments and interest, comprised of 

$256,317,000 for benefits payments and $758,000,000 for interest 

payments, will be paid in fiscal year 2009. In addition, the appropriation bill provides for transfers from the trust fund for administrative expenses for the following Department of Labor agencies: up 

to $32,308,000 for the Employment Standards Administration, up 

to $24,694,000 for Departmental Management, Salaries and Expenses, and up to $325,000 for Departmental Management, Inspector General. The bill also allows a transfer of up to $356,000 for 

the Department of Treasury. 

The trust fund pays all black lung compensation/medical and 

survivor benefit expenses when no responsible mine operation can 

be assigned liability for such benefits, or when coal mine employment ceased prior to 1970, as well as all administrative costs which 

are incurred in administering the benefits program and operating 

the trust fund. 

It is estimated that 31,000 individuals will receive black lung 

benefits financed through the end of the fiscal year 2009. 

The basic financing for the trust fund comes from a coal excise 

tax for underground and surface-mined coal. Additional funds come 

from reimbursement from the Advances to the Unemployment 

Trust Fund and Other Funds as well as payments from mine operators for benefit payments made by the trust fund before the mine 

operator is found liable. The advances to the fund assure avail-
29 

ability of necessary funds when liabilities may exceed other income. 

The Omnibus Budget Reconciliation Act of 1987 continues the current tax structure until 2014. 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $486,001,000 

Budget estimate, 2009 ........................................................................... 501,674,000 

Committee recommendation ................................................................. 504,620,000 

The Committee recommends $504,620,000 for this account. The 

comparable fiscal year 2008 amount is $486,001,000 and the budget request includes $501,674,000 for authorized activities. This 

agency is responsible for enforcing the Occupational Safety and 

Health Act of 1970 in the Nation’s workplaces. 

In addition, the Committee has included language to allow OSHA to retain up to $750,000 per fiscal year of training institute 

course tuition fees to be utilized for occupational safety and health 

training and education grants in the private sector. 

The Committee retains language carried in last year’s bill effectively exempting farms employing 10 or fewer people from the provisions of the act except those farms having a temporary labor 

camp. The Committee also retains language exempting small firms 

in industry classifications having a lost workday injury rate less 

than the national average from general schedule safety inspections. 

These provisions have been in the bill for many years. 

The Committee is concerned that OSHA’s standard setting and 

enforcement capabilities have been diminished over the past several years, due in part to declining budgets. The number of employees covered by inspections has fallen from almost 2.1 million in fiscal year 2000 to just more than 1.4 million in fiscal year 2007, a 

decline of almost one-third. Meanwhile, the pace of occupational 

safety and health standards setting at OSHA has essentially drawn 

to a halt, despite planned timetables announced in its regulatory 

agendas. The Committee recommends funding above the 2008 level 

to begin rebuilding enforcement capacity and increase the pace of 

standard setting at OSHA in fiscal year 2009. 

The Committee notes that, in 2006, there were 357,160 serious 

ergonomic injuries resulting in time off the job reported by employers. The Committee is disturbed that the Department has failed to 

make sufficient progress on its comprehensive plan to address ergonomic injuries, which included industry-targeted guidelines and 

tough enforcement measures. Despite this commitment, the Department only issued one ergonomic citation over the past 3 years, 

3 of 16 promised guidelines and almost 90 percent fewer hazard 

alert letters than the number issued in 2003. The Committee believes that OSHA should strengthen its efforts in this area. 

The Committee is deeply concerned that a large proportion of 

work-related injuries and illnesses are not being captured on the 

OSHA Log of Work-related Injuries and Illnesses or in the annual 

Bureau of Labor Statistics [BLS] Survey of Occupational Injuries 

and Illnesses. The Committee understands that several recent 

studies found that the BLS survey may miss from 25 percent to 70 

percent of all nonfatal injuries and illnesses, when compared to 
30 

State workers’ compensation information. While there is some explanation for why these data systems won’t match completely, the 

Committee believes this level of apparent under-reporting raises 

serious questions, particularly when firms may have economic incentives to underreport and workers may fear retaliation for reporting injuries. 

Given that complete and accurate reporting of injuries and illnesses is part of the foundation of the OSHA program, the Committee believes OSHA needs to take steps to better understand the 

completeness of employer-provided data. Specifically, the Committee directs OSHA to enhance oversight and enforcement of its 

recordkeeping standard to ensure complete and accurate recording 

and reporting by employers. To this end, the Committee has included $1,000,000 above the budget request for a recordkeeping enforcement initiative on injury and illness recording. This funding 

will support the hiring of additional staff, training of inspectors, 

and the establishment of a recordkeeping enforcement unit, which 

will enable OSHA to review the completeness and accuracy of individual employers’ injury and illness records and determine whether 

there are policies or practices in place that cause incomplete reporting of injuries and illnesses by employees. The Committee expects 

OSHA to keep it updated of its actions in this area. 

The Committee believes that OSHA’s worker safety and health 

training and education programs, including the grant program that 

supports such training, are a critical part of a comprehensive approach to worker protection. The Committee is concerned that 

OSHA has again cut funding to help establish ongoing worker safety and health training programs and has therefore restored the 

Susan Harwood training grant program to $9,939,000. Bill language specifies that no less than $3,144,000 shall be used to maintain the existing institutional competency building training grants, 

provided that grantees demonstrate satisfactory performance. 

The Committee included legislative language in the fiscal year 

2008 appropriations act to require OSHA to submit timelines for 

and progress reports on the development and issuance of safety 

and health standards and took this action because of the lack of 

any progress on standards setting. The Committee is particularly 

concerned about the health effects of silica, where the use of silica 

in abrasive blasting is a well known cause of silicosis. In fact, the 

Committee understands that the United States Navy and 23 States 

have banned the use of silica in abrasive blasting. 

The Committee understands that OSHA will complete, in August 

2008, a peer review risk assessment and study of health effects related to silica. The Committee requests a copy of this assessment 

and looks forward to OSHA announcing the next stages of this 

rulemaking. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $331,847,000 

Budget estimate, 2009 ........................................................................... 332,061,000 

Committee recommendation ................................................................. 346,895,000 
31 

The Committee recommendation includes $346,895,000 for the 

Mine Safety and Health Administration. The comparable fiscal 

year 2008 amount is $331,847,000 and the budget request includes 

$332,061,000. 

The Committee recommendation also includes bill language pro- viding up to $2,000,000 for mine rescue and recovery activities, the 

same as the fiscal year 2008 comparable level. It also retains the 

provision allowing the Secretary of Labor to use any funds available to the Department to provide for the costs of mine rescue and 

survival operations in the event of a major disaster. 

This agency insures the safety and health of the Nation’s miners 

by conducting inspections and special investigations of mine operations, promulgating mandatory safety and health standards, cooperating with the States in developing effective State programs, 

and improving training in conjunction with States and the mining 

industry. 

In addition, bill language is included to allow the National Mine Health and Safety Academy to collect not more than $750,000 for 

room, board, tuition, and the sale of training materials to be available for mine safety and health education and training activities. 

Bill language also allows MSHA to retain up to $1,000,000 from 

fees collected for the approval and certification of equipment, materials, and explosives for use in mines, and may utilize such sums 

for such activities. 

The Committee recommends $154,491,000 for coal enforcement, 

which is $9,509,000 more than the budget request and $4,368,000 

more than the comparable fiscal year 2008 level. The increase, together with approximately $6,000,000 available in one-time expenditures related to the MSHA interim 100 percent plan, will provide a program level increase of over $10,000,000 for MSHA. 

The Committee intends for these funds to be used to accelerate 

the implementation of the MINER Act and improve the health and 

safety of miners. The Committee believes MSHA needs to move 

more aggressively in a number of areas where evidence reveals 

that insufficient progress is being made, as described below. The 

additional funds provided over the request are specifically directed 

toward ensuring MSHA is able to conduct and follow-up on 100 

percent of its mandatory inspections; adequately train and hire coal 

mine safety enforcement personnel; improve the infrastructure at 

the National Mine Health and Safety Academy; accelerate the certification and approval of safety and health equipment, including 

the communication and tracking technologies required in the 

MINER Act; and ensure the compliance with and effectiveness of 

statutory training requirements. In each of these areas and others 

specifically required by the MINER Act, the Committee requests 

quarterly progress reports on the progress being made with funding provided by this Committee. 

The Committee notes that MSHA conducted 95 percent of mandatory inspections in the coal industry during fiscal year 2006. In 

some districts, only 80 to 85 percent of mandatory inspections were 

completed. The Committee finds this unacceptable. These inspections form the core of the agency’s enforcement efforts, and without 

them, the health and safety of miners is jeopardized. The Committee expects MSHA to ensure that no less than 100 percent of 
32 

mandatory health and safety inspections are completed in fiscal 

years 2008 and 2009 and any follow-up actions required are taken 

in a timely manner. 

The Committee is concerned about the reported increases in respiratory illnesses in the coal miner population. Within the Committee recommendation, $2,000,000 shall be used by MSHA to increase spot inspections in the active workings of coal mines for the 

purpose of obtaining compliance with section 202 of the Federal 

Coal Mine Health and Safety Act of 1969. In addition, the Committee requests MSHA to provide a report, not later than March 

31, 2009 and after consultation with the National Institute for Occupational Safety and Health, on the feasibility and efficacy of 

MSHA using single, full-shift measurements of respirable coal mine 

dust to ensure compliance with section 202 of the Federal Coal 

Mine Health and Safety Act of 1969. 

The Committee also is aware that the Government Accountability Office [GAO] implementation report issued in May 2007 

identified continued concerns about MSHA’s preparedness for dealing with its future workforce needs, which are expected to be significant given that more than 40 percent of underground coal mine 

inspectors are eligible to retire within the next 5 years. Many of 

these retirees are highly experienced, which adds to the impact of 

these losses. GAO has concluded that MSHA lacks a clear and wellthought-out plan to address the expected turnover in its experienced workforce. The Committee directs MSHA to undertake a 

strategic planning process to identify goals and measures for monitoring and evaluating its progress on staying ahead of the retirement wave and meeting the needs of its enforcement workforce. 

The Committee requests a report, no later than March 30, 2009, 

that includes a 5-year succession plan and goals and measures related to MSHA’s human capital needs. 

To help meet the demand for training of MSHA’s workforce, the 

Committee recommendation includes an increase over the budget 

request of $2,000,000 to improve the infrastructure and expand online training programs at the National Mine Safety and Health 

Academy. These funds are available under the educational policy 

and development line. 

The Committee also notes MSHA’s operating plan indicates that 

the Approval and Certification Center has a backlog of more than 

400 approval actions. While additional funding provided in 2008 

will help reduce this backlog through the hiring of an additional 

seven staff, the Committee believes more needs to be done to 

strengthen the ability of MSHA to review and certify equipment for 

use in mines. The Committee recommends $1,000,000 more than 

the budget request for equipment and infrastructure improvement 

at the Approval and Certification Center to make more progress on 

reducing this backlog. 

The Committee recommendation also includes $1,900,000 for an 

award to the United Mine Workers of America to provide classroom 

and simulated rescue training for mine rescue teams at its Beckley, 

West Virginia and Washington, Pennsylvania career centers. The 

Committee notes that a GAO report issued in May 2007 found that 

81 percent of mine operators considered the availability of special 
33 

training facilities for mine rescue team training in simulated environments to be a challenge. 

The Committee understands the Office of Accountability was established to provide focus and oversight to ensure that MSHA policies, enforcement procedures, and guidance are being complied with 

consistently and that the agency is accomplishing its mission-critical activities. The Office conducts field audits, recommends and 

monitors corrective actions and analyzes mining data. The Committee requests that MSHA prepare and provide a report to the 

Committee, no later than March 31, 2009, on staffing and budget 

resources expended or planned for fiscal years 2008 and 2009; findings and recommendations of audits conducted to date; and corrective actions implemented. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $544,801,000 

Budget estimate, 2009 ........................................................................... 592,806,000 

Committee recommendation ................................................................. 598,306,000 

The Committee recommends $598,306,000 for this account. The 

comparable fiscal year 2008 amount is $544,801,000 and the budget request includes $592,806,000 for this purpose. The recommendation includes $82,764,000 from the Employment Security 

Administration account of the unemployment trust fund, and 

$515,542,000 in Federal funds. Language pertaining to the Current 

Employment Survey is retained from prior year bills. 

The Bureau of Labor Statistics is the principal fact-finding agency in the Federal Government in the broad field of labor economics. 

The Committee is concerned by the significant discrepancies 

found in comparisons of BLS injury and illness survey data, which 

are based on employer-reported injury logs provided to the Occupational Safety and Health Administration [OSHA], and State worker 

compensation information. The research identified that the BLS 

data were only capturing as few as one-third of injuries under certain State worker compensation systems. While there is some explanation for why data from State worker compensation systems 

won’t match perfectly with the BLS survey data, the research conducted to date raises serious questions about the completeness of 

the national workplace injury surveillance system. 

Therefore, the Committee recommendations includes additional 

resources, which are intended to be used to: strengthen the current 

BLS examination of the differences between workers’ compensation 

information and BLS survey data; better understand employer injury and illnesses recording practices and conduct a pilot study of 

using multiple data sources to capture injury and illness data. The 

Committee expects to be kept apprised of BLS work in this area. 

The Committee understands that BLS is in the process of converting the National Compensation Survey sample of areas to a list 

that reflects the metropolitan and micropolitan areas defined by 

the Office of Management and Budget on the basis of the 2000 

Census of Population. The Committee further understands that 

this conversion, which is planned to take several years, includes 

initiating a survey of the Las Vegas metropolitan area. The Com-
34 

mittee supports this action and has included sufficient funding to 

complete this conversion process in a timely basis. The Committee recommendation includes $1,500,000 to continue 

the Mass Layoff Statistics Program. These resources, together with 

$3,500,000 from the Employment and Training Administration, are 

sufficient to continue the program. The Committee recommendation also includes sufficient funding to continue the American Time 

Use Survey in its current form. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2008 ............................................................................. $26,679,000 

Budget estimate, 2009 ........................................................................... 12,441,000 

Committee recommendation ................................................................. 26,679,000 

The Committee recommends $26,679,000 for this account in 

2009, the same amount as the comparable fiscal year 2008 level. 

The budget request includes $12,441,000 for this account. The 

Committee intends that at least 80 percent of these funds shall be 

used to design and implement research and technical assistance 

grants and contracts to develop policy that reduces barriers to employment for youth and adults with disabilities. 

Congress created the Office of Disability Employment Policy 

[ODEP] in the Department of Labor’s fiscal year 2001 appropriation. The mission of the ODEP is to provide leadership, develop policy and initiatives, and award grants furthering the objective of 

eliminating barriers to the training and employment of people with 

disabilities. The Committee strongly supports each of the components of ODEP’s mission and, in particular, urges the Secretary to 

ensure that ODEP is properly supported in carrying out its leadership role with respect to Government-wide policies related to the 

training and employment of individuals with disabilities. The Committee recommends $500,000 for the Office of Disability 

Employment Policy to expand a structured, internship program for 

undergraduate college students with disabilities. The Committee 

continues to believe that this structured internship program will 

provide important opportunities for undergraduate and graduate 

students with disabilities to pursue academic and career development opportunities within the Department of Labor and other Federal agencies. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2008 ............................................................................. $293,952,000 

Budget estimate, 2009 ........................................................................... 263,483,000 

Committee recommendation ................................................................. 314,340,000 

The Committee recommendation includes $314,340,000 for this 

account. The comparable fiscal year 2008 amount is $293,952,000 

and the budget request includes $263,483,000 for this purpose. In 

addition, an amount of $24,694,000 is available by transfer from 

the black lung disability trust fund. 

The primary goal of the Department of Labor is to protect and 

promote the interests of American workers. The departmental management appropriation finances staff responsible for formulating 

and overseeing the implementation of departmental policy and 
35 

management activities in support of that goal. In addition, this appropriation includes a variety of operating programs and activities 

that are not involved in departmental management functions, but 

for which other salaries and expenses appropriations are not suitable. 

The Committee recommendation for the Women’s Bureau includes funding for a competitive grant of no less than $600,000 in 

fiscal year 2009 to: develop resources and provide technical assistance to local women’s employment and training programs throughout the country; develop Statewide networks to enhance the capacity of such employment and training programs; provide online and 

toll-free referral services to assist individual women in accessing 

such training programs; and conduct other activities to advance unemployed and underemployed women in the workforce. 

The Committee is disappointed that the Department of Labor 

has once again proposed a budget that drastically reduces funding 

for International Labor Affairs Bureau [ILAB], in particular, those 

initiatives working with the International Labor Organization 

[ILO] to combat abusive and exploitative child labor and implement 

model programs to address worker rights. 

The Committee strongly supports the mandate of the Office of 

Child Labor, Forced Labor, and Human Trafficking [OCFT] which 

is part of the Department of Labor’s ILAB. For the past decade, the 

OCFT has responded to requests from Congress to investigate and 

report on abusive child labor around the world. The OCFT played 

a key role in the drafting of ILO’s Convention 182, which became 

the world’s definition of the worst forms of child labor and their expertise in combating international child labor, forced labor and 

human trafficking issues are vital to formulating U.S. Government 

policy. 

This Committee and Congress have provided OCFT with significant funding to implement activities, such as research and technical assistance related to international child labor, forced labor, 

and human trafficking. The Committee has provided funding to 

OCFT to implement and oversee over 130 cooperative agreements 

and contracts to organizations engaged in efforts to eliminate 

exploitive child labor in more than 70 countries around world. In 

2005, the Trafficking Victim Protection Reauthorization Act mandated OCFT to monitor the use of forced labor and child labor in 

violation of international standards. Additionally, OCFT prepares 

an annual report to Congress on GSP countries implementation of 

international commitments to eliminate the worst forms of child 

labor as well as those countries that have negotiated free trade 

agreements with the United States. 

Clearly, these programs administered by ILAB are having a positive impact, and the Committee feels strongly that reducing United 

States efforts to eradicate child labor or substantially changing the 

structure and leadership of those efforts would, at best, endanger 

the progress being made. At worst, withdrawing from these efforts 

could damage the Nation’s credibility and reputation in the countries that are real partners to the United States in this effort. 

The Committee is aware that the administration is aggressively 

pursuing multiple trade agreements that promise technical assistance on labor standards, including but not limited to the eradi-
36 

cation of child labor. ILAB is the division of the U.S. Government 

with the mission and authority to provide that assistance. Given 

the aggressive trade agenda and the recent commitment to capacity 

building in developing nations as a form of aid, the Committee is 

mystified by the Department’s now annual effort to eliminate these 

programs, this year proposing an astounding 80 percent reduction. Therefore, the Committee recommendation includes $86,074,000 

for the Bureau of International Labor Affairs. Of this amount, the 

Committee directs $42,784,000 be used for the United States contribution to expand on the successful efforts of the ILO’s International Program for the Elimination of Child Labor [IPEC]. Also included is $23,581,000 to help ensure access to basic education for the growing number of children removed from the worst 

forms of child labor in impoverished nations where abusive and exploitative child labor is most acute. The Committee expects the Department of Labor to work with the governments of host countries 

to eliminate school fees that create a barrier to education. 

The Committee believes that the oversight committee created in 

2006 to publicly report on the progress of the implementation of 

the Harkin-Engel protocol, a public private partnership to eliminate the worst forms of child labor and adult forced labor in the 

cocoa sector of West Africa, has been beneficial to all stakeholders. 

Due to a delay in the implementation of a transparent certification 

system, it will be necessary to extend the oversight process until 

December 2010. The Committee has included sufficient funds to 

support additional annual reporting through the extension period. 

The Committee intends for the additional reporting to assess 

progress made on key points of the protocol, which include development of a child labor monitoring system by industry, the elimination of the worst forms of child labor in the supply chain, and 

the development of an industry-wide, public, transparent certification system covering at least 50 percent of the growing area in 

the Ivory Coast and Ghana. The Committee requests that the annual report also include a programmatic review of industry and national government efforts to remediate children found in the worst 

forms of child labor and adult forced labor in the cocoa supply 

chain, as well as recommendations on the frequency of data collection needed in the field to accurately and affirmatively report on 

the incidence of the worst forms of child labor and adult forced 

labor in order to measure the decline over time of these abusive 

labor practices. 

The Committee recommends continuation of the worker rights 

technical assistance projects initiated in last year’s bill. These 

projects will support the implementation of model programs designed to address worker rights in countries with which the United 

States has trade preference programs. The Committee bill earmarks $5,913,000 for this purpose and intends for the increase provided over last year to be targeted to the work that will be undertaken in Haiti. 

The Committee notes that ILAB is statutorily required to compile and report to the Congress annually on the extent to which 

each foreign country that has trade and investment agreements 

with the United States enforces internationally recognized worker 

rights. This report is required under multiple U.S. laws and pro-
37 

motes core labor standards as embodied in the ILO Declaration on 

Fundamental Principles and Rights at Work as adopted and reaffirmed in 1998. The Committee once again directs the Secretary 

to include in the 2008 report all former GSP recipients that have 

achieved a Free Trade Agreement with the United States over the 

preceding year. 

The Committee recommends $100,532,000 for the Office of the 

Solicitor. The Committee intends for the increase provided to support no less than an increase of five FTEs over the fiscal year 2008 

staffing level for enforcement support for the Mine Safety and 

Health Administration. 

OFFICE OF JOB CORPS

Appropriations, 2008 ............................................................................. $1,610,506,000 

Budget estimate, 2009 ........................................................................... 1,564,699,000 

Committee recommendation ................................................................. 1,650,516,000 

For Job Corps, the Committee recommends $1,650,516,000. The 

comparable fiscal year 2008 amount is $1,610,506,000 and the 

budget request includes $1,564,699,000 for this purpose. 

The Senate recommendation for operations of Job Corps centers 

is $1,507,684,000, comprised of $916,684,000 in fiscal year 2009 

funds and $591,000,000 in advance appropriations from last year’s 

bill. For operations, the Committee also recommends advance funding of $591,000,000, which will become available on October 1, 

2009. 

The Committee also recommends $13,960,000 in construction, 

renovation and acquisition funds, which are available from July 1, 

2009 to June 30, 2012. In addition, $100,000,000 in construction, 

rehabilitation and acquisition funds are provided in advance funding, which will make these funds available on October 1, 2009 

through June 30, 2012. 

In response to this Committee’s direction to competitively select 

sites for an expansion of Job Corps centers, the Department of 

Labor selected three new Job Corps center sites in February 2007. 

The Committee includes $113,960,000 within construction and renovation for, in part, to continue development of these facilities on 

the timelines provided to the Committee and selected sites in January 2007. The timeline for accepting students at each of the centers 

is: New Hampshire, September 2010; Iowa, November 2010; and 

Wyoming, February 2011. The Committee intends for these centers 

to open on this timeline and has provided sufficient funds to accomplish this objective. 

The Committee recommendation continues the Office of Job 

Corps as an independent entity reporting to the Office of the Secretary of Labor, retaining program functions previously administered by the Job Corps prior to its transfer from the Employment 

and Training Administration, and ensuring the support necessary 

for oversight and management responsibilities. Although the Office 

of the Assistant Secretary for Administration and Management will 

oversee the procurement process, this arrangement shall not alter 

the existing authorities, duties or activities of Job Corps as it existed prior to the transfer. The Office of Job Corps and the Assistant Secretary for Administration and Management are directed to 
38 

maintain controls to assure the procurement activities are completely separate from program operations. 

In fiscal year 2008, the Committee urged the Department to be 

prepared to consider new ways to structure and announce a competition for additional Job Corps center sites, particularly in rapidly growing metropolitan areas currently without a Job Corps center. The Committee requests that the Office of Job Corps conduct 

outreach to identify interested communities meeting the priority 

described in the preceding sentence and respond to requests for 

technical assistance to begin a new process of establishing additional Job Corps centers. 

The Committee also requests the Office of Job Corps to provide 

a report, no later than March 31, 2009, containing a capital assessment of the Harper Ferry Job Corps Civilian Conservation Center. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2008 ............................................................................. $228,096,000 

Budget estimate, 2009 ........................................................................... 238,439,000 

Committee recommendation ................................................................. 238,439,000 

The Committee recommends $238,439,000 for this account, including $32,971,000 in general revenue funding and $205,468,00 to 

be expended from the Employment Security Administration account of the unemployment trust fund. 

For State grants, the bill provides $168,894,000, which includes 

funding for the Disabled Veterans Outreach Program and the Local 

Veterans Employment Representative Program. 

For Federal administration, the Committee recommends 

$34,625,000. The Committee supports the concept of the Transition 

Assistance Program administered jointly with the Department of 

Defense, which assists soon-to-be-discharged service members in 

transitioning into the civilian workforce, and it includes funding to 

maintain this effective program. 

Individuals leaving the military may be at high risk of homelessness due to a lack of job skills transferable to the civilian sector, 

disrupted or dissolved family and social support networks, and 

other risk factors that preceded their military service. The Committee encourages the Department to work in coordination with the 

Departments of Housing and Urban Development and Veterans Affairs to address the needs of homeless veterans, including evaluating new approaches for preventing additional veterans from becoming homeless. 

The Committee recommends $1,949,000 for the National Veterans Training Institute [NVTI]. This Institute provides training to 

the Federal and State staff involved in the direct delivery of employment and training related services to veterans. 

The Committee recommends $25,620,000 for the Homeless Veterans Program. The Committee also recommends $7,351,000 for 

the Veterans Workforce Investment Program, the same as the 

budget request. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008 ............................................................................. $74,390,000 

Budget estimate, 2009 ........................................................................... 82,141,000 

Committee recommendation ................................................................. 82,141,000 
39 

The Committee recommends $82,141,000 for this account. The 

bill includes $76,326,000 in general funds and authority to transfer 

$5,815,000 from the Employment Security Administration account 

of the unemployment trust fund. In addition, an amount of 

$325,000 is available by transfer from the black lung disability 

trust fund. This level provides sufficient resources to cover built-in 

cost increases, as well as augment program accountability activities 

and expand the labor racketeering program. 

The Office of the Inspector General [OIG] was created by law to 

protect the integrity of departmental programs as well as the welfare of beneficiaries served by those programs. Through a comprehensive program of audits, investigations, inspections, and program evaluations, the OIG attempts to reduce the incidence of 

fraud, waste, abuse, and mismanagement, and to promote economy, 

efficiency, and effectiveness. 

GENERAL PROVISIONS

General provision bill language is included to: 

Provide for limiting use of Job Corps funding for compensation 

of an individual that is not a Federal employee at a rate in excess 

of Executive Level I (sec. 101). 

Provide for general transfer authority (sec. 102). 

Prohibit funding for the procurement of goods and services utilizing forced or indentured child labor in industries and host countries already identified by the Labor Department in accordance 

with Executive Order 13126 (sec. 103). 

Requires the Secretary to provide transit subsidies (sec 104). 

Require the Labor Department to report to the Committees on 

Appropriations on the projects awarded under research and demonstration projects (sec. 105). 

Authorize funds to be appropriated for job training for workers 

involved in construction projects funded through the Denali Commission (sec. 106). 

Requires that funds available under section 414(c) of the American Competitiveness and Workforce Improvement Act of 1998 may 

only be used for training in occupations and industries for which 

employers are using H–1B visas to hire foreign workers (sec 107). 

Require the Secretary to award competitively funds available for 

WIRED Grants, Community-Based Job Training Grants, and 

grants for job training for employment in high growth industries 

(sec. 108). 

Prohibit the Secretary from taking any action to alter the procedure for redesignating local areas under subtitle B of title I of the 

Workforce Investment Act (sec. 109). 

Prohibit the Secretary from finalizing or implementing any proposed regulation under the Workforce Investment Act, WagnerPeyser Act or the Trade Adjustment Assistance Reform Act until 

such time as such legislation is enacted (sec. 110). 

Prohibit the Department of Labor from using funds under this or 

any other appropriations act to carry out a public-private competition or direct conversion under Office of Management and Budget 

circular A–76 until 60 days after the Committees on Appropriations 

of the House of Representatives and Senate receive a report from 
40 

the Government Accountability Office on the use of competitive 

sourcing at the Department of Labor (sec. 111). 

Limit compensation from Federal funds to a rate not greater 

than Executive Level II for any recipient or subrecipient of funds 

under the heading, ‘‘Employment and Training Administration’’ 

(sec. 112). 
(41) 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Appropriations, 2008 ............................................................................. $6,881,191,000 

Budget estimate, 2009 ........................................................................... 5,889,511,000 

Committee recommendation ................................................................. 6,968,926,000 

The Committee provides a program level of $6,968,926,000 for 

the Health Resources and Services Administration [HRSA]. The 

Committee recommendation includes $6,943,926,000 in budget authority and an additional $25,000,000 via transfers available under 

section 241 of the Public Health Service Act. The fiscal year 2008 

comparable program level is $6,881,191,000 and the budget request 

for fiscal year 2009 is $5,889,511,000. 

Health Resources and Services Administration activities support 

programs to provide health care services for mothers and infants; 

the underserved, elderly, homeless; migrant farm workers; and disadvantaged minorities. This appropriation supports cooperative 

programs in community health, AIDS care, health care provider 

training, and health care delivery systems and facilities. 

BUREAU OF PRIMARY HEALTH CARE

COMMUNITY HEALTH CENTERS

The Committee provides $2,215,022,000 for the community 

health centers program. The fiscal year 2008 comparable program 

level is $2,065,022,000 and the budget request for fiscal year 2009 

is $2,091,792,000. This group of programs includes community 

health centers, migrant health centers, health care for the homeless, and public housing health service grants. The Committee continues to support strongly the ongoing effort to increase the number of people who have access to medical services at health centers. 

Within the amount provided, $62,000,000 has been allocated to 

offset the rising cost of health care at existing centers and to resolve specific financial situations beyond the control of the local 

community health center, such as unusual increases in the number 

of uninsured patients seeking care or unusual increases in underserved populations in States with universal health coverage. While 

the Committee wholeheartedly supports the expansion of the 

Health Centers program, this base grant adjustment funding recognizes the narrow and declining operating margins of most health 

centers. 

Within the amount provided, the Committee has provided 

$44,055,000 under the Federal Tort Claims Act for the Health Centers program. The Committee has included bill language making 
42 

this funding available until expended and allowing costs associated 

with the health centers tort liability relief program to be paid from 

the fund. The Committee intends that the fund be used to pay 

judgments and settlements, occasional witness fees and expenses, 

and the administrative costs of the program, which include the cost 

of evaluating claims, defending claims, and conducting settlement 

activities. 

The Committee is pleased that HRSA has clarified that all States 

will be eligible for community health center expansion funding 

through a national competition, and that eligibility will no longer 

be restricted to specific counties. Further, the Committee urges 

HRSA to make funding available for new community health center 

sites, to increase capacity at existing centers, and for service expansion awards to expand access to mental health services, dental 

services, outreach to special populations, and pharmacy services at 

community health centers. The Committee expects HRSA to implement any new expansion initiative using the existing, and statutorily-required, proportionality for urban and rural communities, as 

well as migrant, homeless and public housing health centers. The 

Committee rejects the administration’s proposed waiver of this proportionality requirement, outlined in section 330(r)(2)(B) of the 

Public Health Service Act. 

The Committee expects that the Secretary will continue to approve community health centers’ proposed scope of project changes 

when necessary to ensure access to needed specialty services or to 

meet the comprehensive needs of special populations who may require care in other types of health care settings. 

The Committee urges HRSA to confirm that FTCA covers clinicians employed or individually contracted by community health 

centers, who treat or assist in treating non-community health center patients in hospitals or other settings, where reciprocal coverage between the community health center clinicians and other 

clinicians is customary. 

The Committee recognizes the importance of increasing the use 

of health information technology [IT] at community health centers. 

Community health centers have demonstrated improved access to 

services and improved patient outcomes by utilizing electronic 

health records and other IT tools through their participation in 

Health Center Controlled Networks [HCCNs] and the Health Disparities Collaboratives. Given this success, the Committee urges 

HRSA to ensure that community health centers have the capacity 

to establish and expand health IT systems in order to further enhance the delivery of cost-effective, quality health care services. 

The Committee appreciates the work HRSA has done with partners to expand health centers’ capacity for delivery of medical management and treatment of hepatitis C virus [HCV] by implementing training and technical assistance initiatives. While not all 

patients are appropriate candidates for HCV treatment, the Committee is concerned with the low number of clients being treated 

despite the availability of effective medications. The Committee encourages HRSA to address this through the creation of best practices from successful efforts in the field, increased provider education, case manager capacity building and creation of educational 

materials for clients. 
43 

The Committee continues to be concerned that community health 

center funds are often not available to small, remote communities 

because the population base is too small. Many of these communities have no health service providers and are forced to travel long 

distances by boat or plane even in emergency situations. The Committee recommends that HRSA examine its regulations and applications procedures to ensure they do not unduly burden small communities and are appropriately flexible to meet the needs of these 

communities. The Committee applauds the agency for its Frontier 

Health Plan initiative, and encourages the agency to continue and 

expand its efforts with this program. 

The Committee recognizes that Nurse-Managed Health Centers 

[NMHCs] serve a dual function in strengthening the health care 

safety net by providing health care to populations in underserved 

areas and by providing the clinical experiences to nursing students 

that are mandatory for professional development. The Committee 

further acknowledges that NMHCs are frequently the only source 

of health care to their patients and that a lack of clinical education 

sites for nurses is a contributing factor to the nationwide nursing 

shortage. The Committee appreciates the work HRSA is doing to 

reach out to NMHC’s, providing technical assistance to potential 

applicants and granting these centers FQHC Look-Alike status. 

The Committee notes the important role of Community Health 

Centers in screening at-risk children for lead. 

The Committee is encouraged that health centers have successfully utilized those funds available through the HRSA Loan Guarantee Program to meet their capital needs. In order to maximize 

the utilization of all loan guarantee funds, the Committee urges 

HRSA to increase the percentages at which loan guarantees are 

provided for managed care plans, networks, and facilities to the 

highest authorized levels 

The Committee continues to support collaborative efforts between 

Federal agencies to address the demand for primary health care access in rural communities. The Committee is pleased that a number of community health centers have been able to address ongoing 

capital improvement needs using USDA Rural Development programs. The Committee encourages HRSA to work with the USDA 

Rural Development Office to assist more community health centers 

in accessing these resources. 

Native Hawaiian Health Care 

The Committee again includes the legal citation in the bill for 

the Native Hawaiian Health Care Program. The Committee has included sufficient funding so that health care activities funded 

under the Native Hawaiian Health Care Program can be supported 

under the broader community health centers line. The Committee 

expects that not less than $13,952,000 be provided for these activities in fiscal year 2009. 

The Committee is pleased by the creation of the master’s degree 

and certificate programs aimed at giving Native Hawaiians the 

skills needed to succeed as health care administrators. The Committee has included sufficient funding for these programs to continue. 
44 

The Committee recognizes that there has been rapid growth in 

the emerging Hispanic population of Hawaii, which may necessitate new training requirements for healthcare providers and educators in areas of cultural awareness and language. 

Free Clinics Medical Malpractice Coverage 

The Committee provides $39,000 in funding for payments of 

claims under the Federal Tort Claims Act to be made available for 

free clinic health professionals as authorized by U.S.C. title 42, section 233(o) of the Public Health Service Act. The fiscal year 2008 

comparable level was $39,000 and the fiscal year 2009 budget request included $40,000 for this program. This appropriation continues to extend Federal Tort Claims Act coverage to medical volunteers in free clinics in order to expand access to health care services to low-income individuals in medically underserved areas. 

National Hansen’s Disease Program 

The Committee has included $16,109,000 for the National Hansen’s Disease Program. The fiscal year 2008 comparable level was 

$15,693,000 and the budget request for fiscal year 2009 was 

$16,109,000. The program consists of inpatient, outpatient, longterm care, training, and research in Baton Rouge, Louisiana; a residential facility at Carville, Louisiana; and 11 outpatient clinic 

sites in the continental United States and Puerto Rico. 

National Hansen’s Disease Program Buildings and Facilities 

The Committee provides $100,000 for buildings and facilities. 

The fiscal year 2008 comparable level was $157,000 and the budget 

request for fiscal year 2009 was $100,000 for this program. This 

funding provides for the repair and maintenance of buildings at the 

Gillis W. Long Hansen’s Disease Center. 

Payment to Hawaii for Hansen’s Disease Treatment 

The Committee provides $1,976,000 for Hansen’s Disease services. The fiscal year 2008 comparable level was $1,961,000 and the 

budget request for fiscal year 2009 was $1,976,000. Payments are 

made to the State of Hawaii for the medical care and treatment of 

persons with Hansen’s Disease in hospital and clinic facilities at 

Kalaupapa, Molokai and Honolulu. Expenses above the level of appropriated funds are borne by the State of Hawaii. 

BUREAU OF HEALTH PROFESSIONS

National Health Service Corps: Field Placements 

The Committee provides $39,736,000 for field placement activities. The fiscal year 2008 comparable level was $39,736,000 and 

the budget request for fiscal year 2009 was $25,729,000. The funds 

provided for this program are used to support the activities of the 

National Health Service Corps in the field, including travel and 

transportation costs of assignees, training and education, recruitment of volunteers, and retention activities. Salary costs of most 

new assignees are paid by the employing entity. 

The Committee recognizes that 50 percent of National Health 

Service Corps members serve at Community, Migrant, Homeless, 
45 

and Public Housing Health Centers. Recent efforts to expand the 

Health Centers program have made those placements increasingly 

more vital. The Committee is concerned by the more than 2,500 

community health center vacancies on the fiscal year 2008 NHSC 

Opportunities List and urges HRSA to work expeditiously to fill 

those slots. 

National Health Service Corps: Recruitment 

The Committee provides $95,230,000 for recruitment activities. 

The fiscal year 2008 comparable level was $83,741,000 and the 

budget request for fiscal year 2009 was $95,230,000. This program 

provides major benefits to students (full-cost scholarships or sizable 

loan repayment) in exchange for an agreement to serve as a primary care provider in a high priority Federally designated health 

professional shortage area. These funds should support multi-year, 

rather than single-year, commitments. 

The Committee is concerned by the recent Anti-Deficiency Act 

violation and has included statutory authority to allow HRSA the 

flexibility to respond to changing tuition and fee rates. The Committee expects notification in each year’s budget justification on the 

amount of funds allocated to adjusting prior year contracts. 

The Committee encourages HRSA to recruit nurses with a focus 

on reducing infant mortality, late pre-term births, and other complications associated with childbirth. 

HEALTH PROFESSIONS

The Committee provides $363,189,000 for all HRSA health professions programs. The fiscal year 2008 comparable level was 

$350,003,000 and the budget request for fiscal year 2009 was 

$109,853,000. 

Training for Diversity 

Centers of Excellence 

The Committee provides $12,773,000 for the Centers of Excellence program. The fiscal year 2008 comparable level was 

$12,773,000 and the budget request for fiscal year 2009 did not include any funds for this program. This program was established to 

fund institutions that train a significant portion of the Nation’s minority health professionals. Funds are used for the recruitment and 

retention of students, faculty training, and the development of 

plans to achieve institutional improvements. The institutions that 

are designated as centers of excellence are private institutions 

whose mission is to train disadvantaged minority students for service in underserved areas. Located in poor communities and usually 

with little State funding, they serve the health care needs of their 

patients, often without payment. 

Minority Centers of Excellence.—The Committee is pleased that 

HRSA has re-focused the Minority Centers of Excellence program 

on providing support to historically minority health professions institutions. The Committee recognizes the important role of this program in supporting faculty and other academic programs at minority institutions. 
46 

Health Careers Opportunity Program 

The Committee provides $9,825,000 for the Health Careers Opportunity Program. The fiscal year 2008 comparable level was 

$9,825,000 and the budget request for fiscal year 2009 did not include any funds for this program. This program provides funds to 

medical and other health professions schools for recruitment of disadvantaged students and pre-professional school preparations. 

For fiscal year 2009, the Committee directs HRSA to give priority 

consideration to awarding grants to those institutions with a historic mission of training minorities in the health professions. 

Faculty Loan Repayment 

The Committee provides $1,266,000 for the Faculty Loan Repayment program. The fiscal year 2008 comparable level was 

$1,266,000 and the budget request for fiscal year 2009 did not include any funds for this program. This program provides for the repayment of education loans for individuals from disadvantaged 

backgrounds who are health professions students or graduates, and 

who have agreed to serve for not less than 2 years as a faculty 

member of a health professions school. 

Scholarships for Disadvantaged Students 

The Committee provides $45,842,000 for the Scholarships for 

Disadvantaged Students program, the same as the fiscal year 2008 

comparable level. The budget request for fiscal year 2009 did not 

include funds for this program. This program provides grants to 

health professions schools for student scholarships to individuals 

who are from disadvantaged backgrounds and are enrolled as fulltime students in such schools. 

Training in Primary Care Medicine and Dentistry 

The Committee provides $48,851,000 for Training in Primary 

Care Medicine and Dentistry programs. The fiscal year 2008 comparable level is $47,998,000. The budget for fiscal year 2009 did not 

request funding for this program. The Committee has included bill 

language funding family medicine activities, general dentistry and 

the pediatric dentistry program at no less than last year’s level. 

Pediatric dentistry residency programs provide both treatments 

for underprivileged children and training opportunities to address 

the national shortage of pediatric dentists. Even though it is easily 

preventable, dental decay is the most common chronic childhood 

disease in the United States. Children with dental pain fail to function properly in school and their everyday lives, thus impacting 

their development for years to come. When oral infections go untreated, the proximity to the brain can lead to fatal conditions. The 

Committee has included bill language allowing funds to be used for 

faculty loan repayment. 

The Committee encourages HRSA to communicate clearly to applicants that grant funds can be utilized for faculty development 

and curriculum enhancement, as well as program creation or expansion. 
47 

Interdisciplinary, Community-based Linkages 

Area Health Education Centers 

The Committee provides $28,180,000 for the Area Health Education Centers program, the same as the fiscal year 2008 comparable level. The budget request for fiscal year 2009 did not include any funds for this program. This program links university 

health science centers with community health service delivery systems to provide training sites for students, faculty, and practitioners. The program supports three types of projects: Core grants 

to plan and implement programs; special initiative funding for 

schools that have previously received Area Health Education Centers [AHEC] grants; and model programs to extend AHEC programs with 50 percent Federal funding. 

Allied Health and Other Disciplines 

The Committee provides $8,803,000 for the Allied Health and 

Other Disciplines program, the same as the fiscal year 2008 comparable level. The budget request for fiscal year 2009 did not include any funds for this program. These programs seek to improve 

access, diversity, and distribution of allied health practitioners to 

areas of need. The program improves access to comprehensive and 

culturally competent health care services for underserved populations. The Committee recommendation is sufficient to continue 

the Chiropractic-Medical School Demonstration Grant, Graduate 

Psychology training programs, and the dental workforce programs 

authorized under section 340G of the Public Health Service Act at 

the same levels as in fiscal year 2008. 

Graduate Psychology Education.—The need for behavioral and 

mental health services in an integrated health care system is significant and well documented. With a rapidly growing generation 

of elderly and significant numbers of returning war veterans, the 

Nation’s health system is certain to experience increased strain for 

years to come as individuals and their families increasingly turn to 

mental healthcare professionals in local communities. To help respond to this training pipeline need, the Committee strongly supports the Graduate Psychology Education Program. This grant program provides interdisciplinary training for health service psychologists to provide mental and behavioral health care services to 

underserved populations, such as older adults, children, chronically 

ill persons and victims of abuse or trauma. While being trained in 

both rural and urban communities, graduate psychology students 

also provide direct services to people who would otherwise not receive them. Trainees work in teams with health care providers 

from over 30 different health professions and medical specialties. 

The GPE program has achieved a significant increase in the rate 

of students entering into and staying to practice in underserved 

areas. 

Geriatric Education 

The Committee provides $30,997,000 for Geriatric Education programs, the same level as the fiscal year 2008 comparable level. The 

budget did not request funds for this program. 
48 

Geriatric programs include: Geriatric Education Centers, the 

Geriatric Academic Career awards program, and the Geriatric 

Training program for Physicians, Dentists, and Behavioral/Mental 

Health Professionals program. The Committee intends that all activities remain at last year’s level. 

Public Health, Preventive Medicine, and Dental Public Health Programs 

The Committee provides $9,000,000 for these programs. The fis- cal year 2008 comparable level was $8,273,000 and the budget request for fiscal year 2009 did not include any funds for this program. This program supports awards to schools of medicine, osteopathic medicine, public health, and dentistry for support of residency training programs in preventive medicine and dental public 

health; and for financial assistance to trainees enrolled in such programs. 

Nursing Workforce Development Programs 

The Committee provides $167,652,000 for the Nursing Workforce 

Development programs. The fiscal year 2008 comparable level was 

$156,046,000 and the budget request for fiscal year 2009 was 

$109,853,000. 

The Committee recognizes that efforts to alleviate the Nation’s 

shortage of Registered Nurses [RNs] must focus on addressing the 

nurse faculty shortage. According to the latest survey from the 

American Association of Colleges of Nursing, more than 40,000 

qualified applicants were turned away from baccalaureate and 

graduate nursing programs in 2007 due primarily to a shortage of 

nurse faculty. Supporting programs that prepare more nurse educators is the key to stabilizing the nursing workforce and reversing 

the RN shortage. 

The Committee recommends funding for the following activities 

in the following amounts: 

[In thousands of dollars] 

Fiscal year 2008 

comparable 

Fiscal year 2009 

budget request 

Committee recommendation 

Advanced Education Nursing ......................................................... 61,875 ............................ 62,975 

Nurse education, practice, and retention ...................................... 36,640 37,291 37,291 

Nursing workforce diversity ........................................................... 15,826 16,107 16,107 

Loan repayment and scholarship program ................................... 30,512 43,744 40,000 

Comprehensive geriatric education ............................................... 3,333 3,392 3,392 

Nursing faculty loan program ....................................................... 7,860 9,319 7,887 

Children’s Hospitals Graduate Medical Education Program 

The Committee has provided $310,000,000 for the Children’s 

Hospitals Graduate Medical Education [GME] program. The fiscal 

year 2008 comparable level was $301,646,000 and the budget for 

fiscal year 2009 did not include funds for this program. 

The program provides support for health professions training in 

children’s teaching hospitals that have a separate Medicare provider number (‘‘free-standing’’ children’s hospitals). Children’s hospitals are defined under Medicare as those whose inpatients are 

predominantly under the age of 18. The funds in this program are 

intended to make the level of Federal Graduate Medical Education 
49 

support more consistent with other teaching hospitals, including 

children’s hospitals that share provider numbers with other teaching hospitals. Payments are determined by formula, based on a national per-resident amount. Payments support training of resident 

physicians as defined by Medicare in both ambulatory and inpatient settings. 

Patient Navigator 

The Committee recommendation includes $4,000,000 for the Patient Navigator Outreach and Chronic Disease Outreach program. 

The comparable funding level for fiscal year 2008 was $2,948,000 

and the budget for fiscal year 2009 did not request funding for this 

program. 

The program provides demonstration grants to public or nonprofit health centers to help patients overcome barriers in the 

health care system to prompt screening, referral, diagnosis and 

treatment services. 

National Practitioner Data Bank 

The Committee provides $18,900,000 for the national practitioner 

data bank. The fiscal year 2008 comparable level was $18,570,000 

and the budget request for fiscal year 2009 was $18,900,000. The 

Committee and the budget request assume that full funding will be 

provided entirely through the collection of user fees and will cover 

the full cost of operating the data bank. Bill language is included 

to ensure that user fees are collected to cover all costs of processing 

requests and providing such information to data bank users. 

Health Care Integrity and Protection Data Bank 

The Committee provides $3,758,000 for the health care integrity 

and protection data bank. The fiscal year 2008 comparable level 

was $3,758,000 and the administration did not request funding for 

this program in fiscal year 2009. The Committee assumes that full 

funding will be provided entirely through the collection of user fees 

and will cover the full cost of operating the data bank. The data 

bank is intended to collect, maintain, and report on certain actions 

taken against health care providers, suppliers, and practitioners. 

MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant 

The Committee provides $664,268,000 for the maternal and child 

health [MCH] block grant, the same as the fiscal year 2008 comparable level and the budget request for fiscal year 2009. 

The Committee has moved funding for the newborn and child 

heritable disorders screening program from the SPRANS set aside 

to a new line in order to fully implement the new authorization in 

section 1109 of the Newborn Screening Saves Lives Act of 2008. 

The Committee does not intend to cut grants to States or the 

grants for community integrated service systems. Therefore, the 

Committee has included a statutory provision to hold harmless 

both of these grant programs. 

The Maternal and Child Health Block Grant program provides a 

flexible source of funding that allows States to target their most ur-
50 

gent maternal and child health needs through development of community-based networks of preventive and primary care that coordinate and integrate public and private sector resources and programs for pregnant women, mothers, infants, children, and adolescents. The program supports a broad range of activities including 

prenatal care, well child services and immunizations, reducing infant mortality, preventing injury and violence, expanding access to 

oral health care, addressing racial and ethnic disparities and providing comprehensive care for children, adolescents, and families 

through clinics, home visits and school-based health programs. 

The Committee has included bill language identifying $97,287,000 for the SPRANS set-aside. Within that total, the Committee recommends the following activities in the following 

amounts: 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee recommendation 

Oral Health ................................................................................................. $4,718,109 $4,718,000 $4,718,000 

Community-based Sickle Cell Outreach .................................................... 3,773,898 3,774,000 3,774,000 

Doula program ........................................................................................... 1,509,166 1,509,000 1,509,000 

Epilepsy ...................................................................................................... 2,830,669 2,831,000 2,831,000 

Fetal Alcohol Syndrome .............................................................................. 972,705 973,000 973,000 

First-time Motherhood ................................................................................ 4,912,650 4,913,000 4,913,000 

The Committee intends that Doula demonstration funding continue to be allocated evenly among urban and rural settings, with 

an emphasis on breastfeeding initiation and retention. 

The Committee recognizes the critical role that Maternal and 

Child Health Centers for Leadership in Pediatric Dentistry Education provide in preparing dentists with dual training in pediatric 

dentistry and dental public health. Dentists in the three currently 

funded programs concentrate on working with Federal, State, and 

local programs that provide services for vulnerable populations including low-income children and women and children with special 

health care needs. Dentists trained through these centers provide 

State and community leadership in maternal and child oral health 

programs, and become future faculty and policy leaders specializing 

in pediatric dentistry and maternal and child health. The Committee encourages HRSA to explore mechanisms to augment center 

support with foundation and corporate funds. 

The Committee continues to encourage HRSA to expand support 

of State oral health programs that increase access to oral health 

services for women and children through sustainable, well integrated, statewide programs. The Committee also recognizes the importance of building partnerships between the public and private 

sectors to assure an adequate workforce to meet the needs of those 

children and their families most vulnerable to oral disease. The 

Committee intends that funds provided within the MCH SPRANS 

program be used to support integration of health systems in States 

and partnerships with national organizations and foundations that 

focus on early interventions to prevent oral disease. HRSA is encouraged to utilize grants and contracts to accomplish this and formalize relationships with other Federal agencies to prevent childhood caries to avoid the need for more costly care. 

The Committee applauds HRSA’s support of comprehensive thalassemia treatment centers and encourages HRSA to coordinate 
51 

thalassemia treatment center funding with the Thalassemia Clinical Research Network at NIH and the blood safety surveillance 

program at CDC. 

Sickle Cell Anemia Program 

The Committee provides $3,500,000 for the sickle cell anemia 

demonstration program. The fiscal year 2008 comparable level was 

$2,653,000 and the budget request for fiscal year 2009 was 

$2,184,000. The Sickle Cell Service Demonstration Program provides grants and contracts to help coordinate service delivery for 

individuals with sickle cell disease, including genetic counseling 

and testing; training of health professionals; and identifying and 

establishing other efforts related to the expansion and coordination 

of education, treatment, and continuity of care programs for individuals with sickle cell disease. 

Traumatic Brain Injury Program 

The Committee provides $8,754,000 for the traumatic brain injury program, the same as the fiscal year 2008 comparable level. 

The budget request for fiscal year 2009 did not include any funding 

for this program. The program supports implementation and planning grants to States for coordination and improvement of services 

to individuals and families with traumatic brain injuries as well as 

protection and advocacy. Such services can include: pre-hospital 

care, emergency department care, hospital care, rehabilitation, 

transitional services, education, employment, and long-term support. The Committee includes no less than last year’s funding level 

for protection and advocacy services, as authorized under section 

1305 of Public Law 106–310. 

Autism and Other Developmental Disorders 

The Committee provides $42,000,000 for the autism and other 

developmental disorders initiative. The fiscal year 2008 comparable 

level and the budget request for fiscal year 2009 are $36,354,000. 

The program supports surveillance, early detection, education and 

intervention activities on autism and other developmental disorders, as authorized in the Combating Autism Act of 2006. 

Within the funding provided for autism and other related developmental disorders, an increase of no less than $2,000,000 is provided to continue and expand research on evidence-based practices 

for interventions for individuals with autism and other developmental disabilities, for development of guidelines for those interventions, and for information dissemination. In addition, an increase of no less than $2,000,000 is provided to continue and expand the Leadership Education in Neurodevelopmental and Related Disabilities program. 

Newborn Screening for Heritable Disorders 

The Committee provides $1,887,000 for the newborn heritable 

disorders screening program, as described in section 1109 of the 

Newborn Screening Saves Lives Act of 2008, the same as the fiscal 

year 2008 comparable level and the fiscal year 2009 budget request. The Committee notes that this program was previously 

funded through the SPRANS program. Newborn screening is an es-
52 

sential public health function provided to all newborns in the 

United States. The Committee is aware that the number of conditions and the quality of programs varies from State to State. The 

Committee encourages HRSA to guide States by providing current 

information on the panel of conditions for which infants should be 

screened and to improve health provider and public education. 

Congenital Disabilities Program 

The Committee has provided $1,000,000 to establish the congenital disabilities program. The purpose of the program is to provide information and support services to families receiving a positive test diagnosis for down syndrome, spina bifida, dwarfism, or 

other prenatally and postnatally diagnosed conditions. Grants may 

be made to States, Territories, localities, and non-governmental organizations with expertise in prenatally and postnatally diagnosed 

conditions. 

Funding may be used to collect and disseminate current evidence-based information and to coordinate the provision of supportive services to parents who receive a positive diagnosis prenatally, at birth, or up to 1 year after the affected child’s birth. 

These services may include the expansion and further development 

of national and local peer-support programs; the creation of a telephone hotline which would provide parents with information on the 

physical, developmental, educational, and psychosocial aspects of 

the condition; and awareness and education programs for the 

healthcare providers who provide, interpret, and inform parents of 

the results of positive test diagnoses for congenital disabilities. 

Healthy Start 

The Committee provides $99,744,000 for the healthy start infant 

mortality initiative, the same as the fiscal year 2008 comparable 

level and the budget request for fiscal year 2009. 

The healthy start initiative was developed to respond to persistently high rates of infant mortality in this Nation. The initiative 

was expanded in fiscal year 1994 by a special projects program, 

which supported an additional seven urban and rural communities 

to implement infant mortality reduction strategies and interventions. The Children’s Health Act of 2000 fully authorized this initiative as an independent program. The Committee urges HRSA to 

give preference to current and former grantees with expiring or recently expired project periods. 

Universal Newborn Hearing Screening and Early Intervention 

The Committee provides $11,790,000 for universal newborn hearing screening and early intervention activities, the same as the fiscal year 2008 comparable level. The budget request for fiscal year 

2009 did not include any funds for this program. 

The Committee expects HRSA to coordinate projects funded with 

this appropriation with projects related to early hearing detection 

and intervention by the National Center on Birth Defects and Developmental Disabilities, the National Institute on Deafness and 

Other Communication Disorders, the National Institute on Disability and Rehabilitation Research, and the Office of Special Education and Rehabilitative Services. 
53 

Emergency Medical Services for Children 

The Committee provides $20,000,000 for emergency medical services for children. The fiscal year 2008 comparable level was 

$19,454,000 and the budget request for fiscal year 2009 did not include funds for this program. The program supports demonstration 

grants for the delivery of emergency medical services to acutely ill 

and seriously injured children. 

Family-To-Family Health Information Centers 

The Committee has not provided funding for the Family-To-Family Health Information Centers program. The fiscal year 2008 comparable level was $4,000,000 and the budget request for fiscal year 

2009 included no funding for this initiative. The Committee notes 

that the Deficit Reduction Act of 2005 appropriated $5,000,000 for 

this activity for fiscal year 2009. 

HIV/AIDS BUREAU

ACQUIRED IMMUNE DEFICIENCY SYNDROME

Ryan White AIDS Programs 

The Committee provides $2,173,306,000 for Ryan White AIDS 

programs. The recommendation includes $25,000,000 in transfers 

available under section 241 of the Public Health Service Act. The 

fiscal year 2008 comparable level was $2,166,792,000 and the budget request for fiscal year 2009 was $2,167,912,000. 

Next to the Medicaid program, the Ryan White AIDS programs 

are the largest Federal investment in the care and treatment of 

people living with HIV/AIDS in the United States. These programs 

provide a wide range of community-based services, including primary and home health care, case management, substance abuse 

treatment, mental health services, and nutritional services. 

Within the total provided, the Committee intends that Ryan 

White AIDS activities that are targeted to address the growing 

HIV/AIDS epidemic and its disproportionate impact upon communities of color, including African-Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders 

continue with at least the level of funding provided in fiscal year 

2008. 

The Committee is aware that over 30 percent of HIV-infected 

persons in the United States are chronically infected with the hepatitis C virus [HCV]. The Committee recognizes the materials and 

conferences HRSA has engaged in on this subject and supports the 

effort to adjust the ADAP formulary to reduce the morbidity and 

mortality of this population. In addition, the Committee encourages 

HRSA to highlight best practices regarding treatment of co-infected 

patients. 

The Ryan White HIV/AIDS Treatment Modernization Act requires that not less than 75 percent of appropriated funds under 

parts A through C must be spent on core medical services. The 

Committee is aware that HRSA has recognized food and nutrition 

as medically important in fighting HIV/AIDS disease and in helping the body process complex HIV/AIDS medications. 
54 

Emergency Assistance 

The Committee provides $619,424,000 for emergency assistance 

grants to eligible metropolitan areas disproportionately affected by 

the HIV/AIDS epidemic. The fiscal year 2008 comparable level was 

$627,149,000 and the budget request for fiscal year 2009 included 

$619,424,000. These funds are provided to metropolitan areas 

meeting certain criteria. Two-thirds of the funds are awarded by 

formula and the remainder is awarded through supplemental competitive grants. 

The Committee notes that the fiscal year 2008 comparable level 

included a one-time provision directing funds to particular metropolitan areas facing dramatic cuts as a result of the changes to the 

Ryan White formula. 

Comprehensive Care Programs 

The Committee provides $1,209,487,000 for HIV health care and 

support services. The fiscal year 2008 comparable level was 

$1,195,248,000 and the budget request for fiscal year 2009 was 

$1,209,487,000. These funds are awarded to States to support HIV 

service delivery consortia, the provision of home and communitybased care services for individuals with HIV disease, continuation 

of health insurance coverage for low-income persons with HIV disease and support for State AIDS drug assistance programs [ADAP]. 

The Committee continues to be encouraged by the progress of 

anti-retroviral therapy in reducing the mortality rates associated 

with HIV infection and in enhancing the quality of life of patients 

on medication. The Committee includes bill language providing 

$800,422,000 for AIDS medications in the AIDS Drug Assistance 

Program [ADAP]. The fiscal year 2008 comparable level was 

$794,376,000 and the budget request for fiscal year 2009 was 

$814,546,000. The Committee has provided this increase to address 

the long-standing problem of State waiting lists for HIV/AIDS 

medications without unfairly punishing States that have provided 

their own resources to make up funding shortfalls. 

Early Intervention Services 

The Committee provides $198,754,000 for early intervention 

grants, the same as the fiscal year 2008 comparable level and the 

budget request for fiscal year 2009. These funds are awarded competitively to primary health care providers to enhance health care 

services available to people at risk of HIV and AIDS. Funds are 

used for comprehensive primary care, including counseling, testing, 

diagnostic, and therapeutic services. 

Children, Youth, Women, and Families 

The Committee provides $73,690,000 for grants for coordinated 

services and access to research for women, infants, children, and 

youth, the same as the fiscal year 2008 comparable level and the 

budget request for 2009. Funds are awarded to community health 

centers, family planning agencies, comprehensive hemophilia diagnostic and treatment centers, Federally qualified health centers 

under section 1905(1)(2)(B) of the Social Security Act, county and 

municipal health departments and other nonprofit community- 
55 

based programs that provide comprehensive primary health care 

services to populations with or at risk for HIV disease. 

AIDS Dental Services 

The Committee provides $12,857,000 for AIDS Dental Services, 

the same as the fiscal year 2008 comparable level and the budget 

request for fiscal year 2009. This program provides grants to dental 

schools, dental hygiene schools, and postdoctoral dental education 

programs to assist with the cost of providing unreimbursed oral 

health care to patients with HIV disease. 

AIDS Education and Training Centers 

The Committee provides $34,094,000 for the AIDS education and 

training centers [AETC’s]. The fiscal year 2008 comparable level 

was $34,094,000 and the budget request for fiscal year 2009 included $28,700,000. AIDS education and training centers train 

health care practitioners, faculty, and students who care for AIDS 

patients outside of the traditional health professions education 

venues, and support curriculum development on diagnosis and 

treatment of HIV infection for health professions schools and training organizations. 

HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation 

The Committee provides $25,049,000 for organ donation and 

transplantation activities. The fiscal year 2008 comparable level 

was $22,646,000 and the budget request for fiscal year 2009 was 

$23,049,000. These funds support a scientific registry of organ 

transplant recipients and the National Organ Procurement and 

Transplantation Network to match donors and potential recipients 

of organs. A portion of the appropriated funds may be used for education of the public and health professionals about organ donations 

and transplants, and to support agency staff providing clearinghouse and technical assistance functions. 

The Committee is aware that individuals with Alpha-1 

Antitrypsin Deficiency (Alpha-1) exhibit symptoms of advanced emphysema between 25 and 65 years of age, even in the absence of 

tobacco use and that Alpha-1 is a major cause of lung transplantation in adults and a leading cause of liver transplantation in children and adults. The Committee encourages UNOS to continue to 

review the methodology used to determine transplant eligibility for 

individuals with Alpha-1 and to engage in additional dialogue with 

the Alpha-1 lay and scientific communities. 

The Committee commends HRSA and the United Network for 

Organ Sharing [UNOS] for working with the pulmonary hypertension [PH] community to address concerns regarding the allocation of lungs for transplantation in PH patients. The Committee 

encourages UNOS to continue its dialogue with the PH community 

to monitor concerns regarding the methodology used to determine 

transplantation eligibility for PH patients. 
56 

National Cord Blood Inventory 

The Committee has provided $12,000,000 for the National Cord 

Blood Inventory, which is the successor of the National Cord Blood 

Stem Cell Bank program. The fiscal year 2008 comparable level 

was $8,843,000 and the budget request for fiscal year 2009 was 

$11,966,000. The purpose of this program is to provide funds to 

cord blood banks to build an inventory of the highest quality cord 

blood units for transplantation. 

C.W. Bill Young Cell Transplantation Program 

The Committee provides $23,517,000 for the C.W. Bill Young 

Cell Transplantation Program, which is the successor of the National Bone Marrow Donor Registry. This is the same level as the 

fiscal year 2008 comparable level for the Registry and the budget 

request for fiscal year 2009 was $22,701,000. 

The Committee recognizes the importance of this life-saving program and the continued need to increase cell transplantation 

through the use of cord blood, bone marrow, peripheral blood stem 

cells, and other sources of stem cells that may be available in the 

future. The Committee applauds the National Marrow Donor Program [NMDP] for its expansion of the national registry, which now 

lists more than 6.5 million potential volunteer donors and more 

than 72,000 cord blood units. While acknowledging this effort, the 

Committee recognizes the need to continue to increase the size of 

the registries to assure access for all Americans and encourages the 

continued efforts to increase awareness about transplantation and 

donation outreach among minority and medically underserved populations. The Committee supports continued innovative, technological, and scientific advances in cell therapies that have the potential to help Americans with leukemia or other life threatening 

blood diseases. In addition, the Committee encourages the NMDP 

to continue to conduct and support research to improve the availability, efficiency, safety, and cost of transplants and the effectiveness of program operations. 

Office of Pharmacy Affairs 

The Committee provides $2,940,000 for the Office of Pharmacy 

Affairs. The budget request for fiscal year 2009 did not request 

funding for this program. The Office of Pharmacy Affairs promotes 

access to clinically and cost effective pharmacy services among 

safety-net clinics and hospitals that participate in the 340B Drug 

Pricing program. Section 340B of the Public Health Service Act requires drug manufacturers to provide discounts or rebates to a 

specified set of HHS assisted programs and hospitals that meet the 

criteria in the Social Security Act for serving a disproportionate 

share of low income patients. These funds will be used to help resolve deficiencies that could not be addressed within resources 

available for the normal operations of the office. Specifically, these 

deficiencies include non-compliance with the 340B pricing requirements and errors and omissions in the office’s covered entity database. 

The Committee is concerned that the proposed guidelines on the 

definition of the term ‘‘patient’’ for 340(B) drug discounts will dramatically change the degree to which safety net facilities are able 
57 

to participate in this important program. The Committee strongly 

supports a definition of patient that protects program integrity 

while ensuring that the Nation’s health care safety net is not further weakened. The Committee continues to urge HRSA to move 

forward with portions of the proposed guidance that enjoy wide 

support and issue a new proposed guidance on the question of patient eligibility, which would allow for additional public comment 

on issues such as patient records, health care provider relationships with covered entities, referral services and hospital discharge 

prescriptions. 

Poison Control Centers 

The Committee provides $26,528,000 for Poison Control Center 

activities, the same as the fiscal year 2008 comparable level. The 

budget request for fiscal year 2009 was $10,000,000. The Poison 

Control program currently supports a mix of grantees: most grantees serve entire States; a few grantees serve multi-State regions; 

and, in a handful of cases, more than one grantee serves a single 

State. In allocating funds, the Committee has provided sufficient 

resources to continue the current approach of allocating funding to 

all certified centers based on service population. 

RURAL HEALTH PROGRAMS

Rural Health Care Services Outreach Grants 

The Committee provides $51,434,000 for rural health outreach 

grants. The fiscal year 2008 comparable level was $48,031,000 and 

the budget request for fiscal year 2009 did not include funds for 

this program. This program supports projects that demonstrate 

new and innovative models of outreach in rural areas such as integration and coordination of health services. 

The Committee understands that many primary care clinics in 

isolated, remote locations are providing extended stay services and 

are not receiving appropriate compensation to provide this service. 

The Committee encourages HRSA to continue its support for a 

demonstration project authorized in the Medicare Modernization 

Act to evaluate the effectiveness of a new type of provider, the 

‘‘Frontier Extended Stay Clinic,’’ to provide expanded services in remote and isolated primary care clinics to meet the needs of seriously ill or injured patients who cannot be transferred quickly to 

acute care referral centers, and patients who require monitoring 

and observation for a limited time. 

Rural Health Research 

The Committee provides $9,000,000 for the Rural Health Research program. The fiscal year 2008 comparable level was 

$8,584,000. The budget request for fiscal year 2009 was $8,737,000. 

The funds provide support for the Office of Rural Health Policy to 

be the focal point for the Department’s efforts to improve the delivery of health services to rural communities and populations. Funds 

are used for rural health research centers, the National Advisory 

Committee on Rural Health, and a reference and information service. The Committee has included additional resources to support 
58 

data collection and trend analysis on rural health delivery, including gaps in care. 

Rural Hospital Flexibility Grants 

The Committee provides $39,200,000 for rural hospital flexibility grants. The fiscal year 2008 comparable level was $37,865,000 and 

the budget request for fiscal year 2008 did not include funds for 

this program. 

Under this program, HRSA works with the States to provide support and technical assistance to Critical Access Hospitals to focus 

on quality and performance improvement and to integrate emergency medical services. Of the amount provided, the Committee includes $15,000,000 to continue the Small Rural Hospital Improvement Grant Program, as authorized by section 1820(g)(3) of the Social Security Act and Public Law 107–116 and outlined in House 

Report 107–342. The program provides support for small rural hospitals and focuses on quality improvement and adoption of health 

information technology. 

Delta Health Initiative 

The Committee has included $25,000,000 for the Delta Health 

Initiative as authorized in section 219 of division G of Public Law 

110–161. 

Rural and Community Access to Emergency Devices 

The Committee provides $1,461,000 for rural and community access to emergency devices, the same as the fiscal year 2008 comparable level. The budget request for fiscal year 2009 did not include funding for this program. This appropriation provides funding for both the rural program under section 413 of the Public 

Health Service Act and the community access demonstration under 

section 313. The Committee expects that fiscal year 2009 funding 

be equally divided between urban and rural communities. 

Funding will be used to purchase and place automated external 

defibrillators in public areas where cardiac arrests are likely to 

occur. 

State Offices of Rural Health 

The Committee provides $7,999,000 for the State Offices of Rural 

Health, the same as the fiscal year 2008 comparable level. The 

budget request for fiscal year 2009 was $8,141,000. The State Offices of Rural Health program helps the States strengthen rural 

heath care delivery systems by allowing them to better coordinate 

care and improve support and outreach in rural areas. 

Black Lung Clinics 

The Committee provides $7,200,000 for black lung clinics. The 

fiscal year 2008 comparable level was $5,788,000 and the budget 

request for fiscal year 2009 was $5,886,000. This program funds 

clinics that treat respiratory and pulmonary diseases of active and 

retired coal miners, steel mill workers, agricultural workers, and 

others with occupationally related respiratory and pulmonary impairments. These clinics reduce the incidence of high-cost inpatient 

treatment for these conditions. 
59 

Radiation and Exposure Screening and Education Program 

The Committee provides $2,000,000 for activities authorized by 

the Radiation Exposure Compensation Act. The fiscal year 2008 

comparable level was $1,884,000 and the budget request for fiscal 

year 2009 was $1,904,000. This program provides grants for the 

education, prevention, and early detection of radiogenic cancers 

and diseases resulting from exposure to uranium during its mining 

and milling at nuclear test sites. 

Native and Rural Alaskan Health Care 

The Committee provides $39,283,000 for the Denali Commission. The fiscal year 2008 comparable level was $38,597,000 and the 

budget request for fiscal year 2009 did not include funding for this 

program. These funds support the construction and renovation of 

health clinics, hospitals and social service facilities in rural Alaska, 

as authorized by Public Law 106–113, to help remote communities 

in Alaska develop critically needed health and social service infrastructure for which no other funding sources are available, thereby 

providing health and social services to Alaskans in remote rural 

communities as they are in other communities throughout the 

country. The Committee expects the Denali Commission to allocate 

funds to a mix of rural hospital, clinic, long-term care and social 

service facilities, rather than focusing exclusively on clinic funding. 

Family Planning 

The Committee provides $299,981,000 for the title X family planning program, the same level as the fiscal year 2008 comparable 

level and the budget request. 

Title X grants support primary health care services at clinics nationwide. About 85 percent of family planning clients are women at 

or below 150 percent of poverty level. Title X of the Public Health 

Service Act, which established the family planning program, authorizes the provision of a broad range of acceptable and effective 

family planning methods and preventive health services to individuals, regardless of age or marital status. This includes FDA-approved methods of contraception. 

The Committee remains concerned that programs receiving title 

X funds ought to have access to these resources as quickly as possible. The Committee again instructs the Department to distribute 

to the regional offices all of the funds available for family planning 

services no later than 60 days following enactment of this bill. The 

Committee intends that the regional offices should retain the authority for the review, award and administration of family planning 

funds, in the same manner and timeframe as in fiscal year 2006. 

The Committee intends that at least 90 percent of funds appropriated for title X activities be for clinical services authorized under 

section 1001 of the act. The Committee further expects the Office 

of Family Planning to spend any remaining year-end funds in section 1001 activities. 

Health Care-related Facilities and Activities 

The Committee provides $170,597,000 for the construction and 

renovation (including equipment) of health care-related facilities 

and other health care-related activities. In fiscal year 2008, 
60 

$304,475,000 was provided and the budget request for fiscal year 

2009 did not include funding for these activities. The Committee 

expects HRSA to use no more than 1 percent of the funds allocated 

for projects for agency administrative expenses. These funds are to 

be used for the following projects and in the following amounts: 

Project Committee 

recommendation 

Access Community Health Network, Chicago, IL, for construction at Holy Cross Hospital ............................ $500,000 

Access to Healthcare Network, Reno, NV, to expand the Access to Healthcare Network into Northern NV 

rural counties .............................................................................................................................................. 600,000 

Adams State College, Alamosa, CO, for construction of a health education facility .................................... 150,000 

Advocate Lutheran General Hospital, Park Ridge, IL, for construction .......................................................... 300,000 

Advocates for a Healthy Community, Springfield, MO, for construction, renovation and equipment ............ 1,500,000 

Alaska Brain Injury Network, Anchorage, AK, for brain injury programs and outreach services ................... 100,000 

Alaska Native Tribal Health Consortium, Anchorage, AK, for a statewide electronic medical records and 

health information system .......................................................................................................................... 1,500,000 

Alaska Native Tribal Health Consortium, Anchorage, AK, for parallel development of an e-Health electronic Network .............................................................................................................................................. 1,500,000 

Allegheny General Hospital, Pittsburgh, PA, for construction, renovation and equipment ............................ 100,000 

Allen Institute for Brain Science, Seattle, WA, for equipment ........................................................................ 500,000 

Allen Memorial Hospital, Waterloo, Iowa, for construction, renovation and equipment ................................. 250,000 

Allied Services Foundation, Clarks Summit, PA, for renovations and equipment .......................................... 100,000 

Altoona Regional Health System, Altoona, PA, for renovation and equipment .............................................. 100,000 

Anchorage Neighborhood Health Center, Anchorage, AK, for construction, renovation and equipment ........ 400,000 

Association of Utah Community Health, Salt Lake City, UT, for an electronic health records system for 

Utah Community Health Centers ................................................................................................................. 500,000 

AtlantiCare Regional Medical Center, Egg Harbor Township, NJ, for construction of the Cancer Care Institute .............................................................................................................................................................. 400,000 

Barnes-Kasson County Hospital, Susquehanna, PA, for renovations and equipment .................................... 100,000 

Bartlett Regional Hospital, Juneau, AK, for renovation and equipment ......................................................... 500,000 

Bayside Family Healthcare, North Kingstown, RI, to implement the NextGen Practice Management System 

and Electronic Health Records .................................................................................................................... 100,000 

Beebe Medical Center, Lewes, DE, for the construction of a new School of Nursing ................................... 500,000 

Benefis Healthcare Foundation, Great Falls, MT, for health information technology in critical access hospitals ............................................................................................................................................................ 150,000 

Bethune Cookman University, Daytona Beach, FL, for equipping a nurse-managed health facility ............. 100,000 

Billings Clinic, Billings, MT, for equipment .................................................................................................... 150,000 

Bingham Memorial Hospital, Blackfoot, ID, for construction, renovation and equipment ............................. 200,000 

Bi-State Primary Care Association, Concord, NH, for renovation and equipment .......................................... 250,000 

Bi-State Primary Care Association, Montpelier, VT, for construction, renovation and equipment ................. 550,000 

Bloomsburg Hospital, Bloomsburg, PA, for construction, renovation and equipment .................................... 100,000 

Blue Mountain Diagnostic Imaging, Inc. (BMDI), Pendleton, OR, for equipment ........................................... 100,000 

Bois Forte Reservation Tribal Council, Tower, MN, for renovation and equipment ........................................ 300,000 

Boston Foundation for Sight, Needham Heights, MA, for the acquisition of medical equipment ................. 150,000 

Boston Medical Center, Boston, MA for facilities and equipment for the J. Joseph Moakley Medical Services Building ................................................................................................................................................ 350,000 

Boulder City Hospital, Boulder City, NV, for construction of an emergency department ............................... 500,000 

Boys Town National Research Hospital, Omaha, NE, for construction, renovation and equipment .............. 500,000 

Bradford Regional Medical Center, Bradford, PA, for renovation and equipment ......................................... 100,000 

Broadlawns Medical Center, Des Moines, IA, for equipment .......................................................................... 500,000 

Bucknell University Geisinger Health System, Lewisburg, PA, for the training of health professionals ....... 150,000 

Butler Health System, Butler, PA, for renovation and equipment .................................................................. 100,000 

Caring Health Center, Inc., Springfield, MA, for construction ........................................................................ 200,000 

Carnegie Mellon University, Washington, DC, for renovation and equipment ................................................ 100,000

Carolinas HealthCare System, Charlotte, NC, for construction, renovation and equipment .......................... 100,000 

Catholic Health System, Buffalo, NY, for equipment ...................................................................................... 150,000 

Centenary College of Louisiana, Shreveport, LA, for construction, renovation and equipment of a health 

training facility ............................................................................................................................................ 1,000,000 

Center for Asbestos Related Disease, Libby, MT, for construction, renovation and equipment .................... 200,000 

Central Carolina Technical College, Sumter, SC, for construction, renovation and equipment .................... 250,000 

Central Wyoming College, Riverton, WY, for construction, renovation and equipment .................................. 450,000 

Central Wyoming College, Riverton, WY, for the Virtual Medical Skills Center for Training Nurses in Rural 

Health Care .................................................................................................................................................. 200,000 

Charles Cole Memorial Hospital, Coudersport, PA, for rural training assistance .......................................... 100,000

Chester County Hospital, West Chester, PA, for construction renovation and equipment ............................. 100,000 
61 

Project Committee recommendation 

Chiesman Foundation for Democracy, Inc., Rapid City, SD, to establish a Center for Fetal Alcohol Spectrum Disorders ............................................................................................................................................. 750,000 

Children’s Health Fund, New York, NY, to provide comprehensive primary care to medically underserved 

children at elementary schools in the Austin, TX Independent School District ......................................... 250,000 

Children’s Institute of Pittsburgh, Pittsburgh, PA, for treating children and adolescents with Autism 

Spectrum Disorders ..................................................................................................................................... 200,000 

Children’s Home Society of Idaho, Boise, ID, for construction, renovation and equipment .......................... 100,000 

Children’s Hospital of Philadelphia, Philadelphia, PA, for renovation and equipment .................................. 100,000 

Children’s Hospital of Pittsburgh, Pittsburgh, PA, for construction, renovation and equipment .................. 100,000 

Children’s Hospitals & Clinics, Minneapolis, MN, for equipment ................................................................... 250,000 

Children’s Medical Center, Dallas, TX, for construction, renovation and equipment .................................... 150,000 

Children’s Medical Research Institute, Oklahoma City, OK, for renovation and equipment .......................... 100,000 

Children’s Memorial Hospital, Chicago, IL, for construction, renovation and equipment .............................. 500,000 

Children’s Mercy Hospitals and Clinics, Kansas City, MO, for construction, renovation and equipment ..... 1,000,000 

Children’s Square, Council Bluffs, IA, for construction, renovation, and equipment .................................... 500,000 

CHOICE Regional Health Network, Olympia, WA, for the Emergency Department Care Coordination Program ............................................................................................................................................................ 350,000 

Christ Hospital, Jersey City, NJ, for the Emergency Department Renovation and Equipment Project ........... 300,000 

Christiana Care Health System, Wilmington, DE, to renovate and expand Wilmington Hospital’s Emergency Department ........................................................................................................................................ 300,000 

CHRISTUS Santa Rosa Hospital, San Antonio, TX, for renovation and equipment ........................................ 150,000 

CHRISTUS St. Francis Cabrini Hospital, Shreveport, LA, for construction, renovation and equipment ......... 100,000 

City Finance Office dba Community Memorial Hospital, Redfield, SD, for facility renovation and construction ............................................................................................................................................................... 300,000 

City of Baltimore, Baltimore, MD, for construction for Healthcare for the Homeless center ......................... 1,250,000 

City of Newark, Newark, NJ, for an electronic medical record system ........................................................... 150,000 

City of San Jose ́, San Jose ́, CA, for a healthcare for the homeless program, including equipment ............. 500,000 

Clarian Health, Indianapolis, IN, for construction, renovation and equipment .............................................. 100,000 

Clarion Health System, Clarion, PA, for renovation and equipment ............................................................... 100,000 

Clearfield Hospital, Clearfield, PA, for construction, renovation and equipment ........................................... 100,000 

Coffeyville Regional Medical Center, Coffeyville, KS, for construction, renovation and equipment .............. 350,000 

Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, for The Women’s Cancer Genomics Center .......... 750,000 

College of St. Scholastica, Inc., Duluth, MN, for a rural health and technology demonstration project ...... 250,000 

Colorado Community Health Network, Denver, CO, for equipment ................................................................. 200,000 

Commonwealth Medical Education, Scranton, PA, for equipment and construction ..................................... 1,000,000 

Communicare Inc., Columbia, SC, for automated pharmacy equipment ....................................................... 200,000 

Community Care Network, Montgomery, AL, for the purchase of a mobile medical unit and acquisition of 

equipment .................................................................................................................................................... 100,000 

Community Colleges of Spokane, Spokane, WA, for renovation and equipment for allied health education ............................................................................................................................................................... 285,000 

Community Health and Social Services, Detroit, MI, to construct a health clinic ......................................... 500,000

Community Health Care, Inc., Davenport, IA, for equipment .......................................................................... 200,000 

Community Health Center of Fort Dodge, IA, for equipment .......................................................................... 150,000 

Community Health Center of the Black Hills, Rapid City, SD, for facilities and equipment ........................ 200,000 

Community Health Centers of Southeastern Iowa, Burlington, IA, for construction, renovation and equipment ............................................................................................................................................................. 200,000 

Community Health Centers of Southern Iowa, Leon, IA, for equipment ......................................................... 130,000 

Community HealthCare Association of the Dakotas, Bismarck, ND, for Electronic Medical Record Implementation ..................................................................................................................................................... 200,000 

Community HealthCare Association of the Dakotas, Sioux Falls, SD, for an electronic medical records 

system .......................................................................................................................................................... 250,000 

Community HealthCare Association of the Dakotas, Sioux Falls, SD, for rural health and dental services 

in a mobile dental unit ............................................................................................................................... 200,000 

Community Medical Center, Missoula, MT, for equipment ............................................................................. 100,000 

Community Medical Center, Scranton, PA, for renovation and equipment .................................................... 100,000

Comprehensive Community Action, Cranston, RI, to implement an integrated electronic health record and 

practice management system ..................................................................................................................... 300,000 

Concord Hospital, Concord, NH, for construction, renovation and equipment ............................................... 300,000

Cook Children’s Medical Center, Fort Worth, TX, for renovation and equipment ........................................... 150,000 

Cornerstone Care Inc., Burgettstown, PA, for construction, renovation and equipment ................................ 100,000 

Council Bluffs Community Health Center, Council Bluffs, IA, for construction, renovation and equipment ............................................................................................................................................................. 200,000 

Creighton University, Omaha, NE, for construction, renovation and equipment ............................................ 100,000 

Crescent Community Health Center, Dubuque, IA, for construction, renovation and equipment .................. 200,000 

Crider Health Center, Wentzville, MO, for construction, renovation and equipment ...................................... 1,000,000
62 

Project Committee recommendation 

Crozer-Chester Medical Center, Upland, PA, for renovation and equipment .................................................. 100,000 

Delaware Valley Community Health, Philadelphia, PA, for renovation and equipment .................................. 100,000 

Delta State University, Cleveland, MS, for construction, renovation and equipment, including design ....... 250,000 

Denver Health and Hospital Authority, Denver, CO, for construction ............................................................. 150,000 

Driscoll Children’s Hospital, Corpus Christi, TX, for renovation and equipment ........................................... 150,000 

DuBois Regional Medical Center, DuBois, PA, for renovation and equipment ............................................... 100,000 

East Carolina University, Greenville, NC, for construction, renovation and equipment ................................. 200,000 

Eastern Shore Rural Health System, Nassawadox, VA, to construct the Onley Community Health Center ... 300,000 

Ed Roberts Campus, Berkeley, CA, for construction, renovation and equipment .......................................... 250,000 

Elk Regional Health Center, St. Marys, PA, for renovation and equipment ................................................... 100,000 

Elliot Health System, Manchester, NH, for an electronic medical records system ........................................ 225,000 

Endless Mountains Health Systems, Montrose, PA, for construction, renovation and equipment ................. 100,000 

Ephrata Hospital, Ephrata, PA, for renovation and equipment ...................................................................... 100,000 

Excela Health, Latrobe, PA, for construction, renovation and equipment ...................................................... 100,000 

Family Medicine Residency of Idaho, Boise, ID, to recruit family physicians to rural Idaho ........................ 100,000 

Fletcher Allen Health Care, Burlington, VT, for construction and equipment ................................................ 200,000 

Fletcher Allen Health Care, Burlington, VT, for training ................................................................................. 500,000 

Fox Chase Cancer Center, Philadelphia, PA, for renovation and equipment ................................................. 100,000

Franklin Pierce University, Rindge, NH, for nurse training outreach programs, including renovation and 

equipment .................................................................................................................................................... 400,000 

Free Clinic of Pierce and Saint Croix, River Falls, WI, to expand care in rural areas .................................. 160,000 

Free Clinics of Iowa, Des Moines, IA, to support a network of free clinics ................................................... 400,000 

Friendship House, Scranton, PA, to create an advanced Regional Center for Autism Spectrum Disorders .. 150,000 

Fulton County Medical Center, McConnellsburg, PA, for construction, renovation and equipment ............... 100,000 

Gadsden County, Quincy, FL, for repairs and renovations of the Gadsden County Community Hospital ..... 100,000 

Garfield Memorial Hospital, Panguitch, UT, for renovation and equipment ................................................... 100,000 

Geisinger Health System, Harrisburg, PA, for post traumatic stress disorder related activities .................. 100,000 

Generations, Inc., Camden, NJ, for construction and operations of the Nex Generation Health Services 

Center .......................................................................................................................................................... 100,000 

Georgia Southern University, Statesboro, GA, for rural health outreach and training ................................... 100,000 

Georgia State University, Atlanta, GA, for health outreach and training ....................................................... 100,000 

Good Samaritan Health Services Foundation, Lebanon, PA, for renovation and equipment ......................... 100,000 

Good Shepherd Home, Inc., Allentown, PA, for renovation and equipment .................................................... 100,000 

Goodall Hospital, Sanford, ME, for an electronic health records system ....................................................... 300,000 

Grady Memorial Hospital, Atlanta, GA, for renovation and equipment .......................................................... 100,000 

Grand View Hospital, Inc., Sellersville, PA, for renovation and equipment .................................................... 100,000 

Great Brook Valley Health Center, Worcester, MA, for new facility construction ........................................... 150,000 

Greater Hudson Valley Family Health Center, Inc., Newburgh, NY, for construction, renovation and equipment ............................................................................................................................................................. 400,000 

Greater Sioux Community Health Center, Sioux Center, IA, for equipment .................................................... 100,000 

Gundersen Lutheran Hospital, La Crosse, WI, for health care IT improvements ........................................... 300,000 

Hamot Medical Center, Erie, PA, for construction, renovation and equipment .............................................. 100,000

Hampton University, Hampton, VA, for construction and equipment for the development of a new proton 

beam therapy facility to treat cancer ......................................................................................................... 400,000 

Harrington Memorial Hospital, Southbridge, MA, for the acquisition of medical equipment ........................ 200,000 

Harris County Hospital District, Houston, TX, for renovation and equipment ................................................ 150,000 

Hazleton General Hospital—Health Corp (Northeastern PA), Hazleton, PA, for renovation and equipment ............................................................................................................................................................. 100,000 

Health and Hospital Corporation of Marion County, Indianapolis, IN, for facility planning, construction, 

renovation and equipment .......................................................................................................................... 150,000 

Health Care of Southeastern Massachusetts, Brockton, MA, for equipment .................................................. 150,000

HealthEast Care System, St. Paul, MN, for construction, renovation and equipment ................................... 325,000 

HealthPoint Kentucky, Newport, KY, for an electronic medical records system ............................................. 100,000

HealthShare Montana, Bozeman, MT, for equipment and training ................................................................ 750,000 

Hickman Community Hospital, Centerville, TN, for construction and renovation and equipment ................. 550,000 

Holy Redeemer Health System, Huntington Valley, PA, for construction, renovation and equipment ........... 100,000 

Holy Spirit Healthcare System, Camp Hill, PA, for renovation and equipment .............................................. 100,000

Hormel Institute, Mower, MN, for biomedical equipment ................................................................................ 100,000 

Horn Memorial Hospital, Ida Grove, IA, for equipment ................................................................................... 250,000 

Indiana Regional Medical Center, Indiana, PA, for renovation and equipment ............................................. 100,000 

Intermountain Healthcare, Salt Lake City, UT, for an electronic medical records and pharmacy bar coding systems ................................................................................................................................................. 300,000 

Inova Health System—The Claude Moore Health Education Center’s Simulation Center, Falls Church, VA, 

for construction, renovation and equipment ............................................................................................... 100,000 

Iowa Caregivers Association, Des Moines, IA, for training and support of certified nurse assistants ......... 350,000 
63 

Project Committee recommendation 

Iowa Dental Foundation, Johnston, IA, for portable dental equipment .......................................................... 250,000 

Iowa Nebraska Primary Care Association, Des Moines, IA, for health information technology equipment 

and coordination of programs ..................................................................................................................... 260,000 

Iowa State University, Ames, IA, for construction of a biosafety level 3 lab ................................................ 500,000 

Jackson State University, Jackson, MS, for the Institute of Epidemiology and Health Services Research .... 500,000 

Jameson Memorial Hospital, New Castle, PA, for construction, renovation and equipment .......................... 100,000 

JC Blair Memorial Hospital, Huntingdon, PA, for renovation and equipment ................................................ 100,000

Jefferson Regional Medical Center, Pittsburgh, PA, for construction, renovation and equipment ................ 100,000 

Jersey Shore Hospital, Jersey Shore, PA, for renovation and equipment ........................................................ 100,000 

Jewish Renaissance Medical Center, Perth Amboy, NJ, for construction of the Medical Arts Building ........ 100,000 

Joseph Richey House, Inc., Baltimore, MD, for construction of Dr Bob’s Place Children’s Hospice .............. 750,000 

Kadlec Health System, Richland, WA, for construction and equipment ......................................................... 150,000 

Kane Community Hospital, Kane, PA, for construction, renovation and equipment ...................................... 100,000 

King’s Daughters Regional Medical Center, Brookhaven, MS, for an electronic medical records system, 

including renovation and equipment .......................................................................................................... 500,000 

La Clinica de Familia, Inc., Las Cruces, NM, for construction of the Chaparral Dental Center ................... 775,000 

Lahey Clinic, Burlington, MA, for the expansion and renovation of emergency and trauma care facilities ............................................................................................................................................................... 200,000 

Lane County, Eugene, OR, for construction of the Springfield Community Health Center ............................ 100,000 

Laramie County Community College, Cheyenne, WY, for renovation, equipment and training ...................... 400,000 

Lawndale Christian Health Center, Chicago, IL, for construction and equipment ......................................... 400,000 

Lehigh Valley Hospital, Allentown, PA, to provide healthcare access ............................................................ 100,000 

Lewis-Clark State College, Lewiston, ID, to prepare nursing students for careers in nursing ..................... 100,000 

Lincoln County, Newport, OR, for an electronic medical records system, including equipment acquisition 

and renovation ............................................................................................................................................. 250,000 

Linn Community Care, Cedar Rapids, IA, for construction, renovation and equipment ................................ 262,000 

Lou Ruvo Brain Institute, Las Vegas, NV, for construction, renovation and equipment ............................... 600,000 

Lourdes Health System, Camden, NJ, for equipment ...................................................................................... 100,000 

Lowell General Hospital, Lowell, MA, for construction of new medical facilities ........................................... 150,000 

Lower Brule Sioux Tribe, Lower Brule, SD, for the Community Health Representative program ................... 200,000 

Manchester Community Health Center, Manchester, NH, for construction, renovation and equipment ........ 200,000 

Marian Community Hospital, Carbondale, PA, for renovation and equipment ............................................... 100,000 

Marillac Center, Overland Park, KS, for construction, renovation and equipment ......................................... 200,000 

Marquette University, Milwaukee, WI, for a dental health outreach program ................................................ 250,000 

Marshall University in Huntington, WV, for the Translational Genomic Research Institute .......................... 3,500,000 

Maui Community Health Center, Kahului, HI, for construction, renovation and equipment .......................... 200,000 

Maui Medical Center, Maui, HI, for equipping a robotics and nurse training lab ........................................ 200,000 

Meadville Medical Center, Meadville, PA, for construction, renovation and equipment ................................ 100,000 

Meharry Medical College, Nashville, TN, for construction, renovation and equipment .................................. 600,000 

Memorial Hospital at Gulfport, Gulfport, MS, for construction, renovation and equipment .......................... 500,000 

Memorial Hospital, Carthage, IL, for equipment ............................................................................................. 400,000 

Memorial Hospital, York, PA, for renovation and equipment .......................................................................... 100,000 

Mercy Health Foundation, Durango, CO, for renovation and equipment ........................................................ 150,000 

Mercy Health Partners, Scranton, PA, for renovation and equipment ............................................................ 100,000 

Mercy Memorial Health Center, Ardmore, OK, for construction, renovation and equipment .......................... 100,000 

Mercy Philadelphia Hospital, Philadelphia, PA, for construction, renovation and equipment ....................... 100,000 

Meridian Health, Neptune, NJ, for the Jersey Shore University Medical Center Comprehensive Expansion 

and Renovation Project ............................................................................................................................... 350,000 

Messiah College, Grantham, PA, for renovation and equipment .................................................................... 100,000 

Methodist University, Fayetteville, NC, for construction, renovation and equipment ..................................... 175,000 

Miami Jewish Home and Hospital, Miami, FL, for health education for those living in the Little Haiti area 75,000 

Mid Valley Hospital, Peckville, PA, for renovation and equipment ................................................................. 100,000 

Middletown Regional Health System, Franklin, OH, for construction of a nursing school ............................ 200,000 

Midwest Community Clinic, Midwest, WY, for construction, renovation, and equipment .............................. 300,000 

Miles Community College, Miles City, MT, to expand the Healthcare Connections to Career Pathways program ............................................................................................................................................................ 100,000 

Miles Perret Cancer Services, Lafayette, LA, for purchase and equipping of a mobile unit for use in rural 

areas ............................................................................................................................................................ 300,000 

Mind Research Network [MRN], Albuquerque, NM, for construction, renovation and equipment .................. 3,000,000 

Minot State University, Minot, ND, for the Great Plains Autism Treatment Program .................................... 750,000 

Misericordia University, Dallas, PA, for construction, renovation and renovation .......................................... 100,000 

Mississippi Primary Health Care Association, Jackson, MS, for construction, renovation and equipment ... 250,000 

Molokai Community Health Center, Molokai, HI, to construct facilities ......................................................... 250,000 

Monongahela Valley Hospital, Monongahela, PA, for renovation and equipment .......................................... 100,000 

Monroe Clinic, Monroe, WI, for critical health care IT improvements, including an electronic medical 

records system, in South Central Wisconsin .............................................................................................. 280,000 
64 

Project Committee recommendation 

Montgomery College, Rockville, MD, for equipment for the biotechnology laboratory .................................... 750,000 

Moses Taylor Hospital, Scranton, PA, for renovation and equipment ............................................................. 100,000 

Mount Nittany Medical Center, State College, PA, for renovation and construction ...................................... 100,000 

Myrna Brind Center for Integrative Medicine, Philadelphia, PA, to develop three models of integrative 

programs of clinical excellence ................................................................................................................... 100,000 

Nationwide Children’s Hospital Research Institute, Columbus, OH, for construction, renovation and 

equipment .................................................................................................................................................... 100,000 

Nazareth Hospital, Philadelphia, PA, for renovation and equipment ............................................................. 100,000 

Nebraska Hospital Association, Lincoln, NE, to expand the Nebraska Statewide Telehealth Network, including renovation and equipment ............................................................................................................. 100,000 

Neurosciences Institute, Morgantown, WV, for construction, renovation and equipment .............................. 5,000,000 

Nevada System of Higher Education, Las Vegas, NV, for equipment purchase for nursing and medical 

clinical skills labs ....................................................................................................................................... 1,000,000 

New Mexico State University, Las Cruces, NM, for Graduate Psychology Education ...................................... 100,000 

New York University Medical Center, New York, NY, for construction, renovation and equipment at the 

emergency department ................................................................................................................................ 750,000 

New York-Presbyterian Hospital, NY, for cardiac care telemetry .................................................................... 250,000 

Newark Beth Israel Medical Center, Newark, NJ, for construction, equipment and renovation ..................... 300,000 

Newton Memorial Hospital, Newton, NJ, for equipment .................................................................................. 200,000 

Niagara University, Niagara Falls, NY, for the Nursing Leadership project ................................................... 100,000 

Norman Regional Health System, Norman, OK, for a medical health records system, including acquisition 

of equipment ............................................................................................................................................... 100,000 

Northeast Regional Cancer Institute, Scranton, PA, for cancer epidemiology research programs ................ 100,000 

Northwest Hospital and Medical Center, Seattle, WA, for construction and equipment to support the establishment of a Community Health Education and Simulation Center .................................................... 1,000,000 

Northwest Kidney Centers, Seattle, WA, for equipment .................................................................................. 200,000 

Norton Community Hospital Women’s Center/Technology Enhancement Project, Norton, VA, for renovation 

and equipment ............................................................................................................................................ 100,000 

Nova Southeastern University, Ft. Lauderdale, FL, for nurse education and training ................................... 75,000 

Nugen’s Ranch Substance Abuse Treatment Facility, Wasilla, AK, for construction, renovation and equipment ............................................................................................................................................................. 300,000 

Oglala Lakota College, Kyle, SD, for a nursing education program ............................................................... 600,000 

Ohio Valley General Hospital, McKees Rocks, PA, for renovation and equipment ......................................... 100,000 

Ohio Valley Medical Center, Wheeling, WV, for construction, renovation and equipment ............................. 6,000,000 

Oklahoma Medical Research Foundation, Oklahoma City, OK, for renovation and equipment ...................... 150,000 

Oklahoma State University Center for Health Sciences, Tulsa, OK, to purchase and equip a mobile health 

unit .............................................................................................................................................................. 100,000 

Olympic Medical Center, Port Angeles, WA, for an electronic medical records/practice management system ............................................................................................................................................................... 650,000 

Orange County, Orlando, FL, for the renovation at the Primary Care Access Network .................................. 100,000 

Ottumwa Regional Health Center, Ottumwa, IA, for equipment ..................................................................... 60,000 

Palmer College of Chiropractic in Davenport, IA, and the Myrna Brind Center of Integrative Medicine in 

Philadelphia, PA, to develop a model integrative health care program for the treatment of pain .......... 400,000 

Paoli Hospital, Paoli, PA, for construction, renovation and equipment .......................................................... 100,000 

Parkland Health & Hospital System, Dallas, TX, to purchase and equip a mobile health unit ................... 250,000 

Parkland Health & Hospital System, Dallas, TX, for renovation and equipment ........................................... 150,000 

Penn State Hershey Medical Center, Hershey, PA, for healthcare services .................................................... 100,000 

Pennsylvania Psychiatric Institute, Harrisburg, PA, for equipment ................................................................ 100,000 

Peoples Community Health Clinic, Waterloo, IA, for equipment ..................................................................... 60,000 

Philadelphia University, Philadelphia, PA, for equipment ............................................................................... 100,000 

Phoebe Putney Memorial Hospital, Albany, GA, to partner with the Dougherty County School System to 

implement health programs for school children ........................................................................................ 100,000 

Pinnacle Health System, Harrisburg, PA, for construction, renovation and equipment ................................. 100,000 

Pioneer Valley Life Science Institute, Springfield, MA, for the construction and continued development of 

biomedical research facilities ..................................................................................................................... 400,000 

Pocono Medical Center, Stroudsburg, PA, for construction, renovation and equipment ................................ 100,000 

Pottsville Hospital, Pottsville, PA, for construction, renovation and equipment ............................................ 100,000 

Primary Care Association of Hawaii, Honolulu, HI, to provide service enhancements and outreach ............ 1,100,000 

Primary Health Care, Inc, Des Moines, IA, for construction, renovation and equipment ............................... 200,000 

Prince George’s County, Upper Marlboro, MD, for dental equipment ............................................................. 500,000 

Provena Covenant Medical Center, Urbana, IL, for construction, renovation and equipment ....................... 200,000 

Providence Community Health Center, Providence, RI, to install an electronic health records system ........ 100,000 

Providence Health System, Anchorage, AK, for physician recruitment and retention .................................... 1,000,000 

Providence Health System, Olympia, WA, to create a Nursing Education to Practice Bridge Program ......... 100,000 

Public Health Foundation of Columbia County, Portland, OR, for construction and equipment ................... 250,000 
65 

Project Committee recommendation 

Reading Hospital and Medical Center, Reading, PA, for renovation and equipment .................................... 100,000 

RelateNow, New Glarus, WI, to provide online treatment services for rural families of children with autism .............................................................................................................................................................. 300,000 

Resurrection Health Care, Oak Park, IL, to expand nursing programs .......................................................... 300,000 

Rhode Island College Foundation, Providence, RI, to upgrade the School of Nursing clinical laboratory .... 300,000 

Rice University, Houston, TX, for construction, renovation and equipment ................................................... 400,000 

Richardton Memorial Hospital and Health Center, Richardton, ND, for planning, renovation and equipment ............................................................................................................................................................. 850,000 

River Hills Community Health Center, Ottumwa, IA, for equipment ............................................................... 200,000 

Riverside Healthcare, Kankakee, IL, for a patient safety program, including equipment ............................. 300,000 

Robert Morris University, Moon Township, PA, for renovation and equipment ............................................... 100,000

Rosebud Sioux Tribe, Rosebud, SD, for medical equipment ........................................................................... 200,000 

Sac and Fox Tribe of the Mississippi, Tama, IA, for a Tribal Health Care Clinic ......................................... 650,000

Sacred Heart Hospital of Allentown, Allentown, PA, for renovation and equipment ...................................... 100,000 

Saint Ambrose University, Davenport, IA, for the construction of a Center for Health Sciences Education ............................................................................................................................................................... 500,000 

Saint Bernard Parish, Chalmette, LA, for construction, renovation and equipment of a medical facility .... 850,000 

Saint Clare Hospital, Madison, WI, for equipment .......................................................................................... 350,000 

Saint Francis Hospital Foundation, Wilmington, DE, to make capital infrastructure improvements to St 

Francis Hospital ........................................................................................................................................... 300,000 

Saint Joseph Health Services, North Providence, RI, for renovations to the emergency room ...................... 650,000 

Saint Joseph Hospital, Nashua, NH, for electronic medical records technology, including renovation and 

equipment .................................................................................................................................................... 425,000 

Saint Luke’s Episcopal Hospital, Houston, TX, for renovation and equipment .............................................. 150,000

Saint Luke’s Hospital Allentown Campus, Allentown, PA, for renovation and equipment ............................. 100,000 

Saint Mary Medical Center, Langhorne, PA, for renovations and construction .............................................. 100,000

Saint Mary’s Hospital, Madison, WI, for equipment at the Sun Prairie Emergency Center ........................... 300,000 

Saint Patrick Hospital and Health Sciences Center, Missoula, MT, for construction, renovation and equipment ............................................................................................................................................................. 150,000 

Saint Vincent Health Center, Erie, PA, for renovation and equipment ........................................................... 100,000 

Saint Vincent Healthcare Foundation, Billings, MT, for equipment for the Pediatric Project ........................ 150,000 

San Francisco Community Clinic Consortium, San Francisco, CA, for facilities and equipment .................. 500,000 

Seattle Biomedical Research Institute, Seattle, WA, for equipment ............................................................... 250,000 

Seattle Cancer Care Alliance, Seattle, WA, for construction, renovation and equipment .............................. 800,000 

Sedgwick County Government, Wichita, KS, for the Healthy Babies Program ................................................ 150,000 

Sharon Regional Health System, Sharon, PA, for construction, renovation and equipment .......................... 100,000 

Shawnee Mission Medical Center, for renovation and equipment .................................................................. 200,000 

Shelby County, Memphis, TN, for construction, renovation and equipment ................................................... 500,000 

Sinai Health System, Chicago, IL, for equipment ........................................................................................... 500,000 

Siouxland Community Health Center, Sioux City, IA, for construction, renovation and equipment ............... 200,000 

Sisters of Providence Health System, Springfield, MA, for construction of a new health clinic ................... 200,000 

Soldiers ∂ Sailors Memorial Hospital, Wellsboro, PA, for renovations and equipment ................................ 100,000 

Somerset Hospital, Somerset, PA, for renovation and equipment .................................................................. 100,000 

South County Hospital, Wakefield, RI, for electronic health record project ................................................... 900,000 

South Lane Mental Health, Cottage Grove, OR, for construction, renovation and equipment ....................... 150,000 

South Shore Regional Health Information Organization, Quincy, MA, for the continued development and 

deployment of an electronic medical recordkeeping system ...................................................................... 150,000 

Southern Methodist University, Dallas, TX, for construction, renovation and equipment .............................. 200,000 

Southern New Hampshire Medical Center, Nashua, NH, for electronic medical records technology, including renovation and equipment .................................................................................................................... 425,000 

Southern Utah University, Cedar City, UT, for construction, renovation and equipment ............................... 400,000 

Southern Vermont College, Bennington, VT, for a patient navigator program ............................................... 250,000

Southwestern Mental Health Center, Inc., Luverne, MN, for construction, renovation and equipment ......... 200,000 

Sparks Regional Medical Center, Fort Smith, AR, to obtain equipment for the cancer center ..................... 1,000,000 

Spokane County Medical Society Foundation, Spokane, WA, for Project Access ............................................ 100,000 

State of New Mexico, Santa Fe, NM, to collect and analyze data about the need and potential locations 

for a dental school within the State .......................................................................................................... 100,000 

Staten Island University Hospital, Staten Island, NY, for construction, renovation and equipment for the 

emergency department ................................................................................................................................ 500,000 

Stoughton Hospital, Stoughton, WI, for installation of a comprehensive electronic health records system ............................................................................................................................................................... 300,000 

Straub Hospital Burn Center, Honolulu, HI, for equipment ............................................................................ 100,000 

Sullivan County Medical Center, Laporte, PA, for renovation and equipment ............................................... 100,000

Sumter Regional Hospital, Americus, GA, for construction, renovation and equipment ................................ 100,000 

Susquehanna Health, Williamsport, PA, for renovation and equipment ......................................................... 100,000 
66 

Project Committee recommendation 

Swope Health Quindaro, KS, for an electronic medical records system, including equipment acquisition 

and renovation ............................................................................................................................................. 250,000 

Systems Unlimited, Inc., Iowa City, IA, for construction, renovation, and equipment ................................... 250,000 

Tabitha, Inc., d.b.a., Tabitha Health Care Services, Lincoln, NE, for equipment .......................................... 800,000 

Temple University Health System, Philadelphia, PA, for renovations and equipment ................................... 100,000 

Tennessee Tech University, Cookeville, TN, for construction and renovation ................................................. 500,000 

Texas A&M University, College Station, TX, for renovation and equipment ................................................... 200,000 

Texas Children’s Hospital, Houston, TX, for construction, renovation and equipment .................................. 150,000 

Texas Health Institute, Austin, TX, for renovation and equipment ................................................................. 200,000 

The Lakes Community Health Center, Iron River, WI, for construction, renovation and equipment .............. 300,000 

The Manor, Jonesville, MI, for construction of a Treatment and Counseling Center ..................................... 600,000 

Thomas Jefferson University Hospital, Philadelphia, PA, for renovation and equipment ............................... 100,000 

Thomas Jefferson University, Philadelphia, PA, for renovation and equipment ............................................. 100,000

Thundermist Health Center, West Warwick, RI, for construction, renovation and equipment ....................... 350,000 

Tougaloo College, Tougaloo, MS, for renovation and equipment .................................................................... 245,000 

Touro University Nevada, Henderson, NV, for construction of a Gerontology Center ..................................... 400,000 

Towson University, Baltimore, MD, for a Center for Adults with Autism Spectrum Disorders ....................... 500,000 

Trinity Health, Minot, ND, for the Rural Radiology Outreach Initiative, including equipment ....................... 850,000 

Tri-Town Community Economic Opportunity Committee, Johnston, RI, for construction, equipment and 

renovation of health care facilities ............................................................................................................. 350,000 

Tufts New England Medical Center, Boston, MA, for construction, renovation and equipment .................... 200,000 

Tyrone Hospital, Tyrone, PA, for construction, renovation and equipment ..................................................... 100,000 

UMass Memorial Healthcare, Boston, MA, for upgrades to information technology ...................................... 250,000 

United Community Health Center, Storm Lake, IA, for construction, renovation and equipment .................. 200,000 

University Medical Center at Brackenridge, Austin, TX, for renovation and equipment ................................ 150,000 

University of Alabama, Tuscaloosa, Tuscaloosa, AL, for construction, renovation and equipment ............... 9,400,000 

University of Alabama, Tuscaloosa, Tuscaloosa, AL, for physician recruitment programs ............................ 250,000 

University of Delaware, Newark, DE, for the Delaware Biotechnology Institute, including equipment .......... 200,000 

University of Dubuque, Dubuque, IA, for construction of a community wellness center ............................... 500,000 

University of Georgia, Athens, GA, for construction, renovation and equipment ........................................... 100,000

University of Hawaii at Hilo, Honolulu, HI, for a nurse training program ..................................................... 150,000 

University of Iowa, Iowa City, IA, for the Iowa Institute for Biomedical Discovery ........................................ 2,000,000 

University of Iowa, Iowa City, IA, for the School of Public Health ................................................................. 1,000,000 

University of Kansas Medical Center, Kansas City, KS, for renovation and equipment ................................ 300,000 

University of Kentucky Research Foundation, Lexington, KY, for construction, renovation, and equipment 

at the University of Kentucky College of Nursing ....................................................................................... 2,000,000 

University of Kentucky Research Foundation, Lexington, KY, for renovation and equipment ........................ 1,500,000 

University of Kentucky Research Foundation, Lexington, KY, to establish a program to reduce the risk of 

hearth disease in rural areas ..................................................................................................................... 1,000,000 

University of Louisiana at Monroe, Monroe, LA, to purchase a mobile dental unit for use in rural Louisiana ........................................................................................................................................................... 400,000 

University of Louisville Research Foundation, Louisville, KY, for construction, renovation, and equipment ............................................................................................................................................................. 1,000,000 

University of Louisville Research Foundation, Louisville, KY, for construction, renovation, and equipment 

to expand cardiovascular facilities ............................................................................................................. 6,000,000 

University of Louisville Research Foundation, Louisville, KY, for renovation and equipment to support the 

computational biology initiative .................................................................................................................. 2,000,000 

University of Minnesota, Minneapolis, MN, for equipment for the Virginia Regional Medical Center ........... 100,000 

University of Mississippi Medical Center, Jackson, MS, for construction, renovation and equipment for 

the Arthur C. Guyton Laboratory Building ................................................................................................... 3,000,000 

University of Mississippi School of Pharmacy, Oxford, MS, for construction, renovation and equipment .... 6,000,000 

University of Mississippi, National Center for Natural Products Research, MS, for construction, renovation 

and equipment for Phase II of the National Center for Natural Products Research—Drug Development, Construction ...................................................................................................................................... 1,000,000 

University of Mississippi, Oxford, MS, for the Center for Pharmaceutical Marketing and Management ...... 250,000 

University of Mississippi, Oxford, MS, for the Center for Thermal Pharmaceutical Processing .................... 650,000 

University of Nevada School of Medicine, Reno, NV, for the Center for Molecular Medicine, including 

equipment .................................................................................................................................................... 500,000 

University of New England, Biddeford, ME, for technology upgrades, including the purchase of equipment 350,000 

University of North Carolina at Wilmington, Wilmington, NC, for construction, renovation and equipment ............................................................................................................................................................. 175,000 

University of North Texas, Denton, TX, for construction, renovation and equipment ..................................... 250,000 

University of Oklahoma, Norman, OK, for renovation and equipment ............................................................ 150,000 

University of Pennsylvania School of Medicine, Philadelphia, PA, for construction, renovation and equipment ............................................................................................................................................................. 100,000 
67 

Project Committee recommendation 

University of Pittsburgh (Simmons Center), Pittsburgh, PA, for construction, renovation and equipment ... 100,000 

University of Pittsburgh Cancer Institute, Pittsburgh, PA, for construction, renovations, and equipment ... 100,000 

University of Pittsburgh Medical Center, Pittsburgh, PA, for renovation and equipment .............................. 100,000 

University of South Dakota, Vermillion, SD, for construction and equipment ................................................ 300,000 

University of Southern Mississippi, Hattiesburg, MS, for construction, renovation and equipment, including design .................................................................................................................................................... 1,600,000 

University of Texas at Dallas, Dallas, TX, for renovation and equipment ..................................................... 400,000 

University of Texas Health Science Center at Houston, Houston, TX, for construction, renovation and 

equipment .................................................................................................................................................... 300,000 

University of Texas Health Science Center at Tyler, Tyler, TX, for renovation and equipment ...................... 250,000 

University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment .................. 200,000 

University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment for the 

center for targeted therapy ......................................................................................................................... 250,000 

University of Washington, Seattle, WA, for the Bothell nursing consortium .................................................. 100,000 

University of Wisconsin-Eau Claire, Eau Claire, WI, to expand the Campus Autism Program, including facilities .......................................................................................................................................................... 280,000 

University of Wyoming, Center for Rural Health Research and Education, Laramie, WY, for health information technology ....................................................................................................................................... 250,000 

Utah Department of Health, Salt Lake City, UT, for health education and screening for citizens exposed 

to uranium mill tailings .............................................................................................................................. 400,000 

Utah Department of Health, Salt Lake City, UT, for renovation and equipment ........................................... 300,000 

Vermont Information Technology Leaders, Montpelier, VT, for the implementation of a statewide electronic medical record system ...................................................................................................................... 1,000,000 

Volunteers of America, Dakotas, Sioux Falls, SD, for construction and program expansion of residential 

drug treatment ............................................................................................................................................ 750,000 

Wake County, Raleigh, NC, for construction, renovation and equipment ....................................................... 200,000 

Washington County, Plymouth, NC, for construction, renovation and equipment .......................................... 125,000 

Washington State University, Spokane, WA, to support distance learning at the Nursing College .............. 1,000,000 

Wayne Memorial Hospital, Honesdale, PA, for renovations and equipment ................................................... 100,000

Wayne Memorial Hospital, Jesup, GA, for construction, renovation and equipment ...................................... 100,000 

Weber County, Ogden, UT, for renovation and equipment to improve health literacy ................................... 200,000 

Wentworth-Douglass Hospital, Dover, NH, for electronic medical records technology, including renovation 

and equipment ............................................................................................................................................ 425,000 

Wesley College, Dover, DE, for renovation and equipping of the nursing school .......................................... 350,000 

West Virginia University, Morgantown, WV, for construction of a Multiple Sclerosis Center ......................... 3,500,000 

WestCare Nevada, Inc., Las Vegas, NV, for construction and renovation at the Community Triage Center ................................................................................................................................................................ 150,000 

Westchester County Department of Labs & Research, Valhalla, NY, for construction, renovation and 

equipment .................................................................................................................................................... 750,000 

Westminster College, Salt Lake City, UT, for renovation and equipment ....................................................... 300,000 

Westside Healthcare Association, Milwaukee, WI, for construction at the Lisbon Avenue Health Center ..... 300,000 

White River Medical Center, Batesville, AR, for construction, renovation and equipment ............................ 1,000,000 

Whittier Street Health Center, Roxbury, MA, for construction of a new medical facility ............................... 200,000 

William Penn University, Oskaloosa, IA, for the Nursing and Sciences Teaching Laboratories ..................... 500,000 

Wills Eye Health System, Philadelphia, PA, for renovation and equipment ................................................... 100,000 

Windemere Rehabilitation Center, Oak Bluffs, MA, for construction, renovation, and equipment ................ 250,000 

Wistar Institute, Philadelphia, PA, for renovation and equipment ................................................................. 100,000 

Wolfson Children’s Hospital, Jacksonville, FL, to purchase equipment .......................................................... 250,000 

World Impact’s Good Samaritan Clinic, Wichita, KS, for construction, renovation and equipment .............. 150,000 

Wyoming Valley Health Care System Hospital, Wilkes-Barre, PA, for renovation and equipment ................. 100,000 

Xavier University, New Orleans, LA, for design and construction for the Industry Center for Pharmaceutical Bioscience/Biotech Infrastructure .................................................................................................. 400,000 

Yukon-Kuskokwin Health Corporation, Bethel, AK, for renovation and equipment ......................................... 1,550,000 

Telehealth 

The Committee provides $8,000,000 for telehealth activities. The fiscal year 2008 comparable level was $6,700,000 and the budget 

request for fiscal year 2009 was $6,819,000. The telehealth program funded through the Office for the Advancement of Telehealth 

promotes the effective use of technologies to improve access to 

health services for people who are isolated from healthcare and distance education for health professionals. 
68 

The Committee has included additional funding to support telehealth network grants, telehealth demonstrations, and 

telehomecare pilot projects; and to facilitate cooperation between 

health licensing boards or various States to develop and implement 

policies that will reduce statutory and regulatory barriers to telehealth. 

Parklawn Replacement 

The Committee recommends $5,000,000 for the replacement of 

HRSA’s facilities at the Parklawn campus. No funds were included 

for this purpose in fiscal year 2008 and the fiscal year 2009 budget 

included $36,062,000. The current lease expires on July 31, 2010. 

The Parklawn building currently houses 2,484 HHS employees and 

has been continually occupied for over 40 years. The Committee is 

aware that a short-term extension of the lease is already necessary 

due to the lack of any administration request for fiscal year 2008, 

and is disappointed to note that this omission has already increased the cost to taxpayers. The Committee is aware that other 

committees of the Congress were consulted in time for authorizing 

legislation to be signed in September 2006, so the lack of a request 

in fiscal years 2007 and 2008 is inexplicable. 

Program Management 

The Committee provides $141,087,000 for program management 

activities for fiscal year 2009, the same as the fiscal year 2008 comparable level and the budget request for fiscal year 2009. 

The Committee is concerned that the February 29, 2008, Federal 

Register Notice of Proposed Rulemaking for ‘‘Designation of Medically Underserved Populations and Health Professional Shortage 

Areas’’ will have far-reaching implications for the allocation of resources in dozens of Federal programs. For that reason, the proposal deserves robust analysis requiring extensive time for States 

to analyze and offer informed comments upon the changes. The 

Committee urges the Secretary to keep the comment period open 

until States’ questions, concerns and clarifications have been completely answered and addressed. The Committee requests that 

HRSA report to the Committee prior to issuing a final rule on: (1) 

a State by State analysis of the number of people living in, and 

physicians practicing in, areas that will gain and lose geographic 

HPSA designations; and (2) a list of currently designated HPSAs 

that shift between the highest and lowest quartiles due to the new 

methodology. In particular, the Committee is disturbed that HRSA 

has not released the scoring methodology for the safety net facility 

(Tier III) designation. The Committee urges HRSA to release the 

scoring methodology in time for the public to comment on this important designation. 

HEALTH EDUCATION ASSISTANCE LOANS

The Committee provides $1,000,000 to liquidate obligations from 

loans guaranteed before 1992, the same level as the fiscal year 

2008 comparable level and the budget request for fiscal year 2009. 

For administration of the HEAL program including the Office of 

Default Reduction, the Committee provides $2,847,000, the same 
69 

level as the fiscal year 2008 comparable level. The budget request 

for fiscal year 2009 was $2,906,000. 

The HEAL program insures loans to students in the health professions. The Budget Enforcement Act of 1990, changed the accounting of the HEAL program. One account is used to pay obligations arising from loans guaranteed prior to 1992. A second account 

was created to pay obligations and collect premiums on loans guaranteed in 1992 and after. Administration of the HEAL program is 

separate from administration of other HRSA programs. 

NATIONAL VACCINE INJURY COMPENSATION PROGRAM

The Committee provides that $264,424,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2009, of which 

$7,000,000 is for administrative costs. The total fiscal year 2008 

comparable level was $124,404,000 and the total budget request for 

fiscal year 2009 was $261,952,000. 

The National Vaccine Injury Compensation program provides 

compensation for individuals with vaccine-associated injuries or 

deaths. Funds are awarded to reimburse medical expenses, lost 

earnings, pain and suffering, legal expenses, and a death benefit. 

The vaccine injury compensation trust fund is funded by excise 

taxes on certain childhood vaccines. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2008 ............................................................................. $6,431,005,000 

Budget estimate, 2009 ........................................................................... 5,956,026,000 

Committee recommendation ................................................................. 6,507,795,000 

The Committee provides a program level of $6,507,795,000 for 

the Centers for Disease Control and Prevention [CDC]. The Committee recommendation includes $6,369,032,000 in budget authority and an additional $138,763,000 via transfers available under 

section 241 of the Public Health Service Act. The fiscal year 2008 

comparable program level is $6,431,005,000 and the program level 

budget request for fiscal year 2009 is $5,956,026,000. 

The activities of the CDC focus on several major priorities: provide core public health functions; respond to urgent health threats; 

monitor the Nation’s health using sound scientific methods; build 

the Nation’s health infrastructure to insure our national security 

against bioterrorist threats; assure the Nation’s preparedness for 

emerging infectious diseases and potential pandemics; promote 

women’s health; and provide leadership in the implementation of 

nationwide prevention strategies to encourage responsible behavior 

and adoption of lifestyles that are conducive to good health. 

INFECTIOUS DISEASES

The Committee recommends $1,909,536,000 for infectious disease 

related programs at the CDC. The fiscal year 2008 comparable 

level was $1,904,536,000 and the comparable budget request level 

for fiscal year 2009 was $1,869,977,000. The Committee recommendation includes $12,794,000 in transfers available under 

section 241 of the Public Health Service Act. 
70 

The Coordinating Center for Infectious Disease reorganized in 

fiscal year 2007. The new four center structure includes: Zoonotic, 

Vector Borne, and Enteric Diseases; Preparedness, Detection and 

Control of Infectious Diseases; HIV/AIDS, Viral Hepatitis, STD and 

TB Prevention; and Immunization and Respiratory Diseases. 

Zoonotic, Vector Borne, and Enteric Diseases 

The Committee has included $67,846,000 for fiscal year 2009 for 

this center, the same as the fiscal year 2008 level. The 2009 budget 

request was $60,632,000. This Center provides outbreak investigation, infection control and scientific evaluations of zoonotic, vector 

borne and enteric diseases; and conducts food-borne illness surveillance and investigation. 

The Committee has included funding to continue the chronic fatigue syndrome activities at no less than last year. The Committee 

is deeply concerned by reports that 80–90 percent of CFS patients 

have not been correctly diagnosed and are not receiving proper 

medical care for their illness. Despite years of research, the cause 

of CFS is still unknown. Recent research suggests a much higher 

level prevalence of the disease than previously understood. For 

those reasons, the Committee strongly supports a robust CFS research program, but is concerned by the diminished number of research findings being published by the CDC on this subject. The 

Committee directs the CDC to conduct a peer review of the CFS 

program including a program performance evaluation by November 

1, 2008 and report the result of such review to the Committee no 

later than February 1, 2009. In addition, the Committee directs the 

CDC to include in its annual budget justification an itemized expenditure of funds for each CFS research project or activity in the 

following five functional expense categories: surveillance and epidemiology; clinical assessment and evaluation; objective diagnosis 

and pathophysiology; treatment and intervention; and education, 

including the CFS marketing campaign and health care provider 

education. 

Food Safety.—The Committee has included no less than last year 

for food safety activities. 

Preparedness, Detection and Control of Infectious Diseases 

The Committee has included $154,926,000 for fiscal year 2009 for 

this Center. The comparable level for fiscal year 2008 was 

$149,926,000 and the budget request for fiscal year 2009 was 

$122,843,000. This Center builds epidemiology and laboratory capacity and provides technical assistance to identify and monitor infectious diseases. 

Antimicrobial Resistance.—The Committee is concerned by the 

emergence of life-threatening antimicrobial resistant pathogens in 

hospital and community settings. The Committee encourages CDC 

to explore the model of ‘‘sentinel’’ surveillance to describe and confirm regional outbreaks. 

Blood Safety Surveillance.—The Committee understands that 

CDC’s Division of Healthcare Quality Promotion is adding to the 

National Healthcare Safety Network [NHSN] the collection and 

analysis of data on medical errors and adverse events occurring 

during blood donation and transfusion. The Committee encourages 
71 

CDC to consider mapping out how a blood safety surveillance system would work, the active role of the national blood collection and 

transfusion community, and the appropriate Federal role. 

Prevention Epicenter Program.—The Committee applauds CDC’s 

support for the Prevention Epicenter Program and its work addressing patient safety issues. 

Syringe Re-use.—The Committee is deeply troubled by recent 

outbreaks of hepatitis caused in some part by the re-use of syringes 

in outpatient settings. These outbreaks are entirely preventable 

with well-known infection control practices. The Committee intends 

that the increased funding provided be used to respond to outbreaks and to ensure that infection control measures are adhered 

to broadly, including provider education and patient awareness activities. The Committee encourages the CDC to partner with industry and university researchers to identify the best interventions to 

reduce the possibility of disease transmission in the healthcare setting. 

HIV, Viral Hepatitis, STD, and TB Prevention 

The Committee has included $1,002,130,000 for the activities at 

this Center in fiscal year 2009. The fiscal year 2008 level was 

$1,002,130,000 and the 2009 budget request was $1,000,037,000. 

The Committee has included funding for the following activities at 

the following amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee recommendation 

HIV/AIDS, Research and Domestic ............................................................. 691,860 691,147 691,860 

Viral Hepatitis ............................................................................................ 17,582 17,504 17,582

Tuberculosis [TB] ....................................................................................... 140,359 139,735 140,359

Hepatitis Testing.—The Committee encourages CDC to formulate 

a plan for significant testing for hepatitis, including the implementation of rapid testing technology as a means of ascertaining the 

prevalence of hepatitis and taking steps to prevent and treat this 

disorder. In particular, the Committee encourages CDC to validate 

interventions focused on preventing mother-child transmission and 

other efforts targeted to the prevention of HBV, especially in the 

Asian American community. 

HIV/AIDS.—Within the amount made available for HIV/AIDS, 

all activities are funded at the fiscal year 2008 comparable level. 

HIV Testing.—The Committee recognizes that the domestic HIV/ 

AIDS testing initiative has resulted in increased testing among African American populations. The Committee encourages CDC to expand this program to additional jurisdictions and recommends that 

CDC consider a similar campaign among other high risk populations. The Committee is supportive of CDC’s promotion of rapid 

HIV tests in its HIV/AIDS testing activities. 

The Committee notes that in fiscal year 2008, six States were 

awarded incentive grants under the Early Diagnosis and Screening 

program authorized in section 2625 of the Public Health Service 

Act. The Committee has provided $30,000,000 in fiscal year 2009 

for this program within the HIV testing funding. The funds may 

be awarded to States newly eligible for the program in fiscal year 
72 

2009. No State may be eligible for more than $1,000,000. The Committee intends that the amounts that have not been awarded by 

May 31, 2009 shall be awarded for other HIV testing programs. 

Microbicides.—The Committee requests the CDC include information in the fiscal year 2010 budget justification on the amount 

of anticipated and actual funding it allocates to activities related 

to research and development of microbicides for HIV prevention. 

Tuberculosis Control.—The Committee is pleased that the CDC 

increased the proportion of funding distributed based on a new 

funding formula within the TB Elimination and Laboratory Cooperative Agreements. The Committee supports the CDC distribution 

formula that would award funds in proportion to the number and 

complexity of TB cases in a jurisdiction. However, the proportion 

of funds distributed through the formula remains low (35 percent) 

and substantial inequities in tuberculosis funding persist. The 

Committee urges CDC to increase substantially the proportion distributed through the formula for the 2010–2014 Cooperative Agreement funding cycle. The Committee recognizes that some base level 

of funding outside of the formula should be maintained for jurisdictions with few cases in order to sustain a level of detection 

throughout the country. The Committee directs CDC to create a 

plan identifying the optimal proportion that should be distributed 

under the new funding formula. This report should be transferred 

to the Committee by March 1, 2009, prior to the Cooperative Agreement competitive renewal announcement for 2010–2014. 

The Committee recognizes that tuberculosis [TB] rates remain 

disproportionally high among African Americans and lower socioeconomic groups and that TB in the foreign-born population continues to increase. The Committee encourages the CDC to develop 

and implement a new national plan to meet this continuing public 

health challenge. 

Immunization and Respiratory Diseases 

The Committee has included a program level of $684,634,000 for 

the activities of this Center in fiscal year 2009, the same as the 

comparable level for fiscal year 2008. The budget request included 

$686,465,000 for this Center. The Committee recommendation includes $12,794,000 in transfers available under section 241 of the 

Public Health Service Act. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Section 317 Immunization Program .......................................................... 465,901 465,002 465,901 

Vaccine Purchase Grants .................................................................. 261,528 261,023 261,528 

State Operations/Infrastructure Grants ............................................ 204,373 203,979 204,373 

Program Operations ................................................................................... 61,458 61,366 61,458 

Vaccine Tracking ............................................................................... 4,738 4,731 4,738 

Prevention Activities ......................................................................... 56,720 56,635 56,720 

Vaccine Safety ......................................................................... 16,858 16,825 16,858 

National Immunization Survey ................................................. 12,794 12,794 12,794 

All Other Prevention Activities ................................................. 27,068 27,016 27,068 

Influenza .................................................................................................... 157,275 160,097 157,275 
73 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Seasonal Influenza ............................................................................ 2,643 2,638 2,643 

Pandemic Influenza .......................................................................... 154,632 157,459 154,632 

The Committee is pleased that CDC has moved forward to provide funding to States or local organizations that receive section 

317 immunization grant funds to develop community adolescent 

and adult immunization planning demonstrations to achieve 90 

percent immunization coverage for vaccines routinely recommended 

for adolescents and adults, and encourages CDC to continue to support these efforts, including adult immunization coordinators, regional public health advisors, coverage monitoring, education/promotion programs for adolescent and adult immunizations, and vaccine purchase. These models should include existing and new efforts planned within existing resources; new activities needed and 

estimates for those needs. The Committee expects a status report 

by February 1, 2009, on these demonstrations. 

The Committee is also pleased with the report on estimated 

funding needs of the section 317 immunization program that CDC 

provided, and requests that the report be updated and submitted 

next year by February 1, 2009, to reflect fiscal year 2010 cost estimates. The updated report also should include an estimate of optimum State and local operations funding as well as CDC operations 

funding needed relative to current levels to conduct and support 

childhood, adolescent and adult programs. This estimate should include the cost of vaccine administration; surveillance and assessment of changes in immunization rates; vaccine storage, handling 

and quality assurance; implementation of centralized vaccine distribution and other vaccine business improvement practices; needs 

to support provider and public outreach and education on new vaccines; identification of barriers to immunization and strategies to 

address such barriers; maintenance, utilization, and enhancement 

of Immunization Information Systems including integration with 

public health preparedness and other public health information 

technology systems; innovative strategies to increase coverage rates 

in hard-to-reach populations and geographic pockets of need; vaccine safety and other non-vaccine resource needs of a comprehensive immunization program. Each of these activities is critical to 

ensuring the delivery of life-saving vaccines to our Nation. While 

the Committee understands that the 317 program does not pay administration fees, it is nonetheless an authorized expenditure, and 

the Committee expects this estimate to be included. 

The Committee encourages CDC to continue to close the vaccine 

gap for adults by continuing to support states in their use of section 317 vaccine funds to provide hepatitis B vaccinations to highrisk adults in settings such as STD clinics, HIV counseling and 

testing sites, correctional facilities and drug treatment clinics. 

HEALTH PROMOTION

The Coordinating Center for Health Promotion includes the National Center for Chronic Disease Prevention, Health Promotion 
74 

and Genomics and the National Center for Birth Defects and Developmental Disabilities. 

CHRONIC DISEASE PREVENTION, HEALTH PROMOTION AND GENOMICS

The Committee has recommended $855,661,000 for chronic disease prevention, health promotion and genomics. The comparable 

level for fiscal year 2008 was $833,827,000 and the budget request 

for 2008 was $805,321,000. Within the total provided, the following 

amounts are available for the following categories of funding: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Heart Disease and Stroke .......................................................................... 50,101 48,838 51,701 

Diabetes ..................................................................................................... 62,711 62,454 62,711 

Cancer Prevention and Control .................................................................. 309,486 301,773 334,486 

Breast and Cervical Cancer ............................................................. 200,832 200,004 200,832 

WISEWOMAN (non-add) ............................................................ 18,598 18,521 18,598 

Cancer Registries .............................................................................. 46,366 46,176 46,366 

Colorectal Cancer .............................................................................. 13,974 13,917 38,974 

Comprehensive Cancer ..................................................................... 16,348 16,281 16,348 

National Education Campaign for gynecologic cancer (nonadd) ..................................................................................... 96 96 96 

Johannas Law ................................................................................... 6,466 ........................ 6,466 

Ovarian Cancer ................................................................................. 5,269 5,247 5,269 

Prostate Cancer ................................................................................ 13,245 13,191 13,245 

Skin Cancer ....................................................................................... 1,876 1,868 1,876 

Geraldine Ferraro Cancer Education Program .................................. 4,331 4,313 4,331 

Cancer Survivorship Resource Center .............................................. 779 776 779 

Arthritis and Other Chronic Diseases ........................................................ 23,915 23,817 25,303 

Arthritis ............................................................................................. 13,037 12,984 13,537 

Epilepsy ............................................................................................. 7,766 7,734 7,766 

National Lupus Patient Registry ....................................................... 3,112 3,099 4,000 

Tobacco ...................................................................................................... 104,164 103,737 106,164 

Nutrition, Physical Activity and Obesity .................................................... 42,191 42,018 44,191 

Micronutrient Malnutrition ................................................................ 6,422 6,396 6,422 

5–A Day Program (non-add) ................................................... 2,310 2,301 2,310 

All Other Nutrition/PA/Obesity ........................................................... 35,769 35,622 37,769 

Health Promotion ....................................................................................... 28,977 24,210 26,253 

Behavioral Risk Factor Surveillance System .................................... 7,299 7,269 7,299 

Community Health Promotion ........................................................... 6,412 6,386 6,412 

Mind-Body Institute .......................................................................... 1,719 ........................ 1,719 

Glaucoma .......................................................................................... 3,344 3,330 3,344 

Visual Screening Education .............................................................. 2,389 2,379 2,389 

Alzheimers Disease ........................................................................... 1,576 1,570 1,800 

Inflammatory Bowel Disease ............................................................ 667 664 667 

Interstitial Cystitis ............................................................................ 658 655 658 

Chronic Kidney Disease .................................................................... 1,965 1,957 1,965 

School Health ............................................................................................. 54,323 53,612 54,323 

Food Allergies (non-add) .................................................................. 491 ........................ 491 

Safe Motherhood/Infant Health .................................................................. 42,347 42,174 42,347 

Sudden Infant Death Syndrome (non-add) ...................................... 207 206 207 

Oral Health ................................................................................................. 12,422 12,371 12,422 

Prevention Centers ..................................................................................... 29,131 29,012 31,131 

Steps to a Healthier U.S. ........................................................................... 25,158 15,541 15,541 
75 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Racial and Ethnic Approach to Community Health [REACH] ................... 33,860 33,721 33,860 

Genomics .................................................................................................... 12,093 12,043 12,280 

Primary Immune Deficiency Syndrome ............................................. 2,913 2,901 3,100 

Public Health Genomics .................................................................... 9,180 9,142 9,180 

Demonstration Project for Teen Pregnancy ............................................... 2,948 ........................ 2,948 

Alzheimer’s Disease.—Studies have indicated that cumulative 

risks for vascular disease and diabetes also increase the risk of cognitive decline and Alzheimer’s disease. In 2005, the Committee 

called upon CDC to launch an Alzheimer’s specific segment of the 

Healthy Aging Program, to educate aggressively the public and 

health professionals about ways to reduce the risks of developing 

Alzheimer’s by maintaining a healthy lifestyle. The Committee encourages CDC to support the evaluation of existing populationbased surveillance systems, with a view toward developing a population-based surveillance system for cognitive decline, including 

Alzheimer’s disease and dementia. 

Colorectal Cancer.—The Committee has included $25,000,000 to 

launch a nationwide colorectal screening program. The Committee 

notes that colorectal cancer is the second leading cause of cancerrelated death in the Nation. Colorectal cancer first develops with 

few, if any, symptoms and 75 percent of colorectal cancers occur in 

people with no known risk factors. For those reasons, colorectal 

screening is a vital tool in saving lives. The CDC estimates that if 

every American were screened regularly, up to 60 percent of the 

over 55,000 annual deaths from this disease could be prevented. 

Since 2005, the CDC has conducted five community-based pilot programs to provide colorectal screening and diagnostic follow-up for 

Americans 50 years of age and older with little or no health coverage. The Committee believes that an investment in this kind of 

prevention is critical at a time when our Nation is aging and the 

cost of treatment is prohibitive for many. Funds should be made 

available for screening and diagnostic follow-up care. 

Chronic Kidney Disease.—The Committee supports continued 

planning for capacity and infrastructure at CDC for a kidney disease program and a CKD surveillance system. The Committee is 

pleased that CDC convened an expert panel on CKD, and encourages CDC to prioritize and begin implementation of the recommendations. 

Chronic Obstructive Pulmonary Disease.—The Committee is 

pleased that the CDC has taken initial steps to collect COPD-related data in the National Health and Nutrition Examination Survey. The committee encourages CDC to consider expanding the 

data collection effort to other survey instruments including the Behavioral Risk Factor Surveillance Survey and the National Health 

Interview Survey. 

The Committee is aware that Alpha-1 Antitrypsin Deficiency 

(Alpha-1) is the major identified genetic risk factor for developing 

COPD. The Committee encourages the development of a COPD pro-
76 

gram that considers genetic related COPD risk factors such as 

Alpha-1. 

Diabetes.—The Committee encourages CDC to expand the National Diabetes Education Program with the goal of expanding the 

availability of public awareness campaign to reach the millions of 

individuals and high risk populations who have unmanaged diabetes. 

Diabetes Epidemiology and Genetics.—The Committee supports 

the SEARCH for Diabetes in Youth Study and the Genetics of Kidneys in Diabetes [GoKinD] Study, both of which have generated 

unique and valuable collections of biological samples from diabetic 

patients and their relatives. The Committee encourages the CDC 

to continue to ensure the availability and accessibility of the 

SEARCH and GoKinD biosample collections. 

Eating Disorders.—The Committee is pleased that the CDC has 

made data on eating disorders publicly available. In particular, the 

Committee appreciates the inclusion of NHANES data on eating 

behaviors and encourages the CDC to expand their analysis of 

those data to include disability estimates. The Committee is aware 

of several studies reporting a 6–10 percent mortality rate for Americans with eating disorders and urges the CDC to collaborate with 

eating disorders researchers in order to better understand the disparity between these studies and CDC reported morbidity and mortality, focusing on obtaining a clear picture of what might be barriers to the detection and reporting of eating disorders. 

Epilepsy.—The Committee supports the CDC’s extramural program to train first-responders, educators, school nurses, employers, 

family caregivers and other health care professionals in the recognition, diagnosis and treatment of seizures. The Committee encourages the CDC to promote public awareness of research efforts 

for improving care and alleviating the effects of epilepsy. In addition, the Committee encourages the CDC to study the true impact 

the condition has on employment, school, social life, and general 

well being. Work should include the critical areas of research related to quality of life issues, help families understand the relationship of medications and co-morbid conditions to the disease, and 

will build a platform for a national call to action for additional 

training for schools, employers and adult day care providers. 

Food Allergy and Anaphylaxis Information.—Food allergy is the 

leading cause of anaphylaxis, a severe, potentially life-threatening 

allergic reaction. Virtually all of these severe reactions can be prevented with proper education. In fiscal year 2008, the Committee 

encouraged CDC and included funding to create an information 

center on food allergy and anaphylaxis. The Committee requests a 

report from the CDC no later than April 1, 2009 outlining the status of the food allergy and anaphylaxis information center. 

Heart Disease and Stroke.—The Committee supports the CDC’s 

effort to work collaboratively with States to establish a cardiovascular disease surveillance system to monitor and track these 

disorders at the National, State, and local levels. 

The Mississippi Delta Region experiences some of the Nation’s 

highest rates of chronic diseases, such as diabetes, hypertension, 

obesity, heart disease, and stroke. The Committee recognizes CDC’s 

expertise in implementing research and programs to prevent the 
77 

leading causes of death and disability. The Committee has provided 

a total of $3,000,000 to expand CDC’s background community assessment of health and related social and environmental conditions 

in the Delta. 

Inflammatory Bowel Disease.—The Committee continues to support for CDC’s inflammatory bowel disease epidemiology study and 

encourages the CDC to consider the establishment of a pediatric 

patient registry. 

Interstitial Cystitis.—The Committee has included funding to 

continue education outreach activities to healthcare providers. 

Lupus.—The Committee remains committed to the objective of 

developing reliable epidemiological data on the incidence and prevalence of all forms of lupus among various ethnic and racial groups. 

The Committee has included additional funding to continue to expand the CDC National Lupus Patient Registry and address the 

epidemiological gaps among Hispanics/Latinos, Asian Americans, 

and Native Americans. 

National Youth Fitness and Health Study.—Physical fitness, regular physical activity, and sound eating habits are essential for 

health and performance across the age span. However, little information is available on the current physical fitness levels, physical 

activity behaviors, and dietary habits of American youth. In fact, 

the last comprehensive assessment of the fitness and physical activity behaviors of American youth—the National Children and 

Youth Fitness Study [NCYFS]—was conducted more than 20 years 

ago and did not include assessment of dietary behaviors. Since 

then, the prevalence of obesity in children as well as adults has increased dramatically. Prior to the NCYFS in the mid-1980s, the 

United States had conducted decennial, national fitness studies in 

the mid-1950s, mid-1960s, and mid-1970s. After a more than 20 

year gap, the Committee believes that repeating and enhancing 

this survey could be a critical effort towards improving the health 

of our nation’s youth. The Committee encourages CDC to consider 

conducting this survey, and submit a plan with objectives and resource requirements to accomplish this study. 

Nutrition, Physical Activity, and Obesity.—The Committee recognizes that food manufacturers, health organizations, foreign governments, and others have developed food-rating systems that use 

symbols on the fronts of food packages or on supermarket shelves 

to encourage consumers to choose healthier foods. The committee 

is concerned, however, that a proliferation of systems is contributing to consumer confusion. The Committee has provided 

$1,000,000 for a study by the Institute of Medicine [IOM] that will 

examine and provide recommendations regarding front-of-package 

nutrition symbols. These should include, but not be limited to, a review of systems being used by manufacturers, supermarkets, 

health organizations, and governments in the United States and 

abroad and the overall merits of front-label nutrition icons, the advantages and disadvantages of various approaches, and the potential benefits to consumers of a single, standardized front-label food 

guidance system regulated by the FDA. Based upon its work, the 

IOM should recommend one or several of the systems, along with 

means of maximizing the use and effectiveness of front-label symbols, that it has identified as best at promoting consumers’ health. 
78 

Office of Smoking and Health.—The Committee recognizes that 

efforts to reduce smoking and the health consequences of tobacco 

use are among the most effective and cost effective investments in 

prevention that can be made. The Committee is pleased with the 

work underway to expand the Environmental Health Laboratory’s 

effort to analyze tobacco products and cigarette smoke based on the 

increase provided in fiscal year 2008. Because this work is an essential underpinning of efforts to protect the public from the health 

consequences of tobacco use, the Committee has provided an increase of $2,000,000 to expand the transfer to the Environmental 

Health Laboratory that supports this important work. The Committee notes that this increase is to be provided by OSH to the lab 

in a manner that supplements and in no way replaces existing 

funding for tobacco-related activities. 

Oral Health.—The Committee recognizes that to reduce disparities in oral disease will require additional and more effective efforts 

at the Federal, State, and local levels. The Committee has provided 

sufficient funding to continue grants to States that strengthen 

their capacities to assess the prevalence of oral diseases and the associated health burden; to target resources and interventions—including proven preventive strategies like school-linked sealant programs—to the underserved; and to evaluate changes in policies and 

programs. The Committee encourages the CDC to advance efforts 

to reduce the health disparities and burden from oral diseases, including those that are linked to chronic diseases such as diabetes 

and heart disease. 

Steps to a Healthier U.S.—The Committee supports the CDC’s 

new model for the Steps to a Healthier U.S. program. Within the 

program, the Committee has included $3,000,000 for a community 

based grant program focusing on poor nutrition and physical inactivity. Priority in funding should go to applicants with a high degree of collaboration among community organizations, schools, 

county and municipal governments and business leaders. 

Underage Drinking Risk Monitoring Program.—The Committee 

supports the recommendations of the Surgeon General’s Call to Action on Underage Drinking, including the call for ongoing independent monitoring of youth exposure to alcohol advertising. The 

Committee recognizes the importance of monitoring risk factors 

which science has demonstrated contribute to youth drinking, and 

therefore urges the Centers for Disease Control and Prevention to 

develop and continue its work to monitor and report on the level 

of risk faced by youth from exposure to alcohol advertising. 

BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITY AND

HEALTH

The Committee has included $133,905,000 for birth defects, developmental disabilities, disability and health in fiscal year 2009. 

The comparable level for 2008 was $127,366,000 and the 2009 

budget request was $126,752,000. 

Within the total provided, the following amounts are provided for 

the following categories of funding: 
79 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Birth Defects and Developmental Disabilities .......................................... 37,580 37,398 41,559 

Birth Defects Base ............................................................................ 13,683 13,615 14,683 

Craniofacial Malformation ................................................................ 1,550 1,543 1,750 

Fetal Death ....................................................................................... 844 840 844 

Down Syndrome ................................................................................. 918 914 918 

Alveolar Capillary Dysplasia ............................................................. 246 246 246 

Fetal Alcohol Syndrome ..................................................................... 10,112 10,063 10,112 

Folic Acid .......................................................................................... 2,221 2,210 3,300 

Infant Health ..................................................................................... 8,006 7,967 8,006 

Human Development and Disability .......................................................... 70,349 70,010 74,609 

Human Development and Disability Base ........................................ 16,428 16,349 16,428 

Tourette Syndrome ............................................................................ 1,718 1,710 1,718 

Early Hearing Detection and Intervention ........................................ 9,871 9,823 9,871 

Muscular Dystrophy ........................................................................... 6,177 6,147 6,177 

Healthy Athletes ................................................................................ 5,437 5,411 5,437 

Paralysis Resource Center ................................................................ 5,727 5,699 5,727 

Attention Deficit Hyperactivity Disorder ............................................ 1,746 1,738 1,746 

Fragile X ............................................................................................ 1,828 1,819 1,900 

Spina Bifida ...................................................................................... 5,205 5,180 5,205 

Autism ............................................................................................... 16,212 16,134 20,400 

Autism Epidemiology & Surveillance ....................................... 13,741 13,675 17,929 

Autism Awareness Campaign .................................................. 2,471 2,459 2,471 

Hereditary Blood Disorders ........................................................................ 19,437 19,344 19,437 

Blood Disorders Base ........................................................................ 17,061 16,979 17,061 

Thallasemia ....................................................................................... 1,860 1,851 1,860 

Diamond Blackfan Anemia ............................................................... 516 514 516 

Autism.—Within the funds provided for autism surveillance and 

research programs, the Committee has included sufficient funding 

to restore the non-CADDRE Phase I Autism Development Disabilities Monitoring Centers. 

Birth Defects Surveillance.—The Committee notes the CDC’s support of States to continue birth defects surveillance systems, programs to prevent birth defects and activities to improve access to 

health services for children with birth defects. The Committee encourages the CDC to expand the birth defects studied in the National Birth Defects Prevention Study to include single gene disorders, such as Fragile X. 

Blood Disorders.—The Committee is interested in CDC’s efforts 

to develop a surveillance system on Deep Vein Thrombosis [DVT], 

blood clots in the leg that can cause significant morbidity and mortality, and notes that the CDC is working with partners to hold a 

workshop in 2008 to determine the elements of such a system. The 

Committee requests an update on the recommendations of the 

workshop and the resources needed to implement a national thrombosis surveillance system. 

Craniofacial Malformation.—The Committee intends that the increase provided be used first for the development of web-based continuing medical education for healthcare professionals that interface with patients with cleft lip and palate and their families. Second, the funds should be used for the planning and hosting of a national scientific conference to draft best practices guidelines for diagnosis, treatment and long-term management of children with 

craniosynostosis and deformational plagiocephaly. Finally, the 
80 

funds should be used to disseminate the guidelines, and to develop 

a reporting instrument to evaluate the care of children with 

craniosynostosis. 

Duchenne and Becker Muscular Dystrophy.—The Committee requests a report by April 1, 2009 on the outcomes and findings to 

date of the Muscular Dystrophy Surveillance Tracking and Research Network regarding early diagnostic symptoms, incidence, 

racial and ethnic differences, medical care and services, and related 

issues for individuals with DBMD. 

Folic Acid.—The Committee is concerned about the disparity in 

the rates of folic acid intake and neural tube defects, particularly 

in the Hispanic population. Within the funds provided, the Committee intends that the folic acid education campaign be continued 

at the same level as in fiscal year 2008. The Committee encourages 

CDC to inform as many women as possible, particularly nonpregnant Hispanic women and women between the ages of 18 and 24, 

as well as healthcare providers about the benefits of folic acid. In 

addition, the Committee is aware of research being done in the 

United Kingdom which appears to dispel some of the basis for earlier hesitation to expand folic acid fortification into corn-based food 

products consumed at a higher rate by the Hispanic community. 

The Committee has included additional funding for the CDC to explore the scientific benefits and concerns about expanding fortification in the United States. The Committee urges the CDC to work 

closely with the National Institutes of Health, the Surgeon General 

and the Food and Drug Administration. 

Fragile X.—The Committee has provided additional funding to 

support CDC’s continuation of public health activities related to 

Fragile X. The Committee is concerned that previously allocated 

funds may have been used for general purposes rather than Fragile 

X-specific priorities. The Committee urges CDC to focus its efforts 

on creating positive outcomes for families by increasing epidemiological research, surveillance, and screening efforts to ensure the 

timely screening, diagnosis, and introduction of early interventions 

for individuals living with Fragile X. 

Hydrocephalus.—The Committee encourages CDC to increase 

awareness of the medical issues, prevalence, and societal cost associated with hydrocephalus. 

Marfan Syndrome.—The Committee continues to be interested in 

Marfan syndrome, a degenerative connective tissue disorder that 

can result in sudden loss of life from aortic aneurysms. Many individuals affected by Marfan syndrome are undiagnosed or 

misdiagnosed until they experience a cardiac complication. The 

Committee encourages CDC to increase awareness of this disease 

among the general public and health care providers. Further, the 

Committee requests that CDC coordinate with the National Heart, 

Lung, and Blood Institute to ensure that patients and health care 

providers are aware of the most cutting edge treatments and interventions available to them. 

Spina Bifida.—The Committee encourages the CDC to continue 

to collaborate with the Agency for Healthcare Research and Quality 

to develop a national spina bifida patient registry. 
81 

HEALTH INFORMATION AND SERVICE

The Coordinating Center for Health Information and Services includes the National Center for Health Statistics [NCHS], a National Center for Health Marketing, and a National Center for Public Health Informatics. 

The Committee recommends a program level of $284,355,000 for 

Health Information and Service related activities at the CDC, the 

same as the 2009 budget request. The fiscal year 2008 comparable 

program level was $276,777,000. The Committee intends that all 

activities be funded at the budget request level. 

Health Statistics 

CDC’s statistics give context and perspective on which to base 

important public health decisions. By aggregating the experience of 

individuals, CDC gains a collective understanding of health, collective experience with the health care system, and public health challenges. NCHS data are used to create a basis for comparisons between population groups or geographic areas, as well as an understanding of how trends in health change and develop over time. 

The Committee commends the NCHS for fulfilling its mission as 

the Nation’s premier health statistics agency and for ensuring the 

credibility and integrity of the data it produces. In particular, the 

Committee congratulates the agency for its timely release of critical 

data and encourages it to continue making information, including 

data from the National Health and Nutrition Examination Survey 

[NHANES] and the National Health Interview Study [HIS], accessible to the public as soon as possible. 

Data Disaggregation.—The Committee is concerned that certain 

ethnic minority populations in the United States, particularly the 

Asian American, Native Hawaiian and Pacific Islander communities, may be under-represented in data collection efforts. The 

Committee encourages NCHS where statistically possible to develop baseline and disaggregated health information on our Asian 

American, Native Hawaiian and Pacific Islander communities. 

Hypertension.—The Committee encourages the CDC to support 

the measurement of central blood pressure and arterial stiffness 

both in children and adults in the next National Health and Nutrition Examination Survey. This type of measurement may provide 

a more accurate understanding of the prevalence of hypertension 

and lead to more effective campaigns to treat this disease and prevent the onset of related chronic conditions. 

Nutritional Monitoring.—The Committee strongly supports national nutrition monitoring activities, continuously conducted jointly between the CDC and the Agricultural Research Service at 

USDA. This data collection supports management decisionmaking 

and research needed to address and improve the crisis of obesity, 

nutrition-related diseases, physical inactivity, food insecurity, and 

the poor nutritional quality of the American diet, as well as provide 

the data needed to protect the public against environmental pathogens and contaminants. 

Vital Statistics.—The Committee again encourages CDC to develop a plan to support directly jurisdictions as they implement 

electronic systems that will improve the timeliness, quality, and se-
82 

curity of birth and death data, and report back to the Committee 

on the plan. 

Public Health Informatics 

Information systems and information technology are critical to 

the practice of public health. CDC activities reflect ongoing efforts 

to build a national network of public health information systems 

that will enhance public health partner capabilities in detection 

and monitoring, surveillance, data analysis and interpretation, and 

other public health activities. 

Health Marketing 

CDC links directly with the people whose health it is trying to 

improve. This activity uses commercial, nonprofit, and public service marketing practices to better understand people’s health-related 

needs and preferences; to motivate changes in behaviors; and to enhance CDC’s partnerships with public and private organizations to 

more effectively accomplish health protection and improvement. 

ENVIRONMENTAL HEALTH AND INJURY PREVENTION

The Coordinating Center for Environmental Health and Injury 

Prevention includes the National Center for Environmental Health, 

the Agency for Toxic Substances and Disease Registry, and the National Center for Injury Prevention and Control. 

The Committee recommends $293,502,000 for environmental 

health and injury prevention related activities at the CDC. The fiscal year 2008 comparable level was $289,323,000 and the budget 

request for fiscal year 2009 was $270,872,000. 

Environmental Health 

Many of the public health successes that were achieved in the 

20th century can be traced to innovations in environmental health 

practices. However, emerging pathogens and environmental toxins 

continue to pose risks to our health and significant challenges to 

public health. The task of protecting people’s health from hazards 

in their environment requires a broad set of tools. First among 

these tools are surveillance and data collection to determine which 

substances in the environment are getting into people and to what 

degree. It also must be determined whether or not these substances 

are harmful to humans, and at what level of exposure. The Committee recommends $156,665,000 for Environmental Health in fiscal year 2009. The fiscal year 2008 comparable funding level is 

$154,486,000 and the budget request for fiscal year 2009 is 

$136,606,000. The Committee recommendation includes funding for 

the following activities: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Environmental Health Laboratory .............................................................. 33,797 26,110 33,797 

Newborn Screening Quality Assurance Program (non-add) ............. 6,878 ........................ 6,878 

Newborn Screening for Severe Combined Immunodeficiency Diseases (non-add) ........................................................................... 983 ........................ 983 

Environmental Health Activities ................................................................ 120,689 110,496 122,868 
83 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee recommendation 

Arctic Health ..................................................................................... 292 289 292 

Safe Water ........................................................................................ 7,199 ........................ 7,199 

Volcanic Emissions ........................................................................... 98 97 98 

Environmental and Health Outcome Tracking Network .................... 23,831 23,608 23,831 

Amyotrophic Lateral Sclerosis Registry [ALS] ................................... 2,821 863 5,000 

All Other Environmental Health Activities ........................................ 86,448 85,639 86,448 

Amyotrophic Lateral Sclerosis Registry.—The Committee is 

pleased with CDC’s work toward developing a nationwide ALS registry that will estimate the incidence and prevalence of the disease, 

promote a better understanding of the disease, and provide data 

that will be useful for research on improving disease management 

and developing standards of care. The Committee believes that a 

registry that includes other neurodegenerative disorders will provide a key resource for efforts to understanding the biology and epidemiology of ALS. The Committee intends that funds be used to design a registry that will be of use to biomedical researchers working in the field. 

Asthma.—The Committee applauds the CDC for convening the 

2007 asthma policy meeting to facilitate the coordination of Federal 

initiatives on asthma treatment and prevention. The Committee 

encourages the CDC to develop evidence-based best practices for 

policy interventions that will reduce asthma morbidity and mortality, with specific emphasis on indoor and outdoor air pollution. 

In addition, the Committee is pleased with the efforts that the 

CDC has taken to monitor lung function and other asthma interventions for Native Hawaiian children. 

Biomonitoring.—The Committee applauds the CDC’s biomonitoring efforts. CDC’s National Report on Human Exposure to Environmental Chemicals is a significant information database that 

provides invaluable information for setting research priorities and 

for tracking trends in human exposures over time. The Committee 

encourages the CDC to implement the July 2006 recommendations 

of the National Research Council of the National Academy of 

Sciences with regard to enhancement of efforts to communicate biomonitoring results in context. Among other activities, CDC should 

develop communications principles, guidelines and case studies 

that can be applied both within CDC and to biomonitoring efforts 

at the State level. 

Nontuberculous Mycobacteria [NTM].—The Committee encourages the CDC to identify the internal leadership and CDC staff responsible for analyzing research and epidemiology studies regarding NTM prevalence, geographic, demographic and host specific 

data. 

Injury Prevention and Control 

CDC is the lead Federal agency for injury prevention and control. 

Programs are designed to prevent premature death and disability 

and reduce human suffering and medical costs caused by: fires and 

burns; poisoning; drowning; violence; lack of bicycle helmet use; 

lack of seatbelt and proper baby seat use; and other injuries. The 

national injury control program at CDC encompasses non-occupa-
84 

tional injury and applied research in acute care and rehabilitation 

of the injured. Funds are utilized for both intramural and extramural research as well as assisting State and local health agencies 

in implementing injury prevention programs. The Committee recognizes the vital role CDC serves as a focal point for all Federal injury control activities. The Committee recommends $136,837,000 for injury prevention 

and control activities at the CDC. The comparable fiscal year 2008 

funding level is $134,837,000 The budget request for 2009 was 

$134,266,000. The Committee recommendation includes funding for 

the following activities: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Intentional Injury ........................................................................................ 100,134 99,710 102,134 

Domestic Violence and Sexual Violence ........................................... 27,046 26,931 27,046 

DV and SV Base ...................................................................... 19,216 19,134 19,216 

Child Maltreatment .................................................................. 7,086 7,056 7,086 

DV and SV NVDRS ................................................................... 744 741 744 

Youth Violence Prevention ................................................................ 23,268 23,169 24,268 

Youth Violence NVDRS (non-add) ............................................ 2,477 2,466 2,477 

Domestic Violence Community Projects ............................................ 5,021 5,000 5,021 

Rape Prevention ................................................................................ 42,016 41,838 43,016 

All Other Intentional Injury ............................................................... 2,783 2,772 2,783 

Unintentional Injury ................................................................................... 34,703 34,556 34,703 

Traumatic Brain Injury [TBI] ............................................................. 5,709 5,685 5,709 

All Other Unintentional Injury ........................................................... 28,994 28,871 28,994 

Domestic Violence.—The Committee is pleased with the work of 

the community-based Domestic Violence Prevention Enhancement 

and Leadership Through Alliances [DELTA] program and encourages CDC to continue this important program. 

Falls Prevention.—The Committee is pleased that CDC has developed a strong falls prevention and safety program to teach older 

Americans how to prevent falls and that it is also working to prevent traumatic brain injury among older adults. 

National Violent Death Reporting System.—The Committee urges 

the CDC to continue to work with private health and education 

agencies as well as State agencies in the development and implementation of this injury reporting system. 

Trauma Centers.—The Committee encourages CDC to develop 

and disseminate best practice guidelines in the field of acute trauma care. 

OCCUPATIONAL SAFETY AND HEALTH

The Committee recommends a program level of $390,788,000 for 

occupational safety and health programs. The fiscal year 2008 program level was $437,313,000 and the budget request for fiscal year 

2009 was $326,411,000. The Committee recommendation includes 

$94,969,000 in transfers available under section 241 of the Public 

Health Service Act and $55,358,000 in mandatory funding. Sufficient funding has been provided to maintain staffing levels at the 

Morgantown facility and increase research funding at that facility. 

The CDC’s National Institute for Occupational Safety and Health 

[NIOSH] is the only Federal agency responsible for conducting re-
85 

search and making recommendations for the prevention of work-related illness and injury. The NIOSH mission spans the spectrum 

of activities necessary for the prevention of work-related illness, injury, disability, and death by gathering information, conducting scientific biomedical research (both applied and basic), and translating the knowledge gained into products and services that impact 

workers in settings from corporate offices to construction sites to 

coal mines. The Committee recommendation includes funding for 

the following activities at the following amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee recommendation 

Education and Research Centers .............................................................. 21,425 19,234 23,425 

Personal Protective Technology .................................................................. 12,804 12,353 15,000 

Healthier Workforce Centers ...................................................................... 2,500 ........................ 4,000 

National Occupational Research Agenda [NORA] ..................................... 107,389 99,235 107,389 

Energy Employees Occupational Illness Compensation Program [mandatory] ....................................................................................................... ........................ ........................ 55,358 

World Trade Center .................................................................................... 51,583 25,000 51,583 

Mining Research ........................................................................................ 49,126 37,064 50,000 

Mining Safety Supplemental (non-add) ........................................... ........................ ........................ ........................

Other Occupational Safety and Health Research ...................................... 80,627 78,167 83,033 

Miners Choice (non-add) .................................................................. 641 621 641 

National Mesothelioma Registry and Tissue Bank (non-add) ......... 989 959 989 

Energy Employees Occupational Illness Compensation Program 

Act [EEOICPA].—The Committee has adopted the administration’s 

proposal to eliminate the transfer of funds from the Department of 

Labor and fund the NIOSH responsibilities under the Energy Employees Occupational Illness program directly in fiscal year 2009. 

The Committee intends that the Advisory Board on Radiation and 

Worker Health be funded at no less than last year’s level. 

Pandemic Influenza.—The Committee has included an additional 

$1,000,000 for NIOSH research on modes of transmission of influenza and to develop the next generation of effective personal protective equipment for healthcare workers and first responders. The 

Institute of Medicine, at the request of the Secretary, has conducted a study on the personal protective equipment needed by 

healthcare workers in the event of an influenza pandemic and concluded that the current paucity of knowledge on influenza transmission is hindering prevention efforts and requires expeditious research. 

Worker Injury Statistics.—The Committee strongly supports the 

work NIOSH is doing to supplement the National Health Information Survey to gain an understanding of the extent and potential 

causes of worker illness and injuries that go unreported in the Federal occupational injury reports. The Committee recommendation 

includes an additional $500,000 to do follow-up studies on the National Hospital Ambulatory Medical Care Survey. The Committee 

is particularly concerned with injuries experienced in the self-employed population. In addition, the Committee notes that while 

there is much attention paid to acute injuries and illnesses at work 

places, there is less focus on how chronic illnesses intersect with 

workplaces. The Committee encourages NIOSH to consider developing a research agenda with this in mind. Finally, the Committee 

encourages NIOSH to continue to work with the Bureau of Labor 
86 

Statistics to improve the statistics that direct Federal enforcement 

and compliance efforts aimed at preventing illness and injury at 

our Nation’s workplaces. 

Worklife Initiative.—The Committee strongly supports the CDC’s 

decision to begin this important research with the awarding of the 

three new Centers of Excellence to Promote a Healthier Workforce. 

This network is designed to facilitate the integration of health protection and health promotion in the workplace. The Committee has 

included sufficient resources to fully fund the existing centers and 

expand this network dedicated to research, education and translation programs. As this network begins to focus on chronic illness 

in the workplace, the Committee encourages researchers to collaborate with other parts of NIOSH to explore the best methods for improving our Nation’s workplace illness surveillance systems with 

respect to less acute illnesses. 

World Trade Center Health Monitoring.—The Committee strongly supports treatment services for residents, students, and other 

non-responders whose health has been adversely affected as a result of the September 11, 2001 terrorist attacks on the World Trade 

Center. The Committee is concerned that these individuals may not 

be receiving the treatment provided for in previous appropriations. 

The Committee directs the Secretary of Health and Human Services, within 90 days of the date of enactment of this act, to provide 

a report to the Committee detailing the activities and services provided to residents, students, and other non-responders. 

GLOBAL HEALTH

The Committee recommends $312,301,000 for global health-related activities at the CDC in fiscal year 2009. The fiscal year 2008 

comparable level was $302,371,000 and the budget request for fiscal year 2009 was $302,025,000. The Office of Global Health leads 

and coordinates CDC’s global programs to promote health and prevent disease in the United States and abroad, including ensuring 

rapid detection and response to emerging health threats. The Committee recommendation includes funding for the following activities 

in the following amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Global AIDS Program ................................................................................. 118,863 118,727 118,863 

Global Immunization Program ................................................................... 139,851 139,691 143,826 

Polio Eradication ............................................................................... 98,025 97,913 102,000 

Other Global/Measles ........................................................................ 41,826 41,778 41,826 

Global Disease Detection ........................................................................... 31,445 31,409 36,000 

Global Malaria Program ............................................................................. 8,696 8,686 10,096 

Other Global Health ................................................................................... 3,516 3,512 3,516 

Global Disease Detection.—The Committee is pleased with work 

of the Global Disease Detection Centers and has included additional funding for new centers. 

Global Health Programs.—The Committee commends the efforts 

of the CDC’s Global AIDS and Global Malaria Programs in implementing PEPFAR and the President’s Malaria Initiative [PMI]. The 
87 

Committee encourages global AIDS and malaria program activities 

beyond PEPFAR and PMI countries. 

Global Malaria.—The Committee commends the CDC’s contribution to global fight against malaria and recognizes that CDC supports prevention and control of malaria throughout the world working in local, State, Federal, and international partnerships. As the 

United States increases its investment in malaria prevention and 

control, CDC’s technical expertise and experience in program implementation is increasingly more vital. Insecticide resistance and 

drug resistance have the real potential to compromise global malaria efforts and point to the need for the development and testing 

of new technologies and materials for insecticide treated nets and 

new anti-malarial therapies. The Committee encourages the CDC 

to expand these research efforts, including the areas of Insecticide 

Treated Bed Nets and Intermittent Preventative Treatment in 

pregnancy. The Committee also urges the CDC to expand its technical assistance, monitoring and evaluation efforts, in particular its 

assistance to the President’s Malaria Initiative, the World Bank, 

the Global Fund to Fight AIDS, Tuberculosis, and Malaria, and 

other malaria control initiatives. These programs are in need of 

greater expertise and capacity in monitoring and evaluation to support documentation of impact of efforts. Finally, the Committee is 

concerned that while there have been much-need increases in funding for malaria efforts in Africa, that there must also be attention 

paid to malaria control efforts in Asia and the Americas. CDC 

should play an active role in these efforts. 

In addition, the Committee encourages CDC to continue its ongoing support of research and development toward new anti-malarial 

drugs. 

TERRORISM

The Committee provides $1,508,123,000 for CDC terrorism preparedness activities. The comparable fiscal year 2008 level was 

$1,479,454,000 and the administration requested $1,419,264,000 

for these activities in fiscal year 2009. The Committee recommendation includes funding for the following activities in the 

following amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee recommendation 

Upgrading State and Local Capacity ........................................................ 746,039 609,385 746,039 

Bioterrorism Cooperative Agreement ................................................ 700,465 570,903 700,465 

Centers for Public Health Preparedness .......................................... 28,555 28,501 28,555 

Advanced Practice Centers ............................................................... 5,261 ........................ 5,261 

All Other State and Local Capacity .................................................. 11,758 9,981 11,758 

Upgrading CDC Capacity ........................................................................... 120,744 131,071 120,744 

Anthrax ....................................................................................................... 7,882 7,867 7,882

Biosurveillance Initiative ........................................................................... 53,281 100,634 63,151 

BioSense ............................................................................................ 34,389 49,905 34,389 

Quarantine ........................................................................................ 9,870 43,273 19,740 

Real-time Lab Reporting .................................................................. 9,022 7,456 9,022 

Strategic National Stockpile ...................................................................... 551,509 570,307 570,307 

State and Local Capacity.—The Committee continues to recognize that bioterrorism events and other public health emergencies 
88 

will occur at the local level and will require local capacity, preparedness and initial response. The Committee notes that HHS’ cooperative agreement guidance now includes explicit requirements 

for local concurrence with State spending plans for public health 

emergency preparedness and urges CDC to monitor and enforce 

these requirements. The Committee is concerned that some current 

performance measures may overlook the distinctive responsibilities 

of local health departments and their communities. The Committee 

urges the Department to assure that performance metrics intended 

to measure public health preparedness include evidence-based 

measures that can be scaled to measure the performance of local 

health departments in the context of their own communities’ emergency management systems. 

PUBLIC HEALTH RESEARCH

Public Health Research.—The Committee has provided 

$31,000,000 to fund the Public Health Research program. The fiscal year 2008 comparable level and 2009 budget request were also 

$31,000,000. The Committee is strongly supportive of public health 

and prevention research, which bridges the gap between medical 

research discoveries and behaviors that people adopt by identifying 

the best strategies for detecting new diseases, assessing the health 

status of populations, motivating healthy lifestyles, communicating 

effective health promotion messages, and acquiring and disseminating information in times of crisis. 

PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

The Committee provides $203,448,000 for public health improvement and leadership activities at the CDC. The fiscal year 2008 

comparable level was $224,899,000 and the budget request for fiscal year 2009 was $182,143,000. The Committee recommendation 

includes funding for the following activities in the following 

amounts: 

[In thousands of dollars] 

Activity Fiscal year 2008 

comparable 

Fiscal year 2009 

budget 

Committee 

recommendation 

Leadership and Management .................................................................... 158,255 149,332 149,332 

Director’s Discretionary Fund ..................................................................... 5,895 ........................ 5,895 

Public Health Workforce Development ....................................................... 34,009 32,811 34,009 

In addition, the Committee has included sufficient funding for 

the following projects in the following amounts for fiscal year 2009: 

Project Committee recommendation 

A Voice for All, Wilmington, DE, for speech and language evaluations for persons with disabilities .......... $400,000 

Albert Einstein Healthcare Network, Philadelphia, PA, for a college student health screening program ..... 100,000 

Boys and Girls Club of Alaska, Anchorage, AK, for a rural Alaska youth fitness initiative .......................... 750,000 

Cascade AIDS, Portland, OR, for HIV/AIDS education, outreach and prevention services ............................. 200,000 

Clearbrook, Inc., Wilkes Barre, PA, for substance abuse and treatment program ........................................ 100,000 

Community Health Centers in Hawaii for Childhood Rural Asthma Project, Honolulu, HI, for childhood 

rural asthma project ................................................................................................................................... 175,000 

Cornelia de Lange Syndrome Foundation, Avon, CT, for awareness and education activities ...................... 250,000 

Drexel University School of Public Health, Philadelphia, PA, to investigate a polycythemia vera cluster in 

Northeast, Pennsylvania .............................................................................................................................. 262,000 

Eastern Maine Healthcare Systems, Brewer, ME, for a childhood obesity program ...................................... 300,000 
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Project Committee recommendation 

Friends of the Congressional Glaucoma Caucus Foundation, Lake Success, NY, for the New Jersey Mobile 

Glaucoma Screening Program ..................................................................................................................... 100,000 

Grinnell Regional Medical Center, Grinnell, IA, for a wellness initiative ....................................................... 250,000 

Hackensack University Medical Center, Hackensack, NJ, for a study on possible environmental factors of 

autism and neurodevelopmental disorders in New Jersey .......................................................................... 100,000 

Healthy Northeast Pennsylvania Initiative, Clarks Summit, PA, for obesity prevention and education programs ........................................................................................................................................................... 100,000 

International Rett Syndrome Foundation [IRSF], Richmond, VA, for a health education program ................ 150,000 

Iowa Chronic Care Consortium, Des Moines, Iowa, for a preventative health demonstration program ........ 200,000 

Iowa Department of Public Health, Des Moines, IA, to continue the Harkin Wellness Grant program ......... 1,000,000 

Kaweah Delta Hospital Foundation, Visalia, CA, for a comprehensive asthma management program ........ 100,000 

La Crosse County Health Department, La Crosse, WI, for a program to prevent childhood obesity ............. 350,000 

Latino Leadership Alliance Foundation, New Brunswick, NJ, to establish a Latino Leadership Alliance 

Health Initiative that will educate and inform the Latino Community on the importance of proper preventive health care ...................................................................................................................................... 200,000 

Mary Bird Perkins Cancer Center, Baton Rouge, LA, to expand early detection cancer screenings ............. 300,000 

Mount Sinai, New York, NY, for firefighter and emergency responder health monitoring program in Louisiana ........................................................................................................................................................... 400,000 

Nevada Cancer Institute, Las Vegas, NV, for equipment and screening services ......................................... 400,000 

New England Coalition for Health Promotion and Disease Prevention, Providence, RI, for continued development of obesity and disease prevention programs ................................................................................ 100,000 

Oglala Sioux Tribe, Pine Ridge, SD, for the Oyate Bli Helya diabetes program ............................................ 400,000

Ohio Patient Safety Institute, Columbus, OH, for patient safety programs ................................................... 200,000 

Pennsylvania Breast Cancer Coalition, Ephrata, PA, for breast cancer awareness outreach ....................... 50,000 

Providence Health Care System, Portland, OR, for a multiple sclerosis registry ........................................... 200,000 

Rich Center for Autism/Youngstown State University, Youngstown, OH, to improve outreach and early 

treatment interventions for children with autism ...................................................................................... 100,000 

Saint Elizabeth’s Hospital of Wabasha, Inc., Wabasha, MN, to expand primary prevention services and 

chronic disease management programs ..................................................................................................... 100,000 

Shelburne Farms, Shelburne, VT, for nutritional educational programming .................................................. 500,000 

South Dakota State University, Brookings, SD, for multidisciplinary research on health promotion ............ 300,000 

Southeastern Center for Emerging Biologic Threats, Emory University, Atlanta, GA, for programs related 

to bioterrorism and emerging biologic threats ........................................................................................... 100,000 

Southern Nevada Health District, Las Vegas, NV, for management of the hepatitis C outbreak in Southern Nevada .................................................................................................................................................. 550,000 

St. Louis Regional Asthma Consortium, St. Louis, MO, for asthma management for at-risk children ........ 750,000 

State of Alaska Department of Health and Social Services, Anchorage, AK, for a program to prevent, 

control, and reduce incidence of obesity .................................................................................................... 500,000 

Texas Tech University Health Sciences Center, El Paso, TX, for the Center for Border Health Research ..... 300,000 

University of North Carolina-Chapel Hill in conjunction with East Carolina University, Chapel Hill, NC, to 

study racial disparities in cardiovascular disease ..................................................................................... 325,000 

University of Wisconsin—Milwaukee, Milwaukee, WI, to support and expand public health training programs ........................................................................................................................................................... 300,000 

Wheeling Jesuit University, Wheeling, WV, for the Mining and Industry Safety Technology and Training Innovation Center ........................................................................................................................................... 3,000,000 

Yale New Haven Health System, New Haven, CT, for emergency preparedness education and training activities at the Connecticut Center for Public Health Preparedness ........................................................... 250,000 

Leadership and Management Savings.—The Committee strongly 

believes that as large a portion as possible of CDC funding should 

go to programs and initiatives that improve the health and safety 

of Americans. To facilitate this goal, any savings in leadership and 

management may be reallocated to the Director’s Discretionary 

Fund upon notification of the Committee. 

PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

The Committee has provided $97,270,000 for the Preventive 

Health and Health Services Block grant. The fiscal year 2008 comparable level was $97,270,000 and the administration did not request any funding for this program in fiscal year 2009. 
90 

The block grant provides funding for primary prevention activities and health services that address urgent health problems in 

local communities. This flexible source of funding can be used to 

target concerns where other funds do not exist or where they are 

inadequate to address the extent of the health problem. The grants 

are made to the 50 States, the District of Columbia, 2 American 

Indian tribes, and 8 U.S. territories. 

BUILDINGS AND FACILITIES

The Committee has provided $150,000,000 for the continuation of 

CDC’s Buildings and Facilities Master Plan in Atlanta, Georgia. 

The fiscal year 2008 comparable level was $55,022,000 and the 

budget request or fiscal year 2009 did not include funds for this activity. 

The Committee has again provided bill language to allow CDC 

to enter into a single contract or related contracts for the full scope 

of development and construction of facilities and instructs CDC to 

utilize this authority, when necessary, in constructing the Atlanta 

facilities. 

The Committee intends that $30,000,000 be used for nationwide 

repairs and improvements; $71,300,000 shall be for the completion 

of Building 24 on the Royball campus; $1,500,000 for facilities and 

equipment at the CDC lab in Ft. Collins, Colorado; and the remainder shall be to begin planning and construction of Buildings 107 

and 108 on the Chamblee campus. 

BUSINESS SERVICES AND SUPPORT

The Committee provides $337,906,000 for business services support functions at the CDC. The fiscal year 2008 comparable level 

was $371,847,000 and the administration requested $337,906,000 

for fiscal year 2009. These funds will be used to support CDC-wide 

support functions. The Committee instructs the CDC not to tap 

programs to make up for the cuts to this function. 

NATIONAL INSTITUTES OF HEALTH

The Committee has sounded the alarm for more Federal biomedical research funding for several years, and the situation is 

now at a crisis point. Since the end of the 5-year doubling effort, 

in fiscal year 2003, funding for the National Institutes of Health 

[NIH] has declined, in real terms, by 12.3 percent. The average researcher now has a less than 1 in 5 chance of getting an NIH grant 

application approved, and the average age at which researchers receive their first RO1 grant has risen to 42. It is little wonder that 

many young scientists are balking at a career in biomedical research, putting our Nation at risk of losing a generation of talented 

investigators who could pursue treatments and cures. Meanwhile, 

several other countries are ramping up their investments in biomedical research and threatening the leadership of the United 

States in this field. 

Regrettably, the administration’s budget ignores these warning 

signs and proposes to freeze NIH funding at the fiscal year 2008 

level of $29,229,524,000. Under this plan, the success rate for research project grants would fall to 18 percent, the lowest level on 
91 

record. In real terms, NIH funding would be reduced by more than 

$1,000,000,000. The Bush budget also proposes eliminating all 

funding for the National Children’s Study, for which Congress has 

already appropriated approximately $212,300,000 since fiscal year 

2004. 

The Committee rejects the administration’s approach and instead 

recommends an overall NIH funding increase of $1,025,000,000, for 

a total of $30,254,524,000. That amount would allow NIH funding 

to keep up with the biomedical inflation rate (3.5 percent) for the 

first time in 6 years. It would also increase the estimated number 

of new, competing research project grants to 10,471—the most ever 

at NIH. The recommended level includes $192,300,000, an increase 

of $81,400,000 over the fiscal year 2008 appropriation of 

$110,900,000, for the National Children’s Study, to ensure that the 

study’s implementation stays on track. The Committee also fully 

funds the budget request of $300,000,000 for transfer to the Global 

Fund to Fight AIDS, Tuberculosis and Malaria. The fiscal year 

2008 transfer was $294,759,000. 

The Committee recommends $568,119,000 for the Common Fund. 

The fiscal year 2008 level was $495,608,000, and the budget request is $533,877,000. The Committee intends that much of the increase will be used to support new investigators and high risk/high 

reward research, as described later in this report under the section 

on the Office of the Director. 

Report Language Format.—The Committee made changes to the 

report language format this year with the goal of reducing the 

overall length and consolidating the Committee’s recommendations 

for individual diseases and conditions in a limited number of locations. For example, report language for some items is now located 

entirely in the Office of the Director rather than distributed among 

multiple Institutes and Centers [ICs]. The purpose of this change 

is to streamline the report, not to imply that the Office of the Director bears the total responsibility for addressing the Committee’s 

recommendations. ICs are advised, therefore, that language which 

is relevant to their missions may be found in sections other than 

their own, and that they should give all relevant language the 

same weight regardless of where it is located in the report. 

NATIONAL CANCER INSTITUTE

Appropriations, 2008 ............................................................................. $4,805,088,000 

Budget estimate, 2009 ........................................................................... 4,809,819,000 

Committee recommendation ................................................................. 4,958,594,000 

Much progress has been made in the fight against cancer, yet the 

disease continues to exact an enormous toll. In 2008, it is estimated that cancer will claim over 565,000 Americans—1,500 a day. 

The annual costs for cancer care in this country exceed 

$200,000,000,000. And while cancer death rates have declined for 

each of the past 3 years, cancer remains the leading cause of death 

for Americans under the age of 85. Therefore, the Committee recommendation for the NIH includes a special emphasis on cancer research. 

The Committee recommends an appropriation of $4,958,594,000 

for the National Cancer Institute [NCI]. The budget request was 
92 

$4,809,819,000. The fiscal year 2008 appropriation was 

$4,805,088,000. 

Bone Cancer.—The NCI is encouraged to enhance its research 

program in osteosarcoma biology through exploratory and other 

grant mechanisms emphasizing the following priorities: development of suitable genetic and orthotopic models, studies on the role 

the tumor microenvironment plays in tumor progression, the identification of tumor progenitor cells and the biology of tumor invasion. The NCI is also urged to support research on the development 

of clinically relevant experimental models of tumor dormancy, studies on dormant tumor cells and their interaction with the microenvironment, and identification of factors that trigger dormancy of 

invasive tumor cells or activation of dormant cells. 

Decisionmaking.—The Committee applauds the NCI for supporting research on decisionmaking processes as they relate to cancer, which will help people make better informed choices about cancer prevention and screening. 

Health Communication.—The Committee encourages the NCI to 

continue its investment in the Health Information National Trends 

Survey [HINTS], and to consider expanding the survey to track 

how public information campaigns may influence attitudes about 

cancer screening and vaccines. 

Liver Cancer.—The Committee continues to urge the NCI to develop a comprehensive research program to slow the incidence of 

primary liver cancer and to develop viable treatment options that 

will improve survivability. The Committee urges more programs 

aimed at the discovery of new interventions for the early detection, 

management and treatment of cancer associated with hepatitis. 

The Early Detection Research Network continues to be an impressive and productive programmatic model. 

Lung Cancer.—The Committee encourages the NCI to expand its 

research to improve lung cancer diagnosis and treatment and undertake additional research to better understand the role gender 

plays in this disease. 

Melanoma.—The Committee is aware of the ongoing dialogue between the NCI and the advocacy and extramural research community on prioritizing NIH-funded melanoma research, most recently 

with the 2007 ‘‘Community-Oriented Strategic Action Plan for 

Melanoma Research.’’ The Committee encourages the NCI to better 

target its funds in three categories: targeted therapies in melanoma; host response in melanoma; and prevention, including exploring the feasibility of a randomized trial of screening for melanoma. 

NCI Community Cancer Centers Program.—The Committee commends the NCI for launching the NCI Community Cancer Centers 

Program [NCCCP] early in 2007. The NCCCP, now in a 3-year 

pilot phase, seeks to bring more Americans into a system of highquality cancer care, increase participation in clinical trials, reduce 

cancer healthcare disparities, and improve information sharing 

among community cancer centers. The program encourages collaboration of private-practice medical, surgical, and radiation 

oncologists as well as providing links to NCI research and the NCIdesignated Cancer Centers. The Committee supports these goals 

and encourages the NCI to continue supporting this program. 
93 

Neuroblastoma.—The Committee urges the NCI to significantly 

expand its research portfolio on neuroblastoma, with a focus on 

clinical trials for high-risk patients. Given the poor survival rates 

for children with advanced disease, the Committee encourages the 

NCI to prioritize support for all promising neuroblastoma research 

in this population, both inside and outside of the Children’s Oncology Group. 

Pancreatic Cancer.—The Committee notes that less than 2 percent of NCI’s budget is devoted to pancreatic cancer research, even 

though this form of cancer is the fourth leading cause of cancer-related death. The Committee strongly urges the NCI to assign more 

resources to launch a pancreatic cancer-specific research and training initiative, including the establishment of a prioritized research 

plan that includes exception funding for grants that are pancreatic 

cancer focused, strengthening and expanding the SPOREs, and instituting training mechanisms designed to stimulate clinical and 

translational career development. The Committee expects the NCI 

to be prepared to provide a detailed accounting of resources targeted principally on pancreatic cancer research before the fiscal 

year 2010 budget hearing. 

Pediatric Cancer.—The Committee urges the NCI to expand and 

intensify pediatric cancer research, including laboratory research to 

identify and evaluate potential therapies, preclinical testing, and 

clinical trials through cooperative clinical trials groups. Such research should include research on the causes, prevention, diagnosis, recognition, treatment, and late effects of pediatric cancer. 

Prostate Cancer Imaging.—The Committee is aware of the potential of prostate imaging to improve early diagnosis and minimally 

invasive treatment of prostate cancer, and it encourages the NCI 

to provide additional funding for research and the development of 

technologies for prostate cancer detection and treatment, comparable to state-of-the-art mammograms. 

Vaccine Research.—The Committee recognizes that aspects of 

science surrounding an HIV vaccine and cancer vaccines contain 

many similarities and synergies. Therefore, the Committee urges 

the NCI to incorporate the development of an HIV vaccine into cancer vaccine research efforts. The Committee also supports new 

partnerships between the NCI and Institutes that are capable of 

supporting a joint HIV/cancer vaccine program. In addition, the 

Committee urges the OAR to increase HIV/AIDS funding at the 

NCI. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2008 ............................................................................. $2,922,112,000 

Budget estimate, 2009 ........................................................................... 2,924,942,000 

Committee recommendation ................................................................. 3,006,344,000 

The Committee recommendation includes $3,006,344,000 for the 

National Heart, Lung, and Blood Institute [NHLBI]. The fiscal year 

2008 appropriation was $2,922,112,000 and the budget request is 

$2,924,942,000. 

Alpha-1 Antitrypsin Deficiency.—The Committee encourages the 

NHLBI to work with the Office of Rare Disorders to establish a 

treatment algorithm for Alpha-1 antitrypsin-related disease to help 

assist physicians in correctly diagnosing it. 
94 

Bleeding and Clotting Disorders.—The Committee encourages 

the NHLBI to continue its commitment to research in bleeding and 

clotting disorders by focusing on improved and novel therapies and 

maintaining its collaborative relationship with patient advocacy 

groups and the scientific and medical research community. 

Cardiovascular Diseases.—The Committee applauds the NHLBI 

for the development and launch of its Institute-wide strategic plan 

and believes that research on heart disease and other cardiovascular diseases must be a top priority within the Institute. The 

Committee supports an increase in funding and resources for cardiovascular research, including support of current studies to enhance the prevention, diagnosis, and treatment of cardiovascular 

diseases and research to explore new and promising scientific opportunities. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee applauds the NHLBI for implementing the COPD Awareness Campaign and increasing its investment in COPD research. 

The Committee is concerned about the growing number of women 

dying from COPD, and it encourages additional research on the 

role that gender plays in this disease. 

Congenital Heart Disease.—The Committee continues to urge the 

NHLBI to work with patient associations, other appropriate NIH 

Institutes, and the CDC to develop education and research initiatives targeted to the life-long needs of congenital heart defect survivors. 

Diamond-Blackfan Anemia [DBA].—The Committee encourages 

the NHLBI to continue and expand its research initiative into 

DBA. 

Lymphangioleiomyomatosis [LAM].—The Committee supports 

both intramural and extramural means of expanding research on 

LAM and urges the NHLBI to use all available mechanisms as appropriate, including support of state-of-the-science symposia, requests for applications, and access to human tissues, to stimulate 

a broad range of clinical and basic LAM research. The Committee 

commends the NHLBI for supporting the MILES trial, and encourages the support of phase I and phase II clinical treatment trials 

to capitalize on the LAM patient populations that the NHLBI and 

the Rare Lung Disease Consortium has assembled. The Committee 

is also aware of the potential benefit of establishing regional LAM 

centers, and suggests the NHLBI consider supporting these activities. 

Marfan Syndrome.—The Committee commends NHLBI for its 

strong support of research on Marfan syndrome, particularly the 

Pediatric Heart Network clinical trial focused on the drug losartan. 

The Committee encourages the Institute to work with the Marfan 

syndrome community on strategies for establishing specialized 

treatment centers. 

Myelodysplasia.—The Committee urges the NHLBI, working in 

collaboration with the NCI and NIA, to establish a sustainable research program on myelodysplasia, a bone marrow failure disorder 

that primarily affects the elderly and individuals who have undergone chemotherapy and/or radiation therapy. The Committee requests a response in the fiscal year 2010 congressional budget justification. 
95 

Omega-3 Fatty Acids.—The Committee urges the NHLBI and the 

Office of Dietary Supplements in collaboration with the CDC, 

through the Heart Disease and Stroke Prevention Program, to develop and implement an education and awareness campaign for the 

public, patients and providers about the overall health benefits of 

consuming omega-3 fatty acids. 

Pulmonary Fibrosis.—The Committee continues to urge the 

NHLBI to increase funding for lung research, particularly in the 

area of pulmonary fibrosis, and to convene a consensus conference 

of experts and other stakeholders to lay the groundwork for a formal pulmonary fibrosis disease action plan for prevention and control of this deadly disease. 

Pulmonary Hypertension [PH].—The Committee encourages the 

Institute to work with the PH community to support the establishment of a clinical research network that would provide for expanded clinical trials and facilitate collaboration and data sharing 

among PH investigators. 

Sickle Cell Disease.—The Committee commends the NHLBI for 

developing a strategic plan, with input from public stakeholders, to 

enhance its research program on sickle cell disease and asks that 

the final research plan and proposed implementation steps be provided to the Committee when completed. 

Sleep Disorders.—The Committee continues to encourage the National Center on Sleep Disorders Research to work with other partners to implement a sleep education and public awareness project. 

Thalassemia.—The Thalassemia Clinical Research Network 

[TCRN] is a core program that has advanced physicians’ understanding of how to diagnose, treat and manage this fatal genetic 

blood disease. The Committee urges additional protocols, particularly related to gene therapy, to advance the field further and lead 

to a cure in the shortest possible time. 

Women and Heart Disease.—The Committee requests the NHLBI 

to place a higher priority on: the best strategies for assessing, preventing, and treating heart disease in women; why women receive 

significantly fewer referrals for rehabilitation programs, advanced 

diagnostic testing and treatments for heart disease than men, and 

how the referral rate for women can be increased; the most effective methods and treatments for diastolic heart failure; the biological differences between men and women in the location, type, and 

heart disease risk level associated with fat deposits; the role of inflammation in heart disease in women; how sex differences in the 

regulation of heart rhythm affect risk of heart disease and response 

to treatment; why women ages 50 and younger are more likely to 

die following a heart attack than men of the same age; and how 

the heart disease diagnosis and care disparities between women of 

different races can be eliminated. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2008 ............................................................................. $390,158,000 

Budget estimate, 2009 ........................................................................... 390,535,000 

Committee recommendation ................................................................. 401,405,000 

The Committee recommendation includes $401,405,000 for the 

National Institute of Dental and Craniofacial Research [NIDCR]. 
96 

The fiscal year 2008 appropriation was $390,158,000 and the budget request is $390,535,000. 

Behavioral Research.—The Committee supports the Institute’s 

planned research into developing complex models of behavior and 

oral health. 

Early Childhood Caries.—The Committee notes the urgent need 

to eradicate early childhood caries among American Indian/Alaska 

Native [AI/AN] populations. The Committee urges the NIDCR, in 

collaboration with the Indian Health Service, to increase support 

for clinical research to find effective anti-caries preventions, including new education and intervention modalities. 

Temporomandibular Joint Disorders [TMJDs].—The Committee 

encourages the NIDCR, along with the NIAMS and NIBIB, to put 

a higher priority on using noninvasive imaging technologies to establish, validate, and standardize clinical diagnostic criteria for 

TMJDs and to better understand the etiology and mechanisms underlying the symptoms of biomechanical pain and dysfunction. The 

Committee also calls on the NIDCR to initiate interdisciplinary 

partnerships within the NIH on chronic pain that is associated not 

only with TMJDs but other conditions as well. To address these 

collaborations extramurally, the Committee urges NIDCR to follow 

the recommendation of the Fourth Scientific Meeting of the TMJ 

Association calling for the establishment of regional centers of excellence. Finally, the Committee calls upon the TMJ Interagency 

Working Group to step up its level of activities and work more effectively to assess the state of science of TMJDs and their comorbidities, and to develop short- and long-range research plans. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2008 ............................................................................. $1,706,684,000 

Budget estimate, 2009 ........................................................................... 1,708,487,000 

Committee recommendation ................................................................. 1,755,881,000 

The Committee recommends an appropriation of $1,755,881,000 

for the National Institute of Diabetes and Digestive and Kidney 

Diseases [NIDDK]. The fiscal year 2008 appropriation was 

$1,706,684,000 and the administration’s request is $1,708,487,000. 

Acute Liver Failure.—The Committee supports the Institute’s 

plan to renew funding for the Acute Liver Failure Study Group for 

an additional 5 years, and it urges the NIDDK to provide additional resources in this area. 

Alpha-1 Antitrypsin Deficiency.—The Committee encourages the 

NIDDK to maintain its support of Alpha-1 research and to collaborate with the NCI and other Institutes on this effort. 

Beta Cell Biology.—The NIDDK is urged to extend and expand 

its vigorous support of the Beta Cell Biology Consortium, which 

promotes collaborative research relevant to understanding and 

treating both type 1 and type 2 diabetes. Particularly important is 

the creation of diabetes research resources and reagents that can 

be accessed by the entire diabetes research community. In addition, 

the Committee asks the NIDDK to work with the NCRR to ensure 

the viability of the regional Islet Cell Resources Centers or equivalent infrastructure that can efficiently produce and distribute purified human islets for beta cell biology research. 
97 

Biosamples for Type 1 Diabetes Research.—The Committee commends the NIDDK for establishing biorepositories to house data 

and biological specimens collected by studies such as the international Type 1 Diabetes Genetics Consortium [T1DGC], The Environmental Determinants of Diabetes in the Young [TEDDY] Study, 

and the natural history study of TrialNet. The Committee urges 

the NIDDK to widely advertise the availability of samples to the 

diabetes research community, ensure that the biorepositories implement efficient procedures to rapidly disseminate those samples 

to qualified researchers, and develop policies to expedite the availability of samples from other clinical trials in type 1 diabetes. 

Chronic Pediatric Kidney Disease.—Translational and clinical research to understand the mechanisms involved in kidney injury 

and progression are crucial to develop and test new therapies in 

children. The Committee urges the NIDDK to initiate two new prospective multicenter pediatric nephrology translational studies or 

treatment trials over the next 2 years. 

Diamond-Blackfan Anemia [DBA].—The Committee is aware of 

important breakthroughs in DBA research and the link with a 

ribosomal protein defect. The Committee understands that the 

NIDDK is planning a workshop regarding the implications of 

ribosome biogenesis in hematological diseases. The Committee commends the NIDDK for its attention to DBA and encourages crossInstitute research initiatives related to ribosomal protein defects 

found in DBA and their implication in disease areas important to 

the NIDDK. 

Digestive Diseases.—The Committee looks forward to the recommendations of the National Commission on Digestive Diseases 

and encourages the NIDDK to consider them strongly. The Committee notes that the draft plan lacked specificity, and it urges the 

NIDDK to identify the programs, structures and resources that are 

necessary to implement a long-range plan. 

Glomerular Disease Research.—The Committee commends the 

Institute for the recent release of a program announcement on glomerular diseases, and it encourages the establishment of a patient 

registry in this area. 

Hematology.—The Committee commends NIDDK—and its partners in this effort, the NCI, NHLBI, and NIA—for issuing a program announcement on the anemia of inflammation of chronic disease. 

Hepatitis B Network.—The Committee supports the Institute’s 

plan to fund and create a network of hepatitis B clinical research 

centers and urges that these centers be established to address the 

major research questions identified by the upcoming Hepatitis B 

Consensus Conference and the priorities identified for hepatitis B 

in the NIH Liver Disease Research Action Plan. The Committee expects to be kept informed on the outcome of the October 21, 2008, 

conference. 

Hepatitis C.—The Committee continues to strongly support the 

HALT–C clinical study on hepatitis C. The Committee also understands that nearly one-half of all persons with hemophilia have 

contracted the hepatitis C virus, and many of these individuals are 

co-infected with HIV. The NIDDK is encouraged to pursue research 
98 

initiatives on co-infection and the progression of liver disease in 

this population. 

Incontinence.—The Committee is pleased that the NIDDK collaborated with the NICHD and the Office of Medical Applications 

of Research on the recent state-of-the-science conference on incontinence, and it urges the Institute to prioritize the recommendations 

of this conference. 

Inflammatory Bowel Disease [IBD].—The Committee encourages 

the Institute to increase support for genetic and clinical IBD research and other opportunities outlined in the research agenda, 

‘‘Challenges in Inflammatory Bowel Disease.’’ The Committee particularly encourages the NIDDK to expand support for pediatric 

IBD research. 

Interstitial Cystitis [IC].—The Committee is concerned by the 

projected declines in research funding for IC at the NIDDK. It 

urges the Institute to provide enough funding to implement the 

goals of the MAPP initiative and to support more basic research on 

the etiology, pathogenesis and pathophysiology of IC. In addition, 

the Committee notes the growing body of scientific evidence documenting the overlap between IC and vulvodynia, two highly prevalent, distressing conditions characterized by chronic pelvic and urogenital pain. The Committee, therefore, urges the NIDDK to establish a center for research and education on urologic/urogenital 

chronic pelvic pain syndromes that will focus specifically on IC and 

vulvodynia, and related comorbid disorders, and will establish collaborative initiatives among the ORWH, NIAID, NIAMS, NINDS, 

and NICHD. 

Non-alcoholic Fatty Liver Disease.—The Committee encourages 

the NIDDK to renew and expand its research network for non-alcoholic fatty liver disease, increase the involvement of non-Federal 

funding sources, and include adult and pediatric patients in research and clinical trials. 

Pediatric Liver Disease.—The Committee is pleased with the 

progress of the Biliary Atresia Clinical Research Consortium and 

the Cholestatic Liver Disease Consortium, and it urges the NIDDK 

to renew funding for these two 10-center consortia that conduct research on biliary atresia, the most common cause of liver transplantation in children, and other rare liver diseases affecting infants and children. The Committee is also pleased that the Consortia have added a special focus on additional neonatal liver diseases. 

Polycystic Kidney Disease [PKD].—The Committee urges the 

NIDDK to work through the NIH Program on Public-Private Partnerships to support the establishment of PKD diagnostic and clinical treatment centers for treating PKD patients and overseeing 

clinical trials. The Committee urges that these centers work in collaboration with General Clinical Research Centers, Clinical and 

Translational Science Awards and PKD Centers of Excellence to 

ensure that PKD families receive the best diagnostic tests and 

therapeutic treatments and the opportunity to participate in promising clinical trials and pilot studies. The Committee also encourages the NIDDK to facilitate the establishment of a centralized facility for the volumetric analysis of kidney images, PKD genotyping 

and surrogate marker analysis. 
99 

Sickle Cell Disease.—The Committee commends the NHLBI for 

its plans to restructure the sickle cell disease research program to 

expand funding of investigator-initiated grants and to develop a 

new Clinical Trials Research Network, which will open participation in clinical research to a larger number of researchers and patients with sickle cell disease. The Committee asks to be updated 

on the progress being made in implementing the sickle cell disease 

research plan as part of the Institute’s budget justification for fiscal 

year 2010. 

Thalassemia.—The Committee urges the NIDDK to play a larger 

role in the Thalassemia Clinical Research Network [TCRN], as the 

iron chelation and non-invasive iron measurement issues addressed 

by the Institute are essential to the quality of life of thalassemia 

patients. 

Urological Research.—The Committee encourages the NIDDK to 

establish a urological disease research branch and requests a response in the fiscal year 2010 budget justification. The Committee 

also urges the Institute to prepare a trans-NIH action plan for 

urological disease research. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2008 ............................................................................. $1,543,901,000 

Budget estimate, 2009 ........................................................................... 1,545,397,000 

Committee recommendation ................................................................. 1,588,405,000 

The Committee recommends an appropriation of $1,588,405,000 

for the National Institute of Neurological Disorders and Stroke 

[NINDS]. The fiscal year 2008 appropriation was $1,543,901,000 

and the budget request is $1,545,397,000. 

Charcot-Marie-Tooth [CMT].—The Committee commends the 

NINDS for issuing a program announcement to solicit grant applications on CMT with the goal of identifying and validating therapeutic targets for use in CMT and other peripheral neuropathies. 

The Committee requests an update on CMT and CMT-related research, and on the progress achieved by the program announcement, in the fiscal year 2010 budget justification. 

Duchenne and Becker Muscular Dystrophy [DBMD] Conference.— 

The Committee commends the NIH for reconvening a conference focused on translational research opportunities for DBMD in the 

spring of 2009. Pursuant to this conference, the Committee is 

pleased that the Muscular Dystrophy Coordinating Committee will 

be updating the MD action plan to reflect accomplishments related 

to the five broad categories in the plan, and supports continued efforts to track research goals, NIH-funded grants and areas of 

unmet opportunity for DBMD translational research. 

Dystonia.—The Committee continues to support the expansion of 

research and treatment developments regarding dystonia. The 

Committee also notes that the intramural program at NIH continues to advance research activity in dystonia, and more support 

is encouraged. 

Fibromyalgia.—Whereas fibromyalgia has traditionally been considered a musculoskeletal disorder, the Committee notes that substantial evidence implicates pathology within the central nervous 

system in the development and expression of fibromyalgia symptoms, including abnormal brain activity, abnormal concentrations 
100 

of a variety of neurochemicals in cerebrospinal fluid, dysautonomia 

and neuroendocrine dysfunction. The Committee, therefore, urges 

the NINDS to collaborate with the NIAMS in convening an international symposium to elucidate the state of the science with regard to fibromyalgia, and publish a consensus document within 1 

year establishing a roadmap for future fibromyalgia research. The 

Committee also encourages the NINDS to support basic research 

into animal models of the disorder. 

Headache Disorders.—The Committee encourages intensified efforts to understand the causes, prevention, treatment, and eventual 

cure of headache disorders, including migraine, cluster headache, 

and chronic daily headache. Research on these disorders, to date, 

has not received funding commensurate with their prevalence or 

their costs to the economy. Therefore, the Committee strongly 

urges the NINDS to solicit grant applications in this area; encourage new investigators with career training and transition awards; 

provide fair peer review by headache scientists of submitted headache research grant applications; and collaborate with the research 

community to develop ‘‘Headache Disorders Research Benchmarks.’’ 

Hydrocephalus.—The Committee continues to place a high priority on increasing research on hydrocephalus, and it urges the 

NINDS to expand its research through program announcements or 

requests for applications. The Committee also urges the NINDS to 

collaborate with other Institutes to advance hydrocephalus research priorities, including the NIA, NICHD, NEI, NIBIB, and 

ORD, and requests an update on the progress of such collaborative 

efforts in the fiscal year 2010 budget justifications. 

Mucopolysaccharidosis [MPS].—The Committee commends the 

NINDS for taking the lead role supporting the scientific meeting on 

the clinical progress of MPS. The Committee encourages the 

NINDS to expand research into MPS, and to implement the recommendations from the meeting, including the need to collect natural history data to move novel therapies into the clinic, and to 

combine therapeutic modalities to increase efficacy. 

Parkinson’s Disease.—The Committee encourages the NINDS to 

update the program announcement for the Udall Centers of Excellence for Parkinson’s Disease Research Program to include the recommendations of the committee that evaluated the centers and to 

continue to fund and support this important program. The Committee also commends the NINDS for working to establish and 

make public lay-language research summaries for each Udall Center, which should be considered as a possible model for other NIH 

centers of excellence programs. 

Stroke.—The Committee commends the NINDS for its work in 

developing an Institute-wide strategic plan and supports the involvement of stroke scientists and/or clinicians in every aspect of 

this initiative. The Committee continues to support the comprehensive and timely implementation of its Stroke Progress Review 

Group Report. The Committee also urges the NINDS to devote additional funding for stroke prevention, diagnosis, treatment, rehabilitation, and research to explore new and promising scientific opportunities. In addition, the Committee acknowledges studies suggesting significant gender differences concerning stroke; for example, women often receive fewer diagnostic tests and intervention 
101 

procedures. The Committee encourages the NINDS to increase research in this area in order to understand the differences in treatment options for men and women and provide a means to optimize 

stroke care. 

Stroke Rehabilitation.—The Committee is pleased that the 

NINDS will convene an expert panel to discuss issues related to 

stroke treatment and recovery and how people reintegrate into 

their daily lives following a stroke. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2008 ............................................................................. $4,560,655,000 

Budget estimate, 2009 ........................................................................... 4,568,778,000 

Committee recommendation ................................................................. 4,688,828,000 

The Committee recommends an appropriation of $4,688,828,000 

for the National Institute of Allergy and Infectious Diseases 

[NIAID]. The fiscal year 2008 appropriation was $4,560,655,000 

and the budget request is $4,568,778,000. Included in these funds 

is $300,000,000 to be transferred to the Global Fund to Fight HIV/ 

AIDS, Malaria, and Tuberculosis. The fiscal year 2008 transfer 

amount was $294,759,000. 

Antimicrobial Resistance.—The Committee encourages the 

NIAID to strengthen clinical, translational, and basic research addressing antimicrobial resistant infections, with emphasis on 

health care-acquired bacterial infections in hospitals, long-term 

care facilities, etc. Clinical trials should aim to define natural histories of infection for common bacterial diseases and determine optimal implementation of existing agents and therapeutic strategies. 

Translational research should emphasize antibiotic development, 

vaccine development, novel antibacterial agents and therapies, and 

new diagnostics. Particular attention should be given to multi-drug 

resistant gram negative bacterial infections and methicillin-resistant staphylococcus aureus [MRSA] infections. The Committee further encourages the NIAID to accelerate its basic research activities to advance the understanding of mechanisms of resistance and 

how resistant microbes impact human health. 

Asthma.—The Committee applauds the NHLBI for its support of 

the Asthma Clinical Research Network to advance basic, 

translational and clinical research understanding of asthma to improve asthma care. 

Career Development in Asthma and Allergic Diseases.—The Committee encourages the NIAID to work with private sector organizations to develop programs for the training and career development 

of researchers focused on allergic diseases. 

Food Allergy and Anaphylaxis.—The Committee commends the 

NIAID for its support of research to find a cure for food allergy and 

anaphylaxis, and it continues to urge the highest possible level of 

funding for this research. The Committee is aware that food allergy 

and anaphylaxis has recently been linked to asthma, eczema, type 

I diabetes, multiple sclerosis, and inflammatory bowel syndrome, 

and it requests the NIAID to provide a report to the Committee by 

May 1, 2009, on the common link among these conditions and the 

steps the Institute will be taking to investigate the underlying causation. In addition, the Committee encourages a greater effort to 

facilitate and promote investigator-initiated research on food al-
102 

lergy and anaphylaxis. The Committee commends the NIAID for its 

research initiative ‘‘Exploratory Investigations in Food Allergy,’’ 

which will support innovative pilot studies and developmental research on the mechanisms of food allergy, with a goal of attracting 

additional investigators to the field of food allergy research, and 

urges the continuation of this initiative. 

Hepatitis B.—The Committee supports the Institute’s plans to 

fund experimental models of hepatitis B and to continue support 

for the woodchuck model of hepatitis virus. The Committee urges 

more work in the area of new intervention discovery for the treatment and management of this disease. 

Hepatitis C.—The Committee encourages the continued development of standardized terminology to describe anti-viral drug resistance, as well as studies of the mechanism of resistance and methods to overcome it. 

Inflammatory Bowel Disease [IBD].—The Committee encourages 

the NIAID to expand its inflammatory bowel disease research portfolio and explore partnerships with the IBD community aimed at 

fostering greater research on the role of the immune system in the 

development and progression of IBD in both adult and pediatric 

populations. 

Liver Transplants.—The Committee urges expanded research on 

the immune system reaction to liver transplants in children. 

Lupus.—The Committee urges the NIAID to expand and intensify genetic, clinical and basic research and related activities with 

respect to lupus, with particular focus on the identification of biomarkers and addressing the apparent health disparities associated 

with this disease. 

Malaria.—The Committee commends the NIAID for its malaria 

research efforts, especially in basic research. While progress in malaria research has been encouraging, the Committee is concerned 

about the spread of malaria in areas where malaria had previously 

been controlled and about the contribution of drug-resistant 

parasites to this problem. To support and sustain the global efforts 

to control and eliminate malaria, the Committee urges the NIAID 

to allocate additional resources for research to increase the understanding of the complex interactions among malaria parasites, mosquito vectors and humans, for development of new diagnostics, 

drugs, vaccines, and vector management, and for continuation of its 

collaboration with global public-private partnerships to leverage 

malaria research efforts. 

Microbicides.—The Committee commends the NIAID for establishing a branch within the Division of AIDS that is dedicated to 

microbicides, but notes that progress in staffing and running the 

branch has been slow. The Committee urges the NIAID to move 

quickly in that regard and requests a report by May 1, 2009, on 

the branch’s work plan, budget and staffing situation. 

Nontuberculous Mycobacteria [NTM].—The Committee is aware 

of the reports of increasing incidence of pulmonary NTM infections 

in women and children, particularly involving rapidly growing 

mycobacteria, an inherently resistant subspecies. The Committee 

commends the NIH for its planning meetings regarding NTM, outreach to the NTM patient community, and leading NTM treatment 

center. The Committee recommends further collaboration with the 
103 

NHLBI, CDC, the advocacy community and other Federal agencies 

to provide leadership that will enhance diagnostic and treatment 

options and as well as medical and surgical outcomes through the 

stimulation of multi-center clinical trials and promotion of health 

care provider education. The Committee encourages the NIAID to 

issue program announcements, an NIH partnership funding program, and other appropriate mechanisms to ensure the initiation 

of grant proposals and other activities for pulmonary NTM disease. 

Parasitic Tropical Diseases.—The Committee urges the NIAID to 

expand and intensify research on vaccines, diagnostics, and treatments for parasitic tropical diseases including African sleeping 

sickness, Chagas disease, elephantiasis, visceral leishmaniasis, 

Buruli ulcer, and cholera. The Committee further requests the 

NIAID to report an estimate of its funding for research on these 

diseases in the fiscal year 2010 budget justification. 

Scleroderma.—The Committee encourages the NIAID to expand 

its research portfolio on scleroderma in partnership with the 

scleroderma community. 

Tuberculosis [TB].—The Committee commends the NIAID for the 

release of its response plan to drug-resistant TB, including strains 

that are extensively drug-resistant. The Committee encourages the 

NIAID and other NIH Institutes to allocate appropriate resources 

to effectively address this global health emergency. The Committee 

also encourages the NIH to ensure that experts with an understanding of the scientific basis for the control of tuberculosis are 

appropriately represented on study sections that review TB research grants. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2008 ............................................................................. $1,935,808,000 

Budget estimate, 2009 ........................................................................... 1,937,690,000 

Committee recommendation ................................................................. 1,991,609,000 

The Committee recommendation includes $1,991,609,000 for the 

National Institute of General Medical Sciences [NIGMS]. The fiscal 

year 2008 appropriation was $1,935,808,000 and the administration’s request is $1,937,690,000. 

Behavioral Research and Training.—The Committee notes that 

after many years of requests, the NIGMS is supporting basic behavioral research training. While this is a step in the right direction, the Committee remains very concerned that the NIGMS program needs expanding, and that the NIGMS still is not funding investigator-initiated research by behavioral scientists as it is authorized to do so in its statute and has been requested to do so by 

Congress many times. The Committee also encourages the NIGMS 

to expand its support of basic behavioral and social science research with initiatives such as the MIDAS program to improve 

modeling and predictive capabilities regarding the effects of a pandemic flu outbreak, and collaborations with other Institutes and 

Centers and the OBSSR. 

Training Minority Scientists.—The Committee continues to be 

pleased with the quality of NIGMS’s training programs, particularly those that have a special focus on increasing the number of 

minority scientists such as the Minority Access to Research Careers [MARC] and Minority Biomedical Research Support [MBRS] 
104 

programs. The Committee encourages the NIGMS to continue to 

support these initiatives, and is particularly pleased that the 

NIGMS has supported biomedical career opportunity programs for 

high school and undergraduate college students in conjunction with 

historically black health professions schools. 

EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH

AND HUMAN DEVELOPMENT

Appropriations, 2008 ............................................................................. $1,254,708,000 

Budget estimate, 2009 ........................................................................... 1,255,920,000 

Committee recommendation ................................................................. 1,290,873,000 

The Committee recommends an appropriation of $1,290,873,000 

for the Eunice Kennedy Shriver National Institute of Child Health 

and Human Development [NICHD]. The fiscal year 2008 appropriation was $1,254,708,000 and the administration’s request is 

$1,255,920,000. 

Behavioral Research on Families.—The Committee encourages 

the NICHD to support planned research on the changing nature of 

our Nation’s families. Further understanding of family processes 

will help to address the causes of family structure changes. 

Chromosome Abnormalities.—The Committee urges the NIH to 

convene a state-of-the-science meeting on chromosome abnormalities involving multiple contiguous genes, for the purpose of creating 

a plan to collect data regarding dosage-sensitive and dosage-insensitive genes, and to establish phenotyping and genotyping standards for data collection. The Committee also encourages the NIH 

to create funding mechanisms to support independent investigators 

whose work could provide pilot data or insight into future directions for the study of chromosome abnormalities, particularly those 

involving chromosome 18. 

Demographic Research.—The Committee applauds the NICHD 

Demographic and Behavioral Sciences Branch [DBSB] for completing its long-range planning study, ‘‘Future Directions for 

DBSB.’’ The Committee encourages the Institute to capitalize on 

the report’s recommendations and to do so by supporting a balanced portfolio of investigator-initiated research as well as largescale databases. The Committee also congratulates the NICHD on 

its involvement in the Work, Family, Health and Well-Being Initiative and looks forward to learning how the Institute plans to disseminate the results of this groundbreaking study. 

First Pregnancy Complications.—Nearly half of all pregnant 

women have no pregnancy history to guide the practitioner, and 

there is minimal to no information to predict and offer preventative 

interventions. The rate of preterm birth for this group of women increased 50 percent in the last decade. Were predictors known, not 

only would the outcome for the first pregnancy improve, but subsequent pregnancies would be at lower risk. The NICHD is urged to 

conduct more research in this area. 

Intellectual and Developmental Disabilities Research Centers 

[IDDRCs].—The Committee recognizes the outstanding contributions of the recently renamed Eunice Kennedy Shriver Intellectual 

and Developmental Disabilities Research Centers [IDDRCs], formerly known as the Mental Retardation Developmental Disabilities 

Research Centers. However, the Committee is concerned that the 
105 

IDDRCs do not have sufficient resources to sustain the progress 

made in this critical area and is especially concerned with the 11 

percent funding reduction for recently funded centers. The Committee urges the NICHD to restore these reductions and, to the extent possible, provide additional resources to the IDDRCs so that 

they can lead our national effort to develop effective prevention and 

intervention strategies for children and adults with developmental 

disabilities. 

Infertility and Contraception.—The Committee commends the 

NICHD for its research on alleviating human infertility and uncovering new male and female contraceptive leads, including the next 

generation of nonhormonal methods. The Committee urges the 

NICHD to continue identifying behavioral factors affecting fertility, 

infertility and unintended pregnancies. 

Learning and School Readiness.—The Committee supports the 

important contribution that the NICHD is making in establishing 

the basic scientific foundation of the development of reading, math 

and science skills for children. 

Liver Disease and Minority Health.—Obesity-related chronic liver 

disease, also known as non-alcoholic steatohepatitis [NASH], disproportionately affects Hispanic-American children. To better understand the genetic and environmental factors associated with 

obesity-related chronic liver disease in children, the Committee 

urges the NICHD to include NASH as a study component within 

the National Children’s Study. 

Preterm and Late Preterm Births.—The Committee applauds the 

NICHD for planning the Surgeon General’s Conference on Preterm 

Birth and encourages the Institute to expand its research based on 

the public-private agenda recomended at the conference. As authorized by Public Law 109–450, the Committee strongly urges the establishment of an interagency coordinating council on prematurity 

and low birthweight, to be headed by the NICHD, to ensure that 

these recommendations are implemented. The Committee notes 

that although many late preterm deliveries (between 34 and 37 

weeks of gestation) are due to maternal or fetal indications, many 

have no reason listed in vital records as to what triggered the delivery. The NICHD is urged to address the causes of these late 

preterm births and identify interventions for their prevention. 

Rehabilitation Research.—The Committee commends the institute’s National Center for Medical Rehabilitation Research for the 

substantial scientific progress made in the basic and applied research on constraint-induced movement therapy for stroke patients 

as well as advanced prosthetics. The Committee encourages the 

center to explore the broader social, emotional and behavioral context of rehabilitation, including effective interventions to increase 

social participation and reintegrate individuals with disabilities 

into their communities. 

Uterine Fibroids.—The Committee continues to encourage additional research on uterine fibroids, especially with regard to increased prevalence rates in minority women. 

Vulvodynia.—For the 12th consecutive year, the Committee has 

called on the NICHD to expand research efforts on vulvodynia, yet 

only 11 total awards have been made to date and only 3 in the last 

3 fiscal years. This is especially discouraging given that, in 2006, 
106 

an NICHD-funded study showed that up to 16 percent of American 

women suffer from vulvodynia. The Committee strongly urges the 

NICHD to substantially increase the number of awards for 

vulvodynia studies in fiscal year 2009, with a particular emphasis 

on etiology and multi-center therapeutic trials. In addition, to ensure that experts in vulvodynia and related chronic pain and female reproductive system conditions, are adequately represented 

on peer review panels, the Committee recommends that the current 

program announcement on vulvodynia, PA–07–182, be reissued 

with ‘‘special review.’’ Finally, the Committee calls on NICHD to 

employ the full range of award mechanisms available to expand research and research capacity in this area. 

NATIONAL EYE INSTITUTE

Appropriations, 2008 ............................................................................. $667,116,000 

Budget estimate, 2009 ........................................................................... 667,764,000 

Committee recommendation ................................................................. 687,346,000 

The Committee recommends an appropriation of $687,346,000 for 

the National Eye Institute [NEI]. The fiscal year 2008 appropriation was $667,116,000 and the budget request is $667,764,000. 

Age-related Macular Degeneration [AMD].—The Committee commends the NEI for its trans-Institute research into the cause, prevention, and treatment of AMD, including the identification of gene 

variants associated with an increased risk for the disease. The 

Committee encourages further research into diagnostics for early 

detection and appropriate therapies. The Committee also applauds 

the NEI for initiating the second phase of its Age-related Eye Disease Study [AREDS], in which additional dietary supplements are 

being studied to determine whether they demonstrate or enhance 

protective effects against progression to advanced AMD, as shown 

previously with dietary zinc and antioxidant vitamins. 

Diabetes Management Devices.—The Committee is pleased that 

the NEI, in collaboration with the NIDDK and the Food and Drug 

Administration, has scheduled a scientific workshop that will include representatives from diabetes management device manufactures and organizations that address the technology access needs 

of Americans with vision loss to both document and clarify the 

technical capabilities of devices currently on the market and to develop standards ensuring the accessibility of such devices for this 

growing population. 

Diabetic Eye Disease.—The Committee encourages the NEI to expand and extend the Diabetic Retinopathy Clinical Research Network by increasing the number of clinical trials with new drugs 

and therapeutics that can treat and prevent diabetic retinopathy. 

Genetic Basis of Eye Disease.—The Committee congratulates the 

NEI on its leadership in elucidating the basis of devastating eye 

diseases such as age-related macular degeneration, retinitis 

pigmentosa and glaucoma, and recognizes the progress that has 

been made in understanding the underlying disease mechanisms 

and developing appropriate treatments. By encouraging the participation of patients and their families who need highly specialized 

genetic testing services and coordinating the efforts of many vision 

research laboratories, vital information is being collected confidentially and maintained securely. This information will help enable 
107 

qualified investigators to develop targeted treatments and to identify those individuals who would most benefit from them. 

Low Vision and Blindness Rehabilitation.—The Committee encourages the NEI to prioritize research aimed at developing and assessing new methods for the rehabilitation of visually impaired individuals, including children. The Committee also urges the NEI to 

collaborate with the National Center for Medical Rehabilitation Research at the NICHD on developing improved assistive technology 

and training research scientists in the field of rehabilitation. 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2008 ............................................................................. $642,253,000 

Budget estimate, 2009 ........................................................................... 642,875,000 

Committee recommendation ................................................................. 660,767,000 

The Committee recommends an appropriation of $660,767,000 for 

the National Institute of Environmental Health Sciences [NIEHS]. 

The fiscal year 2008 appropriation was $642,253,000 and the budget request is $642,875,000. 

Agricultural Health Study.—The Committee urges that the scope 

of the Agricultural Health Study be expanded to permit a greater 

focus on reproductive issues to investigate the possibility that 

many chronic illnesses may be due to environmental exposures experienced while in utero. 

Alternative Methods of Testing.—The Committee acknowledges 

the publication of the National Interagency Center for the Evaluation of Alternative Methods/Interagency Coordinating Committee 

on the Validation of Alternative Methods [NICEATM/ICCVAM] 

Five-Year Plan but remains concerned by the slow pace at which 

Federal agencies have moved to adopt regulations that would replace or reduce the use of animals in testing. The Committee therefore requests the ICCVAM to evaluate the skin irritation/corrosion, 

pyrogenicity, phototoxicity, vaccine potency, acute fish toxicity and 

developmental toxicity methods and tiered-testing strategies that 

have been deemed valid by the European Centre for the Validation 

of Alternative Methods but have not been accepted in the United 

States. The Committee also asks the ICCVAM to identify situations 

where these methods can be applied with scientific confidence in 

the existing testing practices and regulations of ICCVAM agencies. 

In addition, the ICCVAM is urged to identify what additional studies would be needed to produce sufficient scientific confidence to expand the application of such methods by the agencies that comprise 

ICCVAM. The Committee requests a report on these findings by 

May 1, 2009. 

Respiratory Disease.—The Committee recognizes the contributions of the NIEHS to help protect and improve pulmonary health. 

It encourages the Institute to devote additional resources to study 

the effects of changes in occupational exposures and ambient and 

indoor air. 

Translational Research.—The Committee applauds the NIEHS’s 

investment in clinical research through the Disease Investigation 

through Specialized Clinically Oriented Ventures in Environmental 

Research [DISCOVER]. 
108 

NATIONAL INSTITUTE ON AGING

Appropriations, 2008 ............................................................................. $1,047,260,000 

Budget estimate, 2009 ........................................................................... 1,048,278,000 

Committee recommendation ................................................................. 1,077,448,000 

The Committee recommendation includes $1,077,448,000 for the 

National Institute on Aging [NIA]. The fiscal year 2008 appropriation was $1,047,260,000 and the budget request is $1,048,278,000. 

Alzheimer’s Disease.—While past investments in Alzheimer’s research have led to a far better understanding of the disease as well 

as earlier, more accurate diagnosis, the Committee is concerned 

that progress has slowed in recent years. The Committee therefore 

recommends that a portion of the additional funds provided for the 

NIA be devoted to accelerating the translation of basic research 

findings into clinical studies and human trials, and to fully implement a study of individuals who are genetically predisposed to develop early-onset Alzheimer’s disease. The NIA is urged to work 

closely with the NINDS and NIMH in these efforts. 

Behavioral Research and Decisionmaking.—The Committee encourages the NIA to support its Neuroeconomics and Aging research program, which will examine the changing motives that 

drive behavior in older adults and could lead to interventions that 

will help older Americans better manage financial planning. 

Behavioral Research and Long-term Cognitive Improvement.— 

The Committee commends the NIA on the success of the ACTIVE 

study, and it encourages follow-up studies on more varied populations. 

Cognitive Health.—The Committee encourages the NIA to follow 

up on recent findings that cognitive health appears to be improving 

in the over-70 population. In particular, further studies to determine how education, exercise, medications, cardiovascular health 

and lifestyle affect cognitive functioning are encouraged. 

Demographic and Economic Research.—The Committee is aware 

that fiscal year 2009 is a critical planning year for the NIA Demography of Aging Centers, the Roybal Centers for Research on Applied Gerontology, and the Health and Retirement Survey [HRS]. 

The Committee urges the NIA, with support from the Office of Behavioral and Social Science Research and Office of AIDS Research, 

to continue its current level of support for the Demography of 

Aging Centers and the demographic and economic components of 

the Roybal Centers. The NIA is also urged to provide sufficient 

funding for the HRS to preclude a cut in the survey’s sample size 

and to ensure that biological data, including DNA, are collected as 

part of the next wave. Finally, the Committee applauds the Institute’s support of the National Study of Disability Trends and Dynamics, which will include the older population residing in community and institutional settings. 

Older Workers.—The Committee continues to commend the NIA 

for sponsoring research on health interventions in the workplace 

that is aimed at older workers. 
109 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2008 ............................................................................. $508,586,000 

Budget estimate, 2009 ........................................................................... 509,080,000 

Committee recommendation ................................................................. 523,246,000 

The Committee recommends an appropriation of $523,246,000 for 

the National Institute of Arthritis and Musculoskeletal and Skin 

Diseases [NIAMS]. The fiscal year 2008 appropriation was 

$508,586,000 and the budget request is $509,080,000. 

Arthritis.—The Committee supports the establishment of a national data collection system to ensure that the safety and effectiveness of new arthritis treatments is understood and that they are 

applied in the most beneficial manner, especially in the case of 

childhood arthritis. The Committee also notes the strong need for 

a national network of cooperating clinical centers dedicated to the 

care and study of children with arthritis. 

Fibromyalgia.—The Committee is concerned by the lack of a sustained commitment to fibromyalgia-specific research at the NIAMS, 

and it strongly urges additional resources for this purpose. In particular, the Committee urges the Institute, in collaboration with 

the NINDS, to convene an international symposium to elucidate 

the state of the science with regard to fibromyalgia and to publish 

a consensus document within 1 year establishing a roadmap for future fibromyalgia research. In addition, it urges the NIAMS to establish a funded center with dedicated staffing to serve as a nexus 

for research on fibromyalgia and related disorders that will explore 

the broad spectrum of neurotransmitter abnormalities and other 

potential problems, including sleep disturbances, abnormal cervical 

anatomy and genetic factors, that might contribute to symptom development and expression. The Committee also encourages the Institute to support basic research into animal models of the disorder. Finally, the Committee urges the NIAMS to collaborate with 

the NIDDK in support of its Multi-disciplinary Approach to the 

Study of Chronic Pelvic Pain [MAPP] initiative. 

Lupus.—The Committee continues to strongly urge the Institute 

to greatly expand and intensify genetic, clinical, and basic research 

and related activities with respect to lupus, with particular focus 

on understanding the underlying mechanisms of disease, gene-gene 

and gene-environmental interactions, epidemiological research, 

lupus and kidney disease, biomarkers, pediatric research, environmental factors, and factors related to the health disparities and 

comorbidities associated with lupus. 

Marfan Syndrome.—The Committee encourages the NIAMS to 

expand its support for musculoskeletal/orthopedic research in this 

area and to partner with the NHLBI and the Marfan patient community in support of NHLBI’s Pediatric Heart Network clinical 

trial on Marfan syndrome. 

Osteoporosis.—The Committee urges the NIAMS and NIA to support research into the pathophysiology of bone loss in diverse populations in order to develop targeted therapies to improve bone density, bone quality and bone strength. Research is also needed to 

identify the parameters that lead to the better prediction, prevention and treatment of bone diseases. 
110 

Scleroderma.—The Committee is aware of emerging opportunities in scleroderma research and encourages the Institute to partner with the scleroderma patient community in convening a state 

of the science conference in this important area. 

Temporomandibular Joint Disorders [TMJDs].—As the 

temporomandibular joint is a joint in the body, the Committee believes that increased effort by the NIAMS on TMJDs is clearly warranted. Such an effort would greatly accelerate the basic and clinical understanding of this joint, critical to such functions as speaking, breathing, eating, swallowing and making facial expressions. 

The Committee calls on the NIAMS to work with the NIDCR and 

NIBIB to develop a research team involving bioengineers, computer 

scientists, basic and clinical scientists to study the jaw anatomy, 

physiology and the complex neural, endocrine and immune systems 

interactions that orchestrate jaw function and trigger pathology of 

the jaw joint. The Institutes should integrate the findings from 

interdisciplinary studies of the structure, mechanical function, metabolism, and blood flow of bone, joints, and muscles with studies 

of central and peripheral neural pathways, and the endocrine, 

paracrine, and cytokine factors that impact upon these craniofacial 

structures, as a means to understanding the underlying causes of 

pain and dysfunction. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2008 ............................................................................. $394,138,000 

Budget estimate, 2009 ........................................................................... 395,047,000 

Committee recommendation ................................................................. 406,000,000 

The Committee recommends an appropriation of $406,000,000 for 

the National Institute on Deafness and Other Communication Disorders [NIDCD]. The budget request is $395,047,000 and the fiscal 

year 2008 appropriation was $394,138,000. 

Animal Models.—The Committee notes that mouse models are 

too resistant for most auditory lesions and too small for most surgical work; thus, larger experimental animal models are desirable. 

Also, since the most common background mouse strain for genetic 

studies is itself susceptible to age-related hearing loss, the redevelopment of potentially useful genetic models is needed. 

Central Nervous System Plasticity.—The Committee urges the 

NIDCD to promote research to discover the cellular and genetic 

mechanisms that are responsible for central nervous system plasticity—how hearing loss changes the central nervous system—and 

how these alterations constrain auditory performance. Analysis at 

the level of synaptic connections through studies of perceptual 

learning is recommended. 

Early Detection and Intervention.—The Committee continues to 

recommend expanded research in effective intervention strategies 

to help infants identified in newborn hearing screening with mild, 

moderate and severe hearing impairment. 

Environmentally Induced Hearing Loss.—The Committee urges 

increased efforts by the NIDCD to raise awareness of the threats 

to the auditory system posed by environmental noise. Risks to 

hearing in the workplace, and through recreational activities and 

by loud consumer products should be publicized. The Committee 
111 

urges the dissemination of information emphasizing the dangers to 

hearing from these sources, as well as protective measures, 

through such means as the Wise Ears! Campaign and the NIDCD 

website and publications. Research studies to increase understanding and treatment of hearing loss and central auditory processing disorders resulting from noise are also recommended. The 

Committee also understands the potentially deleterious effects of 

environmental chemicals in water and air, like lead, mercury and 

carbon monoxide, on the inner ear. The NIDCD is urged to support 

studies in this area, especially of chemicals’ impact on hearing during prenatal and early postnatal development. 

Hearing Devices.—While research into regeneration and stem cell 

replacement promises beneficial discoveries in the future, the Committee recognizes that hearing aids and other assistive devices, 

such as cochlear prostheses, provide an important means to restore 

hearing in the present to individuals with deafness and other communication disorders. It recommends that the NIDCD support research to develop, improve and lower the cost of hearing aids, as 

well as support studies to allow the cochlear implant to benefit a 

greater number of individuals with profound hearing impairment. 

In addition, the Committee urges development of new central auditory prostheses that will open the door to hearing for many who 

cannot be helped by cochlear prostheses. 

Human Temporal Bone Studies.—The Committee recognizes the 

importance of the Human Temporal Bone Consortium to acquiring 

knowledge about inner ear pathology from debilitating auditory 

diseases such as Meniere’s disease, presbycusis and sudden hearing 

loss. It encourages the NIDCD to continue supporting this valuable 

donor-tissue based research. 

Inner Ear Hair Cell Regeneration.—The Committee recognizes 

that restoration of hearing through regeneration biology has 

achieved scientific proof of concept and encourages further research 

to develop a human application. The NIDCD should build on promising new approaches in sensory cell regeneration and reparation. 

The Committee realizes that while studies of inner ear neuron loss 

indicate that residual hearing can be preserved with partial retention of these cells, more research is needed to elucidate the extent 

to which cell replacement would correlate with improved hearing. 

Presbycusis.—The Committee encourages continuing studies of 

the declining stria vascularis metabolism, as well as investigations 

of the central mechanisms of presbycusis. 

Psychosocial Interventions.—The Committee encourages continued research into behavioral and cognitive-behavioral studies validating, refining, and comparing approaches to the treatment of persons with autism and autism spectrum disorders and their families, as well as studies that analyze and define the critical features 

of effective interventions and the development of innovative methodologies and outcome measures. 

Tinnitus.—The Committee continues to remain interested in research on tinnitus, particularly in light of continued large increases 

in this condition among returning military personnel. The Committee encourages the NIDCD to continue to increase collaborative 

research efforts between the NIH, the Department of Defense, and 

the Department of Veterans Affairs. 
112 

Translational Research.—The Committee favors continuation of 

research activities and clinical trials that can be used in treatments of communication and otologic disorders. Attention to clinical trials relevant to Meniere’s disease and to preventative drug 

therapies for acoustic trauma and exposure to ototoxicants is 

strongly recommended. 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2008 ............................................................................. $137,476,000 

Budget estimate, 2009 ........................................................................... 137,609,000 

Committee recommendation ................................................................. 141,439,000 

The Committee recommends an appropriation of $141,439,000 for 

the National Institute of Nursing Research [NINR]. The budget request is $137,609,000 and the fiscal year 2008 appropriation was 

$137,476,000. 

Nurse-Family Partnership Program.—The Committee urges the 

NINR to expand Nurse-Family Partnership Programs affiliated 

with nurse-managed health centers and involve advanced practice 

nurses in research and demonstration projects. 

Nursing Shortage.—The Committee applauds the NINR for its 

vital role in educating the next generation of nurse researchers 

who will serve as nurse faculty in nursing schools. 

Preterm Births.—The Committee is aware of the increasing trend 

of preterm births, resulting in a gradual reduction over the last 

decade of the average gestation period from 40 weeks to 39 weeks 

in the United States. The NINR is urged to fund maternal-child research to help address the cause of the decreasing gestation period, 

the health impact of this trend, and any necessary interventions. 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2008 ............................................................................. $436,259,000 

Budget estimate, 2009 ........................................................................... 436,681,000 

Committee recommendation ................................................................. 448,834,000 

The Committee recommends an appropriation of $448,834,000 for 

the National Institute on Alcohol Abuse and Alcoholism [NIAAA]. 

The budget request is $436,681,000 and the fiscal year 2008 appropriation was $436,259,000. 

Alcoholic Energy Drinks.—The Committee is aware of NIAAAfunded research showing that college students who consumed alcoholic energy drinks were at greater risk of engaging in risky behaviors and experiencing alcohol-related harms. The Committee urges 

the NIAAA to initiate and pursue further research in this area, including the impact of pricing, packaging and marketing of these 

beverages on youth consumption patterns. 

Alcohol-induced Liver Damage.—The Committee urges the 

NIAAA to study the development of biomarkers in patients susceptible to alcohol-induced liver damage. The Committee also supports 

the study of medications development to treat alcoholic liver disease to reduce the incidence of liver transplantation. 

Behavior Change Research.—The Committee applauds the 

NIAAA’s efforts to encourage a trans-NIH approach to understanding mechanisms of behavior change across a broad range of 

health-related behaviors. 
113 

Hepatitis.—The Committee urges the NIAAA to work with voluntary health organizations, to promote liver wellness, education, 

and primary prevention of both hepatitis and substance abuse. 

Social Neuroscience and Behavior.—The emerging field of social 

neuroscience holds promise for understanding and treating alcohol 

use disorders, and the Committee is pleased that the NIAAA plans 

to invest in this field. The Committee also urges the NIAAA to support complementary research on social behavior, as research is 

needed on the implicit cognitive, emotional, and social factors that 

influence the transition from moderate to uncontrolled drinking, 

and to support studies on how socialization processes interact with 

neural aspects of emotion that either promote or protect against alcohol abuse. 

Underage Drinking.—The Committee commends the NIAAA for 

continuing to partner with the Office of the Surgeon General and 

SAMHSA to promote and disseminate ‘‘The Surgeon General’s Call 

to Action to Prevent and Reduce Underage Drinking.’’ The Committee urges the NIAAA to continue researching the effects of alcohol on the adolescent brain and to provide guidance on screening 

for, and diagnosis of, alcohol misuse in children and adolescents. 

The Committee also encourages the NIAAA to engage in additional 

study of alcohol advertising issues as an underage drinking prevention research priority, including analysis of data on youth brand 

and beverage preferences. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2008 ............................................................................. $1,000,700,000 

Budget estimate, 2009 ........................................................................... 1,001,672,000 

Committee recommendation ................................................................. 1,029,539,000 

The Committee recommends an appropriation of $1,029,539,000 

for the National Institute on Drug Abuse [NIDA]. The budget request is $1,001,672,000 and the fiscal year 2008 appropriation was 

$1,000,700,000. 

Behavioral Research.—The Committee commends the NIDA for 

supporting research on adolescent sensitivity to drug use, and encourages further research, both animal and human, on social and 

environmental influences that may be responsible for this increased vulnerability. The Committee also encourages research on 

how behavioral changes during adolescence may be unique to drug 

abuse, and it applauds the NIDA’s continued support of behavioral 

research using animal models. 

Drug Abuse and HIV/AIDS.—The Committee continues to be 

concerned about the impact of drug abuse and addiction on fueling 

the spread of HIV/AIDS. The Committee commends the NIDA for 

seeking innovative approaches to this health challenge, as exemplified by the 2008 Avant-Garde Program. 

Drug Treatment in Criminal Justice Settings.—Research continues to demonstrate that providing treatment to individuals involved in the criminal justice system significantly decreases future 

drug use and criminal behavior, while improving social functioning. 

The Committee strongly supports the NIDA’s efforts in this area, 

particularly the Criminal Justice Drug Abuse Treatment Studies 

[CJ–DATS]. 
114 

Genetics of Addiction.—The Committee supports the NIDA’s 

focus on understanding the various aspects and roles of genetics in 

addiction, and recommends comprehensive future efforts focusing 

on the identification of vulnerability genes, how the environment 

can bring about long-term changes in gene expression, and how 

genes influence an individual’s reaction to drugs and medications. 

Health Disparities and Education/Income Levels.—The Committee notes that people with less education and lower incomes are 

disproportionately vulnerable to drug dependence. The Committee 

commends the NIDA for encouraging researchers to investigate mediators and moderators of such increased vulnerability on how to 

effectively tailor drug abuse prevention and treatment interventions to these at-risk populations. 

Medications Development.—The Committee encourages the NIDA 

to develop new, effective medications that could, either by themselves or combined with validated behavioral therapies, help alleviate the personal and social impact of addiction. 

Prescription Drug Abuse.—The Committee continues to commend 

the NIDA for its leadership in addressing the issue of prescription 

drug abuse, especially among the Nation’s youth. 

Pulmonary Hypertension.—The Committee notes with concern a 

significant increase in the number of pulmonary hypertension diagnoses related to the abuse of methamphetamine. The Committee 

encourages the NIDA, in partnership with the pulmonary hypertension community, to initiate appropriate research and awareness 

activities. 

Single State Authorities [SSA].—The Committee urges the NIDA 

to continue SSA Research Infrastructure Grants to allow additional 

State substance abuse agencies to benefit from the program. 

Young Investigators.—The Committee recognizes the importance 

of replenishing the ‘‘pipeline’’ of scientists in the addiction field, 

and it congratulates the NIDA for efforts such as the A–START 

program, which assists young investigators building new research 

programs on drug abuse and HIV/AIDS prevention. 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2008 ............................................................................. $1,405,476,000 

Budget estimate, 2009 ........................................................................... 1,406,841,000 

Committee recommendation ................................................................. 1,445,987,000 

The Committee recommends an appropriation of $1,445,987,000 

for the National Institute of Mental Health [NIMH]. The budget request is $1,406,841,000 and the fiscal year 2008 appropriation was 

$1,405,476,000. 

Behavioral Research.—The Committee urges the NIMH to put a 

greater emphasis on behavioral research in accordance with the 

first objective of its preliminary strategic plan, to ‘‘promote discovery in the brain and behavioral sciences.’’ In particular, the 

Committee urges a greater focus on the study of personality and 

social psychology, and basic animal behavior. In the area of HIV/ 

AIDS, the Committee notes that behavioral research aimed at reducing the likelihood of HIV infection should include structural, environmental, and socio-economic variables to ensure that researchbased interventions can be evaluated as appropriate for racial and 

ethnic minority populations. 
115 

Minority Training.—The Committee is disappointed to learn that 

the NIMH intends to reduce funding for its diversity training programs at a time when reducing health disparities for vulnerable 

and underserved populations should be a high priority. The Committee understands that a National Advisory Mental Health Council workgroup is studying the issue, and it requests to be notified 

when the group’s report is completed. 

Older Adults.—For the past several years, the Committee has 

recommended that the NIMH increase the amount of research 

grant funding devoted to older adults over the age of 65. Nevertheless, that funding has decreased significantly (both in real dollars 

and as a percentage of the total NIMH budget) at a time when the 

number of Americans over age 65 is increasing. The Committee 

strongly urges the NIMH to reverse that trend. The Committee 

also urges the Director of NIH, through the DCPASI, to examine 

the NIH’s commitment to the treatment of late-life mental disorders and to identify potential areas of collaboration among the 

NIMH, NIA, and NINDS. Finally, the Committee urges the NIMH 

to develop additional outreach programs to stimulate growth in this 

field, both in terms of the number of research grant applications 

in aging as well as the number of researchers focused on aging and 

mental health. 

Postpartum Depression.—The Committee urges the NIMH to develop a research plan for postpartum depression and psychosis; expand basic research on the etiology and causes of postpartum conditions; expand epidemiological studies to address the frequency 

and natural history of postpartum conditions and the differences 

among racial and ethnic groups with respect to such conditions; expand the development of improved screening and diagnostic techniques; and increase clinical research for the development and evaluation of new treatments. 

Preventing Suicide.—The Committee encourages the NIMH to increase the amount of funding it provides to develop practical, 

therapeutic approaches to reducing the burden of suicide, attempted suicide, and their attendant risk factors, by integrating biological, psychotherapeutic, service-based, and preventive interventions. The Committee continues to encourage the NIMH to support 

advanced as well as additional developing centers for the intervention and prevention of suicide, and to ensure that they are well distributed geographically. The Committee also notes that suicide remains the third-leading cause of death among teenagers and that 

depressive disorders continue to be very common in adolescence. 

The Committee therefore strongly encourages NIMH to increase its 

investment in finding ways to better identify the risk factors for 

suicide in adolescents, improving the criteria for identifying those 

at risk, and examining the outcomes of actions taken to assist 

those found to be at risk. 

Tuberous Sclerosis Complex.—The Committee encourages the 

NIMH, working together with the NICHD and NINDS, to support 

research on the pathophysiology of autism spectrum disorder in tuberous sclerosis complex, and other known genetic disorders where 

autism has a significant impact on individuals with the disease. 
116 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2008 ............................................................................. $486,779,000 

Budget estimate, 2009 ........................................................................... 487,878,000 

Committee recommendation ................................................................. 501,411,000 

The Committee recommendation includes $501,411,000 for the 

National Human Genome Research Institute [NHGRI]. The budget 

request is $487,878,000 and the fiscal year 2008 appropriation was 

$486,779,000. 

Gene-environment Interactions.—The NHGRI is encouraged to invest in research on ways that gene expression is influenced by the 

physical and social environment. The Committee encourages the 

NHGRI, on its own and in partnership with other Institutes and 

Centers, to continue its emphasis on the development of real-time 

environmental monitoring technologies and the advancement of 

tools to measure psychosocial stress and its influence on gene expression. 

Spinal Muscular Atrophy.—The Committee continues to support 

the development of a pan-ethnic carrier screening program for 

SMA. The Committee is pleased that the NHGRI and NICHD held 

a conference in February 2008 exploring the complexities of carrier 

screening programs for diseases such as SMA and that the conference included scientific, medical, and advocacy perspectives. The 

Committee encourages the NHGRI, NICHD, and NINDS to collaborate in further exploration of pan-ethnic carrier screening for SMA 

and on the development of specific recommendations and guidelines 

for providers and patients, and to continue working cooperatively 

with professional societies and the advocacy community in these efforts. The Committee requests an update on these activities in the 

fiscal year 2010 congressional budget justifications. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2008 ............................................................................. $298,645,000 

Budget estimate, 2009 ........................................................................... 300,254,000 

Committee recommendation ................................................................. 307,254,000 

The Committee recommends an appropriation of $307,254,000 for 

the National Institute of Biomedical Imaging and Bioengineering 

[NIBIB]. The budget request is $300,254,000 and the fiscal year 

2008 appropriation was $298,645,000. 

Intramural Research.—The NIBIB is urged to use a portion of 

the additional resources provided in the Committee’s recommendation to support a new intramural research laboratory in 

translational radiologic research. 

NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2008 ............................................................................. $1,149,446,000 

Budget estimate, 2009 ........................................................................... 1,160,473,000 

Committee recommendation ................................................................. 1,192,576,000 

The Committee recommends an appropriation of $1,192,576,000 

for the National Center for Research Resources [NCRR]. The budget request is $1,160,473,000 and the fiscal year 2008 appropriation 

was $1,149,446,000. 

The NCRR receives a larger percentage increase under the Committee’s recommendation than other Institutes and Centers be-
117 

cause some of the costs of the Clinical and Translational Science 

Awards [CTSAs] program would shift to the NCRR from the Common Fund. The Committee recommendation includes a total of 

$474,972,000 for the CTSAs in fiscal year 2009, divided as follows: 

$421,748,000 from the NCRR, compared with $376,264,000 in fiscal 

year 2008; and $53,224,000 from the Common Fund, down from 

$83,224,000 in fiscal year 2008. The fiscal year 2008 total for 

CTSAs was $471,916,000. 

Institutional Development Awards [IDeA].—The Committee has 

provided $225,788,000 for the IDeA program authorized by section 

402(g) of the Public Health Service Act. The fiscal year 2008 funding level was $218,153,000, the same as the budget request. The 

Committee recognizes the importance of the Centers of Biomedical 

Research Excellence and the IDeA Networks of Biomedical Research Excellence programs in improving the infrastructure and 

strengthening the biomedical research capacity and capability of 

research institutions within the IDeA States. 

K30 Awards.—The Committee supports the continuation of the 

K30 Clinical Research Curriculum Awards mechanism for those institutions not yet receiving Clinical and Translational Science 

Awards. 

Research Centers at Minority Institutions.—The Committee continues to encourage the NCRR to strengthen participation from minority institutions, especially those with a track record of producing minority scholars in science and technology. 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2008 ............................................................................. $121,577,000 

Budget estimate, 2009 ........................................................................... 121,695,000 

Committee recommendation ................................................................. 125,082,000 

The Committee has included $125,082,000 for the National Center for Complementary and Alternative Medicine [NCCAM]. The 

budget request is $121,695,000 and the fiscal year 2008 appropriation was $121,577,000. 

Behavioral Interventions.—The Committee encourages NCCAM 

to continue exploring the combined effects of behavioral interventions and pharmacotherapies/biologics in the prevention and treatment of debilitating conditions across the lifespan, with research 

that elucidates and enhances the mind-body connections in health. 

Communication Between Patients and Caregivers.—The Committee applauds NCCAM for its work to develop better strategies 

for promoting communication between doctors and their patients 

who use CAM, especially adults over 50. 

NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2008 ............................................................................. $199,569,000 

Budget estimate, 2009 ........................................................................... 199,762,000 

Committee recommendation ................................................................. 205,322,000 

The Committee has included $205,322,000 for the National Center on Minority Health and Health Disparities. The budget request 

is $199,762,000 and the fiscal year 2008 appropriation was 

$199,569,000. 
118 

Adolescents and Suicide.—The Committee strongly encourages 

the NCMHD to expand and strengthen science-based research for 

minority populations at elevated risk for suicide. The Committee 

further urges the Center to issue a report identifying best practices 

for collecting and disseminating data on evidence-based suicide prevention programs for adolescents and young adults with the identified populations. 

Data on Training.—The Committee endorses the recommendations put forward in the National Academy of Sciences’ 2005 report 

on NIH minority research training programs, and it urges the 

NCMHD to collaborate with all Institutes and Centers to develop 

a coordinated response and to produce an integrated NIH-wide 

trainee data tracking system. The Committee further urges the 

Center to engage trainees actively in the data tracking process to 

document outcomes such as funding awards for trainees or fellows, 

including those programs that are targeted to underrepresented 

minorities. 

Glomerular Disease.—The Committee continues to urge the 

NCMHD to collaborate with the NIDDK on glomerular disease, a 

group of diseases that is more prevalent among African Americans 

than in the general population. 

Project Export.—The Committee urges continued support for this 

important program. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2008 ............................................................................. $66,558,000 

Budget estimate, 2009 ........................................................................... 66,623,000 

Committee recommendation ................................................................. 68,476,000 

The Committee recommends an appropriation of $68,476,000 for 

the Fogarty International Center [FIC]. The budget request is 

$66,623,000 and the fiscal year 2008 appropriation was 

$66,558,000. 

Drug-resistant Tuberculosis.—The Committee notes with concern 

the development of drug-resistant tuberculosis in middle- and lowincome countries. The Committee urges the FIC to continue and 

expand its support of tuberculosis training through the AIDS International Training and Research Program. 

Research Training and Workforce Capacity.—The Committee recognizes that long-term sustainability is critical to U.S.-supported 

global health initiatives, such as those that target HIV/AIDS, malaria, and neglected diseases. Therefore, the Committee strongly 

supports the FIC’s efforts to strengthen in-country research 

workforces, which help to ensure that programs are continuously 

improved and adapted to local conditions, and that the impact of 

U.S. investments is maximized. 

HIV Prevention Trials.—The Committee encourages the FIC to 

continue, and initiate where necessary, programs to strengthen the 

capacity of developing country partners to ensure that HIV prevention research has appropriate resources to conduct research that is 

ethically sound and that site-level researchers, staff, and sponsors 

appropriately engage local communities and other civil society 

stakeholders. 
119 

NATIONAL LIBRARY OF MEDICINE

Appropriations, 2008 ............................................................................. $320,507,000 

Budget estimate, 2009 ........................................................................... 323,046,000 

Committee recommendation ................................................................. 329,996,000 

The Committee recommends an appropriation of $329,996,000 for 

the National Library of Medicine [NLM]. The budget request is 

$323,046,000 and the fiscal year 2008 appropriation was 

$320,507,000. These amounts include $8,200,000 made available 

from program evaluation funds. 

Communication of Research Findings.—The Committee is 

pleased that NLM has followed through on its commitment to expand the distribution of NIH MedlinePlus magazine. The Committee strongly urges the NLM to put a high priority on supplying 

all physician offices with this valuable resource. 

Disaster Information Management.—The Committee supports the 

plan to establish a Disaster Information Management Resources 

Research Center, which will lead Federal efforts to identify and implement best practices for maintaining access to health information 

during disasters, develop innovative products and services to serve 

emergency responders and preparedness activities, and conduct research to support disaster health information management. The 

Center should also collaborate with other Federal agencies, local 

communities and public health officials in efforts to prevent, respond to, and reduce the adverse health effects of disasters. 

Drug-induced Liver Disease.—The Committee urges a redoubled 

effort to create an accessible and user-friendly website on drug-induced liver disease. 

Native Hawaiian Healthcare Resources.—The Committee continues to encourage the NLM to work with Native Hawaiian organizations to provide health information and health resources for 

this population. 

NLM Outreach Programs.—The Committee continues to recognize the role of NLM’s outreach activities focused on providing scientific information to health care professionals and health care information to consumers. 

OFFICE OF THE DIRECTOR

Appropriations, 2008 ............................................................................. $1,109,099,000 

Budget estimate, 2009 ........................................................................... 1,056,797,000 

Committee recommendation ................................................................. 1,275,281,000 

The Committee recommends an appropriation of $1,275,281,000 

for the Office of the Director [OD]. The budget request is 

$1,056,797,000 and the fiscal year 2008 appropriation was 

$1,109,099,000. 

The Committee has included bill language specifying the amount 

for the Common Fund as $568,119,000. The comparable amount for 

fiscal year 2008 was $495,608,000, and the budget request is 

$533,877,000. 

Conflict of Interest.—The Committee greatly appreciates the Director’s efforts to produce a stronger policy for its employees regarding conflicts of interest and financial disclosure. This was an 

arduous task but worth the effort, as it served to reassure the public and Congress that NIH employees are meeting high standards 
120 

of conduct. However, the Committee notes that the vast majority 

of NIH funding is awarded extramurally, to non-Federal employees 

and institutions. Troubling allegations that some NIH-funded investigators have flaunted their universities’ conflict-of-interest 

rules have recently come to light, and it seems clear that the NIH 

currently has no ability to monitor or prevent such abuses. Moreover, up to this point the NIH leadership has not demonstrated 

much interest in dealing with the issue. That must change. The 

Committee believes that the Director has no higher priority in the 

coming year than to address this situation and fix it. 

Data Security.—The Committee was disappointed by the widely 

publicized reports this spring that an NIH employee had failed to 

encrypt sensitive patient data on a laptop computer which was stolen from his car, placing 2,500 people at risk of identity theft. 

While the incident served as an important reminder that all employees must comply with the Government’s data-security policy, 

the handling of the incident by NIH officials, who delayed notification to the affected patients by almost a month, raised equally disturbing questions. The Committee expects to be updated on the 

NIH’s efforts to institute stricter compliance of the security policy 

as well as clearer procedures for notifying patients immediately 

when their personal information is at risk of being compromised. 

High-risk/High-reward Research.—The Committee notes that 

flat budgets sometimes make review panels overly conservative 

when judging grant applications. The Committee therefore applauds the NIH for creating sources of funding that are dedicated 

specifically to research that is relatively risky but could lead to significant advances. One such program is the Director’s Pioneer 

Awards, for which the Committee provides $45,000,000, an increase of $9,000,000 over the fiscal year 2008 level. This program 

makes awards to investigators with a history of doing innovative 

research. The Committee also includes up to $50,000,000 for Transformative Research Project Grants, a new program that will provide grants for potentially transformative investigator-initiated 

projects, and $108,027,000, an increase of $51,853,000 over the fiscal year 2008 level, for New Innovator Awards, which are directed 

to young investigators. 

New and Early-stage Investigators.—The Committee encourages 

the NIH to continue its commitment to maintaining the pipeline of 

new and early-stage investigators, who tend to fare more poorly 

during tight financial times than their veteran counterparts. 

Through programs such as the NIH Director’s New Innovator 

Awards, the NIH Director’s Bridge Awards, and the Pathway to 

Independence Awards, as well as individual programs undertaken 

by the Institutes and Centers, the NIH has made significant investments to attract and support the researchers of the future. The 

Committee was pleased to note that in fiscal year 2007, the NIH 

set a policy to support its 5-year historical average of first-time and 

early-stage investigators at about 1,500, and that the NIH exceeded this target. The Committee encourages the NIH to continue 

these efforts, and to seek to support 1,750 new investigators in fiscal year 2009. 
121 

Office of Behavioral and Social Sciences Research [OBSSR] 

Basic Research.—The Committee urges the OBSSR to continue to 

build collaborations with Institutes and Centers in support of basic 

behavioral and social science research, including Roadmap proposals and workshops. As the OBSSR has no grant-making authority, the Committee continues to urge focused scientific leadership 

for basic behavioral and social science research in an Institute that 

does have such authority. The Committee is pleased, meanwhile, 

that the OBSSR continues to provide leadership in support of this 

effort by coordinating targeted efforts among institutes. 

Health Disparities.—The Committee encourages the OBSSR to 

maintain its important role in spurring new, innovative behavioral 

research on health disparities by coordinating work among several 

Institutes and Centers. 

Office of Rare Diseases [ORD] 

Mucopolysaccharidosis [MPS].—The Committee commends the 

ORD for its collaboration with the NINDS and NIDDK in support 

of the scientific meeting ‘‘Towards Clinical Progress in the 

Mucopolysaccharidoses.’’ The Committee also acknowledges the 

ORD’s helpful role in coordinating research and providing information to patient advocates. 

Rare Disease Specimens.—The Committee understands that obtaining human tissues for rare diseases has been a major barrier 

in expanding research aimed at treating and curing these diseases. 

The Committee applauds the ORD and NCRR for supporting nonprofit efforts to procure rare disease specimens. 

Office of Research on Women’s Health [ORWH] 

Chronic Fatigue Syndrome [CFS].—The Committee urges the 

ORWH to convene the annual meeting of investigators funded 

under the fiscal year 2007 CFS neuroimmune research initiative to 

stimulate new research initiatives and build multicenter collaborations. The Committee again urges the NIH to establish an intramural CFS research program with relevant areas of scientific expertise to study disease pathophysiology, identify biomarkers, objective diagnostic tools and better therapeutic approaches. The 

Committee also continues to expect that the disease and research 

category reporting system being developed by the NIH will yield 

more accurate data on CFS funding. Finally, the Committee urges 

the NIH to ensure that study sections responsible for reviewing 

grants on CFS include experts who are qualified in the appropriate 

disciplines. 

Irritable Bowel Syndrome [IBS].—The Committee continues to 

welcome the ORWH’s focus on IBS. 

Stroke in Women.—The Committee continues to urge additional 

research in stroke among women of all ages, with specific attention 

to gender-related differences in stroke risk, and to prevention interventions, acute stroke management, post-stroke recovery, long-term 

outcomes, and quality of care. As an example, the Committee encourages research to determine the biologic basis, including studies 

of genetic susceptibility factors, as to why migraine with aura is a 

risk factor for stroke, particularly among young women. The Committee also supports the NIH’s initiatives toward advancing the or-
122 

ganization of stroke care in women, including post-stroke rehabilitation, and the identification of stroke treatment and research centers that would provide rapid, early continuous 24-hour treatment 

to stroke victims. 

Vulvodynia.—The Committee commends the ORWH for working 

with patient and professional groups, relevant ICs and women’s 

health offices in HHS agencies to plan an educational outreach 

campaign on vulvodynia, launched in October 2007. The Committee 

calls upon the Director to allocate sufficient resources to this effort 

to ensure that the developed materials can be more widely disseminated to the public, patient and medical communities. In addition, 

since nearly 5 years have passed since the last NIH conference on 

vulvodynia, the Committee requests that ORWH convene, with the 

support of relevant ICs, a consensus conference on vulvodynia in 

fiscal year 2009, with specific emphasis on co-morbidities. The 

Committee notes the lack of appropriate experts in vulvodynia and 

related chronic pain and female reproductive system conditions on 

peer-review panels and again encourages the Director to work with 

the Center for Scientific Review and ICs to ensure their adequate 

representation. Finally, the Committee asks the NIH to include 

vulvodynia on its online ‘‘Estimates of Funding for Various Diseases, Conditions, Research Areas’’ table. 

Multi-Institute Research Initiatives 

Autism.—The Committee is encouraged by the NIH’s stated increases in autism spending and urges more research that is directly related to autism. Further, the Committee strongly urges 

NIH to fund research priorities outlined in the Strategic Plan for 

ASD Research that is being developed by the Inter-Agency Autism 

Coordinating Committee. The Committee also requests the NIH to 

report by July 2009 on the actions it has taken to implement the 

recommendations of the Strategic Plan for ASD research and the 

research-specific portions of the Combating Autism Act. 

Bridging the Sciences.—The Committee continues to support the 

‘‘Bridging the Sciences’’ demonstration program and requests a report on its implementation by July 30, 2009. 

Computer Science and Robotics Research.—The Committee recognizes that research in the fields of computer science and robotics 

has demonstrated significant benefits in advancing the study and 

application of medicine and health care. The Committee urges the 

Director to investigate and broaden the currently defined categories 

of computer science and robotics research, and increase funding in 

this area. 

Duchenne and Becker Muscular Dystrophy [DBMD].—The Committee is encouraged by the progress made in the area of DBMD, 

particularly through support of the six Wellstone MD centers of excellence and advancement of a conference focusing on translational 

research opportunities. The Committee urges the NIH to continue 

to provide sufficient funding through the NINDS, NIAMS, and 

NICHD to advance the work of the centers, encourage greater collaboration and resource sharing between centers, and to further additional DBMD research opportunities. The Committee is pleased 

that the Muscular Dystrophy Coordinating Committee now includes the Director of NHLBI, and supports the increased research 
123 

emphasis on cardiopulmonary complications associated with muscular dystrophy and enhanced collaboration with other NIH institutes. 

Epilepsy.—The Committee recognizes the NINDS as the primary 

Institute for epilepsy research and strongly encourages the coordination of research efforts with the NICHD, NIMH and NIA. Although epilepsy often begins in childhood, the number of affected 

senior citizens is growing at a rapid pace. This is partly due to the 

effects of age-related illness. As such, broad research in epilepsy 

must be made a priority, with special emphasis on the developmental effects of epilepsy, seizure prevention, improved therapies, 

and treatment. The Committee urges the Director of NIH to intensify coordination of cross-cutting research on epilepsy in all Institutes as appropriate and be prepared to provide a report during the 

fiscal year 2010 budget hearings. 

Food Allergies.—In addition to the recommendations under the 

NIAID section of this report, the Committee encourages the 

NIDDK to explore the linkage between digestion and severe food 

allergies. The Committee also encourages the NIEHS to continue 

funding research in conjunction with the NIAID on the relationship 

between environmental conditions and severe food allergies. 

Fragile X.—The Committee commends the Director for establishing the NIH Fragile X Research Coordinating Group and 

strongly urges his office to ensure that appropriate resources are 

provided to implement the objectives outlined in the Fragile X Research Plan that is being developed. As for individual Institutes, 

the Committee encourages the NIMH to enhance its critical Fragile 

X translational research efforts by joining with the NICHD and 

NINDS to develop cooperative research support mechanisms for 

controlled studies of existing and new pharmacological treatments 

for Fragile X and identification of the key molecular targets that 

are likely candidates for designing drug treatments for Fragile X 

and related disorders such as autism. The Committee endorses accelerated funding for basic and translational Fragile X research, including Fragile X tremor ataxia syndrome [FXTAS], and efforts to 

analyze the linkages among Fragile X syndrome, autism, and autism spectrum disorders. Regarding other Institutes, the Committee urges the NIDDK to expand its research activities on Fragile X, given that Fragile X symptoms often include digestive difficulties, and some affected individuals also show hyperphagia and 

obesity. The NHGRI is urged to contribute to efforts to expand 

newborn screening to include Fragile X, and to understand the ethical and psychosocial implications of detection of children and 

young women who are found to be carriers of FMRP premutations 

and full mutations. The Committee urges the NICHD to include 

the collection of genetic and DNA data on women who are relatives 

of people living with Fragile X in the development of a National 

Fragile X Patient Registry, to ensure that a comprehensive research strategy on FXPOI as it relates to the FMR1 gene be included in the NIH’s Fragile X Research Blueprint, and to continue 

to prioritize Fragile X as a key prototype in the development of 

cost-effective newborn screening programs. In addition, the Fogarty 

International Center is encouraged to continue to identify and promote opportunities for furthering Fragile X basic and translational 
124 

research efforts, including the establishment of public/private partnerships that will increase the number of international Fragile X 

research projects and collaborations. The Committee commends the 

NIH for supporting a scientific session on Fragile X, and it requests 

a report on progress made in implementing the recommendations 

of that session, as well as the Fragile X Research Blueprint, by 

September 1, 2009. 

Gene Therapy.—The Committee is aware of the extensive and 

growing body of research indicating that gene therapy may be useful in developing treatments or cures for a wide range of problems, 

such as lung disease, retina-causing blindness, cancer, cystic fibrosis, and cardiovascular diseases. Nevertheless, clinical gene therapy protocols seem to be lagging in the United States, especially 

when compared to Europe. The Committee commends the NIDDK 

for its recent meeting aimed at delving into this issue and identifying challenges to gene therapy clinical trials and how these barriers could be overcome. The NIH is urged to address those challenges either through organizational improvements and inter-Institute collaboration, realigned funding streams, or other mechanisms 

aimed at unlocking the promise of gene therapy. 

Human Tissue Supply.—The Committee remains interested in 

matching the increased needs of NIH grantees who rely upon 

human tissues and organs to study human diseases and search for 

cures. The Committee encourages the Director to increase support 

for nonprofit organizations that supply human tissues to NIH-funded researchers. 

Hydrocephalus.—The Committee urges the Director to establish 

a working group to intensify research efforts into the epidemiology, 

pathophysiology, disease burden and treatment of hydrocephalus, 

and to ensure collaboration among relevant Institutes. The Committee requests an update on the progress of such collaborative efforts in the fiscal year 2010 budget justifications, as well as projected spending on hydrocephalus research. 

Inherited Diseases of Bone.—The Committee urges the NIH to expand genetics research on diseases such as osteogenesis imperfecta, 

fibrous dysplasia, osteopetrosis, and Paget’s disease. The Committee encourages the NIAMS, NIA and other Institutes to issue 

program announcements on the interaction of environmental and 

genetic factors in Paget’s disease and for a study of the current 

prevalence of Paget’s disease. Furthermore, the Committee urges 

the NIH to expand research on skeletal stem cell biology and the 

genetics and pathophysiology of rare bone disorders such as fibrous 

dysplasia, melhoreostosis, XLinked hypophosphatemic rickets and 

fibrodysplasia ossificans progressiva. 

Limb-sparing Techniques.—The Committee is aware that the 

wars in Iraq and Afghanistan are producing a new type of patient—a war fighter with multiple and severely mangled extremities. Therefore, there is a profound need for targeted medical research to help military surgeons find new limb-sparing techniques 

to save injured extremities, avoid amputations, and preserve and 

restore the function of injured extremities. The Committee urges 

the Director of NIH to make this issue a trans-NIH priority and 

to use the considerable expertise of all of the Institutes to fund re-
125 

search that will provide military surgeons with the tools to save severely injured limbs. 

Lupus Research Plan.—In response to this Committee’s request 

for a 5-year trans-Institute research plan on lupus, NIH last year 

developed and published ‘‘The Future Directions of Lupus.’’ The 

Committee requests an update in the fiscal year 2010 congressional 

budget justifications. 

Lymphatic Research and Lymphatic Disease.—The Committee 

strongly urges the Director to foster lymphatic research initiatives 

and awareness across all relevant ICs, including but not limited to: 

NHLBI, NCRR, NIBIB, NCI, NIDDK, NIAMS, NIAID, NICHD, 

NIA, and NHGRI. The Committee commends the NHLBI for taking 

a leadership role in the Trans-NIH Coordinating Committee and 

for engaging consultative expertise pursuant to the Intergovernmental Personnel Act. The Committee encourages appointment of 

additional leadership from other ICs (e.g., co-chairs). As the last report by the Trans-NIH Coordinating Committee was in April 2003, 

the Committee requests a comprehensive update by March 1, 2009, 

setting forth short- and long-term strategic plans to advance research of the lymphatic system and lymphatic diseases, and specifically addressing the Trans-NIH Working Group 2008 Recommendations. The Committee again urges that ICs specifically cite lymphatic system research in related funding mechanism requests 

where a lymphatic research component is appropriate. 

Metabolic Diseases and Bone.—The Committee urges the NIH to 

support research in the emerging field of metabolic diseases and 

bone. The increase in childhood obesity and its negative consequences on bone represents a significant health threat. New research indicates connections between diabetes and neural diseases 

and bone that were previously not suspected and merit further research. Therapies are required for secondary osteoporosis in children such as calcium supplementation and physical activity. The 

Committee also encourages more research on the beneficial and/or 

adverse effects of bone therapies such as bisphosphonates in children and adults with many chronic diseases. 

Native Hawaiians.—The Committee remains concerned about the 

high incidence of certain diseases among Native Hawaiians. In particular, it strongly urges additional research concerning these disparities in the areas of cancer, heart disease, cerebrovascular disease and diabetes. 

Neurofibromatosis [NF].—NF is an important research area for 

multiple NIH Institutes. Recognizing NF’s connection to many of 

the most common forms of cancer, the Committee encourages the 

NCI to substantially increase its NF research portfolio in pre-clinical and clinical trials. The Committee also encourages the NCI to 

support NF centers, virtual centers, SPORE programs, pre-clinical 

mouse consortiums, patient databases, and tissue banks, and to 

work together with other NIH Institutes and Government agencies 

in doing so. The Committee also urges additional focus from the 

NHLBI, given NF’s involvement with hypertension and congenital 

heart disease. The Committee encourages the NINDS to continue 

to aggressively explore NF’s implications for disorders such as autism, spinal cord injury, learning disabilities and memory loss. In 

addition, the Committee continues to encourage the NICHD to ex-
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pand funding for NF patients in the area of learning disabilities, 

including the creation of NF centers. NF2 accounts for approximately 5 percent of genetic forms of deafness; the Committee therefore encourages the NIDCD to expand its NF2 research portfolio. 

Opsoclonus-myoclonus Syndrome [OMS].—The Committee urges 

the Director to accelerate research on OMS and related 

paraneoplastic syndromes. Because the causes and symptoms of 

OMS cross scientific boundaries, research efforts should involve the 

Office of Rare Disorders, NINDS, NCI, NIAID and NEI, as well as 

private associations and nonprofit organizations. 

Pain Research.—Pain, shortness of breath, and nausea are the 

most common physical symptoms in all serious illnesses. The Committee urges the NIH to devise a strategy that will increase the 

funding devoted to basic and clinical research in pain, shortness of 

breath, and nausea. In addition, the Committee requests an update 

on the Pain Progress Review Group in the fiscal year 2010 congressional budget justifications. 

Primary Immunodeficiency [PI] Diseases.—The Committee 

strongly supports plans for a public-private partnership among the 

NICHD, NIAID, NHLBI, and NIDDK, and a private foundation 

that would fund a network of diagnostic and research centers conducting research on PI diseases. 

Psoriasis.—The Committee strongly encourages the NIAMS and 

NIAID to undertake and expand basic research related to understanding the genetics and immunology of psoriasis, including how 

genetic variation gives rise to differences in treatment responses 

and mechanisms that link skin and joint inflammation. The Committee encourages the NIMH to conduct research to identify any 

underlying biologic reason for mental health issues associated with 

psoriasis and to understand how negative social and psychological 

effects impact psoriasis. The Committee encourages the NIEHS to 

study these associations to better understand psoriasis and psoriatic arthritis in order to treat and prevent these diseases. 

Sex Differences.—For many disorders, the sex of the patient influences disease etiology, natural history, diagnosis and treatment 

alternatives and outcomes. One of the fields where such differences 

are most pronounced is neuroscience. The Committee encourages 

each of the 15 institutes involved in the NIH Neuroscience Blueprint to carefully analyze their Blueprint research portfolio to ensure sex is included as a variable, when appropriate, and to require 

that all reported results include sex-specific analysis. 

Spina Bifida.—The Committee encourages the NIDDK, NICHD, 

and NINDS to study the causes and care of the neurogenic bladder 

in order to improve the quality of life of children and adults with 

spina bifida; to support research to address issues related to the 

prevention and treatment of spina bifida and associated secondary 

conditions such as hydrocephalus; and to invest in understanding 

the myriad co-morbid conditions experienced by children with spina 

bifida, including those associated with both paralysis and developmental delay. 

Spinal Muscular Atrophy [SMA].—Given the near-term scientific 

opportunity for an effective treatment, the Committee urges the Director to expeditiously establish a trans-NIH working group on 

SMA to include the NINDS, NICHD, NIAMS and NIGMS, as well 
127 

as other relevant Institutes, to ensure direct and ongoing support 

of SMA research and drug development, including the establishment of a clinical trials network for SMA that will be needed to 

support each stage of drug development. With respect to the work 

of individual Institutes, the Committee notes that the NICHD has 

supported several new projects on SMA in 2007 but that collectively these efforts fall short of what is needed and that previously 

funded efforts have lapsed. The Committee urges the NICHD to 

support large-scale pilot studies that support the development of a 

national newborn screening program for SMA. The NINDS is 

strongly encouraged to plan and budget for each of the successive 

stages of the SMA Project, including for preclinical testing of multiple compounds and the necessary clinical trials infrastructure on 

a national and coordinated level and to begin a multicenter trial 

with leading drug candidates. Finally, the Committee urges the 

NIAMS to take an active role in research that would provide a better understanding of the effects of SMA-linked mutations on muscle as well as research that could provide therapeutic benefit 

through actions on muscle. 

Toxicity Testing of Chemicals.—The Committee applauds the 

memorandum of understanding between the NIH and the EPA titled ‘‘High Throughput Screening, Toxicity Pathway Profiling and 

Biological Interpretation of Findings,’’ and it encourages the NIH 

to provide funding to implement the goals under its jurisdiction. 

Tuberous Sclerosis Complex [TSC].—The Committee encourages 

the Office of the Director to continue to support the Trans-NIH Tuberous Sclerosis Complex Coordinating Committee, with particular 

emphasis on research on the link between TSC and autism spectrum disorder, as well as between common disorders (cancer, diabetes, aging, arthritis and obesity) and rare diseases (Peutz-Jegher 

syndrome, Cowden’s disease, Proteus syndrome and 

lymphangioleiomyomatosis) that share a link to the mTOR signaling pathway in cells throughout the human body. 

OFFICE OF AIDS RESEARCH

The Office of AIDS Research [OAR] coordinates the scientific, 

budgetary, legislative, and policy elements of the NIH AIDS research program. The Committee recommendation does not include 

a direct appropriation for the OAR. Instead, funding for AIDS research is included within the appropriation for each Institute, Center, and Division of the NIH. The recommendation also includes a 

general provision which directs that the funding for AIDS research, 

as determined by the Director of the National Institutes of Health 

and the OAR, be allocated directly to the OAR for distribution to 

the Institutes consistent with the AIDS research plan. The recommendation also includes a general provision permitting the Director of the NIH and the OAR to shift up to 3 percent of AIDS 

research funding among Institutes and Centers throughout the 

year if needs change or unanticipated opportunities arise. The 

Committee requests that the Director provide notification to the 

Committee in the event the Directors exercise the 3 percent transfer authority. 

The Committee includes bill language permitting the OAR to use 

up to $8,000,000 for construction or renovation of National Primate 
128 

Research Centers. This is an increase of $4,000,000 over the fiscal 

year 2008 level. The budget request does not include any funding 

for this purpose. The Committee believes the need for such centers 

is especially critical because of recent disappointments associated 

with the development of an HIV/AIDS vaccine, which have led to 

a consensus among scientists that vaccine and prevention research 

efforts should be redirected to basic research and development. 

This will require increased usage of non-human primates. The 

Committee recommendation will support the OAR’s efforts to expand breeding colonies of the NPRCs and to expand and improve 

the centers’ laboratory facilities. 

BUILDINGS AND FACILITIES

Appropriations, 2008 ............................................................................. $118,966,000 

Budget estimate, 2009 ........................................................................... 125,581,000 

Committee recommendation ................................................................. 146,581,000 

The Committee recommends an appropriation of $146,581,000 for 

buildings and facilities [B&F]. The budget request is $125,581,000 

and the fiscal year 2008 appropriation was $118,966,000. 

The Committee has included a provision to clarify that funds appropriated to the Institutes and Centers may be used for improvements (renovation/alterations) and repairs provided that (1) the 

funds are not already included in the buildings and facilities appropriation, (2) the improvements and repairs funded are principally 

for the benefit of the program from which the funds are drawn, and 

(3) such activities are conducted under and subject to the administrative policies and procedures of the NIH Office of the Director. 

The Committee has included a limitation on the size of projects to 

be funded directly by the Institutes and Centers. 

Renovation of Building 3.—The Committee strongly urges the 

NIH to use a portion of the recommended increase to renovate 

Building 3 on the Bethesda campus. This building has been decommissioned and is currently vacant. The renovation and restoration 

to productive use of this building will allow the NIH to provide 

space for administrative support of the scientific research portfolio. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Appropriations, 2008 ............................................................................. $3,356,329,000 

Budget estimate, 2009 ........................................................................... 3,158,148,000 

Committee recommendation ................................................................. 3,388,636,000 

The Committee recommends $3,388,636,000 for the Substance 

Abuse and Mental Health Services Administration [SAMHSA] for 

fiscal year 2009. The comparable fiscal year 2008 level is 

$3,356,329,000 and the administration request is $3,158,148,000. 

The recommendation includes $128,989,000 in transfers available 

under section 241 of the Public Health Service Act. SAMHSA is responsible for supporting mental health programs and alcohol and 

other drug abuse prevention and treatment services throughout the 

country, primarily through categorical grants and block grants to 

States. 

The Committee has provided funding for programs of regional 

and national significance under each of the three SAMHSA centers: 

mental health services, substance abuse treatment, and substance 
129 

abuse prevention. Separate funding is available for the children’s 

mental health services program, projects for assistance in transition from homelessness, the protection and advocacy program, data 

collection activities undertaken by the Office of Applied Studies 

and the two block grant programs: the community mental health 

services block grant and the substance abuse prevention and treatment block grant. 

The Committee is disappointed that the administration has 

again submitted a budget request for SAMHSA that eliminates key 

programs that provide services and supports to those suffering 

from, or at risk of developing, mental health and substance abuse 

disorders. The administration’s budget reflects a reduction of almost $200,000,000—or 6 percent—in SAMHSA’s overall funding 

level. Specifically, mental health programs within the projects of 

regional and national significance activity have been reduced by 48 

percent in the President’s budget. 

The Committee notes that mental disorders are the leading cause 

of disability in the United States and Canada for those between the 

ages of 15 and 44 and that frequently, these disorders start early 

in childhood. Research has shown that early mental health issues 

often are precursors to substance abuse, school failure, risky behavior, and criminal activity. Instead of cutting mental health funding, 

our Nation should be making the same investments in prevention 

and promotion programs for mental health as it does for physical 

health. The Committee believes that given the prevalence of these 

disorders, taking a public health approach to preventing mental 

and behavioral problems should be a major priority. For this reason 

the Committee has prioritized funding for those programs which 

promote mental health and intervene early to address emerging 

mental health and substance abuse problems. The Committee has 

provided increases and restored proposed cuts to youth violence 

prevention, child traumatic stress activities, family treatment, 

early mental health promotion, strategic prevention framework 

grants and underage drinking prevention. 

The Committee is aware that the National Academy of Sciences 

is reviewing key advances in research relating to the prevention of 

mental health and substance abuse disorders among children, adolescents, and adults. The Committee looks forward to the release 

of the study, which will recommend priorities for future policies 

and strategies. The administration is encouraged to incorporate 

these recommendations into SAMHSA’s fiscal year 2010 budget request. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2008 ............................................................................. $910,506,000 

Budget estimate, 2009 ........................................................................... 784,266,000 

Committee recommendation ................................................................. 930,383,000 

The Committee recommends $930,383,000 for mental health 

services. The comparable level for fiscal year 2008 is $910,506,000 

and the administration request is $784,266,000. The recommendation includes $21,039,000 in transfers available under section 241 

of the Public Health Service Act. Included in the recommendation 

is funding for programs of regional and national significance, the 

mental health performance partnership block grant to the States, 
130 

children’s mental health services, projects for assistance in transition from homelessness, and protection and advocacy services for 

individuals with mental illnesses. 

PROGRAMS OF REGIONAL AND NATIONAL SIGNIFICANCE

The Committee recommends $311,782,000 for programs of regional and national significance. The comparable level for fiscal 

year 2008 is $299,279,000 and the administration request is 

$155,319,000. Programs of regional and national significance 

[PRNS] address priority mental health needs through developing 

and applying best practices, offering training and technical assistance, providing targeted capacity expansion grants, and changing 

the delivery system through family, client-oriented and consumerrun activities. 

As part of taking a public health approach to mental health pro- motion and prevention, the Committee recommends $20,369,000 for 

the Project Launch program. This is an increase of $13,000,000 

over last year’s level. The administration proposed to eliminate this 

program, which promotes the emotional, physical and emotional 

wellness of young children from birth to 8 years of age. Grantees 

must create an integrated early childhood system that includes 

physical, mental and behavioral health, as well as education, substance abuse and social service components. The Committee urges 

SAMHSA to continue collaboration with HRSA and CDC on this 

program. 

The Committee is pleased with SAMSHA’s collaboration with the 

Administration for Children and Families [ACF], especially with regard to that agency’s home visitation initiative. The Committee 

strongly urges SAMHSA to explore further areas of collaboration 

that will strengthen families and promote child well-being. One 

possible area of collaboration is ACF’s Child and Family Services 

Reviews under the child welfare program. 

The Committee reiterates its strong support for the National 

Child Traumatic Stress Initiative [NCTSI]. Within the total for 

PRNS, the Committee provides $38,000,000 under section 582 of 

the Public Health Service Act to support grants through the 

NCTSI. The funding level represents an increase of $4,908,000 over 

the comparable level for fiscal year 2008. The administration proposed $15,668,000 for this program. The Committee notes that 

childhood trauma—such as exposure to violence, loss of a parent, 

and physical, sexual or emotional abuse—is associated with many 

other child, adolescent and adult health conditions. Scientific research shows that early trauma is linked to increased risk of mental health issues such depression, bipolar disorder, substance 

abuse, as well as physical ailments such heart disease, chronic lung 

disease and HIV/AIDS. The Committee believes that providing 

early intervention and treatment services, as well as promoting resiliency, for children exposed to trauma must be a high priority. 

With respect to NCTSI grants, the Committee strongly urges 

SAMHSA to give preference to applicants with prior experience in 

the NCTSN, as well as extensive experience in the field of traumarelated mental disorders in children, youth, and families, especially 

in the areas of child abuse (physical, sexual, and neglect), and residential treatment settings. In soliciting grant applications, 
131 

SAMHSA should also pay special attention to the role of resiliency 

in recovery from trauma. 

The Committee remains deeply concerned that suicide is the 

third leading case of death for young Americans aged 10 to 24. The 

Committee recommendation includes $40,000,000 for youth suicide 

prevention activities, including $30,000,000 for grants to States 

and tribes to develop prevention and early intervention programs, 

$5,000,000 for campus-based programs that address youth suicide 

prevention and $5,000,000 for the suicide prevention resource center. 

The Committee intends that no less than last year’s level of 

funding be used for preventing youth violence. This initiative includes the Safe Schools/Healthy Students interdepartmental program. The administration proposed cutting this initiative by 

$17,292,000. The Committee believes that enhanced school and 

community-based services can strengthen healthy child development, thus reducing violent behavior and substance use. The Committee recommendation provides $2,531,000 to continue 

and expand funding for the consumer statewide network grants. 

The administration proposed eliminating this program. The Committee recommendation will allow this network to expand to 12 

new States, allowing more consumers to have a voice in the development of local mental health services. The Committee also provides funding at last year’s level for the national technical assistance centers run by consumers and consumer-supporters. 

The Committee recommendation includes sufficient funding to 

continue the minority fellowship program, which as been instrumental in addressing the shortage of mental health services for racial and ethnic minorities. The administration did not request 

funding for this activity. 

The Committee has not provided funding for the adolescents at 

risk program. The Committee agrees with the administration that 

this activity is no longer necessary, as SAMHSA is conducting a 

cross-site evaluation of grantees providing school-based suicide prevention services. 

The Committee has not included funding for mental health drug 

courts or mental health targeted expansion grants, as proposed by 

the administration. 

Disaster Mental Health.—The Committee recognizes the significant impact that natural and human-made disasters can have on 

mental and behavioral health. The Committee encourages the 

Emergency Mental Health and Traumatic Stress Services Branch 

to continue its collaboration with the Federal Emergency Management Agency [FEMA] in order to increase attention to the mental 

and behavioral health needs of vulnerable populations during and 

in the aftermath of a disaster. 

Foster Youth.—The Committee is concerned that there is no dedicated funding within SAMHSA to address the needs of foster youth 

and older children who are adopted. This is particularly alarming, 

given that foster youth suffer depression, panic disorders, post 

traumatic stress disorder and substance abuse at disproportionately high rates. While these population are served by existing programs, the Committee believes a special focus is needed to accurately recognize and address the unique needs of these youth. 
132 

Mental Health of Older Adults.—The Committee recognizes that 

older adults are among the fastest growing subgroups of the U.S. 

population. Approximately 20–25 percent of older adults have a 

mental or behavioral health problem. The Committee encourages 

increased support for communities to assist in building a solid 

foundation for delivering and sustaining effective mental health 

outreach, treatment and prevention services for older adults at risk 

for a mental disorder. 

Primary Care.—The Committee is deeply concerned about recent 

reports that people with serious mental disorders served in the 

public mental health system die, on average, 25 years sooner than 

other Americans. The Committee strongly urges SAMHSA to explore ways to integrate primary care and specialty medical services 

in Community Mental Health Centers and other community-based 

behavioral health agencies. 

Teenage Depression and Suicide.—According to the Centers for 

Disease Control and Prevention, rates of suicide among adolescents 

and young adults in the United States have continued to rise since 

2003. The Committee is deeply concerned by this disturbing trend 

and urges SAMHSA to strengthen its support of local efforts to implement mental health screening and suicide prevention programs. 

The Committee further urges SAMHSA to support evaluations or 

studies to determine how these practices can be best implemented 

at the community level, and to work with the private sector to develop methods to integrate mental health screening, assessment, 

prevention and education efforts into educational and medical settings. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation 

2–1–1 Maine, Inc., Portland, ME, for a 2–1–1 telephone number enabling access to health and social 

services in the community .......................................................................................................................... $200,000 

Children’s Health Fund, New York, NY, for support services for the Mississippi Gulf Coast Children’s 

Health Project, Gulfport, MS ........................................................................................................................ 250,000 

City of San Diego, San Diego, CA, to address the risks of homelessness, violence and drug abuse 

among returning veterans ........................................................................................................................... 100,000 

Highline-West Seattle Mental Health, Seattle, WA, for mental health programs ........................................... 450,000 

Jewish Family Service of MetroWest, Florham Park, NJ, for the Mental Health Intervention and Homelessness Prevention Project ............................................................................................................................... 200,000 

Marion County, Salem, OR, for mental health treatment programs ............................................................... 150,000 

Midwest Rural Telemedicine Consortium, Des Moines, IA, for the Mental Health Outreach Initiative .......... 500,000 

One Sky Center, Portland, OR, for substance abuse and mental health programs ...................................... 200,000 

Roberta’s House, Baltimore, MD, for mental health services for children and families ............................... 300,000 

Rosebud Sioux Tribe, Rosebud, SD, for suicide prevention services .............................................................. 200,000 

Turnaround for Children, Inc., Manhattan, NY, for crisis intervention and treatment services for students ............................................................................................................................................................ 250,000 

United Way of Anchorage, Anchorage, AK, for the 2–1–1 project to provide a statewide health and 

human services management system for Alaska ....................................................................................... 600,000 

United Way of Greater St. Louis, Inc., St. Louis, MO, for the 2–1–1 project for outreach, community education and expansion of statewide health and human services management systems ........................... 250,000 

University of South Florida, Tampa, FL, for mental health program for disabled veterans .......................... 100,000 

COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

The Committee recommends $420,774,000 for the community 

mental health services block grant, which is the same as the com-
133 

parable fiscal year 2008 amount and the administration request. 

The recommendation includes $21,039,000 in transfers available 

under section 241 of the Public Health Service Act. 

The community mental health services block grant distributes 

funds to 59 eligible States and Territories through a formula based 

upon specified economic and demographic factors. Applications 

must include an annual plan for providing comprehensive community mental health services to adults with a serious mental illness 

and children with a serious emotional disturbance. Because the 

mental health needs of our Nation’s elderly population are often 

not met by existing programs and because the need for such services is dramatically and rapidly increasing, the Committee encourages SAMHSA to require that States’ plans include specific provisions for mental health services for older adults. 

CHILDREN’S MENTAL HEALTH SERVICES

The Committee recommends $102,260,000 for the children’s mental health services program, which is the same as the comparable 

fiscal year 2008 level. The administration requested $114,486,000 

for this activity. This program provides grants and technical assistance to support community-based services for children and adolescents with serious emotional, behavioral or mental disorders. 

Grantees must provide matching funds, and services must involve 

the educational, juvenile justice, and health systems. 

PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS

[PATH]

The Committee recommends $59,687,000 for the PATH Program. 

This amount is the same as the administration request. The comparable fiscal year 2008 level is $53,313,000. 

PATH provides outreach, mental health, and case management 

services and other community support services to individuals with 

serious mental illness who are homeless or at risk of becoming 

homeless. The PATH program makes a significant difference in the 

lives of homeless persons with mental illnesses. PATH services 

eliminate the revolving door of episodic inpatient and outpatient 

hospital care. Multidisciplinary teams address client needs within 

a continuum of services, providing needed stabilization so that 

mental illnesses and co-occurring substance abuse and medical 

issues can be addressed. Assistance is provided to enhance access 

to housing, rehabilitation and training, and other needed supports, 

assisting homeless people in returning to secure and stable lives. 

PROTECTION AND ADVOCACY

The Committee recommends $35,880,000 for the protection and 

advocacy for individuals with mental illness [PAIMI] program. The 

comparable fiscal year 2008 level is $34,880,000 and the administration request is $34,000,000. This program helps ensure that the 

rights of mentally ill individuals are protected while they are patients in all public and private facilities, or while they are living 

in the community, including their own homes. Funds are allocated 

to States according to a formula based on population and relative 

per capita incomes. 
134 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2008 ............................................................................. $2,158,572,000 

Budget estimate, 2009 ........................................................................... 2,115,439,000 

Committee recommendation ................................................................. 2,163,579,000 

The Committee recommends $2,163,579,000 for substance abuse 

treatment programs. The comparable fiscal year 2008 is 

$2,158,572,000 and the administration request is $2,115,439,000. 

The recommendation includes $85,200,000 in transfers available 

under section 241 of the Public Health Service Act. This appropriation funds substance abuse treatment programs of regional and national significance and the substance abuse prevention and treatment block grant to the States. 

Programs of Regional and National Significance 

The Committee recommends $384,988,000 for programs of regional and national significance [PRNS]. The comparable fiscal 

year 2008 level is $399,844,000 and the administration request is 

$336,848,000. The recommendation includes $6,000,000 in transfers available under section 241 of the Public Health Service Act. 

Programs of regional and national significance include activities 

to increase capacity by implementing service improvements using 

proven evidence-based approaches and science to services activities, 

which promote the identification of practices thought to have potential for broad service improvement. 

Within the funds appropriated for CSAT, the Committee recommends $17,000,000 for residential treatment programs for pregnant and postpartum women and their children. The comparable 

funding level for 2008 is $11,790,000. The administration proposed 

to eliminate this program, which expands the availability of comprehensive, high quality residential treatment, recovery support, 

and family services for pregnant and postpartum women, along 

with their children impacted by the effects of maternal substance 

use and abuse. The Committee strongly believes that these familybased treatment programs are a cost-effective way to strengthen 

families, improve birth outcomes, reduce criminal behavior and 

break the cycle of addiction that often occurs in vulnerable communities. 

Within the funds appropriated for CSAT, the Committee recommends $2,000,000 for grants to States for creating and improving prescription drug monitoring systems. 

The Committee has not provided the administration’s requested 

increase for the SBIRT program. This grant program promotes the 

integration of screening and brief interventions in primary and 

general medical care settings with a goal of identifying patients in 

need of treatment and providing them with appropriate intervention and treatment options. 

The Committee recommendation also does not include the administration’s requested increase for criminal justice activities, including treatment drug court grants. The Committee expects SAMHSA 

to continue its policy of requiring grantees to work directly with 

State substance abuse agencies on all aspects of the grant in order 

to help promote effective and efficient State service systems. 
135 

The Committee has provided funding at last year’s level for 

treatment services for the homeless, including services in supportive housing. The recommendation also includes $17,078,000 to 

continue current efforts under the children and families activity. 

The administration did not request funding for this activity. 

The Committee has not provided funding for the strengthening 

treatment access and retention program. The Committee notes that 

this activity does not support any provision of services. The Committee also eliminates funding, as proposed by the administration, 

for special initiatives and outreach activities, as well as information dissemination. The Committee believes these activities are redundant and could be provided by other programs within the agency. 

Hepatitis.—The Committee is concerned about the prevalence of 

substance abuse, hepatitis and other blood borne pathogens and 

urges SAMHSA to work with voluntary health organizations to promote liver health education, and primary prevention of substance 

abuse and blood borne pathogens, like hepatitis and HIV/AIDS, to 

promote healthy lifestyle behaviors for all age groups and secondary prevention to promote recovery for those who are infected. 

Individuals with Disabilities.—The Committee is concerned that 

individuals with a substance use disorder and a coexisting disability are not receiving appropriate psychological intervention for 

substance abuse. Individuals with disabilities experience substance 

abuse rates at two-to-four times higher than the general population. The Committee acknowledges the efforts of SAMHSA to address the mental and behavioral health needs of individuals with 

disabilities and encourages increased support for research and 

treatment efforts that specifically address co-morbid physical, psychological and neuropsychological disabilities and substance abuse, 

including early detection, prevention, access to care, and its impact 

upon rehabilitation, work and family for persons with disabilities. 

Rapid HIV Testing.—Rapid HIV testing can effectively reduce 

the number of at-risk individuals who are unaware of their HIV infection status. The Committee believes it is essential that rapid 

HIV testing be coupled with comprehensive, evidenced-based, and 

culturally and linguistically appropriate counseling from mental 

and behavioral health care providers to help individuals prepare 

for, and respond to, their test results, as well as to provide prevention counseling and services. 

Rural and Native Communities.—The Committee remains concerned by the disproportionate presence of substance abuse in rural 

and native communities, particularly for American Indian, Alaska 

Native and Native Hawaiian communities. The Committee reiterates its belief that funds for prevention and treatment programs 

should be targeted to those persons and communities most in need 

of service. The Committee has provided sufficient funds to increase 

knowledge about effective ways to deliver services to rural and native communities. 

Screening Persons with HIV.—According to the HIV Cost and 

Services Utilization Study [HCSUS], almost one-half of persons 

with HIV/AIDS screened positive for illicit drug use or a mental 

disorder, including depression and anxiety disorder. Unfortunately, 

health care providers fail to notice mental disorders and substance 
136 

use problems in almost one-half of patients with HIV/AIDS. The 

Committee encourages SAMHSA to collaborate with HRSA to train 

health care providers to screen HIV/AIDS patients for mental 

health and substance use problems. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee 

recommendation 

Akeela House Recovery Center, Anchorage, AK, for residential substance abuse treatment ......................... $500,000 

Arlington County—Mental Health and Substance Abuse Crisis Intervention and Diversion Program, Arlington, VA, for the treatment of persons with mental health and substance abuse issues in Arlington 

County .......................................................................................................................................................... 150,000 

Chrysalis House, Lexington, KY, for a substance abuse program for women and children .......................... 100,000 

Maniilaq Association, Kotzebue, AK, for residential substance abuse treatment .......................................... 200,000 

Metro Homeless Youth Services of Los Angeles, Los Angeles, CA, to expand services for homeless youth 

with substance abuse problems ................................................................................................................. 150,000 

Prairie Center Health Systems, Urbana, IL, for outpatient and inpatient detoxification services for methaddicted patients ........................................................................................................................................ 500,000 

Rosebud Sioux Tribe, Rosebud, SD, for a substance abuse treatment program ........................................... 200,000 

Vinland National Center, Independence, MN, for substance abuse and parenting treatment services ........ 100,000 

Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services, Richmond, 

VA, to provide treatment services for addiction to prescription pain medication ..................................... 300,000 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,778,591,000, the same as the 

budget request, for the substance abuse prevention and treatment 

[SAPT] block grant. The comparable fiscal year 2008 level is 

$1,758,728,000. The recommendation includes $79,200,000 in 

transfers available under section 241 of the Public Health Service 

Act. The block grant provides funds to States to support alcohol 

and drug abuse prevention, treatment, and rehabilitation services. 

Funds are allocated to the States according to formula. State plans 

must be submitted and approved annually. 

The Committee has included bill language requested by the administration to provide supplemental awards to the top 20 percent 

of grantees for superior performance and submission of National 

Outcomes Measures [NOMS] data. 

The Committee believes that the SAPT block grant is an effective 

and efficient program that provides vital prevention and treatment 

services for the Nation’s most vulnerable populations. According to 

SAMHSA, the block grant has been successful in expanding capacity and achieving positive results. In particular, outcomes data 

found, at discharge, 68 percent of clients were abstinent from illegal drugs and 74 percent of clients were abstinent from alcohol. 

The Committee is also aware that SAPT block grant funded programs help people find or regain employment; stay away from 

criminal activity; reunite with families; and find stable housing. 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2008 ............................................................................. $194,120,000 

Budget estimate, 2009 ........................................................................... 158,040,000 

Committee recommendation ................................................................. 191,271,000 
137 

The Committee recommends $191,271,000 for programs to prevent substance abuse. The comparable fiscal year 2008 level is 

$194,120,000 and the administration request is $158,040,000. 

Programs of Regional and National Significance 

The Committee has provided $191,271,000 for programs of regional and national significance [PRNS]. The Center for Substance 

Abuse Prevention [CSAP] is the sole Federal organization with responsibility for improving accessibility and quality of substance 

abuse prevention services. Through the PRNS, CSAP supports: development of new practice knowledge on substance abuse prevention; identification of proven effective models; dissemination of 

science-based intervention information; State and community capacity-building for implementation of proven effective substance 

abuse prevention programs; and programs addressing new needs in 

the prevention system. 

The Committee expects CSAP to focus its prevention efforts on 

environmental and population based strategies due to the cost effectiveness of these approaches. Further, the Committee instructs 

that given the paucity of resources for bona fide substance abuse 

prevention programs and strategies, money specifically appropriated to CSAP for these purposes shall not be used or reallocated 

for any other programs or purposes within SAMHSA. 

The Committee recommendation does not include funds for the 

administration’s proposed Targeted Capacity Expansion program to 

address emerging prevention needs. 

The recommendation includes $105,000,000 for the strategic prevention framework State incentive grant [SPF SIG] program, which 

is designed to promote, bolster and sustain prevention infrastructure in every State in the country. The Committee is concerned 

that progress on awarding every State with a SPF SIG grant has 

been delayed given that no new grants have been awarded since 

fiscal year 2006. For this reason SAMHSA is strongly urged to 

maintain the average grant award at the level of the most recent 

cohort of SPF SIG recipients. The Committee continues to recognize that the lynchpin of the SPF SIG program is State flexibility. 

Therefore, the Committee urges SAMHSA to promote flexibility in 

the use of SPF SIG funds in order to allow each State to tailor prevention services based on a needs assessment or plan, rather than 

pre-determined strategies that may not be appropriate for the populations in their own jurisdiction. 

The Committee provides funding at no less than last year’s level 

for the Centers for the Application of Prevention Technologies 

[CAPTs]. The Committee strongly supports the current CAPTs program given their important role working with State substance 

abuse agencies, prevention specialists and others to translate the 

latest prevention science into everyday practice. The Committee is 

concerned that any proposal to change the CAPT structure would 

negatively affect the ability of these customers to receive technical 

assistance that reflect State and local needs. The Committee urges 

SAMHSA to ensure that any changes to the CAPTs will reflect 

stakeholder input, as well as maintain State-specific substance 

abuse prevention expertise. 
138 

The Committee recommendation includes $7,000,000 for activities authorized under the Sober Truth on Preventing Underage 

Drinking [STOP] Act. This amount includes $5,000,000 for grants 

to help community coalitions address underage drinking, 

$1,000,000 for the continuation of the national adult-oriented 

media campaign to prevent underage drinking, and $1,000,000 for 

the Intergovernmental Coordinating Committee on the Prevention 

of Underage Drinking [ICCPUD]. 

The Committee notes that the ICCPUD has not submitted an annual report on national progress in reducing underage drinking 

since January 2006. The Committee requests an interim progress 

report on the goals articulated in the initial report, as well as funds 

being expended by various agencies and progress on key indicators, 

such as prevalence, age of initiation, consumption patterns and the 

means of underage access. The report should be submitted no later 

than March 1, 2009. 

While the Committee commends SAMHSA for its support of town 

hall meetings on underage drinking, it reiterates its request that 

underage drinking findings from Federal surveys be separately and 

prominently highlighted. SAMHSA should submit examples of how 

this highlighting is being accomplished in its fiscal year 2010 congressional budget justification. 

The Committee supports the continuation of the public service 

announcement [PSA] campaign on underage drinking prevention, 

and notes that the STOP Act requires SAMHSA to report to Congress on ‘‘the production, broadcasting, and evaluation of the campaign, the effectiveness of the campaign in reducing underage 

drinking, the need for and likely effectiveness of an expanded 

adult-oriented media campaign, and the feasibility and likely effectiveness of a national youth-focused media campaign to combat underage drinking.’’ The Committee requests that SAMHSA and the 

PSA campaign partner entity submit the required report no later 

than March 1, 2009. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation 

Hamakua Health Center, Honokaa, HI, for a youth anti-drug program ......................................................... $200,000 

Mothers Against Drunk Driving, Louisiana Chapter, Baton Rouge, LA, for substance abuse prevention focusing on underage drinking ...................................................................................................................... 100,000 

West Virginia Prevention Resource Center, Charleston, WV, for drug abuse prevention ............................... 1,000,000 

PROGRAM MANAGEMENT

The Committee recommends $100,131,000 for program management activities of the agency. The comparable level for fiscal year 

2008 is $93,131,000 and the budget request is $97,131,000. The 

recommendation includes $22,750,000 in transfers available under 

section 241 of the Public Health Service Act. 

The program management activity includes resources for coordinating, directing, and managing the agency’s programs. Program 

management funds support salaries, benefits, space, supplies, 
139 

equipment, travel, and departmental overhead required to plan, supervise, and administer SAMHSA’s programs. 

The Committee recognizes the need for regular and periodic population-based sources of data on adults with serious mental illness 

and children with serious emotional disturbance. Therefore the recommendation includes $1,000,000 for a module in the National 

Survey on Drug Use and Health [NSDUH] to provide reliable and 

valid data on adults with serious mental illness. Based on recommendations from an expert panel that SAMHSA convened, the 

Committee believes that the best mechanism for the collection of 

information on children with serious emotional disturbance is the 

National Health Interview Survey [NHIS] conducted by the National Center for Health Statistics at CDC. Thus the recommendation includes $2,000,000 for the inclusion of questions related to 

the mental health of children in the NHIS and to carry out studies 

necessary to ensure the validity and reliability of the NHIS data 

on children with serious emotional disturbance. 

The Committee remains aware of the collaborative work by 

SAMHSA and State substance abuse directors to implement outcomes data collection and reporting through the NOMs initiative. 

The Committee is pleased that States continue to make progress in 

reporting NOMs data through the SAPT Block Grant. According to 

SAMHSA, approximately 47 States voluntarily reported substance 

abuse outcome data in 2007. State substance abuse agencies reported significant results in a number of areas—including abstinence from alcohol and illegal drug use; criminal justice involvement; employment; and stable housing. The Committee encourages 

SAMHSA to continue to help States address technical issues and 

promote State-to-State problem solving solutions. 

ST. ELIZABETH’S HOSPITAL

The Committee recommendation includes $772,000, the same as 

the administration request, to further remediate the West Campus 

of St. Elizabeth’s Hospital. No funds were requested for this activity in fiscal year 2008. 

DATA EVALUATION

The Committee recommendation includes $2,500,000 for a needs 

assessment and evaluation of substance abuse data collection activities across the Department to improve surveillance activities 

and avoid duplication of effort. The recommendation is the same as 

the administration request. This activity was not funded in fiscal 

year 2008. The Department is requested to submit the results of 

this needs assessment, as well as its recommendations, to the Committee. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2008 ............................................................................. $334,564,000 

Budget estimate, 2009 ........................................................................... 325,664,000 

Committee recommendation ................................................................. 334,564,000 

The Committee recommends $334,564,000 for the Agency for 

Healthcare Research and Quality [AHRQ]. This amount is the 

same as the comparable funding level for fiscal year 2008. The ad-
140 

ministration request is $325,664,000. The Committee recommendation includes $243,966,000 in transfers available under section 241 

of the Public Health Service Act. 

The Agency for Healthcare Research and Quality was established 

in 1990 to enhance the quality, appropriateness, and effectiveness 

of health services, as well as access to such services. In order to 

fulfill this mission, AHRQ conducts, supports and disseminates scientific and policy-relevant research on topics such as reducing medical errors, eliminating health care disparities, the use of information technology, and the comparative effectiveness of drugs and 

medical procedures. AHRQ-supported research provides valuable 

information to researchers, policymakers, healthcare providers and 

patients on ways to improve our Nation’s health system and make 

health care more affordable. 

HEALTH COSTS, QUALITY, AND OUTCOMES

The Committee provides $276,564,000 for research on health 

costs, quality and outcomes [HCQO]. The recommendation includes 

$185,966,000 in transfers available under section 241 of the Public 

Health Service Act. The recommendation is the same as the comparable funding level for fiscal year 2008. The administration requested $267,664,000 for this activity. The HCQO research activity 

is focused upon improving clinical practice, improving the health 

care system’s capacity to deliver quality care, and tracking progress 

toward health goals through monitoring and evaluation. 

Of the total amount provided for HCQO the Committee has in- cluded $5,000,000 for activities to identify and reduce the spread 

of Methicillin-resistant Staphylococcus Aureus [MRSA] and other 

healthcare-associated infections. The Committee is concerned about 

the prevalence of these preventable infections and has provided a 

second year of funding for this initiative at AHRQ due to its expertise with patient safety and quality of care issues. The Committee 

encourages AHRQ to continue its collaboration with the Centers for 

Disease Control and Prevention [CDC] and the Centers for Medicare and Medicaid Services [CMS]. 

The Committee values AHRQ for its critical role in supporting 

health services research to improve health care quality, reduce 

costs, advance patient safety, eliminate health care disparities, and 

broaden access to essential services. However, the Committee is 

troubled that AHRQ’s investigator-initiated research portfolio has 

languished even though many of the sentinel studies that have 

changed the face of health and health care in the United States are 

the result of researchers’ ingenuity and creativity. To advance discovery and the free marketplace of ideas, the Committee believes 

ARHQ must dedicate more funding to investigator-initiated research. For this reason, the Committee does not provide the 

$6,000,0000 requested by the administration for a Health Insurance Decision Tool. Instead, the Committee strongly urges AHRQ 

to redirect these funds toward expanding its investment in investigator-initiated research. 

Ambulatory Patient Safety.—The Committee notes that while the 

scope, volume and complexity of ambulatory care has increased 

over the past decade, little is known about patient safety in ambulatory care settings. Few safety practices have been identified, and 
141 

limited data exist on the nature of risk and hazards to patients and 

the threat to quality in ambulatory care settings. In light of the 

growing number of incidents involving syringe reuse and hepatitis 

C transmission across the country, the Committee urges AHRQ to 

expand the ambulatory safety and quality program [ASQ] to identify the inherent risks in ambulatory settings and to develop potential solutions for protecting patients. 

HIV Early Diagnosis.—The Committee recognizes the high economic burden associated with a positive diagnosis of HIV/AIDS. 

The Committee encourages AHRQ to prepare a study comparing 

the economic burden of an early diagnosis to that of a later diagnosis. 

Safe Patient Handling.—The Committee continues to be concerned about the consequences of manual patient lifting in hospitals, nursing homes and other patient care settings that increase 

the risk of injury to both patients and nurses. The Committee is 

pleased that AHRQ acknowledges the importance of this issue, and 

recommends that AHRQ continue to study the impact of utilizing 

assistive devices and patient lifting equipment on patient injuries 

and the safety of nurses. 

Spina Bifida.—The Committee encourages AHRQ to continue 

and expand the development of a National Spina Bifida Patient 

Registry in collaboration with the Centers for Disease Control and 

Prevention. 

Training Grants.—The Committee is deeply concerned about declines in the number of, and funding for, training grants for the 

next generation of researchers. Failure to fund such grants stifles 

the workforce and knowledge base needed to respond to the Nation’s growing health care challenges, including aging baby 

boomers, unsustainable rising costs, and declining health status. 

The Committee urges the administration to expand funding for 

AHRQ’s training grants in its fiscal year 2010 budget request. 

Viral Hepatitis.—The Committee believes that much remains to 

be learned about the costs, quality and outcomes of treatments for 

hepatitis B and C. The Committee encourages AHRQ to develop 

and disseminate evidence-based information to healthcare providers and patients as a significant step in reducing the incidence 

of hepatitis, as well as improving access to, and outcomes from, 

treatments for these epidemic diseases. 

MEDICAL EXPENDITURES PANEL SURVEYS

The Committee provides $55,300,000 for medical expenditures 

panel surveys [MEPS], which is the same as the comparable fiscal 

year 2008 level and the administration request. MEPS collects detailed information annually from families regarding health care use 

and expenditures, private and public health insurance coverage, 

and the availability, costs and scope of health insurance benefits. 

The data from MEPS is used in the development of economic models projecting the costs and savings of proposed changes in policy, 

as well as estimates of the impact of policy changes on payers, providers, and patients. 
142 

PROGRAM SUPPORT

The Committee recommends $2,700,000 for program support. 

This amount is the same as the comparable fiscal year 2008 level 

and the administration request. This activity supports the overall 

management of the agency. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2008 .............................................................................$141,628,056,000 

Budget estimate, 2009 ........................................................................... 149,335,031,000 

Committee recommendation ................................................................. 149,335,031,000 

The Committee recommends $149,335,031,000 for Grants to 

States for Medicaid, the same amount as the administration’s request. This amount excludes $67,292,669,000 in fiscal year 2008 

advance appropriations for fiscal year 2009. In addition, 

$71,700,038,000 is provided for the first quarter of fiscal year 2010, 

as requested by the administration. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico, and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula, which determines the appropriate 

Federal matching rate for State program costs. This matching rate 

is based upon the State’s average per capita income relative to the 

national average, and shall be no less than 50 percent and no more 

than 83 percent. 

PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2008 .............................................................................$188,445,000,000 

Budget estimate, 2009 ........................................................................... 195,308,000,000 

Committee recommendation ................................................................. 195,308,000,000 

The Committee recommends $195,308,000,000 for Federal payments to health care trust funds, the same amount as the administration’s request. This entitlement account includes the general 

fund subsidy to the Federal Supplementary Medical Insurance 

Trust Fund for Medicare part B benefits and for Medicare part D 

drug benefits and administration, plus other reimbursements to the 

Federal Hospital Insurance Trust Fund for part A benefits and related administrative costs that have not been financed by payroll 

taxes or premium contributions. The Committee has provided 

$147,716,000,000 for the Federal payment to the Supplementary 

Medical Insurance Trust Fund. This payment provides matching 

funds for premiums paid by Medicare part B enrollees. The Committee further provides $44,999,000,000 for the general fund share 

of benefits paid under Public Law 108–173, the Medicare Prescription Drug, Improvement and Modernization Act of 2003. The Committee includes bill language requested by the administration providing indefinite authority for paying the General Revenue portion 

of the part B premium match and provides resources for the part 

D drug benefit program in the event that the annual appropriation 

is insufficient. The recommendation also includes $351,000,000 for 

hospital insurance for the uninsured. The Committee also rec-
143 

ommends $263,000,000 for Federal uninsured benefit payment. 

This payment reimburses the Hospital Insurance Trust Fund for 

the cost of benefits provided to Federal annuitants who are eligible 

for Medicare. The Committee recommendation includes 

$206,000,000 to be transferred to the Hospital Insurance Trust 

Fund as the general fund share of CMS Program Management administrative expenses. The Committee recommendation also includes $547,000,000 to be transferred to the Supplementary Insurance Trust Fund as the general fund share of part D administrative expenses. The Committee recommendation includes 

$198,000,000 in reimbursements to the Health Care Fraud and 

Abuse Control [HCFAC] fund and $1,028,000,000 for the Quinquennial Adjustment. 

PROGRAM MANAGEMENT

Appropriations, 2008 ............................................................................. $3,151,651,000 

Budget estimate, 2009 ........................................................................... 3,307,344,000 

Committee recommendation ................................................................. 3,270,574,000 

The Committee recommends $3,270,574,000 for CMS program 

management. The administration requested $3,307,344,000. The 

fiscal year 2008 comparable level was $3,151,651,000. 

Research, Demonstrations, and Evaluations 

The Committee recommends $33,530,000 for research, demonstrations, and evaluation activities. 

CMS research and demonstration activities facilitate informed 

rational Medicare and Medicaid policy choices and decisionmaking. 

These studies and evaluations include projects to measure the impact of Medicare and Medicaid policy analysis and decisionmaking, 

projects to measure the impact of Medicare and Medicaid on health 

care costs, projects to measure patient outcomes in a variety of 

treatment settings, and projects to develop alternative strategies 

for reimbursement, coverage, and program management. The Committee has included $5,000,000 for Real Choice Systems 

Change Grants for Community Living to States to fund initiatives 

that establish enduring and systemic improvements in long-term 

services and supports. 

The Committee is aware of several models of health care delivery 

that are improving patient outcomes; decreasing utilization of inpatient services, emergency room care and specialty services; and improving patient satisfaction. The Committee encourages CMS to 

make resources available for entities to develop models of primary 

health care delivery and demonstrate their effectiveness in improving delivery and decreasing per patient costs for Medicaid populations. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee 

recommendation 

Bi-State Primary Care Association, Concord, NH, to treat uninsured patients .............................................. $650,000 

City of Milwaukee, Milwaukee, WI, to improve access to and utilization of primary and preventive health 

care among low-income residents .............................................................................................................. 180,000 

Hospice Foundation of America, Washington, DC, for education programs ................................................... 600,000
144 

Project Committee recommendation 

Medicare Chronic Care Practice Research Network, Sioux Falls, SD, to evolve and continue the Medicare 

Coordinated Care Demonstration project .................................................................................................... 700,000 

University of Pittsburgh Medical Center, Pittsburgh, PA, to develop a comprehensive health care delivery 

model ........................................................................................................................................................... 100,000 

Medicare Operations 

The Committee recommends $2,300,729,000 for Medicare operations. The administration requested $2,339,729,000; the comparable funding level for fiscal year 2008 was $2,158,906,000. 

The Medicare operations line item covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance, and technical support to both providers and 

beneficiaries. In addition, this line item includes a variety of 

projects that extend beyond the traditional fee-for-service arena. The Committee recommendation includes $108,900,000 for CMS 

Medicare contracting reform activities and includes bill language 

that extends the availability of those funds until September 30, 

2010. 

The Committee recommendation includes $35,700,000 for contract costs for the Healthcare Integrated General Ledger Accounting System and includes bill language that extends the availability 

of those funds until September 30, 2010. 

Advances in medicine have enabled increasing numbers of type 

1 diabetes patients to live with this disease for more than 50 years. 

Recent advances in continuous glucose monitoring technology have 

the potential to revolutionize the way diabetes is managed on a 

daily basis. While research is underway, the Committee urges CMS 

not to make premature coverage decisions related to such items as 

durable medical equipment or any associated services or supplies, 

nor take actions that would delay the private adoption of these 

technologies. 

Access to human pancreatic islets at a reasonable cost is vital to 

basic research on the causes and mechanisms of diabetes. If organs 

used to procure islets for research are not reimbursed at a reasonable rate, the cost could curtail much needed basic research on islet 

function in health and disease. The Committee urges CMS to address the issue of reimbursement rates for human pancreatic islets 

in a manner that will facilitate their research and/or clinical use. 

The Committee noted last year that many low-income Medicare 

part D enrollees living with HIV/AIDS have benefited from effective medication management programs. The Committee is pleased 

that CMS is now conducting an examination of medication therapy 

management programs. 

As early as September 2004 this Committee stated that longterm acute care hospitals play a vital role in the Medicare continuum of care and that admission decisions should be made on the 

basis of well-defined and objective patient and hospital admissions 

criteria. The Committee is concerned that the CMS guidelines set 

arbitrary quota limits for the number of patients which an LTACH 

can accept from any one hospital. Patients who need access to 

LTACHs are among the most vulnerable of the sick. 
145 

This Committee has previously stated that the decision as to 

which patients should go into a LTACH should be made by physicians based on well-defined patient and hospital admissions criteria—not on arbitrary quotas. The Medicare Payment Advisory 

Commission [MEDPAC] in its March 22, 2007 letter to CMS 

warned that arbitrary criteria increase the risk of unintended consequences. The Committee remains concerned that 4 years have 

passed and CMS has not yet developed these criteria. 

State Survey and Certification 

The Committee recommends $293,128,000 for Medicare State 

survey and certification activities, which is the same as the administration’s request. The fiscal year 2008 funding level was 

$281,186,000. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

meet Federal health, safety, and program standards. On-site surveys are conducted by State survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. 

The Committee has not included language, requested by the administration, which authorizes the Secretary to charge fees associated with the cost of conducting revisits of certain health care facilities. 

High-Risk Insurance Pools 

The Committee did not recommend funding for High-Risk Insurance Pools nor did the administration request funding for this program. The fiscal year 2008 comparable funding level for this program was $49,127,000. 

Federal Administration 

The Committee recommends $643,187,000 for Federal administration costs, which is the same as the budget request. The fiscal 

year 2008 funding level was $631,132,000. 

The Committee is concerned regarding the low utilization rates 

for the ‘‘Welcome to Medicare Physical Exam,’’ and how this is impacting the number of Medicare beneficiaries that receive referrals 

for the abdominal aortic aneurysm [AAA] screening benefit and 

other preventive services. The American Heart Association estimates that if Medicare beneficiaries who are at risk for a AAA receive this one-time, cost-effective ultrasound screening, it will prevent over 15,000 deaths per year. The Committee urges CMS to 

launch a major public relations campaign to educate individuals 

who are about to become Medicare eligible, and their families, regarding the need to get their ‘‘Welcome to Medicare Physical 

Exam.’’ This exam allows America’s seniors to learn new ways to 

prevent illness and if they do become ill, to treat the problem early 

before it becomes too severe. It also provides an opportunity to educate our seniors of the importance of leading a healthy lifestyle 

through good nutrition, engaging in regular physical activity and 

not smoking. All factors that can prevent individuals from developing chronic diseases and reducing their quality of life. 

The Committee is concerned that many seniors do not have a 

good understanding of the benefits covered, and not covered, under 
146 

the Medicare program. In particular, studies have indicated that a 

majority of adults who are 45 or older overestimate Medicare coverage for long-term care. The Committee commends CMS for its efforts in establishing the National Clearinghouse for Long-Term 

Care information. 

The Committee directs CMS to include in the next publication of 

‘‘Medicare & You’’ information regarding the importance of writing 

and updating advance directives and living wills. 

The Committee is pleased that CMS plans to do an updated 

State-by-State survey of Medicaid coverage and reimbursement for 

telemedicine services and will consider the need for national guidance to State Medicaid agencies on provision of these services. As 

noted in last year’s report, The Committee has supported demonstration projects that have assessed the efficacy of using interactive video technology as a means for providing intensive behavioral health services to individuals with serious emotional and behavioral challenges, such as autism and other at-risk populations. 

The Committee has observed that one of the most serious obstacles 

to the integration of telemedicine into health practices is the absence of consistent, comprehensive reimbursement policies. Medicaid policies set at State levels vary widely and are inconsistent 

from State to State. 

The Committee notes that the Deficit Reduction Act now requires 

that States capture data on certain prescription drugs administered 

by physicians under Medicaid and use that data to collect rebate 

dollars available from drug manufacturers. The Committee understands that States do not always adequately collect that data, if 

which collected could result in savings to the Medicaid program. 

The Committee encourages CMS to provide technical assistance 

to States on technologies available to collect this data in lieu of 

granting more waivers. 

HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2008 ............................................................................. ........................... 

Budget estimate, 2009 ........................................................................... $198,000,000 

Committee recommendation ................................................................. 198,000,000 

The Committee recommends $198,000,000, to be transferred from 

the Medicare trust funds, for health care fraud and abuse control 

activities. This account has not been funded using discretionary 

funds in prior years. This amount, in addition to the 

$1,155,794,000 in mandatory monies for these activities, will provide a total of $1,353,794,000 for health care fraud and abuse control activities in fiscal year 2009. 

The Committee encourages CMS to invest in efforts to apply data 

mining and warehousing methodologies to detect fraud, waste, and 

abuse. Data mining is increasingly being used to extract relevant 

information from large data bases, like those maintained by CMS. 

The Committee has included funds for CMS to expand its efforts, 

begun in 2006, to link Medicare claims and public records data and 

to initiate new demonstration projects using data mining technologies. The Committee requests that CMS make recommendations to the Committee on how linking CMS data might be used 

to enhance the Medicare and Medicaid Integrity Programs to reduce fraud and abuse and to better screen providers. 
147 

Reducing fraud, waste, and abuse in Medicare and Medicaid continues to be a top priority of the Committee. The Committee has 

held a number of hearings on fraud and abuse issues over the past 

10 years and expects to begin holding more hearings on this issue 

over the next 12 months. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2008 ............................................................................. $2,997,970,000 

Budget estimate, 2009 ........................................................................... 2,759,078,000 

Committee recommendation ................................................................. 2,759,078,000 

The Committee recommends $2,759,078,000 be made available in 

fiscal year 2009 for payments to States for child support enforcement and family support programs. The Committee recommendation is the same as the budget request under current law. The 

Committee also has provided $1,000,000,000 in advance funding for 

the first quarter of fiscal year 2010 for the child support enforcement program, the same as the budget request. 

These payments support the States’ efforts to promote the selfsufficiency and economic security of low-income families. These 

funds also support efforts to locate non-custodial parents, determine paternity when necessary, and establish and enforce orders of 

support. 

LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2008 ............................................................................. $2,570,328,000 

Budget estimate, 2009 ........................................................................... 2,000,000,000 

Committee recommendation ................................................................. 2,570,328,000 

The Committee recommends $2,570,328,000 for fiscal year 2009 

for the low income home energy assistance program [LIHEAP]. 

This is the same as the comparable funding level for fiscal year 

2008. The administration requested $2,000,000,000 for this program. LIHEAP is made up of two components: the State grant program and a contingency fund. 

The Committee recommendation includes $1,980,000,000 for the 

State grant program, which is the same as the comparable funding 

level for fiscal year 2008. The administration requested 

$1,700,000,0000 for this program. LIHEAP grants are awarded to 

States, territories, Indian tribes, and tribal organizations to assist 

low-income households in meeting the costs of home energy. States 

have great flexibility in how they provide assistance, including direct payments to individuals and vendors and direct provision of 

fuel. These resources are distributed by formula to these entities as 

defined by statute, based in part on each State’s share of home energy expenditures by low-income households. 

The Committee recommends $590,328,000 for the contingency 

fund. This is the same as the comparable funding level for fiscal 

year 2008. The administration requested $300,000,000 for this program. The contingency fund may be used to provide assistance to 

one or more States adversely affected by extreme heat or cold, significant price increases, or other causes of energy-related emergencies. 
148 

REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2008 ............................................................................. $655,631,000 

Budget estimate, 2009 ........................................................................... 628,044,000 

Committee recommendation ................................................................. 635,044,000 

The Committee recommends $635,044,000 for refugee and entrant assistance. The comparable funding level for fiscal year 2008 

is $655,631,000 and the budget request is $628,044,000. 

The refugee and entrant assistance program is designed to assist 

States in their efforts to assimilate refugees, asylees, Cuban and 

Haitian entrants, and adults and minors who are trafficking victims, into American society as quickly and effectively as possible. 

The program funds State-administered transitional and medical assistance, the voluntary agency matching grant program, programs 

for victims of trafficking and torture, employment and social services, targeted assistance, and preventive health. This appropriation 

enables States to provide 8 months of cash and medical assistance 

to eligible refugees and entrants, a variety of social and educational 

services, as well as foster care for refugee and entrant unaccompanied minors. 

The Committee recommends $287,000,000 for transitional and 

medical assistance, including State administration and the voluntary agency program. The Office of Refugee Resettlement [ORR] 

estimates that $24,600,000 of prior year funding is available for 

use in fiscal year 2009, which will allow for a program level of 

$311,600,000. This funding level is sufficient for an estimated refugee ceiling of 80,000, including an estimated 12,000 Iraqi refugees, as well as an increasing number of Iraqi and Afghan special 

immigrant visa arrivals. The Committee recommendation also includes: $9,814,000 for victims of trafficking; $154,005,000 for social 

services; $4,748,000 for preventive health; and $48,590,000 for targeted assistance. 

For unaccompanied children, pursuant to section 462 of the 

Homeland Security Act of 2002, the Committee recommends 

$120,070,000. Funds provided are for the care and placement of unaccompanied alien children [UAC] who are apprehended in the 

United States by the Department of Homeland Security [DHS] or 

other law enforcement agencies. 

The Committee is committed to ensuring that UAC are expeditiously transferred from the point of DHS apprehension to initial 

placement in ORR facilities where they can receive the care and 

services they need. The Committee directs ORR to respond to DHS’ 

initial call for placement by identifying the ORR placement facility 

to DHS within 6 hours, on average, of receiving the DHS call. In 

addition, the Committee directs ORR to continue to work with DHS 

to expedite the transfer and placement of those children with special needs to the most appropriate ORR facility as quickly as possible. 

The Committee is aware that, during the implementation of section 462 of the Homeland Security Act of 2002, the Office of Management and Budget [OMB] did not transfer funding from the Immigration and Naturalization Service [INS] to ORR for the responsibility of transporting unaccompanied alien children to ORR facilities. This is a clear indication that the transportation of these chil-
149 

dren was determined to be the responsibility of INS and its successor agency, Immigration and Customs Enforcement [ICE]. The 

Committee is further aware that ICE plans imminently to shift responsibility for transporting UAC to ORR. The Committee notes 

that the administration’s budget request does not include funding 

for this responsibility in the ORR budget, nor does ORR have the 

transportation infrastructure in place to assume this function. In 

order to clarify the functions of these agencies, the Committee directs the Department to present to the Committee a joint report 

with OMB and DHS no later than March 1, 2009 with a recommendation for which agency is the most appropriate to fund the 

transportation of UAC to ORR facilities. The joint report should 

focus on which agency can deliver these services in the most cost 

effective manner. 

The Committee recommendation includes $5,000,000 for the pro 

bono legal services initiative. The Committee recognizes the need 

for unaccompanied children to be appropriately represented before 

immigration courts. The Committee expects ORR to use part of the 

funding provided to assess the overall impact of the pro bono legal 

services initiative. 

The Committee recommendation includes funding requested by 

the administration to respond to unaccompanied children exposed 

to traumatic events. 

The Committee recommends $10,817,000 to treat and assist victims of torture. The Committee notes that a large proportion of the 

increasing numbers of Iraqi refugee arrivals have experienced trauma, torture and severe violence. The Committee recommendation 

will help address the unique mental health needs of these refugees 

as they attempt to rebuild their lives in the United States. 

CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2008 ............................................................................. $2,062,081,000 

Budget estimate, 2009 ........................................................................... 2,062,081,000 

Committee recommendation ................................................................. 2,137,081,000 

The Committee recommends $2,137,081,000 for the child care 

and development block grant. The comparable funding level for fiscal year 2008 is $2,062,081,000, the same as the administration request. The child care and development block grant supports grants 

to States to provide low-income families with financial assistance 

for child care; for improving the quality and availability of child 

care; and for establishing or expanding child development programs. 

The Committee recommendation continues specific set asides in 

appropriations language that provide targeted resources to specific 

policy priorities including $19,120,350 for the purposes of supporting before and afterschool services, as well as resource and referral programs. This represents the Federal commitment to the activities previously funded under the dependent care block grant. 

The Committee recommendation sets aside $272,676,992 for child 

care quality activities, including $100,001,830 specifically for infant 

care quality. These funds are recommended in addition to the 4 

percent quality earmark established in the authorizing legislation. 

The Committee has provided additional quality funds because of 

considerable research demonstrating the importance of serving 
150 

children in high quality child care settings which include adequately compensated, nurturing providers who are specially trained 

in child development. The Committee recommendation also provides $10,000,307 for 

child care research, demonstration and evaluation activities. 

The Committee recommendation for resource and referral activities also includes $1,000,018 to continue support for a national tollfree hotline that assists families in accessing local information on 

child care options and that provides consumer education materials. 

The Committee expects the grantee to monitor the quality of services provided to families as a result of the program. 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2008 ............................................................................. $1,700,000,000 

Budget estimate, 2009 ........................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

The Committee recommends $1,700,000,000 for fiscal year 2009 

for the social services block grant. This is the same as the comparable fiscal year 2008 level. The Committee rejects the administration’s proposed bill language to lower the authorized funding 

level stipulated in section 2003(c) of the Social Security Act to 

$1,200,000,000. 

CHILDREN AND FAMILIES SERVICES PROGRAMS

Appropriations, 2008 ............................................................................. $8,980,991,000 

Budget estimate, 2009 ........................................................................... 8,503,382,000 

Committee recommendation ................................................................. 9,194,377,000 

The Committee recommends $9,194,377,000 for fiscal year 2009 

for children and families services programs. The comparable funding level for fiscal year 2008 is $8,980,991,000 and the budget request is $8,503,382,000. The recommendation includes $10,172,000 

in transfers available under section 241 of the Public Health Service Act. 

This appropriation provides funding for programs for children, 

youth, and families, the developmentally disabled, and Native 

Americans, as well as Federal administrative costs. 

Head Start 

The Committee recommends $7,104,571,000 for Head Start. The 

comparable funding level for fiscal year 2008 is $6,877,976,000 and 

the administration request is $7,026,571,000. The Committee recommendation includes $1,388,800,000 in advance funding that will 

become available on October 1, 2009. 

Head Start provides comprehensive development services for lowincome children and families that emphasize cognitive and language development, socio-emotional development, physical and 

mental health, and parent involvement to enable each child to develop and function at his or her highest potential. At least 10 percent of enrollment opportunities in each State are made available 

to children with disabilities. 

The Committee has provided an increase of $226,595,000 to the 

Head Start program in recognition of its vital role in providing education, health, nutritional, social and other services to enrolled children and their families. The increase will provide local programs 
151 

with a cost-of-living increase and will assist them in implementing 

the Improving Head Start for School Readiness Act of 2007, including increasing enrollment among Indian and Migrant Head Start 

programs. 

Within the total for Head Start, the Committee includes 

$3,000,000 for Centers of Excellence in Early Childhood as described in section 657B of the Head Start reauthorization bill. 

The Committee understands the serious need for additional and 

expanded Head Start facilities in rural areas and among Native 

American populations. The Committee believes that the Department could help serve these needy communities by providing minor 

construction funding, as authorized, in remote Native American 

communities. 

The Head Start Bureau shall continue to provide the Committee 

with the number and cost of buses purchased, by region, with Head 

Start funds in the annual congressional budget justification. 

Consolidated Runaway and Homeless Youth Program 

The Committee recommends $96,128,000 for the consolidated 

runaway and homeless youth program. This is the same as the 

comparable funding level for fiscal year 2008 and the budget request. This program consists of the basic center program, which 

provides temporary shelter, counseling, and after-care services to 

runaway and homeless youth under age 18 and their families, and 

the transitional living program, which is targeted to older youth 

ages 16 to 21. 

Basic centers and transitional living programs provide services to 

help address the needs of some of the estimated 1.3 million to 2.8 

million runaway and homeless youth, many of whom are running 

away from unsafe or unhealthy living environments. These programs have been proven effective at lessening rates of family conflict and parental abuse, as well as increasing school participation 

and the employment rates of youth. 

Runaway Youth Prevention Program 

The Committee recommends $17,221,000 for the runaway youth 

prevention program. This is the same as the comparable funding 

level for fiscal year 2008 and the budget request. This competitive 

grant program awards funds to private nonprofit agencies for the 

provision of services to runaway, homeless, and street youth. Funds 

may be used for street-based outreach and education, including 

treatment, counseling, provision of information, and referrals for 

these youths, many of whom have been subjected to, or are at risk 

of being subjected to, sexual abuse. 

Child Abuse Programs 

The Committee recommends $107,799,000 for child abuse programs. The comparable level for fiscal year 2008 is $105,359,000, 

the same as the administration request. The recommendation includes $26,535,000 for State grants, $39,575,000 for discretionary 

activities, and $41,689,000 for community-based child abuse prevention. 

These programs seek to improve and increase activities at all levels of government which identify, prevent, and treat child abuse 
152 

and neglect through State grants, technical assistance, research, 

demonstration, and service improvement. The Committee recommendation includes $12,000,000 within 

child abuse discretionary activities for a home visitation initiative. 

The comparable level for fiscal year 2008 is $10,000,000, the same 

as the administration request. This program provides competitive 

grants to States to encourage investment of existing funding 

streams into evidence-based home visitation models. The Administration for Children and Families [ACF] shall ensure that States 

use the funds to support models that have been shown, in well-designed randomized controlled trials, to produce sizable, sustained 

effects on important child outcomes such as abuse and neglect. The 

Committee expects ACF to adhere closely to evidence-based models 

of home visitation and not to incorporate any additional initiatives 

that have not met these high evidentiary standards or might otherwise dilute the emphasis on home visitation. The Committee recommendation includes $500,000 to continue a 

feasibility study on the creation of a national child abuse registry. 

Funding for the feasibility study was provided last year in the Office of the Secretary. 

Within the funds provided for child abuse discretionary activities, 

the Committee includes funding for the following items: 

Project Committee 

recommendation 

Addison County Parent/Child Center, Middlebury, Vermont, to support and expand parental education activities .......................................................................................................................................................... $250,000 

Anchorage’s Promise, Anchorage, AK, for a child mentoring and support program ...................................... 115,000 

Catholic Community Services, Juneau, AK, to implement child abuse delivery programs in Southeast 

Alaska .......................................................................................................................................................... 400,000 

Contra Costa County, Martinez, CA, for a comprehensive plan to diminish the effects of domestic violence on children ......................................................................................................................................... 100,000 

Crisis Shelter of Lawrence County, New Castle, PA, for abuse victim services ............................................ 100,000

Young Women’s Resource Center, Des Moines, IA, for a child abuse prevention training program ............. 100,000 

Abandoned Infants Assistance 

The Committee recommends $11,628,000 for abandoned infants 

assistance, which is the same as the comparable funding level for 

fiscal year 2008 and the budget request. This program provides 

grants to public and private nonprofit agencies, State and county 

child welfare agencies, universities, and community-based organizations to develop, implement, and operate demonstration projects 

that will prevent the abandonment of infants and young children, 

especially those impacted by substance abuse and HIV and who are 

at-risk of being or are currently abandoned. By providing respite 

care for families and caregivers and assisting abandoned infants 

and children to reside with their natural families or in foster care. 

Child Welfare Services 

The Committee recommends $281,744,000 for child welfare services. This is the same as the comparable funding level for fiscal 

year 2008 and the budget request. This program helps State public 

welfare agencies improve their child welfare services with the goal 

of keeping families together. State services include: preventive 

intervention so that, if possible, children will not have to be removed from their homes; reunification so that children can return 
153 

home; and development of alternative placements like foster care 

or adoption if children cannot remain at home. These services are 

provided without regard to income. 

The Committee continues its interest in ACF’s Child and Family 

Services Reviews. As more States complete the second round of reviews, ACF should ensure that States are provided with appropriate resources to develop their performance improvement plans 

and obtain technical assistance. In particular, the Committee urges 

ACF to examine the need for additional resources for States in addressing child health and well-being issues. ACF should explore the 

possibility of expanding one of the existing National Resource Centers or, if warranted, establishing a new center on child health and 

wellbeing. 

Child Welfare Training 

The Committee recommends $7,207,000 for child welfare training. This is the same as the comparable funding level for fiscal year 

2008 and the budget request. These discretionary grants are 

awarded to public and private nonprofit institutions of higher 

learning to develop and improve education/training programs and 

resources for child welfare service providers. These grants upgrade 

the skills and qualifications of child welfare workers. 

Adoption Opportunities 

The Committee recommends $26,379,000 for adoption opportunities, which is the same as the comparable funding level for fiscal 

year 2008 and the budget request. This program eliminates barriers to adoption and helps find permanent homes for children who 

would benefit by adoption, particularly children with special needs. 

Adoption Incentives 

The Committee recommends $15,000,000 for adoption incentives. The comparable funding level for fiscal year 2008 is $4,323,000 and 

the administration request is $19,674,000. This program provides 

incentive funds to States to encourage an increase in the number 

of adoptions of children from the public foster care system. The recommendation is sufficient to fund adoption incentives under current law. 

Adoption Awareness 

The Committee recommends $12,453,000 for adoption awareness, 

which is the same as the comparable funding level for fiscal year 

2008 and the budget request. This program consists of two activities: the infant adoption awareness training program and the special needs awareness campaign. 

The infant adoption awareness training program provides grants 

to train health centers staff serving pregnant women so that they 

can inform them about adoption and make referrals on request to 

adoption agencies. Within the Committee recommendation, 

$9,558,000 is available for this purpose. 

The special needs adoption campaign supports grants to carry 

out a national campaign to inform the public about the adoption of 

children with special needs. The Committee recommendation includes $2,895,000 to continue this important activity. 
154 

Compassion Capital Fund 

The Committee recommends $42,688,000 for the compassion capital fund [CCF]. The comparable funding level for fiscal year 2008 

is $52,688,000 and the administration request is $75,000,000. The 

goal of this program is to help faith-based and community organizations maximize their social impact as they provide services to 

those most in need. The CCF administers three discretionary grant 

programs: a demonstration program which provides funding to 

intermediary organizations to provide training and technical assistance to smaller faith and community-based organizations; a program to fund capacity-building activities; and a program to build 

the capacity of organizations that combat gang activity and youth 

violence. 

Social Services Research 

The Committee recommends $12,337,000 for social services research. The comparable funding level for fiscal year 2008 is 

$21,194,000 and the budget request is $5,762,000. The Committee 

recommendation includes $5,762,000 in transfers available under 

section 241 of the Public Health Service Act. These funds support 

research and evaluation projects focusing on finding programs that 

are cost effective, that increase the economic independence of 

American families and that contribute to healthy development of 

children and youth. 

The Committee feels strongly about preventing child maltreatment and ameliorating its adverse health effects. The Committee 

encourages ACF to enhance its child maltreatment prevention activities by: using population-based monitoring to capture information outside child protective services systems; promoting prevention 

and early intervention to identify and disseminate information 

about effective programs; advancing research to prevent the negative consequences of child maltreatment; and furthering the development and implementation of culturally appropriate and linguistically sensitive prevention and intervention approaches. The Committee also notes that children with disabilities are a distinct highrisk group for abuse and neglect. The Committee recommends targeted support for appropriate research, and the implementation of 

evidence-based prevention and early intervention efforts, for children with disabilities. 

The Committee is aware of the dramatic increase in homeless 

children combined with the unique multiracial and multiethnic demographic environment in Hawaii. Forty-two percent of these children are under age 6, and have twice the sickness and hunger 

rates when compared to their peers. Studies also reveal that homeless children perform poorly in school. The Committee urges ACF 

to develop a knowledge base to create programs that will structure 

appropriate programs and services that will improve homeless children’s health and learning. 

Within the funds provided for social services research, the Committee includes funding for the following items: 

Project Committee 

recommendation 

A∂ For Abstinence, Waynesboro, PA, for abstinence education and related services ................................. $25,000 
155 

Project Committee recommendation 

Catholic Social Services, Wilkes Barre, PA, for abstinence education and related services ......................... 25,000 

City of Chester, Bureau of Health, Chester, PA, for abstinence education and related services ................. 25,000 

Connecticut Council of Family Service Agencies, Wethersfield, CT, for the Empowering People for Success 

welfare-to-work initiative ............................................................................................................................ 400,000 

Creative Visions in Des Moines, IA, for a family unification project for incarcerated individuals ............... 150,000 

Crozer Chester Medical Center, Upland, PA, for abstinence education and related services ....................... 25,000 

Desormeaux Foundation, Lafayette, LA, for an expectant mother education and aid program ..................... 100,000 

Elijah’s Promise, New Brunswick, NJ, for the Healthy Kitchens- Healthy Lives program .............................. 50,000 

Family Services and Childrens Aid Society, Oil City, PA, for abstinence education and related services .... 25,000 

Family, Inc., Council Bluffs, IA, for the FAMILY program ............................................................................... 350,000 

Guidance Center, Ridgeway, PA, for abstinence education and related services .......................................... 25,000 

Horizons for Homeless Children, Roxbury, MA, for continued development of programs designed to support homeless children ................................................................................................................................ 150,000 

Iowans for Social and Economic Development [ISED], Des Moines, IA, for a Comprehensive Asset Development Project ............................................................................................................................................. 200,000 

Keystone Central School District, Mill Hall, PA, for abstinence education and related services .................. 25,000 

Keystone Economic Development Corporation, Johnstown, PA, for abstinence education and related services .............................................................................................................................................................. 25,000 

LaSalle University, Philadelphia, PA, for abstinence education and related services ................................... 25,000 

Local Initiatives Support Coalition Rhode Island, Providence, RI, for child care professional development 

and programmatic activities ....................................................................................................................... 200,000 

Louisiana Association of United Ways, New Orleans, LA, to expand the capacity of the Louisiana 2–1–1 

system .......................................................................................................................................................... 400,000 

Marcus Institute, Atlanta, GA, for services for children and adolescents with developmental disabilities .. 100,000 

Monterey County Probation Department, Salinas, CA, for a gang prevention and intervention program ..... 1,500,000 

My Choice, Inc., Athens, PA, for abstinence education and related services ................................................ 25,000 

Nassau County Coalition Against Domestic Violence, Inc., Hempstead, NY, to provide legal services to 

low-income victims of domestic violence ................................................................................................... 400,000 

Neighborhood United Against Drugs, Philadelphia, PA, for abstinence education and related services ...... 25,000 

New Brighton School District, Brighton, PA, for abstinence education and related services ........................ 25,000 

Nueva Esperanza, Philadelphia, PA, for abstinence education and related services .................................... 25,000 

Ohio United Way, Columbus, OH, to expand the capacity of the 2–1–1 system .......................................... 400,000 

One Family, Inc., Boston, MA, for continued development of programs to designed to end family homelessness ....................................................................................................................................................... 250,000 

Progressive Believers Ministries, Glenside, PA, for abstinence education and related services ................... 25,000 

School District of Philadelphia, Philadelphia, PA, for abstinence education and related services ............... 25,000 

Shepherd’s Maternity House, Inc., East Stroudsburg, PA, for abstinence education and related services ... 25,000 

Sheriffs Youth Programs of Minnesota, Inver Grove Heights, MN, for expansion and related expenses for 

foster care services ..................................................................................................................................... 150,000 

Simpson College, Indianola, IA, for Urban Studies Institute .......................................................................... 200,000 

Southern Penobscot Regional Program for Children with Exceptionalities, Bangor, ME, for services for 

families with autistic children .................................................................................................................... 200,000 

Tender Care Pregnancy Center, Inc., Hanover, PA, for abstinence education and related services .............. 25,000 

The Jimmie Hale Mission, Birmingham, AL, for services for homeless families ............................................ 100,000 

TLC for Children and Families, Inc., Olathe, KS, for a transitional living program for at-risk youth .......... 200,000 

Tuscarora Intermediate Unit, McVeytown, PA, for abstinence education and related services ..................... 25,000 

United Way of the Capital Area, Jackson, MS, for 2–1–1 Mississippi for social services programs ........... 250,000 

Urban Family Council, Philadelphia, PA, for abstinence education and related services ............................. 25,000 

Washington Hospital Teen Outreach, Washington, PA, for abstinence education and related services ....... 25,000 

Women’s Care Center of Erie County, Inc., Erie, PA, for abstinence education and related services .......... 25,000 

York County Human Life Services, York, PA, for abstinence education and related services ....................... 25,000 

Zuni Tribe, Zuni, NM, for a program to assist foster children ....................................................................... 275,000 

Developmental Disabilities 

The Committee recommends $185,021,000 for programs administered by the Administration on Developmental Disabilities. The 

comparable funding level for fiscal year 2008 is $180,021,000, the 

same as the administration request. 

The Administration on Developmental Disabilities [ADD] supports community-based delivery of services which promote the 

rights of persons of all ages with developmental disabilities. Developmental disability is defined as severe, chronic disability attrib-
156 

uted to mental or physical impairments manifested before age 22, 

which causes substantial limitations in major life activities. The 

ADD also provides funding for election assistance for individuals 

with disabilities. This program is for individuals with any type of 

disability. Of the funds provided, the Committee recommends $74,482,000 

for State Councils. These important entities work to develop, improve and expand the system of services and supports for people 

with developmental disabilities. Through their activities, Councils 

on Developmental Disabilities provide for the inclusion and integration of individuals with developmental disabilities in the economic, political, social, cultural, religious and educational mainstream of our Nation. 

The Committee recommends $40,024,000 for protection and advocacy grants. This formula grant program provides funds to States 

to establish protection and advocacy systems to protect the legal 

and human rights of persons with developmental disabilities who 

are receiving treatment, services, or rehabilitation. The Committee recommends $17,410,000 for disabled voter services. Of these funds, $12,154,000 is to promote disabled voter access and $5,256,000 is for disabled voters protection and advocacy 

systems. The election assistance for individuals with disabilities 

program was authorized in the Help America Vote Act of 2002. The 

program enables grantees to make polling places more accessible 

and increase participation in the voting process of individuals with 

disabilities. 

The Committee recommends $14,162,000 for projects of national 

significance to assist persons with developmental disabilities. This 

program funds grants and contracts that develop new technologies 

and demonstrate innovative methods to support the independence, 

productivity, and integration into the community of persons with 

developmental disabilities. The Committee recommendation includes $2,000,000 for the continuation of the National Clearinghouse and Technical Assistance Center. This Center promotes leadership by families of children with disabilities in the design and 

improvement of family-centered and family-controlled systems of 

family support services, as described in section 202(b)(2) of the 

Families of Children with Disabilities Support Act of 2000. 

The Committee recommends $38,943,000 for the University Centers for Excellence in Developmental Disabilities [UCEDDs], a network of 67 centers that are interdisciplinary education, research 

and public service units of a university system or are public or nonprofit entities associated with universities. The Centers serve as 

the major vehicle to translate disability-related research into community practice and to train the next cohort of future professionals 

who will provide services and supports to an increasingly diverse 

population of people with disabilities. The Committee intends that 

the additional funding provided will provide a cost-of-living adjustment to existing centers, and will also establish new grants to work 

through partnerships with minority-serving institutions. These new 

grants will focus research, training and services on minority populations with disabilities. 

The Committee encourages the Secretary to make funds available to establish a National Autism Family Resource and Informa-
157 

tion Center, which will provide families and other caregivers of individuals with autism spectrum disorders access to information 

about evidence-based interventions, services and protocols that can 

assist individuals with autism and other developmental disabilities. 

Native American Programs 

The Committee recommends $45,523,000 for Native American 

programs. This is the same as the comparable funding level for fiscal year 2008 and the budget request. The Administration for Native Americans [ANA] assists Indian tribes and Native American 

organizations in planning and implementing long-term strategies 

for social and economic development through the funding of direct 

grants for individual projects, training and technical assistance, 

and research and demonstration programs. 

Community Services 

The Committee recommends $723,080,000 for community services programs. The comparable funding level for fiscal year 2008 is 

$722,440,000 and the administration requested $24,025,000 for this 

activity. 

Within the funds provided, the Committee recommends $653,800,000 for the community services block grant [CSBG], 

which is the same as the comparable fiscal year 2008 funding level. 

The administration did not request funding for this program. These 

funds are used to make formula grants to States and Indian tribes 

to provide a wide range of services and activities to alleviate causes 

of poverty in communities and to assist low-income individuals in 

becoming self-sufficient. 

Several other discretionary programs are funded from this account. Funding for these programs is recommended at the following 

levels for fiscal year 2009: community economic development, 

$31,467,000; individual development accounts, $24,025,000; job opportunities for low-income individuals, $5,288,000; and rural community facilities, $8,500,000. 

The Committee has included bill language clarifying congressional intent regarding disposition of intangible assets, including 

loans and investments, acquired under the community economic development authority of the CSBG Act. Grantees under this program make loans or investments in private business enterprises 

that provide job and business opportunities for low-income individuals. As the grantee receives repayments or program income from 

these loans or investments, it recycles these funds into other similar projects. The bill language continues the policy in place since 

1999 that establishes a regulatory period of up to 12 years after the 

end of grant period. After that time, the intangible assets and program income become the property of the grantee provided they are 

used in a manner consistent with the intent of the authorizing statute. The bill language clarifies that recycled funds or program income may be used in any low-income community for any eligible 

purpose under the law and not be restricted to the original target 

area, financing, or type of project for which the grantee was originally funded. 

The Committee continues to recognize the importance of Community Action Agencies [CAAs] as institutions that organize low-in-
158 

come communities to identify emerging challenges to economically 

insecure Americans and subsequently mobilize the resources, programs and partnerships needed to address local poverty conditions. 

The CSBG is a unique Federal resource that supports CAAs while 

they initiate creative responses to local poverty conditions and seek 

new sources of support and investment to implement their initiatives. The Committee believes that CSBG funding is an investment, analogous to venture capital, in the future of low-wage workers, retirees and their families. 

The Committee notes that Office of Community Services [OCS] 

has failed to report on its progress in remedying many of the severe deficiencies in its oversight of the CSBG that were reported 

by the Government Accountability Office. OCS has also failed to 

comply with the direction from the fiscal year 2005 appropriations 

conference report to implement a training and technical assistance 

needs assessment and delivery plan in consultation with CSBG 

State and local eligible entities. The Committee expects both failures to be remedied during fiscal year 2009. 

The Committee believes that training and technical assistance 

funding should build the local organizational resources needed to 

reduce poverty and rebuild communities. The Committee encourages OCS to develop and deliver the professional skills training 

needed by CAA leaders to undertake investments in projects that 

enhance their communities’ future security by financing and implementing innovative housing, economic and community development 

partnerships. The Committee also believes that OCS should support development of linkages between local agencies, their national 

organizations and major academic institutions; such linkages could 

support dissemination to CAAs of applied research on effective responses to poverty conditions. The Committee also believes that 

OCS should continue to make grants to each statewide association 

of CAAs so they may continue and expand cost-effective training 

and other capacity-building services for their members. 

Domestic Violence Hotline 

The Committee recommends $3,500,000 for the national domestic 

violence hotline. The comparable fiscal year 2008 amount is 

$2,918,000, the same as the budget request. This activity funds the 

operation of a national, toll-free, 24-hours-a-day telephone hotline 

to provide information and assistance to victims of domestic violence. 

Family Violence Prevention and Services 

The Committee recommends $125,000,000 for fiscal year 2009 for 

the family violence prevention and services program, which includes battered women’s shelters. The comparable amount for fiscal 

year 2008 is $122,552,000, the same as the budget request. These 

funds support community-based projects which operate shelters 

and provide assistance for victims of domestic violence and their 

dependents. Grantees use funds to provide counseling, self-help 

and referral services to victims and their children. 

The Committee notes that domestic violence impacts one in four 

American women over their lifetimes. In addition, 15.5 million children are exposed to domestic violence each year. The Committee 
159 

acknowledges the connections between domestic violence and a variety of related public health problems, such as youth violence, 

homelessness, substance abuse, mental illness, and increased 

health care costs. The Committee’s funding recommendation reflects its belief that the family violence prevention and services program, including battered women’s shelters, not only provides critical services to victims fleeing from life-threatening violence but 

also prevents other costly social problems. The Committee encourages the Family and Youth Services Bureau to collaborate with 

other operating divisions within the Department to respond to the 

intersection of domestic violence and other health issues. This collaboration would be cost effective and has the potential to prevent 

domestic violence and many other public health concerns. 

Mentoring Children of Prisoners 

The Committee recommends $48,628,000 for mentoring children 

of prisoners, which is the same as the comparable amount for fiscal 

year 2008. The administration requested $50,000,000 for this activity. This program provides competitive grants to community organizations to create and sustain mentoring relationships between children of prisoners and adults in their community. Research indicates that mentoring programs can help children with incarcerated 

parents reduce their drug and alcohol use, improve their relationships and academic performance, and reduce the likelihood that 

they will initiate violence. 

Independent Living Training Vouchers 

The Committee recommends $45,351,000 for independent living 

training vouchers, which is the same as the comparable fiscal year 

2008 funding level and the budget request. These funds will support vouchers of up to $5,000 per year for postsecondary educational and training for foster care youth up to 21 years of age. 

This program increases the likeihood that individuals who age out 

of the foster care system will be better prepared to live independently and contribute productively to society. 

Abstinence Education 

The Committee recommends $84,827,000 for community-based 

abstinence education. The comparable level for fiscal year 2008 is 

$113,400,000 and the administration request is $141,074,000. The 

recommendation includes $4,410,000 in transfers available under 

section 241 of the Public Health Service Act. 

The Committee has not provided funding for the administration’s 

proposed increase or for the national abstinence media campaign. 

The Committee recommendation fully funds current grantee continuation costs. The Committee repeats bill language from last 

year’s Senate report clarifying that information provided under this 

program must be scientifically and medically accurate. The Committee’s intent is that ‘‘scientifically and medically accurate’’ refers 

to information that is verified or supported by peer-reviewed research by leading medical, psychological, psychiatric and public 

health publications, organizations and agencies. 
160 

Faith-Based Center 

The Committee recommends $1,362,000 for the operation of the 

Department’s Center for Faith-Based and Community Initiatives. 

This amount is the same as the comparable funding level for fiscal 

year 2008 and the budget request. 

Program Administration 

The Committee recommends $196,930,000 for program administration. The comparable funding level for fiscal year 2008 is 

$184,496,000 and the administration request is $195,430,000. 

The Committee commends the Department for its plans to establish in 2008 a Federal advisory committee on children and disasters under the authority of section 1114 of the Social Security Act. 

The Committee understands that this advisory committee will be 

charged with providing policy analysis and advice to ACF and the 

Secretary. This advisory committee will assess the needs of children as they relate to preparation for, response to, and recovery 

from all hazards, including major disasters and emergencies. The 

Committee understands this advisory committee will build on the 

evaluations of other entities and avoid unnecessary duplication, by 

reviewing the findings, conclusions, and recommendations of various commissions, Federal, State, and local governments, and nongovernmental entities on this topic. The recommendation includes 

$1,500,000 to complete this work. Funds may be used for personnel, travel and any other necessary administrative expenses. 

The Committee requests that ACF submit a report on the progress 

of this committee within 1 year of the initial meeting. 

The Committee understands that pursuant to the authorizing 

legislation, the members of the Commission have already been appointed. To ensure that the work of the Commission is not delayed, 

the Committee directs the Secretary to keep in place the currently 

appointed members. 

PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2008 ............................................................................. $408,311,000 

Budget estimate, 2009 ........................................................................... 408,311,000 

Committee recommendation ................................................................. 418,311,000 

The Committee recommends $418,311,000 for promoting safe and 

stable families. The comparable funding level for fiscal year 2008 

is $408,311,000, the same as the budget request. The recommendation consists of $345,000,000 in mandatory funds authorized by the 

Social Security Act and $73,311,000 in discretionary appropriations. 

Funds available through the promoting safe and stable families 

[PSSF] program are focused on supporting those activities that can 

prevent family crises from emerging which might require the temporary or permanent removal of a child from his or her own home. 

The program provides grants to States, territories, and tribes for 

provision of four broad categories of services to children and families: (1) family preservation services; (2) time-limited family reunification services; (3) community-based family support services; and 

(4) adoption promotion and support services. The Child and Family 

Services Improvement Act of 2006 (Public Law 109–288) allocated 
161 

$20,000,000 for formula grants to States to support monthly caseworker visits to children in foster care and for competitive grants 

to regional partnerships to address child welfare issues raised by 

parent or caretaker abuse of methamphetamine or other substance. 

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Appropriations, 2008 ............................................................................. $5,067,000,000 

Budget estimate, 2009 ........................................................................... 5,096,000,000 

Committee recommendation ................................................................. 5,096,000,000 

The Committee recommends $5,096,000,000 for payments to 

States for foster care and adoption assistance, which includes funding for the foster care, adoption assistance and independent living 

programs. The comparable funding level for fiscal year 2008 is 

$5,067,000,000. In addition, the Committee recommendation provides $1,800,000,000 for an advance appropriation for the first 

quarter of fiscal year 2010. The Committee recommendation provides the full amount requested under current law. 

The foster care program provides Federal reimbursement to 

States for: maintenance payments to families and institutions caring for eligible foster children, matched at the Federal medical assistance percentage [FMAP] rate for each State; administration and 

training costs to pay for the efficient administration of the foster 

care program; and training of foster care workers and parents. 

The adoption assistance program provides funds to States for 

maintenance payments and the nonrecurring costs of adoption for 

children with special needs. The goal of this program is to facilitate 

the adoption of hard-to-place children in permanent homes, and 

thus prevent long, inappropriate stays in foster care. As in the foster care program, State administrative and training costs are eligible under this program for Federal reimbursement subject to a 

matching rate. 

The independent living program provides services to foster children under 18 and foster youth ages 18–21 to help them make the 

transition to independent living by engaging in a variety of services 

including educational assistance, life skills training and health 

services. States are awarded grants based on their share of the 

number of children in foster care, subject to a matching requirement. 

The Committee urges HHS to clarify that States may not deny 

eligibility for independent living services to a youth who otherwise 

meets the eligibility criteria but is temporarily residing out of 

State, and that States may not terminate ongoing independent living assistance solely due to the fact that a youth is temporarily residing out of State. 

ADMINISTRATION ON AGING

Appropriations, 2008 ............................................................................. $1,413,435,000 

Budget estimate, 2009 ........................................................................... 1,381,384,000 

Committee recommendation ................................................................. 1,478,156,000 

The Committee recommends an appropriation of $1,478,156,000 

for the Administration on Aging [AoA]. The comparable fiscal year 

2008 level is $1,413,435,000 and the administration request is 

$1,381,384,000. 
162 

Supportive Services and Senior Centers 

The Committee recommends an appropriation of $361,348,000 for 

supportive services and senior centers. The comparable level for fiscal year 2008 is $351,348,000, the same as the administration request. The supportive services program provides formula grants to 

States and territories to fund activities that help seniors remain in 

their homes for as long as possible. This program funds a wide 

range of social services such as multipurpose senior centers, adult 

day care, transportation and in-home assistance such as personal 

care and homemaker assistance. State agencies on aging award 

funds to designated area agencies on aging who in turn make 

awards to local services providers. All individuals age 60 and over 

are eligible for services, although, by law, priority is given to serving those who are in the greatest economic and social need, with 

particular attention to low-income minority older individuals, older 

individuals with limited English proficiency, and older individuals 

residing in rural areas. 

Preventive Health Services 

The Committee recommends $21,026,000 for preventive health 

services, which is the same as the comparable fiscal year 2008 

level. The administration did not request funds for this program. 

The preventive health services program funds activities such as 

health screenings, physical fitness, medication management and information and outreach regarding healthy behaviors that can help 

prevent or delay chronic disease and disability. 

Protection of Vulnerable Older Americans 

The Committee recommends $22,133,000 for grants to States for 

protection of vulnerable older Americans. The comparable fiscal 

year 2008 level is $20,633,000, the same as the administration request. Within the Committee recommendation, $17,077,000 is for 

the ombudsman services program and $5,056,000 is for the prevention of elder abuse program. Both programs provide formula grants 

to States to prevent the abuse, neglect, and exploitation of older individuals. The ombudsman program focuses on the needs of residents of nursing homes and other long-term care facilities, while 

elder abuse prevention targets its message to the elderly community at large. 

National Family Caregiver Support Program 

The Committee recommends $155,000,000 for the national family 

caregiver support program. The comparable level for fiscal year 

2008 is $153,439,000, the same as the administration request. 

Funds appropriated for this activity establish a multifaceted support system in each State for family caregivers, allowing them to 

care for their loved ones at home for as long as possible. States 

may use funding to implement the following five components into 

their program: information to caregivers about available services; 

assistance to caregivers in gaining access to services; caregiver 

counseling and training; respite care to enable caregivers to be 

temporarily relieved from their caregiving responsibilities; and limited supplemental services that fill remaining service gaps. 
163 

The Committee recognizes the essential role of family caregivers 

who provide a significant proportion of our Nation’s health and 

long-term care for the chronically ill and aging. While caring for a 

loved one can be rewarding, it may also put caregivers at risk for 

negative physical and mental health consequences. The Committee 

acknowledges the efforts of the AoA to provide vital support services for family caregivers through the national family caregiver 

support program. The Committee encourages increased support of 

services that may prevent or reduce the health burdens of 

caregiving, including individual counseling, support groups, respite 

care, and caregiver training. 

Native American Caregiver Support Program 

The Committee recommendation includes $6,316,000 to carry out 

the Native American caregiver support program. This amount is 

the same as the comparable fiscal year 2008 level and the administration request. The program will assist tribes in providing multifaceted systems of support services for family caregivers and for 

grandparents or older individuals who are relative caregivers. 

Congregate and Home-delivered Nutrition Services 

For congregate nutrition services, the Committee recommends an appropriation of $434,269,000. The comparable level for fiscal year 

2008 is $410,716,000, the same as the administration request. For 

home-delivered meals, the Committee recommends $205,005,000. 

The comparable fiscal year 2008 level is $193,858,000, the same as 

the administration request. These programs address the nutritional 

needs of older individuals. Projects funded must make home-delivered and congregate meals available at least once a day, 5 days a 

week, and each meal must meet a minimum of one-third of daily 

dietary requirements. While States receive separate allotments of 

funds for congregate and home-delivered nutrition services and 

support services, they are permitted to transfer up to 40 percent 

of funds between these programs. 

The Committee is aware that many local senior nutrition programs are facing a crisis due to rising fuel and food costs. The 

Committee is alarmed that some programs have been forced to consolidate meal sites, while others have eliminated delivery routes for 

home-delivered meals programs. Many programs are resorting to 

providing frozen meals and reducing daily deliveries in order to cut 

costs. The Committee believes that such cutbacks put our most vulnerable seniors at risk of hunger, poor health, and isolation. The 

Committee has provided a 5.7 percent increase for senior nutrition 

programs in order to help alleviate the financial strain faced by 

local providers of these services. 

Nutrition Services Incentives Program 

The Committee recommendation includes $162,207,000 for the 

nutrition services incentives program [NSIP]. The comparable fiscal 

year 2008 funding level is $153,429,000, the same as the administration request. This program augments funding for congregate and 

home-delivered meals provided to older adults. Funds provided 

under this program are dedicated exclusively to the provision of 

meals. NSIP rewards effective performance by States and tribal or-
164 

ganizations in the efficient delivery of nutritious meals to older individuals through the use of cash or commodities. 

Aging Grants to Indian Tribes and Native Hawaiian Organizations 

The Committee recommends $26,898,000 for grants to Native 

Americans. This amount is the same as the comparable fiscal year 

2008 funding level and the administration request. Under this program, awards are made to eligible organizations based on their 

share of Native American, Alaska Native, and Native Hawaiians 

aged 60 and over. These tribal organizations assure that a broad 

range of supportive services, nutrition services, information, and 

assistance are available. 

Program Innovations 

The Committee recommends $10,102,000 for program innovations. The comparable fiscal year 2008 level is $14,655,000 and the 

administration request is $32,918,000. These funds support activities designed to expand public understanding of aging and the 

aging process, apply social research and analysis to improve access 

to and delivery of services for older individuals, test innovative 

ideas and programs to serve older individuals, and provide technical assistance to agencies that administer the Older Americans 

Act. 

The Committee has provided funding for the choices for independence program in aging network support activities, rather than 

in program innovations as requested by the administration. 

The Committee has included $1,000,000 to continue a 24-hour 

call center to provide Alzheimer family caregivers with professional 

care consultation and crisis intervention. 

The Committee supports direct funding for a national program of 

statewide Senior Legal Hotlines/Helplines. The Committee has included $2,000,000 for this activity, which will provide an increase 

in the number of States in which these services are available for 

older Americans. Statewide Senior Legal Hotlines/Helplines provide free legal advice, information, referrals, and a variety of additional services to older Americans over 60, enabling more seniors 

to maintain healthy, independent lives, free from the threats of 

poverty, exploitation or abuse. 

The Committee continues to support funding at no less than last 

year’s level for national programs scheduled to be refunded in fiscal 

year 2009 that address a variety of issues, including elder abuse, 

Native American issues, and legal services. 

The Committee strongly encourages AoA find ways to promote 

civic engagement among older adults, as authorized under section 

417 of the Older Americans Act, by entering into partnerships with 

organizations that enable older Americans to effectively help meet 

critical social needs and advance the field of older American civic 

engagement. 

The Committee strongly encourages AoA to expand the public’s 

understanding of advance directives and living wills. As people live 

longer, the chance that they may not be able to make their own 

health care decisions increases. A health care advance directive 

gives direction to families and health care providers about an indi-
165 

vidual’s health care decision, if a person is unable to make a health 

care choice. 

The Committee includes the following projects and activities and 

the following amounts for fiscal year 2009: 

Project Committee recommendation 

Cedar Crest College, Allentown, PA, for a seniors outreach program ............................................................ $100,000 

Jewish Family Service of Saint Paul, MN, for a Naturally Occurring Retirement Community demonstration 

project .......................................................................................................................................................... 125,000 

Jewish Family & Child Service, Portland, OR, for senior programs and services .......................................... 100,000 

Jewish Family Service of Greater New Orleans, Metairie, LA, for a Community Nursing Elder Trauma Response Program demonstration project ...................................................................................................... 250,000 

Jewish Federation of Greater Atlanta, Atlanta, GA, for a Naturally Occurring Retirement Community ......... 100,000 

Jewish Federation of Greater Indianapolis, Indianapolis, IN, for services at a naturally occurring retirement community .......................................................................................................................................... 200,000 

Legal Services of Northern California, Inc., Sacramento, CA, to provides free legal consultation for older 

Californians ................................................................................................................................................. 250,000 

Nevada Rural Counties RSVP, Carson City, NV, to provide home services to seniors in rural areas ........... 100,000 

Town of North Hempstead, NY, for the Project Independence naturally occurring retirement communities 

[NORC] demonstration project ..................................................................................................................... 350,000 

University of Wisconsin—Oshkosh, Oshkosh, WI, for a demonstration training program that prevents 

elder abuse and neglect ............................................................................................................................. 350,000 

Utah Department of Human Services, Division of Aging and Adult Services, Salt Lake City, UT, for senior 

counseling services on Medicare, Medicaid and private insurance options .............................................. 100,000 

Aging Network Support Activities 

The Committee recommends $43,692,000 for aging network support activities. The comparable amount for fiscal year 2008 is 

$31,589,000 and the administration request is $13,133,000. The 

Committee recommendation includes funding at the administration 

request level for the Eldercare Locator, which is a toll-free, nationwide directory assistance service for older Americans and their 

caregivers. Established in 1991, the service links over 100,000 callers annually to an extensive network of resources for aging Americans and their caregivers. 

The Committee recommendation includes $28,000,000 to continue national implementation of the choices for independence program. The Committee has provided funding for this program in 

aging network support activities, as reflected in the reauthorized 

Older Americans Act. The administration requested these funds 

within the program innovations account. The choices for independence program seeks to establish long-term care options for seniors 

so they can live independently in their own communities. The program will continue and expand existing AoA programs that focus 

on nursing home diversion, aging and disability resource centers 

and evidence-based disease prevention activities. 

The Committee has included $2,000,000 within aging network 

support activities for the National Center on Senior Benefits Outreach and Enrollment, which was included in the reauthorization 

of the Older American Act. This Center works with the aging services network, including State and area agencies on aging, Aging 

and Disability Resource Centers [ADRCs] and State Health Insurance Assistance Programs [SHIPs], to provide outreach and benefits enrollment assistance to older Americans. 

The Committee recommendation includes $1,717,000 for the pension counseling and information program. Regional pension coun-
166 

seling projects provide hands-on personalized advice to workers, retirees and their family members about employer sponsored pension 

and retirement savings plan benefits, and assistance in pursuing 

claims when problems arise. The program has secured nearly 

$85,000,000 in benefits for the thousands of clients it has served— 

a return on Federal investment of more than 5-to-1. The Committee’s recommendation includes funds to increase training and technical support for the counseling projects and to maintain the six regional counseling projects. 

The Committee has provided funding at the administration request level for the National Long Term Care Ombudsman Resource 

Center, the National Center on Elder Abuse and the Health Care 

Anti-Fraud, Waste and Abuse Program. 

The Committee is concerned that AoA is not dedicating appropriate resources to the ADRCs for the purpose of assisting people 

with vision loss to live safely and independently in their homes and 

communities. The Committee encourages the AoA to develop ongoing relationships with organizations that possess demonstrated expertise in outreach to older Americans with vision loss. Such ongoing relationships should also include web site links from AoA to 

Internet resources which provide sound, comprehensive and practical information to individuals with vision loss and their families. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommends a funding level of $11,464,000 for 

Alzheimer’s disease demonstration grants to States, which is the 

same as the comparable fiscal year 2008 funding level. The administration proposed eliminating funding for this activity. 

This program provides competitive matching grants to a limited 

number of States to encourage program innovation and coordination of public and private services for people with Alzheimer’s disease and their families. The Committee is continuing funds at current levels to support initiatives that focus on emerging issues such 

as early intervention and chronic care management with broad implications for Medicaid and Medicare, to continue focus on underserved populations, and to promote dissemination and replication 

of program successes nationwide. 

Program Administration 

The Committee recommends $18,696,000 for program administration, which is the same as the administration request. The comparable fiscal year 2008 funding level is $18,064,000. These funds 

support salaries and related expenses for program management 

and oversight activities. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2008 ............................................................................. $354,014,000 

Budget estimate, 2009 ........................................................................... 379,864,000 

Committee recommendation ................................................................. 367,615,000 

The Committee recommends $367,615,000 for general departmental management [GDM]. The administration requested 

$379,864,000. The fiscal year 2008 funding level was $354,014,000. 
167 

The Committee recommendation includes the transfer of 

$5,851,000 from Medicare trust funds, which is the same as the administration request. In addition, for policy evaluation activities 

the Committee recommends $46,756,000 in transfers available 

under section 241 of the Public Health Service Act. 

This appropriation supports those activities that are associated 

with the Secretary’s role as policy officer and general manager of 

the Department. It supports certain health activities performed by 

the Office of Public Health and Science, including the Office of the 

Surgeon General. GDM funds also support the Department’s centralized services carried out by several Office of the Secretary staff 

divisions, including personnel management, administrative and 

management services, information resources management, intergovernmental relations, legal services, planning and evaluation, finance and accounting, and external affairs. 

The Office of the Surgeon General, in addition to its other responsibilities, provides leadership and management oversight for 

the PHS Commissioned Corps, including the involvement of the 

Corps in departmental emergency preparedness and response activities. 

The Committee directs that specific information requests from 

the chairman and ranking member of the Subcommittee on Labor, 

Health and Human Services, and Education, and Related Agencies, 

on scientific research or any other matter, shall be transmitted to 

the Committee on Appropriations in a prompt professional manner 

and within the timeframe specified in the request. The Committee 

further directs that scientific information requested by the Committees on Appropriations and prepared by Government researchers 

and scientists be transmitted to the Committee on Appropriations, 

uncensored and without delay. 

In addition to requests for specific information, this Committee 

report, as in previous years, also includes requests from the Department for reports on various topics. The Committee has long 

been frustrated by the Department’s inability to provide such reports in a timely manner. More often than not, reports are delivered several months after the date requested in the Committee report. Indeed, it is unlikely that any report produced by any operating division of the Department has been delivered to the Committee by the requested deadline in many years. The Committee 

recognizes that the delays may be due in part to the amount of 

work involved in producing the reports. Most of the problem, however, results from the numerous layers of bureaucracy involved in 

approving the release of the reports—steps that consume much 

time but add little value to the reports’ quality. The Committee reminds the Department that the deadlines included in this report 

are not chosen arbitrarily but are purposefully set in the hope that 

the Committee will be able to use the information provided in the 

reports to make prudent decisions about how to allocate funding. 

The Department is strongly urged to respect the Committee’s requests this year and take the deadlines seriously. 

The Committee has included $10,000,000 for the transformation 

of the Commissioned Corps. The Committee commends the Secretary on his proposal to transform the Public Health Service Commissioned Corps into a force that is ready to respond to public 
168 

health emergencies and looks forward to working with him on this 

important initiative. 

The Committee has also included up to $3,545,000 supporting 

the Secretary’s plan to invest in public health and diplomacy 

abroad by delivering direct patient care and training local health 

workers in Central America. The Committee has held hearings on 

global health issues, drug-resistant tuberculosis, and pandemic influenza and understands that infectious diseases know no borders. 

While the United States has provided strong financial support for 

the elimination of HIV/AIDS, tuberculosis, and malaria around the 

world, the Committee understands that these efforts cannot succeed without a basic public health infrastructure in place, not only 

in Central America but around the world. 

Bill language is included to provide HHS the authority to work 

with non-governmental organizations in the provision of medical 

services. Section 213 of the general provisions is also modified so 

that the State Department can provide the same embassy personnel, space, and logistics services to the Health Diplomacy Initiative that it provides to CDC. 

The Committee has again included $1,000,000 for the Secretary 

to implement section 399CC of the Public Health Service Act (as 

enacted in the Combating Autism Act, Public Law 109–416) related 

to creation and administration of the Interagency Autism Coordinating Committee. These funds are to be transferred to the National Institute of Mental Health. 

The Committee strongly encourages the Secretary to convene a 

series of discussions which would bring together preeminent scientists and theologians to begin a dialogue on the relationship between scientific inquiry and religious faith, including their areas of 

commonality. These meetings could serve as a catalyst to develop 

a mutual understanding between the scientific and faith communities to improve the health and well-being of all Americans. 

Physical Activity Guidelines.—The Committee is aware that the 

Secretary of Health and Human Services is scheduled to release 

physical activity guidelines for all Americans in the fall of 2008. 

The Committee urges the Secretary to release these guidelines in 

a timely manner and promote these guidelines to the general public and in each Federal agency. It is especially important that these 

guidelines be used when carrying out any Federal health program. 

In addition, the Committee recognizes the need to keep the guidelines current and up to date and therefore, encourages the Secretary to update the physical activity guidelines every 5 years 

based on the latest scientific and medical knowledge available at 

the time the report is prepared. 

Hispanic Youth and Suicide Risk.—Suicide risk remains a serious public health concern for Hispanic youth in the United States. 

Limited access to mental health services compounds this problem, 

given the number of Hispanic youth suffering from a mental illness. The Committee therefore strongly encourages the Office of 

the Secretary to develop a demonstration project that will illustrate 

whether the early identification of adolescents at risk leads to increased proportions of referrals for mental health treatment among 

Hispanic adolescents. 
169 

Pediatric Trauma Care.—Trauma is the most important cause of 

morbidity and mortality among children and adolescents, accounting for nearly 16,000 deaths, 250,000 hospital admissions and 9 

million emergency department visits annually. While the goal is to 

deliver optimal care to injured children so that they attain the best 

possible outcomes after serious trauma, many questions about 

what constitutes optimal care remain unanswered. This gives rise 

to the tremendous variations in care and settings we see today. 

The Committee directs the Secretary to conduct a national prospective study on this variation in care in order to understand how the 

organization and processes of treatment affect outcomes. The organization of pediatric trauma care is much more complex than that 

of care for adult trauma, and a separate study on children is necessary. 

Such a study will allow standards for optimal care of the injured 

child to be established based on high-quality evidence. These standards could then be adopted by organizations such as the American 

College of Surgeons, the Emergency Medical Services for Children 

program of the Maternal and Child Health Bureau, and State and 

local certifying agencies to bring high quality, uniform care to injured children and prevent needless disability. The Committee requests a report within 6 months that outlines how the Secretary 

shall conduct this study. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2009: 

Project Committee recommendation 

Community Transportation Association of America, Washington, DC, for technical assistance to human 

services transportation providers on ADA requirements ............................................................................. $750,000 

Adolescent Family Life 

The Committee has provided $29,778,000 for the Adolescent 

Family Life Program [AFL]. The administration requested 

$30,307,000. 

The AFL program funds demonstration projects that provide 

services to pregnant and parenting adolescents, and prevention 

projects which promote abstinence from sexual activity for adolescents. 

Minority Health 

The Committee recommends $49,988,000 for the Office of Minority Health. The administration requested $42,686,000. 

The Office of Minority Health [OMH] focuses on strategies designed to decrease the disparities and to improve the health status 

of racial and ethnic minority populations in the United States. 

OMH establishes goals, and coordinates all departmental activity 

related to improving health outcomes for disadvantaged and minority individuals. OMH supports several initiatives, including demonstration projects (the Minority Community Health Partnership 

HIV/AIDS, the Bilingual/Bicultural Service, and the Youth Empowerment Program) as well as the Center for Linguistic and Cultural Competency in Health Care, and the Family and Community 

Violence Prevention Program. 
170 

The Committee is encouraged by the progress the Office of Minority Health is making in fiscal year 2008 on the multi-year effort 

to address health disparities issues in the rural areas and minority 

populations of the gulf coast region, and looks forward to further 

progress in this area in fiscal year 2009. 

The Committee commends OMH for its efforts to partner with 

our Nation’s historically black medical schools, including expanded 

opportunities for biomedical research and support for residency 

training faculty. The Committee also encourages OMH to continue 

its leadership in defining the opportunities at minority health 

schools in resolving health disparities. 

The Committee is concerned about barriers to early medical diagnosis of lupus, a debilitating autoimmune disease that is up to 

three times more common among African Americans, Hispanics 

and Native Americans and affects over 1.5 million persons, 90 percent of whom are women. A recent CDC report found that the 

death rate from lupus among African American women ages 45–64 

had increased almost 70 percent over the previous 20 years. During 

that period, over one-third of lupus deaths were among women 

under the age of 45. To combat these trends, the Committee believes there is a need for a substantive effort to engage our Nation’s health professionals in finding ways to improve lupus diagnosis and treatment. The Committee has provided funds for the Office of Minority Health, working in conjunction with the Surgeon 

General and the Office of Women’s Health, for a national health 

education program for health care providers on lupus. To accomplish the goals of improving diagnosis and reducing disparities, the 

Office is encouraged to involve a wide array of public health, community, academic, medical and industry organizations, including 

those working to improve medical school curricula. The Committee 

also requests that OMH provide a report by May 1, 2009 on the 

disease, associated health disparities, and the impact of lupus on 

the population. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2009: 

Project Committee recommendation 

Commonwealth of Massachusetts Department of Public Health, Boston, MA, for the continued development of a program to reduce health disparities and infant mortality ...................................................... $250,000 

Office of Women’s Health 

The Committee recommends $31,033,000 for the Office of Women’s Health. The administration requested $28,458,000. 

The Office of Women’s Health [OWH] develops, stimulates, and 

coordinates women’s health research, health care services, and public and health professional education and training across HHS 

agencies. It advances important crosscutting initiatives and develops public-private partnerships, providing leadership and policy direction, and initiating and synthesizing program activities to redress the disparities in women’s health. 

The Committee understands that lupus is a serious, complex, debilitating chronic autoimmune disease that can cause inflammation 

and tissue damage to virtually any organ system in the body. The 
171 

Committee is aware that public and health professional recognition 

and understanding of lupus is extremely low, contributing to 

misdiagnoses or late diagnoses that can result in disability or 

death. The Committee has included funds to continue the national 

lupus education campaign, in conjunction with the Office of Minority Health and the Surgeon General, directed toward the general 

public and health professionals who diagnose and treat people with 

lupus. 

The Committee is aware of the problem of female genital cutting 

[FGC] in the United States, which potentially impacts nearly 

228,000 women and girls nationwide. The community outreach and 

education initiatives that were called for under the Federal Prohibition of Female Genital Mutilation Act of 1995 have been limited 

by the absence of resources needed to support these efforts. The 

Committee recognizes the importance of community-centered programs to address FGC. Community ownership of the issue is critical and is achieved by engaging local organizations that have 

earned the community’s trust through their existing work with refugee and immigrant women and girls. The Committee therefore encourages the Office of Women’s Health to support FGC-related programs implemented by ethnic community-based organizations. 

HIV/AIDS in Minority Communities 

To address high-priority HIV prevention and treatment needs of 

minority communities heavily impacted by HIV/AIDS, the Committee recommends $50,984,000. The administration requested 

$51,891,000. These funds are available to key operating divisions 

of the Department with capability and expertise in HIV/AIDS services to assist minority communities with education, community 

linkages, and technical assistance. 

Afghanistan 

The Committee recommendation includes $5,789,000 for the Secretary’s Afghanistan health initiative, the same as the request. 

Funds will be used in partnership with the Department of Defense 

for medical training activities at the Rabia Balkhi Women’s Hospital in Kabul, and for support of maternal and child health 

throughout Afghanistan. 

Embryo Donation and Adoption 

The Committee continues to believe that increasing public awareness of embryo donation and adoption remains an important goal. 

The Committee has provided $4,200,000 for the Department’s embryo donation and adoption awareness activities. The administration requested $1,980,000. The Committee notes that the costs associated with embryo adoption may be hindering people from participating in embryo adoption. The Committee is aware that the 

medical procedures involved can be expensive and are not always 

successful. To address these challenges, the Committee has again 

included bill language allowing funds appropriated for embryo donation and adoption activities to be available to pay medical and 

administrative costs deemed necessary to facilitate embryo donations and adoptions. The Committee’s intent is that these funds be 

used for embryo donation for family building and/or embryo adop-
172 

tion. The Committee does not intend to limit eligibility based on 

the terminology used to describe the transfer of the embryo. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2008 ............................................................................. $63,864,000 

Budget estimate, 2009 ........................................................................... 65,344,000 

Committee recommendation ................................................................. 63,864,000 

The Committee provides $63,864,000 for the Office of Medicare 

Hearings and Appeals, the same as the fiscal year 2008 funding 

level. The administration requested $65,344,000. 

The Office of Medicare Hearings and Appeals is responsible for 

hearing Medicare appeals at the administrative law judge level, 

which is the third level of Medicare claims appeals. This office 

began to process Medicare appeals in 2005. Prior to that time, appeals had been processed by the Social Security Administration 

under an interagency agreement with the Centers for Medicare and 

Medicaid Services. This function was transferred to the Office of 

the Secretary by the Medicare Prescription Drug, Improvement and 

Modernization Act of 2003. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2008 ............................................................................. $60,561,000 

Budget estimate, 2009 ........................................................................... 66,151,000 

Committee recommendation ................................................................. 60,561,000 

The Committee provides $60,561,000 to the Office of the National 

Coordinator for Health Information Technology [ONCHIT], the 

same as the fiscal year 2008 funding level. The administration requested $66,151,000. 

The Office of The National Coordinator for Health Information 

Technology is responsible for promoting the use of electronic health 

records in clinical practice, coordinating Federal health information 

systems and collaborating with the private sector to develop standards for a nationwide interoperable health information technology 

infrastructure. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2008 ............................................................................. $43,231,000 

Budget estimate, 2009 ........................................................................... 46,058,000 

Committee recommendation ................................................................. 46,058,000 

The Committee recommends an appropriation of $46,058,000 for 

the Office of Inspector General [OIG], the same as the administration request. In addition to discretionary funds provided in this act, 

the Health Insurance Portability and Accountability Act of 1996 

and the Deficit Reduction Act of 2005 both contain permanent appropriations for the Office of Inspector General. The total funds 

provided to the OIG from this bill and other permanent appropriations are $265,023,000 in fiscal year 2009. 

The Office of Inspector General conducts audits, investigations, 

and evaluations of the programs administered by the Department 

of Health and Human Services Operating and Staff Divisions, including the recipients of HHS’s grant and contract funds. In doing 

so, the OIG addresses issues of waste, fraud, and abuse and makes 
173 

recommendations to improve the efficiency and effectiveness of 

HHS programs and operations. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2008 ............................................................................. $34,299,000 

Budget estimate, 2009 ........................................................................... 40,099,000 

Committee recommendation ................................................................. 40,099,000 

The Committee recommends $40,099,000 for the Office for Civil 

Rights [OCR], which is the same as the administration’s request. 

The recommendation includes the transfer of $3,314,000 from the 

Medicare trust funds. 

The Office for Civil Rights is responsible for enforcing civil 

rights-related statutes in health care and human services programs. To enforce these statutes, OCR investigates complaints of 

discrimination, conducts program reviews to correct discriminatory 

practices, and implements programs to generate voluntary compliance among providers and constituency groups of health and 

human services. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2008 ............................................................................. $397,178,000 

Budget estimate, 2009 ........................................................................... 434,694,000 

Committee recommendation ................................................................. 434,694,000 

The Committee provides an estimated $434,694,000 for retirement pay and medical benefits for commissioned officers of the U.S. 

Public Health Service, the same as the administration request. 

This account provides for: retirement payments to U.S. Public 

Health Service officers who are retired for age, disability, or length 

of service; payments to survivors of deceased officers; medical care 

to active duty and retired members and dependents and beneficiaries; and for payments to the Social Security Administration 

for military service credits. 

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2008 ............................................................................. $729,259,000 

Budget estimate, 2009 ........................................................................... 1,395,831,000 

Committee recommendation ................................................................. 1,251,758,000 

The Committee provides $1,251,758,000 to the Public Health and 

Social Services Emergency Fund. The Pandemic Preparedness and 

All-Hazards Preparedness Act, enacted into law in December 2006, 

created the new position of the Assistant Secretary for Preparedness and Response. 

This appropriation supports the activities of the Office of the Assistant Secretary for Preparedness and Response and other activities within the Office of the Secretary to prepare for the health consequences of bioterrorism and other public health emergencies, including pandemic influenza, and to support the Department’s 

cyber-security efforts. 
174 

Office of the Assistant Secretary for Preparedness and Response 

[ASPR] 

Hospital Preparedness.—The Committee’s recommendation includes $361,660,000 for hospital preparedness grants, the same as 

the administration’s request. The Committee understands that 

ASPR intends to reduce the grant cycle for these monies to 9 

months, 3 weeks (August 9 to June 1 rather than August 9 to August 8) and that support for hospital preparedness activities will 

not be reduced on a monthly basis. 

The Committee encourages the Secretary, in consultation with 

the Departments of Homeland Security and Defense, along with 

State and local healthcare providers to develop and publish guidance identifying minimum performance, safety, and interoperability 

requirements for deployable medical facilities that may be purchased using Federal funds. 

Advanced Research and Development.—The Committee recommendation includes $175,000,000 for advanced research and development. The administration requested $275,000,000. 

Other Activities.—The Committee recommendation includes the 

following amounts for the following activities within the Office of 

the Assistant Secretary for Preparedness and Response: 

—Operations/Preparedness and Emergency Operations— $27,536,000; —National Disaster Medical System—$45,999,000; 

—Bioshield Management—$21,743,000; 

—International Early Warning Surveillance—$8,690,000; 

—Policy, Strategic Planning & Communications—$4,292,000. 

Four years after Project BioShield’s creation, the development 

and acquisition of most high priority vaccines and therapeutics remains much too slow. The Committee recognizes that progress is 

being made and that general acquisition goals have been identified. 

However, the Committee remains concerned by the slow pace of advanced research funding and procurement of medical products. The 

Committee therefore urges the Secretary to accelerate the issuance 

of procurement RFPs and awards under Project BioShield. 

Office of the Assistant Secretary for Resources & Technology 

The Committee recommendation includes $8,906,000 for information technology cyber-security. The administration requested 

$11,980,000. 

Office of Public Health & Science 

The Committee recommendation includes $9,578,000 for the 

medical reserve corps program. The administration requested 

$15,110,000. 

Office of the Secretary 

Pandemic Influenza Preparedness.—The Committee recommendation includes $585,091,000 for pandemic influenza preparedness activities, the same as the administration request. Of 

this amount, $507,000,000, to be available until expended, is for activities including purchase of pre-pandemic vaccine for stockpiling, 

vaccine development, the purchase of antivirals and the research 

and development of diagnostic tests. The Committee requests 
175 

monthly reports updating the status of actions taken and funds obligated for these no-year funds. 

The Committee continues to strongly support efforts to strengthen the Federal Government’s ability to respond to pandemic influenza. The Committee has not specified how these no-year funds are 

to be used, and is broadly supportive of plans for vaccine development and purchase, antiviral procurement, and research and development of diagnostics. However, the Committee encourages HHS to 

identify and support new technologies that might have the potential to enhance our response to a pandemic, and to be open to using 

the provided flexibility to make strategic investments in these potentially paradigm shifting technologies. 

The Committee is concerned by reports that many small and 

large companies have difficulty communicating with the Department regarding vision, timing, strategy, and procurement plans. 

The Committee urges the Department to make the creation and 

continuity of open lines of communication with these entities a priority. Their participation is critical to successful implementation of 

any disease outbreak response. The Committee has also provided $78,091,000 for ongoing activities within the Office of the Secretary to prepare the Nation 

against an influenza pandemic. 

The Committee again encourages HHS and CDC to continue to 

support public and professional education, media awareness and 

outreach programs related to the annual flu vaccine. The Committee strongly encourages CDC and HHS to aggressively implement initiatives for increasing influenza vaccine demand to match 

the increased domestic vaccine production and supply resulting 

from pandemic preparedness funding. Developing a sustainable 

business model for vaccine production will go a long way toward 

making vaccine available when needed. 

The Committee has made significant investments in State and 

local government preparedness. A public health crisis will involve 

multiple levels of government, as well as the private sector. Comprehensive supply chain management strategies are essential to 

ensure a coordinated and rapid response. The Committee is anxious to avoid the supply chain management breakdowns that occurred in connection with Hurricane Katrina. Therefore the Committee directs the Department and the Centers for Disease Control 

to report back to the Committees on Appropriations within 180 

days on its current supply chain management strategies and how 

they can be improved in order to enhance both State and local government preparedness and the complex, multi-tiered response anticipated in the President’s Pandemic Preparedness Strategy. 

The Committee is extremely concerned about the ineffectiveness 

of the flu vaccine used last winter. During well-matched years, clinical trials have shown vaccine effectiveness between 70 percent and 

90 percent for healthy adults who received inactivated influenza 

vaccines. Preliminary data about vaccine effectiveness for the 

2007–2008 influenza season indicates that those who received trivalent inactivated influenza vaccine were only 44 percent less likely to have medically attended influenza illnesses than those who 

were not vaccinated. The failure of the flu vaccine raises concerns 

regarding our Nation’s effort to combat the potential for pandemic 
176 

influenza. Data has shown that incorporation of new technologies, 

in conjunction with traditional methods of vaccine evaluation, 

would have predicted that last winter’s flu vaccine would fail to 

perform adequately in the field. The animal model method has not 

proven an ideal model system to predict human immunity and 

thus, there is an unmet need for new in vitro approaches that could 

provide reliable and predictive efficacy, safety, and adverse reaction 

data. The Committee encourages CDC and the Assistant Secretary 

for Preparedness and Response to support development of technologies that will accurately predict the effectiveness of influenza, 

biodefense, and pre-pandemic vaccines in the future. 

Other Activities.—The Committee recommendation includes 

$3,263,000 for other activities within the Office of the Secretary including healthcare provider credentialing. 

GENERAL PROVISIONS, DEPARTMENT OF HEALTH AND HUMAN

SERVICES

The Committee recommendation continues a provision placing a $50,000 ceiling on official representation expenses (sec. 201). 

The Committee recommendation continues a provision which limits the assignment of certain public health personnel (sec. 202). 

The Committee recommendation continues a provision limiting 

the use of certain grant funds to pay individuals more than an annual rate of executive level I (sec. 203). 

The Committee recommendation continues a provision restricting 

the Secretary’s use of taps for program evaluation activities unless 

a report is submitted to the Appropriations Committees on the proposed use of funds (sec. 204). 

The Committee recommendation continues a provision authorizing the transfer of up to 2.4 percent of Public Health Service 

funds for evaluation activities (sec. 205). 

The Committee recommendation continues a provision restricting 

transfers of appropriated funds and requires a 15-day notification 

to both the House and Senate Appropriations Committees (sec. 

206). 

The Committee recommendation continues a provision permitting 

the transfer of up to 3 percent of AIDS funds among Institutes and 

Centers by the Director of NIH and the Director of the Office of 

AIDS Research at NIH (sec. 207). 

The Committee recommendation retains language which requires 

that the use of AIDS research funds be determined jointly by the 

Director of the National Institutes of Health and the Director of the 

Office of AIDS Research and that those funds be allocated directly 

to the Office of AIDS Research for distribution to the institutes and 

centers consistent with the AIDS research plan (sec. 208). 

The Committee recommendation continues a provision regarding 

requirements for family planning applicants (sec. 209). 

The Committee recommendation retains language which states 

that no provider services under title X of the PHS Act may be exempt from State laws regarding child abuse (sec. 210). 

The Committee recommendation retains language which restricts 

the use of funds to carry out the Medicare Advantage Program if 

the Secretary denies participation to an otherwise eligible entity 

(sec. 211). 
177 

The Committee recommendation retains language which prohibits the Secretary from withholding substance abuse treatment 

funds (sec. 212). 

The Committee recommendation modifies a provision which facilitates the expenditure of funds for international health activities 

(sec. 213). 

The Committee recommendation continues a provision authorizing the Director of the National Institutes of Health to enter into 

certain transactions to carry out research in support of the NIH 

Common Fund (sec. 214). 

The Committee continues a provision that permits the Centers 

for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry to transfer funds that are available 

for Individual Learning Accounts to ‘‘Disease Control, Research, 

and Training’’ (sec. 215). 

The Committee recommendation includes bill language allowing 

use of funds to continue operating the Council on Graduate Medical 

Education (sec. 216). 

The Committee recommendation continues a provision pertaining 

to the public access policy at the National Institutes of Health (sec. 

217). 

The Committee recommendation continues a provision permitting the National Institutes of Health to use up to $2,500,000 per 

project for improvements and repairs of facilities (sec. 218). 

The Committee recommendation includes a provision that transfers funds from NIH to HRSA and AHRQ, to be used for National 

Research Service Awards (sec. 219). 

The Committee recommendation includes a provision that modifies language authorizing the Nonrecurring Expenses Fund (sec. 

220). 

The Committee recommendation includes a provision amending 

the nominal price exception to the Medicaid Drug Rebate program 

to include non-title X funded family planning clinics and college 

health centers (sec. 221). 

The Committee recommendation includes a provision that increases the authorized number of Regular Officers to 4,000 (sec. 

222). 

The Committee recommendation includes a provision requiring 

the release of unobligated LIHEAP funds no later than the date of 

enactment (sec. 223). 

The Committee recommendation includes a new provision concerning conflicts of interest among extramural investigators receiving grants from the National Institutes of Health (sec. 224). 

The Committee recommendation includes a provision that places 

a 1-year moratorium on the August 17, 2007 directive issued by the 

Department of Health and Human Services relating to the State 

Child Health Insurance program (sec 225). 
(178) 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2008 ............................................................................. $15,489,475,000 

Budget estimate, 2009 ........................................................................... 16,917,059,000 

Committee recommendation ................................................................. 15,735,884,000 

The Committee recommends an appropriation of $15,735,884,000 

for education for the disadvantaged. The comparable funding level 

for fiscal year 2008 was $15,489,475,000, and the budget request 

includes $16,917,059,000. 

The programs in the Education for the Disadvantaged account 

help ensure that poor and low-achieving children are not left behind in the Nation’s effort to raise the academic performance of all 

children and youth. Funds appropriated in this account primarily 

support activities in the 2009–2010 school year. 

Grants to Local Educational Agencies 

Title I grants to local educational agencies [LEAs] provide supplemental education funding, especially in high-poverty areas, for 

local programs that provide extra academic support to help raise 

the achievement of eligible students or, in the case of schoolwide 

programs, help all students in high-poverty schools to meet challenging State academic standards. The program serves an estimated 20 million students in nearly all school districts and more 

than half of all public schools—including two-thirds of the Nation’s 

elementary schools. 

States are required to reserve 4 percent of their allocation under 

this program for school improvement activities, unless such action 

would require a State to reduce the grant award of a local educational agency to an amount below the preceding year. States 

must distribute 95 percent of these reserved funds to LEAs for 

schools identified for improvement, corrective action, or restructuring. The Committee intends for States to utilize these funds 

along with those available under the School Improvement Grants 

program to make competitive awards to school districts that are of 

sufficient size and scope, and of a multi-year duration, so that 

schools may undertake sustainable, scientifically based research reform activities that have a positive impact on improving instructional practices in the classroom. 

The Committee was disappointed by the findings of a February 

2008 Government Accountability Office [GAO] report, which was 

requested by the Committee, showing that some States did not fulfill No Child Left Behind Act [NCLBA] requirements for allocating 

or tracking the 4 percent funds, and that the Education Department failed to monitor States’ compliance. The Committee requests 
179 

an update on the Department’s plans to improve its monitoring 

practices in the fiscal year 2010 budget justification. Of the funds available for title I grants to LEAs, up to $4,000,000 shall be available on October 1, 2008, not less than $5,632,145,000 

will become available on July 1, 2009, and $8,893,756,000 will become available on October 1, 2009. The funds that become available on July 1, 2009, and October 1, 2009, will remain available for 

obligation until September 30, 2010. 

Title I grants are distributed through four formulas: basic, concentration, targeted, and education finance incentive grant [EFIG]. Overall, the Committee recommends $14,529,901,000 for title I 

grants, $225,000,000 more than the budget request, which was 

$14,304,901,000. The fiscal year 2008 appropriated level was 

$13,898,875,000. 

As in past years, the Committee divided the increase over fiscal 

year 2008 equally between the targeted and EFIG formulas, both 

of which direct a higher share of funds to poorer students than the 

basic and concentration formulas do. The budget request allocates 

all of the increase over fiscal year 2008 into the targeted account. For title I basic grants, including up to $4,000,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,597,946,000, the same as the 

budget request and the fiscal year 2008 level. For concentration 

grants, the Committee recommends $1,365,031,000, the same as 

the budget request and the fiscal year 2008 level. The Committee recommends $3,283,462,000 for grants through 

the targeted formula. The comparable funding level for fiscal year 

2008 was $2,967,949,000, and the budget request is $3,373,975,000. 

The Committee recommends $3,283,462,000 to be allocated through 

the EFIG formula. The comparable funding level for the budget request and fiscal year 2008 was $2,967,949,000. 

William F. Goodling Even Start Family Literacy Program 

The Committee recommends $66,454,000, the same as the fiscal 

year 2008 level, for the Even Start program. The budget request 

does not include any funds for this program. 

The Even Start program provides grants for family literacy programs that serve disadvantaged families with children under 8 

years of age and adults eligible for services under the Adult Education and Family Literacy Act. Programs combine early childhood 

education, adult literacy, and parenting education. Funding is provided to States based on their relative share of title I, part A funds, 

and States use these resources to make competitive subgrants to 

partnerships comprised of local educational agencies and other organizations serving families in high-poverty areas. 

School Improvement Grants 

The Committee recommendation includes $491,265,000, the same 

as the budget request and the fiscal year 2008 level, for the School 

Improvement Grants program. This formula grant program enables 

States to provide assistance to schools not making adequate yearly 

progress for at least 2 years. States must subgrant 95 percent of 

their allocations to LEAs and may use up to 5 percent for administration, evaluation and technical assistance activities. 
180 

The Committee expects high demand for these funds from LEAs 

given the growing numbers of schools that are being identified for 

improvement, corrective action and restructuring. Therefore, the 

Committee requests that the Department assist States in encouraging LEAs to use their school improvement funds only on those 

programs that are proven to be effective in rigorous research. The 

Committee also recommends that States prioritize grant requests 

for the use of programs that meet the research standards set forth 

in the Comprehensive School Reform Quality [CSRQ] Center. 

Reading First State Grants 

The Committee recommends no funding for the Reading First 

State Grants program. The comparable funding level for fiscal year 

2008 was $393,012,000, and the budget request is $1,000,000,000. 

The Committee was highly disappointed by the interim report 

from the Reading First Impact Study, which showed that this program did not have a statistically significant impact on students’ 

reading comprehension. The Committee notes that the funding cut 

in fiscal year 2008—which resulted from the Department’s severe 

mismanagement of the program—did not affect the results of the 

impact study, which examined Reading First when it was being 

fully funded at roughly $1,000,000,000 a year. While new leadership at the Department has ended the conflict of interest abuses 

that marked Reading First’s creation and early implementation, 

those changes do not appear to have solved the program’s flaws. 

Therefore, the Committee does not plan to provide any additional 

funding for Reading First until it can be assured that the program 

will have a positive effect on student learning. 

Early Reading First 

The Committee recommends $112,549,000, the same as the budget request and the fiscal year 2008 appropriation, for the Early 

Reading First program. 

Early Reading First provides competitive grants to school districts and nonprofit groups to support activities in existing preschool programs that are designed to enhance the verbal skills, 

phonological awareness, letter knowledge, pre-reading skills, and 

early language development of children ages 3 through 5. Funds 

are targeted to communities with high numbers of low-income families. 

Striving Readers 

The Committee recommends $35,371,000, the same as the fiscal 

year 2008 level, for the Striving Readers initiative. The budget request is $100,000,000. This program supports grants to develop, 

implement, and evaluate reading interventions for middle or high 

school students reading significantly below grade level. 

Math Now 

The Committee recommendation does not include any funding for 

the proposed Math Now initiative, which is authorized by the 

America COMPETES Act and is intended to improve math instruction for students in kindergarten through 9th grade. The budget request is $95,000,000. 
181 

Improving Literacy Through School Libraries 

The Committee recommends $19,145,000, the same as the budget 

request and the fiscal year 2008 appropriation, for the Improving 

Literacy Through School Libraries program. 

This program provides competitive awards for urgently needed, 

up-to-date school library books and training for school library 

media specialists. Funds may be used to acquire school library 

media resources, including books and advanced technology; facilitate resource-sharing networks among schools and school libraries; 

provide professional development for school library media specialists; and provide students with access to school libraries during 

nonschool hours. 

Pell Grants for Kids 

The Committee does not include any funding for a new program 

proposed by the administration called Pell Grants for Kids. The 

program’s purpose is to provide students with scholarships to pay 

tuition at private schools or out-of-district public schools. The budget request is $300,000,000. 

The Committee notes that this program has a new name but is 

virtually identical to previous voucher plans that were proposed by 

the administration but rejected by the Congress. 

Migrant Education Program 

The Committee recommends $389,771,000 for the migrant edu- cation program. The budget request is $399,771,000 and the fiscal 

year 2008 level was $379,771,000. 

The title I migrant education program authorizes grants to State 

educational agencies for programs to meet the special educational 

needs of the children of migrant agricultural workers and fishermen. States receive at least the same amount they received in fiscal year 2002; any funds over the fiscal year 2002 appropriation are 

allocated to the States through a statutory formula based on each 

State’s average per-pupil expenditure for education and actual 

counts of migratory children ages 3 through 21 residing within the 

States in the previous year. This appropriation also supports activities to improve interstate and intrastate coordination of migrant 

education programs, as well as identifying and improving services 

to the migrant student population. 

Neglected and Delinquent 

The Committee recommends $48,927,000, the same as the fiscal 

year 2008 appropriation, for the title I neglected and delinquent 

program. The budget request is $51,927,000. 

This program provides financial assistance to State educational 

agencies for education services to neglected and delinquent children and youth in State-run institutions and for juveniles in adult 

correctional institutions. Funds are allocated to individual States 

through a formula based on the number of children in State-operated institutions and per-pupil education expenditures for the 

State. States are authorized to set aside at least 15 percent, but 

not more than 30 percent, of their neglected and delinquent funds 

to help students in State-operated institutions make the transition 

into locally operated programs and to support the successful re-
182 

entry of youth offenders, who are age 20 or younger and have received a secondary school diploma or its recognized equivalent. 

Evaluation 

The Committee recommends $9,167,000, the same as the budget 

request and the fiscal year 2008 appropriation, for evaluation of 

title I programs. 

Evaluation funds are used to support large-scale national surveys that examine how the title I program is contributing to student academic achievement. Funds also are used to evaluate State 

assessment and accountability systems and analyze the effectiveness of educational programs supported with title I funds. 

Comprehensive School Reform Demonstration 

The Committee does not include any funding for the comprehensive school reform demonstration program. Neither did the budget 

request. The fiscal year 2008 level was $1,605,000. 

The fiscal year 2008 funding was used entirely for the final year 

of a contract to the Comprehensive School Reform Clearinghouse. 

High School Equivalency Program 

The Committee recommends $18,226,000, the same as the fiscal 

year 2008 appropriation and the budget request, for the high school 

equivalency program [HEP]. 

This program provides 5-year grants to institutions of higher 

education and other nonprofit organizations to recruit migrant students ages 16 and over and provide the academic and support services needed to help them obtain a high school equivalency certificate and subsequently gain employment, win admission to a postsecondary institution or a job-training program, or join the military. Projects provide counseling, health services, stipends, and 

placement assistance. 

College Assistance Migrant Program 

For the College Assistance Migrant Program [CAMP], the Com- mittee recommends $15,108,000, the same amount as the fiscal 

year 2008 appropriation and the budget request. 

Funds provide 5-year grants to institutions of higher education 

and nonprofit organizations for projects that provide tutoring, counseling, and financial assistance to migrant students during their 

first year of postsecondary education. Projects also may use up to 

10 percent of their grants for follow-up services after students have 

completed their first year of college, including assistance in obtaining student financial aid. 

IMPACT AID

Appropriations, 2008 ............................................................................. $1,240,718,000 

Budget estimate, 2009 ........................................................................... 1,240,718,000 

Committee recommendation ................................................................. 1,240,718,000 

The Committee recommends an appropriation of $1,240,718,000 

for impact aid. This is the same as the comparable funding level 

for fiscal year 2008 and the budget request. 

Impact aid provides financial assistance to school districts for the 

costs of educating children when enrollments and the availability 
183 

of revenues from local sources have been adversely affected by the 

presence of Federal activities. Children who reside on Federal or 

Indian lands generally constitute a financial burden on local school 

systems because these lands do not generate property taxes—a 

major revenue source for elementary and secondary education in 

most communities. In addition, realignments of U.S. military forces 

at bases across the country often lead to influxes of children into 

school districts without producing the new revenues required to 

maintain an appropriate level of education. 

The Committee bill retains language that provides for continued 

eligibility for students affected by the deployment or death of their 

military parent, as long as these children still attend the same 

school district. 

Basic Support Payments.—The Committee recommends 

$1,105,535,000 for basic support payments. This is the same as the 

fiscal year 2008 level and the budget request. Under this statutory 

formula, payments are made on behalf of all categories of federally 

connected children, with a priority placed on making payments 

first to heavily impacted school districts and providing any remaining funds for regular basic support payments. 

Payments for Children with Disabilities.—The Committee bill includes $48,602,000, the same as the budget request and the fiscal 

year 2008 appropriation, for payments for children with disabilities. Under this program, additional payments are made for certain Federally connected children eligible for services under the Individuals with Disabilities Education Act. 

Facilities Maintenance.—The Committee recommends $4,864,000, 

the same as the fiscal year 2008 appropriation and the budget request, for facilities maintenance. This activity provides funding for 

emergency repairs and comprehensive capital improvements to certain school facilities owned by the Department of Education and 

used by local educational agencies to serve federally connected military dependent students. Funds appropriated for this purpose are 

available until expended. 

Construction.—The Committee recommends $17,509,000, the 

same as the fiscal year 2008 appropriation and the budget request, 

for the construction account. Formula and competitive grants are 

authorized to be awarded to eligible LEAs for emergency repairs 

and modernization of school facilities. Funds appropriated for the 

construction activity are available for obligation for a period of 2 

years. 

The fiscal year 2006 and 2007 appropriations for this activity 

stipulated that funds were to be used only on formula construction 

grants to eligible school districts. The budget request proposes bill 

language this year to provide construction funds on a competitive 

basis only, as was the case in fiscal year 2008. The Committee has 

provided this requested authority. 

Payments for Federal Property.—The Committee recommends 

$64,208,000, the same as the budget request and the fiscal year 

2008 appropriation, for this activity. These payments compensate 

local educational agencies in part for revenue lost due to the removal of Federal property from local tax rolls. 
184 

SCHOOL IMPROVEMENT PROGRAMS

Appropriations, 2008 ............................................................................. $5,289,077,000 

Budget estimate, 2009 ........................................................................... 4,566,323,000 

Committee recommendation ................................................................. 5,292,422,000 

The Committee recommends an appropriation of $5,292,422,000 

for school improvement programs. The comparable funding level in 

fiscal year 2008 was $5,289,077,000, and the budget request is 

$4,566,323,000. 

State Grants for Improving Teacher Quality 

The Committee recommends $2,935,249,000, the same as the fiscal year 2008 appropriation, for State grants for improving teacher 

quality. The budget request is $2,835,248,000. 

The appropriation for this program primarily supports activities 

associated with the 2009–2010 academic year. Of the funds provided, $1,500,249,000 will become available on July 1, 2009, and 

$1,435,000,000 will become available on October 1, 2009. These 

funds will remain available for obligation until September 30, 2010. 

States and LEAs may use the funds for a range of activities related to the certification, recruitment, professional development, 

and support of teachers and administrators. Activities may include 

reforming teacher certification and licensure requirements, addressing alternative routes to State certification of teachers, recruiting teachers and principals, and implementing teacher mentoring systems, teacher testing, merit pay, and merit-based performance systems. These funds may also be used by districts to 

hire teachers to reduce class sizes. 

Mathematics and Science Partnerships 

The Committee recommends $178,978,000, the same as the fiscal 

year 2008 level and the budget request, for the mathematics and 

science partnerships program. These funds will be used to improve 

the performance of students in the areas of math and science by 

bringing math and science teachers in elementary and secondary 

schools together with scientists, mathematicians, and engineers to 

increase the teachers’ subject-matter knowledge and improve their 

teaching skills. The Department awards grants to States by a formula based on the number of children aged 5 to 17 who are from 

families with incomes below the poverty line. States then are required to make grants competitively to eligible partnerships, which 

must include an engineering, math or science department of an institution of higher learning and a high-need LEA. 

Educational Technology State Grants 

The Committee recommends $267,494,000, the same as the fiscal 

year 2008 appropriation, for educational technology State grants. 

The budget request did not include any funds for this program. 

The educational technology State grants program supports efforts 

to integrate technology into curricula to improve student learning. 

Funds flow by formula to States and may be used for the purchase 

of hardware and software, teacher training on integrating technology into the curriculum, and efforts to use technology to improve 

communication with parents, among other related purposes. An 
185 

LEA must use at least 25 percent of its formula allocation for professional development in the integration of technology into the curricula unless it can demonstrate that it already provides such highquality professional development. 

The Committee bill retains language allowing States to award up 

to 100 percent of their funds competitively. 

Supplemental Education Grants 

The Committee recommendation includes $17,687,000, the same 

as the budget request and the fiscal year 2008 appropriation, for 

supplemental education grants to the Republic of Marshall Islands 

and the Federated States of Micronesia. This grant program was 

authorized by the Compact of Free Association Amendments Act of 

2003. These funds will be transferred from the Department of Education to the Secretary of the Interior for grants to these entities. 

The Committee bill includes language that allows up to 5 percent 

to be used by the FSM and RMI to purchase oversight and technical assistance, which may include reimbursement of the Departments of Labor, Health and Human Services and Education for 

such services. 

21st Century Community Learning Centers 

The Committee recommends an appropriation of $1,081,166,000, 

the same as the fiscal year 2008 level, for the 21st Century Community Learning Centers program. The budget request is 

$800,000,000. 

Funds are allocated to States by formula, which in turn, award 

at least 95 percent of their allocations to local educational agencies, 

community-based organizations and other public and private entities. Grantees use these resources to establish or expand community learning centers that provide activities offering significant extended learning opportunities, such as before- and after-school programs, recreational activities, drug and violence prevention, and 

family literacy programs for students and related services to their 

families. Centers must target their services on students who attend 

schools that are eligible to operate a schoolwide program under 

title I of the Elementary and Secondary Education Act or serve 

high percentages of students from low-income families. 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $410,732,000 for State assessments 

and enhanced assessment instruments. The fiscal year 2008 appropriation was $408,732,000, the same as the budget request. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing standards and assessments required by the No Child Left Behind Act. The Committee 

provides $400,000,000, the same as the fiscal year 2008 level and 

the budget request, for this purpose. 

Under the second component—grants for enhanced assessment 

instruments—appropriations in excess of the State assessment program are used for a competitive grant program designed to support 

efforts by States to improve the quality and fairness of their assessment systems. The Committee recommendation for the second com-
186 

ponent is $10,732,000. The budget request and the fiscal year 2008 

appropriation was $8,732,000. 

The Committee urges the Department to continue to place a high 

priority on grant applications that aim to improve the quality of 

State assessments for students with disabilities and students with 

limited English proficiency, and to ensure the most accurate means 

of measuring their performance on these assessments. 

Javits Gifted and Talented Education 

The Committee recommends $7,463,000, the same as the fiscal 

year 2008 appropriation, for the Javits Gifted and Talented Students Education Program. The budget requests no funding for this 

program. Funds are used for awards to State and local educational 

agencies, institutions of higher education, and other public and private agencies for research, demonstration, and training activities 

designed to enhance the capability of elementary and secondary 

schools to meet the special educational needs of gifted and talented 

students. 

Foreign Language Assistance 

The Committee recommends $27,000,000 for the foreign language 

assistance program. The comparable funding level for fiscal year 

2008 was $25,655,000, the same as the budget request. 

Funds from this program support competitive grants to increase 

the quality and quantity of foreign language instruction. At least 

75 percent of the appropriation must be used to expand foreign language education in the elementary grades. The Committee has included bill language that prohibits foreign language assistance program funds from being used for the foreign language incentive program. The Committee also includes bill language that carves out 

$7,360,000 for 5-year grants to LEAs, in partnership with institutions of higher education, for the establishment or expansion of articulated programs of study in critical-needs languages. The 

amount set aside for this purpose in fiscal year 2008 was 

$2,360,000. 

The Committee is concerned that this program is unavailable to 

the poorest schools because grant recipients must provide a 50 percent match from non-Federal sources. The Committee, therefore, 

strongly urges the Secretary to use her ability to waive the matching requirement for qualifying schools and to increase awareness of 

this accommodation among the affected school population. 

The Committee commends the Department for agreeing not to 

make grants to schools that are replacing current traditional language programs with critical-needs language instruction. 

Education for Homeless Children and Youth 

For carrying out education activities authorized by title VII, subtitle B of the Stewart B. McKinney Homeless Assistance Act, the 

Committee recommends $64,067,000, the same as the fiscal year 

2008 appropriation and the budget request. 

This program provides assistance to each State to support an office of the coordinator of education for homeless children and 

youth, to develop and implement State plans for educating homeless children, and to make subgrants to LEAs to support the edu-
187 

cation of those children. Grants are made to States based on the 

total that each State receives in title I grants to LEAs. 

Under the McKinney-Vento Homeless Children and Youths Program, State educational agencies must ensure that homeless children and youth have equal access to the same free public education, including a public preschool education, as is provided to 

other children and youth. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the Civil Rights Act, the Committee recommends $6,989,000, the same 

as the fiscal year 2008 appropriation and the budget request. 

The funds provided will support awards to operate the 10 regional equity assistance centers [EACs]. Each EAC provides services to school districts upon request. Activities include disseminating information on successful practices and legal requirements 

related to nondiscrimination on the basis of race, color, sex, or national origin in education programs. 

Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Com- mittee recommends $33,315,000. This is the same amount as the 

fiscal year 2008 appropriation. The budget request does not include 

any funding for this purpose. 

The Committee bill includes language requiring that at least $1,500,000 of the funds recommended to be used for construction 

and renovation of Native Hawaiian educational facilities. 

The Committee bill includes also language stipulating that $1,500,000 shall be used for a grant to the Center of Excellence at 

the University of Hawaii School of Law, for the Native Hawaiian 

Law School Center of Excellence. This repository houses a compilation of historical and cultural documents that facilitates preservation and examination of laws of great significance to Native Hawaiians. 

Alaska Native Educational Equity 

The Committee recommends $33,315,000, the same as the fiscal 

year 2008 level, for the Alaska Native educational equity assistance program. The budget request did not include any funds for 

this purpose. 

These funds address the severe educational handicaps of Alaska 

Native schoolchildren. Funds are used for the development of supplemental educational programs to benefit Alaska Natives. The 

Committee bill includes language that allows funding provided by 

this program to be used for construction. The Committee expects 

the Department to use some of these funds to address the construction needs of rural schools. 

Rural Education 

The Committee recommends $171,854,000, the same as the budget request and the fiscal year 2008 appropriation, for rural education programs. 

The Committee expects that rural education funding will be 

equally divided between the Small, Rural Schools Achievement 
188 

Program, which provides funds to LEAs that serve a small number 

of students, and the Rural and Low-Income Schools Program, 

which provides funds to LEAs that serve concentrations of poor 

students, regardless of the number of students served. 

Comprehensive Centers 

The Committee recommends $57,113,000, the same as the budget 

request and the fiscal year 2008 level, for the comprehensive centers program. 

These funds provide continued support to a network of 21 comprehensive centers that are operated by research organizations, 

agencies, institutions of higher education or partnerships thereof, 

and provide training and technical assistance on various issues to 

States, LEAs, and schools as identified through needs assessments 

undertaken in each region. The system includes 16 regional centers, which are charged with providing intensive technical assistance to State educational agencies to increase their capacity to assist LEAs and schools with meeting the goals of No Child Left Behind, and five content centers, which are organized by topic area. 

INDIAN EDUCATION

Appropriations, 2008 ............................................................................. $119,564,000 

Budget estimate, 2009 ........................................................................... 119,564,000 

Committee recommendation ................................................................. 119,564,000 

The Committee recommends $119,564,000, the same as the budget request and the fiscal year 2008 appropriation, for Indian Education programs. 

Grants to Local Education Agencies 

For grants to local educational agencies, the Committee recommends $96,613,000, the same as the fiscal year 2008 funding 

level and the budget request. 

These funds provide financial support to elementary and secondary school programs that serve Indian students, including preschool children. Funds are awarded on a formula basis to local educational agencies, schools supported and operated by the Department of the Interior/Bureau of Indian Education, and in some cases 

directly to Indian tribes. 

Special Programs for Indian Children 

The Committee recommends $19,060,000, the same as the fiscal 

year 2008 funding level and the budget request, for special programs for Indian children. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $3,891,000, the same as the budget 

request and the fiscal year 2008 appropriation, for national activities. Funds will be used to expand efforts to improve research, eval-
189 

uation, and data collection on the status and effectiveness of Indian 

education programs. 

INNOVATION AND IMPROVEMENT

Appropriations, 2008 ............................................................................. $985,517,000 

Budget estimate, 2009 ........................................................................... 867,517,000 

Committee recommendation ................................................................. 944,314,000 

The Committee recommends an appropriation of $944,314,000 for 

programs within the innovation and improvement account. The 

comparable fiscal year 2008 funding level for these programs was 

$985,517,000, and the budget request is $867,517,000. 

Troops-to-Teachers 

The Committee recommends an appropriation of $14,389,000, the 

same as the fiscal year 2008 appropriation and the budget request, 

to support the Defense Department’s Troops-to-Teachers program. 

This program helps recruit and prepare retiring and former military personnel to become highly qualified teachers serving in highpoverty school districts. The Secretary of Education transfers program funds to the Department of Defense for the Defense Activity 

for Non-Traditional Education Support to provide assistance, including stipends or bonuses, to eligible members of the armed 

forces so that they can obtain teacher certification or licensing. In 

addition, the program helps these individuals find employment in 

a school. 

Transition to Teaching 

The Committee recommends $43,707,000, the same as the budget 

request and the fiscal year 2008 appropriation, for the transition 

to teaching program. 

This program provides grants to help support efforts to recruit, 

train, and place nontraditional teaching candidates into teaching 

positions and to support them during their first years in the classroom. In particular, this program is intended to attract mid-career 

professionals and recent college graduates. Program participants 

are placed in high-need schools in high-need LEAs. 

National Writing Project 

The Committee recommends $23,581,000, the same as the fiscal 

year 2008 level, for the National Writing Project. The budget request proposes to eliminate Federal funding for this program. 

These funds are awarded to the National Writing Project, a nonprofit organization that supports and promotes K–16 teacher training programs in the effective teaching of writing. 

Teaching of Traditional American History 

The Committee recommends $120,000,000 for the teaching of traditional American history program. The comparable fiscal year 

2008 funding level was $117,904,000, and the budget request was 

$50,000,000. This program supports competitive grants to LEAs, 

and funds may be used only to undertake activities that are related 

to American history, and cannot be used for social studies 

coursework. Grant awards are designed to augment the quality of 

American history instruction and to provide professional develop-
190 

ment activities and teacher education in the area of American history. Grants are awarded for 3 years, with 2 additional years allowed for grantees that are performing effectively. 

The Committee bill retains language that allows the Department 

to reserve up to 3 percent of funds appropriated for this program 

for national activities. 

School Leadership 

The Committee recommends $19,220,000 for the school leadership program. The fiscal year 2008 level was $14,474,000, and the 

budget request proposes to eliminate funding for this program. The 

program provides competitive grants to assist high-need LEAs to 

recruit and train principals and assistant principals through activities such as professional development and training programs. The 

Committee continues to recognize the critical role that principals 

and assistant principals play in creating an environment that fosters effective teaching and high academic achievement for students. 

Advanced Credentialing 

The Committee recommends $10,649,000 for the advanced 

credentialing program. The comparable fiscal year 2008 funding 

level was $9,649,000. The budget request proposes to eliminate 

funds for this program. 

The Committee includes bill language directing all of the funding 

for this program to the National Board for Professional Teaching 

Standards [NBPTS]. Funds available assist the board’s work in 

providing financial support to States for teachers applying for certification, increasing the number of minority teachers seeking certification and developing outreach programs about the advanced 

certification program. 

The Committee includes bill language directing that the recommended increase over the fiscal year 2008 level should be used 

to develop a National Board certification for principals. 

Adjunct Teacher Corps 

The budget includes $10,000,000 for a new program, the Adjunct 

Teacher Corps Initiative, which would create opportunities for professionals to teach secondary school courses in core academic subjects. The Committee does not recommend any funding for this program. 

Charter Schools 

The Committee recommends a total of $216,031,000 for the support of charter schools. The fiscal year 2008 appropriation was 

$211,031,000. The budget request includes a total of $272,642,000, 

divided between the Charter Schools program and the Credit Enhancement for Charter Schools Facilities program. 

The Committee includes bill language requiring that a minimum 

of $195,000,000 of the recommended $216,031,000 be used for the 

Charter Schools grants program, overriding the authorized minimum of $200,000,000. The Secretary may use up to the excess 

amount ($21,031,000) for the State facilities and Credit Enhancement for Charter Schools Facilities programs. 
191 

In fiscal year 2008, the Secretary used $12,731,000 for the State facilities program and $8,300,000 for the credit enhancement program. The budget request includes $236,031,000 for the Charter Schools program, with $221,249,000 to be used for the Charters 

Schools grants program and $14,782,000 for the State facilities program. Separately, the budget request includes $36,611,000 for the 

credit enhancement program. 

The Charter Schools grants program supports the planning, development, and initial implementation of charter schools. State 

educational agencies that have the authority under State law to approve charter schools are eligible to compete for grants. If an eligible SEA does not participate, charter schools from the State may 

apply directly to the Secretary. Under the State facilities program, 

the Department awards 5-year competitive grants to States that 

operate per-pupil facilities aid programs for charters schools. Federal funds are used to match State-funded programs in order to 

provide charter schools with additional resources for charter school 

facilities financing. 

The credit enhancement program provides assistance to help 

charter schools meet their facility needs. Funds are provided on a 

competitive basis to public and nonprofit entities, to leverage nonFederal funds that help charter schools obtain school facilities 

through purchase, lease, renovation and construction. 

Voluntary Public School Choice 

The Committee recommends $25,819,000, the same as the budget 

request and the fiscal year 2008 appropriation, for the voluntary 

public school choice program. 

This program supports efforts by States and school districts to 

establish or expand state- or district-wide public school choice programs, especially for parents whose children attend low-performing 

public schools. 

Magnet Schools Assistance 

The Committee recommends $104,829,000, the same as the budget request and the fiscal year 2008 appropriation, for the magnet 

schools assistance program. 

This program supports grants to local educational agencies to establish and operate magnet schools that are part of a court-ordered 

or federally approved voluntary desegregation plan. Magnet schools 

are designed to attract substantial numbers of students from different social, economic, ethnic, and racial backgrounds. Grantees 

may use funds for planning and promotional materials, teacher salaries, and the purchase of computers and other educational materials and equipment. 

Fund for the Improvement of Education 

The Committee recommends an appropriation of $196,337,000 for 

the Fund for the Improvement of Education [FIE]. The fiscal year 

2008 appropriation was $253,551,000, and the budget request was 

$52,300,000. 

For programs of national significance authorized under section 

5411 of the Elementary and Secondary Education Act [ESEA], the 
192 

Committee includes $700,000 for a clearinghouse that would provide information on planning, designing, financing, building, maintaining, and operating safe, healthy, high-performance schools. 

These funds should be added to the $300,000 for this purpose within Safe and Drug-Free Schools and Communities National Programs to address issues related to school safety and healthy school 

buildings. The comparable funding level in FIE in fiscal year 2008 

was $688,000. 

The Committee recommendation includes $11,790,000 for Teach 

for America and $3,930,000 for Reach Out and Read. These are the 

same amounts as the fiscal year 2008 levels. The budget request 

does not include any funding specifically for either program. 

Within programs of national significance, the Committee also includes resources for evaluation and data quality initiatives, peer review, and other grant activities authorized under section 5411 of 

the ESEA. No funds are included for full-service community schools 

demonstrations. 

The budget request proposes funding for the Language Teacher 

Corps, the Teacher to Teacher initiative, comprehensive assessment systems, early reading improvements, and teaching improvement. The Committee recommendation does not include funding for 

these activities. 

Within the total amount for FIE, the Committee recommendation 

also includes funding for separately authorized programs as described in the paragraphs below. The budget request does not include funding for any of them. For each program, the Committeerecommended funding level is the same as the fiscal year 2008 appropriation. 

The Committee recommends $24,606,000 for the contract to 

Reading Is Fundamental Inc. [RIF] to provide reading-motivation 

activities. RIF, a private nonprofit organization, helps prepare 

young children and motivate older children to read, through activities including the distribution of books. 

The Committee recommends $10,700,000 for the Ready to Teach 

program. Ready to Teach encompasses funding for PBS 

TeacherLine and one or more nonprofit entities, for the purpose of 

continuing to develop telecommunications-based programs to improve teacher quality in core areas. It also includes digital educational programming grants, which encourage community partnerships among local public television stations, State and local educational agencies, and other institutions to develop and distribute 

digital instructional content based on State and local standards. 

The Committee recommends $8,754,000 for the Education 

through Cultural and Historical Organizations [ECHO] Act of 2001. 

Programs authorized under ECHO provide a broad range of educational, cultural, and job training opportunities for students from 

communities in Alaska, Hawaii, Massachusetts, and Mississippi. 

The Committee has included $37,533,000 for arts in education. 

The recommendation includes $7,954,000 for VSA arts, a national 

organization that supports the involvement of persons with disabilities in arts programs, and $6,183,000 for the John F. Kennedy 

Center for the Performing Arts. Additional funds are provided for 

professional development, model arts programs and other activities. 
193 

The Committee recommends $38,908,000 for parental information and resource centers, which provide training, information, and 

support to parents, State and local education agencies, and other 

organizations that carry out parent education and family involvement programs. The Committee includes $1,846,000 for the women’s educational 

equity program. This program supports projects that assist in the 

local implementation of gender equity policies and practices. The Committee recommendation includes $1,447,000 for activities authorized by the Excellence in Economic Education Act. These 

funds will support a grant to a nonprofit educational organization 

to promote economic and financial literacy among kindergarten 

through 12th grade students. The Committee recommendation includes $1,945,000 to carry out 

the American History and Civics Education Act of 2004. From the 

amount available, the Department will make grants to support 

Presidential Academies for Teaching of American History and 

Civics and Congressional Academies for Students of American History and Civics. 

In addition, the Committee recommends $5,913,000, a $1,000,000 

increase over the fiscal year 2008 level, for the mental health integration in schools program. This program supports grants to or 

contracts with State educational agencies, local educational agencies or Indian tribes to increase student access to mental health 

care by linking schools with their local mental health systems. The 

Committee expects this program to continue to be carried out by 

the Office of Safe and Drug-Free Schools and Communities. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee 

recommendation 

Acelero Learning, Las Vegas, NV, for early education programs .................................................................... $500,000 

Alaska PTA, Anchorage, AK, to train parents in their roles and responsibilities under the No Child Left 

Behind Act ................................................................................................................................................... 250,000 

Audubon Society of Rhode Island, Smithfield, RI, to develop the Environmental Education for Urban 

Schools Initiative ......................................................................................................................................... 150,000 

Big Brothers and Big Sisters of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, placement 

and oversight of school-based mentoring programs .................................................................................. 100,000 

Bishop Museum, Honolulu, HI, for educational programming ........................................................................ 200,000 

Bossier Parish School Board, Benton, LA, for acquisition of equipment and technology upgrades ............. 100,000 

Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, to expand an early literacy program for children ................................................................................................................................................................ 300,000 

Boys and Girls Club of Kootenai County, Post Falls, ID, to expand education, health, and art programs, 

including the purchase of equipment ......................................................................................................... 100,000 

Boys and Girls Clubs of Greater Washington-Virginia, Alexandria, VA, for character, leadership, education 

and career development programs ............................................................................................................. 100,000 

Bridgeport Public Schools, Bridgeport, CT, for professional development for teachers and administrators 

in Bridgeport, CT ......................................................................................................................................... 150,000 

Brockton Area Private Industry Council, Brockton, MA, for workforce development programs for at-risk 

youth ............................................................................................................................................................ 150,000 

Cabrini College, Radnor, PA, for professional development for K–12 teachers ............................................. 100,000

Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to support the Residency program .......................... 400,000 

Center for Advancing Partnerships in Education, Allentown, PA, to develop a foreign language distance 

learning program and for teacher training ................................................................................................ 100,000 

Child and Family Network Centers—Leveling the Playing Field: Start Early, Finish Strong [SEFS], Alexandria, VA, to expand preschool programs for at-risk children ..................................................................... 100,000 

Children Northwest, Vancouver, WA, to expand Early Learning and Teaching Career Academies in Southwest Washington ......................................................................................................................................... 140,000 
194 

Project Committee recommendation 

Children’s Literacy Initiative, Philadelphia, PA, to improve the reading readiness and early literacy of 

children ........................................................................................................................................................ 100,000 

City of Compton, Compton, CA, for educational programming at Tomorrow’s Aeronautical Museum .......... 500,000 

City of Holyoke, Holyoke, MA, to develop a full-service community school pilot project ............................... 250,000 

City of Long Beach, Long Beach, CA, for an at-risk youth mentoring program ............................................ 1,250,000

City of Los Angeles, Los Angeles, CA, for the LA’s BEST afterschool enrichment program .......................... 250,000 

City of Moultrie, Moultrie, GA, for technology upgrades, including purchase of equipment and professional development ...................................................................................................................................... 100,000 

City of Presque Isle, Recreation and Parks Department, Presque Isle, ME, for afterschool arts and physical activity programs ................................................................................................................................. 250,000 

City of Saint Paul, St. Paul, MN, to provide tutoring, mentoring and other educational programs and resources for afterschool programs ............................................................................................................... 100,000 

City of Springfield, Springfield, MO, for development, expansion, equipment and technology for the Ready 

to Learn program ......................................................................................................................................... 600,000 

City of Vernonia School District, Vernonia, OR, for the purchase of school equipment and supplies .......... 200,000 

City Year New Hampshire, Stratham, NH, to expand education and youth development programs ............. 150,000 

Civic League of Greater New Brunswick, New Brunswick, NJ, for the Academy of After School Excellence ............................................................................................................................................................ 200,000 

Clark County School District, Las Vegas, NV, for school counseling and dropout prevention services ........ 900,000 

Cleveland Avenue YMCA, Montgomery, AL, for after school math and science tutoring programs .............. 100,000 

Cleveland Metropolitan School District, Cleveland, OH, for technology upgrades, including purchase of 

equipment to improve math, science and language proficiency ............................................................... 100,000 

Connecticut Humanities Council, Middletown, CT, for curriculum development ............................................ 250,000 

Connecticut Science Center, Hartford, CT, for a science and technology learning center ............................ 100,000 

Cook Inlet Tribal Council, Anchorage, AK, for educational programs for low performing students in the 

Ancorhage School District ........................................................................................................................... 300,000 

Coppin State University, Baltimore, MD, to support the Urban Education Corridor program ........................ 300,000 

County of Amador, Jackson, CA, for the College Preparation Initiative to provide educational programming ............................................................................................................................................................. 250,000 

County of Glacier School District #9, Browning, MT, for academic programs ............................................... 400,000

Cristo Rey Network, Chicago, IL, for feasibility studies of potential Iowa school sites ................................ 100,000 

Delaware Department of Education, Dover, DE, to provide translators and instructional programs for 

English language learners .......................................................................................................................... 200,000 

DePaul University, Chicago, IL, for math and science teacher education in Chicago Public Schools .......... 750,000 

Des Moines Community School District and Urban Dreams, Des Moines, IA, to continue a demonstration 

on full service community schools .............................................................................................................. 300,000 

Des Moines Community School District to expand pre-kindergarten programs ............................................. 750,000 

Dinwiddie County Public Schools, Dinwiddie, VA, for educational programming at a library/media center, 

including the purchase of equipment ......................................................................................................... 100,000 

Early Childhood and Family Learning Center Foundation, New Orleans, LA, for educational programs ....... 300,000 

East Stroudsburg University, East Stroudsburg, PA, for math and science curriculum development and 

professional development for area teachers ............................................................................................... 100,000 

ECHO Center, Burlington, VT, for educational programming .......................................................................... 500,000 

Economic Opportunity Foundation, Inc. Head Start Bryant Program, Kansas City, KS, for early education 

programs ...................................................................................................................................................... 100,000 

Eden Housing, Inc., Hayward, CA, to expand afterschool programs .............................................................. 100,000 

Elko County School District, Elko, NV, to enhance distance education capabilities, including the purchase 

of equipment ............................................................................................................................................... 650,000 

Esperanza, Philadelphia, PA, to expand programs for Latino at-risk youth in Chelsea, MA ......................... 125,000 

Fairplex Child Development Center, Pomona, CA, to expand the Early Childhood Education Family Literacy, Parenting and Violence Prevention Program .................................................................................... 100,000 

Falcon School District, Falcon, CO, for the D–49 K–12 Science, Technology, Engineering & Math Initiative 100,000 

Foundation of Community Empowerment, Dallas, TX, for educational activities for early childcare providers to prepare students for school ......................................................................................................... 400,000 

Galena City School District, Galena, AK, to continue educational programs at a boarding school for low 

performing students from rural Alaska ...................................................................................................... 510,000 

George Eastman House International Museum of Photography and Film, Rochester, NY, for educational 

programs ...................................................................................................................................................... 300,000 

Grand County School District, Moab, UT, for school-based mentoring programs for low performing students ............................................................................................................................................................ 200,000 

Herring Gut Learning Center, Port Clyde, ME, for science curriculum development for Maine students in 

grades 6–12 ................................................................................................................................................ 100,000 

Housatonic Community College, Bridgeport, CT, for the Middle College Program ......................................... 300,000 

Institute for Student Achievement, Lake Success, NY, for program expansion ............................................. 250,000 
195 

Project Committee recommendation 

Iowa Association of School Boards, Des Moines, IA, for continuation and expansion of the Skills Iowa 

program ....................................................................................................................................................... 3,500,000 

Iowa Department of Education to continue the Harkin grant program .......................................................... 5,750,000 

Kansas Children’s Discovery Center, Topeka, KS, for exhibit development for children’s interactive educational development .................................................................................................................................. 100,000 

Kauai Economic Development Board, Lihue, HI, for math and science education ........................................ 300,000 

KIPP Foundation, San Francisco, CA, for academic and afterschool programs in Memphis and Nashville, 

TN ................................................................................................................................................................. 100,000 

Las Vegas Natural History Museum, Las Vegas, NV, to expand natural history education programs .......... 150,000 

Leeward Community College, Pearl City, HI, to provide college preparatory education for Filipino students ............................................................................................................................................................ 250,000 

Lehigh Carbon Community College, Schnecksville, PA, to provide science, technology, engineering and 

math programs to area high school students ............................................................................................ 100,000 

Libby School District #4, Libby, MT, for academic programs ......................................................................... 400,000 

Lincoln County School District, Panaca, NV, to expand early education services, including the purchase 

of equipment ............................................................................................................................................... 25,000 

Literacy Council of Alaska, Fairbanks, AK, to provide educational materials for low-income students and 

their families ............................................................................................................................................... 100,000 

Loess Hills Area Education Agency in Iowa for a demonstration in early childhood education .................... 750,000 

Loras College, Dubuque, IA, for literacy programs ......................................................................................... 250,000 

Louisiana Tech University, Ruston, LA, for a program in K–12 cyberspace education in cooperation with 

members of the Consortium for Education, Research and Technology of North Louisiana ...................... 700,000 

Lower Pioneer Valley Educational Collaborative, West Springfield, MA, for the continued development of 

an online education center ......................................................................................................................... 200,000 

Massachusetts 2020 Foundation, Boston, MA, for the continued development of an extended learning 

time initiative .............................................................................................................................................. 200,000 

Maui Economic Development Board, Kihei, HI, for engaging girls in STEM education ................................. 300,000 

McWane Science Center, Birmingham, AL, for teacher training and purchase of equipment ...................... 100,000 

Mentoring Partnership of Southwestern Pennsylvania, Pittsburgh, PA, for recruitment, placement, and 

oversight of school-based mentoring programs ......................................................................................... 100,000 

Metropolitan Wilmington Urban League, Wilmington, DE, to expand the Achievement Matters! program ... 200,000 

Milwaukee Public Schools, Milwaukee, WI, to strengthen the Science, Technology, Engineering and Math 

(STEM) curriculum ....................................................................................................................................... 350,000 

Milwaukee Public Schools, Milwaukee, WI, to support afterschool activities for youth ................................. 1,200,000 

Mississippi Council on Economic Education, Jackson, MS, for Achieving Comprehensive Economic and Financial Literacy of Mississippi Students .................................................................................................... 250,000 

Mississippi State University, Mississippi State, MS, for enhancing K–12 science and math preparation, 

including purchase of equipment ............................................................................................................... 300,000 

Mississippi University for Women, Columbus, MS, for strengthening partnerships between K–12 parents, 

children’s teachers, principals, superintendents and other school officials, including purchase of 

equipment .................................................................................................................................................... 300,000 

Museum of Fine Arts, Boston, MA, for educational programming .................................................................. 250,000 

National Council of La Raza in Washington, DC, for the Center for Early Childhood Education .................. 500,000 

Native American Indian, Alaskan, and Hawaiian Educational Development Center, Sheridan, WY, to expand professional development in early literacy and math programs for teachers ................................. 300,000 

Nevada Humanities, Reno, NV, to develop and expand a comprehensive online encyclopedia .................... 150,000 

Nevada Speech and Hearing Association, Reno, NV, to recruit and train special education teachers ........ 25,000 

New England Center for Children, Inc., Southborough, MA, to provide equipment for training programs to 

support teachers of children with autism .................................................................................................. 200,000 

New Mexico Mathematics, Engineering, Science Achievement, Inc. [NM MESA], Albuquerque, NM, to prepare students from under-represented populations to pursue STEM college majors ................................ 250,000 

New School University, New York, NY, for the Institute for Urban Education ................................................ 750,000 

New York Hall of Science, Queens, NY, for science exhibits and educational programming ........................ 500,000 

North Carolina Technology Association, Raleigh, NC, for a technology demonstration project for 9–12 

grade students ............................................................................................................................................ 100,000 

Nye County School District, Pahrump, NV, to expand career and technical programs, including the purchase of equipment ..................................................................................................................................... 150,000 

Operation Shoestring, Jackson, MS, for after school summer enrichment programs .................................... 200,000 

Pacific Islands Center for Educational Development in American Samoa, Pago Pago, America Samoa, for 

program development .................................................................................................................................. 500,000 

Parents as Teachers National Center, St. Louis, MO, to develop research-based materials and training 

for home visiting professionals for families of children with autism ....................................................... 250,000 

Parents for Public Schools of Jackson, Inc., Jackson, MS, for arts education programs .............................. 50,000 

PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life programs across Iowa .... 500,000 

Pennsylvania State University, University Park, PA, for a youth mentoring program .................................... 100,000 
196 

Project Committee recommendation 

Pollard Foundation, Las Vegas, NV, to improve math, science and literacy instruction at the Rainbow 

Dreams Academy ......................................................................................................................................... 200,000 

Polynesian Voyaging Society, Honolulu, HI, for educational programs ........................................................... 250,000 

Project GRAD Ohio, Columbus, OH, to help students graduate from high school ready for college ............. 100,000 

Project HOME, Philadelphia, PA, for after school and summer programs ..................................................... 100,000 

Roads to Success, New York, NY, to support college scholarships for rural, low-income high school graduates in Pennsylvania ................................................................................................................................. 100,000 

RuralCap of Alaska, Anchorage, AK, for distance learning for head start teachers and parents as teachers programs, including the purchase of equipment ................................................................................. 500,000 

Rutland City Public Schools, Rutland, VT, for summer learning programs ................................................... 150,000 

Saint Bernard Parish School Board, Chalmette, LA, for educational programming, including the purchase 

of educational equipment for a cultural arts facility ................................................................................ 750,000 

Saint Joseph’s University, Philadelphia, PA, to develop a Public Education Partnership to provide professional development to area principals and teachers ................................................................................. 100,000 

Saint Louis Community College, St. Louis, MO, to link elementary and secondary inner city and rural 

school students with industry to promote STEM and life science academic study .................................. 750,000 

Saint Mary’s College, Notre Dame, IN, to expand tutoring and mentoring program for disadvantaged students in K–8 elementary schools in South Bend, IN ................................................................................. 200,000 

Salt Lake City School District, Salt Lake City, UT, for a K–12 school-to-work program for at risk students .............................................................................................................................................................. 100,000 

San Francisco District Attorney’s Office, San Francisco, CA, for the Academic Recovery Center at-risk 

youth mentoring and education program ................................................................................................... 250,000 

Self Enhancement, Inc., Portland, OR, for innovative education programs for inner city youth ................... 100,000 

Shiloh Economic and Entrepreneurial Lifelong Development Corporation, Planfield, NJ, for the Titans for 

Tomorrow afterschool program .................................................................................................................... 100,000 

Skills Alaska, Anchorage, AK, for a student/teach enhancement program across Alaska ............................ 1,000,000 

SMART (Start Making A Reader Today), Portland, OR, for children’s literacy programs ............................... 100,000 

Smith Center for the Performing Arts, Las Vegas, NV, to create arts educational programs ....................... 200,000 

SouthCoast Connected, New Bedford, MA, for expansion of programs designed to reduce the teen dropout rate ........................................................................................................................................................ 150,000 

SouthEastern Pennsylvania Consortium for Higher Education, Glenside, PA, for the Institute of Mathematics and Science to provide professional development to K–12 teachers ............................................ 200,000 

Thiel College, Greenville, PA, for curriculum development, including the purchase of equipment to support a distance learning partnership with area K–12 schools .................................................................. 100,000 

Tulsa Public Schools, Tulsa, OK, for innovative programming for students at risk of dropping out, including curriculum development ................................................................................................................. 100,000 

United Way of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, placement, and oversight of 

school-based mentoring programs .............................................................................................................. 100,000 

University of Mississippi, University, MS, to enhance mathematics preparation .......................................... 300,000 

University of Nebraska Kearney, Kearney, NE, to develop early childhood education programs and expand 

online educational access to the underserved ........................................................................................... 100,000 

University of Nebraska-Omaha, Omaha, NE, to develop and implement a training program centered on 

civic leadership ........................................................................................................................................... 500,000 

University of New Orleans, New Orleans, LA, for supporting and developing charter and district-run public schools in New Orleans through teacher education, leadership preparation, applied research and 

policy, in cooperation with Tulane University ............................................................................................. 450,000 

University of Northern Colorado, Greeley, CO, to establish the Center for Excellence and Innovation in 

Education ..................................................................................................................................................... 150,000 

University of Southern Mississippi, Hattiesburg, MS, for gifted education programs at the Frances Kranes 

Center for Gifted Studies ............................................................................................................................ 250,000 

University of Southern Mississippi, Hattiesburg, MS, for K–12 arts and science curriculum and content 

standards development ............................................................................................................................... 205,000 

University of Southern Mississippi, Hattiesburg, MS, for math science literacy enhancement ..................... 300,000 

University of the Sciences in Philadelphia, Philadelphia, PA, for a science education partnership which 

will provide professional development to area teachers ............................................................................ 100,000 

Washington Jesuit Academy, Washington, DC, for mentoring activities ........................................................ 250,000 

Washoe County School District, Reno, NV, for dropout prevention and intervention services ....................... 900,000 

Western Folklife Center, Elko, NV, for educational programming ................................................................... 100,000 

Widener University, Chester, PA, for curriculum development and teacher training ..................................... 100,000 

YWCA Anchorage, Anchorage, AK, for after school education programs ........................................................ 100,000 

YWCA of Seattle, King County, and Snohomish County, Seattle, WA, to support and expand the School’s 

Out Washington program ............................................................................................................................ 300,000 
197 

Teacher Incentive Fund 

The Committee recommendation includes $97,270,000, the same 

as the fiscal year 2008 level, for the teacher incentive fund program. The budget request is $200,000,000. 

Under this program, the Secretary shall use not less than 95 percent of these funds to award competitive grants to local educational 

agencies [LEAs], including charter schools that are LEAs, States, 

or partnerships of (1) a local educational agency, a State, or both 

and (2) at least one nonprofit organization to design and implement 

fair, differentiated compensation systems for public school teachers 

and principals based primarily on measures of gains in student 

achievement, in addition to other factors, for teachers and principals in high-need schools. 

Not more than 5 percent of the appropriation may be used by the 

Secretary to provide schools with assistance in implementing this 

program through one or more grants to an organization or organizations with expertise in providing research-based expert advice to 

support schools initiating and implementing differentiated compensation systems, training school personnel, disseminating information on effective teacher compensation systems, and providing 

program outreach through a clearinghouse of best practices. This 

set-aside also will support the design and implementation of a program evaluation. 

Ready-to-Learn Television 

The Committee recommends an appropriation of $27,000,000 for 

the Ready-to-Learn Television program. The comparable funding 

level for fiscal year 2008 was $23,831,000, the same as the budget 

request. 

Ready to Learn Television supports the development and distribution of educational television programming designed to improve the readiness of preschool children to enter kindergarten and 

elementary school. The program also supports the development, 

production, and dissemination of educational materials designed to 

help parents, children, and caregivers obtain the maximum advantage from educational programming. The Committee expects the increase over fiscal year 2008 to be used for Ready to Learn outreach 

programs by the Corporation for Public Broadcasting. 

Congressional Fellowships 

The Committee recommendation includes $1,942,000, the same 

as the fiscal year 2008 level, for Congressional Fellowships. The 

budget request did not include any funds for this purpose. 

These funds are provided to the Close Up Foundation of Washington, DC, which offers fellowships to students from low-income 

families and their teachers to enable them to spend 1 week in 

Washington attending seminars and meeting with representatives 

of the three branches of the Federal Government. 

Advanced Placement 

The Committee recommends $43,540,000 for Advanced Placement [AP] and International Baccalaureate [IB] programs, as authorized under the America COMPETES Act, as well as for activities authorized by the ESEA. The budget request is $70,000,000. 
198 

The comparable funding level for fiscal year 2008 was $43,540,000 

for activities authorized under the ESEA only. 

The Committee includes bill language requested by the administration stating that fiscal year 2009 funds will first be used to pay 

continuation costs under the ESEA Advanced Placement Incentive 

[API] Grant program, which are used to expand access for low-income individuals to advanced placement programs, and to meet 

State needs for AP test fees. The balance of the recommended 

funds should be allocated under the new America COMPETES authority, which targets Federal support more specifically on preparing teachers to teach classes in math, science and critical foreign languages, and on encouraging more students from high-need 

schools to take and pass AP and IB courses in those subjects. 

Under the new program, the Education Department will make 

competitive grants to State educational agencies, LEAs or eligible 

partnerships. Grantees must provide a 2-to-1 match for Federal 

funds. 

The Committee estimates that approximately $12,000,000 would 

be needed to fund the test fees program and $11,045,000 for the 

API continuation grants, leaving approximately $20,495,000 for 

new grants under the America COMPETES authority. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2008 ............................................................................. $693,403,000 

Budget estimate, 2009 ........................................................................... 281,963,000 

Committee recommendation ................................................................. 666,384,000 

Safe and Drug-Free Schools and Communities 

The Committee recommends a total of $666,384,000 for activities 

to promote safe schools and citizenship education. The comparable 

fiscal year 2008 funding level was $693,403,000 and the budget request is $281,963,000. 

State Grant Program.—The Committee recommends 

$294,759,000, the same as the fiscal year 2008 level, for the Safe 

and Drug-Free Schools and Communities State grant program. The 

budget request is $100,000,000. This formula-based State grant 

program provides resources to Governors, State educational agencies, and local educational agencies for developing and implementing a wide range of activities that help create and maintain 

safe and drug-free learning environments in and around schools. 

National Programs.—The Committee has included $128,164,000 

for the national programs portion of the Safe and Drug-Free 

Schools and Communities program. The comparable funding level 

for fiscal year 2008 was $137,664,000, and the budget request is 

$181,963,000. 

The Committee recommendation includes $1,474,000, the same 

as the fiscal year 2008 level, for Project SERV (School Emergency 

Response to Violence), which provides education-related services to 

LEAs and institutions of higher education in which the learning 

environment has been disrupted due to a violent or traumatic crisis. These funds are available until expended. The budget request 

is $5,000,000. The Committee believes its recommended level is 

sufficient, given the carryover of funds from previous years. 
199 

The Committee continues to be concerned about the increasing 

problem of alcohol and drug abuse on college campuses. The Committee directs the Department to use $850,000 to identify, and provide recognition of, promising and model alcohol and drug abuse 

prevention and education programs in higher education. The Committee includes these funds within the postsecondary alcohol prevention efforts proposed in the budget request. 

The Committee includes $1,400,000 for student drug testing, to 

be used for the Student Drug Testing Institute, data collection, and 

the final contract year of an impact evaluation. The fiscal year 

2008 level for student drug testing was $10,639,900. The Committee also includes funds for school emergency preparedness activities, Safe Schools/Healthy Students, and other activities. 

The Committee recommends $23,824,000 within the national programs account, the same as the budget request, to provide support 

for the design and implementation of character education programs. 

Bullying.—The Committee continues to be concerned about the 

prevalence of bullying in schools, and it urges Federal support for 

the implementation of effective, research-based, and comprehensive 

bullying prevention programs. 

Threat Assessments.—The Committee notes that research shows 

that threat assessment techniques are more effective in preventing 

school violence and shootings than zero tolerance measures and 

similar disciplinary strategies. The Committee recommends the 

adoption of standardized, research-based threat assessment techniques, which include the creation of interdisciplinary school-based 

threat assessment teams that address threats on a case-by-case 

basis. 

Alcohol Abuse Reduction 

The Committee recommends $33,000,000 for grants to LEAs to 

develop and implement programs to reduce underage drinking in 

secondary schools. The comparable funding level for fiscal year 

2008 was $32,423,000. The budget request did not include any 

funds for this purpose. The Committee directs the Department and 

the Substance Abuse and Mental Health Services Administration 

to continue to work together on this effort. 

Mentoring 

The Committee recommends $48,544,000, the same as the fiscal 

year 2008 level, to support mentoring programs and activities for 

children who are at risk of failing academically, dropping out of 

school, getting involved in criminal or delinquent activities, or who 

lack strong positive role models. The budget request did not include 

any funds for this purpose. 

Character Education 

The Committee recommendation does not include funds for character education within this account. Instead, the Committee recommends $23,824,000 for this purpose within the national programs account, as the budget requests. 
200 

Elementary and Secondary School Counseling 

The Committee recommends $52,000,000 to establish or expand 

counseling programs in elementary and secondary schools. The fiscal year 2008 funding level was $48,617,000. The budget request 

does not include any funds for this program. As authorized by the 

No Child Left Behind Act, all amounts appropriated up to 

$40,000,000 must be used only for elementary school counseling 

programs. 

Carol M. White Physical Education for Progress Program 

The Committee recommends $78,000,000 to help LEAs and community-based organizations initiate, expand and improve physical 

education programs for students in grades K–12. The comparable 

funding level for fiscal year 2008 was $75,655,000. The budget request does not include any funding for this program. Provision of 

this funding will help schools and communities improve their structured physical education programs for students and help children 

develop healthy lifestyles to combat the epidemic of obesity in the 

Nation. 

Civic Education 

The Committee recommends $31,917,000, the same as the fiscal 

year 2008 level, to improve the quality of civics and Government 

education, to foster civic competence and responsibility, and to improve the quality of civic and economic education through exchange 

programs with emerging democracies. The budget request proposed 

to eliminate funding for this purpose. 

The Committee recommends $20,056,000 for the We the People 

programs, which are directed by statute to the Center for Civic 

Education, and $11,861,000 for the Cooperative Education Exchange. Of the latter funds, $4,448,000 is directed by statute to the 

Center for Civic Education and an equivalent amount to the National Council on Economic Education, and $2,965,000 is for a competitive grant program to improve public knowledge, understanding 

and support of the Congress and the State legislatures. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2008 ............................................................................. $700,395,000 

Budget estimate, 2009 ........................................................................... 730,000,000 

Committee recommendation ................................................................. 730,000,000 

The Committee recommends an appropriation of $730,000,000, 

the same as the budget request, for English language acquisition. 

The fiscal year 2008 level was $700,395,000. 

The Department makes formula grants to States based on each 

State’s share of the Nation’s limited-English-proficient and recent 

immigrant student population. The program is designed to increase 

the capacity of States and school districts to address the needs of 

these students. The No Child Left Behind Act also requires that 6.5 

percent of the appropriation be used to support national activities, 

which include professional development activities designed to increase the number of highly qualified teachers serving limited 

English proficient students; a National Clearinghouse for English 

Language Acquisition and Language Instructional Programs; and 
201 

evaluation activities. The budget request includes language that 

would allow national activities funds to be available for 2 years. 

The Committee bill includes the requested language. 

The Committee recognizes that in making State allotments 

under subpart 1, part A of title III, the No Child Left Behind Act 

directs the Secretary to determine the number of limited English 

proficient and immigrant children in all States, using ‘‘the more accurate’’ of either: (1) data from the American Community Survey 

[ACS], as administered by the Bureau of the Census, or (2) the 

number of children assessed for English language proficiency as required under section 1111(b)(7). The Committee is concerned that 

the Secretary’s use of the ACS, which reflects a limited sample size 

of individuals and is based on self-reported data, can be an inaccurate measure of the actual number of limited-English-proficient 

children in the States, leading to fluctuations in State allocations 

and jeopardizing efforts to sustain high-quality language instruction educational programs for English language learners. Therefore, the Committee instructs the Secretary to utilize the following 

interim methodology in determining future State allocations under 

subpart 1, part A of title III, until such time that Congress has reauthorized the No Child Left Behind Act. In the event that a State 

experiences a drastic fluctuation in the estimated number of limited-English-proficient and immigrant children in a given year (as 

estimated by the ACS) such that the fluctuation would result in a 

greater than 10 percent decrease in the State’s title III allotment 

from the previous fiscal year, the Committee instructs the Secretary to make a determination for the State involved using an average of the most recent 3 years of data (based on the ACS) on the 

number of limited-English-proficient and immigrant children residing in such State. 

SPECIAL EDUCATION

Appropriations, 2008 ............................................................................. $11,993,683,000 

Budget estimate, 2009 ........................................................................... 12,335,943,000 

Committee recommendation ................................................................. 12,511,631,000 

The Committee recommends $12,511,631,000 for special education programs authorized by the Individuals with Disabilities 

Education Act [IDEA] and Special Olympics Sport and Empowerment Act of 2004. The comparable fiscal year 2008 funding level is 

$11,993,683,000 and the budget request includes $12,335,943,000 

for such programs. 

Grants to States 

The Committee recommends $11,424,511,000 for special education grants to States, as authorized under part B of the IDEA. 

The comparable fiscal year 2008 funding level is $10,947,511,000 

and the budget request includes $11,284,511,000. This program 

provides formula grants to assist States, outlying areas, and other 

entities in meeting the costs of providing special education and related services for children with disabilities. States pass along most 

of these funds to local educational agencies, but may reserve some 

for program monitoring, enforcement, technical assistance, and 

other activities. 
202 

The appropriation for this program primarily supports activities 

associated with the 2009–2010 academic year. Of the funds available for this program, $3,777,067,000 will become available on July 

1, 2009 and $7,647,444,000 will become available on October 1, 

2009. These funds will remain available for obligation until September 30, 2010. 

The budget request proposes to continue language capping the 

Department of the Interior set-aside at the prior year level, adjusted by the lower of the increase in inflation or the increase in 

the appropriation for grants to States. The Committee bill includes 

this language. 

Preschool Grants 

The Committee recommends $374,099,000 for preschool grants. 

The comparable fiscal year 2008 funding level and the budget request both are $374,099,000. The preschool grants program provides formula grants to States to assist them in making available 

special education and related services for children with disabilities 

aged 3 through 5. States distribute the bulk of the funds to local 

educational agencies. States must serve all eligible children with 

disabilities aged 3 through 5 and have an approved application 

under the Individuals with Disabilities Education Act. 

Grants for Infants and Families 

The Committee recommends $443,200,000 for the grants for infants and families program under part C of the IDEA. The comparable fiscal year 2008 funding level and the budget request both 

are $435,654,000 for this purpose. This program provides formula 

grants to States, outlying areas and other entities to implement 

statewide systems of coordinated, comprehensive, multidisciplinary 

interagency programs to make available early intervention services 

to all children with disabilities, ages 2 and under, and their families. 

State Personnel Development 

The Committee recommends $48,000,000 for the State personnel 

development program. The comparable fiscal year 2008 funding 

level is $22,598,000 and the budget request includes $48,000,000 

for this purpose. This program focuses on the professional development needs in States by requiring that 90 percent of funds be used 

for professional development activities. The program supports 

grants to State educational agencies to help them reform and improve their personnel preparation and professional development related to early intervention, educational and transition services that 

improve outcomes for students with disabilities. 

Technical Assistance and Dissemination 

The Committee recommends $49,049,000 for technical assistance 

and dissemination. The comparable fiscal year 2008 funding level 

and the budget request are $48,049,000 for these activities. This 

program supports awards for technical assistance, model demonstration projects, the dissemination of useful information and 

other activities. Funding supports activities that are designed to 

improve the services provided under IDEA. The Committee intends 
203 

that the increase provided above last year’s funding level be used 

to increase technical assistance support for evidence-based practices that will help improve the instructional practices of teachers 

educating students with disabilities. 

Personnel Preparation 

The Committee recommends $93,153,000 for the personnel preparation program. The comparable fiscal year 2008 funding level 

and the budget request both are $88,153,000 for this program. 

Funds support competitive awards to help address State-identified 

needs for personnel who are qualified to work with children with 

disabilities, including special education teachers and related services personnel. The program has requirements to fund several 

other broad areas including training for leadership personnel and 

personnel who work with children with low incidence disabilities, 

and providing enhanced support for beginning special educators. 

Parent Information Centers 

The Committee recommends $27,528,000 for parent information 

centers. The comparable fiscal year 2008 funding level and the 

budget request both are $26,528,000 for authorized activities. This 

program makes awards to parent organizations to support parent 

training and information centers, including community parent resource centers. These centers provide training and information to 

meet the needs of parents of children with disabilities living in the 

areas served by the centers, particularly underserved parents, and 

parents of children who may be inappropriately identified. 

The Committee recognizes the importance of transition services 

for children with disabilities. The Committee also is aware that 

parent centers have the specialized expertise and resources needed 

to conduct transition-focused parent-information and training activities that will meet the needs of transition-aged youth with disabilities in every State. With increased funding, the Committee intends that the Department address this important priority and encourages the Office of Special Education Programs to collaborate 

with the Rehabilitation Services Administration in carrying out 

this effort. 

Technology and Media Services 

The Committee recommends $40,301,000 for technology and 

media services. The comparable fiscal year 2008 funding level is 

$39,301,000 and the budget request includes $30,949,000 for such 

activities. This program makes competitive awards to support the 

development, demonstration, and use of technology, and educational media activities of value to children with disabilities. 

The Committee recommendation includes $13,500,000 for Recording for the Blind and Dyslexic, Inc. [RFB&D]. These funds support 

the continued development, production, and circulation of recorded 

textbooks, increased outreach activities to print-disabled students 

and their teachers, and accelerated use of digital technology. 

The Committee also recommends $1,474,000 for support of the 

Reading Rockets program, administered by the Greater Washington Educational Television Association. 
204 

Special Olympics 

The Committee recommendation includes $11,790,000 for Special 

Olympics education activities, the same amount as the fiscal year 

2008 level. The budget request did not include any funds for this 

purpose. 

Under the Special Olympics Sport and Empowerment Act of 

2004, the Secretary is authorized to provide financial assistance to 

Special Olympics for activities that promote the expansion of Special Olympics and for the design and implementation of education 

activities that can be integrated into classroom instruction and are 

consistent with academic content standards. 

The Committee bill allows funds to be used to support Special 

Olympics National and Winter Games hosted in the United States, 

including up to $3,000,000 for the 2009 World Winter Games in 

Idaho. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2008 ............................................................................. $3,276,767,000 

Budget estimate, 2009 ........................................................................... 3,318,856,000 

Committee recommendation ................................................................. 3,379,109,000 

The Committee recommends $3,379,109,000 for rehabilitation 

services and disability research. The comparable fiscal year 2008 

funding level is $3,276,767,000 and the budget request includes 

$3,318,856,000 for programs in this account. 

The authorizing statute for programs funded in this account, except for those authorized under the Assistive Technology Act, expired September 30, 2004. The program descriptions provided 

below assume the continuation of current law. 

Vocational Rehabilitation State Grants 

The Committee recommends $2,974,635,000 for vocational rehabilitation grants to States. The Committee recommends the full 

amount authorized by the Rehabilitation Act of 1973. The comparable funding level for fiscal year 2008 is $2,874,043,000 for this 

program. The President’s budget proposes to eliminate the increase 

provided by the consumer price index adjustment authorized by the 

authorizing statute. The Committee rejects this proposal. 

Basic State grant funds assist States in providing a range of 

services to help persons with physical and mental disabilities prepare for and engage in meaningful employment. Authorizing legislation requires States to give priority to persons with the most significant disabilities. Funds are allotted to States based on a formula that takes into account population and per capita income. 

States must provide a 21.3 percent match of Federal funds, except 

the State’s share is 50 percent for the cost of construction of a facility for community rehabilitation program purposes. 

The Rehabilitation Act requires that no less than 1 percent and 

not more than 1.5 percent of the appropriation in fiscal year 2009 

for vocational rehabilitation State grants be set aside for grants for 

Indians. Service grants are awarded to Indian tribes on a competitive basis to help tribes develop the capacity to provide vocational 

rehabilitation services to American Indians with disabilities living 

on or near reservations. 
205 

Client Assistance State Grants 

The Committee recommends $11,576,000 for the client assistance 

State grants program. The comparable fiscal year 2008 funding 

level and the budget request both are $11,576,000 for authorized 

activities. 

The client assistance program funds State formula grants to assist vocational rehabilitation clients or client applicants in understanding the benefits available to them and in their relationships 

with service providers. Funds are distributed to States according to 

a population-based formula, except that increases in minimum 

grants are guaranteed to each of the 50 States, the District of Columbia, and Puerto Rico, and guaranteed to each of the outlying 

areas, by a percentage not to exceed the percentage increase in the 

appropriation. States must operate client assistance programs in 

order to receive vocational rehabilitation State grant funds. 

Training 

The Committee recommends $37,766,000 for training rehabilitation personnel. The comparable fiscal year 2008 funding level and 

the budget request both are $37,766,000 for training activities. 

The purpose of this program is to ensure that skilled personnel 

are available to serve the rehabilitation needs of individuals with 

disabilities. It supports training, traineeships, and related activities 

designed to increase the numbers of qualified personnel providing 

rehabilitation services. The program awards grants and contracts 

to States and public or nonprofit agencies and organizations, including institutions of higher education, to pay all or part of the 

cost of conducting training programs. Long-term, in-service, shortterm, experimental and innovative, and continuing education programs are funded, as well as special training programs and programs to train interpreters for persons who are deaf, hard of hearing and deaf-blind. 

Demonstration and Training Programs 

The Committee bill includes $8,901,000 for demonstration and 

training programs for persons with disabilities. The comparable fiscal year 2008 funding level is $10,151,000 and the budget request 

includes $8,826,000 for authorized activities. This program awards 

grants to States and nonprofit agencies and organizations to develop innovative methods and comprehensive services to help individuals with disabilities achieve satisfactory vocational outcomes. 

Demonstration programs support projects for individuals with a 

wide array of disabilities. 

The Committee recommends continued support for parent training and information centers, as proposed in the budget request. 

The Committee expects the Rehabilitation Services Administration 

to coordinate with the Office of Special Education Programs in carrying out this activity. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 
206 

Project Committee recommendation 

Alaska Adaptive Recreation Alliance, Anchorage, AK, for programs to provide adaptive and therapeutic 

recreation to the disabled in Alaska .......................................................................................................... $600,000 

Alaska Statewide Independent Living Council, Anchorage, AK, for independent living programs for rural 

and remote areas ........................................................................................................................................ 300,000 

Arc of New London County, Norwich, CT, for adult vocational training ......................................................... 250,000 

Cumberland Perry Association for Retarded Citizens, Carlisle, PA, to support educational programming 

for young adults with disabilities ............................................................................................................... 100,000 

Enable America, Inc., Tampa, Florida, for civic/citizenship demonstration project for disabled adults ....... 600,000 

Migrant and Seasonal Farmworkers 

The Committee recommends $2,239,000 for migrant and seasonal 

farmworkers, the same amount as the comparable fiscal year 2008 

funding level. The administration proposes eliminating separate 

funding for this program. 

This program provides grants limited to 90 percent of the costs 

of the projects providing comprehensive rehabilitation services to 

migrant and seasonal farm workers with disabilities and their families. Projects also develop innovative methods for reaching and 

serving this population. The program emphasizes outreach, specialized bilingual rehabilitation counseling, and coordination of vocational rehabilitation services with services from other sources. 

Recreational Programs 

The Committee provides $2,474,000 for recreational programs, 

the same amount as the comparable fiscal year 2008 funding level. 

The budget request does not include funding for this program. 

Recreational programs help finance activities such as sports, 

music, dancing, handicrafts, and art to aid in the employment, mobility, and socialization of individuals with disabilities. Grants are 

awarded to States, public agencies, and nonprofit private organizations, including institutions of higher education. Grants are awarded for a 3-year period with the Federal share at 100 percent for the 

first year, 75 percent for the second year, and 50 percent for the 

third year. Programs must maintain the same level of services over 

the 3-year period. 

Protection and Advocacy of Individual Rights 

The Committee recommends $17,201,000 for protection and advocacy of individual rights. The comparable fiscal year 2008 funding 

level and the budget request both are $16,201,000 for this purpose. 

This program provides grants to agencies to protect and advocate 

for the legal and human rights of persons with disabilities who are 

not eligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Projects with Industry 

The Committee recommends $19,197,000 for projects with industry. The comparable fiscal year 2008 funding level is $19,197,000 

and the administration proposes eliminating separate funding for 

this program. 
207 

The projects with industry [PWI] program promotes greater participation of business and industry in the rehabilitation process. 

PWI provides training and experience in realistic work settings to 

prepare individuals with disabilities for employment in the competitive job market. Postemployment support services are also provided. The program supports grants to a variety of agencies and organizations, including corporations, community rehabilitation programs, labor and trade associations, and foundations. 

Supported Employment State Grants 

The Committee recommends $29,181,000 for the supported employment State grant program. The comparable fiscal year 2008 

funding level is $29,181,000 and the administration proposes eliminating separate funding for this program. 

This program assists the most severely disabled individuals by 

providing the ongoing support needed to obtain competitive employment. Short-term vocational rehabilitation services are augmented 

with extended services provided by State and local organizations. 

Federal funds are distributed on the basis of population. 

Independent Living State Grants 

The Committee recommends $22,193,000 for independent living 

State grants. The comparable funding level for fiscal year 2008 and 

the budget request both are $22,193,000 for authorized activities. 

The independent living State formula grants program provides 

funding to improve independent living services, support the operation of centers for independent living, conduct studies and analysis, and provide training and outreach. 

Independent Living Centers 

The Committee recommends $73,334,000 for independent living 

centers. The comparable fiscal year 2008 funding level and the 

budget request both are $73,334,000 for the centers. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and operated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

Independent Living Services for Older Blind Individuals 

The Committee provides $32,320,000 for independent living services to older blind individuals. The comparable fiscal year 2008 

funding level and the budget request both are $32,320,000 for these 

activities. Through this program, assistance is provided to persons 

aged 55 or older to adjust to their blindness, continue living independently and avoid societal costs associated with dependent care. 

Services may include the provision of eyeglasses and other visual 

aids, mobility training, braille instruction and other communication 

services, community integration, and information and referral. 

These services help older individuals age with dignity, continue to 

live independently and avoid significant societal costs associated 

with dependent care. The services most commonly provided by this 

program are daily living skills training, counseling, the provision of 

low-vision devices community integration, information and referral, 

communication devices, and low-vision screening. 
208 

Program Improvement Activities 

The Committee recommends $622,000 for program improvement 

activities, the same amount as the comparable fiscal year 2008 

funding level. The budget request includes $800,000 for authorized 

activities. In fiscal year 2009, funds for these activities will continue to support technical assistance efforts to improve the efficiency and effectiveness of the vocational rehabilitation program 

and improve accountability efforts. The funds provided are sufficient to support technical assistance and other ongoing program 

improvement activities. 

Evaluation 

The Committee recommends $1,447,000 for evaluation activities, 

the same amount as the comparable fiscal year 2008 funding level. 

The budget request includes $1,947,000 for such activities. 

These funds support evaluations of the impact and effectiveness 

of programs authorized by the Rehabilitation Act. The Department 

awards competitive contracts for studies to be conducted by persons 

not directly involved with the administration of Rehabilitation Act 

programs. 

Helen Keller National Center 

The Committee recommends $8,362,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults, the same amount 

as the comparable fiscal year 2008 funding level. The budget request includes $7,862,000 for this purpose. 

The Helen Keller National Center consists of a national headquarters in Sands Point, New York, with a residential training and 

rehabilitation facility where deaf-blind persons receive intensive 

specialized services; a network of 10 regional field offices that provide referral and counseling assistance to deaf-blind persons; and 

an affiliate network of agencies. The center serves approximately 

120 persons with deaf-blindness at its headquarters facility and 

provides field services to approximately 2,000 individuals and families and approximately 1,100 organizations. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $107,741,000 for the National Institute on Disability and Rehabilitation Research [NIDRR]. The comparable fiscal year 2008 funding level and the budget request both 

are $105,741,000 for authorized activities. 

NIDRR develops and implements a comprehensive and coordinated approach to the conduct of research, demonstration projects, 

and related activities that enable persons with disabilities to better 

function at work and in the community, including the training of 

persons who provide rehabilitation services or who conduct rehabilitation research. The Institute awards competitive grants to support research in Federally designated priority areas, including rehabilitation research and training centers, rehabilitation engineering research centers, research and demonstration projects, and dissemination and utilization projects. NIDRR also supports field-initiated research projects, research training, and fellowships. 

The Committee recommends funds above the budget request to 

restore the number of rehabilitation research and training centers, 
209 

focusing on the issues of traumatic brain injury, arthritis, neuromuscular disease and spinal cord injury. Centers on these topics 

were previously funded by NIDRR. NIDRR shall award funds for 

these centers on a competitive basis. 

While mental health and physical health are clearly connected, 

there is a lack of research at the nexus of these care systems and 

the role they play for people with disabilities. The Committee encourages NIDRR to pursue mental health-related research proposals through its investigator-initiated and other grants programs, 

including sponsoring studies that will demonstrate the impact of 

socio-emotional, behavioral and attitudinal aspects of disability. In 

particular, specific initiatives that directly address societal barriers, such as stigmatization and discrimination, and their impact 

on people with physical, mental and neurological disabilities as 

well as strategies to support the improved function, rehabilitation 

and future employment of individuals with disabilities are highly 

recommended. 

The Committee encourages NIDRR to continue supporting research on effective training for professional service providers who 

work with individuals with disabilities. Many fundamental programs that are committed to supporting the progress and success 

of individuals with disabilities in the areas of rehabilitation, employment, education, and general health and functioning rely heavily on professionals who are well-trained and knowledgeable about 

disability. Given the current shortage of such professionals, it is 

important to evaluate the processes for training these professionals 

who are skilled to work on disability issues. Assessments and evaluations of training programs on disability would offer a unique insight into the preparation of this vital portion of the workforce that 

plays a significant role in the lives of people with disabilities. 

Assistive Technology 

The Committee recommends $29,920,000 for assistive technology, 

the same amount as the comparable fiscal year 2008 funding level. 

The budget request includes $25,655,000 for the State grant program and national activities authorized by the Assistive Technology Act of 1998. 

The Assistive Technology program is designed to improve occupational and educational opportunities and the quality of life for people of all ages with disabilities through increased access to assistive 

technology services and devices. The program supports various activities that help States to develop comprehensive, consumer-responsive statewide programs that increase access to, and the availability of, assistive technology devices and services. 

The Committee recommendation includes $24,620,000 for State 

grant activities authorized under section 4, $4,265,000 for protection and advocacy systems authorized by section 5, and $1,035,000 

for technical assistance activities authorized under section 6. 
210 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2008 ............................................................................. $21,616,000 

Budget estimate, 2009 ........................................................................... 21,616,000 

Committee recommendation ................................................................. 22,500,000 

The Committee recommends $22,500,000 to help support the 

American Printing House for the Blind [APH]. The comparable fiscal year 2008 funding level and budget request both are 

$21,616,000 for this purpose. 

The American Printing House for the Blind provides educational 

materials to students who are legally blind and enrolled in programs below the college level. The Federal subsidy provides more 

than 60 percent of APH’s total sales income. Materials are distributed free of charge to schools and States through per capita allotments based on the total number of students who are blind. Materials provided include textbooks and other educational aids in 

braille, large type, and recorded form and computer applications. 

Appropriated funds may be used for staff salaries and expenses, as 

well as equipment purchases and other acquisitions consistent with 

the purpose of the Act to Promote the Education of the Blind. 

In addition to its ongoing activities, the Individuals with Disabilities Education Improvement Act assigned to the American Printing House for the Blind the responsibility of establishing and maintaining a National Instructional Materials Access Center. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2008 ............................................................................. $59,695,000 

Budget estimate, 2009 ........................................................................... 59,195,000 

Committee recommendation ................................................................. 62,000,000 

The Committee recommends $62,000,000 for the National Technical Institute for the Deaf [NTID]. The comparable fiscal year 

2008 funding level is $59,695,000 and the budget request includes 

$59,195,000 for this purpose. Within the Committee recommendation, $1,175,000 is available for improvements to the campus infrastructure of NTID. 

The Institute, located on the campus of the Rochester Institute 

of Technology, was created by Congress in 1965 to provide a residential facility for postsecondary technical training and education 

for persons who are deaf. NTID also provides support services for 

students who are deaf, trains professionals in the field of deafness, 

and conducts applied research. At the discretion of the Institute, 

funds may be used for the Endowment Grant program. 

GALLAUDET UNIVERSITY

Appropriations, 2008 ............................................................................. $113,384,000 

Budget estimate, 2009 ........................................................................... 119,384,000 

Committee recommendation ................................................................. 124,000,000 

The Committee recommends $124,000,000 for Gallaudet University. The comparable fiscal year 2008 funding level is $113,384,000 

and the budget request includes $119,384,000 for the university. 

Gallaudet University is a private, nonprofit institution offering 

undergraduate, and continuing education programs for students 
211 

who are deaf, as well as graduate programs in fields related to 

deafness for students who are hearing and deaf. The University 

conducts basic and applied research related to hearing impairments and provides public service programs for the deaf community. 

The Model Secondary School for the Deaf serves as a laboratory 

for educational experimentation and development, disseminates 

curricula, materials, and models of instruction for students who are 

deaf, and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary School develops and provides instruction for 

children from infancy through age 15. The budget request includes $6,000,000 earmarked in bill language for construction-related activities connected to soil instability 

and associated building damage on campus. The Committee recommendation includes the requested funding and language for 

these activities. The Committee provided additional funds in the 

2008 bill to allow Gallaudet to begin addressing this issue. 

CAREER, TECHNICAL, AND ADULT EDUCATION

Appropriations, 2008 ............................................................................. $1,941,642,000 

Budget estimate, 2009 ........................................................................... 574,590,000 

Committee recommendation ................................................................. 1,863,162,000 

The Committee recommends a total of $1,863,162,000 for career, 

technical and adult education. The comparable funding level in fiscal year 2008 is $1,941,642,000 and the budget request includes 

$574,590,000 for this account. The recommendation consists of 

$1,271,694,000 for career and technical education, $567,468,000 for 

adult education and $24,000,000 for other activities. 

Career and Technical Education 

The Committee recommends $1,271,694,000 for career and technical education, the same amount as the comparable fiscal year 

2008 funding level. The budget request does not propose any funds 

for these activities. 

State Grants.—The Committee recommends $1,160,911,000 for 

State grants, the same amount as the comparable fiscal year 2008 

funding level. The budget request does not propose any funds for 

this purpose. Funds provided under the State grant program assist 

States, localities, and outlying areas to expand and improve their 

programs of career and technical education and provide equal access to career and technical education for populations with special 

needs. Persons assisted range from secondary students in 

prevocational courses through adults who need retraining to adapt 

to changing technological and labor market conditions. Funds are 

distributed according to a formula based on State population and 

State per capita income, with special provisions for small States 

and a fiscal year 1998 base guarantee. 

Under the Indian and Hawaiian Natives programs, competitive 

grants are awarded to federally recognized Indian tribes or tribal 

organizations and to organizations primarily serving and representing Hawaiian Natives for services that are in addition to 

services such groups are eligible to receive under other provisions 

of the Perkins Act. 
212 

Of the funds available for this program, $369,911,000 will be- come available on July 1, 2009 and $791,000,000 will become available on October 1, 2009. These funds will remain available for obligation until September 30, 2010. 

Tech-Prep Education State Grants.—The Committee recommends 

$102,923,000 for tech-prep programs, the same amount as the comparable fiscal year 2008 funding level. The budget request proposes 

to eliminate funding for this program. This program is designed to 

link academic and career and technical education and to provide a 

structural link between secondary schools and postsecondary education institutions. Funds are distributed to the States through the 

same formula as the State grant program. States then make planning and demonstration grants to consortia of local educational 

agencies and postsecondary institutions to develop and operate 

model 4-year programs that begin in high school and provide students with the mathematical, science, communication, and technological skills needed to earn a 2-year associate degree or 2-year certificate in a given occupational field. 

National Programs.—The Committee recommends $7,860,000 for 

national research programs and other national activities, the same 

amount as the comparable fiscal year 2008 funding level. The 

budget request proposes to eliminate funding for this program. 

Funds should be used to support the national research center on 

career and technical education, as well as other activities that will 

help improve career and technical education programs in high 

schools and community colleges. 

ADULT EDUCATION

The Committee recommends $567,468,000 for adult education, 

the same amount as the comparable fiscal year 2008 funding level. 

The budget request includes $574,590,000 for this purpose. The authorizing statute for adult education programs expired on September 30, 2004. Descriptions of these programs provided below assume the continuation of current law. 

The Committee recognizes the importance of the Adult Education 

and Family Literacy Act programs. To ensure that funding for 

these programs is benefiting as many students as possible, the 

Committee requests that the Department evaluate and report on 

whether the amount of funding for State grants that is allowed to 

be set aside for State leadership activities and State program administration is appropriate and how these set-asides impact the assistance reaching students. The Committee expects the Department 

to include the requested information in the fiscal year 2010 budget 

justification. 

Adult Education State Programs.—For adult education State programs, the Committee recommends $554,122,000, the same amount 

as both the comparable fiscal year 2008 funding level and the 

budget request. These funds are used by States for programs to enable economically disadvantaged adults to acquire basic literacy 

skills, to enable those who so desire to complete a secondary education, and to make available to adults the means to become more 

employable, productive, and responsible citizens. 

The Committee recommendation continues the English literacy 

and civics education State grants set aside within the adult edu-
213 

cation State grant appropriation. Within the total, $67,896,000 is 

available to help States or localities affected significantly by immigration and large limited-English populations to implement programs that help immigrants acquire English literacy skills, gain 

knowledge about the rights and responsibilities of citizenship and 

develop skills that will enable them to navigate key institutions of 

American life. 

National Leadership Activities.—The Committee recommends 

$6,878,000 for national leadership activities, the same amount as 

the comparable funding level for fiscal year 2008. The budget request includes $14,000,000 for this purpose. Under this program, 

the Department supports applied research, development, dissemination, evaluation and program improvement activities to assist 

States in their efforts to improve the quality of adult education programs. 

National Institute for Literacy.—The Committee recommends 

$6,468,000 for the National Institute for Literacy, authorized under 

section 242 of the Adult Education and Family Literacy Act. The 

comparable fiscal year 2008 funding level and the budget request 

both are $6,468,000 for this purpose. The Institute provides national leadership on issues related to literacy, coordinates literary 

services and policy, and serves as a national resource for adult education and literacy programs. The center also engages in a variety 

of capacity-building activities that support the development of 

State, regional, and national literary services. 

Smaller Learning Communities 

The Committee does not recommend funds for this program, as 

proposed in the budget request. The comparable fiscal year 2008 

funding level is $80,108,000. This program has supported competitive grants to local educational agencies to enable them to create 

smaller learning communities in large schools. Funds have been 

used to study, research, develop and implement strategies for creating smaller learning communities, as well as professional development for staff. Two types of grants were made under this program: 1-year planning grants, which help LEAs plan smaller learning communities and 3-year implementation grants, which help create or expand such learning environments. 

State Grants for Incarcerated Youth Offenders 

The Committee recommends $24,000,000 for education and training for incarcerated youth offenders. The comparable funding level 

for fiscal year 2008 is $22,372,000, while the budget request does 

not include any funds for this purpose. This program provides 

grants to State correctional education agencies to assist and encourage incarcerated youth to acquire functional literacy, life and 

job skills, through the pursuit of a postsecondary education certificate or an associate of arts or bachelor’s degree. Grants also assist 

correction agencies in providing employment counseling and other 

related services that start during incarceration and continue 

through prerelease and while on parole. Under current law, each 

student is eligible for a grant of not more than $1,500 annually for 

tuition, books, and essential materials, and not more than $300 annually for related services such as career development, substance 
214 

abuse counseling, parenting skills training, and health education. 

In order to participate in a program, a student must be no more 

than 25 years of age and be eligible to be released from prison 

within 5 years. Youth offender grants are for a period not to exceed 

5 years, 1 year of which may be devoted to study in remedial or 

graduate education. 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2008 ............................................................................. $16,081,136,000 

Budget estimate, 2009 ........................................................................... 17,921,492,000 

Committee recommendation ................................................................. 18,761,809,000 

The Committee recommends an appropriation of $18,761,809,000 

for student financial assistance. Program authorities and descriptions assume the continuation of current law. 

Federal Pell Grant Program 

For Pell grant awards in the 2009/2010 academic year, the Committee recommends $16,890,000,000 to increase the maximum discretionary Pell grant award level to $4,310. Additional mandatory 

funding provided in the College Cost Reduction and Access Act 

would increase this maximum award by $490, to a total of $4,800. 

Pell grants provide need-based financial assistance that helps 

low- and middle-income undergraduate students and their families 

defray a portion of the costs of postsecondary education and vocational training. Awards are determined according to a statutory 

need analysis formula that takes into account a student’s family income and assets, household size, and the number of family members, excluding parents, attending postsecondary institutions. Pell 

grants are considered the foundation of Federal postsecondary student aid. 

Federal Supplemental Educational Opportunity Grants 

The Committee recommends $757,465,000 for Federal supplemental educational opportunity grants [SEOG], the same as the fiscal year 2008 level. The budget did not include funds for this program. This program provides funds to postsecondary institutions 

for need-based grants to undergraduate students. Institutions must 

contribute 25 percent toward SEOG awards, which are subject to 

a maximum grant level of $4,000. School financial aid officers have 

flexibility to determine student awards, though they must give priority to Pell grant recipients with exceptional need. 

Federal Work-Study Programs 

The Committee bill provides $980,492,000 for the Federal workstudy program, the same amount as the budget request and the fiscal year 2008 level. 

This program provides grants to more than 3,300 institutions to 

help an estimated 800,000 undergraduate, graduate, and professional students meet the costs of postsecondary education through 

part-time employment. Work-study jobs must pay at least the Federal minimum wage and institutions must provide at least 25 percent of student earnings. Institutions also must use at least 7 percent of their grants for community-service jobs. 
215 

Federal Perkins Loans 

The Federal Perkins loan program supports student loan revolving funds built up with capital contributions to nearly 1,900 participating institutions. Institutions use these revolving funds, 

which also include Federal capital contributions [FCC], institutional contributions equal to one-third of the FCC, and student repayments, to provide low-interest (5 percent) loans that help financially needy students pay the costs of postsecondary education. 

The Committee recommends $70,000,000 for loan cancellations, 

$5,673,000 over the comparable fiscal year 2008 level. The administration did not request funds for this program. These funds reimburse institutional revolving funds on behalf of borrowers whose 

loans are cancelled in exchange for statutorily specified types of 

public or military service, such as teaching in a qualified low-income school, working in a Head Start Program, serving in the 

Peace Corps or VISTA, or nurses and medical technicians providing 

health care services. 

The Committee is aware that institutions, in complying with the 

Perkins loan cancellations provisions, are seeing their overall 

Perkin revolving loan accounts decrease. The Committee realizes 

that this $5,000,000 increase is not sufficient to make the participating institutions whole and will continue to address the shortfall 

issue over the next few years. 

The Committee bill does not include any funds for Federal Perkins loans capital contributions. The fiscal year 2008 bill did not 

include such funds and the budget request does not provide any 

funds for this purpose. 

Leveraging Educational Assistance Partnership Program 

For the leveraging educational assistance partnership [LEAP] 

program, the Committee recommends $63,852,000, the same 

amount as the comparable funding level for fiscal year 2008. The 

budget proposes to eliminate funding for this program. 

The LEAP program provides a Federal match to States as an incentive for providing need-based grant and work-study assistance 

to eligible postsecondary students. 

LOANS FOR SHORT-TERM TRAINING

Appropriations, 2008 ............................................................................. ........................... 

Budget estimate, 2009 ........................................................................... $3,000,000 

Committee recommendation ................................................................. ........................... 

The Committee recommendation does not include funds for a new 

program designed to help individuals acquire or upgrade specificjob related skills through short-term training programs. The budget proposed $3,000,000 for this new program. The Committee notes 

that this program is not authorized and will reconsider funding 

after legislation is submitted to the Congress and considered by the 

authorizing committees. 

STUDENT AID ADMINISTRATION

Appropriations, 2008 ............................................................................. $695,843,000 

Budget estimate, 2009 ........................................................................... 714,000,000 

Committee recommendation ................................................................. 704,843,000 
216 

The Committee recommends $704,843,000 for the Student Aid 

Administration account, for activities funded under this account, as 

reauthorized by the Higher Education Reconciliation Act of 2005. 

These funds are available until expended. That act reclassified 

most of the administrative costs of the Student Aid Account that 

were classified as mandatory spending through fiscal year 2006. 

Funds appropriated for the Student Aid Administration account 

will support the Department’s student aid management expenses. 

The Office of Federal Student Aid and Office of Postsecondary Education have primary responsibility for administering Federal student financial assistance programs. 

HIGHER EDUCATION

Appropriations, 2008 ............................................................................. $2,021,852,000 

Budget estimate, 2009 ........................................................................... 1,733,684,000 

Committee recommendation ................................................................. 1,856,214,000 

The Committee recommends an appropriation of $1,856,214,000 

for higher education programs. The administration requested 

$1,733,684,000 and the fiscal year 2008 level was $2,021,852,000 

for programs in this account. 

Aid for Institutional Development 

The Committee recommends $362,586,000, the same as the administration’s request. The Committee recommendation concurs in 

the budget request, which reduces aid for institutional development 

programs where additional fiscal year 2008 and 2009 funding is 

available from the College Cost Reduction and Access Act. The 

Committee will resume providing funding levels in fiscal year 2010 

that are comparable to the discretionary program levels provided 

in fiscal year 2008. 

Strengthening Institutions.—The Committee bill includes 

$78,146,000, the same as the administration’s request. The part A 

program supports competitive, 1-year planning and 5-year development grants for institutions with a significant percentage of financially needy students and low educational and general expenditures 

per student in comparison with similar institutions. Applicants 

may use part A funds to develop faculty, strengthen academic programs, improve institutional management, and expand student 

services. Institutions awarded funding under this program are not 

eligible to receive grants under other sections of part A or part B. 

Hispanic-Serving Institutions [HSI].—The Committee recommends $74,442,000, the same as the administration’s request, 

for institutions at which Hispanic students make up at least 25 

percent of enrollment. Institutions applying for title V funds must 

meet the regular part A requirements. Funds may be used for acquisition, rental or lease of scientific or laboratory equipment, renovation of instructional facilities, development of faculty, support 

for academic programs, institutional management, and purchase of 

educational materials. Title V recipients are not eligible for other 

awards provided under title III, parts A and B. 

The College Cost Reduction and Access Act amended title IV of 

the Higher Education Act by providing mandatory funding for a 

number of higher education programs. That act provided 

$100,000,000 in mandatory funding for activities similar to those 
217 

described above, except that a priority is placed on certain science, 

technology, engineering and mathematics initiatives. 

Strengthening Historically Black Colleges and Universities.—The 

Committee recommends $153,095,000, the same as the administration’s request, for part B grants. The College Cost Reduction and 

Access Act amended title IV of the Higher Education Act by providing mandatory funding for a number of higher education programs. That act provided $85,000,000 in mandatory funding for 

historically black colleges and universities in fiscal year 2009 in addition to the amounts described above for total fiscal year 2009 

funding of $238,095,000. The part B strengthening historically 

black colleges and universities [HBCU] program makes formula 

grants to HBCUs that may be used to purchase equipment, construct and renovate facilities, develop faculty, support academic 

programs, strengthen institutional management, enhance fundraising activities, provide tutoring and counseling services to students, and conduct outreach to elementary and secondary school 

students. The minimum allotment is $500,000 for each eligible institution. Part B recipients are not eligible for awards under part 

A. 

Strengthening Historically Black Graduate Institutions.—The 

Committee recommends $56,903,000, the same as the administration’s request, for the part B, section 326 program. The section 326 

program provides 5-year grants to strengthen historically black 

graduate institutions [HBGIs]. Grants may be used for any part B 

purpose and to establish an endowment. 

Strengthening Alaska Native and Native Hawaiian-Serving Institutions.—The Committee did not recommend funding for this program, nor did the administration request funding for this program, 

since funding for fiscal year 2009 was provided in the College Cost 

Reduction and Access Act. The College Cost Reduction and Access 

Act amended title IV of the Higher Education Act by providing 

mandatory funding for a number of higher education programs. 

That act provided $15,000,000 in mandatory funding for Strengthening Alaska Native and Native Hawaiian-Serving Institutions in 

fiscal year 2009. 

The Committee has included bill language permitting funds 

made available in the College Cost Reduction and Access Act for 

this program to be used for any authorized activity in section 317 

of the Higher Education Act. 

The purpose of this program is to improve and expand the capacity of institutions serving Alaska Native and Native Hawaiian students. Funds may be used to plan, develop, and implement activities that encourage: faculty and curriculum development; better 

fund and administrative management; renovation and improvement of educational facilities; student services; and the purchase of 

library and other educational materials. 

The Committee encourages the Department to use simplified application forms to permit participating institutions to obtain continuation funding for successful programs funded under this program. 

Strengthening Tribally Controlled Colleges and Universities.— 

The Committee did not recommend funding for this program, nor 

did the administration request funding for this program, since 
218 

funding for fiscal year 2009 was provided in the College Cost Reduction and Access Act. The College Cost Reduction and Access Act 

amended title IV of the Higher Education Act by providing mandatory funding for a number of higher education programs. That act 

provided $30,000,000 in mandatory funding for Strengthening Tribally Controlled Colleges and Universities in fiscal year 2009. 

Tribal colleges and universities rely on a portion of the funds 

provided to address developmental needs, including faculty development, curriculum and student services. 

International Education and Foreign Language Studies 

The bill includes a total of $108,983,000 for international education and foreign language programs, which is the same as the fiscal year 2008 level. The administration requested $108,983,000. 

The Committee bill includes language allowing funds to be used 

to support visits and study in foreign countries by individuals who 

plan to utilize their language skills in world areas vital to the 

United States national security in the fields of government, international development and the professions. Bill language also allows 

up to 1 percent of the funds provided to be used for program evaluation, national outreach, and information dissemination activities. 

This language is continued from last year’s bill and was proposed 

in the budget request. 

Domestic Programs.—The Committee recommends $93,941,000 

for domestic program activities related to international education 

and foreign language studies, including international business education, under title VI of the HEA. This is the same as the fiscal 

year 2008 level. Domestic programs include national resource centers, undergraduate international studies and foreign language programs, international research and studies projects, international 

business education projects and centers, American overseas research centers, language resource centers, foreign language and 

area studies fellowships, and technological innovation and cooperation for foreign information access. 

Overseas Programs.—The bill includes $13,372,000 for overseas 

programs authorized under the Mutual Educational and Cultural 

Exchange Act of 1961, popularly known as the Fulbright-Hays Act, 

the same as the fiscal year 2008 level and the administration request. Under these overseas programs, grants are provided for 

group and faculty research projects abroad, doctoral dissertation research abroad, and special bilateral projects. Unlike other programs authorized by the Fulbright-Hays Act and administered by 

the Department of State, these Department of Education programs 

focus on training American instructors and students in order to improve foreign language and area studies education in the United 

States. 

Institute for International Public Policy.—The Committee bill recommends $1,670,000 for the Institute for International Public Policy, the same as the administration request. This program is designed to increase the number of minority individuals in foreign 

service and related careers by providing a grant to a consortium of 

institutions for undergraduate and graduate level foreign language 

and international studies. An institutional match of 50 percent is 

required. 
219 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $63,652,000 for the Fund for the 

Improvement of Postsecondary Education [FIPSE]. FIPSE stimulates improvements in education beyond high school by supporting 

exemplary, locally developed projects that have potential for addressing problems and recommending improvements in postsecondary education. The Fund is administered by the Department 

with advice from an independent board and provides small, competitive grants and contracts to a variety of postsecondary institutions and agencies, including 2- and 4-year colleges and universities, State education agencies, community-based organizations, 

and other non-profit institutions and organizations concerned with 

education beyond high school. 

The Committee recommends $1,000,000 to initiate and carryout 

the scholarship program authorized in the Federal Mine Safety and 

Health Act, as modified in this bill. These modifications require authorized scholarships to be referred to as ‘‘Erma Byrd Scholarships’’; alter the eligibility requirements related to work experience 

and programs of study; and allow contributions from private 

sources to be used for such scholarships. The Committee intends 

for the CDC/National Institute of Occupational Safety and Health 

and Department of Labor to collaborate with the Department of 

Education in implementing this program. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation 

AIB College of Business, Des Moines, IA, to continue recruiting and training captioners and court reporters and to provide scholarships to students .............................................................................................. $400,000 

Albright College, Reading, PA, for laboratory equipment acquisition ............................................................ 100,000 

Alcorn University, Lorman, MS, for curriculum improvements ........................................................................ 250,000 

Alvernia College, Reading, PA, for scholarships and nursing education programs ....................................... 100,000 

American Prosthodontic Society Foundation, Osceola Mills, PA, for scholarships and program costs related to prosthetic dentistry and clinical prosthodontics .......................................................................... 100,000 

Armstrong Atlantic State University, Savannah, GA, for technology upgrades, including the purchase of 

equipment and professional development .................................................................................................. 100,000 

Assumption College, Worcester, MA, for the acquisition of educational equipment and information technology ........................................................................................................................................................... 150,000 

Black Mountain Institute, Las Vegas, NV, for undergraduate and graduate instruction in literature, humanities, creative writing, translation and for international and study abroad programs ...................... 100,000 

Bloomsburg University of Pennsylvania, Bloomsburg, PA, for computer forensic science education programs ........................................................................................................................................................... 100,000 

Blue Mountain Community College, Hermiston, OR, for curriculum development, including purchase of 

equipment .................................................................................................................................................... 300,000 

Briar Cliff University, Sioux City, IA for equipment ........................................................................................ 200,000 

Buena Vista University, Storm Lake, IA, for support for students with disabilities ...................................... 250,000

Caldwell College, Caldwell, NJ, for an Autism Teacher Doctorate Program at the Center for Excellence in 

Teaching, which may include equipment for distance learning activities ................................................ 250,000 

California Maritime Academy, Vallejo, CA, for an emergency response training program, which may include the acquisition of software and technology ..................................................................................... 500,000 

California University of Pennsylvania, California, PA, for curriculum development and teacher training to 

enhance math and science instruction ...................................................................................................... 100,000 

Cape Girardeau Career and Technology Center, Cape Girardeau, MO, for equipment and technology upgrades, including the purchase of equipment ........................................................................................... 300,000 

Center for Education, Business, and the Arts [CEBA], St. George, UT, for an educational program in 

business entrepreneurship at Dixie State College ...................................................................................... 100,000 

Cheyney University of Pennsylvania, Cheyney, PA, to develop model best practices in early childhood 

education, curriculum instruction and assessment ................................................................................... 100,000 
220 

Project Committee recommendation 

Clark University, Worcester, MA, for information technology and educational equipment ............................ 200,000 

Cleveland Chiropractic College, Overland Park, KS, for curriculum development .......................................... 200,000 

Coe College, Cedar Rapids, IA, for the Science and Technology Enhancement Initiative ............................. 500,000 

Coffeyville Community College, Coffeyville, KS, to establish an endowed scholarship program for Kansas 

residents ...................................................................................................................................................... 450,000 

College of DuPage, Glen Ellyn, IL, for support of a veteran counseling degree and certificate program .... 300,000 

Colorado State University—Pueblo, Pueblo, CO, for science, technology, engineering and mathematics 

programs, including equipment .................................................................................................................. 150,000 

Connecticut State University System, Hartford, CT, for nursing education programs ................................... 400,000 

Daniel Webster College, Nashua, NH, for technology upgrades, including the purchase of equipment ....... 200,000 

Dartmouth College, Hanover, NH, to continue an interdisciplinary initiative on engineering and medicine, 

including the purchase of equipment ......................................................................................................... 300,000 

Deaf West Theater, North Hollywood, CA, for educational programming ....................................................... 250,000 

Delaware County Community College, Media, PA, for technology upgrades, including the purchase of 

equipment .................................................................................................................................................... 100,000 

DeSales University, Center Valley, PA, for technology upgrades including the purchase of equipment ....... 100,000 

Dickenson County Industrial Development Authority—The Dickenson Center for Education and Research, 

Clintwood, VA, for technology upgrades, including the purchase of equipment ....................................... 100,000 

Dowling College, Oakdale, NY, to create and establish a school of Banking and Financial Services ......... 200,000 

Duquesne University, Pittsburgh, PA, for professional development and research training in computational sciences ............................................................................................................................................. 100,000 

Eastern Iowa Community College, Davenport, IA, for the creation of a center on sustainable energy, including equipment ....................................................................................................................................... 300,000 

Eastern University, St. Davids, PA, for an initiative to increase minority access to higher education ........ 100,000 

Edinboro University of Pennsylvania, Edinboro, PA, for a nursing education program and equipment acquisition ....................................................................................................................................................... 100,000 

Edward M. Kennedy Institute for the Senate, Boston, MA, for planning and design .................................... 1,000,000 

Elizabethtown College, Elizabethtown, PA, for technology infrastructure upgrades and acquisition ............ 100,000 

Emerson College, Boston, MA, for educational equipment and technology infrastructure ............................ 100,000 

Emmanuel College, Boston, MA, for educational equipment and technology infrastructure ......................... 325,000 

Endicott College, Beverly, MA, for expansion of higher education programs ................................................. 200,000 

George Meany Center for Labor Studies—the National Labor College, Silver Spring, MD, for curriculum 

development ................................................................................................................................................. 500,000 

George Washington University, Washington, DC, to provide D.C. public school students opportunities to 

pursue health professions careers .............................................................................................................. 148,000 

Green River Community College, Auburn, WA, for support of the Computer Reporting Technologies program ............................................................................................................................................................ 300,000 

Hawaii Community College, Waipahu, HI, to provide cultural education ....................................................... 200,000 

Henry Kuualoha Giugni Archives, University of Hawaii, Honolulu, HI, for cultural education ....................... 250,000 

Houston Community College, Houston, TX, for curriculum development and purchase of equipment for 

the Accelerated Nursing Proficiency Center ................................................................................................ 200,000 

Huntingdon College Institute, Montgomery, AL, for teacher training and purchase of equipment ............... 200,000 

Immaculata University, Immaculata, PA, for nursing education programs ................................................... 100,000

Indiana University of Pennsylvania, Indiana, PA, for curriculum development for a mine safety course 

and research on use of mine maps ........................................................................................................... 100,000 

Iowa Western Community College, Council Bluffs, IA, for health technology equipment .............................. 450,000 

Jobs for Mississippi Graduates, Inc., Jackson, MS, for Reaching Up for Success dropout prevention program ............................................................................................................................................................ 100,000 

Keystone College, La Plume, PA, for technology upgrades including the purchase of equipment ................ 100,000 

Lackawanna College, Scranton, PA, for technology upgrades, including the purchase of equipment .......... 100,000 

Lafayette College, Easton, PA, for technology upgrades, including the purchase of equipment .................. 100,000 

Lehigh University, Bethlehem, PA, to develop programming for a Center for Developing Urban Educational Leaders .......................................................................................................................................... 100,000 

Lesley University, Cambridge, MA, for educational equipment and information technology ......................... 200,000 

Lincoln University, Lincoln University, PA, to support a distance learning initiative, including the purchase of equipment ..................................................................................................................................... 100,000 

Lyndon State College, Lyndonville, VT, for a center for rural students .......................................................... 350,000 

Mansfield University of Pennsylvania, Mansfield, PA, for nursing education programs, including the purchase of equipment ..................................................................................................................................... 100,000 

Marywood University, Scranton, PA, for campus-based autism education programs .................................... 100,000 

McNeese State University, Lake Charles, LA, to provide professional development to improve student 

writing .......................................................................................................................................................... 200,000 

Michigan Community College Association, Lansing, MI, for an alternative energy training initiative .......... 1,700,000 

MidAmerican Nazarene University, for technology acquisition to expand distance education for teachers 

in western Kansas, including the purchase of equipment ........................................................................ 150,000 
221 

Project Committee recommendation 

Middle Tennessee State University, Murfreesboro, TN, for a comprehensive math and science teacher 

training program, including scholarships ................................................................................................... 400,000 

Midland College, Midland, TX, for technology upgrades, including purchase of equipment ......................... 100,000 

Millikin University, Decatur, IL, for a nursing training program .................................................................... 500,000 

Missouri State University, Springfield, MO, for equipment and technology upgrades, including the purchase of equipment ..................................................................................................................................... 500,000 

Montclair State College, Upper Montclair, NJ, for a Minority Teacher Recruitment, Development and Retention program ........................................................................................................................................... 200,000 

Montgomery County Community College, Blue Bell, PA, for curriculum development and equipment acquisition to support a health services initiative ........................................................................................ 100,000 

Morehouse College, Atlanta, GA, to establish a research initiative to improve college graduation rates of 

minority males ............................................................................................................................................. 100,000 

Mott Community College, Flint, MI, for the Center for Advanced Manufacturing .......................................... 200,000 

Mount Aloysius College, Cresson, PA, for college preparation programs ....................................................... 100,000 

Muhlenberg College, Allentown, PA, for a civic engagement and service learning program ........................ 100,000 

Murray State University, Hopkinsville, KY, to purchase equipment for the Breathitt Veterinary Clinic ........ 100,000 

Neumann College, Aston, PA, for technology and equipment acquisition to support a health care workforce training initiative ............................................................................................................................... 100,000 

Nevada State College, Henderson, NV, for teacher preparation programs ..................................................... 300,000 

Nevada Volunteers, Fallon, NV, to expand service-learning programs ........................................................... 250,000 

North Central Missouri College, Trenton, MO, for technology upgrades, including the purchase of equipment for the Allied Health building ............................................................................................................ 1,600,000 

North Dakota State College of Science, Wahpeton, ND, for a Center for Nanoscience Technology Training ................................................................................................................................................................ 1,000,000 

Northampton Community College, Bethlehem, PA, for technology and equipment upgrades and acquisition ............................................................................................................................................................... 100,000 

Northeast Community College, Norfolk, NE, for improved access to postsecondary educational opportunities, including distance learning and other equipment ............................................................................. 700,000 

Northern Essex Community College, Lawrence, MA, for educational equipment ............................................ 200,000 

Northwest Nazarene University, Nampa, ID, for technology upgrades, including the purchase of equipment ............................................................................................................................................................. 200,000 

Northwestern College, Orange City, IA, for nurse training programs ............................................................. 450,000 

Olivet Nazarene University, Bourbonnais, IL, for nurse education equipment ............................................... 300,000 

Oregon Institute of Technology, Klamath Falls, OR, for the Health Informatics Simulation Lab .................. 100,000 

Peninsula College, Port Angeles, WA, for equipment for the Peninsula College Science & Technology 

Building, and to support the Peninsula College Collaborative Mentoring Model ...................................... 500,000 

Pennsylvania Highlands Community College, Johnstown, PA, for technology and equipment upgrades and 

acquisition ................................................................................................................................................... 100,000 

Plymouth State University, Plymouth, NH, for a collaborative research institute for sustainable rural 

economies .................................................................................................................................................... 200,000 

Point Park University, Pittsburgh, PA, for technology upgrades including the purchase of equipment ....... 100,000 

Portland State University, Portland, OR, for support of the Science Research Teaching Center .................. 150,000 

Qunsigamond Community College, Worcester, MA, for the procurement of educational equipment and information technology to support academic expansion ............................................................................... 150,000 

Rutgers University, Camden, NJ, for the Camden Children’s Initiative, which may include scholarships 

and fellowships ........................................................................................................................................... 100,000 

Saint Bonaventure University, St. Bonaventure, NY, for the Father Mychal Judge program, which may include student scholarships and travel costs for student exchanges and visiting professorships ........... 300,000 

Saint Mary’s University of Minnesota, Minneapolis, MN, for technology upgrades, including the purchase 

of equipment ............................................................................................................................................... 200,000 

Saint Vincent College, Latrobe, PA, for educational programs, including the purchase of equipment ........ 100,000 

Security on Campus, Inc., King of Prussia, PA, for development and implementation of a sexual assault 

awareness and training program ................................................................................................................ 25,000 

Sedgwick County Government, KS, to establish an advanced education in general dentistry residency 

program ....................................................................................................................................................... 500,000 

Seminole State College, Seminole, OK, for a distance learning program and technology upgrades, including the purchase of equipment .................................................................................................................. 100,000 

Sitting Bull College, Fort Yates, ND, for a Student Record and Data Management System ......................... 250,000 

Southeastern Community College, West Burlington, Iowa, for nursing education equipment ....................... 100,000 

Southern Oregon University, Ashland, OR, for technology infrastructure and equipment acquisition .......... 300,000 

Southern Utah University, Cedar City, UT, to enhance the academic skills and training of science teachers in rural Utah, including the purchase of equipment ........................................................................... 100,000 

Spelman College, Atlanta, GA, for programs to recruit and increase graduate rates for students pursuing 

science, mathematics, or dual-engineering degrees .................................................................................. 100,000 
222 

Project Committee recommendation 

Susquehanna University, Selinsgrove, PA, for science laboratory technology, including the purchase of 

equipment .................................................................................................................................................... 100,000 

Texas Woman’s University, Denton, TX, for curriculum development and technology upgrades, including 

the purchase of equipment ......................................................................................................................... 150,000 

Tougaloo College, Tougaloo, MS, for applied undergraduate level community based research programs 

and partnerships ......................................................................................................................................... 300,000 

Troy University, Montgomery, AL, for technology upgrades, including the purchase of equipment .............. 250,000 

Truckee Meadows Community College, Reno, NV, for recruiting, mentoring and providing supportive services .............................................................................................................................................................. 300,000 

Turtle Mountain Community College, Belcourt, ND, to expand its Nursing Program, including equipment ............................................................................................................................................................. 500,000 

Union Graduate College, Schenectady, NY, for program support of a Masters degree in Emerging Energy 

Systems ........................................................................................................................................................ 300,000 

University of Alaska, Anchorage, AK, to continue the Alaska science and engineering program for Alaska 

students ....................................................................................................................................................... 1,050,000 

University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency program ................................ 500,000 

University of Hawaii at Hilo Clinical Pharmacy Training Program, Hilo, HI, for clinical pharmacy training 

program and applied rural science program .............................................................................................. 1,000,000 

University of Hawaii School of Law, Honolulu, HI, for health policy center ................................................... 250,000 

University of Maine, Orono, ME, for technology upgrades, including the purchase of equipment ................ 300,000 

University of Maryland College Park, College Park, MD, to develop and administer a public service fellowship program .......................................................................................................................................... 1,000,000 

University of Montana, Missoula, MT, to establish the Institute for Leadership and Public Service to fulfill the purposes of the Mansfield Center .................................................................................................. 250,000 

University of New Hampshire, Manchester, NH, for technology upgrades, including the purchase of 

equipment .................................................................................................................................................... 250,000 

University of Northern Colorado, Greeley, Colorado, for professional development at the National Center 

on Severe & Sensory Disabilities ................................................................................................................ 300,000 

University of Northern Iowa, Cedar Falls, IA, for equipment .......................................................................... 500,000 

University of Pittsburgh, Pittsburgh, PA, to support a Center for Global Value and Innovation Networks ... 100,000 

University of Scranton, Scranton, PA, for a health profession education and training initiative ................. 100,000 

University of South Dakota, Vermillion, SD, for graduate programs on the digital preservation of recorded 

oral histories ................................................................................................................................................ 430,000 

University of South Dakota, Vermillion, SD, for equipment and wiring for the Research, Education and 

Economic Development Network .................................................................................................................. 400,000 

University of Southern Maine, Portland, ME, for technology upgrades, including the purchase of equipment ............................................................................................................................................................. 350,000 

University of Utah, Salt Lake City, UT, for distance learning for community of caring schools, including 

technology upgrade and purchase of equipment ....................................................................................... 100,000 

University of Wisconsin-Platteville, Platteville, WI, for program support for entrepreneurial education ....... 300,000 

University of Wisconsin-Green Bay, Green Bay, WI, for a comprehensive academic enrichment program to 

prepare low-income and first-generation high school students for college .............................................. 300,000 

Upper Iowa University, Fayette, IA, for equipment .......................................................................................... 250,000 

Utah Valley University, Orem, UT, to improve education and training programs for nursing graduates, including the purchase of equipment ............................................................................................................ 300,000 

Valley City State University, Valley City, ND, for a Center for Technology and Engineering Education ........ 400,000 

Virginia Department of Correctional Education—Workforce and Community Transition Training for Incarcerated Youth Offenders Program, Richmond, VA, to improve access to postsecondary education for 

incarcerated individuals .............................................................................................................................. 100,000 

Virginia Foundation for Community College Education—Great Expectations Program, Richmond, VA, to 

improve access to postsecondary education for foster care youth ............................................................ 100,000 

Voices of September 11th, New Canaan, CT, for graduate education on digital archiving in relationship 

to the 9/11 Living Memorial Project ........................................................................................................... 300,000 

Washington & Jefferson College, Washington, PA, for science education outreach programs ...................... 100,000 

West Chester University, West Chester, PA, for technology infrastructure upgrades and acquisition .......... 100,000 

Western Kentucky University Research Foundation, Bowling Green, KY, for technology upgrades, including 

the purchase of equipment ......................................................................................................................... 2,500,000 

Western Oklahoma State College, Altus, OK, for technology upgrades, including the purchase of equipment ............................................................................................................................................................. 100,000 

Wheelock College, Boston, MA, for continued development of science programs for K–12 teachers ........... 100,000 

Wilson College, Chambersburg, PA, for science laboratory equipment acquisition ....................................... 100,000 

Wisconsin Association of Independent Colleges and Universities, Madison, WI, for consolidated administrative support functions for independent colleges and universities ........................................................ 300,000 

Wofford College, Spartanburg, SC, for technology upgrades, including the purchase of equipment ........... 300,000 

Year Up Providence, Providence, RI, for a bridge to career and college program ........................................ 600,000 
223 

Minority Science and Engineering Improvement 

The Committee recommends $8,577,000 for the Minority Science 

and Engineering Improvement program [MSEIP], the same as the 

fiscal year 2008 level and the administration request. Funds are 

used to provide discretionary grants to institutions with minority 

enrollments greater than 50 percent to purchase equipment, develop curricula, and support advanced faculty training. Grants are 

intended to improve science and engineering education programs 

and increase the number of minority students in the fields of 

science, mathematics, and engineering. 

Tribally Controlled Postsecondary Career and Technical Institutions 

The Committee recommends $7,546,000 for tribally controlled 

postsecondary vocational institutions, the same as the fiscal year 

2008 level. The administration did not request funding for this program. This program provides grants for the operation and improvement of two tribally controlled postsecondary vocational institutions to ensure continued and expanding opportunities for Indian 

students. 

Federal TRIO Programs 

The Committee recommends $838,178,000 for Federal TRIO Programs, an increase of $10,000,000 over the fiscal year 2008 level 

and the administration request. 

TRIO programs provide a variety of services to improve postsecondary education opportunities for low-income individuals and 

first-generation college students: Upward Bound offers disadvantaged high school students academic services to develop the skills 

and motivation needed to continue their education; Student Support Services provides remedial instruction, counseling, summer 

programs and grant aid to disadvantaged college students to help 

them complete their postsecondary education; Talent Search identifies and counsels individuals between ages 11 and 27 regarding opportunities for completing high school and enrolling in postsecondary education; Educational Opportunity Centers provide information and counseling on available financial and academic assistance to low-income adults who are first-generation college students; 

and the Ronald E. McNair Postbaccalaureate Achievement Program supports research internships, seminars, tutoring, and other 

activities to encourage disadvantaged college students to enroll in 

graduate programs. 

Gaining Early Awareness and Readiness for Undergraduate Programs [GEARUP] 

The Committee recommends $308,423,000 for GEARUP, an increase of $5,000,000 over the fiscal year 2008 level and the administration request. 

Under this program funds are used by States and partnerships 

of colleges, middle and high schools, and community organizations 

to assist middle and high schools serving a high percentage of lowincome students. Services provided help students prepare for and 

pursue a postsecondary education. 
224 

Byrd Honors Scholarships 

The Committee recommends $41,000,000 for the Byrd Honors 

scholarship program. The administration did not request funding 

for this program. 

The Byrd Honors scholarship program is designed to promote 

student excellence and achievement and to recognize exceptionally 

able students who show promise of continued excellence. Funds are 

allocated to State education agencies based on each State’s schoolaged population. The State education agencies select the recipients 

of the scholarships in consultation with school administrators, 

teachers, counselors, and parents. The funds provided will support 

a new cohort of first-year students in 2009, and continue support 

for the 2006, 2007, and 2008 cohorts of students in their fourth, 

third and second years of study, respectively. 

Javits Fellowships 

The Committee recommends $9,530,000 for the Javits Fellowships program, the same as the fiscal year 2008 level. 

The Javits Fellowships program provides fellowships of up to 4 

years to students of superior ability who are pursuing doctoral degrees in the arts, humanities, and social sciences at any institution 

of their choice. Each fellowship consists of a student stipend to 

cover living costs, and an institutional payment to cover each fellow’s tuition and other expenses. The Committee bill includes language proposed in the budget that stipulates that funds provided 

in the fiscal year 2009 appropriation support fellowships for the 

2010–2011 academic year. 

Graduate Assistance in Areas of National Need [GAANN] 

The Committee recommends $29,542,000 for graduate assistance 

in areas of national need, the same as the fiscal year 2008 level. 

This program awards competitive grants to graduate academic departments and programs for fellowship support in areas of national 

need as determined by the Secretary. In fiscal year 2007, the Secretary designated the following areas of national need: biology, 

chemistry, computer and information sciences, engineering, mathematics, physics, and nursing. Recipients must demonstrate financial need and academic excellence, and seek the highest degree in 

their fields. 

Teacher Quality Enhancement Grants 

The Committee recommends $47,540,000 for the teacher quality enhancement grants program. This amount is $13,878,000 above 

the fiscal year 2008 level. The administration did not request funding for this program. 

The program was established to support initiatives that best 

meet specific teacher preparation and recruitment needs. Further, 

the Higher Education Act provides and designates funding for the 

program in three focus areas: 45 percent of resources support a 

State grant program, 45 percent of funds are used for a partnership program, and 10 percent are designated for a recruitment 

grant program. 

The Committee bill includes language that would allow the Department to fund awards under the three program areas at the dis-
225 

cretion of the Department, instead of as mandated by the Higher 

Education Act. The Committee continues this language from last 

year’s bill and intends for the Secretary to utilize this flexibility 

and the additional funds provided to initiate a partnership grant 

competition focused on residency programs, professional development schools or other models that have been proven effective in 

helping meet the challenge of placing highly qualified teachers in 

high-need classrooms. 

Under the State grant program, funds may be used for a variety 

of State-level reforms, including more rigorous teacher certification 

and licensure requirements; provision of high-quality alternative 

routes to certification; development of systems to reward high-performing teachers and principals; and development of efforts to reduce the shortage of qualified teachers in high-poverty areas. 

Teacher training partnership grants, which are awarded to local 

partnerships comprised of at least one school of arts and science, 

one school or program of education, a local education agency, and 

a K–12 school, may be used for a variety of activities designed to 

improve teacher preparation and performance, including efforts to 

provide increased academic study in a proposed teaching specialty 

area; to prepare teachers to use technology effectively in the classroom; to provide preservice clinical experiences; and to integrate reliable research-based teaching methods into the curriculum. Partnerships may work with other entities, with those involving businesses receiving priority consideration. Partnerships are eligible to 

receive a one-time-only grant to encourage reform and improvement at the local level. 

The recruitment grant program supports efforts to reduce shortages of qualified teachers in high-need school districts as well as 

provide assistance for high-quality teacher preparation and induction programs to meet the specific educational needs of the local 

area. 

BA Degrees in STEM and Critical Foreign Languages 

The Committee recommendation includes $983,000 for this activity, the same as the fiscal year 2008 level. 

Under this program grants are awarded on a competitive basis, 

to eligible recipients to implement teacher education programs that 

promote effective teaching skills and lead to a baccalaureate degree 

in science, technology, engineering, mathematics, or a critical foreign language with concurrent teacher certification. 

MA Degrees in STEM and Critical Foreign Languages 

The Committee recommendation includes $983,000 for this activity, the same as the fiscal year 2008 level. 

Under this program grants are awarded, on a competitive basis, 

to eligible recipients to develop and implement part-time master’s 

degree programs in science, technology, engineering, mathematics, 

or critical foreign language education for teachers in order to enhance the teacher’s content knowledge and teaching skill. 

Child Care Access Means Parents in Schools 

The Committee recommends an appropriation of $15,534,000 for 

the Child Care Access Means Parents in School [CCAMPIS] pro-
226 

gram, the same as the fiscal year 2008 level and the administration 

request. CCAMPIS was established in the Higher Education 

Amendments of 1998 to support the efforts of a growing number of 

non-traditional students who are struggling to complete their college degrees at the same time that they take care of their children. 

Discretionary grants of up to 4 years are made to institutions of 

higher education to support or establish a campus-based childcare 

program primarily serving the needs of low-income students enrolled at the institution. 

Advancing America through Foreign Language Partnerships 

The Committee recommendation did not include funding for this 

new initiative. The administration had requested $24,000,000. This 

program funds grants to increase the number of Americans with 

professional levels of competency in languages critical to national 

security. Under this new program grants would be awarded to institutions of higher education for partnerships with school districts 

to create programs of study in kindergarten through postsecondary 

education in critical needs languages. 

Demonstration Projects to Ensure Quality Higher Education for 

Students With Disabilities 

The Committee recommends $6,755,000 for this program, the 

same amount as the comparable fiscal year 2008 funding level. The 

administration did not request funding for this program. This program’s purpose is to ensure that students with disabilities receive 

a high-quality postsecondary education. Grants are made to support model demonstration projects that provide technical assistance 

and professional development activities for faculty and administrators in institutions of higher education. 

Underground Railroad Program 

The Committee recommendation includes $1,945,000 for the Underground Railroad Program, the same as the fiscal year 2008 

level. The administration did not request funding for this program. 

The program was authorized by the Higher Education Amendments of 1998 and was funded for the first time in fiscal year 1999. 

Grants are provided to research, display, interpret, and collect artifacts relating to the history of the underground railroad. Educational organizations receiving funds must demonstrate substantial private support through a public-private partnership, create an 

endowment fund that provides for ongoing operation of the facility, 

and establish a network of satellite centers throughout the United 

States to share information and teach people about the significance 

of the Underground Railroad in American history. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $609,000 for data collection associated with the Government Performance and Results Act data collection and to evaluate programs authorized by the Higher Education Act, the same as the fiscal year 2008 level. These funds are 

used to comply with the Government Performance and Results Act, 

which requires the collection of data and evaluation of Higher Edu-
227 

cation programs and the performance of recipients of Higher Education funds. 

B.J. Stupak Olympic Scholarships 

The Committee recommendation includes $953,000 for B.J. Stupak Scholarships, the same as the fiscal year 2008 level. 

Thurgood Marshall Legal Educational Opportunity Program 

The Committee recommendation includes $2,895,000 for the 

Thurgood Marshall Educational Opportunity Program, the same as 

the fiscal year 2008 level. 

Under this program, funds help low-income, minority or disadvantaged college students with the information, preparation and 

financial assistance to enter and complete law school study. The 

Higher Education Act stipulates that the Secretary make an award 

to or contract with the Council on Legal Education Opportunity to 

carry out authorized activities. 

HOWARD UNIVERSITY

Appropriations, 2008 ............................................................................. $233,244,000 

Budget estimate, 2009 ........................................................................... 233,245,000 

Committee recommendation ................................................................. 233,244,000 

The Committee recommends an appropriation of $233,244,000 for 

Howard University. The comparable fiscal year 2008 funding level 

is $233,244,000 and the budget request includes $233,245,000 for 

this purpose. Howard University is located in the District of Columbia and offers undergraduate, graduate, and professional degrees through 12 schools and colleges. The university also administers the Howard University Hospital, which provides both inpatient and outpatient care, as well as training in the health professions. Federal funds from this account support approximately 50 

percent of the university’s projected educational and general expenditures, excluding the hospital. The Committee recommends, 

within the funds provided, not less than $3,464,000 shall be for the 

endowment program. 

Howard University Hospital.—Within the funds provided, the 

Committee recommends $28,946,000 for the Howard University 

Hospital, the same amount as the fiscal year 2008 funding level 

and the budget request. The hospital serves as a major acute and 

ambulatory care center for the District of Columbia and functions 

as a major teaching facility attached to the university. The Federal 

appropriation provides partial funding for the hospital’s operations. 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

Appropriations, 2008 ............................................................................. $473,000 

Budget estimate, 2009 ........................................................................... 461,000 

Committee recommendation ................................................................. 461,000 

Federal Administration.—The Committee bill includes $461,000 

for Federal administration of the CHAFL program. The comparable 

fiscal year 2008 funding level is $473,000 and the budget request 

includes $461,000 for such expenses. 

These funds will be used to reimburse the Department for expenses incurred in managing the existing CHAFL loan portfolio 
228 

during fiscal year 2009. These expenses include salaries and benefits, travel, printing, contracts (including contracted loan servicing 

activities), and other expenses directly related to the administration of the CHAFL program. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL

FINANCING PROGRAM

Appropriations, 2008 ............................................................................. $185,000 

Budget estimate, 2009 ........................................................................... $10,354,000 

Committee recommendation ................................................................. $10,354,000 

The Committee recommends $10,354,000 for the Historically 

Black College and University [HBCU] Capital Financing Program, 

the same amount as the budget request. The fiscal year 2008 funding level is $185,000 and the budget request includes $10,354,000 

for this activity. 

The budget proposes $10,000,000 to pay for the subsidy costs of 

up to $100,000,000 in guaranteed loan authority under this program. The budget also proposes bill language to increase the 

amount of loans that can be made under this program, as well as 

eliminate the caps that would otherwise limit the borrowing that 

could be undertaken by private and public HBCUs. The Committee 

has provided the requested funds and slightly modified bill language. 

The HBCU Capital Financing Program makes capital available 

to HBCUs for construction, renovation, and repair of academic facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. 

INSTITUTE OF EDUCATION SCIENCES

Appropriations, 2008 ............................................................................. $546,105,000 

Budget estimate, 2009 ........................................................................... 658,247,000 

Committee recommendation ................................................................. 642,442,000 

The Committee recommends $642,442,000 for the Institute of 

Education Sciences. The comparable fiscal year 2008 funding level 

is $546,105,000 and the budget request includes $658,247,000 for 

authorized activities. This account supports education research, 

data collection and analysis activities, and the assessment of student progress. 

RESEARCH, DEVELOPMENT AND DISSEMINATION

The Committee recommends $167,535,000 for education research, 

development and national dissemination activities. The comparable 

fiscal year 2008 amount is $159,696,000 and the budget request includes $167,196,000 for these activities. Funds are available for obligation for 2 fiscal years. These funds support research, development, and dissemination activities that are aimed at expanding 

fundamental knowledge of education and promoting the use of research and development findings in the design of efforts to improve 

education. 

The Committee requests that the National Board for Education 

Sciences, as the body responsible for oversight of the Institute of 

Education Sciences, convene a blue-ribbon panel of leading experts 
229 

in rigorous, particularly randomized, evaluations to assess the 

What Works Clearinghouse. While the Committee believes a comprehensive assessment should be undertaken given the significant 

investment made in the Clearinghouse, an immediate priority 

should be a focused study addressing the fundamental question of 

whether the Clearinghouse’s evidence review process and reports 

are scientifically valid—that is, provide accurate information about 

the strength of evidence of meaningful effects on important educational outcomes. The Committee requests that the Board convene 

the panel within 60 days of enactment of this act, and that the 

panel complete its work and submit a report, including any recommendations for improvements in the Clearinghouse, to the 

Board, the Director, and Congress no later than 4 months thereafter. The Committee intends for panel members to be free of conflicts of interest. 

STATISTICS

The Committee recommends $88,449,000 for data gathering and 

statistical analysis activities of the National Center for Education 

Statistics [NCES]. The comparable fiscal year 2008 funding level is 

$88,449,000 and the budget request includes $104,593,000 for this 

purpose. 

The NCES collects, analyzes, and reports statistics on education 

in the United States. Activities are carried out directly and through 

grants and contracts. The Center collects data on educational institutions at all levels, longitudinal data on student progress, and 

data relevant to public policy. The NCES also provides technical 

assistance to State and local education agencies and postsecondary 

institutions. 

REGIONAL EDUCATIONAL LABORATORIES

The Committee recommends $67,569,000 to continue support for 

the regional educational laboratories, the same amount as the 

budget request. The comparable fiscal year 2008 funding level is 

$65,569,000. Program funds support a network of 10 laboratories 

that are responsible for promoting the use of broad-based systemic 

strategies to improve student achievement. The Committee recommends additional funds for the laboratories to increase their capacity to provide timely responses to requests for assistance on 

issues of urgent regional need. 

The Committee is pleased that the research, development, dissemination, and technical assistance activities carried out by the 

regional educational laboratories will be consistent with the standards for scientifically based research prescribed in the Education 

Sciences Reform Act of 2002. The Committee continues to believe 

that the laboratories, working collaboratively with the comprehensive centers and Department-supported technical assistance providers, have an important role to play in helping parents, States, 

and school districts improve student achievement as called for in 

No Child Left Behind. In particular, the Committee intends for the 

laboratories and their technical assistance provider partners to provide products and services that will help States and school districts 

utilize the school improvement funds available in the Education for 
230 

the Disadvantaged account to support school improvement activities that are supported by scientifically based research. 

RESEARCH AND INNOVATION IN SPECIAL EDUCATION

The Committee recommends $70,585,000 for research and innovation in special education, the same amount as the fiscal year 

2008 level and the budget request. The National Center for Special 

Education Research addresses gaps in scientific knowledge in order 

to improve special education and early intervention services and 

outcomes for infants, toddlers, and children with disabilities. Funds 

provided to the center are available for obligation for 2 fiscal years. 

SPECIAL EDUCATION STUDIES AND EVALUATIONS

The Committee recommends $9,460,000 for special education 

studies and evaluations, the same amount as the fiscal year 2008 

level and the budget request. 

This program supports competitive grants, contracts, and cooperative agreements to assess the implementation of the Individuals 

with Disabilities Education Act. Funds also will be used to evaluate 

the effectiveness of State and local efforts to deliver special education services and early intervention programs. Funds are available for obligation for 2 fiscal years. 

STATEWIDE DATA SYSTEMS

The Committee recommendation includes $100,000,000 for statewide data systems. The comparable funding level for fiscal year 

2008 is $48,293,000 and the budget request includes $100,000,000 

for this purpose. 

This program supports competitive grants to State educational 

agencies to enable such agencies to design, develop, and implement 

statewide, longitudinal data systems to manage, analyze, 

disaggregate, and use individual student data. Funds are available 

for obligation for 2 fiscal years. Beginning in 2008, bill language 

also allowed funds to be used for statewide data coordinators, who 

would improve the State’s capability to use, report and maintain 

high quality data in their systems. Also starting in 2008, bill language allows the Department to use funds to coordinate data collection and reporting with private sector initiatives, in order to help 

reduce the reporting burden on States and schools, while improving 

data accuracy and maintaining access to the data for research purposes. 

The budget request proposes legislative language that would 

allow funds to be used to expand State data systems to include 

postsecondary and workforce information. The Committee understands that a priority in the competition for fiscal year 2009 funds 

would be placed on funding States that currently lack data systems 

or have less-developed systems. The Committee includes the proposed bill language with the understanding that the Department 

will first use funds for the priority described in the preceding sentence. 
231 

ASSESSMENT

The Committee recommends $138,844,000 for assessment. The 

comparable fiscal year 2008 funding level is $104,053,000 and the 

budget request includes $138,844,000 for authorized activities. 

These funds provide support for the National Assessment of Educational Progress [NAEP], a congressionally mandated assessment 

created to measure the educational achievement of American students. The primary goal of NAEP is to determine and report the 

status and trends over time in educational achievement, subject by 

subject. Beginning in 2002, the Department began paying for State 

participation in biennial reading and mathematics assessments in 

grades 4 and 8. 

Within the funds appropriated, the Committee recommends 

$8,723,000 for the National Assessment Governing Board [NAGB], 

which is responsible for formulating policy for NAEP. The comparable fiscal year 2008 amount is $5,932,000 and the budget request includes $8,723,000 for NAGB. 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2008 ............................................................................. $411,274,000 

Budget estimate, 2009 ........................................................................... 444,439,000 

Committee recommendation ................................................................. 427,939,000 

The Committee recommends $427,939,000 for program administration. The comparable fiscal year 2008 funding level is 

$411,274,000 and the budget request includes $444,439,000 for this 

purpose. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, automated data processing, and other services required to award, administer, and monitor approximately 180 Federal education programs. Support for program evaluation and studies and advisory 

councils is also provided under this activity. 

The budget request includes $7,939,000 for building renovations 

and related expenses associated with relocation of Department staff 

from several regional offices. The Committee recommends 

$7,939,000 for this purpose and makes the funds available until expended, as proposed in the budget request. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2008 ............................................................................. $89,612,000 

Budget estimate, 2009 ........................................................................... 101,040,000 

Committee recommendation ................................................................. 89,612,000 

The Committee recommends $89,612,000 for the Office for Civil 

Rights [OCR]. The comparable fiscal year 2008 amount is 

$89,612,000 and the budget request includes $101,040,000 for this 

purpose. 

The Office for Civil Rights is responsible for the enforcement of 

laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions funded by the Department of Education. To carry out this responsibility, OCR investigates and resolves discrimination com-
232 

plaints, monitors desegregation and equal educational opportunity 

plans, reviews possible discriminatory practices by recipients of 

Federal education funds, and provides technical assistance to recipients of funds to help them meet civil rights requirements. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008 ............................................................................. $50,849,000 

Budget estimate, 2009 ........................................................................... 54,539,000 

Committee recommendation ................................................................. 54,539,000 

The Committee recommends $54,539,000 for the Office of the Inspector General. The comparable fiscal year 2008 amount is 

$50,849,000 and the budget request includes $54,539,000 for authorized activities. 

The Office of the Inspector General has the authority to investigate all departmental programs and administrative activities, including those under contract or grant, to prevent and detect fraud 

and abuse, and to ensure the quality and integrity of those programs. The Office investigates alleged misuse of Federal funds, and 

conducts audits to determine compliance with laws and regulations, efficiency of operations, and effectiveness in achieving program goals. 

GENERAL PROVISIONS

The Committee bill contains language which has been included 

in the bill since 1974, prohibiting the use of funds for the transportation of students or teachers in order to overcome racial imbalance 

(sec. 301). 

The Committee bill contains language included in the bill since 

1977, prohibiting the involuntary transportation of students other 

than to the school nearest to the student’s home (sec. 302). 

The Committee bill contains language which has been included 

in the bill since 1980, prohibiting the use of funds to prevent the 

implementation of programs of voluntary prayer and meditation in 

public schools (sec. 303). 

The Committee bill includes a provision giving the Secretary of 

Education authority to transfer up to 1 percent of any discretionary 

funds between appropriations (sec. 304). 

The Committee bill includes a provision included in last year’s 

bill, prohibiting the use of funds for rulemaking under section 496 

of the Higher Education Act until legislation specifically requiring 

such changes is enacted (sec. 305). 
(233) 

TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

Appropriations, 2008 ............................................................................. $4,907,000 

Budget estimate, 2009 ........................................................................... 5,094,000 

Committee recommendation ................................................................. 5,094,000 

The Committee recommends $5,094,000 for fiscal year 2009 for 

the Committee for Purchase From People Who Are Blind or Severely Disabled, the same as the fiscal year 2009 budget request. 

The fiscal year 2008 comparable level is $4,907,000. 

The Committee for Purchase From People Who Are Blind or Severely Disabled was established by the Javits-Wagner-O’Day Act of 

1938 as amended. Its primary objective is to increase the employment opportunities for people who are blind or have other severe 

disabilities and, whenever possible, to prepare them to engage in 

competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

Appropriations, 2008 ............................................................................. $856,331,000 

Budget estimate, 2009 ........................................................................... 829,680,000 

Committee recommendation ................................................................. 888,462,000 

The Committee recommends $888,462,000 for the Corporation for 

National and Community Service in fiscal year 2009. The fiscal 

year 2008 comparable level is $856,331,000 and the budget for fiscal year 2009 included $829,680,000. 

The Corporation for National and Community Service, a Corporation owned by the Federal Government, was established by the National and Community Service Trust Act of 1993 (Public Law 103– 

982) to enhance opportunities for national and community service 

and provide national service education awards. The Corporation 

makes grants to States, institutions of higher education, public and 

private nonprofit organizations, and others to create service opportunities for students, out-of-school youth, and adults. 

DOMESTIC VOLUNTEER SERVICE PROGRAMS

The Committee recommends $307,585,000 for fiscal year 2009 for 

the domestic volunteer service programs of the Corporation for National and Community Service. The comparable level for fiscal year 

2008 is $307,585,000 and $265,621,000 is the administration request for fiscal year 2009. The Corporation administers programs 

authorized under the Domestic Volunteer Service Act include: the 

Volunteers in Service to America Program [VISTA]; the Foster 

Grandparent Program [FGP]; the Senior Companion Program 

[SCP]; and the Retired and Senior Volunteer Program [RSVP]. 
234 

VISTA 

The Committee recommends $93,800,000 for the Volunteers in 

Service to America [VISTA] Program. This amount is equal to the 

comparable funding level for fiscal year 2008. The budget request 

for fiscal year 2009 is $91,618,000. 

VISTA, created in 1964 under the Economic Opportunity Act, 

provides capacity building for small community-based organizations. VISTA volunteers raise resources for local projects, recruit 

and organize volunteers, and establish and expand local community-based programs in housing, employment, health, and economic 

development activities. 

National Senior Volunteer Corps 

The Committee recommends $213,785,000 for the National Senior Volunteer Corps programs, the same as the comparable level in 

fiscal year 2008. The fiscal year 2009 budget request is 

$174,003,000. 

The Committee has included the following activities in the following amounts: 

[In thousands of dollars] 

Programs 

Fiscal year— 

Committee 

recommendation 2008 comparable 2009 President’s 

request 

Foster Grandparent Program ......................................................... 108,999 68,174 108,999 

Senior Companion Program ........................................................... 46,144 46,144 46,144 

Retired Senior Volunteer Program ................................................. 58,642 59,685 58,642 

The maximum total dollars which may be used in fiscal year 

2009 for Grants.gov/eGrants support, Training and Technical Assistance, and Recruitment and Retention activities shall not exceed 

the amount enacted for these activities in fiscal year 2008. 

Further, funds appropriated for fiscal year 2009 may not be used 

to implement or support service collaboration agreements or any 

other changes in the administration and/or governance of national 

service programs prior to passage of a bill by the authorizing committee of jurisdiction specifying such changes. 

The CNCS shall comply with the directive that use of funds appropriated for FGP, RSVP, SCP, and VISTA shall not be used to 

fund demonstration activities. The Committee has not included 

funding for senior demonstration activities. 

NATIONAL AND COMMUNITY SERVICE PROGRAMS

The Committee recommends $502,650,000 for the programs authorized under the National Community Service Act of 1990. The 

comparable level for fiscal year 2008 is $475,159,000 and the administration request for fiscal year 2009 is $485,832,000. Programs 

administered by the Corporation that are authorized under the National and Community Service Act include: AmeriCorps State and 

National, the National Civilian Community Corps; Learn and Serve 

America, Innovation, Demonstration, Assistance and Evaluation activities; State Commission Administration grants; and the National 

Service Trust. The Committee recommendation includes the following activities at the following amounts: 
235 

[In thousands of dollars] 

Programs 

Fiscal year— Committee recommendation 2008 comparable 2009 budget 

request 

National Service Trust ................................................................... 122,539 132,110 132,110 

AmeriCorps State and National Grants ......................................... 256,805 274,185 271,007 

Innovation, Demonstration, and Assistance Activities .................. 18,893 20,460 18,893 

Evaluation ...................................................................................... 3,891 4,500 3,891 

National Civilian Community Corps .............................................. 23,782 9,836 27,500 

Learn and Serve America .............................................................. 37,459 32,099 37,459 

State Commission Admininstrative Grants ................................... 11,790 12,642 11,790 

The Committee directs the Corporation to include a 5-year detail 

of member service in the annual congressional budget justification. 

The detail should include the number of members, grant cost, and 

Trust cost broken out by both program (VISTA, NCCC, State, and 

National, et cetera) and by level of service (full time, part time, 

quarter time, et cetera). 

Within the amount provided for AmeriCorps grants, the Com- mittee is providing $55,000,000 for national direct grantees. 

The Committee notes that the administration’s plans to reduce 

the number of NCCC campuses from five to three have been rejected by the Congress for the last 3 fiscal years. This year is no 

exception. Despite the consistent rejection of these campus eliminations, the Committee is aware of plans within the Corporation to 

close the Perry Point, MD campus beginning in August 2008. The 

Committee directs the Corporation to maintain all five campuses 

until such time as Congress affirmatively approves a reduction. 

The Committee expects a spending plan for innovation activities 

60 days after enactment of this act. 

SALARIES AND EXPENSES

The Committee recommends an appropriation of $71,715,000 for 

the Corporation’s salaries and expenses. The comparable level for 

fiscal year 2008 is $67,759,000 and the administration request for 

fiscal year 2009 is $71,715,000. The Committee reiterates the directive under the program account that the Corporation must fund all 

staffing needs from the salaries and expenses account. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, advisory and assistance 

services, communications and utilities expenses, supplies, equipment, and other operating expenses necessary for management of 

the Corporation’s activities under the National and Community 

Service Act of 1990 and the Domestic Volunteer Service Act of 

1973. 

OFFICE OF INSPECTOR GENERAL

The Committee recommends an appropriation of $6,512,000 for 

the Office of Inspector General [OIG]. The comparable level for fiscal year 2008 was $5,828,000 and the administration request for 

fiscal year 2009 is $6,512,000. 

The goals of the Office of Inspector General are to increase organizational efficiency and effectiveness and to prevent fraud, waste, 

and abuse. 
236 

The Committee continues to direct the OIG to review the Corporation’s management of the National Service Trust fund. The 

Committee directs the OIG to continue reviewing the Trust reports 

annually and to notify the Committees on Appropriations on the 

accuracy of the reports. 

ADMINISTRATIVE PROVISIONS

The Committee has included eight administrative provisions carried in prior year appropriations acts: language regarding qualified 

student loans eligible for education awards; the availability of 

funds for the placement of volunteers with disabilities; language regarding the Corporation to make significant changes to program requirements or policy through public rulemaking and public notice 

and grant selection process; language allowing Professional Corps 

programs to apply for State formula grant funding; language allowing the Corporation to accept voluntary services from organizations; language authorizing fixed price grants in certain programs; 

language authorizing an escalating match; and language streamlining State Commission applications. 

In addition, the Committee has included bill language providing for a small State minimum of $500,000 in State formula funds. 

The Committee has included bill language giving the Corporation 

flexibility to extend member service terms for up to 6 months. The 

Committee appreciates the leadership role AmeriCorps has taken 

in responding to natural disasters and encourages the Corporation 

to make full use of this authority. 

The Committee has included a provision requiring that donations 

supplement and not supplant operations. 

The Committee has rejected the administration’s proposed consolidation of Learn and Serve community and school based grant 

competition, as well as the proposed transfer authority for 

$2,000,000 from operating expenses to fund a new program. The 

Committee encourages the administration to request new programs 

in budget authority rather than transfer authority. 

The Committee has rejected language proposed in the President’s 

budget to restrict the ability of grantees to use all other Federal 

grant funds as a match for AmeriCorps funds. The Committee 

notes that the 1990 Act explicitly makes this authority available to 

grantees. The Corporation and its Inspector General shall take no 

action to restrict this authority unless and until the authorizing 

committees of Congress have changed the statute. 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2009 ............................................................................. $393,012,000 

Appropriations, 2010 ............................................................................. 420,000,000 

Budget estimate, 2011 ........................................................................... ........................... 

Committee recommendation ................................................................. 430,000,000 

The Committee recommends $430,000,000 be made available for 

the Corporation for Public Broadcasting [CPB], as an advance appropriation for fiscal year 2011. The comparable funding level provided last year was $420,000,000 for fiscal year 2010. The budget 

request does not include advance funds for this program. 

In addition, the Committee recommends $29,181,000 be made 

available in fiscal year 2009 for the conversion to digital broad-
237 

casting, the same as the comparable funding level for fiscal year 

2008. The budget request included authority to permit CPB to 

spend up to $40,000,000 in previously appropriated fiscal year 2009 

funds for digital conversion activities. 

Further, the Committee recommends $26,283,000 be made available in fiscal year 2009 for the radio interconnection system replacement project, the same as the comparable level in fiscal year 

2008. The budget request for fiscal year 2009 includes authority, 

rejected by the Committee, to permit CPB to spend up to 

$27,000,000 in previously appropriated fiscal year 2009 funds for 

the radio interconnection system replacement project. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

Appropriations, 2008 ............................................................................. $43,035,000 

Budget estimate, 2009 ........................................................................... 44,826,000 

Committee recommendation ................................................................. 44,826,000 

The Committee recommends $44,826,000 for fiscal year 2009 for 

the Federal Mediation and Conciliation Service [FMCS]. The comparable funding level for fiscal year 2008 was $43,035,000 and the 

budget request for fiscal year 2009 includes $44,826,000 for this 

program. 

The FMCS was established by Congress in 1947 to provide mediation, conciliation, and arbitration services to labor and management. FMCS is authorized to provide dispute resolution consultation and training to all Federal agencies. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2008 ............................................................................. $7,955,000 

Budget estimate, 2009 ........................................................................... 8,653,000 

Committee recommendation ................................................................. 8,653,000 

The Committee recommends $8,653,000 for fiscal year 2009 for 

the Federal Mine Safety and Health Review Commission. The comparable funding level for fiscal year 2008 was $7,955,000 and the 

fiscal year 2009 budget request includes $8,653,000. 

The Federal Mine Safety and Health Review Commission provides administrative trial and appellate review of legal disputes 

under the Federal Mine Safety and Health Act of 1977. The fivemember Commission provides review of the Commission’s administrative law judge decisions. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

Appropriations, 2008 ............................................................................. $263,508,000 

Budget estimate, 2009 ........................................................................... 271,246,000 

Committee recommendation ................................................................. 258,960,000 

The Committee recommends $258,960,000 for fiscal year 2009 for 

the Institute of Museum and Library Services. The comparable 

funding level for fiscal year 2008 is $263,508,000 and the administration request for fiscal year 2009 is $271,246,000. 

The Committee recommendation includes the following activities 

in the following amounts: 
238 

[In thousands of dollars] 

Programs 

Fiscal year— Committee 2008 recommendation comparable 

2009 

request 

Library Services Technology Grants to States ............................... 160,885 171,500 171,500 

Native American Libraries ............................................................. 3,574 3,717 3,717 

National Leadership Grants for Libraries ...................................... 12,159 12,715 12,159 

Laura Bush 21st Century .............................................................. 23,345 26,500 23,345 

Museums for America .................................................................... 16,852 22,165 16,852 

Museum Assessment Program ....................................................... 434 500 434 

21st Century Museum Professionals ............................................. 965 2,141 965 

Conservation Project Support ........................................................ 2,724 3,801 2,724 

Conservation Assessment Program ............................................... 793 814 793 

Native American & Native Hawaiian Museums ............................ 895 945 945 

National Leadership Grants for Museums ..................................... 7,782 8,181 7,782 

Museum Grants for African American History & Culture .............. 827 1,350 827 

Administration ................................................................................ 13,987 16,917 16,917 

MEDICARE PAYMENT ADVISORY COMMISSION

Appropriations, 2008 ............................................................................. $10,560,000 

Budget estimate, 2009 ........................................................................... 11,403,000 

Committee recommendation ................................................................. 11,403,000 

The Committee recommends $11,403,000 for fiscal year 2009 for 

the Medicare Payment Advisory Commission [MedPAC]. The comparable funding level for fiscal year 2008 is $10,560,000 and the 

administration request for fiscal year 2009 is $11,403,000. 

The Medicare Payment Advisory Commission was established by 

Congress as part of the Balanced Budget Act of 1997 (Public Law 

105–933). Congress merged the Physician Payment Review Commission with the Prospective Payment Assessment Commission to 

create MedPAC. 

NATIONAL COUNCIL ON DISABILITY

Appropriations, 2008 ............................................................................. $3,059,000 

Budget estimate, 2009 ........................................................................... 3,206,000 

Committee recommendation ................................................................. 3,206,000 

The Committee recommends $3,206,000 for fiscal year 2009 for 

the National Council on Disability. The comparable funding level 

for fiscal year 2008 is $3,059,000 and the administration request 

for fiscal year 2009 is $3,206,000. 

The Council is mandated to make recommendations to the President, the Congress, the Rehabilitation Services Administration, and 

the National Institute on Disability and Rehabilitation Research on 

the public issues of concern to individuals with disabilities. The 

Council gathers information on the implementation, effectiveness, 

and impact of the Americans with Disabilities Act and looks at 

emerging policy issues as they affect persons with disabilities and 

their ability to enter or reenter the Nation’s work force and to live 

independently. 

NATIONAL LABOR RELATIONS BOARD

Appropriations, 2008 ............................................................................. $251,762,000 

Budget estimate, 2009 ........................................................................... 262,595,000 

Committee recommendation ................................................................. 262,595,000 
239 

The Committee recommends $262,595,000 for fiscal year 2009 for 

the National Labor Relations Board [NLRB]. The comparable funding level for fiscal year 2008 is $251,762,000 and the administration request for fiscal year 2009 is $262,595,000. 

The NLRB is a law enforcement agency that adjudicates disputes 

under the National Labor Relations Act. The mission of the NLRB 

is to carry out the statutory responsibilities of the National Labor 

Relations Act as efficiently as possible and in a manner that gives 

full effect to the rights afforded to employees, unions, and employers under the act. 

NATIONAL MEDIATION BOARD

Appropriations, 2008 ............................................................................. $12,685,000 

Budget estimate, 2009 ........................................................................... 12,432,000 

Committee recommendation ................................................................. 12,992,000 

The Committee recommends $12,992,000 for fiscal year 2009 for 

the National Mediation Board [NMB]. The comparable funding 

level for fiscal year 2008 is $12,685,000 and the administration request for fiscal year 2009 is $12,432,000. 

The National Mediation Board protects interstate commerce as it 

mediates labor-management relations in the railroad and airline 

industries under the Railway Labor Act. The Board mediates collective bargaining disputes, determines the choice of employee bargaining representatives through elections, and administers arbitration of employee grievances. 

The Committee appreciates the work the NMB did in fiscal year 

2008 to work down the backlog of arbitration cases. However, the 

Committee is concerned that arbitration cases are only heard 6 to 

8 months out of the year because of insufficient funding. The Committee intends the additional funding to be used to increase the 

number of arbitration cases heard and closed. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2008 ............................................................................. $10,509,000 

Budget estimate, 2009 ........................................................................... 11,186,000 

Committee recommendation ................................................................. 11,186,000 

The Committee recommends $11,186,000 for fiscal year 2009 for 

the Occupational Safety and Health Review Commission. The comparable funding level for fiscal year 2008 is $10,509,000 and the 

administration request for fiscal year 2009 is $11,186,000. 

The Commission serves as a court to justly and expeditiously resolve disputes between the Occupational Safety and Health Administration [OSHA] and employers charged with violations of health 

and safety standards enforced by OSHA. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2008 ............................................................................. $76,620,000 

Budget estimate, 2009 ........................................................................... 72,000,000 

Committee recommendation ................................................................. 72,000,000 

The Committee recommends $72,000,000 for fiscal year 2009 for 

the Dual Benefits Payments Account. Of these funds, $5,000,000 is 
240 

from income taxes on vested dual benefits. The comparable funding 

level for fiscal year 2008 is $76,620,000 and the administration request for fiscal year 2009 is $72,000,000. 

This appropriation provides for vested dual benefit payments authorized by the Railroad Retirement Act of 1974, as amended by 

the Omnibus Reconciliation Act of 1981. This separate account, established for the payment of dual benefits, is funded by general 

fund appropriations and income tax receipts of vested dual benefits. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2008 ............................................................................. $150,000 

Budget estimate, 2009 ........................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for fiscal year 2009 for interest earned on non-negotiated checks, the same as the comparable funding level for fiscal year 2008 and the administration 

request. 

LIMITATION ON ADMINISTRATION

Appropriations, 2008 ............................................................................. $101,882,000 

Budget estimate, 2009 ........................................................................... 105,463,000 

Committee recommendation ................................................................. 105,463,000 

The Committee recommends $105,463,000 for fiscal year 2009 for 

the administration of railroad retirement/survivor benefit programs. The comparable funding level for fiscal year 2008 is 

$101,882,000 and the administration request for fiscal year 2009 is 

$105,463,000. 

The Board administers comprehensive retirement-survivor and 

unemployment-sickness insurance benefit programs for the Nation’s railroad workers and their families. This account limits the 

amount of funds in the railroad retirement and railroad unemployment insurance trust funds that may be used by the Board for administrative expenses. 

The Committee has included language to prohibit funds from the 

railroad retirement trust fund from being spent on any charges 

over and above the actual cost of administering the trust fund, including commercial rental rates. 

LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008 ............................................................................. $7,048,000 

Budget estimate, 2009 ........................................................................... 7,806,000 

Committee recommendation ................................................................. 7,806,000 

The Committee recommends $7,806,000 for fiscal year 2009 for 

the Office of the Inspector General. The comparable funding level 

for fiscal year 2008 is $7,048,000 and the administration request 

for fiscal year 2009 is $7,806,000. 

The Committee has deleted language prohibiting funds from 

being transferred from the Railroad Retirement Board to the Office 

of the Inspector General. The Committee expects the relationship 

between the Board and the Inspector General to be guided by the 

laws governing each. 
241 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2008 ............................................................................. $28,140,000 

Budget estimate, 2009 ........................................................................... 20,406,000 

Committee recommendation ................................................................. 20,406,000 

The Committee recommends an appropriation of $20,406,000 for 

payments to Social Security trust funds. The comparable fiscal year 

2008 funding level is $28,140,000 and the budget request includes 

$20,406,000 for this purpose. This amount reimburses the old age 

and survivors and disability insurance trust funds for special payments to certain uninsured persons, costs incurred administering 

pension reform activities, and the value of the interest for benefit 

checks issued but not negotiated. This appropriation restores the 

trust funds to the same financial position they would have been in 

had they not borne these costs and were properly charged to the 

general funds. 

SUPPLEMENTAL SECURITY INCOME

Appropriations, 2008 ............................................................................. $26,946,171,000 

Budget estimate, 2009 ........................................................................... 30,414,000,000 

Committee recommendation ................................................................. 30,429,875,000 

The Committee recommends an appropriation of $30,429,875,000 

for supplemental security income. This is in addition to the 

$14,800,000,000 appropriated last year as an advance for the first 

quarter of fiscal year 2009. The comparable fiscal year 2008 funding level is $26,946,171,000 and the budget request includes 

$30,414,000,000. The Committee also recommends an advance appropriation of $15,400,000,000 for the first quarter of fiscal year 

2010 to ensure uninterrupted benefits payments. The program 

level supported by the Committee recommendation is 

$45,829,875,000, compared to the total program level requested in 

the budget of $45,814,000,000. 

These funds are used to pay benefits under the SSI Program, 

which was established to ensure a Federal minimum monthly benefit for aged, blind, and disabled individuals, enabling them to 

meet basic needs. It is estimated that more than 7 million persons 

will receive SSI benefits each month during fiscal year 2009. In 

many cases, SSI benefits supplement income from other sources, 

including Social Security benefits. The funds are also used to reimburse the Social Security trust funds for the administrative costs 

for the program with a final settlement by the end of the subsequent fiscal year as required by law, to reimburse vocational rehabilitation agencies for costs incurred in successfully rehabilitating 

SSI recipients and for research and demonstration projects. 

Beneficiary Services 

The Committee recommends $3,000,000 for beneficiary services, 

as proposed in the budget request. The comparable fiscal year 2008 

funding level is $36,000,000. This amount is available for payments 

to Employment Networks for successful outcomes or milestone payments under the Ticket to Work program and for reimbursement 

of State vocational rehabilitation agencies and alternate public or 

private providers. 
242 

Research and Demonstration Projects 

The Committee recommendation includes $35,000,000 for research and demonstration projects conducted under sections 1110, 

1115 and 1144 of the Social Security Act. The comparable fiscal 

year 2008 funding level is $26,651,000 and the budget request includes $35,000,000 for authorized activities. 

This amount will support SSA’s efforts to strengthen its policy 

evaluation capability and implement outreach activities to certain 

low-income individuals who may be eligible for assistance with 

medical expenses. These funds also will enable SSA to focus on: retirement and disability policy research, effective return-to-work 

strategies for disabled beneficiaries and activities that maintain 

and strengthen the capacity of SSA to analyze data and respond to 

information requests from the Congress. 

Administration 

The Committee recommendation includes $3,164,875,000 for payment to the Social Security trust funds for the SSI Program’s share 

of SSA’s base administrative expenses. The comparable fiscal year 

2008 amount is $3,018,520,000 and the budget request includes 

$3,149,000,000 for such activities. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2008 ............................................................................. $9,775,578,000 

Budget estimate, 2009 ........................................................................... 10,327,000,000 

Committee recommendation ................................................................. 10,377,000,000 

The Committee recommends a program funding level of 

$10,377,000,000 for the limitation on administrative expenses. The 

comparable fiscal year 2008 funding level is $9,775,578,000 and the 

budget request includes $10,327,000,000 for this purpose. The comparable fiscal year 2008 level includes $31,000,000 for one-time 

costs associated with the Economic Stimulus Act of 2008. 

This account provides resources from the Social Security trust 

funds to administer the Social Security retirement and survivors 

and disability insurance programs, and certain Social Security 

health insurance functions. As authorized by law, it also provides 

resources from the trust funds for certain nontrust fund administrative costs, which are reimbursed from the general funds. These 

include administration of the supplemental security income program for the aged, blind, and disabled; work associated with the 

Pension Reform Act of 1984; and the portion of the annual wage 

reporting work done by the Social Security Administration for the 

benefit of the Internal Revenue Service. The dollars provided also 

support automated data processing activities and fund the State 

disability determination services which make initial and continuing 

disability determinations on behalf of the Social Security Administration. Additionally, the limitation provides funding for computer 

support, and other administrative costs. 

The Committee recommendation includes $9,991,000,000 for routine operating expenses of the agency, as well as the resources related to program integrity activities and those derived from the 

user fees discussed below. 
243 

The Committee recommends $50,000,000 more than the budget 

request to ensure that the backlog of disability claims will continue 

to decrease, a process set in place with last year’s appropriation of 

$150,000,000 more than the President’s request. The Committee is 

pleased that SSA has used the additional funding provided by the 

Committee last year to begin to address the unacceptable delays 

applicants are encountering in obtaining disability benefits. In fiscal year 2008, SSA has devoted sufficient funds to the State Disability Determination Services [DDS] to ensure that the backlog of 

initial disability claims did not grow larger. The Committee is 

aware that the agency has also begun to take steps to improve the 

much longer delays that have developed in the hearing process for 

beneficiaries who appeal an initial unfavorable decision by a State 

DDS. 

The Committee supports Social Security’s efforts to reduce the 

hearings backlog; in particular, the Committee is gratified that the 

agency has recognized the need for increased adjudicatory capacity. 

The agency has taken encouraging first steps by approving the hiring of 189 new administrative law judges by the end of the current 

fiscal year. The Committee notes that the flexibility provided by 

electronic folders and video technologies allows new administrative 

law judges to be directed to areas with a significant backlog and 

innovative organizational structures. 

The Committee also supports the expansion of automation at the 

agency to improve business processes and eliminate unnecessary 

delays caused by the tracking, transportation, and retrieval of 

paper files. The Committee will continue to closely monitor Social 

Security’s activities to assure that increased funds provided to the 

agency to reduce the disability backlog, particularly at the hearing 

level, achieve that goal in a reasonable period of time. 

The budget request includes bill language earmarking not less 

than $264,000,000 of funds available within this account for continuing disability reviews and redeterminations of eligibility under 

Social Security’s disability programs. An additional $240,000,000 

earmark for continuing disability reviews and redeterminations of 

eligibility also was proposed in the budget request. The Committee 

recommendation includes the requested resources and earmarking 

language. 

Social Security Advisory Board 

The Committee has included not less than $2,000,000 within the 

limitation on administrative expenses account for the Social Security Advisory Board for fiscal year 2009. 

User Fees 

In addition to other amounts provided, the Committee recommends $146,000,000 for administrative activities funded from 

user fees. Of this amount, $145,000,000 is derived from fees paid 

to SSA by States that request SSA to administer State SSI supplementary payments. The remaining $1,000,000 will be generated 

from a fee payment process for non-attorney representatives of 

claimants. 
244 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008 ............................................................................. $91,915,000 

Budget estimate, 2009 ........................................................................... 98,127,000 

Committee recommendation ................................................................. 98,127,000 

The Committee recommends $98,127,000 for activities for the Office of the Inspector General, the same amount as the budget request. The comparable fiscal year 2008 funding level is $91,915,000 

for this office. This includes a general fund appropriation of 

$28,000,000 together with an obligation limitation of $70,127,000 

from the Federal old-age and survivors insurance trust fund and 

the Federal disability insurance trust fund. 
(245) 

TITLE V—GENERAL PROVISIONS 

The Committee recommendation includes provisions which: authorize transfers of unexpended balances (sec. 501); limit funding 

to 1 year availability unless otherwise specified (sec. 502); limit lobbying and related activities (sec. 503); limit official representation 

expenses (sec. 504); prohibit funding of any program to carry out 

distribution of sterile needles for the hypodermic injection of any 

illegal drug (sec. 505); clarify Federal funding as a component of 

State and local grant funds (sec. 506); limit use of funds for abortion (sec. 507 and sec. 508); restrict human embryo research (sec. 

509); limit the use of funds for promotion of legalization of controlled substances (sec. 510); prohibits the use of funds to promulgate regulations regarding the individual health identifier (sec. 

511); limits use of funds to enter into or review contracts with entities subject to the requirement in section 4212(d) of title 38, United 

States Code, if the report required by that section has not been 

submitted (sec. 512); prohibits transfer of funds made available in 

this Act to any department, agency, or instrumentality of the U.S. 

Government, except as otherwise provided by this or any other act 

(sec. 513); prohibits Federal funding in this act for libraries and elementary and secondary schools unless they are in compliance with 

the Children’s Internet Protection Act (sec. 514 and sec. 515); 

maintains a procedure for reprogramming of funds (sec. 516); prohibits candidates for scientific advisory committees from having to 

disclose their political activities (sec. 517); requires the Secretaries 

of Labor, Health and Human Services, and Education to submit a 

report on the number and amounts of contracts, grants, and cooperative agreements awarded by the Departments on a non-competitive basis (sec. 518); continues a provision prohibiting the use of 

funds for a grant or contract exceeding $5,000,000 unless the prospective contractor or grantee, makes certain certifications regarding Federal tax liability (sec. 519); and maintains certain assistance, programs and benefits for Afghan aliens granted special immigration status (sec. 520). 
(246) 

COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE 

STANDING RULES OF THE SENATE 

Paragraph 7 of rule XVI requires that Committee report on general appropriations bills identify each Committee amendment to 

the House bill ‘‘which proposes an item of appropriation which is 

not made to carry out the provisions of an existing law, a treaty 

stipulation, or an act or resolution previously passed by the Senate 

during that session.’’ 

The Committee is filing an original bill, which is not covered 

under this rule, but reports this information in the spirit of full disclosure. 

The Committee recommends funding for the following programs 

and activities which currently lack authorization: No Child Left Behind Act; Workforce Investment Act; Trade Act of 2002; Homeless 

Veterans Reintegration Program; Trafficking Victims Protection 

Reauthorization Act of 2005; Title VII of the Public Health Service 

Act; Universal Newborn Hearing Screening; Organ Transplantation; Rural Hospital Flexibility Grants; Denali Commission; Family Planning; State Offices of Rural Health; Nurse Reinvestment 

Act; Public Health Improvement Act; Trauma/EMS; Community 

Health Centers; National Health Service Corps; Children’s Hospital 

Graduate Medical Education; Healthy Start; Telehealth; Health 

Professions Education Partnership Act; Children’s Health Act; 

Women’s Health Research and Prevention Amendments of 1998; 

Bioterrorism; Birth Defects Prevention, Preventive Health Amendments of 1993; Substance Abuse and Mental Health Services Programs, except for Stop Act programs; Agency for Healthcare Research and Quality; Low Income Home Energy Assistance Program; 

Refugee and Entrant Assistance programs; Child Abuse prevention; 

Adoption Incentives; Runaway and Homeless Youth; Child Care 

and Development Block Grant; Family violence programs; Developmental Disabilities programs; Native American Programs; Community Services Block Grant; Rural Facilities; Individual Development 

Accounts; Community Economic Development; Alzheimer’s Disease 

Demonstration Grants; Title V of the Public Health Services Act; 

Adolescent Family Life; Office of Minority Health; Office of Disease 

Prevention Services; Rehabilitation Services and Disability Research, except sections 4, 5, and 6 of the Assistive Technology Program; Higher Education Act; National Technical Institute for the 

Deaf; Gallaudet University; Corporation for National and Community Service; Corporation for Public Broadcasting; and National 

Council on Disability. 

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on June 26, 2008, the 

Committee ordered reported an original bill (S. 3230) making ap-
247 

propriations for the Departments of Labor, Health and Human 

Services, and Education, and related agencies for the fiscal year 

ending September 30, 2009, and authorized the chairman of the 

committee or the chairman of the subcommittee to offer the text of 

the Senate bill as a committee amendment in the nature of a substitute to the House companion measure, with the bill subject to 

amendment and subject to the budget allocations, by a recorded 

vote of 26–3, a quorum being present. The vote was as follows: 

Yeas Nays 

Chairman Byrd Mr. Gregg 

Mr. Inouye Mr. Brownback 

Mr. Leahy Mr. Allard 

Mr. Harkin 

Ms. Mikulski 

Mr. Kohl 

Mrs. Murray 

Mr. Dorgan 

Mrs. Feinstein 

Mr. Durbin 

Mr. Johnson 

Ms. Landrieu 

Mr. Reed 

Mr. Lautenberg 

Mr. Nelson 

Mr. Cochran 

Mr. Stevens 

Mr. Specter 

Mr. Domenici 

Mr. Bond 

Mr. McConnell 

Mr. Shelby 

Mr. Bennett 

Mr. Craig 

Mrs. Hutchison 

Mr. Alexander 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or a joint resolution repealing or amending any statute include ‘‘(a) the text of the statute or part thereof which is proposed 

to be repealed; and (b) a comparative print of that part of the bill 

or joint resolution making the amendment and of the statute or 

part thereof proposed to be amended, showing by stricken through 

type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which would be 

made by the bill or joint resolution if enacted in the form recommended by the committee.’’ 

TITLE 42—THE PUBLIC HEALTH AND WELFARE 

* * * * * * * 
248 

CHAPTER 7—SOCIAL SECURITY 

* * * * * * * 

SUBCHAPTER XIX—GRANTS TO STATES FOR MEDICAL 

ASSISTANCE PROGRAMS 

* * * * * * * 

§ 1396r–8. Payment for covered outpatient drugs 

(a) * * * 

* * * * * * * 

(c) Determination of amount of rebate 

(1) Basic rebate for single source drugs and innovator 

multiple source drugs 

(A) In general 

* * * * * * * 

(C) ‘‘Best price’’ defined 

* * * * * * * 

(D) LIMITATION ON SALES AT A NOMINAL PRICE.— (i) IN GENERAL.—For purposes of subparagraph 

(C)(ii)(III) and subsection (b)(3)(A)(iii)(III), only sales 

by a manufacturer of covered outpatient drugs at 

nominal prices to the following shall be considered to 

be sales at a nominal price or merely nominal in 

amount: 

(I) A covered entity described in section 

340B(a)(4) of the Public Health Service Act. 

(II) An intermediate care facility for the mentally retarded. 

(III) A State-owned or operated nursing facility. 

(IV) An entity that— 

(aa) is described in section 501(c)(3) of the 

Internal Revenue Code of 1986 and exempt 

from tax under section 501(a) of such Act or is 

State-owned or operated; and 

(bb) would be a covered entity described in 

section 340(B)(a)(4) of the Public Health Service Act insofar as the entity provides the same 

type of services to the same type of populations 

as a covered entity described in such section 

provides, but does not receive funding under a 

provision of law referred to in such section; 

(V) A public or nonprofit entity, or an entity 

based at an institution of higher learning whose 

primary purpose is to provide health care services 

to students of that institution, that provides a service or services described under section 1001(a) of 

the Public Health Service Act, 42 U.S.C. 300. 

ø(IV)¿ (VI) Any other facility or entity that 

the Secretary determines is a safety net provider 
249 

to which sales of such drugs at a nominal price 

would be appropriate based on the factors described in clause (ii). 

(ii) FACTORS.—The factors described in this clause 

with respect to a facility or entity are the following: 

(I) The type of facility or entity. 

(II) The services provided by the facility or entity. 

(III) The patient population served by the facility or entity. 

(IV) The number of other facilities or entities 

eligible to purchase at nominal prices in the same 

service area. 

(iii) NONAPPLICATION.—Clause (i) shall not apply 

with respect to sales by a manufacturer at a nominal 

price of covered outpatient drugs pursuant to a master 

agreement under section 8126 of title 38, United 

States Code. 

(iv) RULE OF CONSTRUCTION.—Nothing in this 

subparagraph shall be construed to alter any existing 

statutory or regulatory prohibition on services with respect to an entity described in clause (i)(IV), including 

the prohibition set forth in section 1008 of the Public 

Health Service Act. 

* * * * * * * 

MEDICAID IMPROVEMENT FUND

SEC. 1941. (a) ESTABLISHMENT.—The Secretary shall establish 

under this title a Medicaid Improvement Fund (in this section referred to as the ‘‘Fund’’) which shall be available to the Secretary 

to improve the management of the Medicaid program by the Centers for Medicare & Medicaid Services, including oversight of contracts and contractors and evaluation of demonstration projects. 

Payments made for activities under this subsection shall be in addition to payments that would otherwise be made for such activities. 

(b) FUNDING.— 

(1) IN GENERAL.—There shall be available to the Fund, for 

expenditures from the Fund— 

(A) for fiscal year 2014, $100,000,000; and 

(B) for fiscal years 2015 through 2018, $150,000,000. 

(2) FUNDING LIMITATION.—Amounts in the Fund shall be 

available in advance of appropriations but only if the total 

amount obligated from the Fund does not exceed the amount 

available to the Fund under paragraph (1). The Secretary may 

obligate funds from the Fund only if the Secretary determines 

(and the Chief Actuary of the Centers for Medicare & Medicaid 

Services and the appropriate budget officer certify) that there 

are available in the Fund sufficient amounts to cover all such 

obligations incurred consistent with the previous sentence. 
250 

MEDICAID IMPROVEMENT FUND

SEC. 1942. (a) ESTABLISHMENT.—The Secretary shall establish 

under this title a Medicaid Improvement Fund (in this section referred to as the ‘‘Fund’’) which shall be available to the Secretary 

to improve the management of the Medicaid program by the Centers 

for Medicare & Medicaid Services, including oversight of contracts 

and contractors and evaluation of demonstration projects. Payments 

made for activities under this subsection shall be in addition to payments that would otherwise be made for such activities. 

(b) FUNDING.— 

(1) IN GENERAL.—There shall be available to the Fund, for 

expenditures from the Fund, $50,000,000 for each of fiscal years 

2013 through 2015. 

(2) FUNDING LIMITATION.—Amounts in the Fund shall be 

available in advance of appropriations but only if the total 

amount obligated from the Fund does not exceed the amount 

available to the Fund under paragraph (1). The Secretary may 

obligate funds from the Fund only if the Secretary determines 

(and the Chief Actuary of the Centers for Medicare & Medicaid 

Services and the appropriate budget officer certify) that there 

are available in the Fund sufficient amounts to cover all such 

obligations incurred consistent with the previous sentence. 

* * * * * * * 

OMNIBUS BUDGET RECONCILIATION ACT OF 1990, 

PUBLIC LAW 101–508 

SEC. 4734. TREATMENT OF CERTAIN COUNTY-OPERATED HEALTH INSURING ORGANIZATIONS. 

Section 9517(c) of the Consolidated Omnibus Budget Reconciliation Act of 1985 is amended— 

(1) in paragraph (2)(A), by inserting ‘‘and in paragraph (3)’’ 

after ‘‘subparagraph (B)’’, and 

(2) by adding at the end the following new paragraph: 

‘‘(3)(A) Subject to subparagraph (C), in the case of up to 3 

health insuring organizations which are described in subparagraph (B), in the case of any health insuring organization described in such subparagraph that is operated by a public entity established by Ventura County, and in the case of any health 

insuring organization described in such subparagraph that is 

operated by a public entity established by Merced County, 

which first become operational on or after January 1, 1986, 

and which are designated by the Governor, and approved by 

the Legislature, of California, the amendments made by paragraph (1) shall not apply. 

‘‘(B) * * * 

* * * * * * * 

‘‘(C) Subparagraph (A) shall not apply with respect to any 

period for which the Secretary of Health and Human Services 

determines that the number of medicaid beneficiaries enrolled 

with health insuring organizations described in subparagraph 
251 

(B) exceeds ø14 percent¿ 16 percent of the number of such 

beneficiaries in the State of California. 

* * * * * * * 

CONSOLIDATED APPROPRIATIONS ACT, 2008, PUBLIC 

LAW 110–161 

DIVISION G—DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND RELATED 

AGENCIES APPROPRIATIONS ACT, 2008 

* * * * * * * 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

* * * * * * * 

GENERAL PROVISIONS

* * * * * * * 

SEC. 223. There is hereby established in the Treasury of the 

United States a fund to be known as the ‘‘Nonrecurring expenses 

fund’’ (the Fund): Provided, That unobligated balances of expired 

discretionary funds appropriated for this or any succeeding fiscal 

year from the General Fund of the Treasury to the Department of 

Health and Human Services by this or any other Act , with respect 

to this or any succeeding fiscal year, may be transferred (not later 

than the end of the fifth fiscal year after the last fiscal year for 

which such funds are available for the purposes for which appropriated) into the Fund: Provided further, That amounts deposited 

in the Fund shall be available until expended, and in addition to 

such other funds as may be available for such purposes, for capital 

acquisition necessary for the operation of the Department, including facilities infrastructure and information technology infrastructure, subject to approval by the Office of Management and Budget: 

Provided further, That amounts in the Fund may be obligated only 

after the Committees on Appropriations of the House of Representatives and the Senate are notified at least 15 days in advance of 

the planned use of funds. 

The Committee bill as recommended contains no such provisions. 
252 

BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 

308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

of bill 

Committee 

allocation 

Amount 

of bill 

Comparison of amounts in the bill with Committee allocations 

to its subcommittees of amounts in the budget resolution 

for 2009: Subcommittee on Labor, HHS, Education: 

Mandatory ............................................................................ 478,375 478,375 478,340 1 478,340 

Discretionary ........................................................................ 152,661 153,128 150,532 1 150,947 

Projection of outlays associated with the recommendation: 

2009 ..................................................................................... .................... .................... .................... 2 541,453 

2010 ..................................................................................... .................... .................... .................... 64,858 

2011 ..................................................................................... .................... .................... .................... 14,172 

2012 ..................................................................................... .................... .................... .................... 3,217 

2013 and future years ........................................................ .................... .................... .................... 747 

Financial assistance to State and local governments for 

2009 ......................................................................................... NA 281,640 NA 254,894 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

NOTE.—Consistent with the funding recommended in the bill for continuing disability reviews and Supplemental Security Income [SSI] redeterminations, control of health care fraud and abuse, and reviews of improper unemployment insurance payments, and in accordance with 

subparagraphs A, C, and D of section 312(c)(2) of Senate Concurrent Resolution 70 (110th Congress), the Committee anticipates that the 

Budget Committee will file a revised section 302(a) allocation for the Committee on Appropriations reflecting an upward adjustment of 

$478,000,000 in budget authority plus associated outlays. 

DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING 

ITEMS 

The Constitution vests in the Congress the power of the purse. 

The Committee believes strongly that Congress should make the 

decisions on how to allocate the people’s money. 

As defined in Rule XLIV of the Standing Rules of the Senate, the 

term ‘‘congressional directed spending item’’ means a provision or 

report language included primarily at the request of a Senator, providing, authorizing, or recommending a specific amount of discretionary budget authority, credit authority, or other spending authority for a contract, loan, loan guarantee, grant, loan authority, 

or other expenditure with or to an entity, or targeted to a specific 

State, locality or congressional district, other than through a statutory or administrative, formula-driven, or competitive award process. 

For each item, a Member is required to provide a certification 

that neither the Member nor the Senator’s immediate family has 

a pecuniary interest in such congressionally directed spending 

item. Such certifications are available to the public on the website 

of the Senate Committee on Appropriations 

(www.appropriations.senate.gov/senators.cfm). 

Following is a list of congressionally directed spending items included in the Senate recommendation discussed in this report, 

along with the name of each Senator who submitted a request to 

the Committee of jurisdiction for each item so identified. Neither 

the Committee recommendation nor this report contains any limited tax benefits or limited tariff benefits as defined in rule XLIV. 
253 

CONGRESSIONALLY DIRECTED SPENDING ITEMS 

Account Project Funding Member 

AOA ............................................. Cedar Crest College, Allentown, PA, for a seniors outreach program ............................................................... $100,000 Senator Specter AOA ............................................. Jewish Family Service of Saint Paul, St. Paul, MN, for a Naturally Occurring Retirement Community demonstration project. 125,000 Senator Coleman AOA ............................................. Jewish Family & Child Service, Portland, OR, for senior programs and services ............................................. 100,000 Senators Smith, Wyden AOA ............................................. Jewish Family Service of Greater New Orleans, Metairie, LA, for a Community Nursing Elder Trauma Response Program demonstration project. 250,000 Senators Landrieu, Vitter AOA ............................................. Jewish Federation of Greater Atlanta, Atlanta, GA, for a Naturally Occurring Retirement Community ............ 100,000 Senator Chambliss AOA ............................................. Jewish Federation of Greater Indianapolis, Indianapolis, IN, for services at a naturally occurring retirement 

community.

200,000 Senator Lugar 

AOA ............................................. Legal Services of Northern California, Inc., Sacramento, CA, to provides free legal consultation for older 

Californians.

250,000 Senator Feinstein 

AoA ............................................. Nevada Rural Counties RSVP, Carson City, NV, to provide home services to seniors in rural areas .............. 100,000 Senator Reid AOA ............................................. Town of North Hempstead, NY, for the Project Independence naturally occurring retirement communities 

demonstration project.

350,000 Senator Schumer 

AOA ............................................. University of Wisconsin—Oshkosh, Oshkosh, WI, for a demonstration training program that prevents elder 

abuse and neglect.

350,000 Senator Kohl 

AOA ............................................. Utah Department of Human Services, Division of Aging and Adult Services, Salt Lake City, UT, for senior 

counseling services on Medicare, Medicaid and private insurance options.

100,000 Senator Hatch 

CDC ............................................ A Voice for All, Wilmington, DE, for speech and language evaluations for persons with disabilities ............ 400,000 Senator Harkin CDC ............................................ Albert Einstein Healthcare Network, Philadelphia, PA, for a college student health screening program ........ 100,000 Senator Specter CDC ............................................ Boys and Girls Club of Alaska, Anchorage, AK, for a rural Alaska youth fitness initiative ............................. 750,000 Senator Stevens CDC ............................................ Cascade AIDS, Portland, OR, for HIV/AIDS education, outreach and prevention services ................................ 200,000 Senator Smith CDC ............................................ Clearbrook, Inc., Wilkes Barre, PA, for substance abuse and treatment program ........................................... 100,000 Senator Specter CDC ............................................ Community Health Centers in Hawaii for Childhood Rural Asthma Project, Honolulu, HI, for childhood rural 

asthma project.

175,000 Senators Inouye, Akaka 

CDC ............................................ Cornelia de Lange Syndrome Foundation, Avon, CT, for awareness and education activities ......................... 250,000 Senators Dodd, Lieberman CDC ............................................ Drexel University School of Public Health, Philadelphia, PA, to investigate a polycythemia vera cluster in 

Northeast, Pennsylvania.

262,000 Senator Specter 

CDC ............................................ Eastern Maine Healthcare Systems, Brewer, ME, for a childhood obesity program ......................................... 300,000 Senators Snowe, Collins CDC ............................................ Friends of the Congressional Glaucoma Caucus Foundation, Lake Success, NY, for the New Jersey Mobile 

Glaucoma Screening Program.

100,000 Senators Menendez, Lautenberg 

CDC ............................................ Grinnell Regional Medical Center, Grinnell, IA, for a wellness initiative .......................................................... 250,000 Senator Harkin CDC ............................................ Hackensack University Medical Center, Hackensack, NJ, for a study on possible environmental factors of 

autism and neurodevelopmental disorders in New Jersey.

100,000 Senators Lautenberg, Menendez 

CDC ............................................ Healthy Northeast Pennsylvania Initiative, Clarks Summit, PA, for obesity prevention and education programs. 100,000 Senator Specter 
254 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

CDC ............................................ International Rett Syndrome Foundation (IRSF), Richmond, VA, for a health education program ................... 150,000 Senators Kennedy, Kerry CDC ............................................ Iowa Chronic Care Consortium, Des Moines, Iowa, for a preventative health demonstration program ........... 200,000 Senators Harkin, Grassley CDC ............................................ Iowa Department of Public Health, Des Moines, IA, to continue the Harkin Wellness Grant program ............ 1,000,000 Senator Harkin CDC ............................................ Kaweah Delta Hospital Foundation, Visalia, CA, for a comprehensive asthma management program ........... 100,000 Senator Boxer CDC ............................................ La Crosse County Health Department, La Crosse, WI, for a program to prevent childhood obesity ................ 350,000 Senator Kohl CDC ............................................ Latino Leadership Alliance Foundation, New Brunswick, NJ, to establish a Latino Leadership Alliance 

Health Initiative that will educate and inform the Latino Community on the importance of proper preventive health care.

200,000 Senators Lautenberg, Menendez 

CDC ............................................ Mary Bird Perkins Cancer Center, Baton Rouge, LA, to expand early detection cancer screenings ................ 300,000 Senators Landrieu, Vitter CDC ............................................ Mount Sinai, New York, NY, for firefighter and emergency responder health monitoring program in Louisiana. 400,000 Senator Landrieu CDC ............................................ Nevada Cancer Institute, Las Vegas, NV, for equipment and screening services ............................................ 400,000 Senator Reid CDC ............................................ New England Coalition for Health Promotion and Disease Prevention, Providence, RI, for continued development of obesity and disease prevention programs. 100,000 Senators Kennedy, Kerry CDC ............................................ Oglala Sioux Tribe, Pine Ridge, SD, for the Oyate Bli Helya diabetes program ............................................... 400,000 Senator Johnson CDC ............................................ Ohio Patient Safety Institute, Columbus, OH, for patient safety programs ...................................................... 200,000 Senator Brown CDC ............................................ Pennsylvania Breast Cancer Coalition, Ephrata, PA, for breast cancer awareness outreach .......................... 50,000 Senators Specter, Casey CDC ............................................ Providence Health Care System, Portland, OR, for a multiple sclerosis registry .............................................. 200,000 Senators Smith, Wyden CDC ............................................ Rich Center for Autism/Youngstown State University, Youngstown, OH, to improve outreach and early 

treatment interventions for children with autism.

100,000 Senators Voinovich, Brown 

CDC ............................................ Saint Elizabeth’s Hospital of Wabasha, Inc., Wabasha, MN, to expand primary prevention services and 

chronic disease management programs.

100,000 Senators Coleman, Klobuchar 

CDC ............................................ Shelburne Farms, Shelburne, VT, for nutritional educational programming ..................................................... 500,000 Senator Leahy CDC ............................................ South Dakota State University, Brookings, SD, for multidisciplinary research on health promotion ............... 300,000 Senators Johnson, Thune CDC ............................................ Southeastern Center for Emerging Biologic Threats, Emory University, Atlanta, GA, for programs related to 

bioterrorism and emerging biologic threats.

100,000 Senators Isakson, Chambliss 

CDC ............................................ Southern Nevada Health District, Las Vegas, NV, for management of the hepatitis C outbreak in Southern 

Nevada.

550,000 Senator Reid 

CDC ............................................ St. Louis Regional Asthma Consortium, St. Louis, MO, for asthma management for at-risk children ........... 750,000 Senator Bond CDC ............................................ State of Alaska Department of Health and Social Services, Anchorage, AK, for a program to prevent, control, and reduce incidence of obesity. 500,000 Senator Stevens CDC ............................................ Texas Tech University Health Sciences Center, El Paso, TX, for Border Health Research ................................ 300,000 Senator Hutchison CDC ............................................ University of North Carolina-Chapel Hill in conjunction with East Carolina University, Chapel Hill, NC, to 

study racial disparities in cardiovascular disease.

325,000 Senator Dole 

CDC ............................................ University of Wisconsin—Milwaukee, Milwaukee, WI, to support and expand public health training programs. 300,000 Senator Kohl 
255 

CDC ............................................ Wheeling Jesuit University, Wheeling, WV, for the Mining and Industry Safety Technology and Training Innovation Center. 3,000,000 Senator Byrd CDC ............................................ Yale New Haven Health System, New Haven, CT, for emergency preparedness education and training activities at the Connecticut Center for Public Health Preparedness. 250,000 Senators Dodd, Lieberman Child Abuse ................................ Addison County Parent/Child Center, Middlebury, Vermont, to support and expand parental education activities. 250,000 Senator Sanders Child Abuse ................................ Anchorage’s Promise, Anchorage, AK, for a child mentoring and support program ........................................ 115,000 Senator Stevens Child Abuse ................................ Catholic Community Services, Juneau, AK, to implement child abuse delivery programs in Southeast Alaska. 400,000 Senator Stevens Child Abuse ................................ Contra Costa County, Martinez, CA, for a comprehensive plan to diminish the effects of domestic violence 

on children.

100,000 Senator Boxer 

Child Abuse ................................ Crisis Shelter of Lawrence County, New Castle, PA, for abuse victim services ............................................... 100,000 Senators Specter, Casey Child Abuse ................................ Young Women’s Resource Center, Des Moines, IA, for a child abuse prevention training program ................ 100,000 Senator Harkin CMHS .......................................... 2–1–1 Maine, Inc., Portland, ME, for a 2–1–1 telephone number enabling access to health and social 

services in the community.

200,000 Senators Snowe, Collins 

CMHS .......................................... Children’s Health Fund, New York, NY, for support services for the Mississippi Gulf Coast Children’s 

Health Project, Gulfport, MS.

250,000 Senator Cochran 

CMHS .......................................... City of San Diego, San Diego, CA, to address the risks of homelessness, violence and drug abuse among 

returning veterans.

100,000 Senator Boxer 

CMHS .......................................... Highline-West Seattle Mental Health, Seattle, WA, for mental health programs ............................................. 450,000 Senators Murray, Cantwell CMHS .......................................... Jewish Family Service of MetroWest, Florham Park, NJ, for the Mental Health Intervention and Homelessness Prevention Project. 200,000 Senators Lautenberg, Menendez CMHS .......................................... Marion County, Salem, OR, for mental health treatment programs ................................................................. 150,000 Senators Smith, Wyden CMHS .......................................... Midwest Rural Telemedicine Consortium, Des Moines, IA, for the Mental Health Outreach Initiative ............. 500,000 Senator Harkin CMHS .......................................... One Sky Center, Portland, OR, for substance abuse and mental health programs ......................................... 200,000 Senators Smith, Wyden CMHS .......................................... Roberta’s House, Baltimore, MD, for mental health services for children and families .................................. 300,000 Senators Mikulski, Cardin CMHS .......................................... Rosebud Sioux Tribe, Rosebud, SD, for suicide prevention services ................................................................. 200,000 Senators Thune, Johnson CMHS .......................................... Turnaround for Children, Inc., Manhattan, NY, for crisis intervention and treatment services for students .. 250,000 Senator Schumer CMHS .......................................... United Way of Anchorage, Anchorage, AK, for the 2–1–1 project to provide a statewide health and human 

services management system for Alaska.

600,000 Senator Stevens 

CMHS .......................................... United Way of Greater St. Louis, Inc., St. Louis, MO, for the 2–1–1 project for outreach, community education and expansion of statewide health and human services management systems. 250,000 Senator Bond CMHS .......................................... University of South Florida, Tampa, FL, for mental health program for disabled veterans ............................. 100,000 Senator Martinez CMS ............................................ Bi-State Primary Care Association, Concord, NH, to treat uninsured patients ................................................. 650,000 Senators Gregg, Sununu CMS ............................................ City of Milwaukee, Milwaukee, WI, to improve access to and utilization of primary and preventive health 

care among low-income residents.

180,000 Senator Kohl 

CMS ............................................ Hospice Foundation of America, Washington, DC, for education programs ...................................................... 250,000 Senator Harkin CMS ............................................ Medicare Chronic Care Practice Research Network, Sioux Falls, SD, to evolve and continue the Medicare 

Coordinated Care Demonstration project.

700,000 Senator Johnson 
256 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

CMS ............................................ University of Pittsburgh Medical Center, Pittsburgh, PA, to develop a comprehensive health care delivery 

model.

100,000 Senator Specter 

CSAP ........................................... Hamakua Health Center, Honokaa, HI, for a youth anti-drug program ............................................................ 200,000 Senator Inouye CSAP ........................................... Mothers Against Drunk Driving, Louisiana Chapter, Baton Rouge, LA, for substance abuse prevention focusing on underage drinking. 100,000 Senator Vitter CSAP ........................................... West Virginia Prevention Resource Center, Charleston, WV, for drug abuse prevention .................................. 1,000,000 Senator Byrd CSAT ........................................... Akeela House Recovery Center, Anchorage, AK, for residential substance abuse treatment ........................... 500,000 Senator Stevens CSAT ........................................... Arlington County—Mental Health and Substance Abuse Crisis Intervention and Diversion Program, Arlington, VA, for the treatment of persons with mental health and substance abuse issues in Arlington 

County.

150,000 Senator Webb 

CSAT ........................................... Chrysalis House, Lexington, KY, for a substance abuse program for women and children ............................. 100,000 Senator Bunning CSAT ........................................... Maniilaq Association, Kotzebue, AK, for residential substance abuse treatment ............................................. 200,000 Senator Stevens CSAT ........................................... Metro Homeless Youth Services of Los Angeles, Los Angeles, CA, to expand services for homeless youth 

with substance abuse problems.

150,000 Senator Boxer 

CSAT ........................................... Prairie Center Health Systems, Urbana, IL, for outpatient and inpatient detoxification services for methaddicted patients. 500,000 Senator Durbin CSAT ........................................... Rosebud Sioux Tribe, Rosebud, SD, for a substance abuse treatment program .............................................. 200,000 Senators Johnson, Thune CSAT ........................................... Vinland National Center, Independence, MN, for substance abuse and parenting treatment services ........... 100,000 Senator Coleman CSAT ........................................... Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services, Richmond, VA, 

to provide treatment services for addiction to prescription pain medication.

300,000 Senator Webb 

ETA ............................................. Aerospace Worker Joint Apprenticeship Training Committee (AWJATC), Seattle, WA, for skills training for 

the aerospace industry.

500,000 Senator Murray 

ETA ............................................. Bay Area Workforce Development Board, Green Bay, WI, to address re-entry planning, family reunification, 

mentoring and life skills intervention for incarcerated women.

250,000 Senator Kohl 

ETA ............................................. Blackhawk Technical College, Janesville, WI, for employment and training activities ..................................... 1,000,000 Senator Kohl ETA ............................................. Brevard Workforce Development Board, Rockledge, FL, for retraining of aerospace industry workers ............ 250,000 Senators Bill Nelson, Martinez ETA ............................................. Central Council of Tlingit-Haida Indian Tribes of Alaska, Juneau, AK, for job training programs .................. 250,000 Senator Stevens ETA ............................................. City of Baltimore, Baltimore, MD, for the City of Baltimore’s YouthWorks summer job program .................... 1,250,000 Senators Mikulski, Cardin ETA ............................................. City of Jackson, MS, for the Jackson Transitional Job Project for job training and employment programs for 

the Homeless.

100,000 Senators Cochran, Wicker 

ETA ............................................. City of Lewiston, ME, for job training programs ............................................................................................... 350,000 Senators Snowe, Collins ETA ............................................. City of Milwaukee, WI, for youth internships and occupational training in the green-collar employment 

sector.

400,000 Senator Kohl 

ETA ............................................. City of Oakland, CA, for the Oakland Green Jobs Initiative .............................................................................. 300,000 Senator Boxer ETA ............................................. City of Santa Ana, CA, for employment and job training services ................................................................... 750,000 Senator Feinstein ETA ............................................. Community College of Allegheny County, Pittsburgh, PA, for job training ....................................................... 100,000 Senator Specter 
257 

ETA ............................................. Community College of Beaver County, Monaca, PA, for job training ................................................................ 100,000 Senators Specter, Casey ETA ............................................. Community Solutions for Clackamas County, Oregon City, OR, for the Working for Independence job training and workforce development program. 200,000 Senators Wyden, Smith ETA ............................................. Community Transportation Association of America, Washington, DC, for the continuation of the Joblinks 

program.

450,000 Senator Harkin 

ETA ............................................. Congreso de Latinos Unidos, Philadelphia, PA, for job training ....................................................................... 100,000 Senators Specter, Casey ETA ............................................. Des Moines Area Community College, Des Moines, IA, for Project Employment ............................................... 400,000 Senators Harkin, Grassley ETA ............................................. Eisenhower Foundation, Washington, DC, to replicate and evaluate job-training and supportive services 

programs for disadvantaged workers in Des Moines, Iowa.

350,000 Senator Harkin 

ETA ............................................. Esperanza, Philadelphia, PA, for workforce development .................................................................................. 100,000 Senator Specter ETA ............................................. Florida Community College at Jacksonville, Jacksonville, FL, for employment, training and assessment programs for veterans recently returning to civilian life. 100,000 Senator Martinez ETA ............................................. Goodwill Industries Inc., Chicago, IL, to expand the Goodwill Works initiative ................................................ 250,000 Senator Durbin ETA ............................................. Goodwill Industries of Southeastern Wisconsin, Inc., Milwaukee, WI, to provide training, employment and 

supportive services, including for individuals with disabilities.

300,000 Senator Kohl 

ETA ............................................. Groden Center, Providence, RI, for job readiness training for adults with Asperger’s Syndrome .................... 350,000 Senator Reed ETA ............................................. Groundwork Providence, Providence, RI, for workforce training ........................................................................ 150,000 Senator Reed ETA ............................................. Harrisburg Area Community College, Harrisburg, PA, for job training .............................................................. 100,000 Senators Specter, Casey ETA ............................................. Hawkeye Community College, Waterloo, IA, for an Advanced Manufacturing Training Center ......................... 250,000 Senators Harkin, Grassley ETA ............................................. Healthcare Industry Grant Corporation, Dorchester, MA, for an incumbent health care worker skills training 

program.

200,000 Senators Kennedy, Kerry 

ETA ............................................. Hispanic Center, Pittsburgh, PA, for job training .............................................................................................. 100,000 Senator Specter ETA ............................................. Impact Services Corporation, Philadelphia, PA, for workforce development ..................................................... 100,000 Senators Specter, Casey ETA ............................................. Iowa Central Community College, Fort Dodge, IA, for job training activities ................................................... 250,000 Senators Harkin, Grassley ETA ............................................. Jobs for Maine’s Graduates, Inc., Augusta, ME, for career development for at-risk youth .............................. 300,000 Senators Snowe, Collins ETA ............................................. Kentucky Community and Technical College System, Louisville, KY, for career training programs for disabled veterans. 100,000 Senator Bunning ETA ............................................. Kershaw County, Camden, SC, for workforce training programs in partnership with Kershaw, Lee, and Central Carolina Technical College. 250,000 Senator Graham ETA ............................................. Manufacturers Association of Central New York, Syracuse, NY, to improve employment and training in the 

manufacturing sector.

300,000 Senator Schumer 

ETA ............................................. Maui Community College Remote Rural Hawaii Job Training Project, Kahului, HI, for training and education. 2,200,000 Senator Inouye ETA ............................................. Maui Community College Training & Education Opportunities, Kahului, HI, for training and education ........ 2,000,000 Senator Inouye ETA ............................................. Maui Economic Development Board, Kihei, HI, for high tech training .............................................................. 475,000 Senator Inouye ETA ............................................. Maui Economic Development Board, Kihei, HI, for rural computer utilization training program ..................... 300,000 Senator Inouye ETA ............................................. Maui Economic Development Board, Kihei, HI, to integrate job training activities in a health center ........... 150,000 Senator Inouye ETA ............................................. Minnesota State Colleges and Universities, Office of the Chancellor, St. Paul, MN, to continue a statewide 

veterans re-entry education program.

1,000,000 Senators Coleman, Klobuchar 

ETA ............................................. Minot State University, Minot, ND, for the Job Corps Executive Management Program ................................... 650,000 Senators Dorgan, Conrad 
258 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

ETA ............................................. Mississippi State University, Mississippi State, MS, for the Mississippi Integrated Workforce Performance 

System.

400,000 Senators Cochran, Wicker 

ETA ............................................. Mississippi Valley State University, Itta Bena, MS, for training and development at the Automated Identification Technology [AIT]/Automatic Data Collection [ADC] Program. 150,000 Senators Cochran, Wicker ETA ............................................. Montana AFL–CIO, Helena, MT, for workforce development and training activities ......................................... 200,000 Senator Baucus ETA ............................................. Nevada Partners for a Skilled Workforce, North Las Vegas, NV, for the Build Nevada Initiative .................... 500,000 Senator Reid ETA ............................................. Nine Star Enterprises, Anchorage, AK, for a job training initiative .................................................................. 125,000 Senator Stevens ETA ............................................. Northwestern Alaska Career and Technical Center, Nome, AK, for job training programs for high school 

students.

200,000 Senator Stevens 

ETA ............................................. NW Works—Autism Inclusion Initiative, Winchester, VA, for program development, training and acquisition 

of equipment.

100,000 Senator Warner 

ETA ............................................. Penn Asian Senior Services, Jenkintown, PA, for job training ........................................................................... 100,000 Senator Specter ETA ............................................. Pennsylvania Association for Individuals with Disabilities, Johnstown, PA, for job training ........................... 100,000 Senator Specter ETA ............................................. Philadelphia Shipyard Development Corporation, Philadelphia, PA, for job training ........................................ 200,000 Senator Specter ETA ............................................. Project ARRIBA, El Paso, TX, for workforce development and economic opportunities in the West Texas region. 100,000 Senators Hutchison, Cornyn ETA ............................................. Rapides Parish Police Jury Office of Economic and Workforce Development, Alexandria, LA, for workforce 

development, employer-based training and education and work-based training for out-of-school youth.

300,000 Senator Landrieu 

ETA ............................................. ReCycle North, Burlington, VT, for workforce development and training activities .......................................... 500,000 Senator Leahy ETA ............................................. Roca, Inc., Chelsea, MA, for a transitional employment program for high-risk youth and young adults ages 

16–24.

150,000 Senators Kennedy, Kerry 

ETA ............................................. Rural Opportunities Inc., Harrisburg, PA, for workforce development ............................................................... 100,000 Senator Specter ETA ............................................. San Francisco Department of Economic and Workforce Development, San Francisco, CA, for the Green Jobs 

Workforce Development Training Pilot project.

250,000 Senator Boxer 

ETA ............................................. Seattle-King County Workforce Development Council, Seattle, WA, for demand side workforce development 

approach training.

150,000 Senator Murray 

ETA ............................................. Sinclair Community College, Dayton, OH, for workforce development and training activities ......................... 150,000 Senator Brown ETA ............................................. South Carolina Association of Community Development Corporation, Charleston, SC, for development of 

self-employment job centers.

300,000 Senator Graham 

ETA ............................................. Southwest Alaska Vocation and Education Center, King Salmon, AK, for workforce development and training. 200,000 Senator Stevens ETA ............................................. United Auto Workers Region 9, Local 624, New York, for incumbent worker training ..................................... 450,000 Senator Schumer ETA ............................................. University of Maryland, Baltimore, MD, For the Life Sciences Workforce Training Center ............................... 1,500,000 Senator Mikulski ETA ............................................. University of Southern Mississippi, Hattiesburg, MS, for workforce training in Marine Composite ................. 250,000 Senator Cochran ETA ............................................. University of West Florida, Pensacola, FL, to provide job training programs for veterans .............................. 100,000 Senator Martinez 
259 

ETA ............................................. Vermont Agency of Human Services, Waterbury, VT, for an employment services program for veterans with 

disabilities.

1,000,000 Senator Leahy 

ETA ............................................. Vermont Association of Business, Industry & Rehabilitation, Williston, VT, for employment services to atrisk populations. 200,000 Senator Leahy ETA ............................................. Vermont HITEC, Williston, VT, for health care training ..................................................................................... 1,000,000 Senator Leahy ETA ............................................. Washington State Board for Community & Technical Colleges, Federal Way, WA, for training, on-the-job 

support and career development services in the long-term care sector in Washington State.

75,000 Senator Cantwell 

ETA ............................................. Washington Technology Center, Seattle, WA, for a workforce training and retention project .......................... 50,000 Senator Cantwell ETA ............................................. Washington Workforce Association, Vancouver, WA, to prepare students to enter secure, local, high-demand occupations in Washington’s workforce through job shadowing, internships, and scholarships. 450,000 Senator Murray ETA ............................................. YouthCare, Seattle, WA, for a technology training program for homeless and out-of-school youth ................ 100,000 Senator Murray FIE .............................................. Acelero Learning, Las Vegas, NV, for early education programs ...................................................................... 500,000 Senator Reid FIE .............................................. Alaska PTA, Anchorage, AK, to train parents in their roles and responsibilities under the No Child Left Behind Act. 250,000 Senator Stevens FIE .............................................. Audubon Society of Rhode Island, Smithfield, RI, to develop the Environmental Education for Urban 

Schools Initiative.

150,000 Senator Reed 

FIE .............................................. Big Brothers and Big Sisters of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, placement 

and oversight of school-based mentoring programs.

100,000 Senator Specter 

FIE .............................................. Bishop Museum, Honolulu, HI, for educational programming ........................................................................... 200,000 Senator Inouye FIE .............................................. Bossier Parish School Board, Benton, LA, for acquisition of equipment and technology upgrades ................ 100,000 Senator Vitter FIE .............................................. Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, to expand an early literacy program for children .. 300,000 Senator Kohl FIE .............................................. Boys and Girls Club of Kootenai County, Post Falls, Idaho, to expand education, health, and art programs, 

including the purchase of equipment.

100,000 Senators Crapo, Craig 

FIE .............................................. Boys and Girls Clubs of Greater Washington-Virginia, Alexandria, VA, for character, leadership, education 

and career development programs.

100,000 Senators Warner, Webb 

FIE .............................................. Bridgeport Public Schools, Bridgeport, CT, for professional development for teachers and administrators in 

Bridgeport, CT.

150,000 Senators Lieberman, Dodd 

FIE .............................................. Brockton Area Private Industry Council, Brockton, MA, for workforce development programs for at-risk 

youth.

150,000 Senators Kennedy, Kerry 

FIE .............................................. Cabrini College, Radnor, PA, for professional development for K–12 teachers ................................................ 100,000 Senator Specter FIE .............................................. Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to support the Residency program ............................. 400,000 Senator Harkin FIE .............................................. Center for Advancing Partnerships in Education, Allentown, PA, to develop a foreign language distance 

learning program and for teacher training.

100,000 Senators Specter, Casey 

FIE .............................................. Child and Family Network Centers—Leveling the Playing Field: Start Early, Finish Strong [SEFS], Alexandria, VA, to expand preschool programs for at-risk children. 100,000 Senators Warner, Webb FIE .............................................. Children Northwest, Vancouver, WA, to expand Early Learning and Teaching Career Academies in Southwest Washington. 140,000 Senator Murray FIE .............................................. Children’s Literacy Initiative, Philadelphia, PA, to improve the reading readiness and early literacy of children. 100,000 Senators Specter, Casey FIE .............................................. City of Compton, Compton, CA, for educational programming at Tomorrow’s Aeronautical Museum ............. 500,000 Senator Feinstein 
260 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIE .............................................. City of Holyoke, Holyoke, MA, to develop a full-service community school pilot project .................................. 250,000 Senators Kennedy, Kerry FIE .............................................. City of Long Beach, Long Beach, CA, for an at-risk youth mentoring program ............................................... 1,250,000 Senator Feinstein FIE .............................................. City of Los Angeles, Los Angeles, CA, for the LA’s BEST afterschool enrichment program ............................. 250,000 Senator Feinstein FIE .............................................. City of Moultrie, Moultrie, GA, for technology upgrades, including purchase of equipment and professional 

development.

100,000 Senator Chambliss 

FIE .............................................. City of Presque Isle, Recreation and Parks Department, Presque Isle, ME, for afterschool arts and physical 

activity programs.

250,000 Senators Snowe, Collins 

FIE .............................................. City of Saint Paul, St. Paul, MN, to provide tutoring, mentoring and other educational programs and resources for afterschool programs. 100,000 Senator Klobuchar FIE .............................................. City of Springfield, Springfield, MO, for development, expansion, equipment and technology for the Ready 

to Learn program.

600,000 Senator Bond 

FIE .............................................. City of Vernonia School district, Vernonia, OR, for the purchase of school equipment and supplies ............. 200,000 Senator Wyden FIE .............................................. City Year New Hampshire, Stratham, NH, to expand education and youth development programs ................ 150,000 Senator Gregg FIE .............................................. Civic League of Greater New Brunswick, New Brunswick, NJ, for the Academy of After School Excellence .... 200,000 Senators Lautenberg, Menendez FIE .............................................. Clark County School District, Las Vegas, NV, for school counseling and dropout prevention services ........... 900,000 Senator Reid FIE .............................................. Cleveland Avenue YMCA, Montgomery, AL, for after school math and science tutoring programs ................. 100,000 Senator Sessions FIE .............................................. Cleveland Metropolitan School District, Cleveland, OH, for technology upgrades, including purchase of 

equipment to improve math, science and language proficiency.

100,000 Senators Voinovich, Brown 

FIE .............................................. Connecticut Humanities Council, Middletown, CT, for curriculum development ............................................... 250,000 Senators Dodd, Lieberman FIE .............................................. Connecticut Science Center, Hartford, CT, for a science and technology learning center ............................... 100,000 Senators Lieberman, Dodd FIE .............................................. Cook Inlet Tribal Council, Anchorage, AK, for educational programs for low performing students in the Anchorage school district. 300,000 Senator Stevens FIE .............................................. Coppin State University, Baltimore, MD, to support the Urban Education Corridor program .......................... 300,000 Senator Mikulski FIE .............................................. County of Amador, Jackson, CA, for the College Preparation Initiative to provide educational programming. 250,000 Senator Feinstein FIE .............................................. County of Glacier School District #9, Browning, MT, for academic programs .................................................. 400,000 Senator Baucus FIE .............................................. Cristo Rey Network, Chicago, IL, for feasibility studies of potential Iowa school sites ................................... 100,000 Senator Harkin FIE .............................................. Delaware Department of Education, Dover, DE, to provide translators and instructional programs for 

English language learners.

200,000 Senators Carper, Biden 

FIE .............................................. DePaul University, Chicago, IL, for math and science teacher education in Chicago Public Schools ............ 750,000 Senator Durbin FIE .............................................. Des Moines Community School District and Urban Dreams, Des Moines, IA, to continue a demonstration on 

full service community schools.

300,000 Senator Harkin 

FIE .............................................. Des Moines Community School District to expand pre-kindergarten programs ................................................ 750,000 Senator Harkin FIE .............................................. Dinwiddie County Public Schools, Dinwiddie, VA, for educational programming at a library/media center, 

including the purchase of equipment.

100,000 Senator Webb 

FIE .............................................. Early Childhood and Family Learning Center Foundation, New Orleans, LA, for educational programs .......... 300,000 Senator Landrieu 
261 

FIE .............................................. East Stroudsburg University, East Stroudsburg, PA, for math and science curriculum development and 

professional development for area teachers.

100,000 Senator Specter 

FIE .............................................. ECHO Center, Burlington, VT, for educational programming ............................................................................. 500,000 Senator Leahy FIE .............................................. Economic Opportunity Foundation, Inc. Head Start Bryant Program, Kansas City, KS, for early education 

programs.

100,000 Senator Roberts 

FIE .............................................. Eden Housing, Inc., Hayward, CA, to expand afterschool programs ................................................................. 100,000 Senator Boxer FIE .............................................. Elko County School District, Elko, NV, to enhance distance education capabilities, including the purchase 

of equipment.

650,000 Senator Reid 

FIE .............................................. Esperanza, Philadelphia, PA, to expand programs for Latino at-risk youth in Chelsea, MA ........................... 125,000 Senators Kennedy, Kerry FIE .............................................. Fairplex Child Development Center, Pomona, CA, to expand the Early Childhood Education Family Literacy, 

Parenting and Violence Prevention Program.

100,000 Senator Boxer 

FIE .............................................. Falcon School District, Falcon, CO, for the D–49 K–12 Science, Technology, Engineering & Math Initiative. 100,000 Senator Allard FIE .............................................. Foundation of Community Empowerment, Dallas, TX, for educational activities for early childcare providers 

to prepare students for school.

400,000 Senator Cornyn 

FIE .............................................. Galena City School District, Galena, AK, to continue educational programs at a boarding school for low 

performing students from rural Alaska.

510,000 Senator Stevens 

FIE .............................................. George Eastman House International Museum of Photography and Film, Rochester, NY, for educational 

programs.

300,000 Senator Schumer 

FIE .............................................. Grand County School District, Moab, UT, for school-based mentoring programs for low performing students. 200,000 Senator Bennett FIE .............................................. Herring Gut Learning Center, Port Clyde, ME, for science curriculum development for Maine students in 

grades 6–12.

100,000 Senators Snowe, Collins 

FIE .............................................. Housatonic Community College, Bridgeport, CT, for the Middle College Program ............................................ 300,000 Senators Dodd, Lieberman FIE .............................................. Institute for Student Achievement, Lake Success, NY, for programs ................................................................ 250,000 Senator Schumer FIE .............................................. Iowa Association of School Boards, Des Moines, IA, for continuation and expansion of the Skills Iowa program. 3,500,000 Senator Harkin FIE .............................................. Iowa Department of Education to continue the Harkin grant program ............................................................ 5,750,000 Senator Harkin FIE .............................................. Kansas Children’s Discovery Center, Topeka, KS, for exhibit development for children’s interactive educational development. 100,000 Senator Roberts FIE .............................................. Kauai Economic Development Board, Lihue, HI, for math and science education ........................................... 300,000 Senators Inouye, Akaka FIE .............................................. KIPP Foundation, San Francisco, CA, for academic and afterschool programs in Memphis and Nashville, 

TN.

100,000 Senator Alexander 

FIE .............................................. Las Vegas Natural History Museum, Las Vegas, NV, to expand natural history education programs ............. 150,000 Senator Reid FIE .............................................. Leeward Community College, Pearl City, HI, to provide college preparatory education for Filipino students. 250,000 Senator Inouye FIE .............................................. Lehigh Carbon Community College, Schnecksville, PA, to provide science, technology, engineering and 

math programs to area high school students.

100,000 Senator Specter 

FIE .............................................. Libby School District #4, Libby, MT, for academic programs ............................................................................ 400,000 Senator Baucus 
262 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIE .............................................. Lincoln County School District, Panaca, NV, to expand early education services, including the purchase of 

equipment.

25,000 Senator Reid 

FIE .............................................. Literacy Council of Alaska, Fairbanks, AK, to provide educational materials for low-income students and 

their families.

100,000 Senator Stevens 

FIE .............................................. Loess Hills Area Education Agency in Iowa for a demonstration in early childhood education ...................... 750,000 Senators Harkin, Grassley FIE .............................................. Loras College, Dubuque, IA, for literacy programs ............................................................................................ 250,000 Senator Harkin FIE .............................................. Louisiana Tech University, Ruston, LA, for a program in K–12 cyberspace education in cooperation with 

members of the Consortium for Education, Research and Technology of North Louisiana.

700,000 Senators Landrieu, Vitter 

FIE .............................................. Lower Pioneer Valley Educational Collaborative, West Springfield, MA, for the continued development of an 

online education center.

200,000 Senators Kennedy, Kerry 

FIE .............................................. Massachusetts 2020 Foundation, Boston, MA, for the continued development of an extended learning time 

initiative.

200,000 Senators Kennedy, Kerry 

FIE .............................................. Maui Economic Development Board, Kihei, HI, for engaging girls in STEM education .................................... 300,000 Senator Inouye FIE .............................................. McWane Science Center, Birmingham, AL, for teacher training and purchase of equipment ......................... 100,000 Senator Sessions FIE .............................................. Mentoring Partnership of Southwestern Pennsylvania, Pittsburgh, PA, for recruitment, placement, and oversight of school-based mentoring programs. 100,000 Senator Specter FIE .............................................. Metropolitan Wilmington Urban League, Wilmington, DE, to expand the Achievement Matters! program ...... 200,000 Senators Carper, Biden FIE .............................................. Milwaukee Public Schools, Milwaukee, WI, to strengthen the Science, Technology, Engineering and Math 

[STEM] curriculum.

350,000 Senator Kohl 

FIE .............................................. Milwaukee Public Schools, Milwaukee, WI, to support afterschool activities for youth .................................... 1,200,000 Senator Kohl FIE .............................................. Mississippi Council on Economic Education, Jackson, MS, for Achieving Comprehensive Economic and Financial Literacy of Mississippi Students. 250,000 Senator Cochran FIE .............................................. Mississippi State University, Mississippi State, MS, for enhancing K–12 science and math preparation, including purchase of equipment. 300,000 Senators Cochran, Wicker FIE .............................................. Mississippi University for Women, Columbus, MS, for strengthening partnerships between K–12 parents, 

children’s teachers, principals, superintendents and other school officials, including purchase of equipment.

300,000 Senators Cochran, Wicker 

FIE .............................................. Museum of Fine Arts, Boston, MA, for educational programming .................................................................... 250,000 Senators Kennedy, Kerry FIE .............................................. National Council of La Raza in Washington, DC, for the Center for Early Childhood Education .................... 500,000 Senators Menendez, Bingaman FIE .............................................. Native American Indian, Alaskan, and Hawaiian Educational Development Center, Sheridan, WY, to expand 

professional development in early literacy and math programs for teachers.

300,000 Senator Enzi 

FIE .............................................. Nevada Humanities, Reno, NV, to develop and expand a comprehensive online encyclopedia ....................... 150,000 Senator Reid FIE .............................................. Nevada Speech and Hearing Association, Reno, NV, to recruit and train special education teachers ........... 25,000 Senator Reid FIE .............................................. New England Center for Children, Inc., Southborough, MA, to provide equipment for training programs to 

support teachers of children with autism.

200,000 Senators Kennedy, Kerry 
263 

FIE .............................................. New Mexico Mathematics, Engineering, Science Achievement, Inc. [NM MESA], Albuquerque, NM, to prepare 

students from under-represented populations to pursue STEM college majors.

250,000 Senator Bingaman 

FIE .............................................. New School University, New York, NY, for the Institute for Urban Education ................................................... 750,000 Senator Schumer FIE .............................................. New York Hall of Science, Queens, NY, for science exhibits and educational programming ........................... 500,000 Senator Schumer FIE .............................................. North Carolina Technology Association, Raleigh, NC, for a technology demonstration project for 9–12 grade 

students.

100,000 Senator Burr 

FIE .............................................. Nye County School District, Pahrump, NV, to expand career and technical programs, including the purchase of equipment. 150,000 Senator Reid FIE .............................................. Operation Shoestring, Jackson, MS, for after school summer enrichment programs ....................................... 200,000 Senator Cochran FIE .............................................. Pacific Islands Center for Educational Development in American Samoa, Pago Pago, America Samao, for 

program development.

500,000 Senator Inouye 

FIE .............................................. Parents as Teachers National Center, St. Louis, MO, to develop research-based materials and training for 

home visiting professionals for families of children with autism.

250,000 Senator Bond 

FIE .............................................. Parents for Public Schools of Jackson, Inc., Jackson, MS, for arts education programs ................................. 50,000 Senator Cochran FIE .............................................. PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life programs across Iowa ....... 500,000 Senator Harkin FIE .............................................. Pennsylvania State University, University Park, PA, for a youth mentoring program ....................................... 100,000 Senator Specter FIE .............................................. Pollard Foundation, Las Vegas, NV, to improve math, science and literacy instruction at the Rainbow 

Dreams Academy.

200,000 Senator Reid 

FIE .............................................. Polynesian Voyaging Society, Honolulu, HI, for educational programs .............................................................. 250,000 Senator Inouye FIE .............................................. Project GRAD Ohio, Columbus, OH, to help students graduate from high school ready for college ............... 100,000 Senator Brown FIE .............................................. Project HOME, Philadelphia, PA, for after school and summer programs ........................................................ 100,000 Senator Specter FIE .............................................. Roads to Success, New York, NY, to support college scholarships for rural, low-income high school graduates in Pennsylvania. 100,000 Senator Specter FIE .............................................. RuralCap of Alaska, Anchorage, AK, for distance learning for head start teachers and parents as teachers 

programs, including the purchase of equipment.

500,000 Senator Stevens 

FIE .............................................. Rutland City Public Schools, Rutland, Vermont, for summer learning programs ............................................. 150,000 Senator Sanders FIE .............................................. Saint Bernard Parish School Board, Chalmette, LA, for educational programming, including the purchase 

of educational equipment for a cultural arts facility.

750,000 Senator Landrieu 

FIE .............................................. Saint Joseph’s University, Philadelphia, PA, to develop a Public Education Partnership to provide professional development to area principals and teachers. 100,000 Senator Specter FIE .............................................. Saint Louis Community College, St. Louis, MO, to link elementary and secondary inner city and rural 

school students with industry to promote STEM and life science academic study.

750,000 Senator Bond 

FIE .............................................. Saint Mary’s College, Notre Dame, IN, to expand tutoring and mentoring program for disadvantaged students in K–8 elementary schools in South Bend, IN. 200,000 Senator Lugar FIE .............................................. Salt Lake City School District, Salt Lake City, UT, for a K–12 school-to-work program for at-risk students. 100,000 Senator Hatch FIE .............................................. San Francisco District Attorney’s Office, San Francisco, CA, for the Academic Recovery Center at-risk youth 

mentoring and education program.

250,000 Senator Feinstein 

FIE .............................................. Self Enhancement, Inc., Portland, OR, for innovative education programs for inner city youth ...................... 100,000 Senators Smith, Wyden 
264 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIE .............................................. Shiloh Economic and Entrepreneurial Lifelong Development Corporation, Planfield, NJ, for the Titans for 

Tomorrow afterschool program.

100,000 Senators Menendez, Lautenberg 

FIE .............................................. Skills Alaska, Anchorage, AK, for a student/teach enhancement program across Alaska ............................... 1,000,000 Senator Stevens FIE .............................................. SMART (Start Making A Reader Today), Portland, OR, for children’s literacy programs .................................. 100,000 Senators Smith, Wyden FIE .............................................. Smith Center for the Performing Arts, Las Vegas, NV, to create arts educational programs ......................... 200,000 Senator Reid FIE .............................................. SouthCoast Connected, New Bedford, MA, for expansion of programs designed to reduce the teen dropout 

rate.

150,000 Senators Kennedy, Kerry 

FIE .............................................. SouthEastern Pennsylvania Consortium for Higher Education, Glenside, PA, for the Institute of Mathematics and Science to provide professional development to K–12 teachers. 200,000 Senators Specter, Casey FIE .............................................. Thiel College, Greenville, PA, for curriculum development and including the purchase of equipment to support a distance learning partnership with area K–12 schools. 100,000 Senators Specter, Casey FIE .............................................. Tulsa Public Schools, Tulsa, OK, for innovative programming for students at risk of dropping out, including curriculum development. 100,000 Senator Inhofe FIE .............................................. United Way of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, placement, and oversight of 

school-based mentoring programs.

100,000 Senator Specter 

FIE .............................................. University of Mississippi, University, MS, to enhance mathematics preparation ............................................. 300,000 Senators Cochran, Wicker FIE .............................................. University of Nebraska Kearney, Kearney, NE, to develop early childhood education programs and expand 

online educational access to the underserved.

100,000 Senators Hagel, Ben Nelson 

FIE .............................................. University of Nebraska-Omaha, Omaha, NE, to develop and implement a training program centered on 

civic leadership.

500,000 Senator Ben Nelson 

FIE .............................................. University of New Orleans, New Orleans, LA, for supporting and developing charter and district-run public 

schools in New Orleans through teacher education, leadership preparation, applied research and policy, in cooperation with Tulane University.

450,000 Senator Landrieu 

FIE .............................................. University of Northern Colorado, Greeley, CO, to establish the Center for Excellence and Innovation in Education. 150,000 Senator Salazar FIE .............................................. University of Southern Mississippi, Hattiesburg, MS, for gifted education programs at the Frances Kranes 

Center for Gifted Studies.

250,000 Senator Cochran 

FIE .............................................. University of Southern Mississippi, Hattiesburg, MS, for K–12 arts and science curriculum and content 

standards development.

205,000 Senators Cochran, Wicker 

FIE .............................................. University of Southern Mississippi, Hattiesburg, MS, for math science literacy enhancement ....................... 300,000 Senators Cochran, WIcker FIE .............................................. University of the Sciences in Philadelphia, Philadelphia, PA, for a science education partnership which 

will provide professional development to area teachers.

100,000 Senator Specter 

FIE .............................................. Washington Jesuit Academy, Washington, DC, for mentoring activities ........................................................... 250,000 Senators Ben Nelson, Harkin FIE .............................................. Washoe County School District, Reno, NV, for dropout prevention and intervention services .......................... 900,000 Senator Reid FIE .............................................. Western Folklife Center, Elko, NV, for educational programming ...................................................................... 100,000 Senator Reid FIE .............................................. Widener University, Chester, PA, for curriculum development and teacher training ........................................ 100,000 Senator Specter 
265 

FIE .............................................. YWCA Anchorage, Anchorage, AK, for after school education programs ........................................................... 100,000 Senator Stevens FIE .............................................. YWCA of Seattle, King County, and Snohomish County, Seattle, WA, to support and expand the School’s 

Out Washington program.

300,000 Senator Murray 

FIPSE .......................................... AIB College of Business, Des Moines, IA, to continue recruiting and training captioners and court reporters 

and to provide scholarships to students.

400,000 Senator Harkin 

FIPSE .......................................... Albright College, Reading, PA, for laboratory equipment acquisition ............................................................... 100,000 Senators Specter, Casey FIPSE .......................................... Alcorn University, Lorman, MS, for curriculum improvements ........................................................................... 250,000 Senator Cochran FIPSE .......................................... Alvernia College, Reading, PA, for scholarships and nursing education programs ......................................... 100,000 Senator Specter FIPSE .......................................... American Prosthodontic Society Foundation, Osceola Mills, PA, for scholarships and program costs related 

to prosthetic dentistry and clinical prosthodontics.

100,000 Senator Specter 

FIPSE .......................................... Armstrong Atlantic State University, Savannah, GA, for technology upgrades, including the purchase of 

equipment and professional development.

100,000 Senators Chambliss, Isakson 

FIPSE .......................................... Assumption College, Worcester, MA, for the acquisition of educational equipment and information technology. 150,000 Senators Kennedy, Kerry FIPSE .......................................... Black Mountain Institute, Las Vegas, NV, for undergraduate and graduate instruction in literature, humanities, creative writing, translation and for international and study abroad programs. 100,000 Senator Reid FIPSE .......................................... Bloomsburg University of Pennsylvania, Bloomsburg, PA, for computer forensic science education programs. 100,000 Senator Specter FIPSE .......................................... Blue Mountain Community College, Hermiston, OR, for curriculum development, including purchase of 

equipment.

300,000 Senator Smith 

FIPSE .......................................... Briar Cliff University, Sioux City, IA for equipment ........................................................................................... 200,000 Senators Harkin, Grassley FIPSE .......................................... Buena Vista University, Storm Lake, IA, for support for students with disabilities ......................................... 250,000 Senator Harkin FIPSE .......................................... Caldwell College, Caldwell, NJ, for an Autism Teacher Doctorate Program at the Center for Excellence in 

Teaching, which may include equipment for distance learning activities.

250,000 Senators Lautenberg, Menendez 

FIPSE .......................................... California Maritime Academy, Vallejo, CA, for an emergency response training program, which may include 

the acquisition of software and technology.

500,000 Senator Feinstein 

FIPSE .......................................... California University of Pennsylvania, California, PA, for curriculum development and teacher training to 

enhance math and science instruction.

100,000 Senators Specter, Casey 

FIPSE .......................................... Cape Girardeau Career and Technology Center, Cape Girardeau, MO, for equipment and technology upgrades, including the purchase of equipment. 300,000 Senator Bond FIPSE .......................................... Center for Education, Business, and the Arts (CEBA), St. George, UT, for an educational program in business entrepreneurship at Dixie State College. 100,000 Senator Hatch FIPSE .......................................... Cheyney University of Pennsylvania, Cheyney, PA, to develop model best practices in early childhood education, curriculum instruction and assessment. 100,000 Senator Specter FIPSE .......................................... Clark University, Worcester, MA, for information technology and educational equipment ............................... 200,000 Senators Kennedy, Kerry FIPSE .......................................... Cleveland Chiropractic College, Overland Park, KS, for curriculum development ............................................ 200,000 Senator Brownback FIPSE .......................................... Coe College, Cedar Rapids, IA, for the Science and Technology Enhancement Initiative ................................ 500,000 Senators Harkin, Grassley FIPSE .......................................... Coffeyville Community College, Coffeyville, KS, to establish an endowed scholarship program for Kansas 

residents.

450,000 Senator Brownback 

FIPSE .......................................... College of DuPage, Glen Ellyn, IL, for support of a veteran counseling degree and certificate program ....... 300,000 Senator Durbin 
266 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIPSE .......................................... Colorado State University-Pueblo, Pueblo, CO, for science, technology, engineering and mathematics programs, including equipment. 150,000 Senator Salazar FIPSE .......................................... Connecticut State University System, Hartford, CT, for nursing education programs ...................................... 400,000 Senators Dodd, Lieberman FIPSE .......................................... Daniel Webster College, Nashua, NH, for technology upgrades, including the purchase of equipment .......... 200,000 Senator Sununu FIPSE .......................................... Dartmouth College, Hanover, NH, to continue an interdisciplinary initiative on engineering and medicine, 

including the purchase of equipment.

300,000 Senator Gregg 

FIPSE .......................................... Deaf West Theater, North Hollywood, CA, for educational programming .......................................................... 250,000 Senator Boxer FIPSE .......................................... Delaware County Community College, Media, PA, for technology upgrades, including the purchase of 

equipment.

100,000 Senator Specter 

FIPSE .......................................... DeSales University, Center Valley, PA, for technology upgrades including the purchase of equipment .......... 100,000 Senators Specter, Casey FIPSE .......................................... Dickenson County Industrial Development Authority—The Dickenson Center for Education and Research, 

Clintwood, VA, for technology upgrades, including the purchase of equipment.

100,000 Senators Warner, Webb 

FIPSE .......................................... Dowling College, Oakdale, NY, to create and establish a school of Banking and Financial Services ............ 200,000 Senator Schumer FIPSE .......................................... Duquesne University, Pittsburgh, PA, for professional development and research training in computational 

sciences.

100,000 Senators Specter, Casey 

FIPSE .......................................... Eastern Iowa Community College, Davenport, IA, for the creation of a center on sustainable energy, including equipment. 300,000 Senator Harkin FIPSE .......................................... Eastern University, St. Davids, PA, for an initiative to increase minority access to higher education ........... 100,000 Senator Specter FIPSE .......................................... Edinboro University of Pennsylvania, Edinboro, PA, for a nursing education program and equipment acquisition. 100,000 Senator Specter FIPSE .......................................... Edward M. Kennedy Institute for the Senate, Boston, MA, for planning and design ....................................... 1,000,000 Senators Kerry, Byrd, Harkin, Durbin, Mikulski, 

Dodd 

FIPSE .......................................... Elizabethtown College, Elizabethtown, PA, for technology infrastructure upgrades and acquisition ............... 100,000 Senators Specter, Casey FIPSE .......................................... Emerson College, Boston, MA, for educational equipment and technology infrastructure ............................... 100,000 Senators Kennedy, Kerry FIPSE .......................................... Emmanuel College, Boston, MA, for educational equipment and technology infrastructure ............................ 325,000 Senators Kennedy, Kerry FIPSE .......................................... Endicott College, Beverly, MA, for expansion of higher education programs ................................................... 200,000 Senators Kennedy, Kerry FIPSE .......................................... George Meany Center for Labor Studies—The National Labor College, Silver Spring, MD, for curriculum development. 500,000 Senator Harkin FIPSE .......................................... George Washington University, Washington, DC, to provide DC public school students opportunities to pursue health professions careers. 148,000 Senator Hatch FIPSE .......................................... Green River Community College, Auburn, WA, for support of the Computer Reporting Technologies program. 300,000 Senator Murray FIPSE .......................................... Hawaii Community College, Waipahu, HI, to provide cultural education .......................................................... 200,000 Senator Inouye FIPSE .......................................... Henry Kuualoha Giugni Archives, University of Hawaii, Honolulu, HI, for cultural education .......................... 250,000 Senators Inouye, Akaka FIPSE .......................................... Houston Community College, Houston, TX, for curriculum development and purchase of equipment for the 

Accelerated Nursing Proficiency Center.

200,000 Senator Hutchison 
267 

FIPSE .......................................... Huntingdon College Institute, Montgomery, AL, for teacher training and purchase of equipment .................. 200,000 Senator Sessions FIPSE .......................................... Immaculata University, Immaculata, PA, for nursing education programs ...................................................... 100,000 Senators Specter, Casey FIPSE .......................................... Indiana University of Pennsylvania, Indiana, PA, for curriculum development for a mine safety course and 

research on use of mine maps.

100,000 Senators Specter, Casey 

FIPSE .......................................... Iowa Western Community College, Council Bluffs, IA, for health technology equipment ................................. 450,000 Senators Harkin, Grassley FIPSE .......................................... Jobs for Mississippi Graduates, Inc., Jackson, MS, for Reaching Up for Success dropout prevention program. 100,000 Senators Cochran, Wicker FIPSE .......................................... Keystone College, La Plume, PA, for technology upgrades including the purchase of equipment .................. 100,000 Senator Specter FIPSE .......................................... Lackawanna College, Scranton, PA, for technology upgrades, including the purchase of equipment ............ 100,000 Senators Specter, Casey FIPSE .......................................... Lafayette College, Easton, PA, for technology upgrades, including the purchase of equipment ..................... 100,000 Senator Specter FIPSE .......................................... Lehigh University, Bethlehem, PA, to develop programming for a Center for Developing Urban Educational 

Leaders.

100,000 Senators Specter, Casey 

FIPSE .......................................... Lesley University, Cambridge, MA, for educational equipment and information technology ............................ 200,000 Senators Kennedy, Kerry FIPSE .......................................... Lincoln University, Lincoln University, PA, to support a distance learning initiative, including the purchase 

of equipment.

100,000 Senator Specter 

FIPSE .......................................... Lyndon State College, Lyndonville, VT, for a center for rural students ............................................................ 350,000 Senator Leahy FIPSE .......................................... Mansfield University of Pennsylvania, Mansfield, PA, for nursing education programs, including the purchase of equipment. 100,000 Senator Specter FIPSE .......................................... Marywood University, Scranton, PA, for campus-based autism education programs ....................................... 100,000 Senators Specter, Casey FIPSE .......................................... McNeese State University, Lake Charles, LA, to provide professional development to improve student writing. 200,000 Senators Landrieu, Vitter FIPSE .......................................... Michigan Community College Association, Lansing, MI, for an alternative energy training initiative ............ 1,700,000 Senators Stabenow, Levin FIPSE .......................................... MidAmerican Nazarene University, for technology acquisition to expand distance education for teachers in 

western Kansas, including the purchase of equipment.

150,000 Senator Brownback 

FIPSE .......................................... Middle Tennessee State University, Murfreesboro, TN, for a comprehensive math and science teacher training program, including scholarships. 400,000 Senator Alexander FIPSE .......................................... Midland College, Midland, TX, for technology upgrades, including purchase of equipment ........................... 100,000 Senator Cornyn FIPSE .......................................... Millikin University, Decatur, IL, for a nursing training program ....................................................................... 500,000 Senator Durbin FIPSE .......................................... Missouri State University, Springfield, MO, for equipment and technology upgrades, including the purchase 

of equipment.

500,000 Senator Bond 

FIPSE .......................................... Montclair State College, Upper Montclair, NJ, for a Minority Teacher Recruitment, Development and Retention program. 200,000 Senators Lautenberg, Menendez FIPSE .......................................... Montgomery County Community College, Blue Bell, PA, for curriculum development and equipment acquisition to support a health services initiative. 100,000 Senator Specter FIPSE .......................................... Morehouse College, Atlanta, GA, to establish a research initiative to improve college graduation rates of 

minority males.

100,000 Senators Chambliss, Isakson 

FIPSE .......................................... Mott Community College, Flint, MI, for the Center for Advanced Manufacturing ............................................. 200,000 Senators Levin, Stabenow FIPSE .......................................... Mount Aloysius College, Cresson, PA, for college preparation programs .......................................................... 100,000 Senators Specter, Casey FIPSE .......................................... Muhlenberg College, Allentown, PA, for a civic engagement and service learning program ........................... 100,000 Senators Specter, Casey FIPSE .......................................... Murray State University, Hopkinsville, KY, to purchase equipment for the Breathitt Veterinary Clinic ........... 100,000 Senator Bunning 
268 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIPSE .......................................... Neumann College, Aston, PA, for technology and equipment acquisition to support a health care workforce 

training initiative.

100,000 Senators Specter, Casey 

FIPSE .......................................... Nevada State College, Henderson, NV, for teacher preparation programs ....................................................... 300,000 Senator Reid FIPSE .......................................... Nevada Volunteers, Fallon, NV, to expand service-learning programs .............................................................. 250,000 Senator Reid FIPSE .......................................... North Central Missouri College, Trenton, MO, for technology upgrades, including the purchase of equipment for the Allied Health building. 1,600,000 Senator Bond FIPSE .......................................... North Dakota State College of Science, Wahpeton, ND, for a Center for Nanoscience Technology Training ... 1,000,000 Senators Dorgan, Conrad FIPSE .......................................... Northampton Community College, Bethlehem, PA, for technology and equipment upgrades and acquisition. 100,000 Senator Specter FIPSE .......................................... Northeast Community College, Norfolk, NE, for improved access to postsecondary educational opportunities, including distance learning and other equipment. 700,000 Senators Ben Nelson, Hagel FIPSE .......................................... Northern Essex Community College, Lawrence, MA, for educational equipment .............................................. 200,000 Senators Kennedy, Kerry FIPSE .......................................... Northwest Nazarene University, Nampa, ID, for technology upgrades, including the purchase of equipment. 200,000 Senators Crapo, Craig FIPSE .......................................... Northwestern College, Orange City, IA, for nurse training programs ................................................................ 450,000 Senator Harkin FIPSE .......................................... Olivet Nazarene University, Bourbonnais, IL, for nurse education equipment .................................................. 300,000 Senator Durbin FIPSE .......................................... Oregon Institute of Technology, Klamath Falls, OR, for the Health Informatics Simulation Lab ..................... 100,000 Senators Wyden, Smith FIPSE .......................................... Peninsula College, Port Angeles, WA, for equipment for the Peninsula College Science & Technology Building, and to support the Peninsula College Collaborative Mentoring Model. 500,000 Senators Murray, Cantwell FIPSE .......................................... Pennsylvania Highlands Community College, Johnstown, PA, for technology and equipment upgrades and 

acquisition.

100,000 Senator Specter 

FIPSE .......................................... Plymouth State University, Plymouth, NH, for a collaborative research institute for sustainable rural economies. 200,000 Senator Gregg FIPSE .......................................... Point Park University, Pittsburgh, PA, for technology upgrades including the purchase of equipment .......... 100,000 Senator Specter FIPSE .......................................... Portland State University, Portland, OR, for support of the Science Research Teaching Center ..................... 150,000 Senators Wyden, Smith FIPSE .......................................... Qunsigamond Community College, Worcester, MA, for the procurement of educational equipment and information technology to support academic expansion. 150,000 Senators Kennedy, Kerry FIPSE .......................................... Rutgers University, Camden, NJ, for the Camden Children’s Initiative, which may include scholarships and 

fellowships.

100,000 Senators Lautenberg, Menendez 

FIPSE .......................................... Saint Bonaventure University, St. Bonaventure, NY, for the Father Mychal Judge program, which may include student scholarships and travel costs for student exchanges and visiting professorships. 300,000 Senator Schumer FIPSE .......................................... Saint Mary’s University of Minnesota, Minneapolis, MN, for technology upgrades, including the purchase of 

equipment.

200,000 Senators Coleman, Klobuchar 

FIPSE .......................................... Saint Vincent College, Latrobe, PA, for educational programs, including the purchase of equipment ........... 100,000 Senator Specter FIPSE .......................................... Security on Campus, Inc., King of Prussia, PA, for development and implementation of a sexual assault 

awareness and training program.

25,000 Senator Specter 
269 

FIPSE .......................................... Sedgwick County Government, KS, to establish an advanced education in general dentistry residency program. 500,000 Senator Brownback FIPSE .......................................... Seminole State College, Seminole, OK, for a distance learning program and technology upgrades, including the purchase of equipment. 100,000 Senator Inhofe FIPSE .......................................... Sitting Bull College, Fort Yates, ND, for a Student Record and Data Management System ........................... 250,000 Senators Dorgan, Conrad FIPSE .......................................... Southeastern Community College, West Burlington, Iowa, for nursing education equipment .......................... 100,000 Senators Harkin, Grassley FIPSE .......................................... Southern Oregon University, Ashland, OR, for technology infrastructure and equipment acquisition ............. 300,000 Senators Smith, Wyden FIPSE .......................................... Southern Utah University, Cedar City, UT, to enhance the academic skills and training of science teachers 

in rural Utah, including the purchase of equipment.

100,000 Senator Hatch 

FIPSE .......................................... Spelman College, Atlanta, GA, for programs to recruit and increase graduate rates for students pursuing 

science, mathematics, or dual-engineering degrees.

100,000 Senators Chambliss, Isakson 

FIPSE .......................................... Susquehanna University, Selinsgrove, PA, for science laboratory technology, including the purchase of 

equipment.

100,000 Senators Specter, Casey 

FIPSE .......................................... Texas Woman’s University, Denton, TX, for curriculum development and technology upgrades, including the 

purchase of equipment.

150,000 Senator Hutchison 

FIPSE .......................................... Tougaloo College, Tougaloo, MS, for applied undergraduate level community based research programs and 

partnerships.

300,000 Senator Cochran 

FIPSE .......................................... Troy University, Montgomery, AL, for technology upgrades, including the purchase of equipment ................. 250,000 Senators Sessions, Shelby FIPSE .......................................... Truckee Meadows Community College, Reno, NV, for recruiting, mentoring and providing supportive services. 300,000 Senator Reid FIPSE .......................................... Turtle Mountain Community College, Belcourt, ND, to expand its Nursing Program, including equipment .... 500,000 Senators Dorgan, Conrad FIPSE .......................................... Union Graduate College, Schenectady, NY, for program support of a Masters degree in Emerging Energy 

Systems.

300,000 Senator Schumer 

FIPSE .......................................... University of Alaska, Anchorage, AK, to continue the Alaska science and engineering program for Alaska 

students.

1,050,000 Senator Stevens 

FIPSE .......................................... University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency program ................................... 500,000 Senator Harkin FIPSE .......................................... University of Hawaii at Hilo Clinical Pharmacy Training Program, Hilo, HI, for clinical pharmacy training 

program and applied rural science program.

1,000,000 Senators Inouye, Akaka 

FIPSE .......................................... University of Hawaii School of Law, Honolulu, HI, for health policy center ...................................................... 250,000 Senator Inouye FIPSE .......................................... University of Maine, Orono, ME, for technology upgrades, including the purchase of equipment .................. 300,000 Senators Snowe, Collins FIPSE .......................................... University of Maryland College Park, College Park, MD, to develop and administer a public service fellowship program. 1,000,000 Senators Mikulski, Cardin FIPSE .......................................... University of Montana, Missoula, MT, to establish the Institute for Leadership and Public Service to fulfill 

the purposes of the Mansfield Center.

250,000 Senator Tester 

FIPSE .......................................... University of New Hampshire, Manchester, NH, for technology upgrades, including the purchase of equipment. 250,000 Senator Sununu FIPSE .......................................... University of Northern Colorado, Greeley, Colorado, for professional development at the National Center on 

Severe & Sensory Disabilities.

300,000 Senator Allard 

FIPSE .......................................... University of Northern Iowa, Cedar Falls, IA, for equipment ............................................................................. 500,000 Senators Harkin, Grassley FIPSE .......................................... University of Pittsburgh, Pittsburgh, PA, to support a Center for Global Value and Innovation Networks ..... 100,000 Senators Specter, Casey 
270 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIPSE .......................................... University of Scranton, Scranton, PA, for a health profession education and training initiative .................... 100,000 Senators Specter, Casey FIPSE .......................................... University of South Dakota, Vermilion, SD, for equipment and wiring for the Research, Education and Economic Development Network. 400,000 Senator Johnson FIPSE .......................................... University of South Dakota, Vermilion, SD, for graduate programs on the digital preservation of recorded 

oral histories.

430,000 Senator Johnson 

FIPSE .......................................... University of Southern Maine, Portland, ME, for technology upgrades, including the purchase of equipment. 350,000 Senators Snowe, Collins FIPSE .......................................... University of Utah, Salt Lake City, UT, for distance learning for community of caring schools, including 

technology upgrade and purchase of equipment.

100,000 Senator Hatch 

FIPSE .......................................... University of Wisconsin-Platteville, Platteville, WI, for program support for entrepreneurial education .......... 300,000 Senator Kohl FIPSE .......................................... University of Wisconsin-Green Bay, Green Bay, WI, for a comprehensive academic enrichment program to 

prepare low-income and first-generation high school students for college.

300,000 Senator Kohl 

FIPSE .......................................... Upper Iowa University, Fayette, IA, for equipment ............................................................................................. 250,000 Senator Harkin FIPSE .......................................... Utah Valley University, Orem, UT, to improve education and training programs for nursing graduates, including the purchase of equipment. 300,000 Senators Bennett, Hatch FIPSE .......................................... Valley City State University, Valley City, ND, for a Center for Technology and Engineering Education ........... 400,000 Senators Dorgan, Conrad FIPSE .......................................... Virginia Department of Correctional Education—Workforce and Community Transition Training for Incarcerated Youth Offenders Program, Richmond, VA, to improve access to postsecondary education for incarcerated individuals. 100,000 Senator Webb FIPSE .......................................... Virginia Foundation for Community College Education—Great Expectations Program, Richmond, VA, to improve access to postsecondary education for foster care youth. 100,000 Senators Webb, Warner FIPSE .......................................... Voices of September 11th, New Canaan, CT, for graduate education on digital archiving in relationship to 

the 9/11 Living Memorial Project.

300,000 Senators Dodd, Lieberman 

FIPSE .......................................... Washington & Jefferson College, Washington, PA, for science education outreach programs ......................... 100,000 Senator Specter FIPSE .......................................... West Chester University, West Chester, PA, for technology infrastructure upgrades and acquisition ............. 100,000 Senators Specter, Casey FIPSE .......................................... Western Kentucky University Research Foundation, Bowling Green, KY, for technology upgrades, including 

the purchase of equipment.

2,500,000 Senator McConnell 

FIPSE .......................................... Western Oklahoma State College, Altus, OK, for technology upgrades, including the purchase of equipment. 100,000 Senator Inhofe FIPSE .......................................... Wheelock College, Boston, MA, for continued development of science programs for K–12 teachers .............. 100,000 Senators Kennedy, Kerry FIPSE .......................................... Wilson College, Chambersburg, PA, for science laboratory equipment acquisition .......................................... 100,000 Senator Specter FIPSE .......................................... Wisconsin Association of Independent Colleges and Universities, Madison, WI, for consolidated administrative support functions for independent colleges and universities. 300,000 Senator Kohl FIPSE .......................................... Wofford College, Spartanburg, SC, for technology upgrades, including the purchase of equipment .............. 300,000 Senator Graham FIPSE .......................................... Year Up Providence, Providence, RI, for a bridge to career and college program ........................................... 600,000 Senator Reed HRSA .......................................... Access Community Health Network, Chicago, IL, for construction at Holy Cross Hospital .............................. 500,000 Senator Durbin 
271 

HRSA .......................................... Access to Healthcare Network, Reno, NV, to expand the Access to Healthcare Network into Northern NV 

rural counties.

600,000 Senator Reid 

HRSA .......................................... Adams State College, Alamosa, CO, for construction of a health education facility ....................................... 150,000 Senators Salazar, Allard HRSA .......................................... Advocate Lutheran General Hospital, Park Ridge, IL, for construction ............................................................. 300,000 Senator Durbin HRSA .......................................... Advocates for a Healthy Community, Springfield, MO, for construction, renovation and equipment .............. 1,500,000 Senator Bond HRSA .......................................... Alaska Brain Injury Network, Anchorage, AK, for brain injury programs and outreach services ..................... 100,000 Senator Stevens HRSA .......................................... Alaska Native Tribal Health Consortium, Anchorage, AK, for a statewide electronic medical records and 

health information system.

1,500,000 Senator Stevens 

HRSA .......................................... Alaska Native Tribal Health Consortium, Anchorage, AK, for parallel development of an e-Health electronic 

Network.

1,500,000 Senator Stevens 

HRSA .......................................... Allegheny General Hospital, Pittsburgh, PA, for construction, renovation and equipment ............................... 100,000 Senator Specter HRSA .......................................... Allen Institute for Brain Science, Seattle, WA, for equipment .......................................................................... 500,000 Senators Murray, Cantwell HRSA .......................................... Allen Memorial Hospital, Waterloo, Iowa, for construction, renovation and equipment ................................... 250,000 Senators Harkin, Grassley HRSA .......................................... Allied Services Foundation, Clarks Summit, PA, for renovations and equipment ............................................. 100,000 Senators Specter, Casey HRSA .......................................... Altoona Regional Health System, Altoona, PA, for renovation and equipment ................................................. 100,000 Senators Specter, Casey HRSA .......................................... Anchorage Neighborhood Health Center, Anchorage, AK, for construction, renovation and equipment ........... 400,000 Senators Murkowski, Stevens HRSA .......................................... Association of Utah Community Health, Salt Lake City, UT, for an electronic health records system for 

Utah Community Health Centers.

500,000 Senators Bennett, Hatch 

HRSA .......................................... AtlantiCare Regional Medical Center, Egg Harbor Township, NJ, for construction of the Cancer Care Institute. 400,000 Senators Lautenberg, Menendez HRSA .......................................... Barnes-Kasson County Hospital, Susquehanna, PA, for renovations and equipment ....................................... 100,000 Senators Specter, Casey HRSA .......................................... Bartlett Regional Hospital, Juneau, AK, for renovation and equipment ............................................................ 500,000 Senator Stevens HRSA .......................................... Bayside Family Healthcare, North Kingstown, RI, to implement the NextGen Practice Management System 

and Electronic Health Records.

100,000 Senators Whitehouse, Reed 

HRSA .......................................... Beebe Medical Center, Lewes, DE, for the construction of a new School of Nursing ...................................... 500,000 Senators Biden, Carper HRSA .......................................... Benefis Healthcare Foundation, Great Falls, MT, for health information technology in critical access hospitals. 150,000 Senator Baucus HRSA .......................................... Bethune Cookman University, Daytona Beach, FL, for equipping a nurse-managed health facility ................ 100,000 Senator Bill Nelson HRSA .......................................... Billings Clinic, Billings, MT, for equipment ....................................................................................................... 150,000 Senators Baucus, Tester HRSA .......................................... Bingham Memorial Hospital, Blackfoot, ID, for construction, renovation and equipment ................................ 200,000 Senators Crapo, Craig HRSA .......................................... Bi-State Primary Care Association, Concord, NH, for renovation and equipment ............................................ 250,000 Senator Sununu HRSA .......................................... Bi-State Primary Care Association, Montpelier, VT, for construction, renovation and equipment ................... 550,000 Senator Sanders HRSA .......................................... Bloomsburg Hospital, Bloomsburg, PA, for construction, renovation and equipment ...................................... 100,000 Senators Specter, Casey HRSA .......................................... Blue Mountain Diagnostic Imaging, Inc. [BMDI], Pendleton, OR, for equipment ............................................. 100,000 Senator Wyden HRSA .......................................... Bois Forte Reservation Tribal Council, Tower, MN, for renovation and equipment ........................................... 300,000 Senator Coleman HRSA .......................................... Boston Foundation for Sight, Needham Heights, MA, for the acquisition of medical equipment .................... 150,000 Senators Kennedy, Kerry HRSA .......................................... Boston Medical Center, Boston, MA for facilities and equipment for the J. Joseph Moakley Medical Services 

Building.

350,000 Senator Kennedy 

HRSA .......................................... Boulder City Hospital, Boulder City, NV, for construction of an emergency department ................................. 500,000 Senator Reid HRSA .......................................... Boys Town National Research Hospital, Omaha, NE, for construction, renovation and equipment ................. 500,000 Senators Harkin, Ben Nelson 
272 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Bradford Regional Medical Center, Bradford, PA, for renovation and equipment ............................................ 100,000 Senator Specter HRSA .......................................... Broadlawns Medical Center, Des Moines, IA, for equipment ............................................................................. 500,000 Senator Harkin HRSA .......................................... Bucknell University Geisinger Health System, Lewisburg, PA, for the training of health professionals .......... 150,000 Senators Casey, Specter HRSA .......................................... Butler Health System, Butler, PA, for renovation and equipment ..................................................................... 100,000 Senators Specter, Casey HRSA .......................................... Caring Health Center, Inc., Springfield, MA, for construction ........................................................................... 200,000 Senators Kennedy, Kerry HRSA .......................................... Carnegie Mellon University, Washington, DC, for renovation and equipment ................................................... 100,000 Senator Specter HRSA .......................................... Carolinas HealthCare System, Charlotte, NC, for construction, renovation and equipment ............................. 100,000 Senator Burr HRSA .......................................... Catholic Health System, Buffalo, NY, for equipment ......................................................................................... 150,000 Senator Schumer HRSA .......................................... Centenary College of Louisiana, Shreveport, LA, for construction, renovation and equipment of a health 

training facility.

1,000,000 Senators Landrieu, Vitter 

HRSA .......................................... Center for Asbestos Related Disease, Libby, MT, for construction, renovation and equipment ....................... 200,000 Senators Baucus, Tester HRSA .......................................... Central Carolina Technical College, Sumter, SC, for construction, renovation and equipment ....................... 250,000 Senator Graham HRSA .......................................... Central Wyoming College, Riverton, WY, for construction, renovation and equipment ..................................... 450,000 Senators Barrasso, Enzi HRSA .......................................... Central Wyoming College, Riverton, WY, for the Virtual Medical Skills Center for Training Nurses in Rural 

Health Care.

200,000 Senators Enzi, Barrasso 

HRSA .......................................... Charles Cole Memorial Hospital, Coudersport, PA, for rural training assistance ............................................. 100,000 Senators Specter, Casey HRSA .......................................... Chester County Hospital, West Chester, PA, for construction renovation and equipment ................................ 100,000 Senators Specter, Casey HRSA .......................................... Chiesman Foundation for Democracy, Inc., Rapid City, SD, to establish a Center for Fetal Alcohol Spectrum Disorders. 750,000 Senator Johnson HRSA .......................................... Children’s Health Fund, New York, NY, to provide comprehensive primary care to medically underserved 

children at elementary schools in the Austin, TX Independent School District.

250,000 Senator Cornyn 

HRSA .......................................... Children’s Institute of Pittsburgh, Pittsburgh, PA, for treating children and adolescents with Autism Spectrum Disorders. 200,000 Senator Casey HRSA .......................................... Children’s Home Society of Idaho, Boise, ID, for construction, renovation and equipment ............................. 100,000 Senators Crapo, Craig HRSA .......................................... Children’s Hospital of Philadelphia, Philadelphia, PA, for renovation and equipment .................................... 100,000 Senator Specter HRSA .......................................... Children’s Hospital of Pittsburgh, Pittsburgh, PA, for construction, renovation and equipment ..................... 100,000 Senators Specter, Casey HRSA .......................................... Children’s Hospitals & Clinics, Minneapolis, MN, for equipment ..................................................................... 250,000 Senators Coleman, Klobuchar HRSA .......................................... Children’s Medical Center, Dallas, TX, for construction, renovation and equipment ....................................... 150,000 Senator Hutchison HRSA .......................................... Children’s Medical Research Institute, Oklahoma City, OK, for renovation and equipment ............................ 100,000 Senator Inhofe HRSA .......................................... Children’s Memorial Hospital, Chicago, IL, for construction, renovation and equipment ................................ 500,000 Senator Durbin HRSA .......................................... Children’s Mercy Hospitals and Clinics, Kansas City, MO, for construction, renovation and equipment ........ 1,000,000 Senator Bond HRSA .......................................... Children’s Square, Council Bluffs, IA, for construction, renovation, and equipment ....................................... 500,000 Senators Grassley, Harkin HRSA .......................................... CHOICE Regional Health Network, Olympia, WA, for the Emergency Department Care Coordination Program. 350,000 Senator Murray HRSA .......................................... Christ Hospital, Jersey City, NJ, for the Emergency Department Renovation and Equipment Project .............. 300,000 Senators Lautenberg, Menendez 
273 

HRSA .......................................... Christiana Care Health System, Wilmington, DE, to renovate and expand Wilmington Hospital’s Emergency 

Department.

300,000 Senators Biden, Carper 

HRSA .......................................... CHRISTUS Santa Rosa Hospital, San Antonio, TX, for renovation and equipment ........................................... 150,000 Senator Hutchison HRSA .......................................... CHRISTUS St. Francis Cabrini Hospital, Shreveport, LA, for construction, renovation and equipment ............ 100,000 Senators Vitter, Landrieu HRSA .......................................... City Finance Office dba Community Memorial Hospital, Redfield, SD, for facility renovation and construction. 300,000 Senator Johnson HRSA .......................................... City of Baltimore, Baltimore, MD, for construction for Healthcare for the Homeless center ........................... 1,250,000 Senators Mikulski, Cardin HRSA .......................................... City of Newark, Newark, NJ, for an electronic medical record system .............................................................. 150,000 Senators Lautenberg, Menendez HRSA .......................................... City of San Jose ́, San Jose ́, CA, for a healthcare for the homeless program, including equipment ............... 500,000 Senator Feinstein HRSA .......................................... Clarian Health, Indianapolis, IN, for construction, renovation and equipment ................................................ 100,000 Senator Bayh HRSA .......................................... Clarion Health System, Clarion, PA, for renovation and equipment ................................................................. 100,000 Senator Specter HRSA .......................................... Clearfield Hospital, Clearfield, PA, for construction, renovation and equipment ............................................. 100,000 Senator Specter HRSA .......................................... Coffeyville Regional Medical Center, Coffeyville, KS, for construction, renovation and equipment ................. 350,000 Senators Brownback, Roberts HRSA .......................................... Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, for The Women’s Cancer Genomics Center ............. 750,000 Senator Schumer HRSA .......................................... College of St. Scholastica, Inc., Duluth, MN, for a rural health and technology demonstration project ......... 250,000 Senators Coleman, Klobuchar HRSA .......................................... Colorado Community Health Network, Denver, CO, for equipment .................................................................... 200,000 Senator Salazar HRSA .......................................... Commonwealth Medical Education, Scranton, PA, for equipment and construction ........................................ 1,000,000 Senators Specter, Casey HRSA .......................................... Communicare Inc., Columbia, SC, for automated pharmacy equipment .......................................................... 200,000 Senator Graham HRSA .......................................... Community Care Network, Montgomery, AL, for the purchase of a mobile medical unit and acquisition of 

equipment.

100,000 Senator Sessions 

HRSA .......................................... Community Colleges of Spokane, Spokane, WA, for renovation and equipment for allied health education .. 285,000 Senators Murray, Cantwell HRSA .......................................... Community Health and Social Services, Detroit, MI, to construct a health clinic ........................................... 500,000 Senators Levin, Stabenow HRSA .......................................... Community Health Care, Inc, Davenport, IA, for equipment ............................................................................. 200,000 Senator Harkin HRSA .......................................... Community Health Center of Fort Dodge, IA, for equipment ............................................................................. 150,000 Senator Harkin HRSA .......................................... Community Health Center of the Black Hills, Rapid City, SD, for facilities and equipment ........................... 200,000 Senators Johnson, Thune HRSA .......................................... Community Health Centers of Southeastern Iowa, Burlington, IA, for construction, renovation and equipment. 200,000 Senator Harkin HRSA .......................................... Community Health Centers of Southern Iowa, Leon, IA, for equipment ............................................................ 130,000 Senator Harkin HRSA .......................................... Community HealthCare Association of the Dakotas, Bismarck, ND, for Electronic Medical Record Implementation. 200,000 Senators Dorgan, Conrad HRSA .......................................... Community HealthCare Association of the Dakotas, Sioux Falls, SD, for rural health and dental services in 

a mobile dental unit.

250,000 Senators Johnson, Thune 

HRSA .......................................... Community HealthCare Association of the Dakotas, Sioux Falls, SD, to purchase and equip a mobile 

health unit.

200,000 Senator Thune 

HRSA .......................................... Community Medical Center, Missoula, MT, for equipment ................................................................................ 100,000 Senator Baucus HRSA .......................................... Community Medical Center, Scranton, PA, for renovation and equipment ....................................................... 100,000 Senator Specter HRSA .......................................... Comprehensive Community Action, Cranston, RI, to implement an integrated electronic health record and 

practice management system.

300,000 Senators Reed, Whitehouse 

HRSA .......................................... Concord Hospital, Concord, NH, for construction, renovation and equipment .................................................. 300,000 Senator Gregg HRSA .......................................... Cook Children’s Medical Center, Fort Worth, TX, for renovation and equipment .............................................. 150,000 Senator Hutchison 
274 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Cornerstone Care Inc., Burgettstown, PA, for construction, renovation and equipment ................................... 100,000 Senator Specter HRSA .......................................... Council Bluffs Community Health Center, Council Bluffs, IA, for construction, renovation and equipment ... 200,000 Senator Harkin HRSA .......................................... Creighton University, Omaha, NE, for construction, renovation and equipment ............................................... 100,000 Senators Hagel, Ben Nelson HRSA .......................................... Crescent Community Health Center, Dubuque, IA, for construction, renovation and equipment ..................... 200,000 Senator Harkin HRSA .......................................... Crider Health Center, Wentzville, MO, for construction, renovation and equipment ......................................... 1,000,000 Senator Bond HRSA .......................................... Crozer-Chester Medical Center, Upland, PA, for renovation and equipment .................................................... 100,000 Senator Specter HRSA .......................................... Delaware Valley Community Health, Philadelphia, PA, for renovation and equipment .................................... 100,000 Senator Specter HRSA .......................................... Delta State University, Cleveland, MS, for construction, renovation and equipment, including design .......... 250,000 Senator Cochran HRSA .......................................... Denver Health and Hospital Authority, Denver, CO, for construction ................................................................ 150,000 Senator Salazar HRSA .......................................... Driscoll Children’s Hospital, Corpus Christi, TX, for renovation and equipment .............................................. 150,000 Senator Hutchison HRSA .......................................... DuBois Regional Medical Center, DuBois, PA, for renovation and equipment .................................................. 100,000 Senators Specter, Casey HRSA .......................................... East Carolina University, Greenville, NC, for construction, renovation and equipment .................................... 200,000 Senators Burr, Dole HRSA .......................................... Eastern Shore Rural Health System, Nassawadox, VA, to construct the Onley Community Health Center ...... 300,000 Senators Webb, Warner HRSA .......................................... Ed Roberts Campus, Berkeley, CA, for construction, renovation and equipment ............................................. 250,000 Senator Boxer HRSA .......................................... Elk Regional Health Center, St. Marys, PA, for renovation and equipment ...................................................... 100,000 Senators Specter, Casey HRSA .......................................... Elliot Health System, Manchester, NH, for an electronic medical records system ........................................... 225,000 Senator Sununu HRSA .......................................... Endless Mountains Health Systems, Montrose, PA, for construction, renovation and equipment .................... 100,000 Senator Specter HRSA .......................................... Ephrata Hospital, Ephrata, PA, for renovation and equipment ......................................................................... 100,000 Senator Specter HRSA .......................................... Excela Health, Latrobe, PA, for construction, renovation and equipment ......................................................... 100,000 Senator Specter HRSA .......................................... Family Medicine Residency of Idaho, Boise, Idaho, to recruit family physicians to rural Idaho ..................... 100,000 Senators Crapo, Craig HRSA .......................................... Fletcher Allen Health Care, Burlington, VT, for construction and equipment ................................................... 200,000 Senator Leahy HRSA .......................................... Fletcher Allen Health Care, Burlington, VT, for training .................................................................................... 500,000 Senator Leahy HRSA .......................................... Fox Chase Cancer Center, Philadelphia, PA, for renovation and equipment .................................................... 100,000 Senators Specter, Casey HRSA .......................................... Franklin Pierce University, Rindge, NH, for nurse training outreach programs, including renovation and 

equipment.

400,000 Senators Gregg, Sununu 

HRSA .......................................... Free Clinic of Pierce and Saint Croix, River Falls, WI, to expand care in rural areas ..................................... 160,000 Senator Kohl HRSA .......................................... Free Clinics of Iowa in Des Moines, to support a network of free clinics ........................................................ 400,000 Senator Harkin HRSA .......................................... Friendship House, Scranton, PA, to create an advanced Regional Center for Autism Spectrum Disorders .... 150,000 Senator Casey HRSA .......................................... Fulton County Medical Center, McConnellsburg, PA, for construction, renovation and equipment .................. 100,000 Senator Specter HRSA .......................................... Gadsden County, Quincy, FL, for repairs and renovations of the Gadsden County Community Hospital ........ 100,000 Senator Bill Nelson HRSA .......................................... Garfield Memorial Hospital, Panguitch, UT, for renovation and equipment ..................................................... 100,000 Senator Hatch HRSA .......................................... Geisinger Health System, Harrisburg, PA, for post traumatic stress disorder related activities ..................... 100,000 Senator Specter HRSA .......................................... Generations, Inc., Camden, NJ, for construction and operations of the Nex Generation Health Services Center. 100,000 Senators Menendez, Lautenberg HRSA .......................................... Georgia Southern University, Statesboro, GA, for rural health outreach and training ..................................... 100,000 Senators Chambliss, Isakson HRSA .......................................... Georgia State University, Atlanta, GA, for health outreach and training ......................................................... 100,000 Senators Chambliss, Isakson 
275 

HRSA .......................................... Good Samaritan Health Services Foundation, Lebanon, PA, for renovation and equipment ............................ 100,000 Senator Specter HRSA .......................................... Good Shepherd Home, Inc., Allentown, PA, for renovation and equipment ....................................................... 100,000 Senator Specter HRSA .......................................... Goodall Hospital, Sanford, ME, for an electronic health records system .......................................................... 300,000 Senators Snowe, Collins HRSA .......................................... Grady Memorial Hospital, Atlanta, GA, for renovation and equipment ............................................................. 100,000 Senators Isakson, Chambliss HRSA .......................................... Grand View Hospital, Inc., Sellersville, PA, for renovation and equipment ...................................................... 100,000 Senator Specter HRSA .......................................... Great Brook Valley Health Center, Worcester, MA, for new facility construction .............................................. 150,000 Senators Kennedy, Kerry HRSA .......................................... Greater Hudson Valley Family Health Center, Inc., Newburgh, NY, for construction, renovation and equipment. 400,000 Senator Schumer HRSA .......................................... Greater Sioux Community Health Center, Sioux Center, IA, for equipment ....................................................... 100,000 Senator Harkin HRSA .......................................... Gundersen Lutheran Hospital, La Crosse, WI, for health care IT improvements .............................................. 300,000 Senator Kohl HRSA .......................................... Hamot Medical Center, Erie, PA, for construction, renovation and equipment ................................................. 100,000 Senator Specter HRSA .......................................... Hampton University, Hampton, VA, for construction and equipment for the development of a new proton 

beam therapy facility to treat cancer.

400,000 Senator Webb 

HRSA .......................................... Harrington Memorial Hospital, Southbridge, MA, for the acquisition of medical equipment ........................... 200,000 Senators Kennedy, Kerry HRSA .......................................... Harris County Hospital District, Houston, TX, for renovation and equipment ................................................... 150,000 Senator Hutchison HRSA .......................................... Hazleton General Hospital—Health Corp (Northeastern PA), Hazleton, PA, for renovation and equipment .... 100,000 Senator Specter HRSA .......................................... Health and Hospital Corporation of Marion County, Indianapolis, IN, for facility planning, construction, 

renovation and equipment.

150,000 Senator Bayh 

HRSA .......................................... Health Care of Southeastern Massachusetts, Brockton, MA, for equipment .................................................... 150,000 Senators Kennedy, Kerry HRSA .......................................... HealthEast Care System, St. Paul, MN, for construction, renovation and equipment ...................................... 325,000 Senators Coleman, Klobuchar HRSA .......................................... HealthPoint Kentucky, Newport, KY, for an electronic medical records system ................................................ 100,000 Senator Bunning HRSA .......................................... HealthShare Montana, Bozeman, MT, for equipment and training ................................................................... 750,000 Senators Tester, Baucus HRSA .......................................... Hickman Community Hospital, Centerville, TN, for construction and renovation and equipment .................... 550,000 Senators Alexander, Corker HRSA .......................................... Holy Redeemer Health System, Huntington Valley, PA, for construction, renovation and equipment .............. 100,000 Senator Specter HRSA .......................................... Holy Spirit Healthcare System, Camp Hill, PA, for renovation and equipment ................................................. 100,000 Senators Specter, Casey HRSA .......................................... Hormel Institute, Mower, MN, for biomedical equipment .................................................................................. 100,000 Senators Klobuchar, Coleman HRSA .......................................... Horn Memorial Hospital, Ida Grove, IA, for equipment ...................................................................................... 250,000 Senator Harkin HRSA .......................................... Indiana Regional Medical Center, Indiana, PA, for renovation and equipment ................................................ 100,000 Senators Specter, Casey HRSA .......................................... Inova Health System—The Claude Moore Health Education Center’s Simulation Center, Falls Church, VA, 

for construction, renovation and equipment.

100,000 Senators Warner, Webb 

HRSA .......................................... Intermountain Healthcare, Salt Lake City, UT, for an electronic medical records and pharmacy bar coding 

systems.

300,000 Senators Bennett, Hatch 

HRSA .......................................... Iowa Caregivers Association, Des Moines, IA, for training and support of certified nurse assistants ............ 350,000 Senator Harkin HRSA .......................................... Iowa Dental Foundation, Johnston, IA, for portable dental equipment ............................................................. 250,000 Senator Harkin HRSA .......................................... Iowa Nebraska Primary Care Association, Des Moines, IA, for health information technology equipment and 

coordination of programs.

260,000 Senator Harkin 

HRSA .......................................... Iowa State University, Ames, IA, for construction of a biosafety level 3 lab ................................................... 500,000 Senators Harkin, Grassley HRSA .......................................... Jackson State University, Jackson, MS, for the Institute of Epidemiology and Health Services Research ...... 500,000 Senators Cochran, Wicker HRSA .......................................... Jameson Memorial Hospital, New Castle, PA, for construction, renovation and equipment ............................ 100,000 Senators Specter, Casey HRSA .......................................... JC Blair Memorial Hospital, Huntingdon, PA, for renovation and equipment ................................................... 100,000 Senator Specter 
276 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Jefferson Regional Medical Center, Pittsburgh, PA, for construction, renovation and equipment ................... 100,000 Senators Specter, Casey HRSA .......................................... Jersey Shore Hospital, Jersey Shore, PA, for renovation and equipment ........................................................... 100,000 Senator Specter HRSA .......................................... Jewish Renaissance Medical Center, Perth Amboy, NJ, for construction of the Medical Arts Building ........... 100,000 Senators Menendez, Lautenberg HRSA .......................................... Joseph Richey House, Inc., Baltimore, MD, for construction of Dr. Bob’s Place Children’s Hospice ............... 750,000 Senators Mikulski, Cardin HRSA .......................................... Kadlec Health System, Richland, WA, for construction and equipment ............................................................ 150,000 Senators Murray, Cantwell HRSA .......................................... Kane Community Hospital, Kane, PA, for construction, renovation and equipment ......................................... 100,000 Senator Specter HRSA .......................................... King’s Daughters Regional Medical Center, Brookhaven, MS, for an electronic medical records system, including renovation and equipment. 500,000 Senators Wicker, Cochran HRSA .......................................... La Clinica de Familia, Inc., Las Cruces, NM, for construction of the Chaparral Dental Center ...................... 775,000 Senator Bingaman HRSA .......................................... Lahey Clinic, Burlington, MA, for the expansion and renovation of emergency and trauma care facilities ... 200,000 Senators Kennedy, Kerry HRSA .......................................... Lane County, Eugene, OR, for construction of the Springfield Community Health Center ............................... 100,000 Senators Wyden, Smith HRSA .......................................... Laramie County Community College, Cheyenne, WY, for renovation, equipment and training ........................ 400,000 Senators Barrasso, Enzi HRSA .......................................... Lawndale Christian Health Center, Chicago, IL, for construction and equipment ........................................... 400,000 Senator Durbin HRSA .......................................... Lehigh Valley Hospital, Allentown, PA, to provide healthcare access ............................................................... 100,000 Senator Specter HRSA .......................................... Lewis-Clark State College, Lewiston, ID, to prepare nursing students for careers in nursing ........................ 100,000 Senators Crapo, Craig HRSA .......................................... Lincoln County, Newport, OR, for an electronic medical records system, including equipment acquisition 

and renovation.

250,000 Senators Smith, Wyden 

HRSA .......................................... Linn Community Care, Cedar Rapids, IA, for construction, renovation and equipment ................................... 262,000 Senator Harkin HRSA .......................................... Lou Ruvo Brain Institute, Las Vegas, NV, for construction, renovation and equipment .................................. 600,000 Senators Reid, Ensign HRSA .......................................... Lourdes Health System, Camden, NJ, for equipment ......................................................................................... 100,000 Senators Menendez, Lautenberg HRSA .......................................... Lowell General Hospital, Lowell, MA, for construction of new medical facilities ............................................. 150,000 Senators Kennedy, Kerry HRSA .......................................... Lower Brule Sioux Tribe, Lower Brule, SD, for the Community Health Representative program ...................... 200,000 Senator Johnson HRSA .......................................... Manchester Community Health Center, Manchester, NH, for construction, renovation and equipment ........... 200,000 Senator Sununu HRSA .......................................... Marian Community Hospital, Carbondale, PA, for renovation and equipment .................................................. 100,000 Senator Specter HRSA .......................................... Marillac Center, Overland Park, KS, for construction, renovation and equipment ........................................... 200,000 Senator Roberts HRSA .......................................... Marquette University, Milwaukee, WI, for a dental health outreach program .................................................. 250,000 Senator Kohl HRSA .......................................... Marshall University in Huntington, WV, for the Translational Genomic Research Institute ............................. 3,500,000 Senator Byrd HRSA .......................................... Maui Community Health Center, Kahului, HI, for construction, renovation and equipment ............................. 200,000 Senator Inouye HRSA .......................................... Maui Medical Center, Maui, HI, for equipping a robotics and nurse training lab ........................................... 200,000 Senator Inouye HRSA .......................................... Meadville Medical Center, Meadville, PA, for construction, renovation and equipment ................................... 100,000 Senator Specter HRSA .......................................... Meharry Medical College, Nashville, TN, for construction, renovation and equipment ..................................... 600,000 Senator Alexander HRSA .......................................... Memorial Hospital at Gulfport, Gulfport, MS, for construction, renovation and equipment ............................. 500,000 Senators Wicker, Cochran HRSA .......................................... Memorial Hospital, Carthage, IL, for equipment ................................................................................................ 400,000 Senator Durbin HRSA .......................................... Memorial Hospital, York, PA, for renovation and equipment ............................................................................. 100,000 Senator Specter HRSA .......................................... Mercy Health Foundation, Durango, CO, for renovation and equipment ........................................................... 150,000 Senators Salazar, Allard HRSA .......................................... Mercy Health Partners, Scranton, PA, for renovation and equipment ............................................................... 100,000 Senator Specter 
277 

HRSA .......................................... Mercy Memorial Health Center, Ardmore, OK, for construction, renovation and equipment ............................. 100,000 Senator Inhofe HRSA .......................................... Mercy Philadelphia Hospital, Philadelphia, PA, for construction, renovation and equipment .......................... 100,000 Senators Specter, Casey HRSA .......................................... Meridian Health, Neptune, NJ, for the Jersey Shore University Medical Center Comprehensive Expansion 

and Renovation Project.

350,000 Senators Lautenberg, Menendez 

HRSA .......................................... Messiah College, Grantham, PA, for renovation and equipment ....................................................................... 100,000 Senators Specter, Casey HRSA .......................................... Methodist University, Fayetteville, NC, for construction, renovation and equipment ........................................ 175,000 Senator Dole HRSA .......................................... Miami Jewish Home and Hospital, Miami, FL, for health education for those living in the Little Haiti 

area.

75,000 Senator Bill Nelson 

HRSA .......................................... Mid Valley Hospital, Peckville, PA, for renovation and equipment .................................................................... 100,000 Senators Specter, Casey HRSA .......................................... Middletown Regional Health System, Franklin, OH, for construction of a nursing school ............................... 200,000 Senators Brown, Voinovich HRSA .......................................... Midwest Community Clinic, Midwest, WY, for construction, renovation, and equipment ................................. 300,000 Senator Enzi HRSA .......................................... Miles Community College, Miles City, MT, to expand the Healthcare Connections to Career Pathways program. 100,000 Senators Baucus, Tester HRSA .......................................... Miles Perret Cancer Services, Lafayette, LA, for purchase and equipping of a mobile unit for use in rural 

areas.

300,000 Senators Landrieu, Vitter 

HRSA .......................................... Mind Research Network (MRN), Albuquerque, NM, for construction, renovation and equipment ..................... 3,000,000 Senator Domenici HRSA .......................................... Minot State University, Minot, ND, for the Great Plains Autism Treatment Program ....................................... 750,000 Senators Dorgan, Conrad HRSA .......................................... Misericordia University, Dallas, PA, for construction, renovation and renovation ............................................ 100,000 Senators Specter, Casey HRSA .......................................... Mississippi Primary Health Care Association, Jackson, MS, for construction, renovation and equipment ...... 250,000 Senator Cochran HRSA .......................................... Molokai Community Health Center, Molokai, HI, to construct facilities ............................................................ 250,000 Senator Inouye HRSA .......................................... Monongahela Valley Hospital, Monongahela, PA, for renovation and equipment ............................................. 100,000 Senators Specter, Casey HRSA .......................................... Monroe Clinic, Monroe, WI, for critical health care IT improvements, including an electronic medical 

records system, in South Central Wisconsin.

280,000 Senator Kohl 

HRSA .......................................... Montgomery College, Rockville, MD, for equipment for the biotechnology laboratory ...................................... 750,000 Senator Mikulski HRSA .......................................... Moses Taylor Hospital, Scranton, PA, for renovation and equipment ............................................................... 100,000 Senators Specter, Casey HRSA .......................................... Mount Nittany Medical Center, State College, PA, for renovation and construction ........................................ 100,000 Senators Specter, Casey HRSA .......................................... Myrna Brind Center for Integrative Medicine, Philadelphia, PA, to develop three models of integrative programs of clinical excellence. 100,000 Senator Specter HRSA .......................................... Nationwide Children’s Hospital Research Institute, Columbus, OH, for construction, renovation and equipment. 100,000 Senators Voinovich, Brown HRSA .......................................... Nazareth Hospital, Philadelphia, PA, for renovation and equipment ................................................................ 100,000 Senators Specter, Casey HRSA .......................................... Nebraska Hospital Association, Lincoln, NE, to expand the Nebraska Statewide Telehealth Network, including renovation and equipment. 100,000 Senators Hagel, Ben Nelson HRSA .......................................... Neurosciences Institute, Morgantown, WV, for construction, renovation and equipment ................................. 5,000,000 Senator Byrd HRSA .......................................... Nevada System of Higher Education, Las Vegas, NV, for equipment purchase for nursing and medical 

clinical skills labs.

1,000,000 Senator Reid 

HRSA .......................................... New Mexico State University, Las Cruces, NM, for Graduate Psychology Education ........................................ 100,000 Senator Bingaman HRSA .......................................... New York University Medical Center, New York, NY, for construction, renovation and equipment at the 

emergency department.

750,000 Senator Schumer 

HRSA .......................................... New York-Presbyterian Hospital, NY, for cardiac care telemetry ....................................................................... 250,000 Senator Schumer 
278 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Newark Beth Israel Medical Center, Newark, NJ, for construction, equipment and renovation ....................... 300,000 Senators Lautenberg, Menendez HRSA .......................................... Newton Memorial Hospital, Newton, NJ, for equipment ..................................................................................... 200,000 Senators Lautenberg, Menendez HRSA .......................................... Niagara University, Niagara Falls, NY, for the Nursing Leadership project ...................................................... 100,000 Senator Schumer HRSA .......................................... Norman Regional Health System, Norman, OK, for a medical health records system, including acquisition 

of equipment.

100,000 Senator Inhofe 

HRSA .......................................... Northeast Regional Cancer Institute, Scranton, PA, for cancer epidemiology research programs ................... 100,000 Senators Specter, Casey HRSA .......................................... Northwest Hospital and Medical Center, Seattle, WA, for construction and equipment to support the establishment of a Community Health Education and Simulation Center. 1,000,000 Senator Murray HRSA .......................................... Northwest Kidney Centers, Seattle, WA, for equipment ..................................................................................... 200,000 Senator Murray HRSA .......................................... Norton Community Hospital Women’s Center/Technology Enhancement Project, Norton, VA, for renovation 

and equipment.

100,000 Senators Warner, Webb 

HRSA .......................................... Nova Southeastern University, Fort Lauderdale, FL, for nurse education and training .................................... 75,000 Senator Bill Nelson HRSA .......................................... Nugen’s Ranch Substance Abuse Treatment Facility, Wasilla, AK, for construction, renovation and equipment. 300,000 Senator Stevens HRSA .......................................... Oglala Lakota College, Kyle, SD, for a nursing education program .................................................................. 600,000 Senator Johnson HRSA .......................................... Ohio Valley General Hospital, McKees Rocks, PA, for renovation and equipment ............................................ 100,000 Senators Specter, Casey HRSA .......................................... Ohio Valley Medical Center, Wheeling, WV, for construction, renovation and equipment ................................ 6,000,000 Senator Byrd HRSA .......................................... Oklahoma Medical Research Foundation, Oklahoma City, OK, for renovation and equipment ........................ 150,000 Senator Inhofe HRSA .......................................... Oklahoma State University Center for Health Sciences, Tulsa, OK, to purchase and equip a mobile health 

unit.

100,000 Senator Inhofe 

HRSA .......................................... Olympic Medical Center, Port Angeles, WA, for an electronic medical records/practice management system. 650,000 Senators Murray, Cantwell HRSA .......................................... Orange County, Orlando, FL, for the renovation at the Primary Care Access Network ..................................... 100,000 Senators Bill Nelson, Martinez HRSA .......................................... Ottumwa Regional Health Center, Ottumwa, IA, for equipment ........................................................................ 60,000 Senators Harkin, Grassley HRSA .......................................... Palmer College of Chiropractic in Davenport, IA, and the Myrna Brind Center of Integrative Medicine in 

Philadelphia, PA, to develop a model integrative health care program for the treatment of pain.

400,000 Senator Harkin 

HRSA .......................................... Paoli Hospital, Paoli, PA, for construction, renovation and equipment ............................................................ 100,000 Senator Specter HRSA .......................................... Parkland Health & Hospital System, Dallas, TX, to purchase and equip a mobile health unit ...................... 250,000 Senator Cornyn HRSA .......................................... Parkland Health & Hospital System, Dallas, TX, for renovation and equipment .............................................. 150,000 Senator Hutchison HRSA .......................................... Penn State Hershey Medical Center, Hershey, PA, for healthcare services ....................................................... 100,000 Senators Specter, Casey HRSA .......................................... Pennsylvania Psychiatric Institute, Harrisburg, PA, for equipment ................................................................... 100,000 Senator Specter HRSA .......................................... Peoples Community Health Clinic, Waterloo, IA, for equipment ........................................................................ 60,000 Senator Harkin HRSA .......................................... Philadelphia University, Philadelphia, PA, for equipment .................................................................................. 100,000 Senator Specter HRSA .......................................... Phoebe Putney Memorial Hospital, Albany, GA, to partner with the Dougherty County School System to implement health programs for school children. 100,000 Senator Chambliss HRSA .......................................... Pinnacle Health System, Harrisburg, PA, for construction, renovation and equipment .................................... 100,000 Senators Specter, Casey 
279 

HRSA .......................................... Pioneer Valley Life Science Institute, Springfield, MA, for the construction and continued development of 

biomedical research facilities.

400,000 Senators Kennedy, Kerry 

HRSA .......................................... Pocono Medical Center, Stroudsburg, PA, for construction, renovation and equipment ................................... 100,000 Senators Specter, Casey HRSA .......................................... Pottsville Hospital, Pottsville, PA, for construction, renovation and equipment ............................................... 100,000 Senator Specter HRSA .......................................... Primary Care Association of Hawaii, Honolulu, HI, to provide service enhancements and outreach ............... 1,100,000 Senators Inouye, Akaka HRSA .......................................... Primary Health Care, Inc, Des Moines, IA, for construction, renovation and equipment ................................. 200,000 Senator Harkin HRSA .......................................... Prince George’s County, Upper Marlboro, MD, for dental equipment ................................................................ 500,000 Senator Cardin HRSA .......................................... Provena Covenant Medical Center, Urbana, IL, for construction, renovation and equipment .......................... 200,000 Senator Durbin HRSA .......................................... Providence Community Health Center, Providence, RI, to install an electronic health records system ........... 100,000 Senators Whitehouse, Reed HRSA .......................................... Providence Health System, Anchorage, AK, for physician recruitment and retention ....................................... 1,000,000 Senator Stevens HRSA .......................................... Providence Health System, Olympia, WA, to create a Nursing Education to Practice Bridge Program ........... 100,000 Senator Murray HRSA .......................................... Public Health Foundation of Columbia County, Portland, OR, for construction and equipment ...................... 250,000 Senators Smith, Wyden HRSA .......................................... Reading Hospital and Medical Center, Reading, PA, for renovation and equipment ....................................... 100,000 Senators Specter, Casey HRSA .......................................... RelateNow, New Glarus, WI, to provide online treatment services for rural families of children with autism. 300,000 Senator Kohl HRSA .......................................... Resurrection Health Care, Oak Park, IL, to expand nursing programs ............................................................. 300,000 Senator Durbin HRSA .......................................... Rhode Island College Foundation, Providence, RI, to upgrade the School of Nursing clinical laboratory ....... 300,000 Senator Reed HRSA .......................................... Rice University, Houston, TX, for construction, renovation and equipment ...................................................... 400,000 Senator Hutchison HRSA .......................................... Richardton Memorial Hospital and Health Center, Richardton, ND, for planning, renovation and equipment. 850,000 Senators Dorgan, Conrad HRSA .......................................... River Hills Community Health Center, Ottumwa, IA, for equipment ................................................................. 200,000 Senator Harkin HRSA .......................................... Riverside Healthcare, Kankakee, IL, for a patient safety program, including equipment ................................ 300,000 Senator Durbin HRSA .......................................... Robert Morris University, Moon Township, PA, for renovation and equipment ................................................. 100,000 Senator Specter HRSA .......................................... Rosebud Sioux Tribe, Rosebud, SD, for medical equipment .............................................................................. 200,000 Senator Johnson HRSA .......................................... Sac and Fox Tribe of the Mississippi, Tama, IA, for a Tribal Health Care Clinic ............................................ 650,000 Senators Harkin, Grassley HRSA .......................................... Sacred Heart Hospital of Allentown, Allentown, PA, for renovation and equipment ......................................... 100,000 Senators Specter, Casey HRSA .......................................... Saint Ambrose University, Davenport, IA, for the construction of a Center for Health Sciences Education .... 500,000 Senators Harkin, Grassley HRSA .......................................... Saint Bernard Parish, Chalmette, LA, for construction, renovation and equipment of a medical facility ...... 850,000 Senators Landrieu, Vitter HRSA .......................................... Saint Clare Hospital, Baraboo, WI, for equipment ............................................................................................. 350,000 Senator Kohl HRSA .......................................... Saint Francis Hospital Foundation, Wilmington, DE, to make capital infrastructure improvements to St 

Francis Hospital.

300,000 Senators Biden, Carper 

HRSA .......................................... Saint Joseph Health Services, North Providence, RI, for renovations to the emergency room ......................... 650,000 Senator Reed HRSA .......................................... Saint Joseph Hospital, Nashua, NH, for electronic medical records technology, including renovation and 

equipment.

425,000 Senators Gregg, Sununu 

HRSA .......................................... Saint Luke’s Episcopal Hospital, Houston, TX, for renovation and equipment ................................................. 150,000 Senator Hutchison HRSA .......................................... Saint Luke’s Hospital, Allentown Campus, Allentown, PA, for renovation and equipment ............................... 100,000 Senator Specter HRSA .......................................... Saint Mary Medical Center, Langhorne, PA, for renovations and construction ................................................. 100,000 Senator Specter HRSA .......................................... Saint Mary’s Hospital, Madison, WI for equipment at the Sun Prairie Emergency Center ............................... 300,000 Senator Kohl HRSA .......................................... Saint Patrick Hospital and Health Sciences Center, Missoula, MT, for construction, renovation and equipment. 150,000 Senator Baucus 
280 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Saint Vincent Health Center, Erie, PA, for renovation and equipment ............................................................. 100,000 Senator Specter HRSA .......................................... Saint Vincent Healthcare Foundation, Billings, MT, for equipment for the Pediatric Project .......................... 150,000 Senator Baucus HRSA .......................................... San Francisco Community Clinic Consortium, San Francisco, CA, for facilities and equipment ..................... 500,000 Senator Feinstein HRSA .......................................... Seattle Biomedical Research Institute, Seattle, WA, for equipment ................................................................. 250,000 Senator Murray HRSA .......................................... Seattle Cancer Care Alliance, Seattle, WA, for construction, renovation and equipment ................................ 800,000 Senator Murray HRSA .......................................... Sedgwick County Government, Wichita, KS, for the Healthy Babies Program .................................................. 150,000 Senator Roberts HRSA .......................................... Sharon Regional Health System, Sharon, PA, for construction, renovation and equipment ............................. 100,000 Senator Specter HRSA .......................................... Shawnee Mission Medical Center, for renovation and equipment .................................................................... 200,000 Senator Brownback HRSA .......................................... Shelby County, Memphis, TN, for construction, renovation and equipment ...................................................... 500,000 Senators Alexander, Corker HRSA .......................................... Sinai Health System, Chicago, IL, for equipment .............................................................................................. 500,000 Senator Durbin HRSA .......................................... Siouxland Community Health Center, Sioux City, IA, for construction, renovation and equipment .................. 200,000 Senator Harkin HRSA .......................................... Sisters of Providence Health System, Springfield, MA, for construction of a new health clinic ...................... 200,000 Senators Kennedy, Kerry HRSA .......................................... Soldiers ∂ Sailors Memorial Hospital, Wellsboro, PA, for renovations and equipment .................................. 100,000 Senator Specter HRSA .......................................... Somerset Hospital, Somerset, PA, for renovation and equipment ..................................................................... 100,000 Senators Specter, Casey HRSA .......................................... South County Hospital, Wakefield, RI, for electronic health record project ...................................................... 900,000 Senators Reed, Whitehouse HRSA .......................................... South Lane Mental Health, Cottage Grove, OR, for construction, renovation and equipment ......................... 150,000 Senators Smith, Wyden HRSA .......................................... South Shore Regional Health Information Organization, Quincy, MA, for the continued development and deployment of an electronic medical recordkeeping system. 150,000 Senators Kennedy, Kerry HRSA .......................................... Southern Methodist University, Dallas, TX, for construction, renovation and equipment ................................. 200,000 Senator Hutchison HRSA .......................................... Southern New Hampshire Medical Center, Nashua, NH, for electronic medical records technology, including 

renovation and equipment.

425,000 Senators Gregg, Sununu 

HRSA .......................................... Southern Utah University, Cedar City, UT, for construction, renovation and equipment .................................. 400,000 Senator Bennett HRSA .......................................... Southern Vermont College, Bennington, VT, for a patient navigator program ................................................. 250,000 Senator Leahy HRSA .......................................... Southwestern Mental Health Center, Inc., Luverne, MN, for construction, renovation and equipment ............ 200,000 Senator Coleman HRSA .......................................... Sparks Regional Medical Center, Fort Smith, AR, to obtain equipment for the cancer center ........................ 1,000,000 Senators Lincoln, Pryor HRSA .......................................... Spokane County Medical Society Foundation, Spokane, WA, for Project Access ............................................... 100,000 Senator Murray HRSA .......................................... State of New Mexico, Santa Fe, NM, to collect and analyze data about the need and potential locations 

for a dental school within the State.

100,000 Senator Bingaman 

HRSA .......................................... Staten Island University Hospital, Staten Island, NY, for construction, renovation and equipment for the 

emergency department.

500,000 Senator Schumer 

HRSA .......................................... Stoughton Hospital, Stoughton, WI, for installation of a comprehensive electronic health records system .... 300,000 Senator Kohl HRSA .......................................... Straub Hospital Burn Center, Honolulu, HI, for equipment ............................................................................... 100,000 Senator Inouye HRSA .......................................... Sullivan County Medical Center, Laporte, PA, for renovation and equipment .................................................. 100,000 Senators Specter, Casey HRSA .......................................... Sumter Regional Hospital, Americus, GA, for construction, renovation and equipment ................................... 100,000 Senators Isakson, Chambliss HRSA .......................................... Susquehanna Health, Williamsport, PA, for renovation and equipment ........................................................... 100,000 Senators Specter, Casey 
281 

HRSA .......................................... Swope Health Quindaro, KS, for an electronic medical records system, including equipment acquisition 

and renovation.

250,000 Senator Brownback 

HRSA .......................................... Systems Unlimited, Inc., Iowa City, IA, for construction, renovation, and equipment ...................................... 250,000 Senators Harkin, Grassley HRSA .......................................... Tabitha, Inc., d.b.a., Tabitha Health Care Services, Lincoln, NE, for equipment ............................................. 800,000 Senator Ben Nelson HRSA .......................................... Temple University Health System, Philadelphia, PA, for renovations and equipment ...................................... 100,000 Senators Specter, Casey HRSA .......................................... Tennessee Tech University, Cookeville, TN, for construction and renovation .................................................... 500,000 Senator Alexander HRSA .......................................... Texas A&M University, College Station, TX, for renovation and equipment ...................................................... 200,000 Senator Hutchison HRSA .......................................... Texas Children’s Hospital, Houston, TX, for construction, renovation and equipment ..................................... 150,000 Senator Hutchison HRSA .......................................... Texas Health Institute, Austin, TX, for renovation and equipment ................................................................... 200,000 Senator Hutchison HRSA .......................................... The Lakes Community Health Center, Iron River, WI, for construction, renovation and equipment ................ 300,000 Senator Kohl HRSA .......................................... The Manor, Jonesville, MI, for construction of a Treatment and Counseling Center ........................................ 600,000 Senators Levin, Stabenow HRSA .......................................... Thomas Jefferson University Hospital, Philadelphia, PA, for renovation and equipment ................................. 100,000 Senator Specter HRSA .......................................... Thomas Jefferson University, Philadelphia, PA, for renovation and equipment ................................................ 100,000 Senators Specter, Casey HRSA .......................................... Thundermist Health Center, West Warwick, RI, for construction, renovation and equipment .......................... 350,000 Senators Reed, Whitehouse HRSA .......................................... Tougaloo College, Tougaloo, MS, for renovation and equipment ....................................................................... 245,000 Senator Cochran HRSA .......................................... Touro University Nevada, Henderson, NV, for construction of a Gerontology Center ........................................ 400,000 Senator Reid HRSA .......................................... Towson University, Baltimore, MD, for a Center for Adults with Autism Spectrum Disorders ......................... 500,000 Senator Cardin HRSA .......................................... Trinity Health, Minot, ND, for the Rural Radiology Outreach Initiative, including equipment ......................... 850,000 Senators Dorgan, Conrad HRSA .......................................... Tri-Town Community Economic Opportunity Committee, Johnston, RI, for construction, equipment and renovation of health care facilities. 350,000 Senator Reed HRSA .......................................... Tufts New England Medical Center, Boston, MA, for construction, renovation and equipment ....................... 200,000 Senators Kennedy, Kerry HRSA .......................................... Tyrone Hospital, Tyrone, PA, for construction, renovation and equipment ........................................................ 100,000 Senator Specter HRSA .......................................... UMass Memorial Healthcare, Boston, MA, for upgrades to information technology ......................................... 250,000 Senators Kennedy, Kerry HRSA .......................................... United Community Health Center, Storm Lake, IA, for construction, renovation and equipment .................... 200,000 Senator Harkin HRSA .......................................... University Medical Center at Brackenridge, Austin, TX, for renovation and equipment ................................... 150,000 Senator Hutchison HRSA .......................................... University of Alabama, Tuscaloosa, Tuscaloosa, AL, for construction, renovation and equipment .................. 9,400,000 Senator Shelby HRSA .......................................... University of Alabama, Tuscaloosa, Tuscaloosa, AL, for physician recruitment programs ............................... 250,000 Senator Sessions HRSA .......................................... University of Delaware, Newark, DE, for the Delaware Biotechnology Institute, including equipment ............ 200,000 Senators Carper, Biden HRSA .......................................... University of Dubuque, Dubuque, IA, for construction of a community wellness center .................................. 500,000 Senators Harkin, Grassley HRSA .......................................... University of Georgia, Athens, GA, for construction, renovation and equipment .............................................. 100,000 Senator Chambliss HRSA .......................................... University of Hawaii at Hilo, Honolulu, HI, for a nurse training program ........................................................ 150,000 Senator Inouye HRSA .......................................... University of Iowa, Iowa City, IA, for the Iowa Institute for Biomedical Discovery ........................................... 2,000,000 Senators Harkin, Grassley HRSA .......................................... University of Iowa, Iowa City, IA, for the School of Public Health .................................................................... 1,000,000 Senators Harkin, Grassley HRSA .......................................... University of Kansas Medical Center, Kansas City, KS, for renovation and equipment ................................... 300,000 Senator Roberts HRSA .......................................... University of Kentucky Research Foundation, Lexington, KY, for construction, renovation, and equipment at 

the University of Kentucky College of Nursing.

2,000,000 Senator McConnell 

HRSA .......................................... University of Kentucky Research Foundation, Lexington, KY, for renovation and equipment ........................... 1,500,000 Senator McConnell HRSA .......................................... University of Kentucky Research Foundation, Lexington, KY, to establish a program to reduce the risk of 

hearth disease in rural areas.

1,000,000 Senator McConnell 
282 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... University of Louisiana at Monroe, Monroe, LA, to purchase a mobile dental unit for use in rural Louisiana. 400,000 Senators Landrieu, Vitter HRSA .......................................... University of Louisville Research Foundation, Louisville, KY, for construction, renovation and equipment .... 1,000,000 Senator McConnell HRSA .......................................... University of Louisville Research Foundation, Louisville, KY, for construction, renovation and equipment to 

expand cardiovascular facilities.

6,000,000 Senator McConnell 

HRSA .......................................... University of Louisville Research Foundation, Louisville, KY, for renovation and equipment to support the 

computational biology initiative.

2,000,000 Senator McConnell 

HRSA .......................................... University of Minnesota, Minneapolis, MN, for equipment for the Virginia Regional Medical Center ............. 100,000 Senator Klobuchar HRSA .......................................... University of Mississippi Medical Center, Jackson, MS, for construction, renovation and equipment for the 

Arthur C. Guyton Laboratory Building.

3,000,000 Senators Cochran, Wicker 

HRSA .......................................... University of Mississippi School of Pharmacy, Oxford, MS, for construction, renovation and equipment ....... 6,000,000 Senator Cochran HRSA .......................................... University of Mississippi, National Center for Natural Products Research, MS, for construction, renovation 

and equipment for Phase II of the National Center for Natural Products Research—Drug Development, Construction.

1,000,000 Senators Cochran, Wicker 

HRSA .......................................... University of Mississippi, Oxford, MS, for the Center for Pharmaceutical Marketing and Management ......... 250,000 Senator Cochran HRSA .......................................... University of Mississippi, Oxford, MS, for the Center for Thermal Pharmaceutical Processing ....................... 650,000 Senators Cochran, Wicker HRSA .......................................... University of Nevada School of Medicine, Reno, NV, for the Center for Molecular Medicine, including equipment. 500,000 Senator Reid HRSA .......................................... University of New England, Biddeford, ME, for technology upgrades, including the purchase of equipment. 350,000 Senators Snowe, Collins HRSA .......................................... University of North Carolina at Wilmington, Wilmington, NC, for construction, renovation and equipment ... 175,000 Senator Dole HRSA .......................................... University of North Texas, Denton, TX, for construction, renovation and equipment ....................................... 250,000 Senator Hutchison HRSA .......................................... University of Oklahoma, Norman, OK, for renovation and equipment ............................................................... 150,000 Senator Inhofe HRSA .......................................... University of Pennsylvania School of Medicine, Philadelphia, PA, for construction, renovation and equipment. 100,000 Senators Specter, Casey HRSA .......................................... University of Pittsburgh (Simmons Center), Pittsburgh, PA, for construction, renovation and equipment ...... 100,000 Senator Specter HRSA .......................................... University of Pittsburgh Cancer Institute, Pittsburgh, PA, for construction, renovations, and equipment ...... 100,000 Senators Specter, Casey HRSA .......................................... University of Pittsburgh Medical Center, Pittsburgh, PA, for renovation and equipment ................................ 100,000 Senator Specter HRSA .......................................... University of South Dakota, Vermilion, SD, for construction and equipment ................................................... 300,000 Senator Johnson HRSA .......................................... University of Southern Mississippi, Hattiesburg, MS, for construction, renovation and equipment, including 

design.

1,600,000 Senator Cochran 

HRSA .......................................... University of Texas at Dallas, Dallas, TX, for renovation and equipment ........................................................ 400,000 Senator Hutchison HRSA .......................................... University of Texas Health Science Center at Houston, Houston, TX, for construction, renovation and equipment. 300,000 Senator Hutchison HRSA .......................................... University of Texas Health Science Center at Tyler, Tyler, TX, for renovation and equipment ......................... 250,000 Senator Hutchison HRSA .......................................... University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment ..................... 200,000 Senator Hutchison 
283 

HRSA .......................................... University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment for the center for targeted therapy. 250,000 Senator Hutchison HRSA .......................................... University of Washington, Seattle, WA, for the Bothell nursing consortium ..................................................... 100,000 Senator Cantwell HRSA .......................................... University of Wisconsin-Eau Claire, Eau Claire, WI, to expand the Campus Autism Program, including facilities. 280,000 Senator Kohl HRSA .......................................... University of Wyoming, Center for Rural Health Research and Education, Laramie, WY, for health information technology. 250,000 Senator Barrasso HRSA .......................................... Utah Department of Health, Salt Lake City, UT, for health education and screening for citizens exposed to 

uranium mill tailings.

400,000 Senators Bennett, Hatch 

HRSA .......................................... Utah Department of Health, Salt Lake City, UT, for renovation and equipment .............................................. 300,000 Senators Bennett, Hatch HRSA .......................................... Vermont Information Technology Leaders, Montpelier, VT, for the implementation of a statewide electronic 

medical record system.

1,000,000 Senator Leahy 

HRSA .......................................... Volunteers of America, Dakotas, Sioux Falls, SD, for construction and program expansion of residential 

drug treatment.

750,000 Senator Johnson 

HRSA .......................................... Wake County, Raleigh, NC, for construction, renovation and equipment ......................................................... 200,000 Senators Dole, Burr HRSA .......................................... Washington County, Plymouth, NC, for construction, renovation and equipment ............................................. 125,000 Senator Dole HRSA .......................................... Washington State University, Spokane, WA, to support distance learning at the Nursing College ................. 1,000,000 Senator Murray HRSA .......................................... Wayne Memorial Hospital, Honesdale, PA, for renovations and equipment ...................................................... 100,000 Senator Specter HRSA .......................................... Wayne Memorial Hospital, Jesup, GA, for construction, renovation and equipment ......................................... 100,000 Senators Chambliss, Isakson HRSA .......................................... Weber County, Ogden, UT, for renovation and equipment to improve health literacy ...................................... 200,000 Senators Bennett, Hatch HRSA .......................................... Wentworth-Douglass Hospital, Dover, NH, for electronic medical records technology, including renovation 

and equipment.

425,000 Senators Gregg, Sununu 

HRSA .......................................... Wesley College, Dover, DE, for renovation and equipping of the nursing school ............................................. 350,000 Senators Carper, Biden HRSA .......................................... West Virginia University, Morgantown, WV, for construction of a Multiple Sclerosis Center ........................... 3,500,000 Senator Byrd HRSA .......................................... WestCare Nevada, Inc., Las Vegas, NV, for construction and renovation at the Community Triage Center ... 150,000 Senator Reid HRSA .......................................... Westchester County Department of Labs & Research, Valhalla, NY, for construction, renovation and equipment. 750,000 Senator Schumer HRSA .......................................... Westminster College, Salt Lake City, UT, for renovation and equipment ......................................................... 300,000 Senator Bennett HRSA .......................................... Westside Healthcare Association, Milwaukee, WI, for construction at the Lisbon Avenue Health Center ........ 300,000 Senator Kohl HRSA .......................................... White River Medical Center, Batesville, AR, for construction, renovation and equipment ............................... 1,000,000 Senators Lincoln, Pryor HRSA .......................................... Whittier Street Health Center, Roxbury, MA, for construction of a new medical facility .................................. 200,000 Senators Kennedy, Kerry HRSA .......................................... William Penn University, Oskaloosa, IA, for the Nursing and Sciences Teaching Laboratories ....................... 500,000 Senators Harkin, Grassley HRSA .......................................... Wills Eye Health System, Philadelphia, PA, for renovation and equipment ...................................................... 100,000 Senator Specter HRSA .......................................... Windemere Rehabilitation Center, Oak Bluffs, MA, for construction, renovation and equipment .................... 250,000 Senators Kennedy, Kerry HRSA .......................................... Wistar Institute, Philadelphia, PA, for renovation and equipment .................................................................... 100,000 Senator Specter HRSA .......................................... Wolfson Children’s Hospital, Jacksonville, FL, to purchase equipment ............................................................. 250,000 Senators Bill Nelson, Martinez HRSA .......................................... World Impact’s Good Samaritan Clinic, Wichita, KS, for construction, renovation and equipment ................. 150,000 Senators Roberts, Brownback HRSA .......................................... Wyoming Valley Health Care System Hospital, Wilkes-Barre, PA, for renovation and equipment .................... 100,000 Senators Specter, Casey HRSA .......................................... Xavier University, New Orleans, LA, for design and construction for the Industry Center for Pharmaceutical 

Bioscience/Biotech Infrastructure.

400,000 Senators Landrieu, Vitter 
284 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

HRSA .......................................... Yukon-Kuskokwin Health Corporation, Bethel, AK, for renovation and equipment ........................................... 1,550,000 Senator Stevens OMH ............................................ Commonwealth of Massachusetts Department of Public Health, Boston, MA, for the continued development 

of a program to reduce health disparities and infant mortality.

250,000 Senators Kennedy, Kerry 

OS ............................................... Community Transportation Association of America, Washington, DC, for technical assistance to human 

services transportation providers on ADA requirements.

750,000 Senator Harkin 

Rehab Services .......................... Alaska Adaptive Recreation Alliance, Anchorage, AK, for programs to provide adaptive and therapeutic 

recreation to the disabled in Alaska.

600,000 Senator Stevens 

Rehab Services .......................... Alaska Statewide Independent Living Council, Anchorage, AK, for independent living programs for rural 

and remote areas.

300,000 Senator Stevens 

Rehab Services .......................... Arc of New London County, Norwich, CT, for adult vocational training ............................................................ 250,000 Senators Dodd, Lieberman Rehab Services .......................... Cumberland Perry Association for Retarded Citizens, Carlisle, PA, to support educational programming for 

young adults with disabilities.

100,000 Senator Specter 

Rehab Services .......................... Enable America, Inc., Tampa, Florida, for civic/citizenship demonstration project for disabled adults .......... 600,000 Senator Harkin SSR ............................................. A∂ For Abstinence, Waynesboro, PA, for abstinence education and related services .................................... 25,000 Senator Specter SSR ............................................. Catholic Social Services, Wilkes Barre, PA, for abstinence education and related services ............................ 25,000 Senator Specter SSR ............................................. City of Chester, Bureau of Health, Chester, PA, for abstinence education and related services .................... 25,000 Senator Specter SSR ............................................. Connecticut Council of Family Service Agencies, Wethersfield, CT, for the Empowering People for Success 

welfare-to-work initiative.

400,000 Senators Dodd, Lieberman 

SSR ............................................. Creative Visions in Des Moines, IA, for a family unification project for incarcerated individuals .................. 150,000 Senator Harkin SSR ............................................. Crozer Chester Medical Center, Upland, PA, for abstinence education and related services .......................... 25,000 Senator Specter SSR ............................................. Desormeaux Foundation, Lafayette, LA, for an expectant mother education and aid program ....................... 100,000 Senator Vitter SSR ............................................. Elijah’s Promise, New Brunswick, NJ, for the Healthy Kitchens-Healthy Lives program .................................. 50,000 Senators Lautenberg, Menendez SSR ............................................. Family Services and Childrens Aid Society, Oil City, PA, for abstinence education and related services ....... 25,000 Senator Specter SSR ............................................. Family, Inc., Council Bluffs, IA, for the FAMILY program .................................................................................. 350,000 Senators Harkin, Grassley SSR ............................................. Guidance Center, Ridgeway, PA, for abstinence education and related services ............................................. 25,000 Senator Specter SSR ............................................. Horizons for Homeless Children, Roxbury, MA, for continued development of programs designed to support 

homeless children.

150,000 Senators Kennedy, Kerry 

SSR ............................................. Iowans for Social and Economic Development [ISED], Des Moines, IA, for a Comprehensive Asset Development Project. 200,000 Senator Harkin SSR ............................................. Keystone Central School District, Mill Hall, PA, for abstinence education and related services. 25,000 Senator Specter SSR ............................................. Keystone Economic Development Corporation, Johnstown, PA, for abstinence education and related services 25,000 Senator Specter SSR ............................................. LaSalle University, Philadelphia, PA, for abstinence education and related services ...................................... 25,000 Senator Specter SSR ............................................. Local Initiatives Support Coalition Rhode Island, Providence, RI, for child care professional development 

and programmatic activities.

200,000 Senator Reed 
285 

SSR ............................................. Louisiana Association of United Ways, New Orleans, LA, to expand the capacity of the Louisiana 2–1–1 

system.

400,000 Senators Landrieu, Vitter 

SSR ............................................. Marcus Institute, Atlanta, GA, for services for children and adolescents with developmental disabilities .... 100,000 Senators Isakson, Chambliss SSR ............................................. Monterey County Probation Department, Salinas, CA, for a gang prevention and intervention program ........ 1,500,000 Senator Feinstein SSR ............................................. My Choice, Inc., Athens, PA, for abstinence education and related services ................................................... 25,000 Senator Specter SSR ............................................. Nassau County Coalition Against Domestic Violence, Inc., HEMPSTEAD, NY, to provide legal services to 

low-income victims of domestic violence.

400,000 Senator Schumer 

SSR ............................................. Neighborhood United Against Drugs, Philadelphia, PA, for abstinence education and related services ......... 25,000 Senator Specter SSR ............................................. New Brighton School District, Brighton, PA, for abstinence education and related services .......................... 25,000 Senator Specter SSR ............................................. Nueva Esperanza, Philadelphia, PA, for abstinence education and related services ....................................... 25,000 Senator Specter SSR ............................................. Ohio United Way, Columbus, OH, to expand the capacity of the 2–1–1 system ............................................. 400,000 Senator Brown SSR ............................................. One Family, Inc., Boston, MA, for continued development of programs to designed to end family homelessness. 250,000 Senators Kennedy, Kerry SSR ............................................. Progressive Believers Ministries, Glenside, PA, for abstinence education and related services ...................... 25,000 Senator Specter SSR ............................................. School District of Philadelphia, Philadelphia, PA, for abstinence education and related services ................. 25,000 Senator Specter SSR ............................................. Shepherd’s Maternity House, Inc., East Stroudsburg, PA, for abstinence education and related services ..... 25,000 Senator Specter SSR ............................................. Sheriffs Youth Programs of Minnesota, Inver Grove Heights, MN, for expansion and related expenses for 

foster care services.

150,000 Senators Coleman, Klobuchar 

SSR ............................................. Simpson College, Indianola, IA, for Urban Studies Institute ............................................................................. 200,000 Senator Harkin SSR ............................................. Southern Penobscot Regional Program for Children with Exceptionalities, Bangor, ME, for services for families with autistic children. 200,000 Senators Snowe, Collins SSR ............................................. Tender Care Pregnancy Center, Inc., Hanover, PA, for abstinence education and related services ................ 25,000 Senator Specter SSR ............................................. The Jimmie Hale Mission, Birmingham, AL, for services for homeless families .............................................. 100,000 Senator Sessions SSR ............................................. TLC for Children and Families, Inc, Olathe, KS, for a transitional living program for at-risk youth .............. 200,000 Senator Brownback SSR ............................................. Tuscarora Intermediate Unit, McVeytown, PA, for abstinence education and related services ........................ 25,000 Senator Specter SSR ............................................. United Way of the Capital Area, Jackson, MS, for 2–1–1 Mississippi for social services programs .............. 250,000 Senator Cochran SSR ............................................. Urban Family Council, Philadelphia, PA, for abstinence education and related services ................................ 25,000 Senator Specter SSR ............................................. Washington Hospital Teen Outreach, Washington, PA, for abstinence education and related services .......... 25,000 Senator Specter SSR ............................................. Women’s Care Center of Erie County, Inc., Erie, PA, for abstinence education and related services ............. 25,000 Senator Specter SSR ............................................. York County Human Life Services, York, PA, for abstinence education and related services .......................... 25,000 Senator Specter SSR ............................................. Zuni Tribe, Zuni, NM, for a program to assist foster children ......................................................................... 275,000 Senator Bingaman 

NATIONAL PROGRAMS AND 

ACTIVITIES 

DOL Departmental Management International Program for the Elimination of Child Labor for the U.S. contribution to a multinational effort 

to combat child labor, consistent with Executive Order 12216 and the Trafficking Victims Protection Reauthorization Act of 2005.

42,784,000 Senator Harkin 

ETA ............................................. Denali Commission for job training activities under the Denali Commission Act of 1998 ............................. 6,754,894 Senator Stevens 
286 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

FIE .............................................. Reach Out and Read for literacy activities ....................................................................................................... 3,930,000 Senators Cochran, Bennett, Domenici, Durbin, 

Lautenberg, Leahy, Reed, Akaka, Bingaman, Boxer, Brown, Bunning, Burr, Cantwell, Casey, Chambliss, Clinton, Coleman, Collins, Cornyn, Dodd, Dole, Graham, Grassley, Hatch, Kennedy, Kerry, Klobuchar, Levin, Lincoln, Lugar, Martinez, Menendez, Murkowski, Bill Nelson, Pryor, Rockefeller, Salazar, Sanders, Schumer, Sessions, Smith, Snowe, Stabenow, Voinovich, Whitehouse, Wyden 

FIE .............................................. Teach for America for recruiting and training recent college graduates to teach in high-need schools ....... 11,790,000 Senators Harkin, Cochran, Durbin, Kohl, Lautenberg, Mikulski, Boxer, Burr, Casey, Clinton, Dole, Kerry, Lieberman, Lincoln, Menendez, Reid, Schumer, Snowe, Stabenow Higher Education ....................... Thurgood Marshall Legal Scholarships Program for activities authorized under the Higher Education Act ... 2,895,000 Senator Cochran HRSA .......................................... Delta Health Alliance, Inc. to improve the delivery of public health services in the Mississippi Delta region 

under title III of the Public Health Service Act.

25,000,000 Senator Cochran 

HRSA .......................................... Denali Commission to support health projects and economic development activities for the arctic region 

under the Denali Commission Act of 1998.

38,597,000 Senator Stevens 

HRSA .......................................... Native Hawaiian Health Care to provide primary health promotion and disease prevention services to Native Hawaiians through regional clinics under the Native Hawaiian Health Care Act of 1988. 13,952,000 Senators Inouye, Akaka Innovation and Improvement ..... Close Up Fellowships Program for activities authorized under the Elementary and Secondary Education 

Act.

1,942,000 Senators Harkin, Lautenberg 

Innovation and Improvement ..... Exchanges with Historic Whaling and Trading Partners Program for activities authorized under the Elementary and Secondary Education Act. 8,754,000 Senators Cochran, Inouye, Stevens, Akaka, Ken- nedy Innovation and Improvement ..... John F. Kennedy Center for the Performing Arts for activities in the Arts in Education program authorized 

by the Elementary and Secondary Education Act.

6,183,000 Senators Bennett, Bingaman, Kennedy 

Innovation and Improvement ..... National Board for Professional Teaching Standards for activities authorized under the Elementary and 

Secondary Education Act.

10,649,000 Senators Harkin, Cochran, Bennett, Wicker 
287 

Innovation and Improvement ..... National Writing Project for activities authorized under the Elementary and Secondary Education Act ......... 23,581,000 Senators Cochran, Bennett, Domenici, Durbin, 

Johnson, Lautenberg, Leahy, Reed, Akaka, Baucus, Biden, Bingaman, Boxer, Bunning, Cardin, Casey, Clinton, Coleman, Collins, Dodd, Dole, Hagel, Kennedy, Kerry, Klobuchar, Levin, Lieberman, Lincoln, Lugar, Menendez, Pryor, Rockefeller, Sanders, Schumer, Smith, Snowe, Stabenow, Whitehouse, Wicker, Wyden 

Innovation and Improvement ..... Reading is Fundamental for literacy activities .................................................................................................. 24,606,000 Senators Cochran, Bennett, Durbin, Gregg, 

Johnson, Leahy, Akaka, Baucus, Bennett, Bingaman, Boxer, Brown, Bunning, Cantwell, Cardin, Casey, Clinton, Coleman, Collins, Dodd, Dole, Ensign, Graham, Gregg, Hatch, Kennedy, Kerry, Klobuchar, Lautenberg, Levin, Lieberman, Lincoln, Lugar, Martinez, Menendez, Murkowski, Bill Nelson, Pryor, Roberts, Rockefeller, Salazar, Sanders, Schumer, Sessions, Smith, Snowe, Stabenow, Tester, Voinovich, Warner, Webb, Whitehouse, Wicker, Wyden 

Innovation and Improvement ..... VSA arts for activities in the Arts in Education program authorized by the Elementary and Secondary Education Act. 7,954,000 Senators Cochran, Bennett, Bingaman, Kennedy Mine Safety and Health Administration. United Mine Workers of America for mine rescue team training activities authorized under the Mine Safety and Health Act. 1,900,000 Senators Specter, Byrd Occupational Safety and Health 

Administration.

Institutional Competency Grants under the Susan Harwood Training Program authorized under the Occupational Safety and Health Act. 3,200,000 Senators Harkin, Specter 

Safe Schools and Citizenship 

Education.

Center for Civic Education for two programs—We the People and Cooperative Education Exchange—that 

are authorized in the Elementary and Secondary Education Act as part of the Civic Education Program.

24,504,000 Senators Cochran, Durbin, Feinstein, Johnson, 

Leahy, Reed, Akaka, Baucus, Bayh, Biden, Bingaman, Boxer, Brown, Bunning, Cantwell, Cardin, Clinton, Coleman, Collins, Dodd, Dole, Ensign, Graham, Hagel, Kennedy, Kerry, Kyl, Levin, Lieberman, Lincoln, Lugar, Martinez, Menendez, Murkowski, Bill Nelson, Pryor, Roberts, Rockefeller, Salazar, Schumer, Smith, Snowe, Sessions, Stabenow, Tester, Webb, Whitehouse, Wicker, Wyden 
288 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Account Project Funding Member 

Safe Schools and Citizenship 

Education.

National Council on Economic Education for the Cooperative Education Exchange program, which is authorized in the Elementary and Secondary Education Act as part of the Civic Education Program. 4,448,000 Senators Cochran, Durbin, Feinstein, Johnson, Leahy, Reed, Akaka, Baucus, Bayh, Biden, 

Bingaman, Boxer, Brown, Bunning, Cantwell, Cardin, Clinton, Coleman, Collins, Dodd, Dole, Ensign, Graham, Hagel, Kennedy, Kerry, Kyl, Levin, Lieberman, Lincoln, Lugar, Martinez, Menendez, Murkowski, Bill Nelson, Pryor, Roberts, Rockefeller, Salazar, Schumer, Smith, Snowe, Sessions, Stabenow, Tester, Webb, Whitehouse, Wicker, Wyden 

School Improvement .................. Alaska Native Educational Equity for activities authorized under the Elementary and Secondary Education 

Act.

33,315,000 Senators Inouye, Stevens 

School Improvement .................. Education for Native Hawaiians for activities authorized under the Elementary and Secondary Education 

Act.

33,315,000 Senators Inouye, Stevens, Akaka 

Special Education ...................... Recording for the Blind and Dyslexic, Inc. for development, production, and circulation of recorded educational materials as authorized under section 674(c)(1)(D) of the Individuals with Disabilities Education Act. 13,500,000 Senators Harkin, Specter Special Education ...................... Special Olympics for Special Olympics educational programs that can be integrated into classroom instruction and for activities to increase the participation of individuals with intellectual disabilities, as 

authorized under the Special Olympics Sport and Empowerment Act.

11,790,000 Senators Harkin, Craig, Ben Nelson 

Special Education ...................... Washington Educational Television Association for a national program to provide information on diagnosis, 

intervention, and teaching strategies for children with disabilities authorized under Public Law 105–78.

1,474,000 Senator Cochran 
289 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

TITLE I — DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year .............................................................................................................................. 149,540 ............................ 152,199 ∂2,659 ∂152,199 

Advance from prior year ........................................................................................................................... (699,561 ) (712,000 ) (712,000 ) (∂12,439 ) ............................Fiscal year 2010 ....................................................................................................................................... 712,000 712,000 712,000 ............................ ............................

Adult Training ...................................................................................................................................... 861,540 712,000 864,199 ∂2,659 ∂152,199 

Youth Training ................................................................................................................................................... 924,069 840,500 930,500 ∂6,431 ∂90,000 Dislocated Worker Assistance, current year ...................................................................................................... 335,840 94,956 351,811 ∂15,971 ∂256,855 

Advance from prior year ........................................................................................................................... (833,185 ) (848,000 ) (848,000 ) (∂14,815 ) ............................Fiscal year 2010 ....................................................................................................................................... 848,000 848,000 848,000 ............................ ............................

Dislocated Worker Assistance .............................................................................................................. 1,183,840 942,956 1,199,811 ∂15,971 ∂256,855 

Subtotal, Grants to States .............................................................................................................. 2,969,449 2,495,456 2,994,510 ∂25,061 ∂499,054 

Current Year ........................................................................................................................... (1,409,449 ) (935,456 ) (1,434,510 ) (∂25,061 ) (∂499,054 ) Fiscal year 2010 ..................................................................................................................... (1,560,000 ) (1,560,000 ) (1,560,000 ) ............................ ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year .............................................................................................................................................. 68,867 68,867 70,092 ∂1,225 ∂1,225 Advance from prior year ........................................................................................................................... (208,296 ) (212,000 ) (212,000 ) (∂3,704 ) ............................Fiscal year 2010 ....................................................................................................................................... 212,000 212,000 212,000 ............................ ............................

Dislocated Worker Assistance Nat’l Reserve ....................................................................................... 280,867 280,867 282,092 ∂1,225 ∂1,225 
290 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Less Community-based Job Training Grants (NA) ................................................................................... (¥122,816 ) ............................ (¥125,000 ) (¥2,184 ) (¥125,000 ) 

Dislocated Worker Assistance Nat’l Reserve ....................................................................................... 158,051 280,867 157,092 ¥959 ¥123,775 

Total, Dislocated Worker Assistance ............................................................................................... 1,464,707 1,223,823 1,481,903 ∂17,196 ∂258,080 

Native Americans .............................................................................................................................................. 52,758 45,000 52,758 ............................ ∂7,758 Migrant and Seasonal Farmworkers ................................................................................................................. 79,668 ............................ 82,740 ∂3,072 ∂82,740 Women in apprenticeship .................................................................................................................................. 983 ............................ 983 ............................ ∂983 YouthBuild ......................................................................................................................................................... 58,952 50,000 58,952 ............................ ∂8,952 

Subtotal, Federally Administered Programs ................................................................................................. 473,228 375,867 477,525 ∂4,297 ∂101,658 

Current Year ......................................................................................................................................... (261,228 ) (163,867 ) (265,525 ) (∂4,297 ) (∂101,658 ) Fiscal year 2010 .................................................................................................................................. (212,000 ) (212,000 ) (212,000 ) ............................ ............................

National Activities: 

Pilots, Demonstrations and Research ...................................................................................................... 48,508 16,000 31,438 ¥17,070 ∂15,438 Reintegration of Ex-Offenders .................................................................................................................. 73,493 39,600 103,493 ∂30,000 ∂63,893 Evaluation ................................................................................................................................................. 4,835 9,000 4,835 ............................ ¥4,165 Community-based Job Training Grants .................................................................................................... ............................ 125,000 ............................ ............................ ¥125,000 

Community-based Job Training Grants (NA) 1 ................................................................................ (122,816 ) ............................ (125,000 ) (∂2,184 ) (∂125,000 ) 

Subtotal, program level .............................................................................................................. 122,816 125,000 125,000 ∂2,184 ............................

Denali Commission ................................................................................................................................... 6,755 ............................ 6,755 ............................ ∂6,755 

Subtotal, National activities ................................................................................................................ 133,591 189,600 146,521 ∂12,930 ¥43,079 Total, Training and Employment Services ........................................................................................... 3,576,268 3,060,923 3,618,556 ∂42,288 ∂557,633 

Current Year ................................................................................................................................ (1,804,268 ) (1,288,923 ) (1,846,556 ) (∂42,288 ) (∂557,633 ) Fiscal year 2010 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................
291 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS .................................................................................. 521,625 350,000 571,925 ∂50,300 ∂221,925 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ........................................................................................... 888,700 958,800 958,800 ∂70,100 ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS 

Unemployment Insurance (UI): 

State Operations ................................................................................................................................................ 2,454,134 2,583,145 2,782,145 ∂328,011 ∂199,000 Additional UI Program Integrity ........................................................................................................................ ............................ 40,000 40,000 ∂40,000 ............................National Activities ............................................................................................................................................. 9,727 12,893 9,727 ............................ ¥3,166 

Subtotal, Unemployment Insurance .............................................................................................................. 2,463,861 2,636,038 2,831,872 ∂368,011 ∂195,834 

Employment Service: 

Allotments to States: 

Federal Funds ........................................................................................................................................... 22,483 ............................ 22,883 ∂400 ∂22,883 Trust Funds .............................................................................................................................................. 680,893 ............................ 680,893 ............................ ∂680,893 

Subtotal, Allotments to States ............................................................................................................ 703,376 ............................ 703,776 ∂400 ∂703,776 

ES National Activities ........................................................................................................................................ 19,677 20,026 20,026 ∂349 ............................

Subtotal, Employment Service ...................................................................................................................... 723,053 20,026 723,802 ∂749 ∂703,776 

Federal Funds ...................................................................................................................................... 22,483 ............................ 22,883 ∂400 ∂22,883 Trust Funds .......................................................................................................................................... 700,570 20,026 700,919 ∂349 ∂680,893 

Foreign Labor Certification: 

Federal Administration ...................................................................................................................................... 41,487 59,497 54,497 ∂13,010 ¥5,000 Grants to States ................................................................................................................................................ 12,517 18,473 15,740 ∂3,223 ¥2,733 

Subtotal, Foreign Labor Certification ........................................................................................................... 54,004 77,970 70,237 ∂16,233 ¥7,733 

One-Stop Career Centers/Labor Market Information .................................................................................................. 52,059 48,880 52,059 ............................ ∂3,179 Work Incentives Grants .............................................................................................................................................. 14,393 ............................ 14,393 ............................ ∂14,393 

Total, State Unemployment & Employment Services ................................................................................... 3,307,370 2,782,914 3,692,363 ∂384,993 ∂909,449 

Federal Funds ...................................................................................................................................... 88,935 48,880 89,335 ∂400 ∂40,455 Trust Funds .......................................................................................................................................... (3,218,435 ) (2,734,034 ) (3,603,028 ) (∂384,593 ) (∂868,994 ) 

ADVANCES TO THE UI AND OTHER TRUST FUNDS 2 ................................................................................................... 437,000 422,000 422,000 ¥15,000 ............................

PROGRAM ADMINISTRATION 

Adult Employment and Training ................................................................................................................................ 42,683 48,544 42,683 ............................ ¥5,861 

Trust Funds ....................................................................................................................................................... 7,709 8,655 7,709 ............................ ¥946 

Youth Employment and Training ................................................................................................................................ 10,789 12,932 10,789 ............................ ¥2,143 
292 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Employment Security .................................................................................................................................................. 6,243 3,705 3,705 ¥2,538 ............................

Trust Funds ....................................................................................................................................................... 34,168 37,023 37,023 ∂2,855 ............................

Apprenticeship Services ............................................................................................................................................. 21,166 23,130 21,166 ............................ ¥1,964 Executive Direction ..................................................................................................................................................... 6,025 7,734 6,025 ............................ ¥1,709 

Trust Funds ....................................................................................................................................................... 2,053 2,288 2,053 ............................ ¥235 

Total, Program Administration ...................................................................................................................... 130,836 144,011 131,153 ∂317 ¥12,858 

Federal Funds ...................................................................................................................................... 86,906 96,045 84,368 ¥2,538 ¥11,677 Trust Funds .......................................................................................................................................... 43,930 47,966 46,785 ∂2,855 ¥1,181 

Total, Employment and Training Administration .......................................................................................... 8,861,799 7,718,648 9,394,797 ∂532,998 ∂1,676,149 

Federal Funds ...................................................................................................................................... 5,599,434 4,936,648 5,744,984 ∂145,550 ∂808,336 

Current Year ................................................................................................................................ (3,827,434 ) (3,164,648 ) (3,972,984 ) (∂145,550 ) (∂808,336 ) Fiscal year 2010 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 3,262,365 2,782,000 3,649,813 ∂387,448 ∂867,813 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance 3 ................................................................................................................ 116,590 122,792 116,590 ............................ ¥6,202 Policy and Compliance Assistance ............................................................................................................................ 17,545 18,851 17,545 ............................ ¥1,306 Executive Leadership, Program Oversight and Admin ............................................................................................... 5,178 6,228 5,178 ............................ ¥1,050 

Total, EBSA ................................................................................................................................................... 139,313 147,871 139,313 ............................ ¥8,558 

PENSION BENEFIT GUARANTY CORPORATION 3

Pension insurance activities ...................................................................................................................................... (74,884 ) (68,548 ) (68,548 ) (¥6,336 ) ............................Pension plan termination ........................................................................................................................................... (218,553 ) (240,406 ) (240,406 ) (∂21,853 ) ............................Operational support .................................................................................................................................................... (133,210 ) (135,768 ) (135,768 ) (∂2,558 ) ............................
293 

Total, PBGC (Program level) ......................................................................................................................... (426,647 ) (444,722 ) (444,722 ) (∂18,075 ) ............................

EMPLOYMENT STANDARDS ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement of Wage and Hour Standards ............................................................................................................... 175,658 193,092 193,092 ∂17,434 ............................Office of Labor-Management Standards .................................................................................................................... 44,938 58,256 44,938 ............................ ¥13,318 Federal Contractor EEO Standards Enforcement ....................................................................................................... 81,001 89,013 81,001 ............................ ¥8,012 Federal Programs for Workers’ Compensation ........................................................................................................... 100,086 108,031 100,086 ............................ ¥7,945 

Trust Funds ....................................................................................................................................................... 2,022 2,179 2,022 ............................ ¥157 

Program Direction and Support ................................................................................................................................. 17,220 18,089 17,220 ............................ ¥869 

Total, ESA salaries and expenses ................................................................................................................ 420,925 468,660 438,359 ∂17,434 ¥30,301 

Federal Funds ...................................................................................................................................... 418,903 466,481 436,337 ∂17,434 ¥30,144 Trust Funds .......................................................................................................................................... 2,022 2,179 2,022 ............................ ¥157 

SPECIAL BENEFITS 

Federal employees’ compensation benefits ............................................................................................................... 200,000 160,000 160,000 ¥40,000 ............................Longshore and harbor workers’ benefits ................................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Special Benefits .................................................................................................................................. 203,000 163,000 163,000 ¥40,000 ............................

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit payments ....................................................................................................................................................... 271,000 245,000 245,000 ¥26,000 ............................Administration ............................................................................................................................................................ 5,221 5,130 5,130 ¥91 ............................

Subtotal, fiscal year 2009 program level .................................................................................................... 276,221 250,130 250,130 ¥26,091 ............................

Less funds advanced in prior year ..................................................................................................... ¥68,000 ¥62,000 ¥62,000 ∂6,000 ............................

Total, Current Year, fiscal year 2009 ........................................................................................................... 208,221 188,130 188,130 ¥20,091 ............................

New advances, 1st quarter fiscal year 2010 ...................................................................................... 62,000 56,000 56,000 ¥6,000 ............................

Total, Special Benefits for Disabled Coal Miners ........................................................................................ 270,221 244,130 244,130 ¥26,091 ............................

ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION FUND 

Part B Administrative Expenses ................................................................................................................................. 49,387 49,654 49,654 ∂267 ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit payments and interest on advances ............................................................................................................. 1,009,763 1,014,317 1,014,317 ∂4,554 ............................Employment Standards Admin., Salaries and expenses ........................................................................................... 32,761 32,308 32,308 ¥453 ............................Departmental Management, Salaries and expenses ................................................................................................. 24,785 24,694 24,694 ¥91 ............................
294 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Departmental Management, Inspector General ......................................................................................................... 335 325 325 ¥10 ............................

Subtotal, Black Lung Disability .................................................................................................................... 1,067,644 1,071,644 1,071,644 ∂4,000 ............................

Treasury Department Administrative Costs ............................................................................................................... 356 356 356 ............................ ............................

Total, Black Lung Disability Trust Fund ....................................................................................................... 1,068,000 1,072,000 1,072,000 ∂4,000 ............................Total, Employment Standards Administration .............................................................................................. 2,011,533 1,997,444 1,967,143 ¥44,390 ¥30,301 

Federal Funds ...................................................................................................................................... 2,009,511 1,995,265 1,965,121 ¥44,390 ¥30,144 

Current year ................................................................................................................................ (1,947,511 ) (1,939,265 ) (1,909,121 ) (¥38,390 ) (¥30,144 ) Fiscal year 2010 ......................................................................................................................... (62,000 ) (56,000 ) (56,000 ) (¥6,000 ) ............................

Trust Funds .......................................................................................................................................... 2,022 2,179 2,022 ............................ ¥157 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) 

SALARIES AND EXPENSES 

Safety and Health Standards ..................................................................................................................................... 16,597 17,204 17,204 ∂607 ............................Federal Enforcement ................................................................................................................................................... 182,136 194,000 195,000 ∂12,864 ∂1,000 State Programs ........................................................................................................................................................... 89,502 91,093 91,093 ∂1,591 ............................Technical Support ....................................................................................................................................................... 21,681 22,632 22,632 ∂951 ............................Compliance Assistance: 

Federal Assistance ............................................................................................................................................ 71,390 76,541 71,390 ............................ ¥5,151 State Consultation Grants ................................................................................................................................. 52,425 54,531 52,425 ............................ ¥2,106 Training Grants ................................................................................................................................................. 9,939 ............................ 9,939 ............................ ∂9,939 

Subtotal, Compliance Assistance ................................................................................................................. 133,754 131,072 133,754 ............................ ∂2,682 

Safety and Health Statistics ...................................................................................................................................... 31,522 34,128 34,128 ∂2,606 ............................Executive Direction and Administration ..................................................................................................................... 10,809 11,545 10,809 ............................ ¥736 

Total, OSHA ................................................................................................................................................... 486,001 501,674 504,620 ∂18,619 ∂2,946 
295 

MINE SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Coal Enforcement ....................................................................................................................................................... 150,123 144,982 154,491 ∂4,368 ∂9,509 Metal/Non-Metal Enforcement .................................................................................................................................... 74,420 82,427 82,427 ∂8,007 ............................Standards Development ............................................................................................................................................. 3,180 2,831 2,831 ¥349 ............................Assessments ............................................................................................................................................................... 6,134 5,948 6,134 ............................ ∂186 Educational Policy and Development ......................................................................................................................... 36,239 36,366 38,605 ∂2,366 ∂2,239 Technical Support ....................................................................................................................................................... 29,476 29,117 30,117 ∂641 ∂1,000 Program evaluation and information resources [PEIR] ............................................................................................. 15,936 16,514 16,514 ∂578 ............................Program Administration ............................................................................................................................................. 16,339 13,876 15,776 ¥563 ∂1,900 

Total, Mine Safety and Health Administration ............................................................................................. 331,847 332,061 346,895 ∂15,048 ∂14,834 

BUREAU OF LABOR STATISTICS 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................................................................................... 167,542 183,906 183,906 ∂16,364 ............................Labor Market Information ........................................................................................................................................... 75,721 78,264 82,764 ∂7,043 ∂4,500 Prices and Cost of Living .......................................................................................................................................... 177,986 198,464 198,464 ∂20,478 ............................Compensation and Working Conditions ..................................................................................................................... 82,251 86,281 87,281 ∂5,030 ∂1,000 Productivity and Technology ....................................................................................................................................... 10,870 11,706 11,706 ∂836 ............................Executive Direction and Staff Services ...................................................................................................................... 30,431 34,185 34,185 ∂3,754 ............................

Total, Bureau of Labor Statistics ................................................................................................................. 544,801 592,806 598,306 ∂53,505 ∂5,500 

Federal Funds ...................................................................................................................................... 469,080 514,542 515,542 ∂46,462 ∂1,000 Trust Funds .......................................................................................................................................... 75,721 78,264 82,764 ∂7,043 ∂4,500 

OFFICE OF DISABILITY EMPLOYMENT POLICY 

SALARIES AND EXPENSES ........................................................................................................................................... 26,679 12,441 26,679 ............................ ∂14,238 

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ..................................................................................................................................................... 22,831 29,714 22,831 ............................ ¥6,883 Departmental IT Crosscut .......................................................................................................................................... 19,651 29,846 22,659 ∂3,008 ¥7,187 Departmental Management Crosscut ......................................................................................................................... 491 758 758 ∂267 ............................Legal Services ............................................................................................................................................................ 89,020 100,532 100,532 ∂11,512 ............................

Trust Funds ....................................................................................................................................................... 303 327 327 ∂24 ............................

International Labor Affairs ......................................................................................................................................... 81,074 14,822 86,074 ∂5,000 ∂71,252 Administration and Management ............................................................................................................................... 32,291 34,370 32,291 ............................ ¥2,079 
296 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Adjudication ................................................................................................................................................................ 27,056 30,064 27,056 ............................ ¥3,008 Women’s Bureau ......................................................................................................................................................... 9,660 10,237 10,237 ∂577 ............................Civil Rights Activities ................................................................................................................................................. 6,332 7,038 6,332 ............................ ¥706 Chief Financial Officer ............................................................................................................................................... 5,243 5,775 5,243 ............................ ¥532 

Total, Salaries and expenses ........................................................................................................................ 293,952 263,483 314,340 ∂20,388 ∂50,857 

Federal Funds ...................................................................................................................................... 293,649 263,156 314,013 ∂20,364 ∂50,857 Trust Funds .......................................................................................................................................... 303 327 327 ∂24 ............................

OFFICE OF JOB CORPS 

Administration ............................................................................................................................................................ 28,079 29,374 28,872 ∂793 ¥502 Operations .................................................................................................................................................................. 878,733 834,325 916,684 ∂37,951 ∂82,359 

Advance from prior year .................................................................................................................................... (580,675 ) (591,000 ) (591,000 ) (∂10,325 ) ............................Fiscal year 2010 ................................................................................................................................................ 591,000 591,000 591,000 ............................ ............................

Construction and Renovation ..................................................................................................................................... 12,694 10,000 13,960 ∂1,266 ∂3,960 

Advance from prior year .................................................................................................................................... (98,253 ) (100,000 ) (100,000 ) (∂1,747 ) ............................Fiscal year 2010 ................................................................................................................................................ 100,000 100,000 100,000 ............................ ............................

Total, Job Corps ............................................................................................................................................ 1,610,506 1,564,699 1,650,516 ∂40,010 ∂85,817 

Current Year ......................................................................................................................................... (919,506 ) (873,699 ) (959,516 ) (∂40,010 ) (∂85,817 ) Fiscal year 2010 .................................................................................................................................. (691,000 ) (691,000 ) (691,000 ) ............................ ............................

VETERANS EMPLOYMENT AND TRAINING 

State administration, Grants ..................................................................................................................................... 161,894 168,894 168,894 ∂7,000 ............................Federal Administration ............................................................................................................................................... 33,282 34,625 34,625 ∂1,343 ............................National Veterans Training Institute .......................................................................................................................... 1,949 1,949 1,949 ............................ ............................Homeless Veterans Program ...................................................................................................................................... 23,620 25,620 25,620 ∂2,000 ............................Veterans Workforce Investment Programs ................................................................................................................. 7,351 7,351 7,351 ............................ ............................

Total, Veterans Employment and Training ................................................................................................... 228,096 238,439 238,439 ∂10,343 ............................

Federal Funds ...................................................................................................................................... 30,971 32,971 32,971 ∂2,000 ............................
297 

Trust Funds .......................................................................................................................................... 197,125 205,468 205,468 ∂8,343 ............................

OFFICE OF INSPECTOR GENERAL 

Program Activities ...................................................................................................................................................... 68,848 76,326 76,326 ∂7,478 ............................

Trust Funds ....................................................................................................................................................... 5,542 5,815 5,815 ∂273 ............................

Total, Office of the Inspector General .......................................................................................................... 74,390 82,141 82,141 ∂7,751 ............................

Federal funds ....................................................................................................................................... 68,848 76,326 76,326 ∂7,478 ............................Trust funds .......................................................................................................................................... 5,542 5,815 5,815 ∂273 ............................

Total, Departmental Management ................................................................................................................ 2,206,944 2,148,762 2,285,436 ∂78,492 ∂136,674 

Federal Funds ...................................................................................................................................... 2,003,974 1,937,152 2,073,826 ∂69,852 ∂136,674 

Current Year ................................................................................................................................ (1,312,974 ) (1,246,152 ) (1,382,826 ) (∂69,852 ) (∂136,674 ) Fiscal year 2010 ......................................................................................................................... (691,000 ) (691,000 ) (691,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 202,970 211,610 211,610 ∂8,640 ............................

Total, Title I, Department of Labor ............................................................................................................... 14,608,917 13,451,707 15,263,189 ∂654,272 ∂1,811,482 

Federal Funds ...................................................................................................................................... 11,065,839 10,377,654 11,316,980 ∂251,141 ∂939,326 

Current Year ................................................................................................................................ (8,540,839 ) (7,858,654 ) (8,797,980 ) (∂257,141 ) (∂939,326 ) Fiscal year 2010 ......................................................................................................................... (2,525,000 ) (2,519,000 ) (2,519,000 ) (¥6,000 ) ............................

Trust Funds .......................................................................................................................................... 3,543,078 3,074,053 3,946,209 ∂403,131 ∂872,156 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION 

HEALTH RESOURCES AND SERVICES 

Bureau of Primary Health Care 

Community health centers ......................................................................................................................................... 2,065,022 2,091,792 2,215,022 ∂150,000 ∂123,230 Free Clinics Medical Malpractice ............................................................................................................................... 39 40 39 ............................ ¥1 National Hansen’s Disease Program .......................................................................................................................... 15,693 16,109 16,109 ∂416 ............................

Buildings and Facilities .................................................................................................................................... 157 100 100 ¥57 ............................

Payment to Hawaii, treatment of Hansen’s ............................................................................................................... 1,961 1,976 1,976 ∂15 ............................

Subtotal, Bureau of Primary Health Care .................................................................................................... 2,082,872 2,110,017 2,233,246 ∂150,374 ∂123,229 

Bureau of Health Professions 

National Health Service Corps: 

Field placements ............................................................................................................................................... 39,736 25,729 39,736 ............................ ∂14,007 Recruitment ....................................................................................................................................................... 83,741 95,230 95,230 ∂11,489 ............................
298 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Subtotal, National Health Service Corps ...................................................................................................... 123,477 120,959 134,966 ∂11,489 ∂14,007 

Health Professions 

Health Professions, Training for Diversity: 

Centers of excellence ........................................................................................................................................ 12,773 ............................ 12,773 ............................ ∂12,773 Health careers opportunity program ................................................................................................................. 9,825 ............................ 9,825 ............................ ∂9,825 Faculty loan repayment ..................................................................................................................................... 1,266 ............................ 1,266 ............................ ∂1,266 Scholarships for disadvantaged students ........................................................................................................ 45,842 ............................ 45,842 ............................ ∂45,842 

Subtotal, Training for Diversity .................................................................................................................... 69,706 ............................ 69,706 ............................ ∂69,706 

Training in Primary Care Medicine and Dentistry ..................................................................................................... 47,998 ............................ 48,851 ∂853 ∂48,851 Interdisciplinary Community-Based Linkages: 

Area health education centers .......................................................................................................................... 28,180 ............................ 28,180 ............................ ∂28,180 Allied health and other disciplines ................................................................................................................... 8,803 ............................ 8,803 ............................ ∂8,803 Geriatric programs ............................................................................................................................................ 30,997 ............................ 30,997 ............................ ∂30,997 

Subtotal, Interdisciplinary Community Linkages .......................................................................................... 67,980 ............................ 67,980 ............................ ∂67,980 

Public health, preventive medicine and dental programs ........................................................................................ 8,273 ............................ 9,000 ∂727 ∂9,000 Nursing Programs: 

Advanced Education Nursing ............................................................................................................................ 61,875 ............................ 67,000 ∂5,125 ∂67,000 Nurse education, practice, and retention ......................................................................................................... 36,640 37,291 37,291 ∂651 ............................Nursing workforce diversity ............................................................................................................................... 15,826 16,107 16,107 ∂281 ............................Loan repayment and scholarship program ....................................................................................................... 30,512 43,744 30,512 ............................ ¥13,232 Comprehensive geriatric education ................................................................................................................... 3,333 3,392 5,742 ∂2,409 ∂2,350 Nursing faculty loan program ........................................................................................................................... 7,860 9,319 11,000 ∂3,140 ∂1,681 

Subtotal, Nursing programs ......................................................................................................................... 156,046 109,853 167,652 ∂11,606 ∂57,799 Subtotal, Health Professions ........................................................................................................................ 350,003 109,853 363,189 ∂13,186 ∂253,336 
299 

Children’s Hospitals Graduate Medical Education .................................................................................................... 301,646 ............................ 310,000 ∂8,354 ∂310,000 Patient Navigator ....................................................................................................................................................... 2,948 ............................ 4,000 ∂1,052 ∂4,000 National Practitioner Data Bank ................................................................................................................................ 18,570 18,900 18,900 ∂330 ............................

User Fees ........................................................................................................................................................... ¥18,570 ¥18,900 ¥18,900 ¥330 ............................

Health Care Integrity and Protection Data Bank ....................................................................................................... 3,758 ............................ 3,758 ............................ ∂3,758 

User Fees ........................................................................................................................................................... ¥3,758 ............................ ¥3,758 ............................ ¥3,758 

Subtotal, Bureau of Health Professions ....................................................................................................... 778,074 230,812 812,155 ∂34,081 ∂581,343 

Maternal and Child Health Bureau 

Maternal and Child Health Block Grant .................................................................................................................... 664,268 664,268 664,268 ............................ ............................Sickle cell anemia demonstration program ............................................................................................................... 2,653 2,184 3,500 ∂847 ∂1,316 Traumatic Brain Injury ............................................................................................................................................... 8,754 ............................ 8,754 ............................ ∂8,754 Autism and other developmental disorders ............................................................................................................... 36,354 36,354 42,000 ∂5,646 ∂5,646 Newborn screening ..................................................................................................................................................... 1,887 1,887 1,887 ............................ ............................Congenital disabilities ............................................................................................................................................... ............................ ............................ 1,000 ∂1,000 ∂1,000 Healthy Start .............................................................................................................................................................. 99,744 99,744 99,744 ............................ ............................Universal Newborn Hearing ........................................................................................................................................ 11,790 ............................ 11,790 ............................ ∂11,790 Emergency medical services for children .................................................................................................................. 19,454 ............................ 20,000 ∂546 ∂20,000 

Subtotal, Maternal and Child Health Bureau .............................................................................................. 844,904 804,437 852,943 ∂8,039 ∂48,506 

HIV/AIDS Bureau 

Ryan White AIDS Programs: 

Emergency Assistance ....................................................................................................................................... 627,149 619,424 619,424 ¥7,725 ............................Comprehensive Care Programs ......................................................................................................................... 1,195,248 1,209,487 1,209,487 ∂14,239 ............................

AIDS Drug Assistance Program [ADAP] (NA) ........................................................................................... (794,376 ) (814,546 ) (800,422 ) (∂6,046 ) (¥14,124 ) 

Early Intervention Program ................................................................................................................................ 198,754 198,754 198,754 ............................ ............................Children, Youth, Women, and Families ............................................................................................................. 73,690 73,690 73,690 ............................ ............................AIDS Dental Services ......................................................................................................................................... 12,857 12,857 12,857 ............................ ............................Education and Training Centers ....................................................................................................................... 34,094 28,700 34,094 ............................ ∂5,394 

Subtotal, Ryan White AIDS programs ........................................................................................................... 2,141,792 2,142,912 2,148,306 ∂6,514 ∂5,394 

Evaluation Tap Funding (NA) ............................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

Subtotal, Ryan White AIDs program level .................................................................................................... (2,166,792 ) (2,167,912 ) (2,173,306 ) (∂6,514 ) (∂5,394 ) Subtotal, HIV/AIDS Bureau ............................................................................................................................ 2,141,792 2,142,912 2,148,306 ∂6,514 ∂5,394 
300 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Healthcare Systems Bureau 

Organ Transplantation ............................................................................................................................................... 22,646 23,049 25,049 ∂2,403 ∂2,000 National Cord Blood Inventory ................................................................................................................................... 8,843 11,966 12,000 ∂3,157 ∂34 Bone Marrow Program ................................................................................................................................................ 23,517 22,701 23,517 ............................ ∂816 Office of Pharmacy Affairs ......................................................................................................................................... ............................ ............................ 2,940 ∂2,940 ∂2,940 Poison control ............................................................................................................................................................. 26,528 10,000 26,528 ............................ ∂16,528 

Subtotal, Healthcare systems bureau .......................................................................................................... 81,534 67,716 90,034 ∂8,500 ∂22,318 

Rural Health Programs 

Rural outreach grants ................................................................................................................................................ 48,031 ............................ 51,434 ∂3,403 ∂51,434 Rural Health Research ............................................................................................................................................... 8,584 8,737 9,000 ∂416 ∂263 Rural Hospital Flexibility Grants ................................................................................................................................ 37,865 ............................ 39,200 ∂1,335 ∂39,200 Delta Health Initiative ................................................................................................................................................ 24,563 ............................ 25,000 ∂437 ∂25,000 Rural and community access to emergency devices ................................................................................................ 1,461 ............................ 1,461 ............................ ∂1,461 State Offices of Rural Health .................................................................................................................................... 7,999 8,141 7,999 ............................ ¥142 Black lung clinics ...................................................................................................................................................... 5,788 5,886 7,200 ∂1,412 ∂1,314 Radiation Exposure Screening and Education Program ............................................................................................ 1,884 1,904 2,000 ∂116 ∂96 

Subtotal, Rural health programs .................................................................................................................. 136,175 24,668 143,294 ∂7,119 ∂118,626 

Denali Commission ..................................................................................................................................................... 38,597 ............................ 39,283 ∂686 ∂39,283 Family Planning .......................................................................................................................................................... 299,981 299,981 299,981 ............................ ............................Health care-related facilities and activities .............................................................................................................. 304,475 ............................ 170,597 ¥133,878 ∂170,597 Telehealth ................................................................................................................................................................... 6,700 6,819 8,000 ∂1,300 ∂1,181 Parklawn replacement ................................................................................................................................................ ............................ 36,062 5,000 ∂5,000 ¥31,062 Program management ................................................................................................................................................ 141,087 141,087 141,087 ............................ ............................

Total, Health resources and services ........................................................................................................... 6,856,191 5,864,511 6,943,926 ∂87,735 ∂1,079,415 Total, Health resources & services program level ....................................................................................... (6,881,191 ) (5,889,511 ) (6,968,926 ) (∂87,735 ) (∂1,079,415 ) 

Total, Evaluation tap funding ............................................................................................................. (25,000 ) (25,000 ) (25,000 ) ............................ ............................
301 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 

HEAL Liquidating account .......................................................................................................................................... (1,000 ) (1,000 ) (1,000 ) ............................ ............................HEAL Program management ...................................................................................................................................... 2,847 2,906 2,847 ............................ ¥59 

Total, HEAL .................................................................................................................................................... 2,847 2,906 2,847 ............................ ¥59 

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 

Post-fiscal year 1988 claims ..................................................................................................................................... 119,000 257,424 257,424 ∂138,424 ............................HRSA administration .................................................................................................................................................. 5,404 4,528 7,000 ∂1,596 ∂2,472 

Total, Vaccine Injury Compensation Trust Fund .......................................................................................... 124,404 261,952 264,424 ∂140,020 ∂2,472 Total, Health Resources & Services Administration ..................................................................................... 6,983,442 6,129,369 7,211,197 ∂227,755 ∂1,081,828 Total, HRSA program level ............................................................................................................................ (7,009,442 ) (6,155,369 ) (7,237,197 ) (∂227,755 ) (∂1,081,828 ) 

CENTERS FOR DISEASE CONTROL AND PREVENTION 

DISEASE CONTROL, RESEARCH, AND TRAINING 

Infectious Diseases .................................................................................................................................................... 1,891,742 1,857,183 1,896,742 ∂5,000 ∂39,559 

Evaluation Tap Funding .................................................................................................................................... (12,794 ) (12,794 ) (12,794 ) ............................ ............................

Subtotal, Infectious disease program level .................................................................................................. (1,904,536 ) (1,869,977 ) (1,909,536 ) (∂5,000 ) (∂39,559 ) 

Health Promotion 

Chronic disease prevention, health promotion and genomics .................................................................................. 833,827 805,321 855,661 ∂21,834 ∂50,340 Birth defects, developmental disabilities, disability and health .............................................................................. 127,366 126,752 133,905 ∂6,539 ∂7,153 

Subtotal, Health promotion program level ................................................................................................... 961,193 932,073 989,566 ∂28,373 ∂57,493 

Health Information and Service ................................................................................................................................. 89,867 132,970 284,355 ∂194,488 ∂151,385 

Evaluation Tap Funding .................................................................................................................................... (186,910 ) (151,385 ) ............................ (¥186,910 ) (¥151,385 ) 

Subtotal, Health Information and Service .................................................................................................... (276,777 ) (284,355 ) (284,355 ) (∂7,578 ) ............................

Environmental Health and Injury 

Environmental health ................................................................................................................................................. 154,486 136,606 156,665 ∂2,179 ∂20,059 Injury prevention and control ..................................................................................................................................... 134,837 134,266 136,837 ∂2,000 ∂2,571 

Subtotal, Environmental health and injury .................................................................................................. (289,323 ) (270,872 ) (293,502 ) (∂4,179 ) (∂22,630 ) 

Occupational Safety and health 4 .............................................................................................................................. 230,486 183,573 240,461 ∂9,975 ∂56,888 
302 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Energy employees occupational illness compensation program5 .................................................................... 55,358 55,358 55,358 ............................ ............................World Trade Center (emergency) ....................................................................................................................... 56,500 ............................ ............................ ¥56,500 ............................Evaluation Tap Funding .................................................................................................................................... (94,969 ) (87,480 ) (94,969 ) ............................ (∂7,489 ) 

Subtotal, Program level ................................................................................................................................ (437,313 ) (326,411 ) (390,788 ) (¥46,525 ) (∂64,377 ) 

Global health .............................................................................................................................................................. 302,371 302,025 312,301 ∂9,930 ∂10,276 Terrorism preparedness and response ....................................................................................................................... 1,479,454 1,419,264 1,508,123 ∂28,669 ∂88,859 Public health research ............................................................................................................................................... ............................ ............................ ............................ ............................ ............................

Evaluation Tap Funding .................................................................................................................................... (31,000 ) (31,000 ) (31,000 ) ............................ ............................

Subtotal, Public health research program level .......................................................................................... (31,000 ) (31,000 ) (31,000 ) ............................ ............................

Public health improvement and leadership ............................................................................................................... 224,899 182,143 203,448 ¥21,451 ∂21,305 Preventive health and health services block grant ................................................................................................... 97,270 ............................ 97,270 ............................ ∂97,270 Buildings and facilities .............................................................................................................................................. 55,022 ............................ 150,000 ∂94,978 ∂150,000 Business services ....................................................................................................................................................... 371,847 337,906 337,906 ¥33,941 ............................

Total, Centers for Disease Control ............................................................................................................... 6,105,332 5,673,367 6,369,032 ∂263,700 ∂695,665 

Discretionary ........................................................................................................................................ 6,049,974 5,618,009 6,313,674 ∂263,700 ∂695,665 Evaluation Tap Funding (NA) .............................................................................................................. (325,673 ) (282,659 ) (138,763 ) (¥186,910 ) (¥143,896 ) 

Total, Centers for Disease Control program level ........................................................................................ (6,431,005 ) (5,956,026 ) (6,507,795 ) (∂76,790 ) (∂551,769 ) 

Discretionary ........................................................................................................................................ 6,375,647 5,900,668 6,452,437 ∂76,790 ∂551,769 

NATIONAL INSTITUTES OF HEALTH 

National Cancer Institute ........................................................................................................................................... 4,805,088 4,809,819 4,958,594 ∂153,506 ∂148,775 National Heart, Lung, and Blood Institute ................................................................................................................ 2,922,112 2,924,942 3,006,344 ∂84,232 ∂81,402 National Institute of Dental & Craniofacial Research .............................................................................................. 390,158 390,535 401,405 ∂11,247 ∂10,870 National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK] ............................................................ 1,706,684 1,708,487 1,755,881 ∂49,197 ∂47,394 
303 

Juvenile diabetes (mandatory) .......................................................................................................................... (150,000 ) (150,000 ) (150,000 ) ............................ ............................

Subtotal, NIDDK ............................................................................................................................................ (1,856,684 ) (1,858,487 ) (1,905,881 ) (∂49,197 ) (∂47,394 ) 

National Institute of Neurological Disorders & Stroke .............................................................................................. 1,543,901 1,545,397 1,588,405 ∂44,504 ∂43,008 National Institute of Allergy and Infectious Diseases ............................................................................................... 4,265,896 4,268,778 4,388,828 ∂122,932 ∂120,050 

Global HIV/AIDS Fund Transfer ......................................................................................................................... 294,759 300,000 300,000 ∂5,241 ............................

Subtotal, NIAID .............................................................................................................................................. 4,560,655 4,568,778 4,688,828 ∂128,173 ∂120,050 

National Institute of General Medical Sciences ........................................................................................................ 1,935,808 1,937,690 1,991,609 ∂55,801 ∂53,919 Eunice Kennedy Shriver National Institute of Child Health & Human Development ................................................ 1,254,708 1,255,920 1,290,873 ∂36,165 ∂34,953 National Eye Institute ................................................................................................................................................. 667,116 667,764 687,346 ∂20,230 ∂19,582 National Institute of Environmental Health Sciences ................................................................................................ 642,253 642,875 660,767 ∂18,514 ∂17,892 National Institute on Aging ........................................................................................................................................ 1,047,260 1,048,278 1,077,448 ∂30,188 ∂29,170 National Institute of Arthritis and Musculoskeletal and Skin Diseases ................................................................... 508,586 509,080 523,246 ∂14,660 ∂14,166 National Institute on Deafness and Other Communication Disorders ...................................................................... 394,138 395,047 406,000 ∂11,862 ∂10,953 National Institute of Nursing Research ..................................................................................................................... 137,476 137,609 141,439 ∂3,963 ∂3,830 National Institute on Alcohol Abuse and Alcoholism ................................................................................................ 436,259 436,681 448,834 ∂12,575 ∂12,153 National Institute on Drug Abuse .............................................................................................................................. 1,000,700 1,001,672 1,029,539 ∂28,839 ∂27,867 National Institute of Mental Health ........................................................................................................................... 1,405,476 1,406,841 1,445,987 ∂40,511 ∂39,146 National Human Genome Research Institute ............................................................................................................. 486,779 487,878 501,411 ∂14,632 ∂13,533 National Institute of Biomedical Imaging and Bioengineering ................................................................................. 298,645 300,254 307,254 ∂8,609 ∂7,000 National Center for Research Resources ................................................................................................................... 1,149,446 1,160,473 1,192,576 ∂43,130 ∂32,103 National Center for Complementary and Alternative Medicine ................................................................................. 121,577 121,695 125,082 ∂3,505 ∂3,387 National Center on Minority Health and Health Disparities ...................................................................................... 199,569 199,762 205,322 ∂5,753 ∂5,560 John E. Fogarty International Center ......................................................................................................................... 66,558 66,623 68,476 ∂1,918 ∂1,853 National Library of Medicine ...................................................................................................................................... 320,507 323,046 329,996 ∂9,489 ∂6,950 

Evaluation Tap Funding .................................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Subtotal, NLM ............................................................................................................................................... 328,707 331,246 338,196 ∂9,489 ∂6,950 

Office of the Director ................................................................................................................................................. 1,109,099 1,056,797 1,275,281 ∂166,182 ∂218,484 

Common fund .................................................................................................................................................... (495,608 ) (533,877 ) (568,119 ) (∂72,511 ) (∂34,242 ) 

Buildings and Facilities ............................................................................................................................................. 118,966 125,581 146,581 ∂27,615 ∂21,000 

Total, National Institutes of Health [NIH] .................................................................................................... 29,229,524 29,229,524 30,254,524 ∂1,025,000 ∂1,025,000 

Global HIV/AIDS Fund Transfer ............................................................................................................ ¥294,759 ¥300,000 ¥300,000 ¥5,241 ............................Evaluation Tap Funding ....................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Total, NIH, Program Level ............................................................................................................................. (28,942,965 ) (28,937,724 ) (29,962,724 ) (∂1,019,759 ) (∂1,025,000 ) 
304 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION [SAMHSA] 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 

Mental Health: 

Programs of Regional and National Significance ............................................................................................ 299,279 155,319 311,782 ∂12,503 ∂156,463 Mental Health block grant ................................................................................................................................ 399,735 399,735 399,735 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... (21,039 ) (21,039 ) (21,039 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (420,774 ) (420,774 ) (420,774 ) ............................ ............................

Children’s Mental Health .................................................................................................................................. 102,260 114,486 102,260 ............................ ¥12,226 Grants to States for the Homeless [PATH] ....................................................................................................... 53,313 59,687 59,687 ∂6,374 ............................Protection and Advocacy ................................................................................................................................... 34,880 34,000 35,880 ∂1,000 ∂1,880 

Subtotal, Mental Health ................................................................................................................................ 889,467 763,227 909,344 ∂19,877 ∂146,117 Subtotal, Program level ................................................................................................................................ (910,506 ) (784,266 ) (930,383 ) (∂19,877 ) (∂146,117 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance ............................................................................................ 395,544 325,656 378,988 ¥16,556 ∂53,332 

Evaluation Tap Funding ........................................................................................................................... (4,300 ) (11,192 ) (6,000 ) (∂1,700 ) (¥5,192 ) 

Subtotal, Program level ....................................................................................................................... (399,844 ) (336,848 ) (384,988 ) (¥14,856 ) (∂48,140 ) 

Substance Abuse block grant ........................................................................................................................... 1,679,528 1,699,391 1,699,391 ∂19,863 ............................

Evaluation Tap Funding ........................................................................................................................... (79,200 ) (79,200 ) (79,200 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (1,758,728 ) (1,778,591 ) (1,778,591 ) (∂19,863 ) ............................Subtotal, Substance Abuse Treatment ................................................................................................ 2,075,072 2,025,047 2,078,379 ∂3,307 ∂53,332 Subtotal, Program level ....................................................................................................................... (2,158,572 ) (2,115,439 ) (2,163,579 ) (∂5,007 ) (∂48,140 ) 
305 

Substance Abuse Prevention: Programs of Regional and National Significance ..................................................... 194,120 158,040 191,271 ¥2,849 ∂33,231 Program Management ................................................................................................................................................ 75,381 75,381 77,381 ∂2,000 ∂2,000 

Evaluation Tap funding (NA) ............................................................................................................................ (17,750 ) (21,750 ) (22,750 ) (∂5,000 ) (∂1,000 ) 

Subtotal, Program level ................................................................................................................................ 93,131 97,131 100,131 ∂7,000 ∂3,000 

St. Elizabeth’s Hospital—Environmental remediation .............................................................................................. ............................ 772 772 ∂772 ............................Data evaluation .......................................................................................................................................................... ............................ 2,500 2,500 ∂2,500 ............................

Total, SAMHSA ............................................................................................................................................... 3,234,040 3,024,967 3,259,647 ∂25,607 ∂234,680 

Evaluation Tap funding ....................................................................................................................... (122,289 ) (133,181 ) (128,989 ) (∂6,700 ) (¥4,192 ) 

Total, SAMHSA program level ....................................................................................................................... (3,356,329 ) (3,158,148 ) (3,388,636 ) (∂32,307 ) (∂230,488 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 

HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Federal Funds .................................................................................................................................................... ............................ ............................ 90,598 ∂90,598 ∂90,598 Evaluation Tap funding (NA) ............................................................................................................................ (276,564 ) (267,664 ) (185,966 ) (¥90,598 ) (¥81,698 ) 

Clinical effectiveness research (NA) ........................................................................................................ (30,000 ) (30,000 ) (30,000 ) ............................ ............................Patient safety research (NA) .................................................................................................................... (78,934 ) (76,875 ) (76,875 ) (¥2,059 ) ............................

Subtotal, Program level ....................................................................................................................... (276,564 ) (267,664 ) (276,564 ) ............................ (∂8,900 ) 

Medical Expenditures Panel Surveys: 

Federal Funds .................................................................................................................................................... ............................ ............................ ............................ ............................ ............................Evaluation Tap funding (NA) ............................................................................................................................ (55,300 ) (55,300 ) (55,300 ) ............................ ............................

Subtotal, Medical Expenditures Panel Surveys ............................................................................................ (55,300 ) (55,300 ) (55,300 ) ............................ ............................

Program Support: 

Federal Funds .................................................................................................................................................... ............................ ............................ ............................ ............................ ............................Evaluation Tap funding (NA) ............................................................................................................................ (2,700 ) (2,700 ) (2,700 ) ............................ ............................

Subtotal, Program support ........................................................................................................................... (2,700 ) (2,700 ) (2,700 ) ............................ ............................Total, AHRQ ................................................................................................................................................... ............................ ............................ 90,598 ∂90,598 ∂90,598 

Evaluation Tap funding (NA) ............................................................................................................... (334,564 ) (325,664 ) (243,966 ) (¥90,598 ) (¥81,698 ) 

Total, AHRQ program level ........................................................................................................................... (334,564 ) (325,664 ) (334,564 ) ............................ (∂8,900 ) Total, Public Health Service appropriation ................................................................................................... 45,552,338 44,057,227 47,184,998 ∂1,632,660 ∂3,127,771 
306 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Total, Public Health Service program level .................................................................................................. (46,074,305 ) (44,532,931 ) (47,430,916 ) (∂1,356,611 ) (∂2,897,985 ) 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid current law benefits ................................................................................................................................... 194,058,667 203,558,372 203,558,372 ∂9,499,705 ............................State and local administration .................................................................................................................................. 10,124,800 10,303,098 10,303,098 ∂178,298 ............................Vaccines for Children ................................................................................................................................................. 2,702,206 2,766,230 2,766,230 ∂64,024 ............................

Subtotal, Medicaid program level ................................................................................................................ 206,885,673 216,627,700 216,627,700 ∂9,742,027 ............................

Less funds advanced in prior year ..................................................................................................... ¥65,257,617 ¥67,292,669 ¥67,292,669 ¥2,035,052 ............................

Total, Grants to States for medicaid ........................................................................................................... 141,628,056 149,335,031 149,335,031 ∂7,706,975 ............................

New advance, 1st quarter ................................................................................................................... 67,292,669 71,700,038 71,700,038 ∂4,407,369 ............................

State Children’s Health Insurance program shortfall payment [SCHIP] (emergency) .............................................. ............................ ............................ ............................ ............................ ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental medical insurance ............................................................................................................................... 140,704,000 147,716,000 147,716,000 ∂7,012,000 ............................Hospital insurance for the uninsured ........................................................................................................................ 269,000 351,000 351,000 ∂82,000 ............................Federal uninsured payment ........................................................................................................................................ 237,000 263,000 263,000 ∂26,000 ............................Program management ................................................................................................................................................ 192,000 206,000 206,000 ∂14,000 ............................General revenue for Part D benefit ............................................................................................................................ 46,299,000 44,999,000 44,999,000 ¥1,300,000 ............................General revenue for Part D administration ............................................................................................................... 744,000 547,000 547,000 ¥197,000 ............................HCFAC reimbursement ................................................................................................................................................ ............................ 198,000 198,000 ∂198,000 ............................Quinquennial adjustment ........................................................................................................................................... ............................ 1,028,000 1,028,000 ∂1,028,000 ............................

Subtotal, Payments to Trust Funds, current law ......................................................................................... 188,445,000 195,308,000 195,308,000 ∂6,863,000 ............................

Less funds advanced in prior year ..................................................................................................... ............................ ............................ ............................ ............................ ............................

Total, Payments to Trust Funds, current law ............................................................................................... 188,445,000 195,308,000 195,308,000 ∂6,863,000 ............................
307 

PROGRAM MANAGEMENT 

Research, Demonstration, Evaluation ........................................................................................................................ 31,300 31,300 33,530 ∂2,230 ∂2,230 Medicare Operations ................................................................................................................................................... 2,158,906 2,339,729 2,300,729 ∂141,823 ¥39,000 Revitalization plan ..................................................................................................................................................... ............................ ............................ ............................ ............................ ............................State Survey and Certification ................................................................................................................................... 281,186 293,128 293,128 ∂11,942 ............................High risk insurance pools .......................................................................................................................................... 49,127 ............................ ............................ ¥49,127 ............................Federal Administration ............................................................................................................................................... 631,132 643,187 643,187 ∂12,055 ............................

Total, Program management, Limitation on new BA ................................................................................... 3,151,651 3,307,344 3,270,574 ∂118,923 ¥36,770 

Survey and Certification user fee ........................................................................................................ ............................ (¥35,000 ) ............................ ............................ (∂35,000 ) 

Total, Program management, program level ................................................................................................ (3,151,651 ) (3,272,344 ) (3,270,574 ) (∂118,923 ) (¥1,770 ) 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D drug benefit/medicare advantage [MIP] ........................................................................................................ ............................ 147,038 147,038 ∂147,038 ............................HHS Office of Inspector General ................................................................................................................................ ............................ 18,967 18,967 ∂18,967 ............................Department of Justice ................................................................................................................................................ ............................ 18,967 18,967 ∂18,967 ............................Medicaid/SCHIP .......................................................................................................................................................... ............................ 13,028 13,028 ∂13,028 ............................

Total, Health Care Fraud and Abuse Control ............................................................................................... ............................ 198,000 198,000 ∂198,000 ............................Total, Center for Medicare and Medicaid Services ...................................................................................... 400,517,376 419,848,413 419,811,643 ∂19,294,267 ¥36,770 

Federal funds ....................................................................................................................................... 397,365,725 416,343,069 416,343,069 ∂18,977,344 ............................

Current year ................................................................................................................................ (330,073,056 ) (344,643,031 ) (344,643,031 ) (∂14,569,975 ) ............................New advance, fiscal year 2010 .................................................................................................. (67,292,669 ) (71,700,038 ) (71,700,038 ) (∂4,407,369 ) ............................

Trust Funds .......................................................................................................................................... 3,151,651 3,505,344 3,468,574 ∂316,923 ¥36,770 

ADMINISTRATION FOR CHILDREN AND FAMILIES 

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 

Payments to territories ............................................................................................................................................... 35,000 35,000 35,000 ............................ ............................Repatriation ................................................................................................................................................................ 1,000 1,000 1,000 ............................ ............................

Subtotal, Welfare payments .......................................................................................................................... 36,000 36,000 36,000 ............................ ............................

Child Support Enforcement: 

State and local administration ......................................................................................................................... 3,468,970 3,215,078 3,215,078 ¥253,892 ............................Federal incentive payments .............................................................................................................................. 483,000 498,000 498,000 ∂15,000 ............................Access and visitation ........................................................................................................................................ 10,000 10,000 10,000 ............................ ............................
308 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Subtotal, Child Support Enforcement ........................................................................................................... 3,961,970 3,723,078 3,723,078 ¥238,892 ............................Total, Family support payments program level ............................................................................................ 3,997,970 3,759,078 3,759,078 ¥238,892 ............................

Less funds advanced in previous years .............................................................................................. ¥1,000,000 ¥1,000,000 ¥1,000,000 ............................ ............................

Total, Family support payments, current year ............................................................................................. 2,997,970 2,759,078 2,759,078 ¥238,892 ............................

New advance, 1st quarter, fiscal year 2010 ...................................................................................... 1,000,000 1,000,000 1,000,000 ............................ ............................

LOW-INCOME HOME ENERGY ASSISTANCE [LIHEAP] 

Formula grants ........................................................................................................................................................... 1,980,000 1,700,000 1,980,000 ............................ ∂280,000 Contingency fund ....................................................................................................................................................... 340,328 300,000 590,328 ∂250,000 ∂290,328 Emergency allocation ................................................................................................................................................. 250,000 ............................ ............................ ¥250,000 ............................

Total, LIHEAP ................................................................................................................................................. 2,570,328 2,000,000 2,570,328 ............................ ∂570,328 

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ............................................................................................................................. 296,057 287,000 287,000 ¥9,057 ............................Victims of Trafficking ................................................................................................................................................. 9,814 9,814 9,814 ............................ ............................Social Services ........................................................................................................................................................... 154,005 154,005 154,005 ............................ ............................Preventive Health ....................................................................................................................................................... 4,748 4,748 4,748 ............................ ............................Targeted Assistance ................................................................................................................................................... 48,590 48,590 48,590 ............................ ............................Unaccompanied minors .............................................................................................................................................. 132,600 114,070 120,070 ¥12,530 ∂6,000 Victims of Torture ....................................................................................................................................................... 9,817 9,817 10,817 ∂1,000 ∂1,000 

Total, Refugee and entrant assistance ........................................................................................................ 655,631 628,044 635,044 ¥20,587 ∂7,000 

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT 

Child Care and Development Block Grant ................................................................................................................. 2,062,081 2,062,081 2,137,081 ∂75,000 ∂75,000 

Total, Child Care and Development Block Grant ......................................................................................... 2,062,081 2,062,081 2,137,081 ∂75,000 ∂75,000 
309 

SOCIAL SERVICES BLOCK GRANT (TITLE XX) ............................................................................................................. 1,700,000 1,700,000 1,700,000 ............................ ............................

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth and Families: 

Head Start, current funded ............................................................................................................................... 5,489,176 5,637,771 5,715,771 ∂226,595 ∂78,000 

Advance from prior year ........................................................................................................................... (1,388,800 ) (1,388,800 ) (1,388,800 ) ............................ ............................Fiscal year 2010 ....................................................................................................................................... 1,388,800 1,388,800 1,388,800 ............................ ............................

Subtotal, Head Start, program level ................................................................................................... 6,877,976 7,026,571 7,104,571 ∂226,595 ∂78,000 

Consolidated Runaway, Homeless Youth Program ........................................................................................... 96,128 96,128 96,128 ............................ ............................Prevention grants to reduce abuse of runaway youth ..................................................................................... 17,221 17,221 17,221 ............................ ............................Child Abuse State Grants ................................................................................................................................. 26,535 26,535 26,535 ............................ ............................Child Abuse Discretionary Activities ................................................................................................................. 27,135 27,135 27,575 ∂440 ∂440 Home Visitation Initiative .................................................................................................................................. 10,000 10,000 12,000 ∂2,000 ∂2,000 Community based child abuse prevention ....................................................................................................... 41,689 41,689 41,689 ............................ ............................Abandoned Infants Assistance .......................................................................................................................... 11,628 11,628 11,628 ............................ ............................Child Welfare Services ...................................................................................................................................... 281,744 281,744 281,744 ............................ ............................Child Welfare Training ...................................................................................................................................... 7,207 7,207 7,207 ............................ ............................Adoption Opportunities ...................................................................................................................................... 26,379 26,379 26,379 ............................ ............................Adoption Incentive ............................................................................................................................................. 4,323 19,674 15,000 ∂10,677 ¥4,674 Adoption Awareness .......................................................................................................................................... 12,453 12,453 12,453 ............................ ............................Compassion Capital Fund ................................................................................................................................. 52,688 75,000 42,688 ¥10,000 ¥32,312 

Social Services and Income Maintenance Research ................................................................................................. 15,194 ............................ 6,575 ¥8,619 ∂6,575 

Evaluation tap funding ..................................................................................................................................... (6,000 ) (5,762 ) (5,762 ) (¥238 ) ............................

Subtotal, Program level ................................................................................................................................ (21,194 ) (5,762 ) (12,337 ) (¥8,857 ) (∂6,575 ) 

Developmental Disabilities Programs: 

State Councils ................................................................................................................................................... 72,482 72,482 74,482 ∂2,000 ∂2,000 Protection and Advocacy ................................................................................................................................... 39,024 39,024 40,024 ∂1,000 ∂1,000 Voting access for individuals with disabilities ................................................................................................ 17,410 17,410 17,410 ............................ ............................Developmental Disabilities Projects of National Significance .......................................................................... 14,162 14,162 14,162 ............................ ............................University Centers for Excellence in Developmental Disabilities ..................................................................... 36,943 36,943 38,943 ∂2,000 ∂2,000 

Subtotal, Developmental disabilities programs ........................................................................................... 180,021 180,021 185,021 ∂5,000 ∂5,000 

Native American Programs ......................................................................................................................................... 45,523 45,523 45,523 ............................ ............................Community Services: 

Community Services Block Grant Act programs: 

Grants to States for Community Services ............................................................................................... 653,800 ............................ 653,800 ............................ ∂653,800 
310 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Economic Development ............................................................................................................................. 31,467 ............................ 31,467 ............................ ∂31,467 Rural Community Facilities ...................................................................................................................... 7,860 ............................ 8,500 ∂640 ∂8,500 

Subtotal, Community Services Block Grant ......................................................................................... 693,127 ............................ 693,767 ∂640 ∂693,767 

Job Opportunities for Low-Income Individuals ......................................................................................... 5,288 ............................ 5,288 ............................ ∂5,288 Individual Development Account Initiative .............................................................................................. 24,025 24,025 24,025 ............................ ............................

Subtotal, Community Services ............................................................................................................. 722,440 24,025 723,080 ∂640 ∂699,055 

Domestic Violence Hotline .......................................................................................................................................... 2,918 2,918 3,500 ∂582 ∂582 Family Violence/Battered Women’s Shelters .............................................................................................................. 122,552 122,552 125,000 ∂2,448 ∂2,448 Mentoring Children of Prisoners ................................................................................................................................ 48,628 50,000 48,628 ............................ ¥1,372 Independent Living Training Vouchers ....................................................................................................................... 45,351 45,351 45,351 ............................ ............................Abstinence Education ................................................................................................................................................. 108,900 136,664 80,417 ¥28,483 ¥56,247 

Evaluation Tap Funding .................................................................................................................................... (4,500 ) (4,410 ) (4,410 ) (¥90 ) ............................

Subtotal, Program level ................................................................................................................................ (113,400 ) (141,074 ) (84,827 ) (¥28,573 ) (¥56,247 ) 

Faith-Based Center .................................................................................................................................................... 1,362 1,362 1,362 ............................ ............................Disaster human services case management ............................................................................................................. ............................ 10,000 ............................ ............................ ¥10,000 Program Direction ....................................................................................................................................................... 184,496 195,430 196,930 ∂12,434 ∂1,500 

Total, Children and Families Services Programs ......................................................................................... 8,970,491 8,493,210 9,184,205 ∂213,714 ∂690,995 

Current Year ......................................................................................................................................... (7,581,691 ) (7,104,410 ) (7,795,405 ) (∂213,714 ) (∂690,995 ) Fiscal year 2010 .................................................................................................................................. (1,388,800 ) (1,388,800 ) (1,388,800 ) ............................ ............................Evaluation Tap funding ....................................................................................................................... (10,500 ) (10,172 ) (10,172 ) (¥328 ) ............................

Total, Program level ...................................................................................................................................... 8,980,991 8,503,382 9,194,377 ∂213,386 ∂690,995 

PROMOTING SAFE AND STABLE FAMILIES .................................................................................................................. 345,000 345,000 345,000 ............................ ............................

Discretionary Funds ........................................................................................................................................... 63,311 63,311 73,311 ∂10,000 ∂10,000 
311 

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE 

Foster Care ................................................................................................................................................................. 4,581,000 4,449,000 4,449,000 ¥132,000 ............................Adoption Assistance ................................................................................................................................................... 2,156,000 2,283,000 2,283,000 ∂127,000 ............................Independent living ...................................................................................................................................................... 140,000 140,000 140,000 ............................ ............................

Total, Payments to States ............................................................................................................................ 6,877,000 6,872,000 6,872,000 ¥5,000 ............................

Less Advances from Prior Year ........................................................................................................... ¥1,810,000 ¥1,776,000 ¥1,776,000 ∂34,000 ............................

Total, payments, current year ..................................................................................................... 5,067,000 5,096,000 5,096,000 ∂29,000 ............................

New Advance, 1st quarter ................................................................................................. 1,776,000 1,800,000 1,800,000 ∂24,000 ............................

Total, Administration for Children & Families ............................................................................................. 27,207,812 25,946,724 27,300,047 ∂92,235 ∂1,353,323 

Current year ......................................................................................................................................... (23,043,012 ) (21,757,924 ) (23,111,247 ) (∂68,235 ) (∂1,353,323 ) Fiscal year 2010 .................................................................................................................................. (4,164,800 ) (4,188,800 ) (4,188,800 ) (∂24,000 ) ............................Evaluation Tap funding ....................................................................................................................... (10,500 ) (10,172 ) (10,172 ) (¥328 ) ............................

Total, Administration for Children & Families ............................................................................................. 27,218,312 25,956,896 27,310,219 ∂91,907 ∂1,353,323 

ADMINISTRATION ON AGING 

AGING SERVICES PROGRAMS 

Grants to States: 

Supportive Services and Centers ...................................................................................................................... 351,348 351,348 361,348 ∂10,000 ∂10,000 Preventive Health .............................................................................................................................................. 21,026 ............................ 21,026 ............................ ∂21,026 Protection of Vulnerable Older Americans—Title VII ....................................................................................... 20,633 20,633 22,133 ∂1,500 ∂1,500 Family Caregivers .............................................................................................................................................. 153,439 153,439 155,000 ∂1,561 ∂1,561 Native American Caregivers Support ................................................................................................................ 6,316 6,316 6,316 ............................ ............................

Subtotal, Caregivers ................................................................................................................................. 159,755 159,755 161,316 ∂1,561 ∂1,561 

Nutrition: 

Congregate Meals ..................................................................................................................................... 410,716 410,716 434,269 ∂23,553 ∂23,553 Home Delivered Meals .............................................................................................................................. 193,858 193,858 205,005 ∂11,147 ∂11,147 Nutrition Services Incentive Program ....................................................................................................... 153,429 153,429 162,207 ∂8,778 ∂8,778 

Subtotal, Nutrition ............................................................................................................................... 758,003 758,003 801,481 ∂43,478 ∂43,478 Subtotal, Grants to States ................................................................................................................... 1,310,765 1,289,739 1,367,304 ∂56,539 ∂77,565 

Grants for Native Americans ...................................................................................................................................... 26,898 26,898 26,898 ............................ ............................Program Innovations .................................................................................................................................................. 14,655 32,918 10,102 ¥4,553 ¥22,816 Aging Network Support Activities ............................................................................................................................... 31,589 13,133 43,692 ∂12,103 ∂30,559 
312 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Alzheimer’s Disease Demonstrations ......................................................................................................................... 11,464 ............................ 11,464 ............................ ∂11,464 Program Administration ............................................................................................................................................. 18,064 18,696 18,696 ∂632 ............................

Total, Administration on Aging ..................................................................................................................... 1,413,435 1,381,384 1,478,156 ∂64,721 ∂96,772 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT 

General Departmental Management: 

Federal Funds .................................................................................................................................................... 173,952 182,743 179,992 ∂6,040 ¥2,751 Trust Funds ....................................................................................................................................................... 5,691 5,851 5,851 ∂160 ............................

Subtotal ......................................................................................................................................................... 179,643 188,594 185,843 ∂6,200 ¥2,751 

Adolescent Family Life (Title XX) ............................................................................................................................... 29,778 30,307 29,778 ............................ ¥529 Minority health ........................................................................................................................................................... 48,738 42,686 49,988 ∂1,250 ∂7,302 Office of Women’s Health .......................................................................................................................................... 31,033 28,458 31,033 ............................ ∂2,575 Minority HIV/AIDS ........................................................................................................................................................ 50,984 51,891 50,984 ............................ ¥907 Afghanistan ................................................................................................................................................................ 5,789 5,789 5,789 ............................ ............................Transformation of the Commissioned Corps ............................................................................................................. 4,119 30,159 10,000 ∂5,881 ¥20,159 Embryo adoption awareness campaign ..................................................................................................................... 3,930 1,980 4,200 ∂270 ∂2,220 Evaluation tap funding [ASPE] (NA) .......................................................................................................................... (46,756 ) (46,756 ) (46,756 ) ............................ ............................

Total, General Departmental Management ................................................................................................... 354,014 379,864 367,615 ∂13,601 ¥12,249 

Federal Funds ...................................................................................................................................... (348,323 ) (374,013 ) (361,764 ) (∂13,441 ) (¥12,249 ) Trust Funds .......................................................................................................................................... 5,691 5,851 5,851 ∂160 ............................Evaluation tap funding ........................................................................................................................ (46,756 ) (46,756 ) (46,756 ) ............................ ............................

OFFICE OF MEDICARE HEARINGS AND APPEALS ........................................................................................................ 63,864 65,344 63,864 ............................ ¥1,480 OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY ................................................ 41,661 18,151 60,561 ∂18,900 ∂42,410 

Evaluation tap funding ..................................................................................................................................... (18,900 ) (48,000 ) ............................ (¥18,900 ) (¥48,000 ) 
313 

Total, Health Information Tech. program level ............................................................................................ (60,561 ) (66,151 ) (60,561 ) ............................ (¥5,590 ) 

OFFICE OF INSPECTOR GENERAL 

Inspector General Federal Funds ............................................................................................................................... 43,231 46,058 46,058 ∂2,827 ............................

HIPAA funding (NA) ........................................................................................................................................... (169,736 ) (193,965 ) (193,965 ) (∂24,229 ) ............................

Medicaid integrity program: Deficit Reduction Act (Public Law 109–171) (NA) ...................................................... (25,000 ) (25,000 ) (25,000 ) ............................ ............................

Total, Inspector General program level ........................................................................................................ (237,967 ) (265,023 ) (265,023 ) (∂27,056 ) ............................

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................................................................................... 31,075 36,785 36,785 ∂5,710 ............................Trust Funds ....................................................................................................................................................... 3,224 3,314 3,314 ∂90 ............................

Total, Office for Civil Rights ........................................................................................................................ 34,299 40,099 40,099 ∂5,800 ............................

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS 

Retirement payments ................................................................................................................................................. 311,904 339,352 339,352 ∂27,448 ............................Survivors benefits ....................................................................................................................................................... 18,725 19,474 19,474 ∂749 ............................Dependents’ medical care .......................................................................................................................................... 66,549 75,868 75,868 ∂9,319 ............................

Total, Medical benefits for Commissioned Officers ..................................................................................... 397,178 434,694 434,694 ∂37,516 ............................

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 

Assistant Secretary for Preparedness and Response 

Operations/preparedness and emergency operations ................................................................................................ 27,536 49,207 27,536 ............................ ¥21,671 National disaster medical system ............................................................................................................................. 45,999 53,000 45,999 ............................ ¥7,001 Hospital Preparedness Grants .................................................................................................................................... 423,399 361,660 361,660 ¥61,739 ............................Advanced research and development ........................................................................................................................ 101,544 275,000 175,000 ∂73,456 ¥100,000 Bioshield management ............................................................................................................................................... 21,243 22,360 21,743 ∂500 ¥617 International early warning surveillance ................................................................................................................... 8,690 9,030 8,690 ............................ ¥340 Policy, strategic planning, and communications ...................................................................................................... 4,292 5,330 4,292 ............................ ¥1,038 

Subtotal, AS for Preparedness and Response .............................................................................................. 632,703 775,587 644,920 ∂12,217 ¥130,667 

Assistant Secretary for Resources and Technology ................................................................................................... 8,906 11,980 8,906 ............................ ¥3,074 Office of Public Health and Science .......................................................................................................................... 9,578 15,110 9,578 ............................ ¥5,532 

Office of the Secretary 

Pandemic influenza preparedness ............................................................................................................................. 74,809 585,091 585,091 ∂510,282 ............................All other Office of the Secretary activities ................................................................................................................ 3,263 8,063 3,263 ............................ ¥4,800 
314 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Subtotal, Office of the Secretary .................................................................................................................. 78,072 593,154 588,354 ∂510,282 ¥4,800 Total, PHSSEF ................................................................................................................................................ 729,259 1,395,831 1,251,758 ∂522,499 ¥144,073 Total, Office of the Secretary ....................................................................................................................... 1,663,506 2,380,041 2,264,649 ∂601,143 ¥115,392 

Federal Funds ...................................................................................................................................... 1,590,727 2,305,532 2,191,620 ∂600,893 ¥113,912 Trust Funds .......................................................................................................................................... 72,779 74,509 73,029 ∂250 ¥1,480 

Total, Title II, Dept of Health & Human Services ........................................................................................ 476,354,467 493,613,789 498,039,493 ∂21,685,026 ∂4,425,704 

Federal Funds ...................................................................................................................................... 473,130,037 490,033,936 494,497,890 ∂21,367,853 ∂4,463,954 

Current year ................................................................................................................................ (401,672,568 ) (414,145,098 ) (418,609,052 ) (∂16,936,484 ) (∂4,463,954 ) 

Emergency appropriations ................................................................................................. (306,500 ) ............................ ............................ (¥306,500 ) ............................

Fiscal year 2010 ......................................................................................................................... (71,457,469 ) (75,888,838 ) (75,888,838 ) (∂4,431,369 ) ............................

Trust Funds .......................................................................................................................................... 3,224,430 3,579,853 3,541,603 ∂317,173 ¥38,250 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies (LEAs): 

Basic Grants: 

Advance from prior year ........................................................................................................................... (1,353,584 ) (633,827 ) (633,827 ) (¥719,757 ) ............................Forward funded ........................................................................................................................................ 5,960,189 5,960,119 5,632,145 ¥328,044 ¥327,974 Current funded ......................................................................................................................................... 3,930 4,000 4,000 ∂70 ............................

Subtotal, Basic grants current year appropriations ........................................................................... 5,964,119 5,964,119 5,636,145 ¥327,974 ¥327,974 

Subtotal, Basic grants total funds available ............................................................................ (7,317,703 ) (6,597,946 ) (6,269,972 ) (¥1,047,731 ) (¥327,974 ) 

Basic Grants fiscal year 2010 Advance ........................................................................................................... 633,827 633,827 961,801 ∂327,974 ∂327,974 

Subtotal, Basic grants, program level ......................................................................................................... 6,597,946 6,597,946 6,597,946 ............................ ............................
315 

Concentration Grants: 

Advance from prior year ........................................................................................................................... (1,365,031 ) (1,365,031 ) (1,365,031 ) ............................ ............................Fiscal year 2010 Advance ........................................................................................................................ 1,365,031 1,365,031 1,365,031 ............................ ............................

Subtotal, Concentration Grants program level .................................................................................... 1,365,031 1,365,031 1,365,031 ............................ ............................

Targeted Grants: 

Forward funded ........................................................................................................................................ ............................ 406,026 ............................ ............................ ¥406,026 Advance from prior year ........................................................................................................................... (2,332,343 ) (2,967,949 ) (2,967,949 ) (∂635,606 ) ............................Fiscal year 2010 Advance ........................................................................................................................ 2,967,949 2,967,949 3,283,462 ∂315,513 ∂315,513 

Subtotal, Targeted Grants program level ............................................................................................ 2,967,949 3,373,975 3,283,462 ∂315,513 ¥90,513 

Education Finance Incentive Grants: 

Advance from prior year ........................................................................................................................... (2,332,343 ) (2,967,949 ) (2,967,949 ) (∂635,606 ) ............................Fiscal year 2010 Advance ........................................................................................................................ 2,967,949 2,967,949 3,283,462 ∂315,513 ∂315,513 

Subtotal, Education Finance Incentive Grants .................................................................................... 2,967,949 2,967,949 3,283,462 ∂315,513 ∂315,513 Subtotal, Grants to LEAs, program level ............................................................................................. 13,898,875 14,304,901 14,529,901 ∂631,026 ∂225,000 

Even Start ................................................................................................................................................................... 66,454 ............................ 66,454 ............................ ∂66,454 School improvement grants ....................................................................................................................................... 491,265 491,265 491,265 ............................ ............................Reading First State Grants ........................................................................................................................................ 393,012 1,000,000 ............................ ¥393,012 ¥1,000,000 Early Reading First ..................................................................................................................................................... 112,549 112,549 112,549 ............................ ............................Striving readers 6 ........................................................................................................................................................ 35,371 100,000 35,371 ............................ ¥64,629 Math Now ................................................................................................................................................................... ............................ 95,000 ............................ ............................ ¥95,000 Literacy through School Libraries .............................................................................................................................. 19,145 19,145 19,145 ............................ ............................Pell grants for Kids .................................................................................................................................................... ............................ 300,000 ............................ ............................ ¥300,000 State Agency Programs: 

Migrant .............................................................................................................................................................. 379,771 399,771 389,771 ∂10,000 ¥10,000 Neglected and Delinquent/High Risk Youth ...................................................................................................... 48,927 51,927 48,927 ............................ ¥3,000 

Subtotal, State Agency programs ................................................................................................................. 428,698 451,698 438,698 ∂10,000 ¥13,000 

Evaluation ................................................................................................................................................................... 9,167 9,167 9,167 ............................ ............................Comprehensive School Reform Demonstration .......................................................................................................... 1,605 ............................ ............................ ¥1,605 ............................Migrant Education: 

High School Equivalency Program .................................................................................................................... 18,226 18,226 18,226 ............................ ............................College Assistance Migrant Program ................................................................................................................ 15,108 15,108 15,108 ............................ ............................
316 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Subtotal, Migrant Education ......................................................................................................................... 33,334 33,334 33,334 ............................ ............................Total, Education for the disadvantaged ....................................................................................................... 15,489,475 16,917,059 15,735,884 ∂246,409 ¥1,181,175 

Current Year ......................................................................................................................................... (7,554,719 ) (8,982,303 ) (6,842,128 ) (¥712,591 ) (¥2,140,175 ) Fiscal year 2010 .................................................................................................................................. (7,934,756 ) (7,934,756 ) (8,893,756 ) (∂959,000 ) (∂959,000 ) 

Subtotal, forward funded ............................................................................................................ (7,376,594 ) (8,409,108 ) (6,663,933 ) (¥712,661 ) (¥1,745,175 ) 

IMPACT AID 

Basic Support Payments ............................................................................................................................................ 1,105,535 1,105,535 1,105,535 ............................ ............................Payments for Children with Disabilities .................................................................................................................... 48,602 48,602 48,602 ............................ ............................Facilities Maintenance (sec. 8008) ............................................................................................................................ 4,864 4,864 4,864 ............................ ............................Construction (sec. 8007) ............................................................................................................................................ 17,509 17,509 17,509 ............................ ............................Payments for Federal Property (sec. 8002) ............................................................................................................... 64,208 64,208 64,208 ............................ ............................

Total, Impact aid .......................................................................................................................................... 1,240,718 1,240,718 1,240,718 ............................ ............................

SCHOOL IMPROVEMENT PROGRAMS 

State Grants for Improving Teacher Quality .............................................................................................................. 1,500,249 1,400,248 1,500,249 ............................ ∂100,001 

Advance from prior year .................................................................................................................................... (1,435,000 ) (1,435,000 ) (1,435,000 ) ............................ ............................Fiscal year 2010 ................................................................................................................................................ 1,435,000 1,435,000 1,435,000 ............................ ............................

Subtotal, State Grants for Improving Teacher Quality, program level ........................................................ 2,935,249 2,835,248 2,935,249 ............................ ∂100,001 

Mathematics and Science Partnerships .................................................................................................................... 178,978 178,978 178,978 ............................ ............................Educational Technology State Grants ........................................................................................................................ 267,494 ............................ 267,494 ............................ ∂267,494 Supplemental Education Grants ................................................................................................................................ 17,687 17,687 17,687 ............................ ............................21st Century Community Learning Centers ............................................................................................................... 1,081,166 800,000 1,081,166 ............................ ∂281,166 State Assessments/Enhanced Assessment Instruments ............................................................................................ 408,732 408,732 410,732 ∂2,000 ∂2,000 Javits gifted and talented education ......................................................................................................................... 7,463 ............................ 7,463 ............................ ∂7,463 Foreign language assistance ..................................................................................................................................... 25,655 25,655 27,000 ∂1,345 ∂1,345 Education for Homeless Children and Youth ............................................................................................................. 64,067 64,067 64,067 ............................ ............................
317 

Training and Advisory Services (Civil Rights) ........................................................................................................... 6,989 6,989 6,989 ............................ ............................Education for Native Hawaiians ................................................................................................................................ 33,315 ............................ 33,315 ............................ ∂33,315 Alaska Native Education Equity ................................................................................................................................. 33,315 ............................ 33,315 ............................ ∂33,315 Rural Education .......................................................................................................................................................... 171,854 171,854 171,854 ............................ ............................Comprehensive Centers .............................................................................................................................................. 57,113 57,113 57,113 ............................ ............................

Total, School improvement programs ........................................................................................................... 5,289,077 4,566,323 5,292,422 ∂3,345 ∂726,099 

Current Year ......................................................................................................................................... (3,854,077 ) (3,131,323 ) (3,857,422 ) (∂3,345 ) (∂726,099 ) Fiscal year 2010 .................................................................................................................................. (1,435,000 ) (1,435,000 ) (1,435,000 ) ............................ ............................

Subtotal, forward funded .............................................................................................................................. (3,672,540 ) (3,023,879 ) (3,674,540 ) (∂2,000 ) (∂650,661 ) 

INDIAN EDUCATION 

Grants to Local Educational Agencies ....................................................................................................................... 96,613 96,613 96,613 ............................ ............................Federal Programs: 

Special Programs for Indian Children .............................................................................................................. 19,060 19,060 19,060 ............................ ............................National Activities ............................................................................................................................................. 3,891 3,891 3,891 ............................ ............................

Subtotal, Federal Programs .......................................................................................................................... 22,951 22,951 22,951 ............................ ............................Total, Indian Education ................................................................................................................................ 119,564 119,564 119,564 ............................ ............................

INNOVATION AND IMPROVEMENT 

Troops-to-Teachers ..................................................................................................................................................... 14,389 14,389 14,389 ............................ ............................Transition to Teaching ............................................................................................................................................... 43,707 43,707 43,707 ............................ ............................Writing instruction ...................................................................................................................................................... 23,581 ............................ 23,581 ............................ ∂23,581 Teaching of Traditional American History .................................................................................................................. 117,904 50,000 120,000 ∂2,096 ∂70,000 School Leadership ...................................................................................................................................................... 14,474 ............................ 19,220 ∂4,746 ∂19,220 Advanced Credentialing ............................................................................................................................................. 9,649 ............................ 10,649 ∂1,000 ∂10,649 Adjunct Teacher Corps ............................................................................................................................................... ............................ 10,000 ............................ ............................ ¥10,000 Charter Schools Grants .............................................................................................................................................. 211,031 236,031 216,031 ∂5,000 ¥20,000 Credit Enhancement for Charter School Facilities .................................................................................................... ............................ 36,611 ............................ ............................ ¥36,611 Voluntary Public School Choice .................................................................................................................................. 25,819 25,819 25,819 ............................ ............................Magnet Schools Assistance ........................................................................................................................................ 104,829 104,829 104,829 ............................ ............................Fund for the Improvement of Education [FIE] ........................................................................................................... 253,551 52,300 196,337 ¥57,214 ∂144,037 Teacher Incentive Fund Current funded .................................................................................................................... 97,270 200,000 97,270 ............................ ¥102,730 Ready-to-Learn television ........................................................................................................................................... 23,831 23,831 27,000 ∂3,169 ∂3,169 Congressional Fellowships ......................................................................................................................................... 1,942 ............................ 1,942 ............................ ∂1,942 Advanced Placement & International Baccalaureate program ................................................................................. ............................ 70,000 43,540 ∂43,540 ¥26,460 Advanced Placement .................................................................................................................................................. 43,540 ............................ ............................ ¥43,540 ............................
318 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Total, Innovation and Improvement .............................................................................................................. 985,517 867,517 944,314 ¥41,203 ∂76,797 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and Drug Free Schools and Communities: 

State Grants, forward funded ........................................................................................................................... 294,759 100,000 294,759 ............................ ∂194,759 

National Programs ...................................................................................................................................................... 137,664 181,963 128,164 ¥9,500 ¥53,799 Alcohol Abuse Reduction ............................................................................................................................................ 32,423 ............................ 33,000 ∂577 ∂33,000 Mentoring Programs ................................................................................................................................................... 48,544 ............................ 48,544 ............................ ∂48,544 Character education ................................................................................................................................................... 23,824 ............................ ............................ ¥23,824 ............................Elementary and Secondary School Counseling .......................................................................................................... 48,617 ............................ 52,000 ∂3,383 ∂52,000 Carol M. White Physical Education Program ............................................................................................................. 75,655 ............................ 78,000 ∂2,345 ∂78,000 Civic Education .......................................................................................................................................................... 31,917 ............................ 31,917 ............................ ∂31,917 

Total, Safe Schools and Citizenship Education ........................................................................................... 693,403 281,963 666,384 ¥27,019 ∂384,421 

Current Year ......................................................................................................................................... (693,403 ) (281,963 ) (666,384 ) (¥27,019 ) (∂384,421 ) 

Subtotal, Forward funded ............................................................................................................................. (294,759 ) (100,000 ) (294,759 ) ............................ (∂194,759 ) 

ENGLISH LANGUAGE ACQUISITION 

Current funded ........................................................................................................................................................... 45,003 ............................ ............................ ¥45,003 ............................Forward funded .......................................................................................................................................................... 655,392 730,000 730,000 ∂74,608 ............................

Total, English Language Acquisition ............................................................................................................ 700,395 730,000 730,000 ∂29,605 ............................

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................................................................................... 4,091,067 3,637,067 3,777,067 ¥314,000 ∂140,000 

Part B advance from prior year ............................................................................................................... (5,424,200 ) (6,856,444 ) (6,856,444 ) (∂1,432,244 ) ............................

Grants to States Part B (fiscal year 2010) ...................................................................................................... 6,856,444 7,647,444 7,647,444 ∂791,000 ............................

Subtotal, Grants to States, program level ................................................................................................... 10,947,511 11,284,511 11,424,511 ∂477,000 ∂140,000 
319 

Preschool Grants ............................................................................................................................................... 374,099 374,099 374,099 ............................ ............................Grants for Infants and Families ....................................................................................................................... 435,654 435,654 443,200 ∂7,546 ∂7,546 

Subtotal, State grants, program level .......................................................................................................... 11,757,264 12,094,264 12,241,810 ∂484,546 ∂147,546 

IDEA National Activities (current funded): 

State personnel development ............................................................................................................................ 22,598 48,000 48,000 ∂25,402 ............................Technical Assistance and Dissemination ......................................................................................................... 48,049 48,049 49,049 ∂1,000 ∂1,000 Personnel Preparation ....................................................................................................................................... 88,153 88,153 93,153 ∂5,000 ∂5,000 Parent Information Centers ............................................................................................................................... 26,528 26,528 27,528 ∂1,000 ∂1,000 Technology and Media Services ........................................................................................................................ 39,301 30,949 40,301 ∂1,000 ∂9,352 

Subtotal, IDEA special programs .................................................................................................................. 224,629 241,679 258,031 ∂33,402 ∂16,352 

Special Olympics ........................................................................................................................................................ 11,790 ............................ 11,790 ............................ ∂11,790 

Total, Special education ............................................................................................................................... 11,993,683 12,335,943 12,511,631 ∂517,948 ∂175,688 

Current Year ......................................................................................................................................... (5,137,239 ) (4,688,499 ) (4,864,187 ) (¥273,052 ) (∂175,688 ) Fiscal year 2010 .................................................................................................................................. (6,856,444 ) (7,647,444 ) (7,647,444 ) (∂791,000 ) ............................

Subtotal, Forward funded ............................................................................................................................. (4,900,820 ) (4,446,820 ) (4,594,366 ) (¥306,454 ) (∂147,546 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ..................................................................................................................... 2,874,043 2,974,635 2,974,635 ∂100,592 ............................Client Assistance State grants .................................................................................................................................. 11,576 11,576 11,576 ............................ ............................Training ...................................................................................................................................................................... 37,766 37,766 37,766 ............................ ............................Demonstration and training programs ...................................................................................................................... 10,151 8,826 8,901 ¥1,250 ∂75 Migrant and seasonal farmworkers ........................................................................................................................... 2,239 ............................ 2,239 ............................ ∂2,239 Recreational programs ............................................................................................................................................... 2,474 ............................ 2,474 ............................ ∂2,474 Protection and advocacy of individual rights [PAIR] ................................................................................................ 16,201 16,201 17,201 ∂1,000 ∂1,000 Projects with industry ................................................................................................................................................ 19,197 ............................ 19,197 ............................ ∂19,197 Supported employment State grants ......................................................................................................................... 29,181 ............................ 29,181 ............................ ∂29,181 Independent living: 

State grants ...................................................................................................................................................... 22,193 22,193 22,193 ............................ ............................Centers .............................................................................................................................................................. 73,334 73,334 73,334 ............................ ............................Services for older blind individuals .................................................................................................................. 32,320 32,320 32,320 ............................ ............................

Subtotal, Independent living ........................................................................................................................ 127,847 127,847 127,847 ............................ ............................

Program Improvement ................................................................................................................................................ 622 800 622 ............................ ¥178 Evaluation ................................................................................................................................................................... 1,447 1,947 1,447 ............................ ¥500 Helen Keller National Center for Deaf/Blind Youth and Adults ................................................................................ 8,362 7,862 8,362 ............................ ∂500 
320 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

National Inst. Disability and Rehab. Research [NIDRR] ........................................................................................... 105,741 105,741 107,741 ∂2,000 ∂2,000 Assistive Technology ................................................................................................................................................... 29,920 25,655 29,920 ............................ ∂4,265 

Subtotal, Discretionary programs ................................................................................................................. 402,724 344,221 404,474 ∂1,750 ∂60,253 Total, Rehabilitation services ....................................................................................................................... 3,276,767 3,318,856 3,379,109 ∂102,342 ∂60,253 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND ............................................................................................................ 21,616 21,616 22,500 ∂884 ∂884 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [NTID]: 

Operations ......................................................................................................................................................... 58,020 58,020 60,825 ∂2,805 ∂2,805 Construction ...................................................................................................................................................... 1,675 1,175 1,175 ¥500 ............................

Total, NTID .................................................................................................................................................... 59,695 59,195 62,000 ∂2,305 ∂2,805 

GALLAUDET UNIVERSITY: 

Operations ......................................................................................................................................................... 113,384 113,384 118,000 ∂4,616 ∂4,616 Construction ...................................................................................................................................................... ............................ 6,000 6,000 ∂6,000 ............................

Total, Gallaudet ............................................................................................................................................ 113,384 119,384 124,000 ∂10,616 ∂4,616 Total, Special Institutions for Persons with Disabilities .............................................................................. 194,695 200,195 208,500 ∂13,805 ∂8,305 

CAREER AND ADULT EDUCATION 

Career Education: 

Basic State Grants/Secondary & Technical Education: 

State Grants, current funded ................................................................................................................... 369,911 ............................ 369,911 ............................ ∂369,911 Advance from prior year ........................................................................................................................... (791,000 ) (791,000 ) (791,000 ) ............................ ............................Fiscal year 2010 ....................................................................................................................................... 791,000 ............................ 791,000 ............................ ∂791,000 

Subtotal, Basic State Grants, program level ...................................................................................... 1,160,911 ............................ 1,160,911 ............................ ∂1,160,911 
321 

Tech-Prep Education State Grants .................................................................................................................... 102,923 ............................ 102,923 ............................ ∂102,923 National Programs ............................................................................................................................................. 7,860 ............................ 7,860 ............................ ∂7,860 

Subtotal, Careeer Education ......................................................................................................................... 1,271,694 ............................ 1,271,694 ............................ ∂1,271,694 

Adult Education: 

State Grants/Adult basic and literacy education: 

State Grants, current funded ................................................................................................................... 554,122 554,122 554,122 ............................ ............................

National Programs: 

National Leadership Activities ................................................................................................................. 6,878 14,000 6,878 ............................ ¥7,122 National Institute for Literacy .................................................................................................................. 6,468 6,468 6,468 ............................ ............................

Subtotal, National programs ............................................................................................................... 13,346 20,468 13,346 ............................ ¥7,122 Subtotal, Adult education .................................................................................................................... 567,468 574,590 567,468 ............................ ¥7,122 

Smaller Learning Communities, current funded ........................................................................................................ 4,006 ............................ ............................ ¥4,006 ............................Smaller Learning Communities, forward funded ....................................................................................................... 76,102 ............................ ............................ ¥76,102 ............................State Grants for Incarcerated Youth Offenders ......................................................................................................... 22,372 ............................ 24,000 ∂1,628 ∂24,000 

Total, Career and adult education ............................................................................................................... 1,941,642 574,590 1,863,162 ¥78,480 ∂1,288,572 

Current Year ......................................................................................................................................... (1,150,642 ) (574,590 ) (1,072,162 ) (¥78,480 ) (∂497,572 ) Fiscal year 2010 .................................................................................................................................. (791,000 ) ............................ (791,000 ) ............................ (∂791,000 ) 

Subtotal, forward funded .............................................................................................................................. (1,146,636 ) (574,590 ) (1,072,162 ) (¥74,474 ) (∂497,572 ) 

STUDENT FINANCIAL ASSISTANCE 

Pell Grants—maximum grant (NA) ........................................................................................................................... (4,241 ) (4,310 ) (4,310 ) (∂69 ) ............................Pell Grants .................................................................................................................................................................. 14,215,000 16,941,000 16,890,000 ∂2,675,000 ¥51,000 Federal Supplemental Educational Opportunity Grants ............................................................................................. 757,465 ............................ 757,465 ............................ ∂757,465 Federal Work Study ..................................................................................................................................................... 980,492 980,492 980,492 ............................ ............................Federal Perkins loan cancellations ............................................................................................................................ 64,327 ............................ 70,000 ∂5,673 ∂70,000 LEAP program ............................................................................................................................................................. 63,852 ............................ 63,852 ............................ ∂63,852 

Total, Student Financial Assistance ............................................................................................................. 16,081,136 17,921,492 18,761,809 ∂2,680,673 ∂840,317 

LOANS FOR SHORT-TERM TRAINING PROGRAM .......................................................................................................... ............................ 3,000 ............................ ............................ ¥3,000 STUDENT AID ADMINISTRATION .................................................................................................................................. 695,843 714,000 704,843 ∂9,000 ¥9,157 

HIGHER EDUCATION 

Aid for Institutional Development: 

Strengthening Institutions ................................................................................................................................. 78,146 78,146 78,146 ............................ ............................
322 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Hispanic Serving Institutions ............................................................................................................................ 93,256 74,442 74,442 ¥18,814 ............................

Mandatory Funding (non-add) ................................................................................................................. (100,000 ) (100,000 ) (100,000 ) ............................ ............................

Strengthening Historically Black Colleges [HBCUs] ......................................................................................... 238,095 153,095 153,095 ¥85,000 ............................

Mandatory Funding (non-add) ................................................................................................................. (85,000 ) (85,000 ) (85,000 ) ............................ ............................

Strengthening Historically Black Graduate Institutions ................................................................................... 56,903 56,903 56,903 ............................ ............................Strengthening Alaska Native and Native Hawaiian-Serving Institutions ......................................................... 11,579 ............................ ............................ ¥11,579 ............................

Mandatory Funding (non-add) ................................................................................................................. (15,000 ) (15,000 ) (15,000 ) ............................ ............................

Strengthening Tribal Colleges ........................................................................................................................... 23,158 ............................ ............................ ¥23,158 ............................

Mandatory Funding (non-add) ................................................................................................................. (30,000 ) (30,000 ) (30,000 ) ............................ ............................

Subtotal, Aid for Institutional development ........................................................................................ 501,137 362,586 362,586 ¥138,551 ............................

International Education and Foreign Language: 

Domestic Programs ........................................................................................................................................... 93,941 94,941 93,941 ............................ ¥1,000 Overseas Programs ............................................................................................................................................ 13,372 13,372 13,372 ............................ ............................Institute for International Public Policy ............................................................................................................ 1,670 1,670 1,670 ............................ ............................

Subtotal, International Education & Foreign Lang ...................................................................................... 108,983 109,983 108,983 ............................ ¥1,000 

Fund for the Improvement of Postsec. Ed. [FIPSE] ................................................................................................... 120,333 37,433 63,652 ¥56,681 ∂26,219 Minority Science and Engineering Improvement ........................................................................................................ 8,577 8,577 8,577 ............................ ............................Tribally Controlled Postsec Voc/Tech Institutions ...................................................................................................... 7,546 ............................ 7,546 ............................ ∂7,546 Federal TRIO Programs ............................................................................................................................................... 828,178 828,178 838,178 ∂10,000 ∂10,000 GEAR UP ..................................................................................................................................................................... 303,423 303,423 308,423 ∂5,000 ∂5,000 Byrd Honors Scholarships .......................................................................................................................................... 40,284 ............................ 41,000 ∂716 ∂41,000 Javits Fellowships ....................................................................................................................................................... 9,530 9,844 9,530 ............................ ¥314 Graduate Assistance in Areas of National Need ....................................................................................................... 29,542 32,517 29,542 ............................ ¥2,975 Teacher Quality Enhancement Grants ........................................................................................................................ 33,662 ............................ 47,540 ∂13,878 ∂47,540 BA Degrees in STEM & Critical Foreign Languages .................................................................................................. 983 ............................ 983 ............................ ∂983 MA Degrees in STEM & Critical Foreign Languages ................................................................................................. 983 ............................ 983 ............................ ∂983 Child Care Access Means Parents in School ............................................................................................................. 15,534 15,534 15,534 ............................ ............................Advancing America thru foreign language partnerships .......................................................................................... ............................ 24,000 ............................ ............................ ¥24,000 
323 

Demonstration in Disabilities/Higher Education ........................................................................................................ 6,755 ............................ 6,755 ............................ ∂6,755 Underground Railroad Program .................................................................................................................................. 1,945 ............................ 1,945 ............................ ∂1,945 GPRA data/HEA program evaluation .......................................................................................................................... 609 1,609 609 ............................ ¥1,000 B.J. Stupak Olympic Scholarships .............................................................................................................................. 953 ............................ 953 ............................ ∂953 Thurgood Marshall Legal education opportunities .................................................................................................... 2,895 ............................ 2,895 ............................ ∂2,895 

Total, Higher education ................................................................................................................................ 2,021,852 1,733,684 1,856,214 ¥165,638 ∂122,530 

HOWARD UNIVERSITY 

Academic Program ..................................................................................................................................................... 200,834 200,699 200,834 ............................ ∂135 Endowment Program .................................................................................................................................................. 3,464 3,600 3,464 ............................ ¥136 Howard University Hospital ........................................................................................................................................ 28,946 28,946 28,946 ............................ ............................

Total, Howard University ............................................................................................................................... 233,244 233,245 233,244 ............................ ¥1 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS [CHAFL] ................................................................................ 473 461 461 ¥12 ............................

HBCU CAPITAL FINANCING PROGRAM 

HBCU Federal Administration ..................................................................................................................................... 185 354 354 ∂169 ............................HBCU Loan Subsidies ................................................................................................................................................. ............................ 10,000 10,000 ∂10,000 ............................

Total, HBCU Capital Financing Program ...................................................................................................... 185 10,354 10,354 ∂10,169 ............................

INSTITUTE OF EDUCATION SCIENCES 

Research, development and dissemination ............................................................................................................... 159,696 167,196 167,535 ∂7,839 ∂339 Statistics .................................................................................................................................................................... 88,449 104,593 88,449 ............................ ¥16,144 Regional Educational Laboratories ............................................................................................................................ 65,569 67,569 67,569 ∂2,000 ............................Research in special education ................................................................................................................................... 70,585 70,585 70,585 ............................ ............................Special education studies and evaluations ............................................................................................................... 9,460 9,460 9,460 ............................ ............................Statewide data systems ............................................................................................................................................. 48,293 100,000 100,000 ∂51,707 ............................Assessment: 

National Assessment ......................................................................................................................................... 98,121 130,121 130,121 ∂32,000 ............................National Assessment Governing Board ............................................................................................................. 5,932 8,723 8,723 ∂2,791 ............................

Subtotal, Assessment ................................................................................................................................... 104,053 138,844 138,844 ∂34,791 ............................Total, IES ....................................................................................................................................................... 546,105 658,247 642,442 ∂96,337 ¥15,805 
324 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses ...................................................................................................................................... 409,211 436,500 420,000 ∂10,789 ¥16,500 Building Modernization ...................................................................................................................................... 2,063 7,939 7,939 ∂5,876 ............................

Total, Program administration ...................................................................................................................... 411,274 444,439 427,939 ∂16,665 ¥16,500 

OFFICE FOR CIVIL RIGHTS .......................................................................................................................................... 89,612 101,040 89,612 ............................ ¥11,428 OFFICE OF THE INSPECTOR GENERAL ........................................................................................................................ 50,849 54,539 54,539 ∂3,690 ............................

Total, Departmental management ................................................................................................................ 551,735 600,018 572,090 ∂20,355 ¥27,928 Total: No Child Left Behind Act ................................................................................................................... 24,393,685 24,665,134 24,604,822 ∂211,137 ¥60,312 Total, Title III, Department of Education ...................................................................................................... 62,055,509 63,027,229 65,473,145 ∂3,417,636 ∂2,445,916 

Current Year ......................................................................................................................................... (45,038,309 ) (46,010,029 ) (46,705,945 ) (∂1,667,636 ) (∂695,916 ) 

Emergency appropriations .......................................................................................................... ............................ ............................ ............................ ............................ ............................

Fiscal year 2010 .................................................................................................................................. (17,017,200 ) (17,017,200 ) (18,767,200 ) (∂1,750,000 ) (∂1,750,000 ) 

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ........................................... 4,907 5,094 5,094 ∂187 ............................

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

OPERATING EXPENSES 

Domestic Volunteer Service Programs: 

Volunteers in Service to America [VISTA] ......................................................................................................... 93,800 91,618 93,800 ............................ ∂2,182 National Senior Volunteer Corps: 

Foster Grandparents Program .................................................................................................................. 108,999 68,174 108,999 ............................ ∂40,825 Senior Companion Program ...................................................................................................................... 46,144 46,144 46,144 ............................ ............................Retired Senior Volunteer Program ............................................................................................................ 58,642 59,685 58,642 ............................ ¥1,043 
325 

Subtotal, Senior Volunteers ................................................................................................................. 213,785 174,003 213,785 ............................ ∂39,782 Subtotal, Domestic Volunteer Service Programs ................................................................................. 307,585 265,621 307,585 ............................ ∂41,964 

National and Community Service Programs: 

National service trust ........................................................................................................................................ 122,539 132,110 132,110 ∂9,571 ............................AmeriCorps grants ............................................................................................................................................. 256,805 274,185 271,007 ∂14,202 ¥3,178 Innovation, assistance, and other activities .................................................................................................... 18,893 20,460 18,893 ............................ ¥1,567 Evaluation .......................................................................................................................................................... 3,891 4,500 3,891 ............................ ¥609 National Civilian Community Corps .................................................................................................................. 23,782 9,836 27,500 ∂3,718 ∂17,664 Learn and Serve America: K–12 and Higher Ed .............................................................................................. 37,459 32,099 37,459 ............................ ∂5,360 State Commission Administrative Grants ......................................................................................................... 11,790 12,642 11,790 ............................ ¥852 

Subtotal, National & Community Service Programs .................................................................................... 475,159 485,832 502,650 ∂27,491 ∂16,818 

Salaries and expenses ............................................................................................................................................... 67,759 71,715 71,715 ∂3,956 ............................Office of the Inspector General .................................................................................................................................. 5,828 6,512 6,512 ∂684 ............................

Total, Corp. for National and Community Service ....................................................................................... 856,331 829,680 888,462 ∂32,131 ∂58,782 

CORPORATION FOR PUBLIC BROADCASTING: 

Fiscal year 2011 (current) with fiscal year 2010 comparable ........................................................................ 420,000 ............................ 430,000 ∂10,000 ∂430,000 Fiscal year 2010 advance with fiscal year 2009 comparable (NA) ................................................................. (400,000 ) (420,000 ) (420,000 ) (∂20,000 ) ............................

Rescission of fiscal year 2010 funds (NA) .............................................................................................. ............................ (¥220,000 ) ............................ ............................ (∂220,000 ) 

Subtotal, fiscal year 2010 program level ........................................................................................... 400,000 200,000 420,000 ∂20,000 ∂220,000 

Fiscal year 2009 advance with fiscal year 2008 comparable (NA) ................................................................. (393,012 ) (400,000 ) (400,000 ) (∂6,988 ) ............................

Rescission of fiscal year 2009 funds (NA) .............................................................................................. ............................ (¥200,000 ) ............................ ............................ (∂200,000 ) 

Subtotal, fiscal year 2009 program level ........................................................................................... 393,012 200,000 400,000 ∂6,988 ∂200,000 

Digitalization program, current funded ............................................................................................................ 29,181 ............................ 29,181 ............................ ∂29,181 

Previously appropriated funds (NA) ......................................................................................................... ............................ (40,000 ) ............................ ............................ (¥40,000 ) 

Interconnection, current funded ........................................................................................................................ 26,283 ............................ 26,283 ............................ ∂26,283 

Previously appropriated funds (NA) ......................................................................................................... ............................ (27,000 ) ............................ ............................ (¥27,000 ) 

Subtotal, fiscal year 2009 appropriation ............................................................................................ 55,464 ............................ 55,464 ............................ ∂55,464 

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................................................................................... 43,035 44,826 44,826 ∂1,791 ............................FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION ...................................................................................... 7,955 8,653 8,653 ∂698 ............................INSTITUTE OF MUSEUM AND LIBRARY SERVICES ....................................................................................................... 263,508 271,246 258,960 ¥4,548 ¥12,286 MEDICARE PAYMENT ADVISORY COMMISSION ........................................................................................................... 10,560 11,403 11,403 ∂843 ............................
326 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

NATIONAL COMMISSION ON LIBRARIES AND INFO SCIENCE ...................................................................................... 393 ............................ ............................ ¥393 ............................NATIONAL COUNCIL ON DISABILITY ............................................................................................................................ 3,059 3,206 3,206 ∂147 ............................NATIONAL LABOR RELATIONS BOARD ......................................................................................................................... 251,762 262,595 262,595 ∂10,833 ............................NATIONAL MEDIATION BOARD ..................................................................................................................................... 12,685 12,432 12,992 ∂307 ∂560 OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ..................................................................................... 10,509 11,186 11,186 ∂677 ............................

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................................................................................... 77,620 72,000 72,000 ¥5,620 ............................Less Income Tax Receipts on Dual Benefits ............................................................................................................. ¥6,000 ¥5,000 ¥5,000 ∂1,000 ............................

Subtotal, Dual Benefits ................................................................................................................................ 71,620 67,000 67,000 ¥4,620 ............................

Federal Payment to the RR Retirement Account ....................................................................................................... 150 150 150 ............................ ............................Limitation on Administration ..................................................................................................................................... 101,882 105,463 105,463 ∂3,581 ............................

Inspector General .............................................................................................................................................. 7,048 7,806 7,806 ∂758 ............................

SOCIAL SECURITY ADMINISTRATION 

Payments to Social Security Trust Funds .................................................................................................................. 28,140 20,406 20,406 ¥7,734 ............................

SUPPLEMENTAL SECURITY INCOME 

Federal benefit payments ........................................................................................................................................... 40,675,000 42,027,000 42,027,000 ∂1,352,000 ............................Beneficiary services .................................................................................................................................................... 36,000 3,000 3,000 ¥33,000 ............................Research and demonstration ..................................................................................................................................... 26,651 35,000 35,000 ∂8,349 ............................Administration ............................................................................................................................................................ 3,018,520 3,149,000 3,164,875 ∂146,355 ∂15,875 

Subtotal, SSI program level .......................................................................................................................... 43,756,171 45,214,000 45,229,875 ∂1,473,704 ∂15,875 

Less funds advanced in prior year ..................................................................................................... ¥16,810,000 ¥14,800,000 ¥14,800,000 ∂2,010,000 ............................

Subtotal, regular SSI current year ................................................................................................................ 26,946,171 30,414,000 30,429,875 ∂3,483,704 ∂15,875 Total, SSI, current request ............................................................................................................................ 26,946,171 30,414,000 30,429,875 ∂3,483,704 ∂15,875 
327 

New advance, 1st quarter, fiscal year 2010 ...................................................................................... 14,800,000 15,400,000 15,400,000 ∂600,000 ............................

Total, SSI program ........................................................................................................................................ 41,746,171 45,814,000 45,829,875 ∂4,083,704 ∂15,875 

LIMITATION ON ADMINISTRATIVE EXPENSES 

OASDI Trust Funds ..................................................................................................................................................... 4,910,772 5,138,500 5,163,625 ∂252,853 ∂25,125 

Economic Stimulus (Public Law 110–185) (emergency) .................................................................................. 31,000 ............................ ............................ ¥31,000 ............................

HI/SMI Trust Funds ..................................................................................................................................................... 1,679,661 1,869,000 1,878,000 ∂198,339 ∂9,000 Social Security Advisory Board ................................................................................................................................... 2,000 2,000 2,000 ............................ ............................SSI .............................................................................................................................................................................. 3,018,520 2,931,500 2,947,375 ¥71,145 ∂15,875 

Subtotal, regular LAE .................................................................................................................................... 9,641,953 9,941,000 9,991,000 ∂349,047 ∂50,000 

Additional Program Integrity Funding: 

OASDI Trust Funds ............................................................................................................................................ ............................ 217,500 217,500 ∂217,500 ............................SSI ..................................................................................................................................................................... ............................ 22,500 22,500 ∂22,500 ............................

Subtotal, additional CDR funding ................................................................................................................ ............................ 240,000 240,000 ∂240,000 ............................

User Fees: 

SSI User Fee activities ...................................................................................................................................... 132,642 145,000 145,000 ∂12,358 ............................SSPA User Fee Activities ................................................................................................................................... 983 1,000 1,000 ∂17 ............................

Subtotal, User fees ....................................................................................................................................... 133,625 146,000 146,000 ∂12,375 ............................Total, Limitation on Administrative Expenses .............................................................................................. 9,775,578 10,327,000 10,377,000 ∂601,422 ∂50,000 

OFFICE OF THE INSPECTOR GENERAL 

Federal Funds ............................................................................................................................................................. 25,989 28,000 28,000 ∂2,011 ............................Trust Funds ................................................................................................................................................................ 65,926 70,127 70,127 ∂4,201 ............................

Total, Office of the Inspector General .......................................................................................................... 91,915 98,127 98,127 ∂6,212 ............................

Adjustment: Trust fund transfers from general revenues ......................................................................................... ¥3,018,520 ¥3,149,000 ¥3,164,875 ¥146,355 ¥15,875 

Total, Social Security Administration ........................................................................................................... 48,623,284 53,110,533 53,160,533 ∂4,537,249 ∂50,000 

Federal funds ....................................................................................................................................... 41,964,925 46,008,406 46,024,281 ∂4,059,356 ∂15,875 

Current year ................................................................................................................................ (27,164,925 ) (30,608,406 ) (30,624,281 ) (∂3,459,356 ) (∂15,875 ) New advances, 1st quarter ........................................................................................................ (14,800,000 ) (15,400,000 ) (15,400,000 ) (∂600,000 ) ............................

Trust funds .......................................................................................................................................... 6,658,359 7,102,127 7,136,252 ∂477,893 ∂34,125 

Total, Title IV, Related Agencies .................................................................................................................. 50,744,152 54,751,273 55,333,793 ∂4,589,641 ∂582,520 

Federal Funds ...................................................................................................................................... 43,966,303 47,524,474 48,072,869 ∂4,106,566 ∂548,395 
328 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2009—Continued 

[In thousands of dollars] 

Item 2008 comparable Budget estimate Committee recommendation 

Senate Committee recommendation 

compared with (∂ or ¥) 

2008 comparable Budget estimate 

Current Year ................................................................................................................................ (28,746,303 ) (32,124,474 ) (32,242,869 ) (∂3,496,566 ) (∂118,395 ) Fiscal year 2010 Advance .......................................................................................................... (14,800,000 ) (15,400,000 ) (15,400,000 ) (∂600,000 ) ............................Fiscal year 2011 Advance .......................................................................................................... (420,000 ) ............................ (430,000 ) (∂10,000 ) (∂430,000 ) 

Trust Funds .......................................................................................................................................... 6,777,849 7,226,799 7,260,924 ∂483,075 ∂34,125 

1 Funding from the Dislocated Worker National Reserve. 2 Two year availability. 3 Does not include a $7 million transfer from PBGC in the fiscal year 2007 Supp that is available through fiscal year 2008. 4 Includes Mine Safety and Health. 5 Funds formerly provided by the Department of Labor through interagency agreement. 6 Funding for Striving readers was first forward funded in the fiscal year 2006 conference agreement. 

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