75–591

107TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 1st Session 107–229

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2002

OCTOBER 9, 2001.—Committed to the Committee of the Whole House on the State

of the Union and ordered to be printed

Mr. REGULA, from the Committee on Appropriations,

submitted the following

REPORT

[To accompany H.R. 3061]

The Committee on Appropriations submits the following report in

explanation of the accompanying bill making appropriations for the

Departments of Labor, Health and Human Services (except the

Food and Drug Administration and the Indian Health Service), and

Education, Armed Forces Retirement Home, Corporation for National and Community Service, Corporation for Public Broadcasting, Federal Mediation and Conciliation Service, Federal Mine

Safety and Health Review Commission, Institute of Museum and

Library Services, Medicare Payment Advisory Commission, National Commission on Libraries and Information Science, National

Council on Disability, National Labor Relations Board, National

Mediation Board, Occupational Safety and Health Review Commission, Railroad Retirement Board, Social Security Administration,

and the United States Institute of Peace for the fiscal year ending

September 30, 2002, and for other purposes.

INDEX TO BILL AND REPORT

Page number

Bill Report

Title I—Department of Labor:

Employment and Training Administration ....................................... 2 9

Pension and Welfare Benefits Administration ................................. 7 16

Pension Benefit Guaranty Corporation ............................................. 7 17

Employment Standards Administration ........................................... 8 17

Occupational Safety and Health Administration ............................. 12 19

Mine Safety and Health Administration ........................................... 15 20

Bureau of Labor Statistics ................................................................. 17 20

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Page number

Bill Report

Departmental Management ............................................................... 17 21

Assistant Secretary for Veterans Employment and Training ......... 19 22

Office of the Inspector General .......................................................... 20 23

General Provisions .............................................................................. 20 23

Title II—Department of Health and Human Services:

Health Resources and Services Administration ............................... 21 23

Centers for Disease Control and Prevention .................................... 24 42

National Institutes of Health ............................................................. 26 56

Substance Abuse and Mental Health Services Administration ...... 32 101

Agency for Healthcare Research and Quality ................................... 33 107

Centers for Medicare and Medicaid Services .................................... ........ 109

Administration for Children and Families ........................................ 36 113

Administration on Aging .................................................................... 42 123

Office of the Secretary ........................................................................ 42 125

General Provisions .............................................................................. 45 132

Title III—Department of Education:

Education Reform ............................................................................... ........ ...........

Education for the Disadvantaged ...................................................... 52 134

Impact Aid ........................................................................................... 53 137

School Improvement Programs .......................................................... 53 138

Reading Excellence ............................................................................. ........ 146

Indian Education ................................................................................. 54 146

School Renovation ............................................................................... ........ ...........

Bilingual and Immigrant Education ................................................. 54 147

Special Education ................................................................................ 54 147

Rehabilitation Services and Disability Research .............................. 55 150

Special Institutions for Persons with Disabilities ............................ 56 153

Vocational and Adult Education ........................................................ 56 154

Student Financial Assistance ............................................................. 58 158

Federal Family Education Loans ....................................................... 59 159

Higher Education ................................................................................ 59 160

Howard University .............................................................................. 59 167

College Housing and Academic Facilities Loans .............................. 60 167

Historically Black College and University Capital Financing ........ 60 167

Education Research, Statistics, and Improvement .......................... 60 168

Departmental Management ............................................................... 61 171

Office for Civil Rights ......................................................................... 61 172

Office of the Inspector General .......................................................... 61 172

General Provisions .............................................................................. 62 173

Title IV—Related Agencies:

Armed Forces Retirement Home ....................................................... 63 173

Corporation for National and Community Service ........................... 64 174

Corporation for Public Broadcasting ................................................. 64 175

Federal Mediation and Conciliation Service ..................................... 65 175

Federal Mine Safety and Health Review Commission ..................... 66 175

Institute of Museum and Library Services ....................................... 67 175

Medicare Payment Advisory Commission ......................................... 67 176

National Commission on Libraries and Information Science .......... 67 176

National Council on Disability ........................................................... 68 176

National Education Goals Panel ........................................................ ........ 176

National Labor Relations Board ........................................................ 68 176

National Mediation Board .................................................................. 69 176

Occupational Safety and Health Review Commission ..................... 69 177

Railroad Retirement Board ................................................................ 69 177

Social Security Administration .......................................................... 71 178

United States Institute of Peace ........................................................ 76 179

Title V—General Provisions ...................................................................... 76 180

House of Representatives Report Requirements ..................................... ........ ...........

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SUMMARY OF ESTIMATES AND APPROPRIATIONS

The following table compares on a summary basis the appropriations including trust funds for fiscal year 2001, the budget estimate

for fiscal year 2002 and the Committee recommendation for fiscal

year 2002 in the accompanying bill.

2002 LABOR, HHS, EDUCATION APPROPRIATIONS BILL

[In millions of dollars]

Fiscal year— 2002 committee compared

to—

2001 comparable 2002 budget 2002 committee 2001 comparable 2002 budget

Department of Labor ............................................. $11,235 $13,511 $12,001 $766 ¥$1,510

Advances ...................................................... $2,463 0 2,098 ¥365 2,098

Department of Health and Human Services ......... 225,882 250,635 250,652 24,770 17

Advances ...................................................... 40,373 49,456 50,856 10,483 1,400

Department of Education ...................................... 30,056 47,023 37,151 7,095 ¥9,872

Advances ...................................................... 14,581 0 14,597 16 14,597

Related Agencies ................................................... 29,434 28,187 28,198 ¥1,236 11

Advances ...................................................... 10,949 10,898 11,263 314 365

Grand Total, current year ...................................... 269,607 339,356 328,002 31,395 ¥11,354

Advances ...................................................... 68,366 60,354 78,814 10,448 18,460

Current year total using 302(b) scorekeeping ..... 357,929 407,607 396,219 38,290 ¥11,388

Mandatory ..................................................... 248,577 272,554 272,494 23,917 ¥60

Discretionary ................................................. 109,352 135,053 123,725 14,373 ¥11,328

PROGRAM LEVEL DISCRETIONARY

[In millions of dollars]

Fiscal year— 2002 committee compared

to—

2001 comparable 2002 budget 2002 committee 2001 comparable 2002 budget

Department of Labor ............................................. $11,712 $11,338 $11,927 $215 $598

Department of Health and Human Services ......... 49,275 51,673 53,151 3,876 1,478

Department of Education ...................................... 42,238 44,541 49,267 7,029 4,726

Related Agencies ................................................... 8,694 8,776 8,787 93 11

Subtotal, Program Level .......................... 111,919 116,328 123,132 11,213 6,804

Adjustments .......................................................... ¥2,567 18,725 593 3,160 ¥18,132

Total, Discretionary .................................. 109,352 135,053 123,725 14,373 ¥11,328

HIGHLIGHTS OF THE BILL

Funding levels in the fiscal year 2002 appropriation bill for the

Departments of Labor, Health and Human Services, and Education

and Related Agencies reflect the Committee’s attempt to establish

priorities within the limitations and competing demands facing the

Committee. Mandatory spending continues its inexorable increase,

this year by $32.6 billion or 13 percent.

As in past years, the Committee has increased funding for programs that work for people and represent a core Federal responsibility. Consistent with the fiscal year 2002 budget request and passage in the House of Representatives of H.R. 1, the bill places high

priority on enhancing Federal support for education. For example,

the bill embraces reforms outlined in the budget request and embodied in H.R. 1 for funding Elementary and Secondary Education

Act programs. The bill also maintains the Committee’s commitment

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to raising the Federal contribution for educating students with special needs under the Individuals with Disabilities Education Act

and to increasing support for students pursuing a higher education

by raising the maximum Pell Grant.

Bill total.—Total funding, including offsets, for fiscal year 2002

in the Departments of Labor, Health and Human Services and

Education and Related Agencies Appropriations Act, 2002 is

$406,816,801,000. For Discretionary accounts for 2002 the bill provides $123,725,000,000, including offsets.

Mandatory programs.—The bill provides $272,494,315,000 for entitlement programs in fiscal year 2002. Seventy percent of the

funding in the bill is for these mandatory costs. Funding requirements for entitlement programs are determined by the basic authorizing statutes. Mandatory programs include general fund support for the Medicare and Medicaid programs, Supplemental Security Income, and Black Lung payments. The following chart indicates the funding levels for the major mandatory programs in fiscal

years 2000 and 2001 and the growth in these programs.

MANDATORY

[Dollars in thousands]

Program Fiscal year 2001 Fiscal year 2002 Change

Department of Labor:

Black Lung Disability Trust Fund ................................................ $1,027,900 $1,036,115 $8,215

Department of Health and Human Services:

Center for Medicare and Medicaid Services:

Medicaid current law benefits ............................................ 122,488,800 134,308,100 11,819,300

Medicare Payments to Health Care Trust Fund ................. 70,381,600 81,924,200 11,542,600

Department of Education:

Rehabilitation Services ................................................................ 2,399,790 2,481,383 81,593

Related Agencies:

Social Security Administration:

Special Benefits for Disabled Coal Miners ........................ 489,748 446,840 ¥42,908

Supplemental Security Income ........................................... 32,933,000 31,740,412 ¥1,192,588

Department of Labor.—The bill appropriates $14,099,407,000 for the Labor Department, an increase of $401,628,000 above the comparable fiscal year 2001 amount and $588,541,000 above the budget request. Program level funding for discretionary programs totals

$11,926,642,000, which is an increase of $588,426,000 above the

budget request and $214,641,000 over least year’s level. Included

is $5,578,647,000 to carry out the provisions of the Workforce Investment Act (WIA). Due to the slowing economy and growing unemployment, the bill provides $105,694,000 above fiscal year 2001,

and $454,626,000 above the budget request, for WIA job training

and employment services activities.

Job Corps.—The Committee provides $1,474,174,000 for Job Corps. This is $75,026,000 above both the fiscal year 2001 level and

the budget request.

Youth Opportunity Grants.—The Committee provides

$250,000,000 for this program, the same as fiscal year 2001 and

the budget request.

Employment Standards Administration.—The Committee recommends $369,631,000 for ESA. This level is $6,915,000 above the

fiscal year 2001 level.

Occupational Safety and Health Administration.—The Committee recommends funding for OSHA at $435,307,000, $9,472,000

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above the budget request and $9,421,000 above last year’s level.

Within OSHA, state compliance assistance programs are increased

by $2,503,000 above fiscal year 2001 and $4,578,000 above the

budget request.

Department of Health and Human Services.—The bill appro- priates $301,508,579,000, which is $1,417,794,000 above the budget

request and $35,253,396,000 above the fiscal year 2001 level. Program level funding for discretionary programs totals

$53,150,728,000, which is $1,477,394,000 above the President’s request and $3,876,081,000 above last year’s level.

Countering Bioterrorism.—In fiscal year 1999, the Committee

began increasing support for developing an infrastructure and resources for the medical and public health response to terrorist acts

involving biological or chemical weapons. This effort involved the

activities of the Office of Emergency Preparedness (OEP) within

the Office of the Secretary; the Centers for Disease Control and

Prevention (CDC); and the National Institutes of Health (NIH). Although progress has been made, the tragic events of September 11,

2001 impressed upon the Committee the importance of ensuring

that the Country is prepared at the Federal, State and local levels

to respond rapidly to any incident of bioterrorism. The Committee

recommendation includes $393,319,000 for countering bioterrorism

and improving preparedness. Of this amount, $300,619,000 is provided within the Public Health and Social Services Emergency

Fund to support the activities of the Office of the Secretary, the Office of Emergency Preparedness, and the Centers for Disease Control and Prevention. In addition, an estimated $92,700,000 will be

used to fund research supported by the National Institutes of

Health. These amounts total $100,000,000 over comparable levels

in fiscal year 2001.

Health Resources and Services Administration.—Funding for the

Health Resources and Services Administration (HRSA) programs is

$5,813,119,000, an increase of $117,111,000 above last year and

$718,793,000 above the budget request. Within HRSA, the community health centers funding is at $1,318,559,000, an increase of

$150,000,000 above the fiscal year 2001 level and $25,836,000

above the budget request. Health professions training is funded at

$669,992,000, $82,103,000 above last year’s level and $330,145,000

above the budget request. Ryan White AIDS Care Act programs are

funded at $1,919,609,000, $112,000,000 above last year and

$111,845,000 above the budget request.

Centers for Disease Control and Prevention.—The bill provides

$4,077,060,000 directly to the Centers for Disease Control and Prevention (CDC) and an additional $231,919,000 for CDC activities

related to bioterrorism preparedness funded in the Public Health

and Social Services Emergency Fund. As a result, overall funding

for CDC is $4,308,979,000, $264,287,000 above the comparable fiscal year 2001 level and $430,449,000 above the budget request.

National Institutes of Health.—The Committee provides

$22,874,971,000 for biomedical research activities at the National

Institutes of Health (NIH). This is $2,579,711,000 above the comparable fiscal year 2001 level and the same program level provided

in the budget request. The Committee has maintained its policy of

resisting disease specific earmarks in the bill and report, believing

that decisions as to appropriate levels of funding and appropriate

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avenues of research are best left to the scientific managers at NIH.

NIH has testified that its allocation will allow increases above the

overall NIH level for research related to Parkinson’s disease, Alzheimer’s disease, diabetes and cardiovascular disease, among others.

Substance Abuse and Mental Health Services Administration.— The bill provides $3,131,558,000 for the Substance Abuse and Mental Health Services Administration (SAMHSA), an amount

$168,134,000 above fiscal year 2001 and $102,102,000 above the

budget request. The Committee has provided $1,725,000,000 for the

Substance Abuse Block Grant which is $60,000,000 above last

year’s level and the same as the budget request.

Agency for Healthcare Research and Quality.—The bill provides $306,245,000 for the Agency for Healthcare Research and Quality

(AHRQ), an amount $36,510,000 above last year and the same as

the budget request.

Low Income Home Energy Assistance.—The Committee recommendation provides $1,700,000,000 for the Low Income Home

Energy Assistance Program in fiscal year 2002. An additional

$300,000,000 is provided in emergency funding for heating and

cooling emergencies. The combination of the formula and emergency funds brings the total in the bill to $2,000,000,000 which is

$300,000,000 above both the fiscal year 2001 and the budget request.

Child Care and Development Block Grant.—The fiscal year 2001

Departments of Labor, Health and Human Services and Education

and Related Agencies Act provided $2,199,987,000 for fiscal year

2002 funding of the Child Care and Development Block Grant. This

is $200,119,000 over fiscal year 2001 and the same as the budget

request.

Social Services Block Grant.—The Committee recommends

$1,700,000,000, for the Social Services Block Grant. This is

$25,000,000 below last year and the same as the budget request.

Head Start.—The bill includes $6,475,812,000 for Head Start,

$276,000,000 above last year’s level and $151,000,000 above the

budget request.

Community Services Block Grant.—The bill provides

$620,000,000 for the community services block grant, $20,009,000

above both the fiscal year 2001 level and the budget request.

Funding of Abortions.—The bill includes the revised ‘‘Hyde’’ language that has been carried in the bill for several years.

Human Embryo Research.—The bill includes the same language

included for the past several years to prohibit the use of funds for

research involving human embryos. This language also has the effect of prohibiting Federal support for human cloning.

Needle Exchange.—The bill includes a prohibition on the use of

Federal funds for needle exchange programs, which is the same as

last year.

Title X Family Participation in Decisions of Minors to Seek Family Planning.—The bill includes language requiring recipients of

title X funding, family planning funding, to certify that it encourages family participation in the decision of minors to seek family

planning services and that it provides counseling to minors on how

to resist attempts to coerce minors into engaging in sexual activities. This language has been included in the bill for several years.

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Title X Compliance With State Laws.—The bill includes a provision, continued from last year, requiring Title X clinics to comply

with State laws relating to notification or reporting of child abuse,

child molestation, sexual abuse, rape or incest.

Department of Education.—The bill funds programmatic and sup- port activities in the Department of Education at $49,266,632,000,

an increase of $4,725,469,000 above the budget request and

$7,028,811,000 above last year’s level (adjusted for advance appropriations in fiscal year 2001).

Education for the Disadvantaged.—The bill provides $10,500,000,000, for grants to local education agencies under title

I of the Elementary and Secondary Education Act. This level is

$1,737,279,000 above the fiscal year 2001 amount and

$1,439,279,000 above the request level. The bill also provides

$310,000,000, $50,000,000 above the budget request and

$100,000,000 above last year, for Comprehensive School Reform.

The bill also includes $975,000,000 for Reading First and Early

Reading First, two new programs designed to help all children

learn to read. This level is the same as the budget request.

Impact Aid.—The bill provides $1,130,500,000 for school districts

that are impacted by Federal activities, such as military bases or

Indian lands. This is an increase of $137,198,000 above the fiscal

year 2001 level, and the same as the budget request.

School Improvement Programs.—The bill provides $3,175,000,000

for State grants for improving teacher quality, a new program

which consolidates existing teacher training programs. The budget

request was $2,600,000,000. The bill provides $1,000,000,000 in

this account for educational technology state grants, a new program which consolidates existing educational technology programs.

The budget request was $817,096,000. 21st Century Community

Learning Centers are funded at $1,000,000,000 in the bill, an increase of $154,386,000 above both last year’s level and the budget

request.

Bilingual and Immigrant Education.—Bilingual and Immigrant

Education programs are funded at $700,000,000, an increase of

$240,000,000 above fiscal year 2001 amount and the budget request.

Special Education.—The Committee recommends an overall program funding level for special education programs of

$8,860,076,000, $1,420,128,000 above last year’s level and

$434,481,000 above the budget request. The bill provides a

$1,375,000,000 increase for grants to states under part B of the Individuals with Disabilities Education Act.

Vocational and Adult Education.—Vocational education state

grants are funded at $1,250,000,000 and adult education state

grants are funded at $595,000,000.

Student Financial Assistance and Higher Education.—The Committee places a high priority on direct assistance to students. For

Student Financial Aid, the Committee provides $12,410,000,000,

$1,736,100,000 above last year and $736,100,000 above the budget

request. For Higher Education, the Committee provides

$1,906,401,000. This level is $5,309,000 below last year and

$183,178,000 above the request. The bill includes funding to allow

the maximum Pell grant to rise to $4,000—the highest in history,

$250 above last year and $150 above the budget request. SEOG’s,

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TRIO and institutional development for minority schools are increased. TRIO is funded at $800,000,000, an increase of

$70,000,000 above fiscal year 2001 and $20,000,000 above the

President’s request.

Education Research and Statistics.—The Committee proposes

$445,620,000 for education research and statistics.

Social Security Administrative Costs.—Funding for the cost of administering the social security programs is $7,568,000,000,

$444,000,000 above last year and the same as the budget request.

Full funding is provided for continuing disability reviews.

National Labor Relations Board.—Funding for the National

Labor Relations Board is $221,438,000, $5,000,000 above last year’s

level and the same as the budget request.

Corporation for Public Broadcasting.—CPB is an advance funded

account with funds already appropriated through fiscal year 2003.

Funding proposed by the Committee is $365,000,000 for 2004, the

same as fiscal year 2003 and the budget request.

TRANSFER AUTHORITY

The Committee, again this year, has included a general transfer

authority for several of the Departments and agencies funded

under this bill. In doing so, it is providing the Executive Branch

with the ability to respond to emergencies or unanticipated needs.

The Committee reiterates that it is not the purpose of the transfer authority to provide funding for new policy proposals that can,

and should, be included in subsequent budget proposals. The Congress sets funding levels for programs, projects and activities

through the annual appropriations act and the accompanying tables included in the conference report. Absent the need to respond

to emergencies or unforeseen circumstances discussed above, this

authority cannot be used simply to increase funding for programs,

projects or activities because of disagreements over the funding

level or the difficulty or inconvenience with operating levels set by

the Congress.

GOVERNMENT PERFORMANCE AND RESULTS ACT

As with last year, the Committee believes that the Departments

and agencies under its jurisdiction have made progress toward the

establishment of goals and other benchmarks as required by the

Government Performance and Results Act. However, they remain

a long way from meeting its overall intent. As noted in specific instances throughout this Report, the Committee continues to feel

that quantifiable and measurable individual performance indicators

need to be developed for each program. Individual indicators need

to be specific and measurable wherever possible, need to be consistent with other measures used in similar programs and need to

be supported by systems that can provide annual information on

the progress being made toward achieving the stated goals. There

are still far too many programs with indicators using the terms ‘‘increase,’’ or ‘‘decrease,’’ or ‘‘improve’’ rather than specific numerical

goals.

In addition, these indicators must increasingly focus on the improvements in employment and income, worker safety, health status, biomedical discoveries, the quality of life of various popuVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00008 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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lations, educational achievement, and the many other goals that

are the primary purpose of the programs funded by this bill. Again,

the indicators are far too often related to the issuance of program

guidance or focus on the number of individuals served. The Committee is disappointed that the baselines so necessary for measuring progress are not being established rapidly enough. These

baselines need to indicate multi-year trends so that the Committee

and the American people can judge program effectiveness against

long-term trend data.

Finally, the Committee continues to urge the Departments and

agencies under its jurisdiction to manage themselves based on performance and outcomes. They should use outcome and performance

measures as the primary management tool for resource allocation

and the evaluation of programs and individuals. The Committee expects that each Department and office funded in the bill will be

prepared to testify during the fiscal year 2003 cycle on how performance and outcome measures are being used to manage their

programs, including:

How outcome and performance goals are being established for individual offices within departments and how they are held accountable for the achievement of these goals;

How such data is used to establish individual performance goals;

and

How actual performance is measured against these goals and the

kinds of incentives, both positive and negative, that are in place to

assure the achievement of overall goals.

OPERATING PLANS

The Committee directs the Departments and agencies identified

in the report accompanying the fiscal year 1998 bill to continue to

provide it with operating plans on the dates identified in that report. These plans should follow the instructions outlined in House

Report 106–370.

The Committee believes that the Departments and agencies must

make better progress in upgrading their financial management systems to determine better the actual flow of appropriated dollars to

individual programs and identifying obligation schedules. However,

the Committee is troubled by the fact that for many programs, simple formulas are used for outlay and obligation patterns rather

than a true analysis of the likely obligation and spending patterns

for the program.

TITLE I—DEPARTMENT OF LABOR

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

The Committee recommends $5,583,147,000 for this account,

which provides funding authorized primarily by the Workforce Investment Act (WIA). This is $105,694,000 above the fiscal year

2001 level and $454,626,000 above the budget request. Of the total

provided, the Committee recommends that $2,098,000,000 is made

available as of October 1, 2002.

The Training and Employment Services account is comprised of

programs that enhance the employment and earnings of those in

10

need of such services, operated through a decentralized system of

skill training and related services. The account is mostly forwardfunded on a July to June cycle, with funds provided for fiscal year

2002 supporting the effort from July 1, 2002 through June 30,

2003.

Program year 2000 was the first year under the new Workforce

Investment Act, beginning July 1, 2000. The new legislation is expected to significantly enhance employment and training services,

consolidating, coordinating, and improving programs utilizing a

local level one-stop delivery system. There was a difficult transition

to the Workforce Investment Act in program year 2000 in which

States experienced significant carry-over balances. The Committee

is concerned about this and is closely monitoring State expenditure

patterns.

The Committee requests the Department submit a report, no

later than June 30, 2002, on the extent to which the Workforce Investment Act State grant funding is used by migrant and seasonal

farmworkers. Included in the report should be information concerning the utilization of the training programs by this population,

causes for underutilization if any, and whether these programs

meet the needs of migrant and seasonal farmworkers, whether they

are culturally appropriate and whether they reflect the training

needs of these populations.

The Committee notes that the Workforce Investment Act requires the establishment of local workforce investment boards that

are to be comprised of local public and private sector leaders,

among them representatives from community-based organizations.

The Committee urges the Department to encourage State and local

authorities to include individuals familiar with community and

faith-based organizations on local workforce investment boards.

Adult employment and training activities

For adult employment and training activities, the Committee rec- ommends $950,000,000. Of this amount, $712,000,000 will become

available on October 1, 2002. The total recommended is

$50,000,000 more than the budget request and the same as the

2001 comparable level.

This program is authorized by the Workforce Investment Act.

The funds are allocated by formula 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.

States have had difficulty transitioning to the Workforce Investment Act and as a result, have experienced significant carry-over

from program year 2000 funds. The Committee believes that with

the downturn in the economy and more and more workers being

laid off from their jobs that funding levels should be increased to

meet those training needs. However, the Committee will continue

to closely monitor the expenditures for this program, as well as the

other State grant training programs authorized by the Workforce

Investment Act.

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Dislocated worker employment and training activities

For dislocated worker employment and training activities, the Committee recommends $1,535,040,000, of which, $695,000,000

will be made available on October 1, 2002. This total is $97,500,000

more than the 2001 comparable level and $152,000,000 more than

the budget request.

This activity is a State-operated program which provides core

services, intensive services, training, and supportive services 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. Eighty percent of funding is distributed by formula

to the States. The remaining twenty percent is available to the Secretary for activities specified in WIA, primarily to respond 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.

Funding was reduced in this program in the fiscal year 2001 supplemental due to the significant carry-over balances anticipated

from fiscal year 2000 funds. The Committee believes that with the

downturn in the economy and more and more workers being dislocated permanently from their jobs that funding levels should be

increased to meet those training needs. However, the Committee

will continue to closely monitor the expenditures for this program,

as well as the other State grant training programs authorized by

the Workforce Investment Act.

Youth activities

For youth activities, the bill includes $1,353,065,000. This level is $225,100,000 above the fiscal year 2001 funding and

$352,100,000 above the budget request.

The Workforce Investment Act consolidated the Summer Youth

Employment and Training Program and Youth Training Grants

under JTPA into a single youth training activity. The funds are allocated by formula to States and further distributed to local workforce investment boards. Also, the Workforce Investment Act requires that when the appropriation for this program exceeds

$1,000,000,000, up to $250,000,000 shall be reserved by the Secretary for Youth Opportunity grants. These grants are aimed at increasing the long-term employment of youth who live in empowerment zones, enterprise communities, and other high-poverty areas.

In past appropriations, the Committee has provided funds for these

grants as a separate program. The Committee believes that consolidating the funding for both of these youth programs is consistent

with the Workforce Investment Act.

Funds reserved in fiscal year 2002 for the Youth Opportunity

grants are sufficient to maintain the current projects administered

in this program. The Committee understands that the Department

is conducting a review of this program and requests a copy of this

review upon completion.

States have had difficulty transitioning to WIA and as a result,

have experienced significant carry-over from program year 2000

funds. The Committee believes that with the downturn in the economy affecting all members of the workforce, including youth, that

funding levels should be increased to meet those training needs.

12

However, the Committee will continue to closely monitor the expenditures for this program, as well as other State grant training

programs authorized by the Workforce Investment Act.

Youth opportunity grants

The Committee does not provide separate funding for the Youth

Opportunity grants in fiscal year 2002. Funding for the program

has been provided in the Youth Training program as authorized in

the Workforce Investment Act.

Job Corps

For Job Corps, the Committee recommends $1,474,174,000. This

is $75,026,000 more than the 2001 comparable level and the budget

request. Of the amount provided, $691,000,000 will become available on October 1, 2002.

The Job Corps, authorized by WIA, is a nationwide network of

residential facilities chartered by Federal law to provide a comprehensive and intensive array of training, job placement and support services to at-risk young adults. The mission of Job Corps is

to attract eligible young adults, teach them the skills they need to

become employable and independent, and place them in meaningful

jobs or further education. Participation in the program is open to

economically disadvantaged young people in the 16–24 age range

who are unemployed and out of school. Most Job Corps students

come from disruptive or debilitating environments, and it is important that they be relocated to residential facilities where they can

benefit from the highly structured and carefully integrated services

provided by the Job Corps program. A limited number of opportunities are also available for non-residential participation. The Committee supports the effort of the Workforce Investment Act of 1998

to more fully integrate Job Corps centers in their local communities.

As a national training program, Job Corps is particularly well

suited to help meet the needs of large, multi-state employers for

skilled entry-level workers. The Committee commends Job Corps

for establishing partnerships with nine national employers, and encourages Job Corps to continue to work with both larger employers

and small businesses to ensure that student training meets current

labor market needs. Job Corps should intensify its efforts to upgrade its vocational offerings and curricula to reflect industry

standards and skill shortages.

The Committee understands that there is an ongoing need within

Job Corps to bring salaries of academic and vocational instructors

into line with those of comparable institutions. The Secretary is encouraged to use a portion of the funds provided above the budget

request to address this need. In addition, the Committee reiterates

concern expressed last year that there is a need to expand the

number of Job Corps centers. The Committee intends to work with

the Secretary prior to conference to determine whether a portion of

the increase should be allocated to Job Corps center renovation and

new construction. Further, the Committee strongly urges the Secretary to include additional construction funds for new centers in

the 2003 budget, which is currently being formulated.

13

Native Americans

For Native Americans, the bill includes $55,000,000, the amount

requested. This is the same as the 2001 comparable level. This program, authorized by WIA, 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. The Department of Labor allocates formula grants to Indian

tribes and other Native American groups whose eligibility for such

grants is established in accordance with Department’s regulations.

Migrant and seasonal farmworkers

For Migrant and Seasonal Farmworkers, the Committee rec- ommends $77,270,000, which is $500,000 higher than the 2001

comparable level and the budget request. This program, authorized

by WIA, is designed to serve members of economically disadvantaged families whose principal livelihood is derived from migratory

and other forms of seasonal farmwork. Through training and other

employability development services, the program prepares eligible

seasonal farmworkers and their family members for stable, yearround employment, both inside and outside the agricultural industry. The program also provides health care, day care and other supportive services for farmworkers who choose to stay in agriculture.

At least 94 percent of each year’s appropriation is allocated to

States according to a population-based formula. The remainder of

each year’s appropriation is set aside for technical assistance to

grantees and for other special projects to benefit seasonal farmworkers such as the Migrant Farmworker Housing Program. The

Department is expected to continue the farmworker housing program at no less than the current year level.

National programs

For national programs, the Committee recommends $134,098,000. This is $42,432,000 less than the 2001 comparable

level and $75,000,000 more than the budget request. This activity

includes WIA-authorized programs in support of the workforce system including technical assistance and incentive grants, evaluations, pilots, demonstrations and research. In addition, the activity

includes the National Skills Standards Board.

Technical Assistance/Incentive Grants: The Committee recommends $15,000,000, the amount provided in 2001, for the provision of technical assistance, staff development, and replication of

programs of demonstrated effectiveness; as well as incentive grants

to each State that exceeds State adjusted levels of performance for

WIA State programs.

Pilots, Demonstrations and Research: The Committee recommends $55,000,000 for grants or contracts to conduct research,

pilots or demonstrations that improve techniques or demonstrate

the effectiveness of programs. This is $42,432,000 below the 2001

level and $20,000,000 more than the budget request.

The Committee is greatly concerned that America faces a desperate need for qualified help in hospitals, assisted living facilities,

nursing homes, and home health. As the country ages, this demand

will only get stronger. The demand for trained and qualified health

14

care workers is at record levels. The Committee encourages the Department to support research and pilot programs which would encourage the training and retention of health care workers to help

confront the health care worker shortage facing every community.

The Committee also urges the Secretary to work closely with the

Attorney General to develop appropriate foreign trained nurses and

nursing assistant visa programs in order to assure an adequate

supply of quality health care workers in the United States.

The Committee is also aware of the acute need to provide models

for cooperation between government and small faith and community-based entities in the administration of Federal job training

funds. The Committee believes the Department of Labor should develop and implement pilot and demonstration programs that are

targeted at creating such models as well as improving outreach,

technical assistance and capacity building among faith-based and

community organizations working in the areas of job readiness and

training.

Responsible Reintegration of Youthful Offenders: The Committee recommends $55,000,000. This is the same as the 2001 level; no

funding was requested in fiscal year 2002.

Employer-based national training contractors play a unique role

in helping the Department comply with the Workforce Investment

Act’s requirements for closer ties with industry, while fulfilling the

skills training and job placement needs of this country’s most economically disadvantaged youth. The Committee encourages the Department to expand its relationships with these organizations. The

Committee recognizes the Home Builders Institute’s Project

CRAFT (Community Restitution and Apprenticeship Focused

Training) program as a successful model and proven intervention

technique in the rehabilitation and reduced recidivism of accused

and adjudicated juvenile offenders. The Committee also acknowledges the home building industry’s shortage of skilled workers and

the role that Project CRAFT plays in helping to address this need.

As such, the Committee encourages the Department to work with

the Department of Justice to replicate project CRAFT in order to

offer at-risk and juvenile offenders training and job placement in

the building industry.

Evaluation: The Committee recommends $9,098,000 to provide

for the continuing evaluation of programs conducted under WIA, as

well as of federally-funded employment-related activities under

other provisions of law. This is the same as both the 2001 level and

the budget request.

National Skill Standards Board: The Committee recommends

$3,500,000 for the Board to continue the development of voluntary

partnerships. This is the same as the 2001 level and the budget request.

The Committee has provided funds to be used to complete the activities of the Board, as this is the final year of funding, and to

transition the voluntary partnerships to self-sustaining operations,

as requested in the budget.

Women in Apprenticeship for Non-Traditional Occupations: The

Committee recommends $1,000,000. This is the same as the 2001

level and the budget request.

The Women in Apprenticeship and Non-traditional Occupations

program supports the Women’s Bureau work with community and

15

faith-based organizations who provide technical assistance to employers and labor unions on how to effectively recruit, hire, and retain women in non-traditional jobs. The program will continue to

focus on recruiting women for jobs in high technology.

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

The bill includes $440,200,000 for community service employment for older Americans. This is the same as the fiscal year 2000

level and the budget request.

The community service employment for older Americans program

provides grants to public and private nonprofit organizations that

subsidize part-time work in community service activities for unemployed persons aged 55 and older, whose family’s annual income

does not exceed 125 percent of the poverty level. The funds provided will maintain the fiscal year 2001 level of 48,000 slots in

community services such as day-care centers, schools, and hospitals.

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

The bill includes $11,000,000, and an additional $404,650,000

contingent upon authorization. Authorization for trade adjustment

assistance benefits and NAFTA transitional adjustment assistance

benefits were authorized through September 30, 2001. The Committee has provided additional funding contingent upon enactment

of legislation extending these programs.

Weekly benefits as well as training and job search allowances are

provided to certified workers adversely affected by imports and

trade with countries covered by the North America Free Trade

Agreement.

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

The bill includes $3,400,338,000 for this account, an increase of

$16,628,000 above the fiscal year 2001 level and $14,000,000 below

the budget request. Included in the total availability are

$3,236,886,000 authorized to be drawn from the Employment Security Administration Account of the Unemployment Trust Fund and

$163,452,000 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 that administer Federal and State

unemployment compensation laws and operate the public employment service.

For Unemployment Insurance Services, the bill provides

$2,413,923,000. This total includes $2,403,923,000 for State Operations and $10,000,000 for national activities. The recommendation

is $46,628,000 more than the fiscal year 2001 level and the same

as the budget request.

For the Employment Service, the bill provides $846,415,000 which includes $23,452,000 in general funds together with an authorization to spend $822,963,000 from the Employment Security

Administration Account of the Unemployment Trust Fund. These

amounts are the same as the fiscal year 2001 level and the budget

request. Included in the bill for the Employment Service is

$796,735,000 for Wagner-Peyser Act Grants to States, available for

16

the program year of July 1, 2001 through June 30, 2002. This is

the same as the fiscal year 2001 level and the budget request. The Committee has provided $49,680,000 for ES national activities, the same as the fiscal year 2001 level and the budget request.

Funds provided support the Alien Labor Certification Program,

Welfare-to-Work tax credit programs, capacity building and technical assistance. The Committee notes that the Administration has

requested funds to support the implementation of the permanent

labor application and adjudication process. The bill provides $20,000,000 for Work Incentive Grants. This is

the same as the fiscal year 2001 level and the budget request.

Work Incentive Grants are competitively awarded to partnerships of organizations that assist the One-Stop system in providing

the full range of services to people with disabilities. The Committee has provided $120,000,000 for One-Stop career centers. This is $30,000,000 less than the fiscal year 2001 level and

$14,000,000 less than the budget request. The One-Stop program

provided significant funding for State implementation of One-Stop

grants to create a comprehensive one stop system for service delivery. The Committee understands that the Department is focusing

on universal access through its core products and encourages the

Department to streamline and avoid duplication in its labor market

information products.

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

The bill includes $464,000,000, the same as the budget request and an increase of $29,000,000 above the fiscal year 2001 level.

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.

PROGRAM ADMINISTRATION

The bill includes total funding for this account of $161,863,000. This is $3,000,000 more than the 2001 level and $785,000 more

than the budget request. This includes $113,365,000 in general

funds and authority to expend $48,507,000 from the Employment

Security Administration Account of the Unemployment Trust Fund.

Within the funds provided, the Committee assumes a 4.6 percent pay increase as well as an increase of $1.5 million for procuring

contractor services to provide specialized financial and program

management information to all levels of ETA organizations.

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 welfare-to-work program, the Trade Act of 1974, and the National Apprenticeship Act.

Trust funds provide for the Federal administration of employment

security functions under title III of the Social Security Act and the

Immigration and Nationality Act.

PENSION AND WELFARE BENEFITS ADMINISTRATION

SALARIES AND EXPENSES

The bill provides $109,866,000 for this account, an increase of

$2,233,000 over the fiscal year 2001 level and $1,878,000 over the

17

budget request. Within the funds provided, the Committee assumes

a 4.6 percent pay increase.

The Pension and Welfare Benefits Administration (PWBA) is responsible for the enforcement of Title I of the Employee Retirement

Income Security Act of 1974 (ERISA) in both civil and criminal

areas. This involves ERISA fiduciary and reporting/disclosure requirements. PWBA is also responsible for enforcement of sections

8477 and 8478 of the Federal Employees’ Retirement Security Act

of 1986 (FERSA). The agency was also given new responsibilities

under the Health Insurance Portability and Accountability Act of

1996.

PENSION BENEFIT GUARANTY CORPORATION

The Corporation’s budget estimate for fiscal year 2002 includes benefit payments of $1,079,000,000, multi-employer financial assistance of $6,270,000, an administrative expenses limitation of

$11,690,000, and services related to terminations of $178,924,000.

The amount in the administrative expense limitation is $38,000

above the fiscal year 2001 level and the budget request.

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 chairman of

its board of directors. The Corporation receives its income from insurance premiums collected from covered pension plans, collections

of employer liabilities imposed by the Act, and investment earnings. It is also authorized to borrow up to $100 million from the

Treasury. The primary purpose of the Corporation is to guarantee

the payment of pension plan benefits to participants if covered

plans fail or go out of existence.

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

The bill includes $369,631,000 for this agency. This is $6,915,000 more than the fiscal year 2001 level and $85,197,000 more than the

budget request. The bill includes $367,650,000 in general funds for

this account and also contains authority to expend $1,981,000 from

the Special Fund established by the Longshore and Harbor Workers’ Compensation Act. The Committee does not include authority for the Department to impose a surcharge totaling $80,281,000 collected from Federal agencies for workers compensation for administration of the FECA program as requested. The Committee has instead provided this funding in appropriations to the Department

for administration of the FECA program.

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). The agency also administers Executive Order 11246 related

to affirmative action by Federal contractors and the Labor-Management Reporting and Disclosure Act.

18

The Committee has provided sufficient funds to create a searchable LM2 filing database and expects that this computer database

will be completed and available to the public as soon as possible.

For several years, the Labor Department has been evaluating

ways to modernize the Davis-Bacon wage determinations process.

The Employment Standards Administration issued a letter to the

Committee on January 17, 2001, regarding a decision to move

ahead with the ‘‘reengineering’’ approach to modernization. The

Committee requests the Department to submit a report outlining

specific changes which are proposed to modernize the wage determination process under the reengineering approach as well as the

reinvention approach (which could utilize data already being gathered by the Bureau of Labor Statistics) including cost analysis for

both options. The report should also identify what additional

data—if any—other than data already being gathered by the Bureau of Labor Statistics, would be necessary to complete reinvention of the Davis-Bacon process.

SPECIAL BENEFITS

The bill includes $121,000,000. This is an increase of $65,000,000

above the fiscal year 2001 appropriation and the same as the budget request. This appropriation primarily provides benefits under

the Federal Employees’ Compensation Act (FECA). The payments

are required by law.

The total amount to be available in fiscal year 2002 for FECA

payments, including anticipated reimbursements from Federal

agencies of $1,388,000,000, is expected to be $2,226,000,000, an increase of $48,044,000 over the fiscal year 2001 comparable level.

The Committee recommends continuation of appropriation language to provide authority to deposit into the Special Benefits account 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 also recommends approval of

appropriation language to provide that up to $36,696,000 of the

funds transferred from the ‘‘fair share’’ agencies to pay the costs of

administration will be available to the Secretary of Labor to finance capital improvements relating to upgrading and enhancing

the Federal Employees’ Compensation program computer system

and to finance staff costs related to the FECA periodic roll management project. The remaining balance of the administrative costs

paid by the ‘‘fair share’’ agencies will revert to Treasury as miscellaneous receipts.

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION

PROGRAM

The bill includes $136,000,000 for the Energy Employees Occupational Illness Compensation Program authorized by Title XXXVI of

the National Defense Authorization Act of 2001. This is

$75,672,000 above the fiscal year 2001 level and the same as the

budget request. Funds will be used to administer a program that

provides compensation to employees or survivors of employees of

the Department of Energy (DOE), its contractors and subcontractors, companies that provided beryllium to DOE, and atomic weapons employees who suffer from a radiation-related cancer, berylVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00018 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
19

lium-related disease, or chronic silicosis as a result of their work

in producing or testing nuclear weapons, and uranium workers covered under the Radiation Exposure Compensation Act.

BLACK LUNG DISABILITY TRUST FUND

The bill includes authority to obligate a total of $1,036,115,000

from the Black Lung Disability Trust Fund in fiscal year 2002,

with $981,283,000 for benefits and interest authorized to be made

from the Trust Fund. For administrative purposes, the total

amount available for fiscal year 2002 will provide $54,476,000 and

$356,000 for administrative expenses for the Departments of Labor

and Treasury, respectively.

The Trust Fund pays all black lung compensation/medical and

survivor benefit expenses when no responsible mine operator 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 53,250 people will be receiving black lung

benefits financed from the Trust Fund in fiscal year 2002. This

compares with an estimated 59,500 receiving benefits in fiscal year

2001.

The basic financing for the Trust Fund comes from a coal excise

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

from reimbursement payments from mine operators for benefit payments made by the Trust Fund before the mine operator is found

liable, and advances from the general fund, estimated at

$464,000,000 in fiscal year 2002. The advances to the Fund assure

availability 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

The bill includes $435,307,000 for OSHA. This is $9,472,000

above the budget request and $9,421,000 above the 2001 comparable level. This agency is responsible for enforcing the Occupational Safety and Health Act of 1970 in the Nation’s workplaces.

Within the funds provided, the Committee assumes a 4.6 percent

pay increase.

The Committee is very pleased with OSHA’s efforts in placing

high priority on the Voluntary Protection Program (VPP) and other

voluntary cooperative programs. The agency’s work in expanding

participation in the programs and promoting prompt review and

processing of applications, is particularly noteworthy. In fiscal year

2002 the Committee expects OSHA to continue to place priority on

the VPP, making every effort to ensure 25 percent growth in participation by sites covered under Federal OSHA jurisdiction. Cooperative voluntary programs, especially the VPP, are important to

employers’ ability to assure worker safety and health.

The Committee has included language carried in the bill since

1976 in one instance and 1979 in the other that restricts the use

of funds for certain purposes. First, the bill includes language that

effectively exempts farms employing 10 or fewer people from the

20

provisions of the Act except those farms having a temporary labor

camp. Second, the bill includes language exempting businesses employing 10 or fewer in industry classifications having a lost workday injury rate less than the national average from general schedule safety inspections.

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

The bill includes $251,725,000 for this agency. This is $5,419,000

above the budget request and the fiscal year 2001 comparable level.

This agency enforces the Federal Mine Safety and Health Act in

underground and surface coal and metal and non-metal mines.

Within the funds provided, the Committee assumes a 4.6 percent

pay increase.

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

The total funding recommended by the Committee for the Bureau of Labor Statistics is $477,108,000. This is $1,108,000 above

the budget request and is an increase of $26,221,000 over the 2001

comparable level. The bill includes $407,976,000 in general funds

for this account and authority to spend $69,132,000 from the Employment Security Administration Account of the Unemployment

Trust Fund. The Bureau of Labor Statistics is the principal factfinding agency in the Federal Government in the broad field of

labor economics. Its principal surveys include the Consumer Price

Index and the monthly unemployment series. Within the funds provided, the Committee assumes a 4.6 percent pay increase.

OFFICE OF DISABILITY EMPLOYMENT POLICY

SALARIES AND EXPENSES

The bill includes $33,053,000 for the new Office of Disability Employment Policy, which is $10,210,000 below the budget request

and $10,084,000 above the fiscal year 2001 comparable level. Fiscal

year 2002 is the first year that funding for this program is not provided under the Departmental Management activities. Of the funds

provided, $2,640,000 is for the National Task Force on Employment

of Adults with Disabilities. The Office provides leadership to eliminate employment barriers to people with disabilities. The Committee is pleased that the Department has made the employment

of people with disabilities a priority, however, there is concern that

the Office is not prepared for the 88 percent increase requested due

to the slow start in hiring staff and in confirmation of an Assistant

Secretary. Although full funding for this program is not provided

in this bill, the Committee supports the Secretary’s initiative.

Within the funds provided, the Committee assumes a 4.6 percent

pay increase.

21

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

The bill includes $383,878,000 for Departmental Management ac- tivities. This is $26,491,000 above the fiscal year 2001 comparable

level and $54,113,000 above the budget request. The bill includes

$383,568,000 in general funds for this account along with authority

to transfer $310,000 from the Employment Security Administration

Account of the Unemployment Trust Fund. In addition, an amount

of $22,590,000 is available by transfer from the Black Lung Disability Trust Fund. This is an increase of $1,000,000 over the fiscal

year 2001 level and the same as the budget request. Within the

funds provided, the Committee assumes a 4.6 percent pay increase.

The Departmental Management appropriation finances staff responsible for formulating and overseeing the implementation of Departmental policy and management activities. 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 is aware that the Department of Labor, like the

rest of the government departments, is going through a transition

from one Administration to the next. However, the Committee is

concerned about the lack of timely responses to the Committee’s requests for information and material. In particular, the Committee

experienced difficulties in receiving hearing testimony, responses to

hearing questions, and other requests for information and briefings

pertaining to the funding and operation of the Department’s programs and activities. These delays hindered the Committee’s ability to perform its oversight responsibilities in reviewing the budget

request for fiscal year 2002. Given the nature of the appropriations

process, the majority of the Committee’s requests need to be directed to the Department’s budget office. It is critical that the Committee have access to that office. In addition, the Committee reserves the right to call upon all components of the Department for

information and assistance. The workload generated in the budget

process is large and growing; therefore, a positive, responsive relationship between the Committee, the legislative affairs office, and

the budget office is absolutely essential to the appropriations process of the United States government.

The bill includes $147,982,000 for the Bureau of International

Labor Affairs, which is the same as the fiscal year 2001 comparable

level and an increase of $76,394,000 above the budget request.

The Committee is concerned that the growth in ILAB’s programs

in recent years might be outpacing ILAB’s capacity to monitor

grants and contracts to ensure that funds are achieving the purposes for which they were appropriated and that the implementing

organizations are utilizing the grants efficiently in obtaining the

desired results. The Committee is aware that a study is underway

and anticipates receiving a report from ILAB by July 31, 2002 listing the specific evaluations or other methods used by ILAB to monitor the results achieved by these programs.

The bill reduces the request for the Department-wide information

technology crosscut by $28,292,000. The funding level after this reduction is $51,708,000, which is $14,708,000 above the fiscal year

22

2001 comparable level. The Committee commends the Department

in streamlining its information technology infrastructure into a single, uniform system and encourages the Department in this effort.

However, the Committee was forced to make difficult choices given

the budget constraints under which it is operating this year.

The Committee is aware of concerns about the Department’s

‘‘policy guidance’’ issued January 17, 2001 pursuant to Executive

Order 13166, published on August 16, 2000, regarding Limited

English Proficiency. For example, some argue the ‘‘policy guidance’’

may require State-level agencies, including local Workforce Investment Boards, grant recipients, Job Corps, One-Stop Centers and

others, to provide oral translations plus written translations of almost all notices, letters, pamphlets and brochures, posters, and

other printed materials into scores of languages, leading to costs

that could overwhelm State agencies, small businesses and even

Federal agencies. The Committee recommends that the Department carefully review the guidance and revisit its implications, impacts and consequences both practically and fiscally.

In light of the enactment of the Workforce Investment Act, the

Committee requests the Secretary update and submit to this Committee and the authorization committees with jurisdiction over the

Department’s programs by September 30, 2002, a report that describes current policy and practice barriers to access and utilization

of targeted and mainstream employment and training systems and

programs by homeless people and recommendations for removing

such impediments and strengthening such programs.

ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT AND TRAINING

The bill includes $211,703,000 for veteran employment and training activities, the same level as the 2001 comparable level and the

budget request. Within this amount, the bill includes $186,903,000

to be expended from the Employment Security Administration account of the Unemployment Trust Fund for the traditional State

and Federal administration of veterans employment and training

activities.

For State grants, the bill provides $81,615,000 for the Disabled

Veterans Outreach program. The bill also provides $77,253,000 for

the Local Veterans Employment Representative program. For Federal administration, the bill provides $28,035,000 which is $47,000

more than the 2001 level and the same as the budget request.

For veterans workforce investment programs, the Committee recommends $7,300,000. This is the same as the 2001 comparable

level and the same as the budget request. This budget activity, authorized by WIA, supports efforts to provide lifelong learning and

skills development to veterans who have service-connected disabilities, who have significant barriers to employment, who served on

active duty in the armed forces during a war or in a campaign or

expedition for which a campaign badge has been authorized, or who

are recently separated.

The Committee recommends $17,500,000 for the homeless veterans reintegration program assisting homeless veterans to find

jobs. This is the same as 2001 and the budget request.

23

OFFICE OF THE INSPECTOR GENERAL

The bill includes $57,133,000 for the Office of Inspector General.

This is $2,450,000 above the fiscal year 2001 level and the same

as the budget request. This includes $52,182,000 in general funds

for this account along with authority to transfer $4,951,000 from

the Employment Security Administration account of the Unemployment Trust Fund.

The Office of the Inspector General was created by law to protect

the integrity of Departmental programs as well as the welfare of

beneficiaries served by those programs. Through a 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

throughout the Department.

GENERAL PROVISIONS

Sec. 101. The Committee continues a provision to prohibit the

use of Job Corps funding for compensation of an individual at a

rate in excess of Executive Level II.

Sec. 102. The Committee continues a provision to permit transfers of up to one percent between appropriations.

TITLE II—DEPARTMENT OF HEALTH AND HUMAN

SERVICES

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

The bill includes $5,691,480,000 for health resources and services

programs, which is $146,491,000 above the fiscal year 2001 comparable level for these activities and $718,793,000 above the budget

request. Within the funds provided, the Committee assumes a 4.6

percent pay increase.

The Health Resources and Services Administration (HRSA) supports programs which provide health services to disadvantaged,

medically undeserved, and special populations; improve infant mortality rates; direct the education, supply, and distribution of a wide

range of health professionals; and provide technical assistance regarding the utilization of health resources and facilities.

Community health centers

The Committee provides $1,318,559,000 for community health

centers, which is $150,000,000 above the fiscal year 2001 comparable level and $25,836,000 above the budget request. These

funds support programs which include community health centers,

migrant health centers, health care for the homeless and public

housing health service grants.

The Committee includes bill language similar to previous years

limiting the amount of funds available for the payment of claims

under the Federal Tort Claims Act to $15,000,000. The Committee

recognizes the value of this program for health centers and as additional health centers participate in the program, the number of

claims submitted and paid also increases. The agency reports that

currently only $1,100,000 remains available to pay claims and

24

there are 465 claims pending. Therefore, the Committee has increased the limitation for tort claims to $15,000,000. The Committee requests HRSA to submit a report by February 15, 2002

that provides an analysis of the Federal tort claims program. This

report should include a history of the program, trends in the number and type of claims submitted as well as those paid, any proposals, including legislative proposals, to change the program, and

any other information the Committee might need to address this

issue.

The Committee is pleased with the Administration initiative to

double the number of citizens served by community health centers.

However, the Committee emphasizes that the ends to such a goal

must not be achieved simply by placing additional centers in densely populated urban communities, thus leaving less densely populated rural areas still underserved.

For the past few years, priority has been given to ensure that financially-pressed health centers remain viable in under-served

communities. The Committee commends HRSA for stabilizing

many health centers through its funding methodology and supports

continuation of that effort. In addition, the Committee has increased funding above the budget request in order to expand current service levels and sites. The Committee encourages HRSA to

distribute these additional funds to existing health centers based

on their ability to expand their delivery of care to new patients and

for new sites in communities without adequate access to primary

and preventive care.

The Committee does not provide additional funds for loan guarantee authority under section 330(d) of the Public Health Service

Act. The Committee notes that the $160,000,000 made available in

fiscal years 1997 and 1998 for loan guarantees continues to be

available for guarantees of both loan principal and interest.

The Committee recognizes that a growing number of community

health centers are feeling the financial impact of providing culturally and linguistically appropriate services to multicultural and

limited English speaking patients. Community health centers providing services in more than two languages and/or dialects and to

a patient base with at least 70 percent requiring such services are

not compensated for providing culturally and linguistically appropriate services. The Committee encourages HRSA to include such

costs in formulas that determine base funding for community

health centers.

National Health Service Corps: Field placements

The Committee provides $42,511,000 for field placement activities, which is $1,049,000 above the fiscal year 2001 comparable

level and the same as the budget request. These funds are used to

support the activities of National Health Service Corps (NHSC) obligors and volunteers 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.

National Health Service Corps: Recruitment

The Committee provides $100,000,000 for recruitment activities,

which is $12,088,000 above the fiscal year 2001 comparable level

25

and $12,084,000 above the budget request. The program awards

scholarships to health professions students and assists graduates

in repaying their student loans. In return for every year of support,

these students are obligated to provide a year of service in health

professional shortage areas usually located in inner cities or rural

areas, with a two-year minimum obligation. Within the total provided, $4,000,000 is for State offices of rural health.

Health professions

The Committee provides $669,992,000 for all health professions

training programs, which is $82,103,000 above the fiscal year 2001

comparable level and $330,145,000 above the budget request. The

Bureau of Health Professions provides both policy leadership and

support for health professions workforce enhancement and educational infrastructure development.

Centers of excellence

The Committee provides $33,637,000 for centers of excellence,

which is $3,000,000 above the fiscal year 2001 comparable level

and $20,790,000 above the budget request. The program is designed to strengthen the national capacity to educate underrepresented minority (URM) students in the health professions by offering special support to those institutions which train a significant

number of URM individuals, including African-Americans, Hispanics and Native Americans. Funds are used for the recruitment

and retention of students and faculty, information resources and

curricula, faculty and student research, and the development of

plans to achieve institutional improvements.

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 encourages the program to consider applications that are responsive to allied health professions that are experiencing shortages and high

vacancy rates such as laboratory personnel.

Health careers opportunity program

The Committee provides $35,795,000 for the health careers opportunity program, which is $3,000,000 above the fiscal year 2001

comparable level and $22,043,000 above the budget request. This

program provides grants and contracts to eligible health professions schools for identifying, recruiting, and selecting individuals

from the various racial and ethnic populations who are from disadvantaged backgrounds for education and training in a health

profession and facilitating their entry into, retention and completion of their education at a health professions school.

The Committee is pleased that HRSA has given priority consideration for health careers opportunities program (H–COP) grants to

minority health professions institutions and recommends that

grant review committees have proportionate representation from

these institutions. The Committee encourages the program to consider applications that are responsive to allied health professions

that are experiencing shortages and high vacancy rates such as

laboratory personnel.

26

Loan repayments and fellowships regarding faculty positions

The Committee provides $1,330,000 for loan repayments and fellowships regarding faculty positions, which is the same as the fiscal year 2001 comparable level and $773,000 above the budget request. The program provides for the repayment of educational

loans of individuals from disadvantaged backgrounds who are

health professions students or graduates, and who have agreed to

serve for not less than two years as a faculty member of an eligible

health professions school. The school matches the Federal contribution toward loan repayment. The program also supports fellowships

for URM faculty members.

Scholarships for disadvantaged students

The Committee provides $46,473,000 for scholarships for dis- advantaged students, which is $2,000,000 above the fiscal year

2001 comparable level and $27,822,000 above the budget request.

The program provides grants to eligible health professions and

nursing schools to provide scholarships to eligible individuals from

disadvantaged backgrounds, including students who are members

of racial and ethnic minority groups. By statute, not less than 16

percent of the funds must go to schools of nursing. The Committee

continues to intend that all health professions disciplines made eligible by statute be able to participate in the program.

Training in primary care medicine and dentistry

The Committee provides $95,048,000 for training in primary care medicine and dentistry, which is $4,000,000 above the fiscal year

2001 comparable level. The Administration did not request funding

for this program. The program is comprised of four elements: (1)

family medicine programs; (2) general internal medicine and general pediatrics (GIM/GP) training; (3) physician assistants (PA)

training; and (4) general or pediatric dentistry training. Family

medicine grants and contracts promote the predoctoral training of

medical students, support family medicine residency programs and

their trainees, train physicians who plan to teach in family medicine programs, and assist in establishing or improving family medicine academic administrative units. GIM/GP grants and contracts

are to plan and operate residency programs and to provide financial assistance for residents, meet the costs of training programs

for physicians who plan to teach in GIM/GP, as well as to support

the faculty trainees, and develop programs to support predoctoral

activities. PA training grants and contracts are to plan, develop,

and operate or maintain programs for the training of PAs and for

the training of individuals who will teach in programs to provide

such training. General or pediatric dentistry training grants and

contracts are to meet the costs of planning, developing, or operating programs and to provide financial assistance to residents in

such programs.

Area health education centers

The Committee provides $33,362,000 for area health education

centers (AHEC), which is the same as the fiscal year 2001 comparable level and $25,806,000 above the budget request. The program links university health science centers with community

health service delivery systems to provide community-based trainVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00026 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
27

ing sites for students, faculty, and practitioners. The program supports two types of projects: (1) basic/core AHEC cooperative agreement projects to plan and implement new and developing programs; and (2) model programs to extend AHEC cooperative agreement projects, with not less than 50 percent of the project costs

supported by non-Federal contributions in cash.

Health education and training centers

The Committee provides $4,403,000 for health education and

training centers, which is the same as the fiscal year 2001 comparable level. The Administration did not request funding for this

program. The program funds schools of medicine and osteopathy to

conduct training and education programs for health professions

students to improve the access, diversity, and quality of health personnel along the border between the United States and Mexico, in

the State of Florida, and in other urban and rural areas with populations with serious unmet health care needs. The program also

provides educational support to health professionals, including

nursing, practicing in the area.

Allied health and other disciplines

The Committee provides $9,501,000 for allied health and other disciplines, which is $1,079,000 above the fiscal year 2001 comparable level and $7,594,000 above the budget request. The program is comprised of three elements: (1) allied health special

projects; (2) podiatric primary care residency training; and (3)

chiropractic demonstration projects. Allied health special projects

assist entities in meeting the costs associated with expanding or establishing programs that will increase the number of individuals

trained in allied health professions. Activities included are those

that: (1) expand enrollments; (2) provide rapid transition and career advancement training programs; (3) establish communitybased training programs; (4) expand or establish interdisciplinary

training programs, demonstration centers, and clinical training

sites in medically underserved or rural communities; (5) provide

traineeships to students; and (6) plan, develop, and operate or

maintain graduate programs in behavioral and mental health practice. Podiatric primary care residency training grants and contracts

are for planning and implementing projects in residency programs

and providing traineeships to residents who plan to specialize in

primary care. Chiropractic demonstration grants and contracts are

to carry out demonstration projects in which chiropractors and physicians collaborate to identify and provide effective treatment of

spinal and lower-back conditions.

Within the total provided, $2,000,000 above the budget request

is to establish a graduate psychology education program to train

health service psychologists in accredited psychology programs.

This competitive program will provide awards for work with underserved populations, including children, the elderly, victims of

abuse, the chronically ill or disabled and in areas of emerging

needs, which will foster an integrated approach to health care services, address access for underserved populations and build on the

interrelatedness of behavior and health.

The Committee continues to encourage HRSA to give priority

consideration to those projects for schools training allied health

28

professionals experiencing shortages, such as medical technologists

and cytotechnologists. The Committee is concerned about high vacancy rates for these laboratory personnel and urges HRSA to redouble efforts to address these shortages.

Geriatric programs

The Committee provides $22,410,000 for geriatric programs, which is $10,000,000 above the fiscal year 2001 comparable level.

The Administration did not request funding for this program. The

program provides grants and contracts to eligible entities to: (1) establish geriatric education centers to provide training for health

care professionals who provide treatment and for training and retraining of faculty who teach geriatrics; (2) provide support for geriatric training projects to train physicians, dentists, and behavioral

and mental health professionals who plan to teach geriatrics; and

(3) establish a program to provide Geriatric Academic Career

Awards to eligible individuals to promote the career development

of such individuals as academic geriatricians. Within the total provided, $10,000,000 above the budget request

is to expand graduate medical education curriculum in geriatrics.

The Committee is concerned that there is an insufficient number

of health care providers trained to address the health care needs

of the growing older population. With only a small number of new

physicians going into the field and those already in the field approaching retirement age, incentives are needed to increase the

number of academic geriatricians to competently train health professionals from a variety of disciplines, including geriatric medicine. The Committee believes that to meet the needs of an aging

population, HRSA needs to improve the training of all health professionals in geriatrics.

Quentin N. Burdick program for rural interdisciplinary training

The Committee provides $5,988,000 for the Quentin N. Burdick

program for rural interdisciplinary training program, which is the

same as the fiscal year 2001 comparable level. The Administration

did not request funding for this program. The program provides

grants and contracts to entities for the purpose of funding interdisciplinary training projects that are designed to train, recruit,

and retain teams of interdisciplinary professionals to work in underserved areas.

Health professions workforce information and analysis

The Committee provides $824,000 for health professions workforce information and analysis, which is the same as both the fiscal

year 2001 comparable level and the budget request. The program

provides grants and contracts to eligible entities to provide for the

collection and analysis of targeted information, research on high

priority workforce questions, the development of a non-Federal

analytic and research infrastructure, and the conduct of program

evaluation and assessment.

Public health, preventive medicine and dental public health programs

The Committee provides $11,478,000 for public health, preventive medicine and dental public health programs, which is

29

$2,000,000 above the fiscal year 2001 comparable level and

$9,331,000 above the budget request. The program is comprised of

three elements: (1) public health training centers; (2) public health

traineeships; and (3) preventive medicine and dental public health

residencies. Grants or contracts for the operation of public health

training centers are awarded to an accredited school of public

health, or another public or nonprofit private institution accredited

for the provision of graduate or specialized training in public

health, that plans, develops, operates, and evaluates projects that

are in furtherance of the goals for the year 2000 in the areas of

preventive medicine, health promotion and disease prevention, or

improving access to and quality of health services in medically underserved communities. Public health traineeship grants provide

graduate or specialized public health training to individuals in the

fields of epidemiology, environmental health, biostatistics, toxicology, nutrition, and maternal and child health. Preventive medicine and dental public health residency grants and contracts assist

schools in developing new residency training programs or improving existing programs and in providing financial assistance to residency trainees.

Health administration programs

The Committee provides $1,231,000 for health administration

programs, which is the same as the fiscal year 2001 comparable

level. The Administration did not request funding for this program.

These programs provide grants to eligible entities with an accredited program in health administration, hospital administration, or

health policy analysis and planning to provide traineeships to students and assist accredited health administration programs in the

development or improvement of programs to prepare students for

employment with public or nonprofit private agencies. Priority in

awarding of traineeships is given to students who demonstrate a

commitment to employment with public or non-profit entities in the

fields with respect to which the traineeships are awarded.

Children’s hospitals graduate medical education program

The Committee provides $285,000,000 for the children’s hospitals

graduate medical education program, which is $50,020,000 above

the fiscal year 2001 comparable bill and $84,906,000 above the

budget request. The program provides a more adequate level of

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 statutorily defined under Medicare as those whose inpatients are predominantly

under the age of 18. The funding in this program is intended to

make the level of Federal Graduate Medical Education support

more consistent with other teaching hospitals, including children’s

hospitals which 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.

30

Advanced education nursing

The Committee provides $61,048,000 for advanced education nursing, which is $2,003,000 above the fiscal year 2001 comparable

level and $2,000,000 above the budget request. The program provides grants and contracts to eligible entities to meet the costs of:

(1) projects that support the enhancement of advanced nursing

education and practice; and (2) traineeships for individuals in advanced nursing education programs. The program prepares nurse

practitioners, clinical nurse specialists, nurse midwives, nurse anesthetists, nurse educators, nurse administrators, public health

nurses or other nurse specialists for advanced practice roles. The

type of advanced education programs include master’s and doctoral

degree programs, combined registered nurse/master’s program,

post-nursing master’s certificate programs, or in the case of certificate nurse midwifery programs, those in existence on November 12,

1998.

Nursing workforce diversity

The Committee provides $6,173,000 for nursing workforce diver- sity, which is $1,500,000 above the fiscal year 2001 comparable

level and the same as the budget request. The program provides

grants and contracts to schools of nursing and other eligible entities to meet the costs of special projects to increase nursing education opportunities for individuals who are from disadvantaged

backgrounds, including racial and ethnic minorities, by providing

student scholarships or stipends, pre-entry preparation, and retention activities. The program also contributes to the basic preparation of disadvantaged and minority nurses for leadership positions

within the nursing and health care community.

Basic nurse education and practice

The Committee provides $16,291,000 for basic nurse education and practice, which is $3,501,000 above the fiscal year 2001 comparable level and the same as the budget request. The program

provides grants and contracts to schools of nursing and other eligible entities for projects to strengthen capacity for basic nurse education and practice by strengthening programs that provide basic

nurse education through establishing or expanding nursing practice

arrangements in non-institutional settings; providing care for underserved populations and other high-risk groups, such as the elderly, individuals with HIV/AIDS, substance abusers, the homeless,

and victims of domestic violence; providing managed care, quality

improvement, and other skills needed to practice in existing and

emerging health care systems; develop cultural competencies

among nurses; expand the enrollment in baccalaureate programs;

promote career mobility and cross training or specialty training

among diverse population groups; and providing education in

informatics, including distance learning methodologies or other priority areas.

Hansen’s disease services

The Committee provides $17,491,000 for the Hansen’s disease

program, which is $399,000 below the fiscal year 2001 comparable

level and $900,000 below the budget request. This program offers

Hansen’s disease treatment to about 40 long term residents who

31

continue to reside at Carville, to patients at a Center in Baton

Rouge, as well as to patients at other contract supported locations

in Baton Rouge and in grant supported outpatient regional clinics.

Other former long term residents have been offered and elected to

receive a living allowance from the program and now live independently. These programs provide treatment to about 3,000 of the

6,000 Hansen’s disease sufferers in the continental United States.

Over the next few years, a long term facility will be developed in

the Baton Rouge area and offered to the current long term residents remaining at the Carville location as an alternative to remaining at the historic facility. The program also conducts research

focusing on the global elimination of Hansen’s disease.

Maternal and child health block grant

The Committee provides $740,000,000 for the maternal and child health (MCH) block grant, which is $25,849,000 above the fiscal

year 2001 comparable level and $30,913,000 above the budget request. The MCH block grant provides funds to States to meet a

broad range of enhanced and wraparound health services, including personal health services; general, population-wide health services, such as screening; family support services; and integrated systems of care. About 17 million women, infants, children, adolescents and children with special health care needs will be served in

fiscal year 2002. The authorizing statute provides that, up to a

funding level of $600,000,000, 85 percent of the funds are distributed to the States, with 15 percent of the funds set-aside by the

Secretary for special projects of regional and national significance

(SPRANS). When the appropriation exceeds $600,000,000, 12.75

percent of the amount over $600,000,000 is directed to the Community Integrated Service Systems set-aside program. The remaining

87.25 percent is distributed by the same 85/15 percent allocation as

in the basic block grant formula. The Committee provides $9,000,000 more for SPRANS activities

than would otherwise be the case under the statutory formula, of

which $5,000,000 is to continue the traumatic brain injury health

services demonstration projects initiated in fiscal year 1997 under

this authority and $4,000,000 is to enhance the sickle cell newborn

screening program and its locally based outreach and counseling efforts. HRSA is urged to give priority consideration to sickle cell disease organizations that have a proven track record of providing

supportive and related services.

In addition, $10,000,000 is provided for the title V SPRANS abstinence education program. This brings the total program level to

$40,000,000 for fiscal year 2002. The Committee supports abstinence education for adolescents, ages 12 through 18, and supports

expansion of efforts to present an abstinence-only message to

America’s youth. It is important, however, to ensure that America’s

youth do not receive mixed messages, or medically inaccurate information. The legislation directs that abstinence messages given to

a group of youth by a grantee must not be diluted by any instructor

or materials from the same grantee. Nothing in the legislation is

intended to prevent these adolescents from seeking health information or services. Nothing shall preclude entities who are teaching

these abstinence-only classes and who have a public health mandate from discussing other forms of sexual conduct or providing

32

services, as long as this is conducted in a different setting than

where and when the abstinence-only course is being conducted. In

allocating grant funds, priority should be given to those organizations which have a strong record of support of abstinence education

as defined in sections (a) through (h) of title 5, section 510(b)(2) of

the Social Security Act.

The Committee is also committed to studying the effectiveness of

abstinence education, of sexuality education, and the lack of education in these areas. In order to properly track the long term effects of these programs, it is necessary to conduct longitudinal

studies that follow groups of adolescents receiving a particular curricula for a number of years. Therefore the Committee provides up

to 3.5 percent of the funding under this legislation to study, track

and evaluate groups of youth who receive such education, including

a representative sample of adolescent clients who use Federally

funded family planning services. If possible, these cohorts should

be large enough to provide statistically significant results in all

major population segments of American society, including African

Americans, Asians, Caucasians, Hispanics, and Native Americans.

They should also be able to track socio-economic variables as well.

All appropriate active prior parental consent, age-appropriateness

and privacy guidelines should be followed. Criteria for success

should include prevention and reduction of out of wedlock pregnancies and sexually transmitted diseases, including both viral and

bacterial; rates of abortion; age at first sexual activity and intercourse; frequency of sexual activity and intercourse, and numbers

who postpone sexual activity or intercourse through adolescence.

Progress reports should be submitted to Congress annually.

Within the total provided, the Committee expects HRSA to work

with States to begin implementing the heritable disorders program

authorized in the Children’s Health Act of 2000. This program is

designed to strengthen State’s newborn screening programs and

improve State’s ability to develop, evaluate, and acquire innovative

testing technologies, and establish and improve programs to provide screening, counseling, testing, and special services for

newborns and children at risk for heritable disorders.

The Committee continues to recognize the critical role of hemophilia treatment centers in the prevention and treatment of the

complications of hemophilia and other bleeding and clotting disorders. The Committee urges HRSA to strengthen support for these

centers and requests a report by February 15, 2002 on steps taken

to improve services provided through the network to persons with

hemophilia and other blood disorders, especially in reaching the

underserved.

The Committee commends HRSA for its support of the Sudden

Infant Death Syndrome (SIDS) program support center and encourages the Bureau to continue its efforts in this area of service. The

Committee is pleased that the SIDS and Other Infant Death Support Center is collaborating with the National Institutes of Health

to address the disproportionately high incidence of SIDS among African Americans.

The Committee is pleased to learn that HRSA will continue to

fund three thalassemia centers. These centers provide comprehensive services to patients and families. The Committee urges HRSA

33

to continue to work closely with these centers and the Cooley’s

Anemia Foundation.

The Committee is aware of HRSA’s activities to improve access

to dental care for underserved populations. The Committee urges

HRSA to continue and to expand its programs with the Centers for

Medicare and Medicaid Service (CMS) and the private sector dental

community that promote access to dental services for underserved

populations. The Committee also urges HRSA, through its Maternal and Child Health program, to continue to collaborate with CMS

and adequately fund HRSA/CMS regional dental access teams and

efforts to assist states to reduce barriers to care for Medicaid and

SCHIP populations. Such collaborations should include expanding

its state oral health systems development grant program, formalizing its partnership with CMS to conduct State dental access

summit meetings, and funding innovative demonstration projects

for the prevention and early intervention of dental disease in children under three years of age.

Healthy Start

The Committee provides $102,000,000 for Healthy Start, which is $12,004,000 above both the fiscal year 2001 comparable level and

the budget request. Healthy Start provides grants to select communities with high rates of infant mortality to help them identify,

plan, and implement a diverse range of community-driven strategies that can successfully and significantly reduce disparities in

perinatal health that contribute to the Nation’s high infant mortality rate.

In structuring the competition for Healthy Start grant awards in

fiscal year 2002, HRSA is urged to give a preference to current and

former grantees with expiring or recently expired project periods,

including grantees that did not receive renewed funding during the

fiscal year 2001 round.

Universal newborn hearing screening

The Committee provides $10,000,000 for the universal newborn

hearing screening program, which is $2,001,000 above the fiscal

year 2001 comparable level and $3,419,000 above the budget request. The program provides competitive grants to States for the

purpose of implementing a national program of universal newborn

hearing screening by means of physiologic testing prior to hospital

discharge, audiologic evaluation by three months of age, and entry

into a program of early intervention by six months of age.

Organ transplantation

The Committee provides $19,992,000 for organ transplantation

activities, which is $5,000,000 above the fiscal year 2001 comparable level and the same as the budget request. The program

supports a scientific registry of organ transplant recipients; the National Organ Procurement and Transplantation Network, which

matches organ donors with potential recipients; and grants and

contracts with public and private non-profit organizations to promote and improve organ donations.

The Committee urges HRSA to use increased funding for media

advertising and best practices demonstrations designed to increase

the number of annual organ donations. Such demonstrations could

34

include providing assistance to State Departments of Motor Vehicles to establish donor registries that are accessible to organ procurement agencies and programs to encourage licensed drivers to

become organ donors.

Bone marrow program

The Committee provides $22,000,000 for the bone marrow program, which is $42,000 above the fiscal year 2001 comparable level

and the same as the budget request. In addition to funding from

HRSA in fiscal year 2002, the National Marrow Donor Program is

expected to receive $19,000,000 from the U.S. Navy. Funds are

used for donor medical costs, donor centers, tissue typing, research,

minority recruitment, and program administration. The registry is

run by contract.

Rural outreach grants

The Committee provides $51,863,000 for rural outreach grants,

which is $6,348,000 below the fiscal year 2001 comparable level

and $14,000,000 above the budget request. The program supports

projects that provide health services to rural populations not currently receiving them and that enhance access to existing services.

The reduction below last year’s level is due to the funding of onetime projects.

Rural health research

The Committee provides $12,099,000 for rural health research,

which is $1,337,000 below the fiscal year 2001 comparable level

and $6,000,000 above the budget request. The activity supports

several rural health research centers and the Office for Rural

Health Policy’s advisory committee. The reduction below last year’s

level is due to the funding of one-time projects.

Telehealth

The Committee provides $27,609,000 for telehealth, which is

$8,367,000 below the fiscal year 2001 comparable level and

$22,000,000 above the budget request. The telehealth program

works with and support communities in their efforts to develop

cost-effective uses of telehealth technologies. These technologies

bring health services to residents of the Nation who are isolated

from health care, and health-related education to the practitioners

who serve them. The reduction below last year’s level is due to the

funding of one-time projects.

The Committee recognizes the potential that telehealth has for

improving the delivery of quality health care and health information to rural underserved areas and providing distance education to

health care professionals and consumers. The Committee strongly

supports HRSA’s rural telehealth initiatives and encourages the

agency to work in partnership with medical librarians, the National Library of Medicine, and other health information specialists

in the development and implementation of its telehealth projects.

Denali Commission

The Committee does not provide funding for the Denali Commission, the same as the budget request.

35

Emergency medical services for children

The Committee provides $19,000,000 for emergency medical serv- ices for children, which is $15,000 above the fiscal year 2001 comparable level and $3,426,000 above the budget request. The program supports demonstration grants for the delivery of emergency

medical services to acutely ill and seriously injured children.

Poison control centers

The Committee provides $16,421,000 for poison control centers, which is $3,574,000 below the fiscal year 2001 comparable level

and the same as the budget request. The amount provided is to

support activities authorized in the Poison Control Center Enhancement and Awareness Act.

Black lung clinics

The Committee provides $6,000,000 for black lung clinics, which

is the same as both the fiscal year 2001 comparable level and the

budget request. The program supports 14 grantees that treat a declining population of coal miners with respiratory and pulmonary

impairments. The clinics presently receive more than one-third of

their funding from other sources, such as Medicaid and Medicare.

Of the 14 grantees, three actually receive community health center

funding as well as black lung grants.

Trauma care

The Committee provides $3,000,000 for trauma care, which is the same as the fiscal year 2001 comparable level and $533,000 above

the budget request. Trauma systems respond to public health

emergencies such as natural disasters, e.g. earthquakes, or mass

violence, e.g. riots, or school shootings, or motor vehicle accidents.

HRSA efforts include assisting States in stabilizing their trauma/

emergency medical services basic infrastructure of their systems,

and public information and education campaigns to assist State

and local agencies to raise awareness of this vital component of the

public health system.

Nurse loan repayment for shortage area service

The Committee provides $2,279,000 for nurse loan repayment for shortage area service, which is $5,000,000 below the fiscal year

2001 comparable level and the same as the budget request. This

program offers student loan repayment to nurses in exchange for

an agreement to serve not less than two years in an Indian Health

Service health center, Native Hawaiian health center, public hospital, community or migrant health center, or rural health clinic.

The reduction below last year’s level is due to the use of the Secretary’s one percent transfer authority.

Payment to Hawaii for treatment of Hansen’s disease

The Committee provides $2,045,000 for the treatment of persons

with Hansen’s disease in the State of Hawaii, which is the same

as both the fiscal year 2001 comparable level and the budget request. The program, which provides a partial matching payment to

the State of Hawaii, dates to the period of Father Damien’s facility

for sufferers of Hansen’s disease (leprosy). That facility now has

only 47 residents who live there by choice, and the grounds have

36

been converted to a historical site. Most patients diagnosed with

Hansen’s disease in Hawaii are now treated in the same manner

as new patients on the mainland; their care is handled on an outpatient basis, with the program paying for about 5,200 outpatient

visits per year.

Ryan White AIDS programs

The Committee provides $1,919,609,000 for Ryan White AIDS programs, which is $112,000,000 above the fiscal year 2001 comparable level and $111,845,000 above the budget request. The Committee recognizes that each Part of the Ryan White CARE Act provides services, which enable individuals to adhere to HIV drug

treatments and access needed medical care.

The Committee is aware of several formal collaborations between

Veteran’s Health Administration facilities and local providers of

Ryan White Care Act funding. The Committee is supportive of such

efforts to enhance HIV/AIDS services through these innovations.

The Committee requests that HRSA submit a report by February

15, 2002 detailing actions taken by the agency to further develop

collaborations, reduce barriers, and strengthen such activities to

maximize Federal HIV/AIDS care resources.

Within the total provided, $123,200,000 is for 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. Department

statistics show that racial and ethnic minorities represent the highest number of new AIDS cases. While African-Americans and Hispanics are only 12 percent and 13 percent of the U.S. population

respectively, they account for at least 55 percent and 20 percent of

all new AIDS cases. In addition, more than 60 percent of people living with AIDS are racial minorities. Congress began funding the

Minority HIV/AIDS Initiative in fiscal year 1999. It was designed

to focus special attention on solving a growing public health problem as well as to develop and improve the capacity of minority

community based organizations to more effectively serve their communities. This approach was tailored to yield innovative and successful strategies specifically targeted to the highest risk and hardest to serve populations, which for the past two decades have eluded more traditional HIV/AIDS prevention, treatment, and education efforts. In distributing these funds, the Committee expects

HRSA to tailor the portion of the Ryan White programs that are

funded under the Minority HIV/AIDS Initiative as tightly as possible in order to address the growing health problem and maximize

the participation of minority community based organizations. In

evaluating organizations’ capacities, HRSA should take into consideration that the board, management and key staff are representative of the minority communities served, be situated closest to the

targeted problem, have a history of providing services to these communities, and have documented linkages to the targeted populations, so that they can help close the gap in access to service for

the highly impacted communities of color in the interest of public

health. These funds are for activities that are designed to address

the trends of the HIV/AIDS epidemic in communities of color based

on the most recent estimated living AIDS cases, HIV infections and

37

AIDS mortality among ethnic and racial minorities as reported by

the Centers for Disease Control and Prevention. Consistent with

this overall direction, these funds are allocated as follows:

Emergency assistance

The Committee provides $619,169,000 for the Part A, emergency assistance program, which is $15,000,000 above both the fiscal year

2001 comparable level and the budget request. These funds provide

grants to metropolitan areas with very high numbers of AIDS cases

for outpatient and ambulatory health and social support services.

Half of the amount appropriated is allocated by formula and half

is allocated to eligible areas demonstrating additional need through

a competitive grant process. Within the total provided, $41,800,000 is for competitive, supplemental grants to improve the HIV-related health outcomes for communities of color and reduce existing health disparities. Funds

should be allocated through the established planning council processes of Title I eligible metropolitan areas. The Committee strongly

urges the Planning Councils to maximize the participation of minority community based organizations as defined above. These

funds are expected to improve and develop the capacity of these organizations to deliver HIV-related treatment and supportive services within communities of color, that are both culturally and linguistically appropriate to individuals living with HIV/AIDS.

Comprehensive care programs

The Committee provides $985,969,000 for Part B, comprehensive care programs, which is $75,000,000 above both the fiscal year

2001 comparable level and the budget request. The funds provided

support formula grants to States for the operation of HIV service

delivery consortia in the localities most heavily affected, for the

provision of home and community-based care, for continuation of

health insurance coverage for infected persons, and for purchase of

therapeutic drugs.

The Committee has included bill language identifying

$649,000,000 specifically for the purchase of AIDS drugs. The fiscal

year 2001 bill designated $589,000,000 for this purpose.

Within the total provided, $7,000,000 is for State HIV care

grants to support educational and outreach services to increase the

number of eligible minorities who access HIV/AIDS treatment

through AIDS Drug Assistance Programs (ADAP). The Committee

strongly urges States to maximize the participation of minority

community based organizations in delivering these educational and

outreach services. The Committee is concerned that the continuing

under representation of African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders in

State-run ADAP contributes to their persistently poor HIV/AIDS

health outcomes in comparison to other populations.

Early intervention program

The Committee provides $192,878,000 for Part C, the early intervention program, which is $6,999,000 above the fiscal year 2001

comparable level and $6,844,000 above the budget request. Funds

are used for discretionary grants to migrant and community health

centers, health care for the homeless grantees, family planning

38

grantees, hemophilia centers and other private non-profit entities

that provide comprehensive primary care services to populations

with or at risk for HIV disease. The grantees provide testing, risk

reduction counseling, transmission prevention, and clinical care;

case management, outreach, and eligibility assistance are optional

services.

Within the total provided, $49,400,000 is for planning grants and

Early Intervention Service (EIS) grants to health care providers

with a history of serving communities of color. The Committee

strongly urges HRSA to maximize the participation of minority

community based organizations as defined above in planning and

delivering EIS. Funds should also be made available to regional

and local technical assistance organizations to assist service providers in identifying and increasing the retention of minorities in

care with an emphasis on women and gay men of color in highly

impacted and underserved areas. Within the increase provided,

HRSA is urged to make enhancing the service capacity of existing

minority EIS providers a priority.

Pediatric demonstrations

The Committee provides $69,995,000 for Part D, pediatric AIDS demonstrations, which is $5,000,000 above both the fiscal year

2001 comparable level and the budget request. The program supports demonstration grants to foster collaboration between clinical

research institutions and primary community-based medical and

social service providers for the target population of HIV-infected

children, pregnant women and their families. The projects are intended to increase access to comprehensive care, as well as to voluntary participation in NIH and other clinical trials.

Within the total provided, the Committee intends that at least 90

percent should be spent on direct primary care and support services. With the exception of any increases provided through the minority AIDS initiative, priority should be placed on funding increases to existing grantees as a percentage increase to their base

grants in order to recognize the increasing costs of providing services.

The Committee encourages HRSA to expand efforts to facilitate

ongoing communication with grantees so that prospective changes

in the administration of the program can be discussed. Such efforts

should include collaboration with grantees on the study connected

with the forthcoming determination by the Secretary on a potential

limit on administrative expenses, as mandated in the Ryan White

CARE Act Amendments of 2000. The Committee also encourages

HRSA to work with CDC to identify and eliminate barriers between HIV prevention and care services.

Within the total provided, $17,000,000 is to sustain and expand

efforts to deliver comprehensive, culturally competent and linguistically appropriate research-based intervention and HIV care services to minority women, infants, and children. The Committee

strongly urges HRSA to maximize the participation of minority

community based organizations as defined above in delivering

these services. Priority should be given to these organizations and

providers with a history of effectively providing services to communities of color to expand or implement programs specifically designed to provide youth, adolescent, and young adult-focused HIV/

39

AIDS care and services. These funds will help to bridge targeted

prevention and medical care and treatment services to youth and

young adults.

AIDS dental services

The Committee provides $15,000,000 for AIDS dental services,

which is $5,001,000 above both the fiscal year 2001 comparable

level and the budget request. The program provides grants to dental schools and postdoctoral dental education programs to assist

with the cost of providing unreimbursed oral health care to patients with human immunodeficiency virus disease. Dental students and residents participating in this program receive extensive

training in the understanding and management of the oral health

care needs of people living with HIV/AIDS.

Education and training centers

The Committee provides $36,598,000 for AIDS education and

training centers, AETCs, which is $5,000,000 above both the fiscal

year 2001 comparable level and the budget request. The centers

train health care personnel who care for AIDS patients and develop

model education programs.

Within the total provided, $8,000,000 is to increase the training

capacity of AETCs to expand the number of community-based minority health care professionals with treatment expertise and

knowledge about the most appropriate standards of HIV/AIDS-related treatments and medical care for HIV infected adults, adolescents and children as developed by the US Public Health Service.

The training of minority providers is to be implemented through

collaborations with Historically Black Colleges and Universities

(HBCU), Hispanic Serving Institutions, and Tribal Colleges. These

efforts are designed to increase the treatment expertise and HIV

knowledge of minority front-line providers serving individuals living with HIV/AIDS. Funds are also intended to support minority

community based organizations to train minority providers to deliver culturally competent and linguistically appropriate treatment

education services.

Family planning

The Committee provides $264,170,000 for the family planning

program, which is $10,273,000 above the fiscal year 2001 comparable level and $10,000,000 above the budget request. The program provides grants to public and private non-profit agencies to

support projects which provide a range of family planning and reproductive services, as well as screening for ancillary health problems such as hypertension and diabetes. The program also supports

training for providers, an information and education program, and

a research program which focuses on family planning service delivery improvements.

The bill repeats language from the 2001 appropriations bill making clear that these funds shall not be expended for abortions, that

all pregnancy counseling shall be nondirective, and that these

funds shall not be used to promote public opposition to or support

of any legislative proposal or candidate for public office.

40

Health care facilities

The Committee has not included funding for health care facili- ties. A total of $251,546,000 was provided for this purpose in fiscal

year 2001; no funding was included in the budget request. This

program provides funds to public and private nonprofit entities for

construction or modernization of outpatient medical facilities. This

activity has not been funded by the Committee on a regular annual

basis.

Buildings and facilities

The Committee provides $250,000 for buildings and facilities,

which is the same as both the fiscal year 2001 comparable level

and the budget request. These funds are used to finance the repair

and upkeep of buildings at the Gillis W. Long Hansen’s Disease

Center at Carville, Louisiana.

Rural hospital flexibility grants

The Committee provides $35,000,000 for rural hospital flexibility grants, which is $10,004,000 above the fiscal year 2001 comparable

level and $10,003,000 above the budget request. The program provides grants to States to help them improve access to health care

services in rural communities by: (1) developing and implementing

a State rural health plan; (2) assisting small, at risk rural hospitals

that wish to convert to Critical Access Hospitals and receive costbased payments from Medicare; and (3) supporting these hospitals

and the communities they serve in developing networks of care

that meet the requirements of the law and integrate Critical Access

Hospitals with emergency services and other sources of health care

in the communities.

Within the total provided, $10,000,000 above the budget request

is for a small rural hospital prospective payment systems (PPS)

grant program as authorized in the Children’s Health Act.

Rural access to emergency devices

The Committee provides $12,500,000 for rural access to emergency devices to be administered through the Rural Health Outreach Office. This newly authorized program provides grants to expand the placement of automatic external defibrillators (AED) to

rural areas and to address AED training needs for first responders

and emergency medical technicians in rural communuties.

National practitioner data bank

The Committee does not provide funding for the national practitioner data bank for fiscal year 2002, which is the same as both

the fiscal year 2001 action on appropriations and the budget request. The Committee recommendation and the budget request assume that the data bank will be self-supporting, with collections of

$17,200,000 in user fees. The national data bank receives, stores

and disseminates information on paid medical malpractice judgments and settlements, sanctions taken by Boards of Medical Examiners, losses of membership in professional societies, and certain

professional review actions taken by health care entities. Insurance

companies, State licensure boards and authorities, and other

health care entities and professional societies are required to report

information to the data bank within 30 days of each action. The

41

coverage of the data bank includes dentists and physicians, and,

with respect to malpractice settlements and judgments, other categories of licensed health professionals. Hospitals are required to

search the data bank when a health care provider applies for employment and once every two years thereafter. State licensing

boards, other health care entities, licensing authorities, and professional societies also have access to the data bank. Traditional bill

language is included to ensure that user fees are collected to cover

the full costs of the data bank operations.

Healthcare integrity and protection data bank

The Committee does not provide funding for the healthcare integrity and protection data bank (HIPDB) for fiscal year 2002. The

Committee recommendation and the budget request assume that

the data bank will be self-supporting, with collections of $8,000,000

in user fees. HIPDB receives, stores, and disseminates information

on final adverse actions taken against health care providers, suppliers, and practitioners. This information is collected from and

made available to Government agencies and health plans. In addition, disclosure of the information is made available, upon request,

to health care providers, suppliers, and practitioners who wish to

self-query.

Community access program

The Committee has provided $120,041,000 for the community access program, which is $19,943,000 below the fiscal year 2001 comparable level and $105,000,000 above the budget request.

Within the total provided, $15,041,000 is to help States identify

the characteristics of the uninsured within the State and develop

approaches for providing all uninsured with health coverage and

$105,000,000 is to continue the program of grants to public, private, and non-profit health entities to develop and expand integrated systems of care and address service gaps within such integrated systems with a focus on primary care, mental health and

substance abuse services.

Program management

The Committee provides $147,049,000 for the cost of Federal

staff and related activities to coordinate, direct and manage the

programs of the Health Resources and Services Administration.

This amount is $8,077,000 above the fiscal year 2001 comparable

level and the same as the budget request. Within the funds provided, the Committee assumes a 4.6 percent pay increase.

The Committee requested a report from HRSA outlining a detailed plan on how to consolidate the oral health programs and

their funding in an effort to better coordinate HRSA’s oral health

activities. This report was due to the Committee by February 1,

2001. The Committee is extremely disappointed that it did not receive this report until August 31, 2001 and the report did not contain the requested consolidation plan. The Committee directs

HRSA to tell the Committee why it did not comply with this request.

42

MEDICAL FACILITIES GUARANTEE AND LOAN FUND

FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES

The Committee does not provide funding for the Medical Facilities Guarantee and Loan Fund, the same as the budget request.

Appropriations are used to pay interest subsidies on loans made or

guaranteed prior to fiscal year 1977 for hospital construction.

There are sufficient carryover funds from prior years’ appropriations to pay defaults and interest subsidy payments; therefore, no

appropriation is required to cover these payments. In addition, the

bill includes language, as in prior years, which prohibits commitments for new loans or loan guarantees in fiscal year 2002.

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM

The Health Education Assistance Loans (HEAL) program insured loans provided by non-Federal lenders to students in health

professions schools. Under the accounting rules established in the

Budget Enforcement Act of 1990, one account is maintained to pay

the obligations arising from loans guaranteed prior to fiscal year

1992. A second account pays obligations and collects income from

premiums on loans guaranteed in fiscal year 1992 and beyond.

Each annual cohort of loans is independently tracked in this account. The authority for this program expired in fiscal year 1999.

Fiscal year 1998 was the last year in which loans were obligated

to previous borrowers under the HEAL authority.

The Committee provides $10,000,000 to liquidate obligations

from loans guaranteed prior to 1992, which is the same as both the

fiscal year 2001 level and the budget request.

The Committee provides $3,792,000 for HEAL program management, which is $120,000 above the fiscal year 2001 comparable

level and the same as the budget request.

NATIONAL VACCINE INJURY COMPENSATION PROGRAM

The Committee makes available the release of $114,855,000 from

the Vaccine Injury Compensation Trust Fund in fiscal year 2002,

which is $500,000 above the fiscal year 2001 level and the same as

the budget request.

The National Vaccine Injury Compensation Program provides a

system of compensation for individuals with vaccine-associated injuries or deaths. Funds for claims from vaccines administered on

or after October 1, 1988 are generated by a per-dose excise tax on

the sale of selected prescribed vaccines. Revenues raised by this tax

are maintained in a Vaccine Injury Compensation Trust Fund.

Trust funds made available in the bill will support the liability

costs of vaccines administered after September 30, 1988. They will

also support the $2,992,000 in costs incurred by the agency in the

operation of the program, which is the same as both the fiscal year

2001 level and the budget request.

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH AND TRAINING

The Committee provides $4,077,060,000 for the Centers for Disease Control and Prevention (CDC), which is $214,287,000 above

43

the fiscal year 2001 comparable level and $380,449,000 above the

budget request. Within the funds provided, the Committee assumes

a 4.6 percent pay increase.

The CDC assists State and local health authorities and other

health-related organizations to control and reduce disease and

other health problems. The activities of CDC focus on several major

priorities, including providing core public health functions, responding to urgent health threats, monitoring the Nation’s health

using scientific methods, building the Nation’s health infrastructure to insure our national security against bioterrorist threats,

promoting women’s health, and providing leadership in the implementation of nationwide prevention strategies to encourage responsible behavior and adoption of lifestyles that are conducive to good

health.

The Committee considers the table accompanying this report to

be determinative of the CDC budget. Funds should be apportioned

and allocated consistent with the table, and any changes in funding

are subject to the normal notification procedures.

Birth defects, developmental disabilities, disability and health

The Committee provides $80,280,000 for birth defects, developmental disabilities, disability and health, which is $9,554,000 above

the fiscal year 2001 comparable level and $4,000,000 above the

budget request. This program collects, analyzes, and makes available data on the incidence and causes of birth defects and developmental disabilities.

Within the total provided, $2,000,000 above the budget request

is to expand autism and developmental disabilities surveillance activities in additional States.

Within the total provided, $2,000,000 above the budget request

is to expand surveillance and epidemiological efforts of Duchenne

and Becker muscular dystrophy in the United States, which will

assist with research decisions, standards of care formation, prenatal and infant screening and medical education efforts.

With the creation of this Center, CDC has an unprecedented opportunity to support research to prevent birth defects and disabilities. The Committee has included funding to increase efforts to

discover causes and develop prevention and intervention strategies

for birth defects and developmental disabilities. The Committee encourages CDC to increase monitoring, research, and prevention activities conducted by CDC in cooperation with States and other

partners.

The Committee commends CDC for its partnership with the

Christopher Reeve Paralysis Foundation to establish an information and support center. This is a critical resource for families and

individuals that experience spinal cord injuries and neurological

conditions which result in paralysis. The Committee understands

that, within the $10,000,000 increase requested in the President’s

budget, funds are included to continue working with the Foundation on projects dealing with paralysis.

Within the total provided, the Committee urges CDC to work

with NICHD, NINDS, AHRQ, and private organizations in convening a consensus conference examining the current state of practice and its opportunities relating to secondary prevention, includVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00043 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
44

ing in utero surgery, and efforts to reduce and prevent secondary

conditions of Spina bifida.

The Committee commends CDC for continuing the National

Limb Loss Information Center and expanding its efforts to address

the needs of the over 1.5 million people who have experienced limb

loss. The Committee urges CDC to further enhance its limb loss efforts including improved epidemiological research and quality of

life assessments among persons with childhood skeletal malignancies.

The Committee is aware of the importance of early identification

and proper treatment of attention deficit/hyperactivity disorder

(AD/HD) in the prevention of serious consequences, including

school and work failure, depression, conduct disorder, failed relationships and substance abuse. The Committee understands that

CDC plans to establish a pilot program for AD/HD in fiscal year

2002. The Committee urges CDC to expand its public health research agenda on AD/HD and work with non-profit organizations

representing individuals with AD/HD to establish an AD/HD resource center.

Chronic disease prevention and health promotion

The Committee provides $722,495,000 for chronic disease preven- tion and health promotion, which is $27,213,000 below the fiscal

year 2001 comparable level and $147,935,000 above the budget request. This program implements research and programs to prevent

the leading causes of death and disability (e.g., heart disease and

stroke, cancer, diabetes, and arthritis) which are among the most

prevalent, costly, and preventable of all health problems. CDC

plays a leadership role in coordinating and catalyzing the efforts of

numerous public and private partners, which allows CDC to substantially extend its effectiveness in reaching people at highest risk

for chronic disease.

Within the total provided, the following funding levels are for the

specific program activities identified: heart disease and stroke,

$32,727,000; cancer prevention and control, $67,879,000, of which

$38,021,000 is for cancer registries, $10,569,000 is for colorectal

cancer, $13,046,000 is for prostate cancer, $1,647,000 is for skin

cancer and $4,596,000 is for ovarian cancer; diabetes, $57,728,000;

arthritis, $13,251,000; health promotion, $8,630,000; tobacco,

$101,071,000; nutrition, physical activity, and obesity, $17,988,000;

school health, $58,327,000; safe motherhood/infant health including

HIV/AIDS, $49,472,000; oral health, $11,678,000; prevention centers, $22,432,000; epilepsy, $6,527,000; iron overload, $489,000;

breast and cervical cancer, $189,296,000; and National Campaign

to Change Children’s Health Behavior, $85,000,000.

CDC is implementing the first year of a youth media campaign,

which uses principles of marketing and communications strategies

to influence America’s children to develop habits that foster good

health over a lifetime—including physical activity, good nutrition,

and the avoidance of illicit drugs, tobacco, and alcohol. The Committee has provided funds to continue this campaign for a second

year. The Committee continues to believe that, if we are to have

a positive impact on the future health of the American population,

we must change the behaviors of our children and young adults by

reaching them with important health messages. The Committee

45

notes that CDC is working with the Health Resources and Services

Administration (HRSA), the Substance Abuse and Mental Health

Services Administration (SAMHSA), and the National Institute of

Child Health and Human Development (NICHD) to implement the

campaign. The Committee strongly urges CDC to include the use

of in-school networks in distributing the messages of the campaign.

The Committee encourages CDC to continue its collaborative efforts with the National Cancer Institute and the National Institute

of Environmental Health Sciences on lymphoma data collection to

better understand current trends of lymphoma incidence in the

United States. The Committee also encourages CDC to consider developing new efforts to educate patients and health care practitioners about the symptoms associated with lymphoma and the

challenges of correct diagnosis.

The Committee is encouraged by CDC’s work with State and national health organizations to develop an integrated and comprehensive national cardiovascular disease program. The Committee understands that, in fiscal year 2001, 25 States will have received Federal funding to design and/or deliver cardiovascular disease prevention and control programs to meet local needs. These

programs target reduction of heart disease and stroke risk factors

through efforts to promote physical activity and good nutrition and

to prevent or control high blood pressure, elevated cholesterol, and

obesity. The Committee has provided additional funds to expand

these activities to additional States.

Stroke remains America’s number three killer, a major cause of

permanent disability and a key contributor to late-life dementia.

The Paul Coverdell National Acute Stroke Registry is designed to

track and improve the delivery of care to patients with acute

stroke. The Committee urges CDC to continue to work with the

National Heart, Lung and Blood Institute and other professional

organizations, including hospitals, universities, State and local

health departments and other appropriate partners experienced in

the treatment of stroke to further implement the registry.

Prostatitis affects 10 percent of the male population. It may be

the trigger for both prostatic enlargement and prostate cancer. It

may also act as a reservoir for bacterial resistance and for the

spread of chronic disease in women and men by various pathogens.

The Committee encourages CDC to investigate the etiology of prostatitis, begin disease surveillance, increase public awareness and

determine treatment and prevention strategies.

Epilepsy is a chronic neurological condition affecting over 2.3

million persons in the United States. The Committee commends

CDC for its work over the last couple of years to promote better

public education and treatment of people with epilepsy. The Committee has provided additional funds to allow CDC to continue to

enhance its efforts related to epilepsy with a focus on health education programs at schools; modeling State based epilepsy public

health education programs; nationwide public service campaigns;

targeted training curriculums for transit officials and other members of the public sector; stigma, self-esteem and other psychological consequences associated with the disorder; and developing

medical school and professional education curriculum on epilepsy

and seizures. The Committee also urges CDC to enhance its volVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00045 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
46

untary health agency partnerships, including increased attention to

external public health activities.

The Committee notes the work of CDC, the National Institute of

Child Health and Human Development, and the Health Resources

and Services Administration in developing a model guideline for a

death scene protocol for Sudden Infant Death Syndrome (SIDS).

The Committee encourages CDC to implement projects to demonstrate the effectiveness of the protocol in a variety of locales

throughout the Nation. The Committee requests that the Director

be prepared to report on the progress of this initiative at the fiscal

year 2003 appropriations hearing.

The Committee provides continued funding for the

WISEWOMAN screening demonstration program at last year’s

level. This program uses the framework of CDC’s National Breast

and Cervical Cancer Early Detection Program to screen women for

heart attack, stroke, and other cardiovascular disease risk factors

such as high blood pressure, lack of physical activity, and obesity.

CDC also delivers dietary and physical activity counseling to these

women to improve their health and to prevent cardiovascular diseases, the leading cause of death of American women.

The Committee encourages CDC to plan and implement public

awareness programs for orphan cancers for patients and physicians. Such cancers include esophageal, kidney, liver, multiple

myeloma, pancreatic and stomach. Patients diagnosed with these

cancers have the lowest life expectancy rates of all diagnosed cancers, yet community oncologists generally lack specific knowledge

about these malignancies. Public awareness programs would help

physicians better identify orphan cancer symptoms and make more

accurate, timely diagnoses.

The Committee encourages CDC to integrate epidemiological

data of the National Cancer Registries program, NCI SEER data,

NIEHS data and other appropriate Federal sources to create reliable baseline information for all cancer-specific sites and more comprehensive statistical data needed to support research, particularly

in the orphan cancers.

The Committee encourages CDC to determine the feasibility of

integrating hematological, digestive system and genitourinary cancers screening and awareness programs into existing activities.

The Committee encourages CDC to enhance its chronic fatigue

syndrome program to include the study of cancers and linkages

with immune-deficiency factors such as multiple myeloma.

The Committee continues to recognize the need for enhanced epidemiological research in inflammatory bowel disease (IBD), especially in light of recent advancements in treatment for these diseases and the increased risk that IBD patients have for developing

colorectal cancer. The Committee continues to encourage CDC to

work to further the understanding of the prevalence of these diseases through appropriate epidemiological and surveillance activities and to explore collaboration with NIDDK and NIAID.

Colorectal cancer is the third most commonly diagnosed cancer

for both men and women in the U.S. and the second leading cause

of cancer related deaths. Despite the availability of proven screening tests, only 37 percent of colorectal cancers are diagnosed while

the disease is still in a localized stage. The Committee commends

the leadership of CDC’s National Colorectal Cancer Roundtable in

47

promoting the availability and advisability of screening to both

health care providers and the general public. The Committee has

provided additional funds to continue to expand partnerships with

State health departments, professional and patient organizations,

and private industry to combat this disease.

The Committee supports the partnership between CDC, the

States and the Arthritis Foundation to implement the National Arthritis Plan. This collaboration is an effective model for leveraging

resources to address the burden of this chronic disease. The Committee has provided additional funds to allow CDC to continue to

implement this Plan.

The Committee has provided additional funds to further enhance

CDC’s oral health activities to reduce the disparity of oral health

diseases including dental decay, tooth loss, oral cancers, gum disease and oral conditions associated with chronic diseases such as

diabetes and heart disease. The Committee expects CDC to work

with eligible entities to implement the oral health prevention programs of the Children’s Health Act of 2000 and to allow States to

assist communities that are initiating water fluoridation projects to

apply for appropriate assistance.

The Committee encourages CDC to enhance school health HIV

activities to the extent possible within the budget request. Significant increases in the HIV epidemic in the United States during the

last decade have disproportionately affected adolescents and young

adults who can benefit from school and university based HIV prevention programs.

National breast and cervical cancer early detection program

funds may be used to reimburse for HPV/DNA tests for women

with inconclusive or ASCUS Pap test results. Recently published

findings from a National Cancer Institute study showed that HPV

testing is the most effective way to manage the more than two million women every year who are diagnosed with ASCUS results following their routine Pap test. The test would help distinguish false

positive and true positive Pap test results, allowing for more appropriate decisions regarding colposcopy, biopsy, and treatment.

The Committee is aware of the NCI-convened progress review

group on hematological cancers and encourages CDC to work with

NCI to determine possible areas of collaboration.

Environmental health

The Committee provides $146,683,000 for environmental health,

which is $9,428,000 above the fiscal year 2001 comparable level

and $10,000,000 above the budget request.

Within the total provided, the following funding levels are for the

specific program activities identified: $38,649,000 is for the environmental health laboratory; $33,201,000 is for environmental

health activities; $32,693,000 is for the asthma program; and

$42,140,000 is for the childhood lead poisoning program.

The funds provided for the environmental health laboratory are

to assist States in responding to environmental emergencies and to

administer the National Biomonitoring program. CDC is urged to

use these funds to expand the assessment of exposure of the U.S.

population to environmental chemicals, expand assistance to States

in assessing exposure of individuals and groups of people to toxic

substances, provide more effective laboratory response to toxic

48

emergencies by developing more rapid, sensitive and specific methods to measure toxic substances in people, and develop and apply

laboratory methods that help determine the role of nutritional and

generic risk factors in disease, especially those caused by exposure

to toxic substances.

The Committee encourages CDC to enhance its current activities

to include the study of cancer incidence rates, especially cancers

such as multiple myeloma, pancreatic and kidney, among remote

arctic communities.

Epidemic services and response

The Committee provides $80,303,000 for epidemic services and response, which is $2,542,000 above the fiscal year 2001 comparable level and the same as the budget request. The objectives

of the program include the prevention and control of epidemics, the

maintenance of surveillance systems, the training of public health

epidemiologists, and the operation of the quarantine program. The

program supports the Epidemic Intelligence Service program, the

publication of the Morbidity and Mortality Weekly Report, and a

variety of infant and minority health programs.

The Committee commends CDC for its leadership role in landmine victim assistance programs and encourages CDC to continue

to partner with the Landmine Survivors Network and to further

develop peer support networks that address the rehabilitative and

socioeconomic needs of landmine victims in mine affected countries.

Health statistics

The Committee provides a total of $126,978,000 for health statis- tics, which is $5,028,000 above the fiscal year 2001 comparable

level and the same as the budget request. Of this amount,

$33,014,000 is provided in general funds and $93,964,000 is derived from the one percent evaluation set-aside. The budget request

proposed to fund the full amount through the one percent evaluation set-aside.

This program is responsible for collecting, interpreting, and disseminating data on the health status of the U.S. population and

the use of health services. Surveys include the National Vital Statistics System, the National Health Interview Survey, the National

Survey of Family Growth, the National Health and Nutrition Examination Survey, and the National Health Care Survey.

The Committee is pleased that NCHS is working to establish a

primary immune deficiency national surveillance program in collaboration with the National Center for Infectious Diseases.

Of the 10,000 women who give birth each day in the United

States, 20 percent have a major complication before labor begins.

In addition, each day two to three women die as a result of pregnancy. The Committee urges NCHS to work with NCCDPHP to review the Pregnancy Risk Assessment Monitoring Survey with the

intent of expanding this survey to add a reporting requirement to

track the medical care and interventions that women receive during pregnancy and delivery.

HIV/AIDS, STD and TB prevention

The Committee provides $1,148,452,000 for HIV/AIDS, STD and

TB prevention, which is $104,382,000 above the fiscal year 2001

49

comparable level and $80,000,000 above the budget request. Of the

amount provided, $844,213,000 is for the HIV/AIDS programs, of

which $137,527,000 is for global HIV/AIDS programs; $167,700,000

is for the STD program; and $136,539,000 is for the TB program.

The HIV/AIDS programs support HIV research, surveillance, epidemiologic and laboratory studies, and prevention activities. CDC

provides funds to state and local health departments to develop

and implement integrated community prevention plans. The STD

program awards grants to state and local health departments and

other nonprofit entities to support a wide variety of public health

activities to prevent and treat STDs. CDC directly conducts special

investigations, surveillance and epidemiologic research. The tuberculosis program provides grants to States and large cities for a

broad range of tuberculosis control activities. In addition, the CDC

supports state and local laboratories and conducts research, epidemiological investigations, and education and training seminars.

The Committee commends CDC for its continued efforts to control TB in the United States, as demonstrated by the eighth year

of declining TB trends reported for 2000. However, with the release

of the Institute of Medicine’s report ‘‘Ending Neglect: the Elimination of Tuberculosis in the U.S.’’, the Committee remains concerned about the threat of TB and multi-drug resistant TB. The

Committee is also concerned that, until global control efforts are

more effective and new treatments and effective vaccines are developed, the global crisis on TB will continue to impact the U.S.

Therefore, the Committee has provided additional funds for CDC to

continue to work with domestic partners to maintain strong prevention and control programs, to work with international partners

to assure the success of control programs, and to encourage and

support, when possible, the development of new TB treatments and

the development of an effective TB vaccine.

CDC estimates that between four and five million people in the

United States are at continued behavioral risk for HIV infection

and this is probably a low estimate. Communities must be better

equipped with local data to identify and direct resources to those

most at risk. They must have an array of effective interventions

available and the capacity to implement and evaluate them at the

local level. They must also be able not only to address barriers and

deter risky behavior but also to encourage health promotion behavior through a variety of individual and group interventions, community-level supports and structural level changes. Those at risk

for or living with HIV infection are often also at risk for other

health problems, such as STD and TB. Therefore, HIV prevention

should be integrated with other services, including STD and TB

screening and treatment, reproductive health, mental health and

drug use prevention and treatment. The Committee urges CDC to

give its HIV strategic plan high priority, especially with regard to

behavioral research, development, implementation and evaluation

of prevention and intervention programs for at-risk subpopulations

such as racial and ethnic minorities, adolescents, women, sex workers, substance abusers and incarcerated individuals.

Within global HIV/AIDS, the Committee expects CDC to expand

support for microbicide research and development and support the

priorities established in the HIV prevention strategic plan and the

tropical microbicides five-year research agenda.

50

Within the total provided, $100,000,000 is for activities that are

targeted to address the growing HIV/AIDS epidemic and its disparate impact on communities of color, including African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders. Department statistics show that racial

minorities represent the highest number of new AIDS cases. While

African-Americans and Hispanics are only 12 percent and 13 percent of the U.S. population respectively, they account for at least

55 percent and 20 percent of all new AIDS cases. In addition, more

than 60 percent of people living with AIDS are racial and ethnic

minorities. Congress began funding the Minority HIV/AIDS Initiative in fiscal year 1999. It was designed to focus special attention

on solving a growing public health problem and to develop and improve the capacity of minority community based organizations to

more effectively serve their communities. This approach was tailored to yield innovative and successful strategies specifically targeted to the highest risk and hardest to serve populations, which

for the past two decades have eluded more traditional HIV/AIDS

prevention, treatment, and education efforts. In distributing these

funds, the Committee expects CDC to tailor the portion of its programs that are funded under the Minority HIV/AIDS Initiative as

tightly as possible in order to address the growing health problem

and maximize the participation of minority community based organizations. In evaluating organizations’ capacities, CDC should take

into consideration that the board, management and key staff are

representative of the minority communities service, be situated

closest to the targeted problem, have a history of providing services

to these communities, and have documented linkages to the targeted populations, so that they can help close the gap in access to

service for the highly impacted communities of color in the interest

of public health.

These funds are for activities that are designed to address the

trends of the HIV/AIDS epidemic in communities of color based on

the most recent estimated living AIDS cases, HIV infections and

AIDS mortality among ethnic and racial minorities as reported by

the CDC. These funds are to support HIV prevention services for

individuals who are already living with HIV/AIDS and those who

are uninfected that will promote behavioral change and ensure that

those who are uninfected, remain uninfected, thereby reducing the

overall number of new HIV infections. These funds are intended to

develop and expand HIV prevention interventions and services targeted to highly impacted minority men, women, and youth. Minority youth, adolescents, young adults, women and gay men remain

at disproportionate risk for HIV infection and in critical need of

targeted, culturally competent and linguistically appropriate HIV

prevention interventions and services.

Included in the total funding for CDC’s Minority HIV/AIDS Initiative, the Committee provides funds for the Directly Funded Minority Community Based Organization Program to fund technical

assistance programs for grant applications from minority community based organizations, as defined above. The Committee also

provides funds for the Community Development Program, which

supports State-based and local needs assessments that enhance

community planning processes to integrate HIV, hepatitis, STD,

TB, and substance abuse prevention within communities of color.

51

In addition, funds are provided for coalitions and partnerships

with faith-based institutions. The Committee supports faith-based

initiatives as proven and effective HIV prevention and intervention

strategies in communities of color. Funds are also provided for HIV

prevention programs targeted to serving the incarcerated population and ex-offenders who suffer from disproportionately higher

HIV/AIDS rates than the general population.

These funds are also for HIV/AIDS education and prevention efforts targeting adolescents of color who are at highest risk for HIV

infection, such as a public/private non-traditional media and marketing effort with organizations that have a proven track record in

this area and through media venues typically accessed by the Nation’s youth such as music, concerts, broadcasts and the Internet.

Funds are also provided to support HIV surveillance activities,

including HIV surveillance and behavioral surveillance studies on

Native Americans, Asians Americans, Native Hawaiians, Pacific Islanders and Haitian Americans. Minority AIDS funds provided to

CDC should support priorities identified in the previous fiscal year

as well as new priorities, with emphasis on infrastructure development, service capacity building, and technical assistance to minority community-based organizations, HIV prevention services to

highly impacted high-risk populations, including outreach and risk

reduction education, HIV testing, linkage to HIV care services and

follow up.

Immunization

The Committee provides $599,645,000 for immunization, which is

$47,073,000 above the fiscal year 2001 comparable level and

$25,000,000 above the budget request. In addition, the Vaccines for

Children (VFC) program funded through the Medicaid program is

expected to provide $795,533,000 in vaccine purchases and distribution support in fiscal year 2002, an increase of $20,300,000

above the fiscal year 2001 comparable level and the same as the

budget request. Immunization project grants are awarded to States

and local agencies for planning, developing, and conducting childhood immunization programs including enhancement of the vaccine

delivery infrastructure. CDC directly maintains a stockpile of vaccines, supports consolidated purchase of vaccines for state and local

health agencies, and conducts surveillance, investigations, and research into the safety and efficacy of new and presently used vaccines. The Committee notes that there are other Federal programs

that provide immunizations to children, including the State Children’s Health Insurance Program (SCHIP), the Maternal and Child

Health Block Grant, and community health centers.

Infectious diseases control

The Committee provides $343,018,000 for infectious diseases control, which is $25,436,000 above the fiscal year 2001 comparable

level and $11,500,000 above the budget request. The program supports national surveillance of infectious diseases, the development

of new or improved prevention and control methods and techniques, the acceleration of the general application of accepted prevention technologies, and strengthening of the capability to respond

to outbreaks of new and re-emerging infectious diseases.

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Within the total provided, $1,500,000 above the budget request

is for the establishment of a national autopsy network for prion

disease surveillance. Currently, autopsies are performed in less

than 30 percent of prion cases leaving a large surveillance gap. The

network should be designed to close this gap by assisting in performing autopsies and evaluating tissue samples from all individuals who have died of prion diseases such as Creutzfeldt-Jakob disease. The Committee also encourages CDC to work with State and

local health departments to improve the timely reporting of prion

diseases cases to CDC.

Within the total provided, $5,000,000 above the budget request

is for a prevention program to control and reduce the incidents of

hepatitis C. This funding is to develop State-based programs and

demonstrations to learn the most feasible approach to integrating

hepatitis C and B screening, counseling, and referral programs into

existing HIV and STD State programs. The Committee requests

that the Director be prepared to provide a progress report outlining

a plan for a full response to the need for hepatitis C prevention activities at the fiscal year 2003 appropriations hearing. Within the total provided, $5,000,000 above the budget request

is to continue planned activities and expand efforts to control the

West Nile virus. The Committee is aware of CDC’s effort to complete a national plan for West Nile virus response in the U.S. and

encourages CDC to continue its efforts as quickly as possible. That

includes developing a computerized national surveillance system

for West Nile virus and providing funds to build national capacity

to develop and implement effective surveillance, prevention, and

control activities.

The Committee urges CDC to continue working with the National Hemophilia Foundation to strengthen disease management,

prevention and outreach programs and its blood safety surveillance. Genotyping of the hemophilia population would speed identification of inhibitors and facilitate the rapid translation of gene

therapy technologies into treatment and prevention efforts. The

Committee encourages CDC to establish a genetic databank for

persons with hemophilia and bleeding disorders.

The Committee is pleased that CDC is working to establish a

competitively awarded primary immune deficiency diseases national surveillance program. These diseases, which impair the

body’s immune system, strike most severely at children, many of

whom do not survive beyond their teens or early twenties. Primary

immune deficient patients require regular infusions of immune

globulin intravenous (IGIV) to bolster their immune systems and

maintain their health. Given the serious public health problems

caused by the longstanding shortage of IGIV in the United States

and the lack of knowledge regarding the long-term effects of IGIV

use, the Committee encourages CDC to continue its partnership

with the primary immune deficiency community, NCHS and the

National Institute of Allergy and Infectious Diseases in developing

a primary immune deficiency surveillance program.

The Committee commends CDC for increasing its involvement in

the national education and awareness campaign sponsored by the

Jeffrey Modell Foundation (JMF) in collaboration with NICHD,

NIAID, NCI and other private entities. The campaign is targeted

at the estimated 500,000 Americans whose primary immunoVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00052 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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deficiency (PI) is undiagnosed, under-diagnosed or misdiagnosed

through distribution of a 10 warning signs poster and other related

materials to physicians, day care programs, public health departments and clinics, third-party payers and others. The Committee

understands that CDC and JMF will jointly sponsor two Jeffrey

Modell fellows dedicated to researching the role of public health in

addressing PI. In addition, CDC is planning a workshop in the Fall

of 2001 on the role of public health in PI and will publish the results as a supplement to a major journal. The Committee strongly

urges CDC to further this national education and awareness campaign from within available funds. The Director should be prepared

to provide a status report outlining the progress that has been

made in this area at the fiscal year 2003 appropriations hearing.

The Committee encourages CDC to evaluate the effectiveness of

existing data collection, reporting, and analyzing systems related to

food allergies. The Committee requests that the Director be prepared to provide information about how these efforts could be improved at the fiscal year 2003 appropriations hearing.

The Committee is pleased that CDC is restoring funding to the

chronic fatigue syndrome (CFS) research program and that these

funds are being used in substantive areas of research and education. The Committee commends CDC on its collaborations with

prominent CFS clinicians, researchers and advocates and supports

efforts to develop and test an empirically derived case definition

and initiate a national CFS survey to estimate sex, age, race/ethnic

and socioeconomic specific prevalence of CFS. CDC is encouraged

to enhance support of its CFS research plan, which includes surveillance projects on children, adolescents and minorities, a national patient registry, studies of etiologic agents, diagnostic markers, identifying risk factors, and public education programs. The

Committee recognizes CDC’s support of the CFS Coordinating

Committee (CFSCC) and urges CDC to continue this support as the

CFSCC transitions from a Coordinating Committee to an advisory

committee.

The Committee commends CDC for developing its new Working

Document on Potential Infectious Etiologies of Crohn’s Disease and

encourages the agency to enhance efforts to pursue the research directions outlined in the document.

Patients with Cooley’s anemia, or thalassemia, are the most

heavily transfused of all patients, often receiving blood every two

weeks. CDC has created a program outline for establishing a blood

safety surveillance program through the major clinical research

centers and other sources in cooperation with the Cooley’s Anemia

Foundation. This program is modeled on the Universal Data Collection program used in hemophilia. The Committee urges CDC to

begin work to establish this program from within available funds.

Injury prevention and control

The Committee provides $143,655,000 for the injury control program, which is $823,000 above the fiscal year 2001 comparable

level and the same as the budget request. The injury prevention

and control program supports intramural research, injury control

research centers, extramural research grants, and technical assistance to state and local health departments.

54

The bill retains a limitation included in previous Appropriation

Acts to prohibit the National Center for Injury Prevention and Control from engaging in any activities to advocate or promote gun

control. The Committee does not believe that CDC should advocate

or promote policies to advance gun control initiatives, or discourage

responsible private gun ownership. The Committee expects research on gun violence to be objective and grants to be awarded

through an impartial peer review process.

The Committee urges CDC to continue the establishment of a

uniform trauma surveillance data system from within available resources.

Occupational safety and health

The Committee provides $270,135,000 for occupational safety and health, which is $10,103,000 above the fiscal year 2001 comparable level and $4,000,000 above the budget request. This program conducts applied research, develops criteria for occupational

safety and health standards, and provides technical services to government, labor and industry, including training for the prevention

of work-related diseases and injuries. This appropriation supports

surveillance, health hazard evaluations, intramural and extramural research, instrument and methods development, dissemination, and training grants.

The Committee supports NIOSH’s activities in domestic terrorism preparedness to protect emergency responders from biological and chemical terrorism exposures as well as industrial accidents. Fire fighters, emergency medical personnel, and other onsite workers need reliable personal protective equipment, particularly respirators, protective clothing, and detection devices to be

able to effectively help victims in case of exposure to biological or

chemical terrorist agents. The Committee urges NIOSH to make

certification of protective equipment a high priority.

Sleepiness, as a result of either untreated sleep disorders or simple sleep deprivation, has been identified as a causal factor in

many chronic diseases as well as a growing number of vehicular

and on-the-job injuries. Sleep deprivation is also a growing problem

for high school students, the largest at-risk group for fall-asleep car

crashes, as well as parents, police officers, and medical residents.

The Committee encourages NIOSH to serve as the primary Federal

partner for state and community programs in collaboration with

other appropriate centers at the CDC.

Preventive health and health services block grant

The Committee provides $135,030,000 for the preventive health

and health services block grant, which is $1,000 above the fiscal

year 2001 comparable level and the same as the budget request.

This program provides grants to States for a wide range of public

and preventive health activities.

Public health improvement

The Committee provides $149,910,000 for public health improvement, which is $39,034,000 above the fiscal year 2001 comparable

level and $40,000,000 above the budget request. This program

funds activities designed to close the Nation’s gap in public health

capacity and strengthen the practice of public health at the front

55

lines, develop improved interventions and services, help racial and

ethnic minority communities mobilize and organize their resources

to support effective and sustainable programs that will contribute

to the elimination of health disparities, and develop and implement

national data standards for surveillance reporting. Within the total provided, $20,000,000 above the budget request

is for development and implementation of a nationwide environmental public health tracking network and capacity development in

environmental health at State and local health departments. The

combination of information obtained from a national tracking system and enhanced State and local capacity in environmental public

health would enable State and local health departments to rapidly

respond to outbreaks, disease clusters, and emerging trends in

identified health conditions. These funds will allow CDC to develop

standards, protocols, and demonstration models for implementation

of State-based tracking systems, support demonstration projects in

25 States, support training in the use of information derived from

such a tracking system, and focus efforts on developing capacity in

States so that information obtained from such a system can be

used for public health action. Within the total provided, $20,000,000 above the budget request

is to improve public health infrastructure and capacity at the State

and local level to identify, detect, monitor, and respond to threats

to the public health. Our national public health system is the first

line of defense against preventable disease and disability. The

Committee believes that additional steps are needed to close the

gaps in the capacity of this system to respond to the many health

challenges this country is facing. In response to the seriousness of

the problem, Congress passed the Public Health Improvement Act.

The Committee has provided funds for programs and activities outlined in this Act.

Buildings and facilities

The Committee provides $175,000,000 for buildings and facilities,

which is the same as the fiscal year 2001 comparable level and

$25,000,000 above the budget request. This line item supports ongoing maintenance projects, as well as safety repairs and equipment purchases. Funding is included for storage infrastructure

hardware and software upgrades to provide for heterogeneous

correctivity to all existing systems used at CDC.

Office of the Director

The Committee provides $49,440,000 for the activities of the Office of the Director, which is $10,370,000 above the fiscal year 2001

comparable level and the same as the budget request. The Committee intends this amount to be a ceiling. The Director may transfer these funds to non-administrative, programmatic activities at

his discretion.

The Committee continues to be interested in the financial accountability of CDC. The mission of CDC is critical to the health

and well-being of the people of this country and others around the

world and the integrity of the agency must be intact. The budget

request reflects a new budget structure for the agency that is intended to make CDC more transparent and strengthen its accountability. The Committee has concurred with this new structure, but

56

will be monitoring its implementation. The Committee requests the

Director to be prepared to provide a progress report at the fiscal

year 2003 appropriations hearing.

The Committee commends CDC’s commitment to improving the

health status of minority and disadvantaged individuals and urges

expansion of these efforts including the coordination of preventative health care, substance abuse treatment and HIV.

Bioterrorism

The Committee provides $231,919,000 for bioterrorism activities,

within the Public Health and Social Services Emergency Fund.

NATIONAL INSTITUTES OF HEALTH

The Committee provides $22,874,971,000, for the 26 appropriations, which together fund the programs of the National Institutes

of Health (NIH). These include appropriations for the 19 research

Institutes, the National Center for Research Resources, the John E.

Fogarty International Center, the National Library of Medicine,

the National Center for Complimentary and Alternative Medicine,

the National Center on Minority Health and Health Disparities,

the Office of the Director, and Buildings and Facilities. The total

in the bill is $2,579,711,000 above the fiscal year 2001 comparable

level and the same as the budget program request. This funding

level provides a 12.3 percent increase in total for the research components of NIH, the same as the budget program request. Programs funded in this account are not authorized for fiscal year

2002.

The funding levels provided in the bill for each of the Institutes

and Centers reflect the same program level as the Administration

request. The budget proposed to increase the Public Health Service

evaluation tap from one percent to two percent. The Committee has

not agreed to this proposal. The Committee has adjusted the appropriation for each Institute and Center based on a one percent evaluation tap amount and provides each Institute and Center with the

same program level as requested by the President.

Within the funds provided, the Committee assumes a 4.6 percent

pay increase.

Committee Priorities.—The Committee views NIH as one of its

very highest priorities and has made difficult resource allocation

decisions throughout the bill to provide what it believes is the necessary funding level for NIH. NIH is the world’s leading biomedical

research institution; its investments in research save lives, relieves

suffering, and reduce health care costs while creating jobs and economic growth in a global economy. This research has produced

major advances in the treatment of cancer, heart disease, diabetes,

and mental illness that have helped thousands of American families. The U.S.’s ability to translate scientific discoveries into new

product development has resulted in its lead over Europe and

Japan in pharmaceutical and biotechnology patents. While the

Committee is firm in its commitment to budget restraints, it believes that funding of biomedical research is an important investment in the future health and economic well-being of our nation.

Balance in the Research Portfolio.—The Committee believes that

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propriations consistent with the distribution recommended by NIH

and reflecting the Director’s judgment of scientific opportunity. The

Committee urges the Director and the Administration to continue

to resist pressures to earmark, set-aside and otherwise politicize

these invaluable resources. If NIH believes that adjustments to this

allocation are necessary as the fiscal year 2002 appropriations bill

moves through the legislative cycle, the Committee would be

pleased to consider them in later action on the bill.

To enhance NIH’s flexibility to allocate funding based on scientific opportunity, the Committee has attempted to minimize the

amount of direction provided in the report accompanying the bill.

For example, there are no directives to fund particular research

mechanisms, such as centers or requests for applications, or specific amounts of funding for particular diseases.

In stating that scientific opportunity should be the basis for allocating research funding, the Committee understands that other factors also are relevant to NIH’s decisions, including such considerations as the infectious nature of a disease, the number of cases

and deaths associated with a particular disease, the Federal and

other costs of treating a disease, the years of productive life lost

due to a particular disease, and the estimated proximity to research breakthroughs. The Committee does not presume to judge

which criteria should take precedence or carry the greatest weight

in individual funding decisions, but urges NIH to consider the full

array of relevant criteria as it constructs its research portfolio.

AIDS Funding.—Consistent with the philosophy outlined above,

the Committee has chosen not to earmark a specific dollar amount

for AIDS research. The Committee understands that it would be

NIH’s intent to allocate AIDS funding consistent with the Director’s recommendations. The Committee understands that this allocation may change before the beginning of the fiscal year.

The Committee intends that the funds allocated for AIDS should

be spent in a manner fully consistent with the AIDS research plan

developed by the Office of AIDS Research (OAR) and expects the

Director of NIH to use the full authority of his office to ensure that

this occurs. The Committee has provided the Director of OAR,

jointly with the Director of NIH, transfer authority to reallocate up

to three percent of funds designated for AIDS research among Institutes, subject to normal reprogramming procedures. The Committee encourages NIH to use this authority whenever it believes

that an adjustment in the allocation of AIDS funding between Institutes is appropriate to achieve scientific objectives or to facilitate

promising research efforts.

The Committee continues to support OAR, its leadership, and its

coordinated budget planning process and expects the individual institutes, centers and divisions to fully cooperate with OAR’s work.

The Committee has provided funding for the OAR within the Office

of the Director and intends that the OAR will maintain its current

structure and responsibilities, including the allocation of an emergency discretionary fund.

Government Performance and Results Act.—The Committee recognizes that the development of programmatic indicators for NIH

under the Government Performance and Results Act is one of the

most difficult conceptual and methodological problems in the Act’s

implementation. NIH should continue to work with the National

58

Academy of Sciences and the other science agencies to develop a

better conceptual and theoretical framework for such measures.

The Committee believes that NIH should begin to implement the

Act where it can. Measures of administrative efficiency and effectiveness can and should be adopted and tracked. Similarly, indicators of the ability of systems to support the research enterprise

exist, and should be included. Presentation of these measures, including goals for improvements, baselines and reporting systems

are an initial step. Information presented with the President’s

budget should include improvements in these indicators resulting

from proposed funding levels. In addition, the Committee will expect the Director to include a report in the fiscal year 2003 appropriations budget justifications on the progress toward indicators relating directly to research and the translation of basic research

findings to medical and other applications.

NATIONAL CANCER INSTITUTE

The Committee provides $4,146,291,000 for the National Cancer

Institute (NCI), which is $409,074,000 above the fiscal year 2001

comparable level and the same as the budget program request.

Mission.—The NCI conducts and supports basic and applied cancer research in early detection, diagnosis, prevention, treatment

and rehabilitation. NCI provides training support for research scientists, clinicians and educators, and maintains a national network

of cancer centers, clinical cooperative groups, and community clinical oncology programs, along with cancer prevention and control

initiatives and outreach programs to rapidly translate basic research findings into clinical practice.

Blood Cancers.—The Committee is pleased that NCI has conducted a progress review group on lymphoma, leukemia and

myeloma to evaluate opportunities for research in these areas and

looks forward to receiving a copy of the final report. The Committee

requests that the Director of the Institute be prepared to provide

a progress report on lymphoma and hematological cancer research,

including a proposed budget plan, at the fiscal year 2003 appropriations hearing.

The Committee urges NCI to enhance research support to improve the understanding of, and develop treatments for,

myelodysplasia, a serious blood disorder affecting primarily older

Americans and individuals who have previously undergone radiation or chemotherapy treatment for cancer.

Bone Disease.—The Committee encourages NCI to include multiple myeloma, a cancer of the plasma cells of the bone marrow, in

its study of bone involvement in certain cancers. The Committee

urges NCI to collaborate with NIAMS in translational research activities to capitalize on recent advances in the study of

biophosphonates, a class of drugs that strengthen bone through all

available mechanisms, as appropriate.

Cancer Metastases.—The Committee encourages NCI to conduct

research to develop a better understanding of the unique role bone

microenvironment plays in cancer metastatic to bone, in particular,

in breast cancer, prostate cancer and myeloma through all available mechanisms, as appropriate, including the development of animal models of bone metastases and the identification of novel

59

therapeutic targets and modalities to prevent and treat bone metastases.

Chronic Lymphocytic Leukemia.—Chronic Lymphocytic Leukemia

(CLL), the most common form of adult leukemia in the United

States, is characterized by an accumulation of abnormal

lymphocytes in the blood and bone marrow. The Committee understands that NCI awarded a program project grant last year to establish and lead a multi-disciplinary national research consortium

to study CLL at both the cellular and clinical levels. The Committee encourages NCI to consider expanding the scope of research

activities of the consortium through all available mechanisms, as

appropriate.

Five a Day Nutrition Program.—The Committee commends the

NCI’s national 5–A-Day program and encourages the Institute to

conduct research on how best to promote healthy eating, especially

fruit and vegetable consumption. This research should include, but

not be limited to, research on children and adolescents, the general

adult population, low-income and disparate groups, especially African Americans and Latinos and ways to transfer already-developed

technologies to other government agencies and to non-profit, civic,

and other organizations.

Lymphoma.—The incidence of non-Hodgkin’s lymphoma has

grown by an estimated 80 percent between 1973 and 1997 and has

a survival rate of only 51 percent. The Committee understands that

NCI is currently supporting research to identify possible risk factors for non-Hodgkin’s lymphoma, including a case control study investigating the role of immune suppression and stimulation in nonHodgkin’s lymphoma incidence. The Committee encourages NCI to

make the investigation of risk factors for non-Hodgkin’s lymphoma

a high priority and evaluate the possibility of a workshop to assess

the state of knowledge of the causes of the disease.

Multiple Myeloma.—Multiple myeloma is unique among all cancers in that the progress of the disease can be tracked from its precursor through active stages through markers of abnormal proteins

in the blood and urine. The Committee urges NCI to collaborate

with NIAMS and NHLBI and expand knowledge of these markers

through all available mechanisms, as appropriate, including greater use of translational research activities. The Committee also

urges NCI to work with CDC regarding epidemiological data gathering and interpretation.

Natural Products Drug Development.—The Committee encourages NCI to enhance the Natural Products Drug Development program, particularly in the area of complementary and alternative

medicine. Recent surveys indicate that a majority of cancer patients will include complementary and alternative therapies in

their treatment regime. NCI is encouraged to support high quality

research proposals investigating cancer therapies such as iscadore

and other botanical substances. Ayurvedic, homeopathic, traditional Chinese approaches, and alternative dietary approaches. The

Director of the Institute should be prepared to provide a progress

report at the fiscal year 2003 appropriations hearings.

Neurofibromatosis.—The Committee encourages NCI to strengthen its neurofibromatosis (NF) research portfolio in such areas as

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able mechanisms, as appropriate. The Committee also urges NCI

to continue to coordinate its efforts with other Institutes engaged

in NF research.

Ovarian Cancer.—Ovarian cancer remains one of the deadliest

cancers for women, in part due to the lack of effective early screening methods. The Committee urges NCI to expedite current research in screening methods to detect, diagnose, and identify staging of ovarian cancer. The Committee also encourages NCI to fully

fund the four ovarian cancer SPOREs and accelerate research in

this area through all available mechanisms, as appropriate, including the establishment of additional ovarian cancer SPOREs.

Primary Immune Deficiency Diseases.—A symposium held in

March 2000 to investigate the relationship between primary immune deficiency diseases and cancer showed that primary immunodeficiency patients have a 200 times greater risk of developing cancer than someone without primary immunodeficiency. The Committee encourages NCI to develop a comprehensive research portfolio in this area. The Director of the Institute should be prepared

to provide a progress report at the fiscal year 2003 appropriations

hearing. NCI is also encouraged to expand its role in a national

education and awareness campaign through all available mechanisms, as appropriate.

Prostate Cancer.—Cancer of the prostate is the most commonly

diagnosed non-skin cancer in America and tends to disproportionately affect men who are members of minority groups. If detected

early, it can be treated successfully with no negative impact on the

cancer survivor’s quality of life. However, existing forms of detection are insufficient, and available treatments frequently result in

erectile dysfunction, urinary problems, or other disorders and disruptions that negatively impact the patients quality of life. The

Committee urges NCI to place an increased priority on research

through all available mechanisms, as appropriate, including clinical

trials that result in earlier, more reliable detection methods and

more effective and less disfiguring treatment regimes.

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

The Committee provides $2,547,675,000 for the Heart, Lung and

Blood Institute (NHLBI), which is $249,011,000 above the fiscal

year 2001 comparable level and the same as the budget program

request.

Mission.—The National Heart, Lung, and Blood Institute provides leadership for a national research program in diseases of the

heart, blood vessels, lungs, and blood, in transfusion medicine, and

in sleep disorders through support of basic, clinical, and population-based and health education research. The Women’s Health

Initiative (WHI) was transferred from the Office of the Director to

NHLBI. WHI is a large cross-Institute initiative to study prevention of conditions responsible for deaths, disability and frailty in

older women—breast and colorectal cancer, heart disease, and

osteoporosis. There are three components of the study: a randomized clinical trial; an observational study; and a community prevention study. The clinical trial is being conducted at 40 centers with

161,809 women participating. It is scheduled for completion in

2004.

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Blood Disorders.—The Committee encourages NHLBI to support

research in transfusion medicine and hemostasis through all available mechanisms, as appropriate, including the establishment of a

clinical research network, which would enable patients with nonmalignant blood disorders to participate in clinical protocols while

at the same time attracting and training clinicians in hematology.

Bone Formation and Calcification in Cardiovascular Diseases.—

Evidence suggests an association between bone formation, repair

and breakdown (e.g. osteoporosis) and development of heart disease

and other cardiovascular diseases. The Committee urges NHLBI to

explore basic research in this area that may result in strategies to

prevent osteoporosis and cardiovascular diseases.

Cardiovascular Diseases.—Cardiovascular diseases remain the

leading cause of death in the United States and a major cause of

disability. Nearly 61 million Americans of all ages suffer from cardiovascular diseases. An expert panel, convened in 1999, reports

that progress in reducing the death rate from cardiovascular diseases has slowed and that there are differences in these death

rates by race/ethnicity, socioeconomic status and geography. The

Committee supports an intensive research program on cardiovascular diseases at NHLBI and urges the Institute to place a high

priority on such research by supporting existing heart and strokerelated research and investing in promising heart and stroke-related research initiatives.

Cardiovascular Diseases and Stroke in Women.—Cardiovascular

diseases remains a leading cause of disability and is the number

one cause of death in women. The clinical course of cardiovascular

diseases is different in men than in women and current diagnostic

capabilities are less accurate in women than in men. The Committee encourages NHLBI to expand its research on cardiovascular

diseases in women, through all available mechanisms, as appropriate, including the development of safe, efficient, and cost effective diagnostic approaches for women and to create more informational and educational programs for women patients and health

care providers on heart disease and stroke risk factors, such as

high blood pressure, elevated cholesterol and obesity.

Chronic Obstructive Pulmonary Disease.—Chronic Obstructive

Pulmonary Disease (COPD) is a major cause of chronic morbidity

and mortality throughout the world. The Committee commends

NHLBI for its collaborative effort with the World Health Organization to release a new report on the global burden of COPD, titled

Global Initiative for Chronic Obstructive Lung Disease. The Institute is encouraged to utilize this report to increase awareness of

COPD in the public and research community. The Committee also

encourages NHLBI to expand research to improve prevention and

management of COPD through all available mechanisms, as appropriate.

Cooley’s Anemia.—The Committee continues to be pleased with

the progress being made by the Thalassemia Clinical Research Network, which is comprised of the leading research centers in North

America on thalassemia as well as with the leadership of NHLBI.

The Committee understands that the Network is currently

prioritizing a wide variety of potential research areas that are ripe

for investigation. The Director of the Institute is requested to subVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00061 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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mit a summary report to the Committee on the work of the Network by February 1, 2002.

Diabetes.—Vascular complications, including cardiovascular, peripheral vascular and cerebrovascular, are a major cause of mortality and morbidity in persons with diabetes, particular in those

with juvenile diabetes. NHLBI is encouraged to enhance research

in diabetic-specific vascular complications with emphasis on the accelerate pathways seen in juvenile diabetes in order to develop effective treatments and prevention. This research should be conducted through all available mechanisms, as appropriate, including

gene therapy and angiogenesis. The Institute is also encouraged to

collaborate with NIDDK to assess the genetics of complications of

juvenile diabetes as well as understanding gene function in individuals with diabetes who have serious and life threatening complications, to develop more effective therapeutic interventions.

Hematological Cancers.—The Committee urges NHLBI to collaborate with NCI on mutual research areas related to leukemia,

lymphoma and multiple myeloma through all available mechanisms, as appropriate.

Hemophilia.—The Committee commends NHLBI for the support

it has provided for hemophilia gene therapy research and urges the

Institute to continue this and other efforts to address the needs of

persons with hemophilia and bleeding disorders, including blood

and blood product safety, treatment of hepatitis C and other complications, and women’s bleeding disorders. The Committee is concerned about the increasing shortage of trained hematology specialists to translate research discoveries into the treatment of hemophilia and prevention of its complications. NHLBI is urged to pursue strategies for addressing this critical issue.

HIV/AIDS.—The Committee supports research on the interaction of tuberculosis and AIDS and encourages NHLBI to

strengthen its research in this area through all available mechanisms, as appropriate.

Lyme Disease.—The Committee urges the Institute to study vascular disease with a specific focus on the unique features associated

with Lyme disease through all available mechanisms, as appropriate.

Lymphangioleiomyomatosis.—Lymphangioleiomyomatosis (LAM)

is a progressive and often fatal lung disease of young women. Currently, there is no effective treatment and hypothesis driven research is just beginning. It has been recently discovered that LAM

occurs in up to 40 percent of women with tuberous sclerosis, increasing the urgency for development of effective therapies and

suggests the targeting of specific molecular pathways for future research. The Committee urges NHLBI to continue to support the

LAM intramural and the LAM clinical protocol. The Committee

also urges NHLBI to expand efforts through all available mechanisms, as appropriate, including sponsoring a state of the science

workshop, development of a research plan, request for applications,

and clinical trials directed at limiting the decline in lung function.

National Asthma Education and Prevention Program.—The Committee commends the National Asthma Education and Prevention

Program (NAEPP) for its leadership in helping to educate physicians, asthma patients, their families, and the general public regarding asthma and its management. The Committee urges

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NAEPP to enhance the role of its Advisory Committee in helping

to coordinate asthma education throughout the United States. The

Committee encourages NHLBI and NAEPP to develop, in conjunction with other Federal agencies and voluntary and professional

health organizations, a Federal plan to respond to asthma. The Director of the Institute should be prepared to provide a progress report on this effort at the fiscal year 2003 appropriations hearing.

Neurofibromatosis.—Advances continue to be made in research

on neurofibromatosis (NF). Recent studies have documented the involvement of NF1 in valve formation, which may open up a new

area for future research in congenital heart disease. Understanding

how NF1 deficiency leads to heart disease may help to unravel the

molecular pathways affected in genetic and environmental causes

of heart disease. The Committee encourages NHLBI to enhance its

NF research activities and coordinate its efforts with other Institutes engaged in NF research.

Pediatric Asthma Network.—Little is known about the optimal

treatment for asthma in infants and young children. Many questions remain unanswered, such as what is the most effective dose

and type of medication for different types of asthma, what is the

correct balance between medical benefits and possible side effects,

when is the best time to start different types of therapies, whether

early therapy can prevent asthma from becoming more severe or

even eliminate it as a child gets older, and what are the combination of therapies that will allow a child to participate fully in childhood activities. The Committee urges NHLBI to use the research

amassed through the Pediatric Asthma Clinical Research Network

to provide clearer choices for childhood asthma therapy, to encourage the development and dissemination of new therapies, and to

identify optimum asthma management strategies for children.

Pediatric Cardiology.—Children’s cardiovascular disorders represent a leading cause of childhood disability and death as well as

the precursor to many adult heart disorders. NHLBI is encouraged

to enhance research at understanding the natural history, the prevention and the treatment of childhood heart diseases such as

childhood heart defects and cardiomyopathies through all available

mechanisms, as appropriate, including clinical research and greater

representation by pediatric cardiologists on committees and boards.

Primary Pulmonary Hypertension.—Primary Pulmonary Hypertension (PPH) is a rare, progressive, and fatal disease affecting predominantly women of all races and ages. This disease involves

deadly deterioration of the heart and lungs and is a secondary condition in many other serious and fatal conditions such as

scleroderma and lupus. The Committee commends NHLBI’s efforts

to promote research of PPH and urges the Institute to enhance its

support for basic research, gene therapy, and clinical trials of

promising pharmaceuticals through all available mechanisms, as

appropriate. NHLBI is also urged to take appropriate measures to

ensure the submission of high quality proposals in this area.

Transfusion Medicine.—The Committee encourages NHLBI to

continue to support research and development efforts associated

with polynitroxylated hemoglobin, a blood cell substitute that is

being developed to provide oxygen carrying capacity and blood flow

to the critically injured.

64

Transmissible Spongiform Encephalopathies.—The Committee

encourages NHLBI, in collaboration with NINDS, to enhance its efforts to develop a diagnostic test for transmissible spongiform

encephalopathies (TSE) that would be suitable for screening the

blood supply. Currently, there is no suitable method for identifying

TSE-infected blood or humans infected with TSEs. Human TSEs,

for which there are no known treatments, include Creutzfeld-Jakob

disease and new variant Creutzfeldt-Jakob disease.

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

The Committee provides $2,337,204,000 for the National Institute of Allergy and Infectious Diseases (NIAID), which is

$274,583,000 above the fiscal year 2001 comparable level and the

same as the budget program request. The Committee includes language to allow the Director of NIH to transfer up to $25,000,000

to International Assistance Programs, ‘‘Global Fund to Fight HIV/

AIDS, Malaria, and Tuberculosis.’’ Mission.—The NIAID supports and conducts basic and clinical

research and research training programs in infectious diseases

caused by, or associated with, disorders of the immune system.

NIAID supported research includes research on acquired immunodeficiency syndrome (AIDS), asthma and allergies, tuberculosis,

sexually transmitted diseases, tropical diseases, and emerging microbes. The goals of NIAID research are to better understand disease pathogenesis, to improve disease diagnosis, to develop new

and improved drugs to treat diseases, and to develop new and improved vaccines to prevent disease, many of which significantly affect public health.

Asthma.—The Committee is pleased with NIAID’s leadership regarding asthma research and management and recognizes the role

the Institute has played in the Inner City Asthma Study and the

importance of this effort concerning morbidity and mortality among

underserved populations, particularly children. The Committee

urges the Institute to continue to improve its focus and effort on

asthma management, especially as it relates to children.

Autoimmune Diseases.—NIH and the Autoimmune Diseases Coordination Committee are encouraged to enhance research aimed at

improving awareness, diagnosis and treatment for the entire family

of autoimmune diseases through all available mechanisms, as appropriate, including the study of overlapping genetics and environmental triggers of autoimmune diseases.

Diabetes.—The Committee commends the Institute for its work

in implementing juvenile diabetes research. The Committee is

pleased with the progress of the Collaborative Network for Clinical

Research on Immune Tolerance and particularly with the research

successes involved with transplantation of insulin-producing cells,

and urges NIAID to enhance efforts in this area. The Committee

requests that the Director of the Institute be prepared to provide

a status of efforts to develop a vaccine to prevent juvenile diabetes

at the fiscal year 2003 appropriations hearing.

Food Allergies.—Approximately seven million Americans suffer

from food allergies. Every year, roughly 30,000 people receive emergency room treatment due to the ingestion of allergenic foods and

an estimated 150 people die from anaphylactic shock caused by a

food allergy. The Committee encourages NIAID to enhance efforts

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in this area through all available mechanisms, as appropriate, including convening a panel of expert to review current basic and

clinical research efforts and development of a research agenda.

Hemophilia.—The Committee encourages NIAID to continue its

efforts with the national hemophilia foundation to ensure people

with hemophilia have access to and opportunities to participate in

research for improving treatment of HIV and complications of hemophilia including hepatitis C.

Hepatitis C.—The Committee urges NIAID to work with other

Institutes and Centers and with public health organizations to promote liver wellness and prevention on hepatitis C, especially

among African Americans.

Inflammatory Bowel Disease.—The Committee continues to note

with interest a scientific research agenda for Crohn’s disease and

ulcerative colitis, collectively known as inflammatory bowel disease,

entitled ‘‘Challenges in Inflammatory Bowel Disease (IBD)’’. This

report identifies linkages between the functions of the immune system and IBD. The Committee is aware of NIAID’s research partnership with the IBD community and encourages the Institute to

enhance its support of research focused on the immunology of IBD

as well as the interaction of genetics and environmental factors in

the development of the disease.

Multiple Sclerosis.—The Committee understands that NIAID has

partnered with the Multiple Sclerosis Society and other groups to

support research related to gender-based differences in immune

function and immunologic disease. The Committee commends the

Institute for undertaking this important initiative.

Pediatric Kidney Disease.—An estimated 150,000 children and

adolescents suffer from kidney diseases for which no cure or effective treatment exists. Approximately 10,000 of these children suffer

from chronic kidney failure, are on dialysis, or have received a kidney transplant. Studies have shown that improvements seen in

transplant survival among adults have not been completely realized in children, who have not fully benefited from improvements

in immunosuprressive medications tested largely in the adult population. NIAID is encouraged to enhance its efforts to maintain

transplants over a longer period, thereby improving kidney transplant outcomes in children and adolescents.

Primary Immune Deficiency Diseases.—More than 70 primary

immune deficiency diseases have been identified to date. These diseases, which impair the body’s immune system, strike most severely at children, many whom do not survive beyond their teens

or early twenties. The Committee continues to be pleased with

NIAID’s commitment to addressing the medical and other problems

caused by primary immunodeficiencies, including the primary immune deficiencies clinical registries program. The Committee urges

NIAID to continue to support this program and enhance research

efforts with respect to these diseases through all available mechanisms, as appropriate, including gene therapy, bone marrow transplantation, and cord blood transplantation. The Committee also

urges the Institute to continue to work with the primary immune

deficient community and the Centers for Disease Control and Prevention on a national education and awareness campaign and a

primary immune deficiency surveillance program.

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The Committee looks forward to learning the results of NIAIDsponsored research concerning the impact of primary

immunodeficiencies among urban minority populations.

Rhinosinusitis.—Rhinosinusitis affects approximately 33 million

Americans, yet its cause remains unclear. Recent studies have suggested that the trigger in the development of sinusitis, accompanied by benign polyps in one or more sinus, is fungus or fungi

that circulate in the environment. Many people may be exposed to

the same fungi, yet some do not develop rhinosinusitis or sinus polyps. NIAID is encouraged to support research to determine the factors that sensitize a patient to fungus or which generate a fungusspecific immune response through all available mechanisms, as appropriate.

Sjogren’s Syndrome.—NIAID has taken a leadership role in the

NIH Autoimmune Diseases Coordination Committee (ADCC),

which is vital to the coordination and promotion of autoimmune research. The Committee is encouraged to pursue critical statistics

and epidemiology in Sjogren’s and other autoimmune diseases that

will expand knowledge and lead to new avenues for research.

NIAID is encouraged to enhance its research support into the

immunological aspects of Sjogren’s syndrome through all available

mechanisms, as appropriate, including ensuring the submission of

high quality proposals in this area.

Vaccine Safety.—The Committee encourages NIAID, in coordination with NICHD and NIEHS, to enhance research to evaluate the

long-term safety of vaccines for children and vaccine ingredients including the potential connection to diabetes, autism, ADD/ADHS,

SIDS and pediatric brain tumors. The Committee requests that the

Director of the Institute be prepared to provide a progress report

at the fiscal year 2003 appropriations hearing.

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

The Committee provides $1,706,968,000 for the National Insti- tute of General Medical Sciences (NIGMS), which is $167,065,000

above the fiscal year 2001 comparable level and the same as the

budget program request.

Mission.—The NIGMS supports research and research training

in the basic biomedical sciences. Institute grantees, working in

such fields as cell biology, biophysics, genetics, developmental biology, pharmacology, physiology, and biological chemistry, study normal biological processes to better understand what goes wrong

when disease occurs. In this way, NIGMS supports the new knowledge, theories, and technologies that can then be applied to the disease-targeted studies supported by other NIH components. NIGMSsupported basic research advances also find applications in the biotechnology and pharmaceutical industries. The Institute’s training

programs help provide the scientists needed by industry and academia.

Minority Scientist Training Programs.—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 Minority Access to Research Careers (MARC) and Minority Biomedical Research Support

(MBRS). The Committee urges NIGMS to continue to support these

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port of biomedical research career opportunities programs for high

school and undergraduate college students in conjunction with minority institutions.

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

The Committee provides $1,446,705,000 for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK),

which is $143,135,000 above the fiscal year 2001 comparable level

and the same as the budget program request.

Mission.—The NIDDK supports research in three major disease

categories: diabetes, endocrinology, and metabolic diseases; digestive diseases and nutrition; and kidney, urologic, and hematologic

diseases. The NIDDK supports a coordinated program of fundamental and clinical research and demonstration projects relating to

the causes, prevention, diagnosis, and treatment of diseases within

these categories. The Institute also supports efforts to transfer the

knowledge gained from its research program to health professionals, patients, and the general public.

Bladder Disease.—More than one of every ten Americans suffers

from bladder disease. The Committee understands that NIDDK

convened the Bladder Research Progress Review Group in 2001

and has issued an RFA related to urinary incontinence. The Committee urges NIDDK to finalize a long-term research strategy

based on the recommendations of the progress review group.

NIDDK is also urged to enhance research in such areas as basic

bladder disease, pediatric urology and urinary tract infection

through all available mechanisms, as appropriate, including establishing centers of excellence and maintaining a cell/tissue archive

for bladder disease. The Committee requests that the Director of

the Institute be prepared to report on the progress in this area at

the fiscal year 2003 appropriations hearing.

Cooley’s Anemia.—The Committee continues to support work to

advance treatments for Cooley’s anemia in the areas of iron measurement, fetal hemoglobin and iron chelation and encourages

NIDDK to enhance research through all available mechanisms, as

appropriate, including investigator-initiated research. The Committee requests that the Director of the Institute be prepared to

provide a progress report at the fiscal year 2003 appropriations

hearing.

Cystic Fibrosis.—The Committee commends NIDDK for its support of a clinical trial testing the safety and efficacy of inhaled

tobramycin in infants with cystic fibrosis.

Diabetes.—The Committee commends NIDDK for its leadership

in implementing juvenile diabetes research. The Institute encourages NIDDK to enhance research in this area through all available

mechanisms, as appropriate, including vaccine development,

genomics/bioinformatics, research training and development of alternative sources of insulin-producing beta cells for therapeutic replacement.

The Committee is aware that the Diabetes Research Working

Group’s (DRWG) five-year strategic plan has aided in the advancement of diabetes research. To review the progress in both type 1

and type 2 diabetes research, the Committee requests that NIDDK

coordinate the development of a trans-NIH report which highlights

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major research efforts that have been undertaken across the NIH

relative to the DRWG’s key categories of scientific recommendations and which also highlights important research advances and

new scientific opportunities that have emerged since issuance of

the plan. This report should be submitted to the Committee by August 31, 2002.

Digestive Diseases.—The Committee continues to encourage

NIDDK to strike an appropriate balance between conducting basic

studies on digestive diseases and bringing those research findings

to the bedside in the form of improved patient care.

The Committee commends NIDDK for its leadership in the area

of inflammatory bowel disease (IBD). The Committee also remains

concerned about the increasing frequency of irritable bowel syndrome (IBS), a chronic complex of disorders that malign the digestive system and encourages NIDDK to enhance research for irritable bowel syndrome/functional bowel disorders through all available mechanisms, as appropriate, including education/scientific

symposiums. The Institute is also encouraged to collaborate with

CDC and the private sector on an IBS awareness campaign.

The Committee recognizes the success of the Digestive Disease

Centers program in addressing a wide range of disorders that result in significant human suffering and economic burden. The Committee continues to encourage NIDDK to expand this program with

an increased emphasis on inflammatory bowel disease

End Stage Renal Disease.—There is preliminary evidence that

many end stage renal disease patients could have improved outcomes from an increased frequency of dialysis. The Committee is

pleased that NIDDK and the Centers for Medicare and Medicaid

Services (CMS) hosted a planning meeting earlier this year in preparation for a jointly funded clinical trial to study the efficacy of

daily dialysis. The Committee requests that the Director of the Institute be prepared to provide a progress report on this initiative

at the fiscal year 2003 appropriations hearing.

Glomerular Injury Research.—The Committee is pleased that

NIDDK is working to initiate several clinical trials related to glomerular injury and urges the Institute to enhance its efforts in this

area through all available mechanisms, as appropriate, including a

consensus development conference.

Hepatitis C.—The Committee is encouraged that the HALT-Hepatitis C clinical trial is expected to yield important information

about the relatively low response rates to current hepatitis C treatments. The Committee is also encouraged that ten promising ancillary research projects have been developed. The Director of the Institute should be prepared to provide a progress report of this trial

at the fiscal year 2003 appropriations hearing. The Committee encourages NIDDK to enhance efforts to study the different response

rates of the various racial and ethnic groups through all available

mechanisms, as appropriate. The Committee also encourages

NIDDK to explore ways to work with public and non-profit organizations to assist with patient accrual. The Committee is pleased to

learn that a new consensus conference is scheduled for September

2002.

Hyperoxaluria and Oxalate.—The Committee encourages NIDDK

to enhance basic and clinical research on hyperoxaluria and oxalate

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stone diseases through all available mechanisms, as appropriate,

including issuing an RFA proposal.

Interstitial Cystitis.—The Committee understands that research

on interstitial cystitis (IC) is progressing and is encouraged by the

recent discovery and identification of specific markers in the urine

of patients with IC. This marker will not only help in selecting patients for successful therapy, but will allow the development of

new, specific, targeted therapies that can cure this chronic disabling disease. The Committee encourages NIDDK to enhance research efforts in this area. The Committee also understands that

NIDDK convened a Bladder Research Review Group in 2001 to create a strategic plan and set research priorities for all aspects of

bladder disease, including IC and encourages the Institute to implement this plan as expeditiously as possible. The Committee is

pleased with the progress of the IC clinical trials groups and encourages NIDDK to consider its continuation.

Patients with IC frequently get multiple disorders, including irritable bowel syndrome, vulvodynia, allergies, Crohn’s disease, ulcerative colitis, and fibromyalgia. The Committee encourages NIDDK

to support collaborative research on the etiology, diagnosis, genetics, pathophsysiology and epidemiology of IC that includes urologists, neurologists, visceral pain specialists, and specialists in

vulvodynia, irritable bowel syndrome and irritable bowel diseases

and genetics.

Kidney Disease.—The yearly mortality rate for dialysis patients

is approximately 20 percent and it is estimated that the renal failure population will double over the next 10 years. The Committee

urges NIDDK to enhance kidney disease research through all available mechanisms, as appropriate, including clinical trials. The

Committee requests that the Director of the Institute be prepared

to give a progress report at the fiscal year 2003 appropriations

hearing.

Liver Disease.—The Committee is pleased with the research

focus on hepatitis C, but urges the Institute to continue focus on

other liver diseases, hepatocellular carcinoma in collaboration with

NCI, alcoholic liver disease in collaboration with NIAAA, and hereditary hemochromatosis in collaboration with NHLBI. The Committee is aware that NIDDK, working with NCCAM, has begun

studies of some complementary and alternative medicine treatments for liver diseases. The Committee urges NIDDK to continue

to support this research and to assure that the public is aware of

the results.

Living Donor Liver Transplantation.—The Committee is encouraged by the growing number of transplants using living donors who

contribute a portion of their liver to a recipient. The Committee

urges NIDDK to enhance research to study the outcome of both donors and recipients, define optimal surgical procedures, and identify eligibility criteria in order to increase living donor

transplantations through all available mechanisms, as appropriate,

including the establishment of clinical centers and a data coordinating center.

Mucopolysaccharidosis Diseases.—The Committee encourages

NIDDK to enhance research efforts in the development of effective

treatments for mucopolysaccharidosis (MPS) disorders through all

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type studies, cell biology and the pathophysiology of brain damage

and substrate deprivation as it relates to MPS disorders. The Committee also encourages NIDDK, NINDS and NICHD to collaborate

its research efforts and enhance support for both current MPS

studies as well as new efforts to develop effective therapies.

Obesity.—Obesity is a complex chronic disease that results from

an integration of social, behavioral, cultural, psychological, metabolic and genetic factors. It is a major health threat in the United

States. The Committee commends NIH for increasing the number

of grants examining obesity and encourages NIDDK to expand efforts in such areas as the effects of obesity on gene expression, the

risk of gastrointestinal cancers, the role of GI hormones, motility

and mucosal absorption in the complex balances of satiety, nutrient

uptake and calorie and energy balance, and the effect of diet and

nutrient intake on metabolism and gene function through all available mechanisms, as appropriate.

Pediatric Kidney Disease.—The Committee remains concerned

over the alarming number of children and adolescents suffering

from kidney disease, a disproportionate number of whom are minorities. Chronic kidney failure among young people results in particularly severe consequences. Normal growth and development are

impaired, and many scientists believe that chronic kidney failure

has a profound effect on the developing brain, often resulting in

learning disabilities and mental retardation. Research and treatment are hampered by the critical and growing shortage of pediatric kidney specialists, individuals who are specially trained and

qualified to manage renal disease that arise in this vulnerable age

group. The Committee urges NIDDK to enhance research on both

congenital and acquired chronic renal failure through all available

mechanisms, as appropriate, including the molecular mechanisms

underlying growth failure in children with kidney failure, hypertension as a risk factor for cardiovascular and renal disease, and

the development of a database of genetic renal diseases. NIDDK is

also encouraged NIDDK to consider launching new training initiatives to help ease the workforce shortage in this field.

Pediatric Liver Disease.—Biliary atresia is the most common

cause of liver transplantation in children. The Committee urges

NIDDK to enhance efforts to address this and other pediatric liver

diseases through all available mechanisms, as approprirate including the establishment of clinical centers and a data-coordinating

center.

Polycystic Kidney Disease.—The Committee is encouraged that

the number of research discoveries aimed at treatment and a cure

for Polycystic Kidney Disease (PKD) are numerous. Notable breakthroughs are coming from the four interdisciplinary research centers established last year. The Committee is aware that the Institute is planning an international scientific workshop focusing on

clinical aspects of PKD and an RFA for a PKD interventional trials

network. In light of the scientific momentum in this field, the Committee urges the Institute to continue to implement the PKD strategic plan through all available mechanisms, as appropriate.

Prostatitis.—The Committee commends NIDDK for establishing

the Chronic Prostatitis Collaborative Research Network and is

pleased that it will be expanding into multicenter trials. The Institute is encouraged to establish these centers separate from the

71

urological centers. The Committee also encourages NIDDK to enhance research in areas that will correlate clinical findings with

fundamental research studies.

Urinary Incontinence.—Urinary incontinence afflicts approximately 13 million adults in the United States, 85 percent of whom

are women. The Committee encourages NIDDK to enhance research in this area through all available mechanisms, as appropriate including support to the urinary incontinence treatment network and clinical trials.

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

The Committee provides $1,306,321,000 for the National Institute of Neurological Disorders and Stroke (NINDS), which is

$129,524,000 above the fiscal year 2001 comparable level and the

same as the budget program request.

Mission.—The NINDS supports and conducts basic and clinical

neurological research and research training to increase understanding of the brain and improve the prevention and treatment of

neurological and neuromuscular disorders. The NINDS mission encompasses over 600 disorders, including stroke; head and spinal

cord injury; epilepsy; multiple sclerosis; and neurodegenerative disorders such as Parkinson’s disease.

Alzheimer’s Disease.—NINDS continues to play an integral part

in advancing science’s understanding of Alzheimer’s disease. Working collaboratively with NIA, NINDS-supported researchers found

that cortical degeneration or brain atrophy was 20 to 25 percent

greater in patients with Alzheimer’s. The Committee encourages

NINDS to make Alzheimer’s research a high priority and to continue to work closely with NIA and other Institutes.

Dystonia.—The Committee continues to be interested in the extramural research portfolio of NINDS with respect to dystonia and

encourages NINDS to continue to expand the study of the DYT1

gene and any other promising genetic leads. The Committee also

encourages NINDS to enhance its collaboration with the dystonia

research community in supporting epidemiological studies on

dystonia and enhancing public and professional awareness of this

disorder. The Director of the Institute should be prepared to provide a status report on the dystonia research portfolio at the fiscal

year 2003 appropriations hearing.

Epilepsy.—The Committee is encouraged by the development of

13 benchmarks for epilepsy research resulting from the Institute

sponsored conference held in March 2000 on ‘‘Curing Epilepsy:

Focus on the Future’’. The Committee urges NINDS to enhance research efforts in the prevention, treatment and eventual cure of

this disease through all available mechanisms, as appropriate, including the development of a plan to implement the research

benchmarks and establishment of an Interagency Epilepsy Coordinating Committee. The Committee also urges the Institute to enhance efforts to address research issues related to the impact of

seizures on young children, women, the elderly and those with intractable or uncontrolled epilepsy. NINDS is also encouraged to develop research plans and goals for the anti-epileptic drug development program. The Director should be prepared to testify on its efforts to advance these areas of research at the fiscal year 2003 appropriations hearing.

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Facioscapulohumeral Muscular Dystrophy.—Facioscapulohumeral muscular dystrophy (FSHD) is the third most common

form of muscular dystrophy. The Committee is pleased that NINDS

and NIAMS have taken steps to begin implementation of the recommendations of the 2000 research planning conference on FSHD

and urges NINDS and NIAMS to develop a comprehensive research

portfolio through all available mechanisms, as appropriate.

Fragile X.—Fragile X is a single-gene neurological disorder affecting 1 in 2000 males and 1 in 4000 females with mental disorders, cognitive impairment and seizures. The cause of the disease

is the failure of a single gene to produce a protein. The Committee

urges NINDS to enhance its research activities on Fragile X and

to include Fragile X patients in its studies of related disorders. The

Committee also urges NINDS to coordinate these efforts with other

Institutes working on related activities, including NIMH and

NICHD.

Mucolipidosis Type IV.—The Committee commends NINDS for

sponsoring research with the Mucolipidosis Type IV (ML4) Foundation. This research identified the gene whose mutation causes this

debilitating genetic metabolic disease. The Committee urges

NINDS and other Institutes to expand both intramural and extramural research on this disease.

Neurofibromatosis.—Recent advances in Neurofibromatosis (NF)

research have linked NF to cancer, brain tumors, learning disabilities, and heart disease. The Committee encourages NINDS to expand its NF basic and clinical research portfolio through all available mechanisms, as appropriate, including clinical trials. The

Committee commends NINDS for its leadership in initiating a NF

workshop that involved other relevant NIH Institutes as well as

the Army and Veterans Administration. NINDS is encouraged to

translate the recommendations of the workshop into research initiatives and to continue to coordinate its efforts with other Institutes engaged in NF research.

Parkinson’s Disease.—NIH has developed a five-year Parkinson’s

Disease Research Agenda. The Committee urges NINDS to work

toward full implementation of this research agenda through all

available mechanisms, as appropriate, including research opportunities in the development of stem cell therapy for

neurodegenerative disorders, related brain repair research that will

develop the scientific opportunity presented in this fast moving

field, and support for consortia to involve the extramural research

community in planning and executing this initiative. The Committee commends NIH for supporting workshops and other collaborations between sectors of the Parkinson’s research community, including the workshop on gene therapy, and encourages similar collaborative models. The Committee is encouraged by the reference

in the Parkinson’s Research agenda to support translational research. The Committee also commends NINDS for its efforts,

through supplemental funding, workshop sponsorship and other

mechanisms, in developing the Morris K. Udall centers for Parkinson’s Research as an important research resource and urges continued support for these Centers for all authorized activities including

a clinical component.

Reflex Sympathetic Dystrophy.—Reflex Sympathetic Dystrophy

(RSD), also known as Complex Regional Pain Syndrome (CRPS), is

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a chronic debilitating condition characterized by severe burning,

pain, pathological changes in bone and skin, excessive sweating,

tissue swelling, and extreme sensitivity to touch. It is estimated

that between two and five percent of individuals with peripheral

nerve injury and up to 20 percent of those with paralysis on one

side of the body will suffer from RSD. The Committee is pleased

to learn about the State of the Science conference being planned for

RSD and other chronic pain diseases. The Committee encourages

NINDS to enhance research into this condition through all available mechanisms, as appropriate.

Spina Bifida.—Spina bifida and neural tube defects are the leading, permanent disabling birth defect in the United States. The

Committee urges NINDS to work with NICHD, AHRQ and CDC to

enhance efforts to assess and evaluate secondary prevention strategies to reduce the complications associated with Spina bifida, including an evaluation of in utero surgical techniques through all

available mechanisms, as appropriate, including a consensus conference. The Committee requests that the Director of the Institute

be prepared to provide a progress report at the fiscal year 2003 appropriations hearing.

Stroke.—Stroke remains the third leading cause of death, a leading cause of permanent disability, and a major contributor of latelife dementia. The Committee encourages NINDS to place a high

priority on stroke research. The Committee also encourages the Institute to expand its stroke education program and to initiate and

continue innovative approaches to improve stroke diagnosis, treatment, rehabilitation, and prevention through all available mechanisms, as appropriate. The Committee looks forward to receiving

the NINDS five-year strategic stroke research plan scheduled to be

released this fall.

The Committee encourages NINDS to support research and development in the area of polynitroxylated albumin as a

neuroprotectant for ischemic, hemorrhagic and transient ischemic

stroke through all available mechanisms, as appropriate.

Tuberous Sclerosis.—Tuberous scelosis (TS) is a genetic disorder

that affects many different organ systems. TS occurs in all races,

both sexes, affects over one million individuals worldwide, and is

the leading genetic cause of epilepsy and the second most identifiable genetic cause of autism. The Committee encourages NINDS to

enhance research in this area through all available mechanisms, as

appropriate, including working collaboratively with private patient

foundations to develop a research plan.

NATIONAL INSTITUTE OF MENTAL HEALTH

The Committee provides $1,228,780,000 for the National Institute of Mental Health (NIMH), which is $122,261,000 above the fiscal year 2001 comparable level and the same as the budget program request.

Mission.—The NIMH is responsible for research activities that

seek to improve diagnosis, treatments, and overall quality of care

for persons with mental illnesses. Disorders of high priority to

NIMH include schizophrenia, depression and manic depressive illness, obsessive-compulsive disorder, anxiety disorders and other

mental and behavioral disorders that occur across the lifespan;

these include childhood mental disorders such as autism and attenVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00073 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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tion-deficit/hyperactivity disorder; eating disorders; Alzheimer’s disease; and other illnesses. NIMH supports and conducts fundamental research in neuroscience, genetics, and behavioral science.

In addition to laboratory and controlled clinical studies, the NIMH

supports research on the mental health needs of special populations and health services research.

Alzheimer’s Disease.—NIMH continues to play an important role

in research on the causes of Alzheimer’s disease, its clinical course

and treatment and services for patients. NIMH research has documented a strong link between depression and physical aggression

in Alzheimer’s patients suggesting that depression treatment may

reduce aggression in patients. The Committee encourages NIMH to

make Alzheimer’s research a high priority and continue to collaborate with NIA and other Institutes.

Fragile X.—Fragile X is the most common single-gene

neuropsychiatric disease known. The Committee urges NIMH to

support research on the neurobiological basis of Fragile X through

all available mechanisms, as appropriate, including studies on specific neural circuits and molecules. The Committee also urges

NIMH to characterize the mental health symptoms of Fragile X, investigate effective treatments and promising new

psychopharmacologic interventions that target these symptoms and

include Fragile X in studies of related neuropsychiatric disorders

through all available mechanisms, as appropriate. NIMH is encouraged to work with NICHD and NINDS to develop cooperative research in this area.

Psychiatric Nursing.—The Committee is encouraged by the

progress made by NIMH and NINR in implementing a technical assistance workshop on grant writing and navigating a research career trajectory in the area of behavioral change related to psychiatric mental health nurse researchers. The Committee encourages NIMH to continue to collaborate with NINR and expand research in this area through all available mechanisms, as appropriate.

Senior Citizen Mental Health.—Older Americans are at greater

risk of mental disorders and their complications than younger people. However, depression does not have to be an inevitable part of

the aging process and many of these illnesses can be accurately diagnosed and successfully treated. The Committee is pleased that

NIMH has renewed and strengthened its emphasis in this area and

notes the launch of an intra-NIMH consortium of scientists concerned with mental disorders in the aging population with a goal

of increasing coordinated research efforts, expanding recognition of

disorders in the elderly, developing new treatments and reducing

stigma. The Committee urges NIMH to expand research in this

area extramurally through all available mechanisms, as appropriate.

NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

The Committee provides $1,088,208,000 for the National Institute of Child Health and Human Development (NICHD), which is

$109,487,000 above the fiscal year 2001 comparable level and the

same as the budget program request.

Mission.—The NICHD conducts and supports laboratory and

clinical research on the reproductive, developmental, and behavVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00074 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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ioral processes that determine and maintain the health and wellbeing of children, adults, families and populations. In addition, research in medical rehabilitation is supported. The Committee commends NICHD for its innovative program of Specialized Centers for

Research in Reproductive Medicine in Minority Institutions and

looks forward to learning about the progress of this initiative.

Bone Disease in Adolescents.—The Committee encourages

NICHD to support research to understand the relationship between

pregnancy and lactation and bone mass in adolescents. Such research might address the impact of chronic anticoagulation on bone

mass in pregnancy, the effect of oral contraceptives on acquisition

of peak bone mass and bone loss in early adolescence and the impact on bone status of chronic under-nutrition of young women.

The Committee supports the continuing efforts of the Institute to

provide a database of bone density across a decade for white and

minority children and adolescents.

Demographic Research.—The Committee recognizes that demographic research is fundamental to the understanding of national

and international trends. The Committee urges NICHD to continue

its support of demographic research on such issues as marriage,

family structure, fatherhood, teen childbearing, immigration, child

and adolescent health and the impact of changing age structures

on children and adults. The Committee continues to support

NICHD’s partnerships with other Federal agencies that help

produce data for demographic research.

Diabetes.—The Committee is concerned about reports of a shortage of pediatric endocrinologists and urges NICHD to enhance efforts to address this problem through all available mechanisms, as

appropriate. The Committee urges NICHD to continue collaborating with NIAID and NIDDK in an effort to develop a vaccine to

prevent juvenile, or Type 1, diabetes. The Committee also urges the

Institute to collaborate with CDC’s initiative to establish a pediatric diabetes registry.

Fragile X.—Fragile X is the most common inherited cause of

mental retardation. The Committee commends NICHD for its research actions, both intramurally and extramurally, in this area.

The Committee encourages NICHD to enhance its research efforts

on Fragile X through all available mechanisms, as appropriate, including establishment of research centers. The Committee requests

that the Director of the Institute be prepared to provide a progress

report at the fiscal year 2003 appropriations hearing.

Limb Loss.—Congenital limb deficiency, vascular disease, childhood skeletal malignancy, and trauma have resulted in over 1.5

million persons in the United States with limb loss. Technological

advancements today offer considerable opportunity for persons with

limb loss to effectively resume active, productive lives. The Committee commends the National Center for Medical Rehabilitation

Research (NCMMR) for holding a prosthetic outcomes research consensus conference, together with the Department of Veterans Affairs and the Department of Education. The Committee encourages

NCMMR to continue its program in prosthetic research.

Literacy and Preventive Interventions.—The Committee encourages NICHD to develop a comprehensive research program designed to assess the effectiveness of well defined and evidencebased early childhood, school readiness and child care programs

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and interventions that significantly improve the integrated development of social competencies, emotional health, physical health

and cognitive abilities and skills to the maximum extent possible

in children from birth to entry into the first grade. This research

should also look at the role of parental involvement and the quality

of training and experience of preschool teachers and child care personnel on developmental outcomes at different stages of development. The Committee encourages NICHD to develop collaborations

with the Department of Education and programs within the Department of Health and Human Services to develop and implement

programs in the most timely and optimal manner.

The Committee commends NICHD for its promising research of

the educational practices that help disadvantaged children effectively learn to read and write. States, such as California would

benefit from the application of this research. NICHD is urged to

continue this research and coordinate with other Federal agencies,

State and local education agencies, the private sector and the general public to put the results of this research into the widest and

most productive use.

Maternal-Fetal Medicine.—Seventy-five percent of the infant

deaths and substantial morbidity occurring during the neonatal period are caused by pre-mature delivery. The Committee urges

NICHD to enhance its research efforts into the causes of pre-term

delivery building on previous research surrounding the role of infection and immune response and the role of genetics through all

available mechanisms, as appropriate, including sponsoring a planning workshop. The Director of the Institute should be prepared to

testify on the progress in this area at the fiscal year 2003 appropriations hearing.

Mathematical Skills Improvement.—The Committee urges

NICHD to pursue research on the development of skills needed to

learn math, the means to address difficulties learning math, as

well as the effective instruction for math. The Committee also

urges NICHD to examine the use of technology such as calculators

and its effects on long-term math achievement.

Mental Retardation/Developmental Disabilities.—Nearly 500,000

children are born each year in the United States with mental retardation and/or other developmental disabilities. In the past, the

Committee has highlighted the importance of research in specific

conditions such as Rett syndrome, autism, spina bifida, learning

disabilities, Fragile X syndrome and other related diseases. As a result of center-based research focusing specifically on mental retardation and developmental disabilities the knowledge base has been

advanced in such areas as imaging technology, brain development,

genetic mapping, low birthweight, prematurity and family functioning. The Committee encourages NICHD to enhance the efforts

of these centers to continue the advancement of both basic and clinical research into the causes, diagnosis, early detection, prevention,

and treatment of mental retardation and developmental disabilities

through all available mechanisms, as appropriate, including infrastructure improvements.

National Longitudinal Children’s Cohort Study.—Children are

more vulnerable than adults to environmental influences because

of fragile developing systems and behaviors that may lead to increased exposure to environmental contaminants. It is thought that

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evidence-based policies and effective prevention and health promotion strategies to achieve a healthy and safe environment for

children are best derived from a Federal multi-agency longitudinal

study. The Committee supports the National Longitudinal Children’s Cohort Study and urges NICHD to provide sufficient funds

to enhance ongoing multi-agency planning activities, facilitate collaboration among Federal and non-Federal scientists and other

stakeholders and support initial pilot studies. This study should investigate basic mechanisms of developmental disorders and environmental processes and incorporate behavioral, emotional, educational, and contextual consequences to enable a complete assessment of the physical, chemical, biological, and psychological environmental influences on children’s well being. NICHD is urged to

support the full scope of work of the Interagency Work Group and

the Scientific Assembly so that initial enrollment in the full study

can begin by the end of 2003. The Committee requests that the Director of the Institute be prepared to provide a progress report on

this study at the fiscal year 2003 appropriations hearing.

Neurofibromatosis.—Learning disabilities occur with high frequency in children with Neurofibromatosis (NF). NF1 provides an

opportunity to uncover a molecular basis for cognitive impairment

and to identify a marker for brain dysfunction. Research in understanding the cognitive deficits of NF1 patients possesses broad application to learning disabilities in the general population. NICHD

is encouraged to enhance its NF research portfolio and to coordinate its efforts with other Institutes engaged in NF research.

Osteogenesis Imperfecta.—The Committee encourages NICHD to

enhance research on osteogenesis imperfecta with emphasis on genetic therapies, animal models, drug treatment and rehabilitation

techniques through all available mechanisms, as appropriate.

Pediatric Kidney Disease.—Despite scientific advances, kidney

disease continues to be a major cause of illness and death among

children and adolescents. NICHD is encouraged to enhance research on the understanding and treatment of congenital diseases

and kidney malformations which lead to chronic renal failure and

end-stage renal disease in children and adolescents, as well as the

prevention and treatment of the adverse effects of chronic renal

failure on cognitive and physical development in children.

Pelvic Floor Dysfunction.—The Committee commends NICHD on

the progress made in establishing a research portfolio in pelvic

floor disorders. The Committee urges the Institute to expand efforts in this area through all available mechanisms, as appropriate,

including epidemiological research, clinical trials, and increasing

the capacity of gynecologic and obstetrics researchers to submit

grant applications.

Primary Immune Deficiency Diseases.—The Committee continues

to be pleased with the comprehensive commitment that NICHD

has demonstrated in addressing primary immunodeficiency diseases. The active role NICHD has taken with regard to the national education and awareness campaign sponsored by the Jeffrey

Modell Foundation in partnership with NIAID, NCI, CDC and

other private entities stands as a model for all agencies. The Committee encourages NICHD to remain committed to this collaboration and enhance its efforts through all available mechanisms, as

appropriate, including the distribution of appropriate materials to

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pediatricians and others, trans-Institute cooperation on research

issues and replication of successful programs to determine the nature of under-diagnosis in minority communities.

Reading Development.—The Committee commends NICHD for its

priority on reading development as a means to better predict reading difficulties, reading disabilities and learning disabilities in

young children. The Committee encourages NICHD to enhance its

efforts to identify effective intervention strategies and teaching

techniques for older children who are still struggling to read.

NICHD is urged to work with the relevant components of the Department of Education, including the Office of Educational Research, Statistics, and Improvement (OERI) as well as the National

Institute for Literacy.

The Committee also commends NICHD for the leadership contributions it has provided to the Interagency Educational Research

Initiative undertaken with OERI at the Department of Education,

and the National Science Foundation. The Institute is urged to continue its participation and leadership in this promising joint effort.

Spina Bifida.—Spina bifida and neural tube defects are the leading, permanent disabling birth defect in the United States. The

Committee urges NICHD to work with NINDS, AHRQ and CDC to

enhance efforts to assess and evaluate secondary prevention strategies to reduce the complications associated with Spina bifida, including an evaluation of in utero surgical techniques through all

available mechanisms, as appropriate, including a consensus conference. The Committee requests that the Director of the Institute

be prepared to provide a progress report at the fiscal year 2003 appropriations hearing.

Sudden Infant Death Syndrome.—The Committee is pleased with

NICHD’s continued efforts to extend the reach of its extremely successful ‘‘Back to Sleep’’ campaign to underserved populations and

daycare providers. The Committee also commends NICHD’s attempts to further its progress in SIDS research by initiating a

third SIDS five-year research plan. This third five-year plan will

continue the efforts of the past two five-year plans, which have

been responsible for many of the research breakthroughs in the effort to reduce SIDS cases in the United States. The Committee is

pleased that NICHD is collaborating with HRSA’s Maternal and

Child Health Bureau and the NIH’s Office of the Director to improve public awareness about SIDS to the African American community.

NATIONAL INSTITUTE ON DRUG ABUSE

The Committee provides $900,389,000 for the National Institute

on Drug Abuse (NIDA), which is $119,562,000 above the fiscal year

2001 comparable level and the same as the budget program request.

Mission.—NIDA-supported science addresses questions about

drug abuse and addiction, which range from its causes and consequences to its prevention and treatment. NIDA research explores

how drugs of abuse affect the brain and behavior and develops effective prevention and treatment strategies; the Institute works to

ensure the transfer of scientific data to policy makers, practitioners, and the public.

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Club Drugs.—The landscape of the drug abuse problem is constantly changing and new drugs of abuse are continually emerging

in local communities across the country. The Committee commends

NIDA for having rapidly identified club drugs, particularly MDMA

or ecstasy, as a serious threat and for quickly launching a research

and information dissemination effort to inform communities about

this and other emerging drugs. The Committee urges NIDA to enhance research to determine the consequences of abusing these

drugs, to work toward the development of both behavioral and

pharmacological treatments that may be used to treat individuals

who abuse these drugs and develop targeted prevention efforts.

NATIONAL INSTITUTE ON AGING

The Committee provides $873,186,000 for the National Institute on Aging (NIA), which is $86,883,000 above the fiscal year 2001

comparable level and the same as the budget program request.

Mission.—The NIA conducts biomedical, behavioral, and social

research related to the aging process to prevent disease and other

problems of the aged, and to maintain the health and independence

of older Americans.

Alzheimer’s Disease.—An estimated four million Americans now

suffer with Alzheimer’s disease and by the time the ‘‘baby boomer’’

generation reaches the age of greatest risk, as many as 14 million

persons will be afflicted. The disease has a significant impact on

the Nation’s health care system, which will only be exacerbated as

the population ages. After two decades of intensive research, scientists have begun to understand the basic mechanisms of Alzheimer’s as well as the complex interplay of genetic and environmental risk factors. Past investments have lead to a number of exciting new opportunities, including clinical trials of a vaccine that

may prevent amyloid deposits in the brain and the FDA approval

of a fourth drug for the treatment of the disease’s cognitive symptoms. However, researchers believe that Alzheimer’s actually begins 10 to 20 years before its first symptoms appear. Therefore, the

Committee urges NIA to expand its efforts in Alzheimer’s disease

research through all available mechanisms, as appropriate, including clinical trials.

The Committee is aware of potential benefits that may be derived from compounds found in nature in developing new drug

treatments for Alzheimer’s disease. The Committee is also aware of

current pilot studies taking place using families of compounds obtainable from ginkgo biloba, huperzine and nicotine and encourages

the Institute to examine more fully their potential in treating this

disease.

Bone Diseases.—The Committee encourages NIA to coordinate research with NIAMS on osteoporosis and Paget’s disease. The Committee also encourages NIA to study the effects of aging on people

with Osteogenesis Imperfecta through all available mechanisms, as

appropriate, including studies related to the aging skeleton.

Demographic Research.—The Committee commends NIA for its

demographic and economic research on health dynamics in older

populations and the early life determinants of the late life health

disparities. This research, conducted through the Health and Retirement Study, the National Long Term Care Survey, the Office

of Demography and the Demography of Aging Centers, is important

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for advancing research on the Medicare and Social Security systems. The Committee also commends NIA for its efforts to link demography and biology and develop a more integrated social and behavioral science.

NATIONAL CENTER FOR RESEARCH RESOURCES

The Committee provides $966,541,000 for the National Center for Research Resources (NCRR), which is $149,443,000 above the

fiscal year 2001 comparable level and the same as the budget program request.

Mission.—The NCRR develops and supports critical research

technologies and shared resources that underpin biomedical research. The NCRR programs develop a variety of research resources; provide resources for complex biotechnologies, clinical research and specialized primate research; develop research capacity

in minority institutions; and enhance the science education of precollege students and the general public.

Animal Research Facilities.—The Committee commends NCRR

for its initiative to upgrade animal research facilities at minority

health professions schools. The Committee urges NCRR to continue

its collaboration with minority health professions schools in providing grants to upgrade their animal facilities in an effort to assist

them in complying with Federal laws and regulations and receive

accreditation by the appropriate scientific accreditation organization.

Cystic Fibrosis.—The Committee is encouraged by the assessment of researchers that improved treatments for cystic fibrosis are

promising. The Committee encourages NCRR, in partnership with

other NIH Institutes, to continue to support the coordinating center

for the therapeutic development centers so that progress in moving

research from the bench to bedside will occur promptly.

Extramural Facilities.—The Committee has included bill language identifying $97,000,000 in extramural biomedical facility

renovation and construction, which is $22,000,000 above the fiscal

year 2001 level and the same as the budget request. These funds

are to be awarded competitively, consistent with the requirements

of section 481A of the Public Health Service Act, which allocates

25 percent of the total funding to institutions of emerging excellence. The Committee commends NCRR for taking a more proactive

role in fulfilling this requirement. The Committee urges NCRR to

continue to improve animal research facilities at Institutions of

Emerging Excellence.

General Clinical Research Centers.—Over three decades ago, NIH

established the General Clinical Research Centers (GCRCs) program to support regional patient-oriented research centers. Today,

NCRR supports 75 GCRCs, which provide citizens across the country with local access to clinical research programs focused on a

wide range of diseases and disorders. In recent years, the Committee has expressed its concern regarding the funding provided to

the GCRCs. The Committee strongly urges NCRR to enhance funding for GCRCs as authorized by section 481C of the Public Health

Service Act.

Graduate Training in Clinical Investigation Awards.—The Committee is concerned about the declining numbers of physician-scientists pursuing careers in clinical research and is pleased that

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NIH has initiated the Clinical Research Curriculum Awards to improve the quality of training in clinical research. The Committee

understands that NCRR is developing a non-categorical, institutional career development award that should be announced sometime this fall consistent with the Graduate Training in Clinical Investigation Awards in the Clinical Research Enhancement Act.

This program will provide salary and other types of career development support to physicians and dentists interested in research

training that will launch a career in patient oriented clinical research. This program will also provide the option for candidates to

obtain advance degrees, such as MS or Ph.D. in clinical investigation, or MPH. In order to assess the funding needs for fiscal year

2003, the Committee requests data on the number of applications

and likely awards by the summer of 2002.

Institutional Development Awards.—The Institutional Development Awards (IDeA) program provides capacity building assistance

for biomedical research efforts in States that have not previously

participated fully in the research programs of the NIH. The Committee supports the budget request for this program. These funds

should be used to continue the Centers of Biomedical Research Excellence program and the Biomedical Research Infrastructure Network program and may be used to provide for new competitions for

these programs. The focus of IDeA should continue to be on improving the necessary infrastructure and strengthening the biomedical research capacity and capability of research institutions

within IDeA States.

Research Centers at Minority Institutions.—The Committee recognizes the critical role played by minority institutions at both the

graduate and undergraduate level in addressing the health research and training needs of minority populations. These programs

help facilitate the preparation of a new generation of scientists at

these institutions. The Committee encourages NCRR to strengthen

participation from minority institutions and enhance resources in

this area. The Committee also encourages NCRR to work with minority institutions with a track record of producing minority scholars in science and technology.

NATIONAL EYE INSTITUTE

The Committee provides $566,725,000 for the National Eye Institute (NEI), which is $56,200,000 above the fiscal year 2001 comparable level and the same as the budget program request.

Mission.—The NEI conducts and supports basic and clinical research, research training, and other programs with respect to

blinding eye diseases, visual disorders, mechanisms of visual function, preservation of sight, and the special health problems and

needs of individuals who are visually-impaired or blind. In addition, the NEI is responsible for the dissemination of information,

specifically public and professional education programs aimed at

the prevention of blindness.

Diabetic Retinopathy.—Diabetic retinopathy is the leading cause

of new cases of blindness in working age adults. The Committee

recognizes the collaborative efforts of NEI and other Institutes and

Centers to study ways to control the proliferation of abnormal vessels that give rise to diabetic complications within the eye and on

other organs and systems of the body. The Committee encourages

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NEI to continue research that may lead to the development of

methods to inhibit this proliferation before sight-threatening damage has occurred.

Genomic Research.—The Committee recognizes the success of

NEI’s Functional Genomics Workshop and the implementation of

its recommendations to create a national eye genome resource to

identify and sequence genes that are expressed in the visual system. The Committee understands that work is underway to make

this information publicly available in an easily accessible and retrievable database through a NEI-supported website. The Committee is pleased with this model approach of providing the information and other related resources that will assist researchers in

gaining a better understanding of genetic diseases that effect the

eye and visual system and will speed the development and testing

of new gene-based therapies. NEI is encouraged to enhance the development of these gene-based therapies, especially for retinal degenerative diseases, through all available mechanisms, as appropriate.

Healthy People 2010.—The Committee is pleased to see that vision impairment is a priority area in the Healthy People 2010 initiative. NEI is encouraged to develop data on the extent of the

problem of eye disease, especially among the aging population, and

the economic consequences of eye disease so progress in these areas

can be measured.

Lyme Disease.—The Committee encourages NEI to study the

neuro-opthalmalogic abnormalities associated with Lyme disease

through all available mechanisms, as appropriate.

Ocular Albinism—Ocular Albinism (OA) is a hereditary disease

that causes distorted vision in children. Individuals with this disorder are usually boys who receive the defective gene from their

mother. Affected patients experience nystagmus, photophobia, lack

of stereoscopic vision, strabismus and other symptoms that deny

them normal vision. Recently, the OA1 gene, responsible for most

cases of the disease, was identified and a diagnostic screening test

was created to help women determine if they are at risk of passing

the disease on to their children. The Committee urges NEI to enhance its research efforts in OA through all available mechanisms,

as appropriate, including a request for proposal. The Committee requests that the Director of the Institute be prepared to provide a

progress report at the fiscal year 2003 appropriations hearing.

Sjogren’s Syndrome.—One of the symptoms of Sjogren’s syndrome is dry eye, a serious disorder that can lead to blindness if

left untreated and, even when treated properly, can greatly affect

one’s quality of life. NEI has recently completed clinical trials on

cyclosporin as a treatment for dry eye and currently sponsors the

largest number of extramural grants at NIH for Sjogren’s-related

research. The Committee encourages NEI to enhance research on

Sjogren’s syndrome and dry eye research.

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

The Committee provides $557,435,000 for the National Institute

of Environmental Health Science (NIEHS), which is $54,448,000

above the fiscal year 2001 comparable level and the same as the

budget program request.

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Mission.—The NIEHS mission is to reduce the burden of environmentally related illness and dysfunction by understanding how

environmental exposures affect health, how individuals differ in

their susceptibility to these effects, and how these susceptibilities

change over time. This mission is achieved through multidisciplinary biomedical research programs, prevention and intervention

efforts, and communication strategies that encompass training,

education, technology transfer, and community outreach.

Diethylstilbestrol.—The Committee encourages NIEHS to support

research on third generation effects of diethylstilbestrol (DES) exposure, the long-term risks of cancer among DES-exposed daughters and sons and genetic markers for DES exposure through all

available mechanisms, as appropriate.

Interagency Coordinating Committee for the Validation of Alternative Methods (ICCVAM).—The Committee supports the assessment of scientific validation of new, revised and alternative toxicological test methods by the ICCVAM and encourages NIEHS to

use the expertise and credibility of the National Toxicology Program Center for the Evaluation of Alternative Methods for these

assessments to streamline individual consideration of new, revised

and alternative toxicological test methods.

Lymphoma.—The Committee encourages NIEHS to enhance research on investigating the potential of environmental, bacterial

and viral factors that are associated with the development of

lymphoma and other hematological cancers. The Committee also

encourages NIEHS to collaborate its research efforts with NCI,

CDC and other appropriate agencies that will lead to a better understanding of how environmental factors contribute to the development of lymphoid malignancies. The Committee requests that

the Director of the Institute be prepared to report on the status of

its research portfolio on lymphoma and the direction of future research at the fiscal year 2003 appropriations hearing.

Metals-in-Medicine.—There is growing concern about the health

affects of mercury in the environment including exposure through

medicine. NIEHS is urged to coordinate with the NIH Metals-inMedicine initiative to conduct research to further understand the

health effects of mercury through environmental and medical exposures. Given recent hearings on mercury exposure and suspected

relationships between mercury exposure and various neurological

diseases such as autism and Alzheimer’s disease, the NIH is encouraged to explore as part of the Metals, In, Medicine initiative,

studies of how inorganic mercury and organic mercury compounds

(including ethyl, methyl and other forms of mercury from both food

and pharmaceutical and dental sources) are processed in the bodies

of children and adults, studies of the toxic effects of inorganic mercury and organic mercury compounds on the nervous systems of

young children, adults and the elderly, and methods of properly removing mercury and mercury containing compounds from the

brains of affected humans. This initiative will be enhanced by coordination with various medical groups that have expressed interest in this issue.

National Toxicology Program.—Chromium is used in industrial

manufacturing and its toxic version, hexavalent chromium or chromium 6, has been detected in groundwater wells used for drinking.

The Committee encourages the National Toxicology Program to

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study the carcinogenicity of hexavalent chromium compounds when

ingested in drinking water through all available mechanisms, as

appropriate.

Parkinson’s Disease.—The Committee commends NIEHS for its

leadership in developing an important initiative in the environmental role in the cause of Parkinson’s and related disorders, including gene-environment interactions. There is hope that this initiative will produce important information on the cause of Parkinson’s-related syndromes and provide a model for understanding the

environmental role in other chronic and life-threatening disorders.

The Committee urges NIEHS to work toward full implementation

of the Parkinson’s Research Agenda through all available mechanisms, as appropriate.

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

The Committee provides $440,144,000 for the National Institute

of Arthritis and Musculoskeletal and Skin Diseases (NIAMS),

which is $43,616,000 above the fiscal year 2001 comparable level

and the same as the budget program request.

Mission.—The NIAMS conducts and supports basic and clinical

research and research training, and the dissemination of health information on the more than 100 forms of arthritis; osteoporosis and

other bone diseases; muscle biology and muscle diseases;

orthopaedic disorders, such as back pain and sports injuries; and

numerous skin diseases.

Bone Disease and Cancer.—Significant advances have been made

in the understanding of biophosphonates in bone disease and the

role of anti-angiogenesis in restricting tumor growth and malignancies. The Committee urges NIAMS to work with NCI and

NHLBI to establish translational research activities to understand

the role of bone involvement and tumor growth in multiple

myeloma, lymphoma, breast and prostate cancer.

Duchenne Muscular Dystrophy.—The Committee urges NIAMS to

continue working with NINDS and the Centers for Disease Control

and Prevention to identify collaborative opportunities to advance

basic, clinical, and translational research into treatment for

Duchenne Muscular Dystrophy.

Ehlers-Danlos Syndrome.—Ehlers-Danlos syndrome (EDS) is a

group of heritable connective tissue disorders that develop as a result of faulty collagen. Individuals with EDS often suffer from fragile skin and unstable joints. The Committee urges NIAMS to aggressively pursue basic research programs on EDS through all

available mechanisms, as appropriate.

Facioscapulohumeral Muscular Dystrophy.—The Committee understands that NIAMS and NINDS have taken steps to begin implementation of the recommendations of the 2000 research planning conference on facioscapulohumeral muscular dystrophy

(FSHD). The Committee strongly urges that research on muscle biology, muscular dystrophy in general and FSHD in particular be

enhanced through all available mechanisms, as appropriate, including the development of a comprehensive research portfolio.

Fibrous Dysplasia.—Fibrous dysplasia is a chronic disorder of the

skeleton that predominately afflicts young children and adolescents

resulting in uneven growth, severe pain and deformed extremities.

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The cause of fibrous dysplasia is unknown although recent studies

indicate that it may be caused by a chemical abnormality leading

to the overgrowth of fibrous tissue in the bone. The Committee encourages NIAMS to enhance research to evaluate promising drug

therapies in both pediatric and adolescent fibrous dysplasia patients through all available mechanisms, as appropriate.

Lupus.—Lupus is an autoimmune disease that mainly affects

women of child-bearing age, can lead to severe organ injury, and

the treatment is often as devastating as the disease. Women of

color, especially African-Americans, are three times more likely to

have lupus than Caucasian women. Recent research developments

are very encouraging and give promise to new scientific opportunities for the study of lupus. The Committee encourages NIAMS to

enhance research efforts that would increase understanding of the

factors associated with the high prevalence of lupus in women and

people of color. The Committee also encourages NIAMS to enhance

research efforts at developing new and innovative treatments that

are safer and more effective.

Marfan Syndrome.—The Committee commends NIAMS for its

support of research on heritable disorders of connective tissue,

which includes Marfan syndrome and for co-sponsoring the Third

Workshop on Heritable Disorders of Connective Tissue. The Committee urges NIAMS and other appropriate Institutes to enhance

its research efforts on Marfan syndrome through all available

mechanisms, as appropriate, including the establishment of research centers to coordinate basic research enabling studies to be

rapidly translated into advances in patient care.

Osteogenesis Imperfecta.—The Committee encourages NIAMS to

continue its research efforts into gene and cell therapies and drug

treatment for osteogenesis imperfecta (OI) and active follow-up of

new research opportunities arising out of the 2001 NIH workshop

on OI through all available mechanisms, as appropriate. The Committee also encourages NIAMS, in collaboration with NHLBI, to investigate respiratory and cardiovascular problems associated with

OI.

Osteoporosis.—The Committee encourages NIAMS to continue to

work with NHLBI in investigating the basic and clinical relationship between cardiovascular diseases and osteoporosis. The Committee also encourages NIAMS to enhance research through all

available mechanisms, as appropriate, to study osteoporosis in nonwhite women as well as to understand the genetic predisposition

for osteoporosis in certain populations.

Paget’s Disease.—The Committee is aware of the importance of

research on the viral and genetic factors that may cause Paget’s

disease and encourages NIAMS to enhance efforts in this area

through all available mechanisms, as appropriate, including the development of animal models.

Psoriasis.—Psoriasis is a genetically-acquired immune-mediated

disease of the skin and joints that affects over seven million Americans. In its most severe forms, patients may have psoriatic lesions

covering widespread areas of the body, swollen joints, extreme

physical and emotional pain and a diminished quality of life. The

Committee urges NIAMS to enhance research in this area through

all available mechanisms, as appropriate, including conducting a

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asis, especially prospects for innovative therapeutic approaches for

moderate to severe forms of the disease, and support for a comprehensive public awareness and education program on the best

available treatments for moderate and severe psoriasis.

Scleroderma.—Characterized by hardening of the body’s connective tissue, scleroderma is a chronic, debilitating disease that is

fatal in its worst forms. With improvements in diagnostics, prevalence and incidence of scleroderma is growing, as is the death rate

for this disease. The Committee urges NIAMS to aggressively pursue basic research programs on scleroderma.

Sjogren’s Syndrome.—The Committee is pleased that NIAMS has

published a booklet on Sjogren’s syndrome, which is a common,

systemic, autoimmune disease affecting the musculoskeletal system

and many body organs. The Committee encourages NIAMS to enhance efforts through all available mechanisms, as appropriate, including scientific workshops, research grants and inclusion in autoimmune databases.

Skin Diseases.—The Committee encourages NIAMS to enhance

efforts to identify existing information sources on the costs and

scope of skin diseases and to recommend strategies for developing

new information sources through all available mechanisms, as appropriate, including sponsoring a workshop. NIAMS is encouraged

to collaborate with CDC, AHRQ, HRSA as well as skin disease researchers and voluntary health organizations.

Tissue Engineering.—The Committee commends NIAMS for its

ongoing work in advancing the science of tissue engineering, acknowledging in particular the potential future benefits such research will have for burn victims and diabetics. The Committee

urges NIAMS to continue to review the benefits of utilizing naturally derived biopolymer materials as a medium for tissue scaffolds.

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

The Committee provides $379,026,000 for the National Institute on Alcohol Abuse and Alcoholism (NIAAA), which is $38,489,000

above the fiscal year 2001 comparable level and the same as the

budget program request.

Mission.—The NIAAA supports research to generate new knowledge to answer crucial questions about why people drink; why some

individuals are vulnerable to alcohol dependence or alcohol-related

diseases and others are not; the relationship of genetic and environmental factors involved in alcoholism; the mechanisms whereby

alcohol produces its disabling effects, including organ damage; how

to prevent alcohol misuse and associated damage and how alcoholism treatment can be improved. NIAAA addresses these questions through a program of biomedical, behavioral, and epidemiologic research on alcoholism, alcohol abuse, and related problems.

This program includes various areas of special emphasis such as

medications development, fetal alcohol syndrome, genetics, and

moderate drinking.

Alcohol-Induced Liver Disease.—Alcoholic liver disease remains a

major cause of morbidity and mortality in the United States. The

development of effective interventions to prevent alcoholism and/or

prevent alcohol-induced liver injury would enhance health and result in savings to healthcare costs. The Committee encourages

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ies of the pathogenesis and treatment of alcoholic liver disease

through all available mechanisms, as appropriate.

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

The Committee provides $423,454,000 for the National Human

Genome Research Institute (NHGRI), which is $41,414,000 above

the fiscal year 2001 comparable level and the same as the budget

program request.

Mission.—The NHGRI coordinates extramural research and research training for the NIH component of the Human Genome

Project, an effort to determine the location and sequence of the estimated 100,000 genes which constitute the human genome. The

Division of Extramural Research supports research in genetic and

physical mapping, DNA sequencing and technology development,

database management and analysis, and studies of the ethical,

legal, and social implications of human genome research. The Division of Intramural Research focuses on applying the tools and technologies of the Human Genome Project to understanding the genetic basis of disease and developing DNA-based diagnostics and

gene therapies.

Ethical, Legal and Social Implications.—The Committee commends the Institute for its leadership in research and policy development related to the ethical, legal and social implications (ELSI)

of the human genome project. The early commitment to devote resources to study ELSI issues has generated important information

and recommendations concerning both research and public policy.

The Committee encourages NHGRI to move forward with ELSI research and policy initiatives outlined in the budget justifications

and in testimony before the Committee.

Human Genome Project.—The Committee commends the international Human Genome Project, led by NHGRI, for the February

15, 2001 publication of 95 percent of the 3.1 billion bases that comprise the human genome. This was a historic achievement that occurred ahead of schedule and within budget. The Committee understands that substantial effort will be required to produce the final,

highly accurate sequence by 2003. The Committee encourages the

Institute to pursue the development of the next generation of

genomic tools and technologies needed to study the human genome

and understand its role in human health and disease.

The Committee is pleased that NHGRI has upheld the policy

that all sequence information is provided freely to all via the World

Wide Web, with no restrictions on its use or redistribution. The

Committee understands that ready access to this fundamental sequence information already has led to the identification of tens of

thousands of genes, including in excess of 30 over the past two

years that play a direct role in human disease. The Committee encourages the Institute to continue this policy of free and unfettered

access to genomic data.

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

The Committee provides $339,268,000 for the National Institute

of Dental and Craniofacial Research (NIDCR), which is $33,115,000

above the fiscal year 2001 comparable level and the same as the

budget program request.

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Mission.—The NIDCR conducts and supports research and research training to improve craniofacial, oral and dental health. The

Institute’s programs reflect the genetic, behavioral and environmental factors that result in complex human disease and are clustered into the following areas: inherited disorders; infection and immunity; oral, pharyngeal and laryngeal cancers; chronic and disabling conditions such as bone and joint diseases and chronic pain;

behavioral science, epidemiology and health promotion; and tissue

engineering and biomimetics research to improve diagnostics and

tissue repair and regeneration.

Bone Diseases.—Osteoporosis and related bone diseases affect

millions of Americans. The Committee encourages the Institute to

enhance its research efforts to compare bone loss in the oral cavity

with bone loss elsewhere in the body. The Committee also encourages NIDCR to enhance research on dentinogenesis imperfecta, orthodontic manipulation in people with osteogenesis imperfecta and

fibrous dysplasia through all available mechanisms, as appropriate.

Head and Neck Cancer.—Head and neck cancer has diverse and

debilitating effects on a person’s quality of life. Surgery to treat the

cancer can significantly disrupt a person’s speaking and eating

functions and result in facial disfigurement. The Committee encourages NIDCR to support research to advance techniques for replacing bony structures of the head and face with restoration of

sensory and motor functions of the reconstructed structures

through all available mechanisms, as appropriate, including basic,

clinical and translational research.

Native American Communities.—The Committee is concerned

about the high rate of severe dental caries suffered by Native

American children. The Committee encourages NIDCR to enhance

research of the etiology and pathogenesis of dental caries in these

populations. The Committee also encourages NIDCR to enhance research on effective ways to control severe caries in American Indian children through all available mechanisms, as appropriate, including clinical trials.

Sjogren’s Syndrome.—The Committee commends NIDCR for its

leadership in Sjogren’s syndrome research, including hosting the

first clinical conference with the Sjogren’s Syndrome Foundation.

The Committee encourages NIDCR to expand efforts to help people

who have Sjogren’s syndrome.

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

The Committee provides $334,161,000 for the National Institute

on Deafness and Other Communication Disorders (NIDCD), which

is $33,092,000 above the fiscal year 2001 comparable level and the

same as the budget program request.

Mission.—The NIDCD funds and conducts research in human

communication. Included in its program areas are research and research training in the normal and disordered mechanisms of hearing, balance, smell, taste, voice, speech and language. The Institute

addresses special biomedical and behavioral problems associated

with people who have communication impairments or disorders. In

addition, the NIDCD is actively involved in health promotion and

disease prevention, dissemination of research results, and supports

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efforts to create devices that substitute for lost and impaired sensory and communication functions.

Dysphonia.—The Committee continues to be pleased with

NIDCD’s intramural research program with respect to dysphonia

and encourages Institute leaders to enhance its extramural research efforts and its collaborations with other Institutes in this

area of research.

Neurofibromatosis.—NF2 accounts for approximately five percent

of genetic forms of deafness and, unlike other genetic forms of deafness, NF2 associated deafness is potential preventable or curable

if tumor growth is halted before damage has been done to the adjacent nerve. Conditional mutant mice can be used to test the effectiveness of gene therapy for NF2, which could be beneficial for all

patients suffering from meningiomas and other tumors. The Committee encourages NIDCD to enhance its NF research and to coordinate its efforts with other Institutes conducting NF research.

NATIONAL LIBRARY OF MEDICINE

The Committee provides $273,610,000 for the National Library of Medicine (NLM), which is $27,306,000 above the fiscal year 2001

comparable level and the same as the budget program request.

Mission.—The National Library of Medicine collects, organizes,

disseminates, and preserves biomedical literature in all forms, regardless of country of origin, language, or historical period. The Library’s collection is widely available; it may be consulted at the

NLM facility on the NIH campus; items may be requested on interlibrary loan; and the extensive NLM bibliographic databases may

be searched online by health professionals around the world. NLM

has a program of outreach to acquaint health professions with

available NLM services. The Library also is mandated to conduct

research into biomedical communications and biotechnology; to

award grants in support of health science libraries and medical

informatics research and training; and to create specialized information services in such areas as health services research, environmental health, AIDS, hazardous substances, and toxicology.

Access to Health Information in Rural Areas.—The Committee is

concerned about challenges related to access to health information

in rural and other medically underserved areas and supports the

Library’s efforts to address this through its Internet Connection

Grant program, which provides resources for education of consumers and health care professionals by partnering with regional

libraries to provide hardware, training and access to the Internet

at locations in medically underserved areas.

Bioethics.—The Committee commends NLM for its work over the

past 15 years in support of information retrieval in bioethics. As

public policy debates today increasingly include in depth discussion

of the bioethical aspects of topics such as the oversight of human

experimentation, stem cell research, cloning and privacy issues surrounding health and genetic records, the Committee encourages

NLM to maintain and build on this important work through all

available mechanisms, as appropriate, including the cooperative relationship with the Kennedy Institute of Ethics.

Minority Outreach.—The Committee encourages NLM to support

initiatives to strengthen information technology infrastructure at

minority health professions schools that focus their research efforts

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on health disparities and educating health professionals who serve

in medically underserved communities through all available mechanisms, as appropriate.

Outreach.—The Committee continues to note the success of the

MEDLINE and MEDLINEplus databases and encourages NLM to

continue its outreach activities aimed at educating health care professionals and the general public about the Library’s products and

services, in coordination with medical librarians and other health

information specialists.

PubMed Central.—PubMed Central is an electronic online repository for life science articles and holds promise for increasing access

to health care literature by health professions, students, educators,

researchers, and the general public. The Committee encourages

NLM to work with the medical library community, including health

sciences librarians, regarding issues related to copyright, fair use,

peer-review, and classification of information on PubMed Central.

NATIONAL INSTITUTE OF NURSING RESEARCH

The Committee provides $116,773,000 for the National Institute of Nursing Research (NINR), which is $11,615,000 above the fiscal

year 2001 comparable level and the same as the budget program

request.

Mission.—The NINR supports and conducts scientific research

and research training to reduce the burden of illness and disability;

improve health-related quality of life; and establish better approaches to promote health and prevent disease.

Caregivers Research.—Caregivers must cope with complex issues

such as ventilators, special nutritional needs, and medications

while managing their own health, stress and quality of life. The

Committee encourages NINR to continue to emphasize sciencebased strategies to help families and friends with their care-giving

responsibilities while reducing the burdens that compromise quality of life.

End-of-Life Issues.—The Committee urges NINR to continue to

make end-of-life research a priority, particularly in the areas of

palliative care, which involves managing pain and other discomforts of the dying process, and helping patients, families and

healthcare providers make decisions about when to withdraw treatment in favor of comfort care.

Health Disparities.—NINR has long been active in ethnically and

culturally sensitive research to improve health and reduce health

disparities. The Committee is encouraged that NINR is focusing on

testing strategies that increase screening for cancer among minorities and encourages NINR to continue this important research.

Improving Quality of Life.—The Committee commends NINR for

stimulating research to address key issues of chronic illness. It is

important to alleviate symptoms such as pain and that quality of

life be maintained or improved to the maximum extent possible.

Nursing Interventions for Psychiatric Populations.—The Committee understands that NINR and NIMH implemented a technical

assistance workshop on grant writing and navigating a research career trajectory in the area of behavioral change related to psychiatric populations, which will build the research capacity of psychiatric mental-health nurse researchers. The Committee encourages NINR and NIMH to expand research in this area through all

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available mechanisms, as appropriate, including a mentorship program.

JOHN E. FOGARTY INTERNATIONAL CENTER

The Committee provides $56,021,000 for the Fogarty Inter- national Center (FIC), which is $5,549,000 above the fiscal year

2001 comparable level and the same as the budget program request.

Mission.—The FIC was established to improve the health of the

people of the United States and other nations through international cooperation in the biomedical sciences. In support of this

mission, the FIC pursues the following four goals: mobilize international research efforts against global health threats; advance

science through international cooperation; develop human resources to meet global research challenges; and provide leadership

in international science policy and research strategies.

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

The Committee provides $99,288,000 for the National Center for

Complementary and Alternative Medicine (NCCAM), which is

$10,167,000 above the fiscal year 2001 comparable level and the

same as the budget program request.

Mission.—The Center was established to stimulate, develop, and

support rigorous and relevant research of high quality and open,

objective inquiry into the safety and effectiveness of complementary

and alternative medicine practices in order to provide the American

public with reliable information about these practices.

EDTA Chelation Therapy.—EDTA chelation therapy has long

been used for improved circulation, but the potential benefits for

use of this therapy for claudication or arteriosclerosis has not been

studied. The Committee encourages NCCAM, in collaboration with

NHLBI, to enhance efforts in this area through all available mechanisms, as appropriate, including clinical trials.

Frontier Medicine.—Frontier medicine includes the role of spirituality in healing, vibrational medicine, and subtle energies such

as homeopathy, reiki, aromatherapy, Bach Flower Remedies, and

Qi gong. Additionally, alternative diagnostic equipment using the

human energy field may offer the potential for cost-saving opportunities in health care. The Committee urges NCCAM to enhance research in these areas through all available mechanisms, as appropriate.

Herbal Medicine.—The Committee encourages the Center to enhance research to study the basic mechanisms of action and toxicity of herbal medicine through all available mechanisms, as appropriate, including requests for applications. The Committee also

encourages the Center to enhance research on the risk of unanticipated and potentially dangerous interactions between botanical and

prescription drugs and to continue to seek collaboration with other

Institutes on research opportunities on botanical drugs that could

lead to the development of new therapeutics.

Research Training Program.—As required by the legislation creating NCCAM, NIH is encouraged to assist the Center in developing a research training program for complementary and alternative therapy professionals to improve opportunities for non-MD

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health care professionals to conduct or participate in high quality

research evaluating the effectiveness and potential cost-savings of

CAM therapies. NCCAM is also encouraged to establish a clinical

research program within the Clinical Center in order to provide intramural research opportunities at NIH.

Sickle Cell Disease.—The Committee encourages NCCAM to support potential nutritional supplement and food additive research

for sickle cell disease through all available mechanisms, as appropriate.

NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

The Committee provides $157,204,000 for the National Center on

Minority Health and Health Disparities (NCMHD), which is

$25,160,000 above the fiscal year 2001 comparable level and the

same as the budget program request.

Mission.—The Center conducts and supports research, training,

information dissemination and other programs aimed at reducing

the disproportionately high incidence and prevalence of disease,

burden of illness and mortality experienced by certain American

populations, including racial and ethnic minorities and other

groups, such as the urban and rural poor, with disparate health

status.

Breast Cancer.—The Committee urges NCMHD, in collaboration

with NCI, to enhance research targeting the rising incidence and

mortality rate of breast cancer in African American women.

Glomerular Injury.—Glomerular injury, a group of diseases that

effect the filtering mechanisms of the kidney, are more prevalent

among African Americans than the general population. The Committee urges NCMHD to explore collaborations with NIDDK to

support research activities related to glomerular injury.

Osteoporosis.—The Committee urges NCMHD to support research that furthers the understanding of the risk factors, causes

and consequences of osteoporosis among African Americans, Hispanic, Asian American and Native American women and men

through all available mechanisms, as appropriate, including epidemiological studies.

Research Endowments.—The Committee commends the newly established Center for its leadership in addressing the longstanding

problem of health disparities in minority populations and looks forward to reviewing the strategic plan for health disparities research

currently being developed. The Committee encourages NCMHD to

work with its advisory committee in the full implementation of the

pilot research endowment program launched this year. The Committee also encourages NCMHD to coordinate with NCRR in support of extramural facility construction and the development of

other research infrastructure at minority health professions

schools.

Rural Poor.—While studies have shown that certain diseases affect minority groups, economic status may also have an impact on

health outcomes. The rural poor have a high incidence of cancer

and other diseases, therefore, the Committee expects NCMHD to

include the rural poor population in its efforts to eliminate health

disparities as authorized by law.

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NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

The Committee provides $39,896,000 for the National Center on

Minority Health and Health Disparities (NCMHD), which is the

same as the budget program request.

Mission.—The mission of the Institute is to improve health by

promoting fundamental discoveries, design and development, and

translation and assessment of technological capabilities in biomedical imaging and bioengineering, enabled by relevant areas of

information science, physics, chemistry, mathematics, materials

science, and computer sciences.

Brain Imaging.—The Committee encourages NIBIB to examine

SPECT brain imaging as a surrogate marker of brain function

through all available mechanisms, as appropriate.

Breast Cancer.—The Committee recognizes the development of

advanced imaging technologies including medical infrared imaging

derived from the U.S. military and NASA as well as other optical

and non-invasive modalities that can be incorporated into comprehensive systems for the early detection and treatment of breast

cancer. The Committee encourages NIBIB to explore these approaches to disease management through all available mechanisms, as appropriate.

Joint Replacement.—An estimated 500,000 joint replacements

are performed in the U.S. each year, a number of which fail and

require additional surgery. Patients who require additional surgery

are typically elderly. The failure of the replacement joint is usually

caused by wear of the weight-bearing surfaces, the surgery is often

more complex and expensive than the original procedure, and the

failure rate is several times greater. The Committee encourages

NIBIB to enhance research to identify the causes of wear in prosthetic joints and find solutions to the problem, such as new materials through all available mechanisms, as appropriate.

OFFICE OF THE DIRECTOR

The Committee provides $232,098,000 for the Office of the Director (OD), which is $43,752,000 above the fiscal year 2001 comparable level and the same as the budget request. The bill includes

language proposed by the Administration and included in the 1998

through 2001 appropriations bill authorizing the collection of third

party payments for the cost of clinical services.

Mission.—The Office of the Director provides leadership to the

NIH research enterprise and coordinates and directs initiatives

which cross-cut the NIH. The OD is responsible for the development and management of intramural and extramural research and

research training policy, the review of program quality and effectiveness, the coordination of selected NIH-wide program activities,

and the administration of centralized support activities essential to

operations of the NIH.

Office of Research on Women’s Health.—The Office of Research

on Women’s Health (ORWH) works in collaboration with the ICDs

of NIH to promote and foster efforts to address gaps in knowledge

related to women’s health through the enhancement and expansion

of funded research and/or the initiation of new investigative studies. The ORWH is responsible for ensuring the inclusion of women

in clinical research funded by NIH, including the development of

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a computerized tracking system and the implementation of new

guidelines on such inclusion. This Office is also involved in promoting programs to increase the number of women in biomedical

science careers, and in the development of women’s health and sex

and gender factors in biology as a focus of medical/scientific research.

For the past decade, ORWH has advanced research on women’s

health, ensured that women participate in NIH studies, and supported women in biomedical careers. The Committee urges the Director to continue to provide fiscal and administrative support that

will permit the Office to serve as the central focus for all NIH on

women’s health research and career development. The additional

funding provided in fiscal year 2002 will permit the Office to continue to enhance, stimulate, and co-fund meritorious research on

sex and gender factors in basic and clinical studies. These funds

should also be used for new research activities in a variety of

health issues and new and expanded career development programs

for women scientists, such as BIRCWH. The Committee also urges

ORWH to enhance research on multi-systemic diseases in women

through all available mechanisms, as appropriate, including the establishment of interdisciplinary research centers. The Director

should be prepared to provide a progress report at the fiscal year

2003 appropriations hearing.

Office of AIDS Research.—The Office of AIDS Research (OAR) is

responsible for coordination of the scientific, budgetary, legislative,

and policy elements of the NIH AIDS research program. The OAR

develops a comprehensive plan for NIH AIDS-related research activities which is updated annually. The plan is the basis for the

President’s budget distribution of AIDS-related funds to the Institutes, centers and divisions within NIH. The Committee expects

the Director of NIH to use this plan and the budget developed by

OAR to guide his decisions on the allocation of AIDS funding

among the Institutes. The Director of NIH also should use the full

authority of his office to ensure that the ICDs spend their AIDS research dollars in a manner consistent with the plan. In addition,

the OAR allocates an emergency AIDS discretionary fund to support research that was not anticipated when budget allocations

were made.

The Committee has included the same general provisions in bill

language that was contained in the 2001 appropriations bill. This

language permits the Director of OAR, jointly with the Director of

NIH, to transfer between ICDs up to three percent of the funding

determined by NIH to be related to AIDS research. This authority

could be exercised throughout the fiscal year subject to normal reprogramming procedures, and is intended to give NIH flexibility to

adjust the AIDS allocations among Institutes if research opportunities and needs should change. The Committee also repeats language from last year’s bill making the research funds identified by

NIH as being AIDS related available to the OAR account for transfer to the Institutes. This provision permits the flow of funds

through the OAR in the spirit of the authorization legislation without requiring the Congress to earmark a specific dollar amount for

AIDS research.

The Office is encouraged to expand and strengthen science-based

HIV prevention research for African Americans, Latinos, Native

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Americans, Asian Americans, Native Hawaiians, and Pacific Islanders. The Office is also encouraged to expand existing and develop new areas of culturally appropriate behavior and social research that seeks to reduce the risk of contracting HIV through

high risk behaviors and the transmission of HIV infection in the

targeted minority populations. OAR, and a number of NIH Institutes and Centers, have a longstanding commitment to AIDS research and training efforts to benefit minority populations and increase minority investigators. The Committee strongly supports the

continued efforts in this area.

Office of Dietary Supplements.—The Office of Dietary Supplements (ODS) was established in recognition that dietary supplements can have an important impact on the prevention and management of disease and on the maintenance of health. ODS is

charged with promoting, conducting, and coordinating scientific research within NIH relating to dietary supplements.

Office of Behavioral and Social Sciences Research.—The Office of

Behavioral and Social Sciences Research (OBSSR) provides leadership and direction for the development of a trans-NIH plan to increase the scope of and support for behavioral and social science research and in defining an overall strategy for the integration of

these disciplines across NIH institutes and centers; develops initiatives to stimulate research in the behavioral and social sciences

arena and integrate a biobehavioral perspective across the research

areas of NIH; and promotes studies to evaluate the contributions

of behavioral, social and lifestyle determinants in the development,

course, treatment, and prevention of illness and related public

health problems.

The Committee is concerned that, outside of its traditional home

at NIMH and a number of other Institutes, there is insufficient

NIH support for behavioral and social science investigators. Behavioral science is often treated only as a core mental health, alcohol,

or substance abuse field rather than as a core NIH research discipline. Yet, many of the Nation’s leading health concerns addressed throughout NIH are behavioral in origin or in their manifestation, including heart disease, lung disease, many forms of cancer, diabetes, developmental disabilities, brain injury, and AIDS.

The Committee is pleased that several Institutes such as NCI and

NIAMS have begun to expand their behavioral and social science

programs. However, NIH should continue to integrate and expand

behavioral and social perspectives through its research portfolio.

The Committee requests NIH to report back with a plan for a coordinated system of increased training in basic and applied behavioral and social research, a plan for increasing basic and applied

behavioral research support in non-traditional institutes, and other

measures intended to ensure that NIH scientific priorities and policies appropriately reflect the central role of behavior in health.

The Committee encourages OBSSR to enhance the mind-body

initiative to assist the various healthcare fields to understand the

existing research on health and spirituality and its clinical implications through all available mechanisms, as appropriate, including

the establishment of a coordinating body.

Office of Rare Disease Research.—The Office of Rare Disease Research (ORDR) was established in recognition of the need to provide a focal point of attention and coordination at NIH for research

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on rare diseases. ORDR works with Federal and non-Federal national and international organizations concerned with rare disease

research and orphan products development; develops a centralized

database on rare diseases research; and stimulates rare diseases

research by supporting scientific workshops and symposia to identify research opportunities.

Alpha–1 Antitrypsin.—Alpha–1 Antitrypsin is a devastating, potentially lethal hereditary disorder which can cause lung and liver

disease. It is the leading genetic killer of adults in the United

States and a leading cause of liver transplants in children. The

Committee encourages NIH to enhance its research portfolio

through all available mechanisms, as appropriate, including clinical

trials. NIH is also encouraged to expand efforts to raise public

awareness and to provide information about Alpha–1 to the public

and health professionals.

Autism.—The Committee is pleased with the expansion that has

occurred in autism research and with the activities of the NIH Autism Coordinating Committee. The Committee continues to be

aware of concerns about reports of a possible association between

the measles component of the MMR vaccine and a subset of autism

termed autistic entercolitis. The Committee continues its interest

in this issue and urges the NIH Coordinating Committee to continue to give serious attention to these reports. The Committee also

urges NIH to continue to pursue appropriate research that will permit scientific analysis and evaluation of the concerns that have

been raised through all available mechanisms, as appropriate, including an attempt to replicate the molecular evidence of persistent

measles virus infection in children with autistic entercolitis. The

research should be pursued in a way that does not cause undue

harm to the Nation’s efforts to protect children against vaccine-preventable diseases.

The Committee encourages NIH to pursue the recommended research initiatives outlined in the Institute of Medicine’s (IOM) Immunization Review Committee report issued April 23, 2001. These

activities should be coordinated with CDC where appropriate. The

Committee also notes that the IOM Review Committee will be

issuing a report on mercury exposures in childhood vaccines. The

Committee urges NIH and CDC to pursue research recommendations the IOM panel may issue in regard to this research.

Bayh-Dole Act.—The Committee continues to support the principles of the Bayh-Dole Act with respect to the utilization, commercialization and public availability of government funded inventions.

As such, the Committee believes that patent protection may be necessary for the development of a research tool as a potential product

for sale and distribution to the research community. However, the

Committee is also concerned that products that are a result of Federal funding, especially those discoveries that should be the subject

of widespread research, should not be restricted in their use, but

should be available to the research community and the public.

Therefore, recipients of NIH grants should not be discouraged from

seeking patent protection, where appropriate, to bring a product to

practical application, but should also license the intellectual property in a manner that maximizes the potential for broad distribution of the research tool. Intellectual property restrictions can stifle

the dissemination of new discoveries and limit future avenues of

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research and product development. At the same time, reasonable

restrictions on the dissemination of research tools are sometimes

necessary to protect legitimate proprietary interests and to preserve incentives for commercial development. Accordingly, NIH

should continue to offer guidance to both funding recipients and

their commercial sponsors to find the appropriate balance between

these potentially competing interests.

Breast Implants.—The Committee is aware of a recent Food and

Drug Administration (FDA) study revealing alarmingly high rupture rates in silicone breast implants and that researchers concluded that the relationship of free silicone to development or progression of disease is unknown. The Committee is also aware of the

FDA’s recent decision to approve saline breast implants. The Committee encourages NIH to support research to expand the understanding of the health implications of both silicone and saline

breast implants through all available mechanisms, as appropriate.

Such research should, if determined to be scientifically appropriate,

include a multidisciplinary, clinical, case-controlled study of women

with breast implants for at least eight years whether it be one

prosthesis or multiple, and differentiate between women receiving

implants for mastectomy, reconstructive or cosmetic purposes.

Clinical Research Loan Repayment.—The Committee is concerned about the declining number of physician-scientists pursuing

careers in clinical research. The Committee believes that the Clinical Research Enhancement program authorized by Congress last

year is important and that tuition loan repayment should be made

available to health professionals who are pursuing structured

training experience in clinical research; actively engaged in clinical

research career development activities with the guidance of a mentor; or conducting clinical research with independent support from

NIH. The Committee has provided funds for the loan repayment

program authorized in section 487A of the PHS Act concurrent

with the budget request. In order to assess the funding needs for

fiscal year 2003, the Committee requests data on the number of applications as of May 1, 2002 as well as the number and size of

awards made as of September 1, 2002.

Collaborations with the U.S. Geological Survey.—The Committee

is pleased to learn of the promising scientific collaboration ongoing

among various Institutes and Centers at NIH and the U.S. Geological Survey, a scientific agency housed within the Department of the

Interior. This work has the potential to shed light on possible associations between environmental factors and a variety of human

health concerns.

Digital Human Concept.—Advances in information technology

make it possible to build powerful software-based simulations that

integrate the explosion of information emanating from medical and

biological science in ways that greatly enhance research, education

and training, and medical practice, which can be useful in understanding biological processes that operate at all physical levels. The

Committee urges the Director to facilitate the development and use

of these new tools by leading a national effort to ensure that software components for simulation developed by NIH contractors and

by other Federal agencies can interoperate and can easily be improved and reused. The Committee understands that NLM and

NIBIB have missions that relate to the digital human integration

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effort. The Committee also urges the Director to continue to communicate with other Federal agencies, including the National

Science Foundation, the Department of Defense and DARPA, and

NASA about NIH’s activities.

Hyperbaric Oxygen.—Based on anecdotal evidence collected by

clinicians in the field of hyperbaric medicine, hyperbaric oxygen

therapy is currently in widespread use for a wide range of acute

and chronic medical conditions such as stroke and brain injuries.

The Committee understands that NIH is funding basic research on

hyperbaric oxygen therapy, including studies at NINDS on its use

in reperfusion injury and traumatic brain injury. The Committee

encourages NIH to support meritorious studies in this area through

all available mechanisms, as appropriate including controlled clinical trials to test the safety and efficacy of this treatment for a variety of conditions. The Director of NIH is encouraged to coordinate

activities across all appropriate Institutes and Centers.

Human Stem Cell Research.—The Committee received testimony

from NIH institute and center directors, representatives of scientific and medical societies, and members of voluntary health organizations about the potential of both adult and embryonic stem

cells for improving the lives of those who suffer with a host of disorders, including diabetes, Alzheimer’s, Parkinson’s, and cardiovascular disease. The Committee understands that a great deal of

basic research is required to determine whether this potential can

be realized.

It is the Committee’s intent, that the NIH move ahead expeditiously to implement the President’s policy concerning support of

scientifically meritorious research involving both adult and human

embryonic stem cells. The Committee commends the NIH for moving quickly to negotiate material transfer agreements with holders

of existing embryonoc cell lines. The Director is requested to keep

the Committee apprised of program initiatives as well as research

progress concerning both adult and embryonic stem cells.

Lyme Disease.—The Committee encourages NIH to improve its

communication across Institutes to better coordinate Lyme disease

research and outreach to public and private scientists about Lyme

disease with the goal of stimulating research interest and encouraging investigators to bring their research interests to bear in this

field. The Committee also encourages NIH to identify appropriate

NIH advisory committees for Lyme disease representation and appoint qualified persons thereon and to include a broad range of scientific viewpoints in the research planning process, including those

from community-based clinicians, voluntary agencies, and patient

advocates. NIH is encouraged to enhance research in Lyme disease

and other tick borne disorders through all available mechanisms,

as appropriate, including establishment of a pathology lab.

Microbicide Research.—The Committee urges the Director to enhance microbicide research and product development through OAR,

NIAID, NICHD, NIMH, NIDA, and ORWH. NIH is urged to begin

implementation of the annual strategic plan for microbicide research, product development and evaluation being completed under

NIH leadership and in coordination with other Federal agencies

through all available mechanisms, as appropriate. The Committee

requests that the Director provide a report to the Committee by

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March 31, 2002 on the status of this initiative, including research

efforts, funding levels and implementation of the strategic plan.

Micronutrient and Trace Mineral Deficiencies.—In addition to the

Chromium research initiative being conducted, NIH is encouraged

to work with the Department of Agriculture to examine micronutrient and mineral deficiency diseases throughout life. Factors

that influence the development and progression of these diseases

should also be examined, such as bioavailability, altered physiology, and age-specific absorption rates. This initiative could include investigations of the basic science that underlies the various

disease processes, evaluation of the available veterinary, farm, and

other animal models for consideration of their relevance to the

analogous human diseases, and assessment of potential utility of

dietary regimens and/or dietary supplements for improving clinical

outcomes. Extensive animal experimentation has been conducted

on nutrient supplementation in birth defects, improving resistance

to infectious disease and infertility. Each of these areas has potential for reducing health care costs and increasing the effectiveness

of medical treatments for disease. NCCAM and ODS should coordinate these activities across all appropriate NIH disease-related Institutes and Centers.

Minority Health Research.—The Committee commends NIH’s implementation of various programs focused on developing research

infrastructure at minority health professions institutions, including

Research Centers at Minority Institutions, Extramural Biomedical

Research Facilities and the recently established National Center

for Minority Health and Health Disparities. Due to the number of

new competitive mechanisms at NIH for these research institutions, the Director is encouraged to work with the Director of

NCMHD to establish a program of coordination among these various mechanisms to partner minority health professions schools to

address their infrastructure needs.

Parasitic Diseases.—The Committee encourages NIH to enhance

research on parasitic diseases, including schistosomiasis, leishmaniasis, African Sleeping Sickness and Chagas disease through all

available mechanisms, as appropriate.

Parkinson’s Disease.—NIH has developed a five-year Parkinson’s

Disease Research Agenda. To carry out the plan, the professional

judgment budget estimates call for increases over existing Parkinson’s research of $143,400,000 in year two (fiscal year 2002). The

Committee strongly urges the Director to work toward the implementation of the research agenda through all available mechanisms, as appropriate, including hosting a consortium in collaboration with the Parkinson’s research-related Institutes and the extramural research community to identify the full extent of available

scientific opportunity and the research and funding needed to implement the Research Agenda. The Committee requests that the

Director be prepared to provide a status report on the research

agenda at the fiscal year 2003 appropriations hearing.

The Committee commends NIH for encouraging and supporting

workshops and other collaborations between sectors of the Parkinson’s research community, including the NIEHS-supported consortia and the NINDS-supported workshop on gene therapy and encourages similar collaborative models.

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Pediatric Research.—The Committee has previously urged NIH

to continue to strengthen and expand its portfolio of pediatric research across all Institutes and establish priorities based on the severity and impact of pediatric diseases and on the potential for scientific breakthroughs. The Committee understands that the Acting

Director has asked the NICHD Director to co-chair a committee developing recommendations to operate the Pediatric Research Initiative authorized as part of the Children’s Health Act of 2000. The

flexibility afforded to NIH in the implementation of the Initiative

will facilitate the development of the most effective means to

achieve the program’s objectives. Within the total provided to NIH,

the Committee believes adequate funds are available to continue

implementing this activity. The Committee requests that the Director be prepared to provide a status of this initiative at the fiscal

year 2003 appropriations hearing.

Research to Improve Efficiency and Reduce Costs of Health

Care.—The cost of health care delivery continues to rise with many

health care experts predicting nine percent increases for the foreseeable future. While recent research demonstrates that development and application of new health care technology is generally

worthwhile or cost-effective in terms of improved survival and productivity in the workplace and reduced disability over the life span,

there is some concern that some research discoveries that provide

new remedies for health problems and the over use and misuse of

available technology may also contribute to higher health care

costs. The Committee recognizes that the development of new

health care innovations and the appropriate application of available technology are necessary to assure access to affordable health

care for all Americans. The Committee urges NIH to work with the

Agency for Healthcare Research and Quality to find the methods

of evaluation and treatment that will reduce health care costs without sacrificing quality.

Sjogren’s Syndrome.—Sjogren’s syndrome is one of the most prevalent autoimmune diseases. The Committee encourages the NIH

Autoimmune Diseases Coordination Committee to include Sjogren’s

syndrome in its strategic plan.

Usher Syndrome.—Usher Syndrome (US) is the leading cause of

deaf-blindness in the United States. It is an inherited disorder that

is characterized by moderate to profound hearing impairment and

progressive vision loss due to retinitis pigmentosa and affects an

estimated 30,000 Americans. Researchers have mapped the chromosomal locations of nine different genes that account for the various forms of US, of which four have been isolated and cloned. The

Committee encourages NIH to enhance research aimed at finding

a treatment or cure for US through all available mechanisms, as

appropriate, including a better understanding of the etiology of the

disorder.

Veterans Administration Cooperation.—The Veterans Administration (VA) has over 900 hospitals and clinics that provide medical

care to 4.1 million veterans. The VA system is an ideal setting for

large multi-center studies and clinical trials and is a resource to facilitate and accelerate research. The Committee urges NIH to explore ways to increase cooperative research efforts with the VA.

The Committee requests that the Director be prepared to provide

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a progress report on this initiative at the fiscal year 2003 appropriations hearing.

BUILDINGS AND FACILITIES

The Committee provides $311,600,000 for buildings and facilities, which is $157,839,000 above the fiscal year 2001 comparable level

and $5,000,000 above the budget program request. The Committee

includes language to allow the Director of NIH to transfer up to

$75,000,000 to International Assistance Programs, ‘‘Global Fund to

Fight HIV/AIDS, Malaria, and Tuberculosis.’’ Mission.—The Buildings and Facilities appropriation provides for

the design, construction, improvement, and major repair of clinical,

laboratory, and office buildings and supporting facilities essential

to the mission of the National Institutes of Health. The funds in

this appropriation support the 77 buildings on the main NIH campus in Bethesda, Maryland; the Animal Center in Poolesville,

Maryland; the National Institute of Environmental Health Sciences

facility in Research Triangle Park, North Carolina; and other

smaller facilities throughout the United States.

Within the total provided, funds are included for the Animal Vivarium, Phases I and II of the John Edward Porter Neuroscience

Research Center and renovation of Building 10.

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES

The Committee provides a program level of $3,131,558,000 for

the Substance Abuse and Mental Health Services Administration

(SAMHSA), which is $168,134,000 above the fiscal year 2001 comparable level and $102,102,000 above the budget request.

SAMHSA is responsible for supporting mental health, alcoholism, and other drug abuse prevention and treatment services

nationwide through discretionary knowledge development and applied research grants and formula block grants to the States. The

agency consists of three principal centers: the Center for Mental

Health Services, the Center for Substance Abuse Treatment, and

the Center for Substance Abuse Prevention. The Office of the Administrator is responsible for overall agency management.

Center for Mental Health Services

The Committee provides a total of $834,048,000 for the Center

for Mental Health Services (CMHS), which is $52,158,000 above

the fiscal year 2001 comparable level and $67,900,000 above the

budget request.

Programs of regional and national significance

The Committee provides $223,499,000 for mental health programs of regional and national significance, which is $20,109,000

above the fiscal year 2001 comparable level and $35,900,000 above

the budget request. The program includes multi-state studies and

other knowledge development activities that identify the most effective service delivery practices, knowledge synthesis activities

that translate program findings into useful products for the field,

and knowledge application projects that support adoption of exemplary service approaches throughout the country. The Committee

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does not provide funding for projects that were earmarked in the

fiscal year 2001 appropriations bill.

Within the total provided, $10,000,000 above the budget request

is for continuation and expansion of youth violence prevention programs.

Within the total provided, $5,000,000 above the budget request

is to provide evidence based mental health outreach and treatment

to the elderly. By the year 2010, there will be approximately 40

million people in the U.S. over the age of 65 and more than 20 percent of them will experience mental disorders. Only a small percentage of Older Americans who require assistance currently receive specialty mental health services for reasons which include

stigma, denial of problems, access barriers, lack of coordination between mental health and aging networks. The funding provided is

intended to begin to address this problem.

Within the total provided, $5,000,000 above the budget request

is for grants to develop and implement programs to divert individuals with a mental illness from the criminal justice system to community-based services and for related training and technical assistance, as authorized by section 520G of the Public Health Service

Act.

Mental illness among the Nation’s homeless population remains

a serious problem. Existing mental health services are not adequately reaching the homeless population and are not adequately

addressing their unique needs and life circumstances. Within the

funds provided to support grants to entities that develop or expand

mental health services specifically for homeless people, the Committee expects SAMHSA to distribute the funds to local public or

non-profit organizations through a competitive process, but

SAMHSA should encourage applicants to demonstrate integration

with primary care and addiction services and linkages with housing, employment and social services as a condition of the award.

The Committee recognizes the role that the Minority Fellowship

program plays in training mental health professionals to provide

services to individuals who would otherwise go untreated and urges

SAMHSA to enhance its efforts in this program through its three

Centers.

Fewer than one-third of Americans with a diagnosable mental

disorder seek out services. The Surgeon General recently reported

that stigma is a barrier discouraging people from obtaining treatment while promoting discrimination against the mentally ill. The

Committee urges SAMHSA to increase efforts to combat stigma.

The agency should collaborate with other Federal agencies as well

as public and private organizations.

The Committee encourages SAMHSA to add questions about

treatment and prevention services for gambling disorders to its biennial survey of mental health organizations conducted as part of

the National Reporting Program for Mental Health Statistics. Although millions of Americans suffer from gambling problems, there

are few treatment or prevention services available for problem

gamblers and their families. Since this survey is administered to

mental health providers nationally, it should yield information

about the availability of professional treatment services for problem and pathological gamblers, heighten the awareness among

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treatment professionals of the disorder of pathological gambling

and encourage screening of clients for gambling problems. Within the total provided $7,000,000 is for the Minority HIV/

AIDS Initiative. These funds are targeted to address the growing

HIV/AIDS epidemic and its disparate impact on communities of

color, including African Americans, Latinos, Native Americans,

Asian Americans, Native Hawaiians, and Pacific Islanders. HHS

statistics show that racial and ethnic minorities represent the highest number of new AIDS cases. While African-Americans and Hispanics are only 12 percent and 13 percent of the U.S. population

respectively, they account for at least 55 percent and 20 percent of

all new AIDS cases. In addition, more than 60 percent of people living with AIDS are racial minorities. Congress began funding the

Minority HIV/AIDS Initiative in fiscal year 1999. It was designed

to focus special attention on solving a growing public health problem and to develop and improve the capacity of minority community based organizations to more effectively serve their communities. This approach was tailored to yield innovative and successful strategies specifically targeted to the highest risk and hardest

to serve populations, which for the past two decades have eluded

more traditional HIV/AIDS prevention, treatment, and education

efforts. In distributing these funds, the Committee expects

SAMHSA to tailor the CMHS programs that are funded under the

Minority HIV/AIDS Initiative as tightly as possible in order to address the growing health problem and maximize the participation

of minority community based organizations. In evaluating organizations’ capacities, SAMHSA should take into consideration that

the board, management and key staff are representative of the minority communities served, be situated closest to the targeted population, have a history of providing services to these communities,

and have documented linkages to the targeted populations, so that

they can help close the gap in access to service for the highly impacted communities of color in the interest of public health. These

funds are for activities that are designed to address the trends of

the HIV/AIDS epidemic in communities of color based on the most

recent estimated living AIDS cases, HIV infections and AIDS mortality among ethnic and racial minorities as reported by the Centers for Disease Control and Prevention.

More specifically, the funds are for the treatment of mental

health disorders related to HIV disease, including dementia, clinical depression and chronic, progressive neurological disabilities

that often accompany HIV disease. the Committee strongly urges

CMHS to use the Minority Aids funding to support competitive, direct service, and capacity building grants targeted to providers that

operate in traditional and non-traditional settings and who have a

history of providing services to communities of color. Funds are

provided to improve State and local mental health screening and

referrals programs located in non-mental health specific settings

and to support ongoing jail diversion programs for non-violent mentally ill offenders living with HIV disease.

Mental health performance partnerships

The Committee provides $440,000,000 for mental health performance partnership grants, which is $20,000,000 above both the fiscal

year 2001 comparable level and the budget request. The performVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00103 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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ance partnerships provide funds to States to support mental health

prevention, treatment, and rehabilitation services. Funds are allocated according to statutory formula among the States that have

submitted approved annual plans. The Committee notes that the

mental health performance partnerships grant funding represents

less than 2% of total State mental health funding and less than 5%

of State community-based mental health services.

Children’s mental health

The Committee provides $97,694,000 for the grant program for

comprehensive community mental health services for children with

serious emotional disturbance, which is $6,049,000 above the fiscal

year 2001 comparable level and $6,000,000 above the budget request. Funding for this program supports grants and technical assistance for community-based services for children and adolescents

up to age 22 with serious emotional, behavioral, or mental disorders. The program assists States and local jurisdictions in developing integrated systems of community care. Each individual

served receives an individual service plan developed with the participation of the family and the child. Grantees are required to provide increasing levels of matching funds over the five-year grant

period.

Grants to states for the homeless (PATH)

The Committee provides $39,855,000 for the grants to States for the homeless (PATH) program, which is $3,000,000 above both the

fiscal year 2001 comparable level and the budget request. PATH

grants to States provide assistance to individuals suffering from severe mental illness and/or substance abuse disorders and who are

homeless or at imminent risk of becoming homeless. Grants may

be used for outreach, screening and diagnostic treatment services,

rehabilitation services, community mental health services, alcohol

or drug treatment services, training, case management services,

supportive and supervisory services in residential settings, and a

limited set of housing services.

Protection and advocacy

The Committee provides $33,000,000 for the protection and advocacy program, which is $3,000,000 above both the fiscal year 2001

comparable level and the budget request. This funding is distributed to States according to a formula based on population and income to assist State-designated independent advocates to provide

legal assistance to mentally ill individuals during their residence in

State-operated facilities and for 90 days following their discharge.

Center for Substance Abuse Treatment

The Committee provides a total of $2,030,122,000 for the Center

for Substance Abuse Treatment (CSAT), which is $109,137,000

above the fiscal year 2001 comparable level and $9,000,000 above

the budget request.

Programs of regional and national significance

The Committee provides $305,122,000 for substance abuse treatment programs of regional and national significance, which is

$49,137,000 above the fiscal year 2001 comparable level and

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$9,000,000 above the budget request. The program supports activities of developing and field testing new treatment models in order

to facilitate the provision of quality treatment services and service

delivery. These activities are undertaken in actual service settings

rather than laboratories and results are disseminated to State

agencies and community treatment providers. The goal is to promote continuous, positive treatment service delivery change for

those people who use and abuse alcohol and drugs. The Committee

does not provide funding for projects that were earmarked in the

fiscal year 2001 appropriations bill. Within the total provided, $6,000,000 above the budget request

is for grants to develop and expand mental health and substance

abuse treatment services for homeless individuals as authorized by

section 506 of the Public Health Service Act. The Committee intends these grants be available to projects focusing on mental

health services and projects focusing on substance abuse treatment

services, as well as projects providing services in both fields. Within the total provided, $3,000,000 above the budget request

is for the Addiction and Technology Transfer Center program. This

program has been successful in communicating to providers at all

levels about research-based, effective approaches to substance

abuse treatment and recovery. The Committee provides funds to

enhance support of these Centers to enable them to maintain services while expanding their geographic coverage to all States. In addition, in areas of high drug trafficking or exceptional treatment

need, these funds will support new centers responsible for a more

limited geographic area.

The Committee concurs with the budget request providing an in- crease of $40,000,000 for programs of regional and national significance. Within this funding, the Committee expects SAMSHA to

fund treatment programs to fight the abuse of methamphetamine.

Substance abuse among the Nation’s homeless population remains a serious problem. Existing addiction services are not adequately reaching the homeless population and are not adequately

addressing their unique needs and life circumstances. Within the

funds provided to support grants to entities that develop or expand

substance abuse services specifically for homeless people, the Committee expects SAMHSA to distribute the funds to local public or

non-profit organizations through a competitive process, but

SAMHSA should encourage applicants to demonstrate integration

with primary care and mental health services and linkages with

housing, employment and social services as a condition of the

award.

The Committee is concerned that effective substance abuse treatment programs may not be available to persons who currently receive or previously received TANF funding. SAMHSA is encouraged

to coordinate with the Administration for Children and Families

and inform them of programs that have a 50 percent or higher effectiveness rate and help facilitate the availability of these programs to the TANF population.

Within the total provided $57,000,000 is for the Minority HIV/

AIDS Initiative. These funds are to enhance the quality of services

and expand the service capacity of substance abuse treatment programs with a history of providing services to high risk communities

of color that are severely impacted by substance abuse and HIV/

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AIDS. The correlation between addiction and HIV/AIDS is well documented. Injection and other drug use accounted for at least 30

percent of new reported HIV cases in the U.S. in 2000. These funds

are to be allocated based on program priorities identified in the

previous fiscal year and new priorities as funding permits. Funds

are also included to enhance State, county and local efforts to plan

and develop integrated substance abuse and HIV/AIDS treatment

and prevention services within communities of color. In administering this program, CSAT should follow the same Committee direction provided under the Center for Mental Health Services for

the Minority HIV/AIDS Initiative to maximize the participation of

minority community based organizations.

Substance abuse performance partnerships

The Committee provides $1,725,000,000 for the substance abuse

performance partnership grants, which is $60,000,000 above the

fiscal year 2001 comparable level and the same as the budget request. The substance abuse performance partnerships provide

funds to States to support alcohol and drug abuse prevention,

treatment, and rehabilitation services. Funds are allocated among

the States according to a statutory formula. State applications including comprehensive state plans must be approved annually by

SAMHSA as a condition of receiving funds.

Center for Substance Abuse Prevention

The Committee provides a total of $187,215,000 for the Center

for Substance Abuse Prevention, which is $12,296,000 above the

fiscal year 2001 comparable level and $12,202,000 above the budget

request.

Programs of regional and national significance

The Committee provides $187,215,000 for the substance abuse

prevention programs of regional and national significance, which is

$12,296,000 above the fiscal year 2001 comparable level and

$12,202,000 above the budget request. The program identifies effective approaches in preventing substance abuse and implements its

primary mission in bridging the gap between research and practice.

The Committee does not provide funding for projects that were earmarked in the fiscal year 2001 appropriations bill.

With the total provided, $5,000,000 above the budget request is

to enhance efforts to fight the abuse of methamphetamine, which

is among the fastest growing drug problems throughout the Nation.

Within the total provided $40,100,000 is for the Minority HIV/

AIDS Initiative. These funds provide grants for planning and services to organizations with a history of providing services to high

risk communities of color to enhance the quality of services and expand substance abuse prevention service capacity in communities

of color disproportionately impacted by the HIV/AIDS epidemic. In

administering this program. CSAP should follow the same Committee direction provided under the Center for Mental Health Services for the Minority HIV/AIDS Initiative to maximize the participation of minority community based organizations.

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Program management

The Committee provides $80,173,000 for program management

activities, which is $5,457,000 below the fiscal year 2001 comparable level and $13,000,000 above the budget request. Within the

funds provided, the Committee assumes a 4.6 percent pay increase.

The appropriation provides funding to coordinate, direct, and manage the agency’s programs. Funds are used for salaries, benefits,

space, supplies, equipment, travel and overhead. The Committee

does not provide funding for projects that were earmarked in the

fiscal year 2001 appropriations bill.

Within the total provided, $12,000,000 above the budget request

is available for data collection activities which is the same as the

fiscal year 2001 comparable level. In addition, the Administration

proposed to increase the Public Health Service evaluation set-aside

from one percent to two percent. The Committee did not approve

this request; therefore, an additional $7,000,000 could be available

for these activities.

Within the total provided, $1,000,000 above the budget request

is to develop a cost-effective strategy for reducing and preventing

underage drinking. According to the National Household Survey on

Drug Abuse, there are more than 10 million underage drinkers in

the United States. Studies have shown that young people who

begin drinking before the age of 15 are four times more likely to

develop alcohol dependence than those who begin after age 21. In

developing this strategy, SAMHSA should thoroughly review all

programs and methods that would be the most effective in achieving the goal of reducing and preventing underage drinking. The

Committee also believes that in order to be effective this strategy

must be a public/private partnership; therefore the agency should

consult with the Surgeon General, the National Institute of Alcoholism and Alcohol Abuse, and all private sector organizations with

an interest in reducing and preventing underage drinking.

The Committee is concerned that Federal resources may not be

reaching hard-to-serve populations, such as the homeless, in the

areas of mental health services or alcohol and substance abuse

services. The Committee encourages SAMHSA to examine how

funds are delivered to localities and accountability standards that

exist to ensure that funds are being targeted to such hard-to-serve

populations.

The Committee has provided funding within the Administration

for Children and Families (ACF) to implement several new activities that have mental health and substance abuse components.

SAMHSA is encouraged to share expertise and collaborate with

ACF in implementing these efforts.

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

The Committee provides a total of $306,245,000 for the Agency

for Healthcare Research and Quality (AHRQ), which is $36,510,000

above the fiscal year 2001 comparable level and the same as the

budget program request. Included in this amount is $168,435,000

in general funds and $137,810,000 in one percent evaluation funding. The Administration proposed to increase the Public Health

Service evaluation set-aside from one percent to two percent and

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fund the agency’s full request from evaluation funding. The Committee did not approve this request.

The mission of the Agency is to generate and disseminate information that improves the delivery of health care. Its research goals

are to determine what works best in clinical practice; improve the

cost-effective use of health care resources; help consumers make

more informed choices; and measure and improve the quality of

care. The Committee is supportive of high quality, peer-reviewed

research and supports appropriate funding for investigator-initiated research within the funding levels provided.

For Research on Health Costs, Quality, and Outcomes, the Com- mittee provides $255,145,000, which is $28,760,000 above the fiscal

year 2001 comparable level and the same as the budget request.

The Research on Health Costs, Quality, and Outcomes program

identifies the most effective and efficient approaches to organize,

deliver, finance, and reimburse health care services; determines

how the structure of the delivery system, financial incentives, market forces, and better information affects the use, quality, and cost

of health services; and facilitates the translation of research findings for providers, patients/consumers, plans, purchasers, and policymakers. It also funds research that determines what works best

in medical care by increasing the cost effectiveness and appropriateness of clinical practice; supports the development of tools to

measure and evaluate health outcomes, quality of care, and consumer satisfaction with health care system performance; and facilitates the translation of information into practical uses through the

development and dissemination of research databases.

For Medical Expenditures Panel Surveys, the Committee pro- vides $48,500,000, which is $7,650,000 above the fiscal year 2001

comparable level and the same as the budget request. The entire

amount provided is derived through the one percent evaluation setaside. The Medical Expenditures Panel Surveys provide data for

timely national estimates of health care use and expenditures, private and public health insurance coverage, and the availability,

costs, and scope of private health insurance benefits. This activity

also provides data for analysis of changes in behavior as a result

of market forces or policy changes on health care use, expenditures,

and insurance coverage; develops cost/savings estimates of proposed changes in policy; and identifies the impact of changes in policy for subgroups of the population.

For program support, the Committee provides $2,600,000, which

is $100,000 above the fiscal year 2001 level and the same as the

budget request. This activity supports the overall direction and

management of the agency. Within the funds provided, the Committee assumes a 4.6 percent pay increase.

The Committee urges AHRQ to develop long-term care quality

initiatives in care delivery and workforce development across care

settings, including nursing homes, assisted living and home care.

Best practices, once identified, could be broadly disseminated to

replicate effective care and treatment models.

The cost of health care delivery continues to rise with many

health care experts predicting nine percent increases for the foreseeable future. There is some concern that new biomedical research

discoveries that provide new remedies for health problems may also

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priately. The Committee recognizes the need to ensure that increased investment in biomedical research does not price quality

health care out of reach of most Americans. Providers, patients and

health care payers need objective, scientific information to understand which new interventions are more effective than existing

practices, which groups of patients are most likely to benefit, the

degree of improvement compared to the cost, and the relative risks

for the patient of alternative interventions. The Committee urges

AHRQ to expand its efforts to support research and clinical effectiveness trials that will develop scientific evidence regarding the

relative effectiveness, outcomes, risks and costs of promising new

interventions in comparison with existing practices, especially

those that have the potential to reduce health care costs without

reducing quality. The agency is also urged to support an initiative

to identify and make easily accessible the findings of existing, scientifically sound, cost-effectiveness studies of new clinical interventions and technologies.

The Committee is aware of the proposed consensus conference involving AHRQ, CDC, NINDS, NICHD and the Spina Bifida Association of America to assess and evaluate secondary prevention

strategies to reduce the complications associated with spina bifida,

including an evaluation of in utero surgical techniques. The Committee encourages the Agency to participate in the implementation

of this initiative.

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

The bill provides $106,821,882,000 for the Federal share of cur- rent law State Medicaid costs, which is $7,208,752,000 above the

fiscal year 2001 comparable level and the same as the budget request. This amount does not include $36,207,551,000, which was

advance funded in the fiscal year 2001 appropriation. In addition,

the bill provides an advance appropriation of $46,601,937,000 for

program costs in the first quarter of fiscal year 2003. The bill also

includes indefinite budget authority for unanticipated costs in fiscal

year 2001.

Federal Medicaid grants reimburse States for 50 to 83 percent

(depending on per capita income) of their expenditures in providing

health care for individuals whose income and resources fall below

specified levels. Subject to certain minimum requirements, States

have broad authority within the law to set eligibility, coverage, and

payment levels. It is estimated that 34.3 million low-income individuals will receive health care services in 2000 under the Medicaid program. State costs of administering the program are

matched at rates that generally range from 50 to 90 percent, depending upon the type of cost. Total funding for Medicaid includes

$795,533,000 for the entitlement Vaccines for Children program.

These funds, which are transferred to the Centers for Disease Control and Prevention for administration, support the costs of immunization for children who are on Medicaid, uninsured or underinsured and receiving immunizations at Federally qualified health

centers or rural health clinics. Indefinite authority is provided by

statute for the Vaccines for Children program in the event that the

current estimate is inadequate.

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Payments to health care trust funds

The bill includes $81,924,200,000 for the Payments to the Health Care Trust Funds account, which is $11,542,600,000 above the fiscal year 2001 comparable level and the same as the budget request.

This entitlement account includes the general fund subsidy to

the Medicare Part B trust fund as well as other reimbursements

to the Part A trust fund for benefits and related administrative

costs which have not been financed by payroll taxes or premium

contributions. The amount provided includes $150,200,000 for program management administrative expenditures, which is the fiscal

year 2002 estimate of the general fund share of CMS program

management expenses. This general fund share will be transferred

to the Federal Hospital Insurance Trust Fund to reimburse for the

funds drawn down in fiscal year 2001 from the trust fund to finance program management.

Program management

The bill makes available $2,361,158,000 in trust funds for Federal administration of the Medicare and Medicaid programs, which

is $119,560,000 above the fiscal year 2001 comparable level and

$10,000,000 above the budget request.

Research, demonstration, and evaluation

The bill provides $55,311,000 for research, demonstration and evaluation, which is $83,000,000 below the fiscal year 2001 comparable level and the same as the budget request. These funds support a variety of studies and demonstrations in such areas as monitoring and evaluating health system performance; improving health

care financing and delivery mechanisms; modernization of the

Medicare program; the needs of vulnerable populations in the areas

of health care access, delivery systems, and financing; and information to improve consumer choice and health status. The reduction

below last year’s level is due to the funding of one-time projects.

The Committee in the past has encouraged CMS to conduct a

demonstration project to evaluate the use of managed health care

principles in the delivery of traditional and alternative long-term

care services. The Committee continues to support such a demonstration and encourages CMS to begin discussions with interested States and providers.

The Committee understands that NIH-supported research involving transplantation of insulin-producing cells has shown great

promise in treating diabetes and is being expanded into worldwide

clinical trials. The Committee urges CMS to collaborate with NIH,

FDA and non-profit voluntary health organizations to consider

strategies that could hasten the speed for providing this therapy to

more patients. The Committee requests that the Administrator be

prepared to testify at the fiscal year 2003 appropriations hearing

on the status of this initiative.

The Committee is aware of the potential for web-enabled technology to improve the coordination and delivery of care among persons with disabilities and severe chronic conditions such as spinal

cord injury, diabetes and arthritis, while also reducing transaction

costs associated with traditional care delivery mechanisms. The

Committee encourages CMS to demonstrate the effectiveness of an

e-health tool for managed care nurse case managers in an inteVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00110 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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grated application with online claims adjudication capabilities

which applies a prescription benefits manager to medical equipment, supplies and related products as currently utilized for pharmaceuticals.

Medicare contractors

The bill includes $1,522,000,000 to support Medicare claims processing contracts, which is $165,564,000 above the fiscal year 2001

comparable level and the same as the budget request.

Medicare contractors are responsible for paying Medicare providers promptly and accurately. In addition to processing claims,

contractors also identify and recover Medicare overpayments, as

well as review claims for questionable utilization patterns and

medical necessity. Contractors also provide information and technical support both to providers and beneficiaries regarding the administration of the Medicare program. In 2002, contractors are expected to process 950 million claims.

State survey and certification

The bill includes $252,147,000 for State inspection of facilities

serving Medicare and Medicaid beneficiaries, which is $10,000,000

above both the fiscal year 2001 comparable level and the budget request.

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. Over 25,000 facilities are expected to be reviewed in 2002.

Current law allows States to provide incentives and public recognition of high quality skilled nursing facilities. Such programs

can be both an important factor in improving the quality of care

in many nursing facilities as well as helping consumers to find the

best nursing care for family members. The Committee urges CMS

to encourage such State efforts.

Under current law, States conduct educational programs for providers concerning the requirements of State and Federal law. The

Committee believes that additional efforts should be made to provide educational programs and materials on innovative care practices to skilled nursing facilities, particularly those in rural areas

and those serving low-income populations. The Committee urges

CMS to consider conducting periodic educational programs for surveyors and facility staff or to encourage States to do so.

Federal administration

The bill includes $531,700,000 to support Federal administrative

activities related to the Medicare and Medicaid programs, which is

$26,996,000 above the fiscal year 2001 comparable level and the

same as the budget request. Within the funds provided, the Committee assumes a 4.6 percent pay increase.

The Medicare, Medicaid, and Children’s Health Insurance programs ensure the health care security of over 70 million beneficiaries. The Federal Administration costs budget provides funds

for the staff and operations of CMS to administer these programs.

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The Committee is concerned by reports of widespread non-compliance with requirements of blood lead screening of children

served by Medicaid, and is distressed that little progress has apparently been made since GAO’s 1999 report on the subject. The

Committee expects CMS to increase its support for outreach and

education and to report steps taken and progress made to the Committee by September 1, 2002. The Committee also urges CMS to

permit Medicaid reimbursement for laboratory analysis of environmental samples needed to identify the source of lead exposure for

children with lead poisoning.

A provision was included in the Health Insurance Portability and

Accountability Act to redesign the specialty code system to alphanumeric; however, implementation of this new system is not final.

In the interim, to ensure that pregnant women receive risk-appropriate care, the Committee urges CMS to work to create an interim

two-digit specialty code recognizing maternal-fetal medicine.

The Committee recognizes that hospitals, along with others in

the health care sector, have concerns about compliance with the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Committee acknowledges that compliance with these provisions, including electronic transaction standards and medical privacy and security requirements, will require health care organizations and providers to

make substantial investments in information technology. These

concerns are enhanced by the short two-year compliance deadline

set in statute. Accordingly, the Committee directs the Secretary to

evaluate the effects of these expenditures on the ability of the

health care sector to provide health care services and to identify

and report to the Committee any sources of Federal funding that

would be available to help defray the costs of complying with

HIPAA administrative simplification requirements. The Committee

also instructs the Secretary to evaluate the appropriateness of the

current statutory compliance deadline and report the findings to

the Committee. Such findings shall be reported to the Committee

no later than February 1, 2002.

Medicare beneficiaries who are blind or visually impaired are eligible for physician-prescribed rehabilitation services from approved

health care professionals on the same basis as beneficiaries with

other medical conditions that result in reduced physical functioning. The Committee urges CMS to direct its carriers to inform

physicians and other providers about the availability of medically

necessary rehabilitation services for these beneficiaries.

Medicaid and SCHIP are a major source of dental care provided

to the nation’s poor children. However, according to the U.S. Surgeon General’s report, Oral Health in America, fewer than one in

five Medicaid-covered children received a single preventive dental

visit in a year. Left untreated, dental disease is inevitable and will

not abate. Therefore, the Committee believes it is important that

CMS maintain a distinct focus on oral health and urges CMS to retain a position of Chief Dental Officer reporting directly to the Director of the Center for Medicaid and State Operations.

The Committee notes with interest the number of applications

received by the Centers for Medicare and Medicaid Services for

1115 waivers requesting permission to expand eligibility for Medicaid coverage to non-disabled individuals living with HIV disease.

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Such expansions would improve access to critically needed life-prolonging treatments. In considering the budget neutrality aspects of

these waiver applications, the Committee anticipates that CMS will

work with the Office of Management and Budget and other interested parties to develop methodologies to take into account savings

that might be achieved in non-Medicaid entitlement programs,

such as Medicare, Social Security Disability Insurance, Supplemental Security Income, due to earlier access to treatment for HIV

disease. Consideration should also be given to the impact on discretionary programs such as the Ryan White CARE Act.

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

The Committee recommends $2,447,800,000 for the Child Support Enforcement program, the same as the request. The bill also

provides $1,100,000,000 in advance funding for the first quarter of

fiscal year 2003 to ensure timely payments for the child support

enforcement program, the same as the request. The bill continues

to provide estimated funding of $23,000,000 for Payments to Territories, the same as the comparable amount for fiscal year 2001 and

the budget estimate. The bill provides $1,000,000 for the repatriation program, the same as the request and the comparable

amount provided for fiscal year 2000.

LOW-INCOME HOME ENERGY ASSISTANCE

The Committee recommends an appropriation of $1,700,000,000

for the fiscal year 2002 for the low-income home energy assistance

program (LIHEAP), $300,000,000 more than the budget request

and the regular appropriation for fiscal year 2001. The bill also

provides an additional $300,000,000 in emergency funding for unanticipated home energy assistance needs of States. The agreement

includes up to $27,500,000 for the leveraging incentive fund within

these totals.

The LIHEAP program provides assistance to low-income households to help pay the costs of home energy. Funds are provided

through grants to States, Indian Tribes and territories, and are

used for summer cooling and winter heating/crisis assistance programs.

REFUGEE AND ENTRANT ASSISTANCE

The bill provides $460,224,000 for refugee assistance programs, an increase of $27,186,000 above the fiscal year 2001 level and

$15,000,000 above the budget request.

Transitional and medical services

The bill provides $237,291,000 for transitional and medical services, the same as the request and $12,186,000 above the fiscal year

2001 level. The bill continues the policy of providing eight months

of assistance to new arrivals. The transitional and medical services

program provides funding for the State-administered cash and

medical assistance program that assists refugees who are not categorically eligible for TANF or Medicaid, the unaccompanied minors program that reimburses States for the cost of foster care, and

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the voluntary agency grant program in which participating national refugee resettlement agencies provide resettlement assistance with a combination of Federal and matched funds.

Social services

The bill provides $158,621,000 for social services, $15,000,000

more than the fiscal year 2001 appropriation and the budget request. Funds are distributed by formula as well as through the discretionary grant making process for special projects. The bill includes $15,000,000 to increase educational support to schools with

a significant proportion of refugee children, consistent with previous support to schools heavily impacted by large concentrations

of refugees.

The Committee agrees that $19,000,000 is available for assistance to serve communities affected by the Cuban and Haitian entrants and refugees whose arrivals in recent years have increased.

The Committee has set aside $26,000,000 for increased support to

communities with large concentrations of refugees whose cultural

differences make assimilation especially difficult justifying a more

intense level and longer duration of Federal assistance. Finally, the

Committee has set aside $14,000,000 to address the needs of refugees and communities impacted by recent changes in Federal assistance programs relating to welfare reform. The Committee urges

ORR to assist refugees at risk of losing, or who have lost, benefits

including SSI, TANF and Medicaid, in obtaining citizenship.

Preventive health

The bill includes $4,835,000 for preventive health services, the

same as the fiscal year 2001 appropriation and the request. These

funds are awarded to the States to ensure adequate health assessment activities for refugees.

Targeted assistance

The bill provides $49,477,000 for the targeted assistance program, the same as the fiscal year 2001 amount and the request.

These grants provide assistance to areas with high concentrations

of refugees.

Victims of torture

The bill includes $10,000,000 to provide a comprehensive program of support for domestic centers and programs for victims of

torture. This is the same as the budget request and last year’s

level. The Committee encourages the Office of Refugee Resettlement to support one or more well-established treatment centers,

such as the Center for Victims of Torture, in order to strengthen

the field. The larger programs have developed the knowledge base

that has fostered growth of treatment facilities around the country.

For this growth to continue, these leading centers will need to expand their staffs to create more trainers and to improve evaluation

and research needed to guide and develop new programs. This can

only happen if they are able to significantly increase their own client bases. Through this investment ORR would be advancing the

field of treatment services and helping establish new treatment

centers.

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CHILD CARE AND DEVELOPMENT BLOCK GRANT

The bill includes $2,199,987,000 for the Child Care and Development Block Grant program, $200,119,000 above the fiscal year

2001 level and the same as the budget request. The Committee

notes that the Administration has requested that $400,000,000 of

this total be set aside for an after-school voucher program. The

Committee believes that a change of this nature properly belongs

within the jurisdiction of the House Committee on Education and

the Workforce and has therefore deferred action on the after-school

voucher program subject to that Committee’s action.

The Child Care and Development Block Grant program was

originally enacted in the Omnibus Budget Reconciliation Act of

1990 to increase the availability, affordability and quality of child

care by providing funds to States, Territories and Indian Tribes for

child care services for low-income families. In the 1996 Welfare Reform Act, the block grant was reauthorized through 2003. In addition, that Act contains additional mandatory appropriations for

child care in the amount of $2,717,000,000 for fiscal year 2002.

SOCIAL SERVICES BLOCK GRANT

The bill provides $1,700,000,000 for the social services block

grant (SSBG), $25,000,000 below the fiscal year 2001 appropriation

and the same as the budget request.

SSBGs are designed to encourage States to furnish a variety of

social services to needy individuals to prevent and reduce dependency, help individuals achieve and maintain self-sufficiency, prevent or reduce inappropriate institutional care, secure admission or

referral for institutional care when other forms of care are not appropriate, and prevent neglect, abuse and exploitation of children

and adults.

Funds are distributed to the territories in the same ratio such

funds were allocated in fiscal year 1981. The remainder of the appropriation is distributed to the States and the District of Columbia according to population.

The bill includes a provision that maintains the percentage of

funds that a State may transfer between the Social Services Block

Grant and the Temporary Assistance to Needy Families Programs

at 10 percent.

CHILDREN AND FAMILIES SERVICES PROGRAMS

The bill includes $8,275,442,000, an increase of $309,957,000

over the fiscal year 2001 amount and $84,044,000 over the budget

request. This account finances a number of programs aimed at enhancing the well-being of the Nation’s children and families, particularly those who are disadvantaged or troubled.

Head Start

The bill includes $6,475,812,000 for the Head Start program for

fiscal year 2002, an increase of $276,000,000 over the fiscal year

2001 amount and $151,000,000 above the budget request. Of this

total, the Committee continues the policy of advancing

$1,400,000,000 of this account into fiscal year 2003. The President’s

budget did not propose advance funding this account.

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Head Start provides comprehensive development services for

children and their families. Intended for preschoolers from low-income families, the program seeks to foster the development of children and enable them to deal more effectively with both their

present environment and later responsibilities in school and community life. Head Start programs emphasize cognitive and language development, 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 ten percent of enrollment opportunities in each State are made available to handicapped children.

Grants to carry out Head Start programs are awarded to public

and private non-profit agencies. Grantees must contribute 20 percent of the total cost of the program; this is usually an in-kind contribution. The Head Start Act does not include a formula for the

allotment of funds to local grantees; however, it does require that

87 percent of the appropriation be distributed among States based

on a statutory formula. In addition, grants, cooperative agreements

and contracts are awarded for Indians and migrants and in the

areas of research, demonstration, technical assistance and evaluation from the remaining 13 percent.

Runaway and homeless youth

The bill includes $71,133,000 for runaway and homeless youth activities, an increase of $2,010,000 above fiscal year 2001 and

$2,000,000 above the budget request.

The Runaway and Homeless Youth Program provides grants to

local public and private organizations to establish and operate local

runaway and homeless youth centers to address the crisis needs of

runaway and homeless youth and their families. Grants are used

to develop or strengthen community-based centers, which are outside the law enforcement, juvenile justice, child welfare, and mental health systems. Additionally, home-based, street-based, and

drug education and prevention activities are all allowable uses of

funds under the basic center grants. The Runaway and Homeless

Youth Act requires that 90% of the program funds be used to establish and operate basic centers and transitional living programs

which meet the immediate needs of runaway and homeless youth.

Basic center grants are allotted among the States based on each

State’s youth population under 18 years of age. Applications for

basic center grants are selected for funding through a competitive

review process based on each State’s allocation of funds under the

formula.

The Transitional Living Program is awarded by the Secretary on

a national competitive basis.

Maternity group homes

The bill does not include funding for the maternity group homes

program, a new program for which the Administration requested

$33,000,000. This program is not specifically authorized for fiscal

year 2002. The Committee believes that the design of this new program properly belongs within the jurisdiction of the House Committee on Education and the Workforce and has therefore deferred

action on the program until after the passage of authorizing legislation.

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Child abuse

For child abuse prevention and treatment, the Committee recommends $42,978,000. The total amount recommended includes

$23,000,000 for State grants, an increase of $1,974,000 above both

last year and the budget request; and $19,978,000 for discretionary

projects, which is $2,000,000 above the budget request and

$13,226,000 below last year’s level. The Committee notes that the

reduction in the discretionary projects account is the result of the

removal of one-year projects that were included in the fiscal year

2001 conference agreement. Within the funds provided, the Committee has included sufficient funding to establish a national hotline to prevent child abuse.

The child abuse programs attempt to improve and increase activities at all levels of government which identify, prevent, and

treat child abuse and neglect through State grants, technical assistance, research, demonstration, and service improvement.

Abandoned infants assistance

The Committee recommends $12,205,000 for the Abandoned Infants Assistance Act, $23,000 above the fiscal year 2001 appropriation and the same as the budget request. The purpose of this program is to provide financial support to public and non-profit private entities to develop, implement, and operate demonstration

projects that will prevent the abandonment of infants and young

children; identify and address their needs, especially those infected

with HIV; assist such children to reside with their natural families

or in foster care, as appropriate; provide respite care for families

and caregivers; and recruit and train caregivers. Grantees must establish a care plan and case review system for each child.

Child welfare services

The bill includes $291,986,000 for child welfare services, the

same as the fiscal year 2001 amount and the budget request. This

program authorized by title IV–B of the Social Security Act provides grants to States to assist public welfare agencies establish,

extend, and strengthen child welfare services in order to enable

children to remain in their homes under the care of their parents,

or, where that is not possible, to provide alternative permanent

homes for them.

The bill also includes $6,998,000 for child welfare training, the

same as the fiscal year 2001 amount and the budget request. The

Committee recognizes the need for trained, skilled and qualified

child welfare protection personnel. This program provides teaching

and traineeship grants to schools of social work to train social

workers in the specialty of child welfare.

Adoption opportunities

The Committee recommends $27,405,000 for adoption opportunities, the same as the budget request and $26,000 above the fiscal

year 2001 amount. The Adoption Opportunities Program provides

funding specifically targeted to improving the adoption of children

with special needs and minority children and for providing for innovative services that support families involved in adoption.

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Adoption incentives

The bill includes $43,000,000 for the adoption incentives pro- gram, the same as the budget request and $6,000 above the 2001

level. This program was authorized in the Adoption and Safe Families Act of 1997. These funds are used to pay bonuses to States that

increase their number of adoptions; the goal is to double the number of children adopted or permanently placed out of public child

welfare systems by 2003. This should make adoption a higher priority at the State level.

Adoption Awareness

The bill includes $9,906,000 for the adoption awareness program, the same as the budget request and an increase of $6,000 above the

fiscal year 2001 level. This program was authorized in the Child

Health Act of 2000. The adoption awareness program provides

training to designated staff of eligible health centers in providing

adoption information and referrals to pregnant woman on an equal

basis with all other courses of action included in non-directive

counseling to pregnant women.

Compassion capital fund

The bill includes $30,000,000 for the compassion capital fund, a new program for which the Administration requested $89,000,000.

This program will support the creation of grants to public/private

partnerships to support charitable organizations in expanding or

emulating model social services agencies.

Promoting responsible fatherhood

The bill does not include funding for the promoting responsible

fatherhood program, a new program for which the Administration

requested $64,000,000. This program is not authorized for fiscal

year 2002. The Committee will consider funding for this program

after the passage of authorizing legislation.

Social services and income maintenance research

The bill includes $27,000,000 for social services and income

maintenance research, $11,096,000 below the fiscal year 2001

amount and $20,574,000 above the budget request. These funds

support research, demonstration, evaluation and dissemination activities. Areas covered include welfare reform, child care, and child

welfare.

Three years ago, the Administration for Children and Families

(ACF) launched a concerted effort to assist states in meeting the

complex information and systems reporting requirements of the

Temporary Assistance to Needy Families (TANF) program. ACF

utilized the state information technology consortium, out of which

emerged a knowledge base that is enabling each State to tailor the

best practices developed by others to meet their own unique needs.

The Committee supports the current effort to apply web-based

technology to help each state integrate their stand-alone systems

under a single IT network.

Community-based resource centers

The bill includes $34,000,000 for community-based resource centers, $1,166,000 above both the fiscal year 2001 amount and the

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budget request. The purpose of the program is to assist each State

in developing and operating a network of community-based, prevention-focused family resource and support programs that coordinate resources among a broad range of human service organizations.

Developmental disabilities

For programs authorized by the Developmental Disabilities Assistance Act, the Committee recommends $136,334,000, an increase

of $2,819,000 above the amount available for fiscal year 2001 and

$3,000,000 above the budget request. The account total includes

$69,800,000 for allotments to the States to fund State Councils,

$2,000,000 above the budget request and fiscal year 2001. These

Councils engage in such activities as planning, policy analysis,

demonstrations, training, outreach, interagency coordination, and

public education. They do not provide direct services to the developmentally-disabled population.

In addition, $34,000,000 will be available to the States to be used

for operating an advocacy program to protect the rights of the developmentally disabled. This is $1,000,000 above both the fiscal

year 2001 level and the budget request.

The bill includes $10,734,000 for special discretionary projects for

training, technical assistance and demonstration. This is $181,000

below the fiscal year 2001 funding level and the budget request.

The Committee notes that the decrease is the result of the deletion

of a one-time, one-year special project included in the fiscal year

2001 conference report.

The Committee approves a total of $21,800,000 for grants to university affiliated facilities and satellite centers to support the cost

of administering and operating demonstration facilities and interdisciplinary training programs. This is the same as the fiscal year

2001 level and the budget request. These are discretionary grants

to public and private non-profit agencies affiliated with a university. These grants provide basic operational and administrative

core support for these agencies. In addition, these funds support

interdisciplinary training, community services, technical assistance

to State agencies and information dissemination.

Native American programs

The bill includes $44,396,000, $1,593,000 below the fiscal year

2001 level and the same as the budget request. The Administration

for Native Americans assists Indian Tribes and Native American

organizations in planning and implementing their own long-term

strategies for social and economic development. In promoting social

and economic self-sufficiency, this organization provides financial

assistance through direct grants for individual projects, training

and technical assistance, and research and demonstration programs.

Community Services

The bill includes $703,345,000 for Community Services activities,

$20,794,000 above the fiscal year 2001 level and $48,330,000 over

the budget request.

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State block grant

For the State Block Grant, the bill includes $620,000,000, which

is $20,009,000 above the budget request and the fiscal year 2001

level. This program provides grants to States for services to meet

employment, housing, nutrition, energy, emergency services, and

health needs of low-income people. By law, 90 percent of these

funds are passed directly through to local community action agencies which have previously received block grant funds. The Committee believes that this program provides the kind of flexibility at

the local level necessary to assist people who are in temporary need

of government assistance to get back on their feet.

Community economic development

The bill includes $30,034,000 for community economic development grants, which is the same as the fiscal year 2001 level and

the budget request. These activities provide assistance to private,

locally-initiated community development corporations which sponsor enterprises providing employment, training and business development opportunities for low-income residents in poor communities. In certain instances, projects which have been awarded

funding may not be able to go forward because of changed circumstances. The Secretary may approve the use of the funds for

another project sponsored by the same community development

corporation if the project meets the requirements of the law and

the goals and objectives of the original project for which the grant

was made.

Individual development account

The bill includes $24,990,000 for individual development accounts, $99,000 above the fiscal year 2001 level and the same as

the budget request. Individual development accounts are dedicated

savings accounts that can be used by families with limited means

for purchasing a first home, paying for postsecondary education or

capitalizing a business. The intent of the program is to encourage

participants to develop and reinforce strong habits for saving

money. 501(c)(3) organizations are eligible to apply for the funds

and applicants must match federal funds with non-federal funds.

Rural community facilities

The bill includes $5,321,000 for the rural community facilities

program, the same as the fiscal year 2001 amount. The Administration did not request funding for this program. This program assists rural communities with their drinking water, wastewater and

solid waste problems, especially those with Native American, farm

worker and other minority or underserved populations.

National youth sports program

The bill includes $17,000,000 for the National Youth Sports Program, which is $1,000,000 above the fiscal year 2001 level. The

President proposed no funding for this program. These funds are

made available to a private, non-profit organization to provide recreational activities for low-income youth, primarily in the summer

months. College and university athletic facilities are employed in

the program.

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Community food and nutrition

The bill includes $6,000,000 for the Community Food and Nutrition program. The President did not propose funding for this program. In fiscal year 2001, this program was funded at $6,314,000.

This program provides grants to public and private agencies to coordinate existing food assistance programs, to identify sponsors of

child nutrition programs and attempt to initiate new programs and

to do advocacy work at the State and local levels.

Family violence prevention programs

The bill includes $14,999,000 for the runaway youth prevention

program, which is designed to reduce the sexual abuse of runaway

youth. The fiscal year 2001 amount and the budget request were

the same. The Committee recommends $126,918,000 for family violence prevention and services and battered women’s shelters, which

is $10,019,000 above the fiscal year 2001 level and $10,000,000

over the budget request. This program is designed to assist States

in efforts to prevent family violence and to provide immediate shelter and related assistance for victims of family violence and their

dependents, and to provide for technical assistance and training relating to family violence programs to State and local public agencies (including law enforcement agencies), nonprofit private organizations, and persons seeking such assistance. The bill also includes $2,157,000 to continue funding the National Domestic Violence Hotline. This is the same as the fiscal

year 2001 level and the budget request.

Early Learning Fund

The bill does not include funding for the Early Learning Fund, which received $19,995,000 in fiscal year 2001. The President’s

budget did not request funding for it. This program was begun in

fiscal year 2001 to help facilitate the development of learning readiness in young children. The Committee notes that $75,000,000 is

made available within the Department of Education for the establishment of an Early Reading program which will fund similar activities.

Faith-based center

The bill includes $3,000,000 for the faith-based center, the same

as the budget request. This activity was not funded in fiscal year

2001. The center will support implementation of faith-based and

community initiatives in accordance with the President’s executive

order.

Program direction

The Committee has approved $171,870,000 for program direction

expenses of the Administration for Children and Families,

$8,024,000 above the fiscal year 2001 level and the same as the

budget request.

The Committee is concerned that effective substance abuse treatment programs may not be available to persons who are currently

receiving or have previously received TANF funding. With the

large reductions in the welfare rolls, a much higher percentage of

current TANF recipients have substance abuse problems. The

Agency is encouraged to coordinate with SAMSHA and make funds

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available from TANF incentive funds whenever possible for appropriate and effective substance abuse treatment programs. The

Agency should be prepared to answer questions on this issue at the

fiscal year 2003 appropriations hearing.

PROMOTING SAFE AND STABLE FAMILIES

The bill includes $375,000,000 for the promoting safe and stable

families account (formerly family preservation and support),

$70,000,000 above the fiscal year 2001 level and $130,000,000

below the budget request. The Administration proposed modifying

the program’s authority to substantially increase the program to $505,000,000. The bill includes additional funding to address the

continuing urgent need to protect children and to strengthen families.

Mentoring children of prisoners

The bill does not include funding for the mentoring children of

prisoners program, a new program for which the Administration requested $67,000,000. This program is not authorized for fiscal year

2002. The Committee has therefore deferred action on the increased level until after the passage of authorizing legislation.

PAYMENTS TO STATES FOR FOSTER CARE AND ASSISTANCE

The bill provides $4,885,600,000 for payments to States for foster

care and adoption assistance, that in combination with the

$1,735,900,000 in advance fiscal year 2002 appropriations provided

in the fiscal year 2001 Appropriations Act, makes available

$6,681,500,000 for foster care and adoption activities, the same as

the budget request and $220,400,000 above last year’s level. The

bill also includes an advance appropriation of $1,754,000,000 for

the first quarter of fiscal year 2003 to ensure timely completion of

first quarter grant awards.

Of the total appropriation, including the advance appropriation from the prior year, the bill provides $5,055,500,000 for the foster

care program to provide maintenance payments to States on behalf

of children who must live outside their homes, the same as the request and $8,000,000 below the fiscal year 2001 amount.

Within the total appropriation, including the advance appropria- tion from the prior year, the bill provides $1,426,000,000 for adoption assistance, the same as the budget request and an increase of

$228,400,000 above the fiscal year 2001 appropriation. This program provides training for parents and State administrative staff

as well as payments on behalf of categorically eligible children considered difficult to adopt. This annually appropriated entitlement is

designed to provide alternatives to long, inappropriate stays in foster care by developing permanent placements with families.

Within the total appropriation for this account, the bill provides $140,000,000 for the independent living program, the same as the

fiscal year 2001 level and the budget request. The program is designed to assist foster children age 16 or older to make successful

transitions to independence. Funds assist children to earn high

school diplomas, receive vocational training, and obtain training in

daily living skills. Funds are awarded to States on the basis of the

number of children on behalf of whom Federal foster care payments

are received. The bill does not include $60,000,000 as requested for

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a new voucher program for educational or vocational training assistance to youth who age out of foster care. This program is not

specifically authorized for fiscal year 2002. The Committee has deferred action on the program until after the passage of authorizing

legislation.

ADMINISTRATION ON AGING

AGING SERVICES PROGRAMS

For programs administered by the Administration on Aging, the

Committee recommends a total of $1,144,832,000, which is an increase of $41,890,000 above the fiscal year 2001 level and

$47,114,000 above the budget request. This account finances all

programs under the Older Americans Act in this bill, with the exception of the Community Services Employment Program under

title V, which is administered by the Department of Labor.

Supportive services and centers

The Committee has included $327,075,000 for supportive services

and centers. The amount provided is $2,048,000 over the fiscal year

2001 level and the same as the budget request. This includes funding for in-home services for frail elderly persons who are at risk of

losing their self-sufficiency due to physical or mental impairments.

Funds for supportive services and centers are awarded to each

State with an approved State plan. The formula under title III of

the Older Americans Act mandates that no State be allotted less

than the total amount allotted to it in fiscal year 2000. The funds

contained in the bill will support coordinated, comprehensive service delivery systems at the local level.

The States have the ability under the basic law to transfer up

to 20% of funds appropriated between the senior centers program

and the nutrition programs; this allows the State to concentrate its

resources in the program it deems most critical. Many States do

transfer funds into this program from the congregate meals program.

Ombudsman/elder abuse

The bill includes $14,181,000 for the State long-term care ombudsman activities, the elder abuse prevention program, State

elder rights and outreach and counseling authorized by title VII of

the Older Americans Act. The amount provided is the same as the

fiscal year 2001 level and the budget request. This program provides the assistance needed by vulnerable older Americans to protect themselves from abuse and exploitation, to exercise control

over their environment, and to locate the resources they need for

care and daily living.

Preventive health

The bill includes $21,123,000 for preventive health services authorized under part F of title III of the Act. This is the same as

the budget request and $3,000 above the fiscal year 2001 funding

level. These funds are awarded to States by formula to allow States

and communities the flexibility to meet the health promotion and

disease prevention needs of older people.

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National Family Caregiver Support Program

The bill includes $137,000,000 for the family caregivers program,

$12,019,000 above the fiscal year 2001 level and $10,000,000 above

the budget request.

The family caregiver program provides formula grants, competitive grants, research and national activities to provide a support

system in each state for family caregivers. All states are expected

to put in place five basic system components, including individualized information on available resources; assistance to families in locating services from private and voluntary agencies; caregiver

counseling, training and peer support; respite care; and limited

supplemental services.

Nutrition programs

For congregate nutrition services, the Committee includes

$396,000,000, $17,644,000 above the fiscal year 2001 level and

$17,588,000 above the budget request. For home-delivered nutrition services, the Committee provides $176,000,000, $24,022,000

above the fiscal year 2001 level and $18,000,000 above the budget

request. These programs are intended to address some of the difficulties confronting older individuals, namely nutrition deficiencies

due to inadequate income, lack of adequate facilities to prepare

food, and social isolation. The States have the ability under the

basic law to transfer up to 20% of funds appropriated between the

senior centers program and the nutrition programs; this allows the

State to concentrate its resources in the program it deems most

critical.

The nutrition programs also collect substantial sums each year

in voluntary contributions from participants; private sector funds

are also contributed. Volunteers also make a significant contribution to these programs.

Grants to Indian tribes

The bill provides $25,457,000 for grants to Indian tribes. This is

$2,000,000 above the fiscal year 2001 amount and the same as the

budget request. Funds under this program are awarded to tribal

organizations to be used to promote opportunities for older Indians,

to secure and maintain independence and self-sufficiency, and to

provide transportation, nutrition, health screening and other services to help meet the needs of this population.

Research, training and special projects

The bill provides $19,100,000 for research, training and special

projects under title IV of the Older Americans Act, $16,752,000

below the fiscal year 2001 funding level and $1,526,000 above the

President’s request. Funds under this program are used to support

education and training activities for personnel working in the field

of aging and to finance research, development, and demonstration

projects.

The Committee understands that osteoporosis is a major public

health problem that exacts an enormous human and economic tool.

In recognizing the prevalence of osteoporosis among post menopausal women, the Committee urges the Administration on Aging

to implement an osteoporosis prevention education program aimed

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at post-menopausal women and has included sufficient funding

within this account for such an effort.

The Committee urges continued funding for research into Alzheimer’s disease care options, best practices and other Alzheimer’s

research priorities as described in House report 106–370.

Alzheimer’s demonstration grants

The Committee provides $8,962,000 for Alzheimer’s demonstration grants, which is the same as the fiscal year 2001 level and the

budget request. The program provides grants to States to help

them plan and establish programs to provide health care services

to individuals with Alzheimer’s disease. Funds are used for respite

care and supportive services, clearinghouses, training, and administrative costs for State offices. By law, States are required to

match the Federal funding at 45 percent of the cost of the program

by the third year of the grant.

Program administration

The bill includes $18,122,000 for program administration expenses of the Administration on Aging. This is the same as the

budget request and $906,000 above the fiscal year 2001 amount.

This activity provides administrative and management support for

all Older Americans Act programs administered by the Department.

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

The bill includes $338,887,000 for general departmental manage- ment, which is $39,252,000 above the fiscal year 2001 comparable

level and $13,612,000 below the adjusted budget request. Included

in this amount is authority to spend $5,851,000 from the Medicare

trust funds. Within the total provided, the Committee assumes a

4.6 percent pay increase.

This appropriation supports those activities that are associated

with the Secretary’s roles as policy officer and general manager of

the Department. The Office of the Secretary also implements Administration and Congressional directives, and provides assistance,

direction and coordination to the headquarters, regions and field

organizations of the Department. This account also supports several small health promotion and disease prevention activities that

are centrally administered.

Funds have been included above the budget request for the Department’s Information Collection Review and Analysis System.

The Committee understands that when implemented this system

will fully automate the Department’s process for certifying that the

collection of information complies with the Paperwork Reduction

Act of 1995.

The Committee understands that there is no entity in the Department responsible for the coordination and oversight of activities across the Agency concerning men’s health. The Committee is

aware of reports that men are 25 percent less likely than women

to receive regular health screenings, and that one of the top problems facing men’s health is that men are not likely to visit a doctor

when they notice a problem. The Committee encourages the SecVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00125 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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retary to expand Departmental disease prevention and health promotion activities among men and to give consideration to establishing an office for men, similar to the Office of Women’s Health.

The Committee is pleased that the Department has announced

that it will establish a chronic fatigue syndrome advisory committee to build upon progress made by the Chronic Fatigue Syndrome Coordinating Committee within the limits of its charter. It

is this Committee’s expectation that this transition to an advisory

committee will not diminish the full partnership of involved agencies or the collaborative relationships among federal agencies, scientists, and CFS advocates that have developed over recent years

through the CFS Coordinating Committee. The Committee anticipates that the new advisory committee will further advance the efforts of DHHS and the public health service agencies to address the

scientific questions about CFS and the socioeconomic needs of persons with CFS.

The Committee understands that the Department has not undertaken a campaign to inform health care professionals and the general public about CFS. The Committee again encourages the Secretary develop and implement an education campaign concerning

CFS.

The Committee is aware of the Report of the Evaluation Group

on the national 5 A Day for Better Health Program. Given the report’s favorable evaluation of the program, the Committee urges

the Department of Health and Human Services (HHS) to strengthen and expand the 5 A Day program and develop a comprehensive

plan to promote better health through increased consumption of

fruits and vegetables. The Committee recognizes the importance of

the public/private partnerships that have made the 5 A Day program so successful and expects that future efforts by CDC and NCI

to expand the 5 A Day program will continue to involve these partners.

The Committee urges the Secretary consider moving the Lyme

disease coordinating council, led by National Institute for Allergy

and Infectious Diseases (NIAID), to the Office of the Secretary and

restructuring the council to include all tick-borne disorders. This

tick-borne disorder advisory committee would assure coordination

and communication regarding all tick-borne diseases across the Department and with other governmental agencies, the biomedical

community, community-based clinicians, voluntary organizations

and patients. The Committee would provide advice to the Secretary

on matters of program oversight, performance, budget allocations,

and priorities for all agencies. The Committee requests that the

Secretary be prepared to report on the Department’s plans concerning the establishment of a tick-borne disorder advisory committee at the fiscal year 2003 budget hearings for the Department.

The Committee commends the Department for increasing its attention to homelessness in recent years. The Committee requests

the Secretary to prepare and submit to this Committee, and the authorization committees with jurisdiction over the Department’s programs, a report that describes current policy and practice barriers

concerning homeless persons’ access to, and utilization of, health

and human service programs of the Department. The report should

also include recommendations for removing such impediments and

strengthening such programs.

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Osteoporosis is a major health threat for more than 28 million

Americans, 80% of whom are women. In 2001, 10 million individuals have already developed the disease. Osteoporosis is responsible for 1.5 million fractures annually and is the second leading

cause of nursing home admissions in the U.S. The Committee urges

the Surgeon General to consider issuing a Report to the Nation on

the status of research and education on osteoporosis and related

bone disease and setting forth an action plan to comprehensively

addresses the urgent need to reverse the increasing toll of this disease.

The flow of information between Federal and State agencies and

the court systems is a critical factor in the success of the Child

Support Enforcement program. While some States have succeeded

in implementing cost-effective processes for efficient informationsharing among relevant agencies and the courts, others have not.

The Committee understands that ACF, through an information

technology state consortium, improved the information and systems

reporting under the TANF program. The Committee understands

the Child Support Enforcement program at ACF intends to utilize

this consortium to identify and disseminate methods for improving

the flow of information within State child support enforcement

agencies. The Committee supports this initiative.

The Committee is aware of concerns about the Department’s ‘‘policy guidance’’ issued August 30, 2000 pursuant to Executive

Order 13166, published on August 16, 2000, regarding Limited

English Proficiency. For example, some argue the ‘‘policy guidance’’ may require providers who receive federal financial assistance from

HHS, including hospitals, HMOs, other health care providers, and

human service agencies, to provide oral translations plus written

translations of almost all notices, letters, pamphlets and brochures,

posters, and other printed materials into scores of languages, leading to costs which could overwhelm State agencies, small businesses and even Federal agencies. The Committee recommends

that the Department carefully review the guidance and revisit its

implications, impacts and consequences both practically and fiscally.

Trauma remains the leading cause of death for young Americans

ages 1 to 40. The Committee recognizes the importance of coordination among Federal agencies and private organizations involved in

injury prevention and treatment. The Committee encourages the

Secretary to consider sponsoring, in partnership with the appropriate professional societies, a conference on developing strategies

to improve trauma systems and outcomes and the enhancing crossagency collaboration.

The Committee understands that the Panel on the Future of the

Health Care Labor Force in a Graying Society recently recommended convening a national panel to examine the education

and training requirements for nursing occupations. The Committee

encourages the Secretary to consider acting upon the Panel’s proposal.

On December 1, 2000, the Department’s Office of Research Integrity (ORI) announced a Policy for Responsible Conduct of Research,

requiring that all research staff at extramural research institutions

in the country ‘‘shall complete a basic program of instruction in the

responsible conduct of research.’’ The Committee understands that

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ORI announced this policy on its website without undergoing a formal rulemaking process or publishing its directives in the Federal

Register. The Committee further understands that as a result of

concerns voiced from many in the research community and a subsequent congressional inquiry, ORI suspended the new policy pending

further review.

The Committee remains supportive of efforts to assure the integrity and accuracy of the research carried out in our nation’s research institutions. The Committee is concerned, however, that

ORI has not developed a ‘‘working partnership with extramural

programs,’’ and, as a result, the goal of preventing misconduct and

promoting research integrity principally through oversight, education, and review of institutional findings will not be realized. The

Committee urges the Secretary to carefully review the activities,

policies, and procedures of the ORI during fiscal year 2002 with the

goal of forging a strong partnership between the ORI and the extramural research community in both the development and implementation of ORI’s policies and procedures. The Committee expects

the Secretary to be prepared to discuss this review and any subsequent actions during the hearings on the fiscal year 2003 budget.

There is concern about the increase in lawsuits against nursing

homes nationwide, the high costs of insurance, and the increases

in bankruptcies and operating costs associated with these lawsuits.

The Committee encourages the Secretary to study the effects of

nursing home lawsuits on the costs to Medicare and Medicaid, its

effects on the access to care by beneficiaries, and its effects on the

facility and its ability to hire qualified and dedicated worker professionals. The Committee notes that the Center for Medicare and

Medicaid Services is seeking this data through its regulatory call

to determine data sources. The Secretary should be prepared to

provide a status report on what extent these costs are significant

and what extent Medicare and Medicaid reimbursement is disproportionately paying for insurance at the fiscal year 2003 appropriations hearing.

Long-term care settings nationwide are facing a shortage of

frontline caregivers, including registered and licensed practical

nurses, certified nurse aids, and other direct care workers. The

General Accounting Office estimates that the US health care system will need an additional 800,000 nurse aides by the year 2008

and the Department has found that nursing homes need approximately 47 percent more nurses aides to keep pace with the growing

demand for long term care. The Committee urges the Secretary to

develop data that will define the shortage of certified nurse aides

in long term care settings and be prepared to provide a progress

report on the steps taken to address this shortage at the fiscal year

2003 appropriations hearing.

The Commissioned Corps of the U.S. Public Health Service and

its Reserve Component provide unique competencies to respond to

a bioterrorist attack. The ability of the Corps to respond to an incident, however, may be impeded by the Surgeon General’s lack of

direct authority over all Public Health Service officers. In addition,

the lack of a formalized inactive Reserve program may further impact the Corps’ ability to respond in times of national emergency.

The Committee requests that the Secretary report on the Department’s actions and plans for strengthening and revitalizing the

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Commissioned Corps and its Reserve Component no later than

March 1, 2002. The report should comment on any structural and/

or legislative changes necessary to ensure that the Corps can readily be mobilized for response in times of emergency.

Minority health

The bill includes $43,084,000 for the Office of Minority Health,

which is $5,935,000 below the fiscal year 2001 comparable amount

and the same as the budget request. The Office of Minority Health

works with Public Health Service agencies and other agencies of

the Department in a leadership and policy development role to establish goals and coordinate other activities in the Department regarding disease prevention, health promotion, service delivery and

research relating to disadvantaged and minority individuals; concludes interagency agreements to stimulate and undertake innovative projects; supports research, demonstration, and evaluation

projects; and coordinates efforts to promote minority health programs and policies in the voluntary and corporate sectors.

The Committee is pleased with the activities of the OMH related

to collaborating with minority health professions institutions and

urges continued support for ongoing activities. Additionally, the

Committee believes that the OMH can play a significant role in

partnering with these institutions to meet the challenges of academic opportunity for disadvantaged students and improve the

health status of underserved communities.

The bill includes the full amount requested for program initiatives. The Committee notes, however, that many of the initiatives

fall in areas where other agencies of the Department have ongoing

program activities. The Committee understands that the Office of

Minority Health has an important role to play in initiating activities that fill gaps in addressing the health status of minority communities. The Committee believes, however, that once initiated,

these activities should be supported through the operating agencies

whenever possible. The Committee requests that the Secretary include in the fiscal year 2002 Operating Plan details of which agencies and programs of the Department will support the out-year

costs of fiscal year 2002 initiatives.

Within the total provided for the Office of Minority Health,

$9,700,000 is to promote an effective culturally competent and linguistically appropriate public health response to the HIV/AIDS epidemic. Funds are to be allocated based on HIV/AIDS program priorities identified in the previous fiscal year as well as new priorities as funding permits. The Committee supports the on-going efforts of the Office to improve access to services in rural and historically underserved urban areas. These funds are designed to help

reduce the HIV/AIDS and related health disparities in an effort to

improve the health outcomes for HIV infected African Americans,

Latinos, Native Americans, Asian Americans, Native Hawaiians

and Pacific Islanders with special emphasis in these communities

on high-risk sub-populations. These funds are for activities that are

designed to address the trends of the HIV/AIDS epidemic in communities of color, including African Americans, Latinos, Native

Americans, Asian Americans, Native Hawaiians, and Pacific Islanders based on the most recent estimated living AIDS cases, HIV

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infections and AIDS mortality among ethnic and racial minorities

as reported by the Centers for Disease Control and Prevention.

Office on Women’s Health

The bill includes $26,769,000 for the Office on Women’s Health,

which is $9,499,000 above the fiscal year 2001 comparable level

and $627,000 below the budget request. The Committee notes that

each of the Public Health Service agencies under its jurisdiction

supports an office or program which focuses on women’s health.

The Office on Women’s Health advises the Secretary and provides

Department-wide coordination of programs focusing specifically on

women’s health.

The bill includes the full amount requested for program initiatives. The Committee notes, however, that many of the initiatives

fall in areas where other agencies of the Department have ongoing

program activities. The Committee understands that the Office of

Women’s Health has an important role to play in initiating activities that fill gaps in agency programs to address the quality, availability, and comprehensiveness of care available to women. The

Committee believes, however, that once initiated, these activities

should be supported through the operating agencies whenever possible. The Committee requests that the Secretary include in the fiscal year 2002 Operating Plan details of which agencies and programs of the Department will support the out-year costs of fiscal

year 2002 initiatives.

HIV/AIDS in minority communities

The bill includes $50,000,000 to be available to the Secretary to

transfer to the Department’s operating agencies for specific program activities to address the high-priority HIV prevention and

treatment needs of minority communities. This is the same as the

fiscal year 2001 comparable level and the budget request.

These funds are to address the growing HIV/AIDS epidemic and

its disparate impact on communities of color, including African

Americans, Latinos, Native Americans, Asian Americans, Native

Hawaiians, and Pacific Islanders. Department statistics show that

racial and ethnic minorities represent the highest number of new

AIDS cases. While African-Americans and Hispanics are only 12

percent and 13 percent of the U.S. population respectively, they account for at least 55 percent and 20 percent of all new AIDS cases.

In addition, more than 60 percent of people living with AIDS are

racial minorities. Congress began funding the Minority HIV/AIDS

Initiative in fiscal year 1999. It was designed to focus special attention on solving a growing public health problem and to develop and

improve the capacity of minority community based organizations to

more effectively serve their communities. This approach was tailored to yield innovative and successful strategies specifically targeted to the highest risk and hardest to serve populations, which

for the past two decades have eluded more traditional HIV/AIDS

prevention, treatment, and education efforts. In distributing these

funds, the Committee expects the Department to tailor the programs that are funded under the Minority HIV/AIDS Initiative as

tightly as possible in order to address the growing health problem

and maximize the participation of minority community based organizations in delivering HIV services. In evaluating organizations’

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capacities, the Secretary should take into consideration that the

board, management and key staff are representative of the minority communities served, be situated closest to the targeted population, have a history of providing services to these communities,

and have documented linkages to the targeted populations, so that

they can help close the gap in access to service for the highly impacted communities of color in the interest of public health. To effectively address this continuing HIV/AIDS epidemic, the Department’s aggregate HIV/AIDS resources and efforts along with the

minority AIDS initiative should follow the trends of the epidemic.

These funds are for activities that are designed to address the

trends of the HIV/AIDS epidemic in communities of color based on

the most recent estimated living AIDS cases, HIV infections and

AIDS mortality among ethnic and racial minorities as reported by

the Centers for Disease Control and Prevention.

In fiscal year 1999, the Department established a Steering Committee on Implementation and Evaluation. The Committee develops and coordinates initiatives for the utilization of these funds.

Priority areas were identified for targeted investments that complement other specific Agency activities in HIV prevention and

treatment. The Department reports that these target investments

have been successful in identifying and addressing barriers to effectively preventing and treating HIV/AIDS in minority populations.

OFFICE OF THE INSPECTOR GENERAL

The bill includes $35,786,000 for the Office of the Inspector General, which is $2,200,000 above the fiscal year 2001 comparable

level and the same as the budget request. A large permanent appropriation for this office is contained in the Health Insurance

Portability and Accountability Act of 1996. Total funds provided between this bill and the permanent appropriation would be

$165,786,000 in FY 2002.

The Office of the Inspector General was created by law to protect

the integrity of Departmental programs as well as the health and

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 throughout the Department.

The Committee renews its request that the Inspector General of

the Department of Health and Human Services to provide the

Committee with semi-annual reports on the actual deficit reduction

impact of the Health Insurance Portability and Accountability Act

of 1996.

OFFICE FOR CIVIL RIGHTS

The bill includes $32,005,000, which is $4,022,000 over the fiscal

year 2001 comparable level and the same as the budget request.

This includes authority to transfer $3,314,000 from the Medicare

trust funds.

The Office for Civil Rights is responsible for enforcing civil rights

statutes that prohibit discrimination in health and human services

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ance program designed to generate voluntary compliance among all

HHS recipients.

POLICY RESEARCH

The bill includes $2,500,000, which is $14,048,000 below the

amount appropriated in fiscal year 2001 and the same as the budget request. The Committee notes that the budget request provides

for an estimated $18,000,000 for policy research through section

241 Evaluation funding authority. This will bring the program

level to $20,500,000 in fiscal year 2002, $3,785,000 above fiscal

year 2001.

The Policy Research account, authorized by section 1110 of the

Social Security Act, is the Department’s principal source of policyrelevant data and research on the income sources of low-income

populations; the impact, effectiveness, and distribution of benefits

under existing and proposed programs; and other issues that cut

across agency lines.

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

The Committee provides $300,619,000 for the public health and

social services emergency fund for bioterrorism activities, which is

$59,670,000 above the fiscal year 2001 comparable level and

$50,000,000 above the budget request. In addition to these funds,

NIH will spend $92,700,000 on bioterrorism-related research,

bringing the total amount in the bill for these activities to

$393,319,000.

Within the total provided, $231,919,000 is for the Centers for

Disease Control and Prevention, of which $2,000,000 is to continue

to discover, develop, and transition anti-infective agents to combat

emerging diseases. The remaining $68,700,000 is for the Office of

Emergency Preparedness within the Office of the Secretary.

The $50,000,000 above the request are included in part to accelerate and expand purchases of pharmaceuticals and vaccines for

the National Pharmaceutical Stockpile. This includes pharmaceuticals that would protect from a wide range of potential biological agents, supplies to improve the usability and effectiveness of

the existing smallpox vaccine stockpile, and to further accelerate

the availability of next-generation vaccines. The funding is in addition to the amounts that were requested for the Stockpile and vaccine development. Additional funds also are provided to expand

State and local capacity to detect and respond to bioterrorism. This

includes funds for enhanced laboratory and epidemiological capacity, and electronic communications.

The Committee commends CDC for its efforts to develop new

rapid diagnostic tests to detect bioterrorist agents and urges CDC

to enhance these efforts, including the development of rapid oral

fluid tests.

GENERAL PROVISIONS

Sec. 201. The Committee continues a provision to limit the

amount available for official reception and representation expenses.

Sec. 202. The Committee continues a provision to limit the number of Public Health Service employees assigned to assist in child

survival activities and to work in AIDS programs through and with

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funds provided by the Agency for International Development, the

United Nations International Children’s Emergency Fund or the

World Health Organization.

Sec. 203. The Committee continues a provision to prohibit the

use of funds to implement section 399L(b) of the Public Health

Service Act or section 1503 of the NIH Revitalization Act of 1993.

Sec. 204. The Committee modifies a provision included in last

year’s bill to limit the salary of an individual through an NIH or

SAMHSA grant or other extramural mechanism to not more than

Executive Level II.

Sec. 205. The Committee continues a provision to prohibit the

Secretary from using evaluation set-aside funds until the Committee receives a report detailing the planned use of such funds.

Sec. 206. The Committee modifies a provision included in last

year’s bill to provide the Secretary with one percent transfer authority of discretionary funds, but changes the amount an appropriation can be increased to 10 percent.

Sec. 207. The Committee continues a provision to provide the Director of NIH, jointly with the Director of the Office of AIDS Research, the authority to transfer up to three percent of human immunodeficiency virus funds.

Sec. 208. The Committee continues a provision to make NIH

funds available for human immunodeficiency virus research available to the Office of AIDS Research.

Sec. 209. The Committee continues a provision to prohibit the

use of Title X funds unless the applicant for the award certifies to

the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides

counseling to minors on how to resist attempts to coerce minors

into engaging in sexual activities.

Sec. 210. The Committee continues a provision related to the

Medicare+Choice program.

Sec. 211. The Committee continues a provision stating that no

provider of services under title X shall be exempt from any State

law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.

Sec. 212. The Committee continues a provision to exempt States

from Synar provisions if certain funding criteria are met.

Sec. 213. The Committee continues a provision to allow CDC

international HIV/AIDS and other infectious disease, chronic and

environmental disease, and other health activities abroad to be

spent under the State Department Basic Authorities Act of 1956.

Sec. 214. The Committee continues a provision to permit the Division of Federal Occupational Health to use personal services contracting to employ professional management/administrative and occupational health professionals.

Sec. 215. The Committee includes a new provision to delay NIH

obligations of $3,875,000,000 until September 30, 2002.

TITLE III—DEPARTMENT OF EDUCATION

The Committee notes that the House Committee on Education

and the Workforce and the Senate Committee on Health, Education, Labor and Pensions are nearing completion of a reauthorization of the Elementary and Secondary Education Act. The President submitted his budget reflecting his proposals for the reauthorVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00133 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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ization. The Committee has provided funding for programs

included in the Elementary and Secondary Education Act reauthorization under the structure outlined in H.R. 1 as passed by the

House.

The Committee continues to emphasize the importance of developing clear, measurable outcomes for programs within the Department of Education as outlined in the Government Performance and

Results Act. It is vital that the Committee be provided with information on the actual results achieved by the programs, not simply

the number of students affected by the program or the quantity of

materials distributed. Program outcomes should, to the extent possible, focus on the achievement improvements that result to students and teachers in the classroom as a result of the Federal investment. Programs that are able to demonstrate these results over

time will be considered higher funding priorities than programs

that are unable to clearly demonstrate their value to the American

public.

EDUCATION FOR THE DISADVANTAGED

The bill includes $12,547,900,000 for the disadvantaged pro- grams. This amount is $1,537,279,000 more than the budget request and $2,854,279,000 above the fiscal year 2001 appropriation.

This appropriation account includes compensatory education programs authorized under title I of the Elementary and Secondary

Education Act of 1965.

Grants to local educational agencies

Of the amounts provided for Title I programs, $8,037,000,000 is

available for basic grants to local education agencies and State administration. This is $639,029,000 above the amount for the 2001– 2002 school year and $799,279,000 above the request. Funding for

concentration grants, which targets funds to Local Education Agencies in counties with high levels of disadvantaged children, is

$1,684,000,000, $319,250,000 above last year and $320,000,000

above the request level. An additional $779,000,000 is included for

targeted grants, $320,000,000 above the request. Targeted grants

were not funded in fiscal year 2001.

Of the total of $10,500,000,000 made available for school year

2002–2003 for grants to LEAs, $3,741,700,000 is appropriated for

fiscal year 2002 for obligation after July 1, 2002 and

$6,758,300,000 is appropriated for fiscal year 2003 for obligation

on, or after, October 1, 2002.

Financial assistance flows to school districts by formula, based in

part on the number of school-aged children from low-income families. Within districts, local school officials target funds on school attendance areas with the greatest number or percentage of children

from poor families. Local school districts develop and implement

their own programs to meet the needs of disadvantaged students.

Funds under this account will also be used to pay the Federal

share of State administrative costs for title I programs. The maximum State administration grant is equal to 1 percent of title I

local educational agency plus State agency grants to the State, or

$400,000, whichever is greater. These funds are included in the

grants to local educational agencies account, rather than being a

separate line item.

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The Committee does not include a ‘‘100 percent hold harmless’’ legislative rider for the Title I program for fiscal year 2001. The

Committee notes that the budget request also rejects this provision.

The Committee believes that such legislative riders unfairly penalize underprivileged and immigrant children in growing states, including Arizona, Arkansas, California, Connecticut, Florida, Georgia, Hawaii, Montana, Nevada, New Mexico, New York, North

Carolina, South Carolina, Texas, Virginia, and the District of Columbia. These states represent over half of the U.S. population of

underprivileged schoolchildren.

The Committee recognizes the need for proven, research-based,

structured learning systems that incorporate mentoring, both parental and communal, to improve reading levels among elementary

school children attending schools eligible for Title I. The Committee

recommends that schools eligible for Title I investigate reading programs like the HOSTS (Help One Student To Succeed) program to

improve reading levels.

Demonstrations of comprehensive school reform

The bill includes $310,000,000 for demonstrations of comprehen- sive school reform. This is $50,000,000 above the budget request

and $100,000,000 above the fiscal year 2001 level. This program

provides schools with funds to develop and implement school reforms based on reliable research that will enable children to meet

State academic standards.

Capital expenses for private school students

The Committee recommends no funding for capital expenses

grants for private schools. This amount is the same as the Administration’s request and $6,000,000 below the fiscal year 2001

amount.

Capital expenses grants were authorized to pay some of the additional costs of providing title I services to children who attend nonpublic schools. A 1985 U.S. Supreme Court decision, Aguilar v.

Felton, determined that public school teachers or other employees

could not be sent to sectarian nonpublic schools for the purpose of

providing title I services. The capital expenses grants were used for

rental of classroom space in neutral sites (i.e., locations other than

private or public schools), rental of mobile vans used for title I instruction, or transportation of nonpublic pupils to public schools or

neutral sites.

The United States Supreme Court recently reconsidered, and reversed, its decision in the Aguilar case and both the budget request

and the Committee’s recommendation implement a policy of discontinuing this program. The Committee notes that school districts

may continue to reserve funds from their annual Title I allocations

to cover extra expenses involved in providing services to privateschool students.

Even Start

The Committee provides $260,000,000 for Even Start,

$10,000,000 above both last year and the request. Even Start provides demonstration grants for model programs of joint education

of disadvantaged children, aged 1–7 years, who live in title I target

school attendance areas, plus their parents who are eligible to be

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served under the Adult Education Act. These parents are not in

school, are above the State’s compulsory school attendance age

limit, and have not earned a high school diploma (or equivalent).

At appropriations levels above $50,000,000, Even Start funds are

allocated to the States, generally in proportion to title I basic

grants.

The Committee encourages the Secretary to use funds available

for program improvement and technical assistance to provide training and technical assistance to local Even Start programs identified

by States as in need of such support. Technical assistance activities

should include assistance to personnel to help them meet the qualifications for instructional personnel set forth in the Even Start

statute and training and materials to ensure instructional programs in reading include the essential components of reading instruction as specified in Title I(B) of the Elementary and Secondary

Education Act, as reauthorized, and are based on scientificallybased reading research. The Committee urges technical assistance

providers to consult with the National Institute of Child Health

and Human Development for guidance in identifying literacy and

reading instructional approaches and practices that are based on

such scientific research.

The Committee notes the work of the National Even Start Association, the National Center for Family Literacy, the National Institute for Literacy and the William F. Goodling Institute for Research in Family Literacy in this area and encourages the Secretary to consider the expertise of such organizations when making

technical assistance and training awards.

Reading First State Grants

The bill provides $900,000,000 for Reading First State grants,

the same as the budget request. This is a new program to provide

assistance to states and school districts in establishing scientific research-based reading programs for all children in kindergarten

through grade three. The program also provides for professional development and other supports to ensure that teachers can identify

children at-risk for reading failure and provide the most effective

early instruction to overcome specific barriers to reading proficiency.

The Committee is impressed with a recent project conducted in

the District of Columbia Public Schools which provided instructional programs that focus on the research-based components critical to success in learning to read and spell—phonemic awareness,

alphabetic and orthographic knowledge, vocabulary and text comprehension instruction—within a literature-rich environment. The

Committee urges the Secretary to seek ways to build on the momentum created by this project to improve reading achievement for

all students in the District of Columbia Public Schools.

Early Reading First

The bill provides $75,000,000 for Early Reading First, the same

as the budget request. This is a new competitive grant program

targeted towards children ages three through five, and would support the development of verbal skills, phonemic awareness, prereading development, and assistance for professional development

for teachers in evidence-based strategies of instruction.

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The Committee is aware of the work of the Reach Out and Read

Program, which trains pediatricians and nurse practitioners to

make early literacy a standard part of pediatric care. The Committee encourages the Secretary to continue to support innovative

approaches such as this to improving the literacy and reading readiness of our Nation’s youth.

State agency programs: migrant

The bill includes $410,000,000 for the migrant education pro- gram, $30,000,000 above the budget request and the fiscal year

2001 appropriation. This program supports formula grants to State

agencies for the support of special educational and related services

to children of migratory agricultural workers and fishermen. The

purpose of this program is to provide supplementary academic education, remedial or compensatory instruction, English for limited

English proficient students, testing, plus guidance and counseling.

State agency programs: neglected and delinquent

For the State agency program for neglected and delinquent chil- dren, the bill includes $46,000,000; this level is the same as the

budget request and the same as the fiscal year 2001 appropriation.

This formula grant program provides services to participants in institutions for juvenile delinquents, adult correctional institutions,

or institutions for the neglected.

Evaluation

The Committee provides $8,900,000 for evaluation, the same as

the 2001 appropriation and the budget request. Title I evaluation

supports large scale national evaluations that examine how title I

is contributing to improved student performance at the State, local

education agency, and school levels. It also supports short-term

studies that document promising models and other activities to

help States and local education agencies implement requirements

in the title I statute.

Migrant education, high school equivalency program

The bill includes $23,000,000 for the high school equivalency pro- gram. This amount is $3,000,000 above the budget request and the

fiscal year 2001 level. The high school equivalency program recruits migrant students aged 16 and over and provides academic

and support services to help those students obtain a high school

equivalency certificate and subsequently to gain employment or admission to a postsecondary institution or training program.

College assistance migrant programs

The bill includes $15,000,000 for the college assistance migrant

programs. This amount is $5,000,000 above the budget request and

the fiscal year 2001 level. The college assistance migrant program

(CAMP) provides tutoring and counseling services to first-year, undergraduate migrant students and assists those students in obtaining student financial aid for their remaining undergraduate years.

IMPACT AID

The bill provides $1,130,500,000 for Federal impact aid programs

in fiscal year 2002, an increase of $137,198,000 above the fiscal

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year 2001 appropriation and the same as the budget request. This

account supports payments to school districts affected by Federal

activities. Impact Aid represents a federal responsibility to local

schools educating children whose families are connected with the

military or who live on Indian land.

Basic support payments

The bill includes $982,500,000 for basic support payments to local educational agencies, an increase of $100,500,000 above the

fiscal year 2001 appropriation and the budget request. Basic support payments compensate school districts for lost tax revenue and

are made on behalf of Federally-connected children such as children of members of the uniformed services who live on Federal

property.

Payments for children with disabilities

The Committee recommends $50,000,000 for payments on behalf

of Federally-connected children with disabilities, the same as the

budget request and the fiscal year 2001 appropriation. These payments compensate school districts for the increased costs of serving

Federally-connected children with disabilities.

Facilities maintenance

The Committee recommends $8,000,000 for facilities maintenance, the same as both the fiscal year 2001 amount and the budget request. These capital payments are authorized for maintenance

of certain facilities owned by the Department of Education.

Construction

The Committee recommends $35,000,000 for the construction

program, an increase of $22,198,000 above the fiscal year 2001 appropriation and $115,000,000 below the budget request. This program provides grants to eligible locally owned school districts for

building and renovating school facilities.

Payments for Federal property

The bill provides $55,000,000 for payments related to Federal property, an increase of $14,500,000 above the fiscal year 2001 appropriation and the budget request. Funds are awarded to school

districts to compensate for lost tax revenue as the result of Federal

acquisition of real property since 1938.

SCHOOL IMPROVEMENT PROGRAMS

The bill includes $7,673,084,000 for school improvement programs. This amount is $1,833,386,000 more than the comparable

fiscal year 2001 appropriation and $1,284,290,000 above the budget

request for comparable programs. This appropriation account includes programs authorized under titles II, IV, V, VII and IX of the

Elementary and Secondary Education Act as reauthorized by the

House; title VIII of the Higher Education Act and title IV–A of the

Civil Rights Act.

State Grants for Improving Teacher Quality

The bill includes $3,175,000,000 for state grants for improving

teacher quality, which is $575,000,000 above the budget request.

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This new program consolidates the Eisenhower professional development program and the class size reduction program. States are

authorized to retain 5 percent of funds for state activities, including reforming teacher certification, re-certification or licensure requirements; expanding, establish or improving alternative routes to

state certification; carrying out programs that include support during the initial teaching and leadership experience, such as mentoring programs; assisting school districts in effectively recruiting

and retaining highly qualified and effective teachers and principals;

reforming tenure systems; and developing professional development

programs for principals.

States send funding to the local level by formula and by competitive grant. Among other things, local uses of funds include initiatives to assist recruitment of principals and fully qualified teachers;

initiatives to promote retention of highly qualified teachers and

principals; programs designed to improve the quality of the teacher

force; teacher opportunity payments; professional development activities; teacher advancement initiatives and hiring fully qualified

teachers in order to reduce class size.

States must also award between 15 and 20 percent of funds on

a competitive basis to eligible partnerships for math and science

programs.

Transition to Teaching/Troops to Teachers

The bill includes $50,000,000 for transition to teaching/troops to teachers, $20,000,000 above the budget request. This program was

not funded as a separate line item in fiscal year 2001; however,

$34,000,000 was provided for this purpose through other Departmental programs. This program is designed to assist eligible members of the armed forces to obtain certification or licensure as elementary and secondary school teachers, or vocational or technical

teachers. The transition to teachers program is based on the model

of the troops to teachers program and would address the need of

high-need school districts for highly qualified teachers.

Eisenhower Professional Development: State grants and national

programs

The bill does not include funding for the Eisenhower professional

development programs. These programs have been consolidated

into the state grants for improving teacher quality program by H.R.

1, as described above. The Eisenhower professional development

state grant program was funded at $485,000,000 in fiscal year

2001. National programs were funded at $41,000,000 in fiscal year

2001.

Innovative Education Program Strategies State Grants

The Committee recommends $385,000,000 for State grants under

Innovative Education Program Strategies, the same as the fiscal

year 2001 level. The President did not request funding for this program. This program provides funding to State and local educational

agencies for obtaining technology and training in technology related to the implementation of school based reform; acquiring and

using educational materials; improving educational services for disadvantaged students; combating illiteracy among children and

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dren; and implementing school improvement and parental involvement activities under ESEA Title I.

Class size reduction

The bill does not include funding for the class size reduction program. This program has been consolidated into the state grants for

improving teacher quality program by H.R. 1, as described above.

The class size reduction program was funded at $1,623,000,000 in

fiscal year 2001.

School renovation

The bill does not include funding for the school renovation grants to states. This program was funded at $1,200,000,000 in fiscal year

2001, but has not been reauthorized in the House bill. The budget

did not request funding for it.

Education technology

The bill includes $1,000,000,000 for Education Technology. This amount is $182,904,000 above the budget request and $152,404,000

above the comparable fiscal year 2001 appropriations for federal

education technology programs that have been consolidated under

H.R. 1. Funding for education technology programs was previously

provided under the Education Reform account.

A variety of technology programs, including the technology literacy challenge fund, technology innovation challenge grants, regional technology in education consortia, teacher training in technology, community-based technology centers, technology leadership

activities, and star schools, were previously funded by the Committee through a separate account. As a result of reauthorization,

these federal technology programs are being streamlined into a single performance-based technology grant program to states. Under

this program, states would be required to direct ninety-five percent

of the funds to school districts for increasing access to technology,

especially for high-need schools; improving and expanding teacher

professional development in technology; and promoting innovative

state and local initiatives using technology to increase academic

achievement.

The Secretary is encouraged to examine the rapidly-growing use

of hand-held computer technology. Handheld computing is rapidly

becoming more affordable, enhancing the cost effectiveness of this

approach, especially when coupled with wireless technology.

The Committee continues to support interactive, computer natural learning programs that are already being used to deliver textbook materials and integrate technology into elementary and secondary pre-algebra and algebra classrooms.

Ready to Learn, Ready to Teach

The bill includes $16,000,000 for the Ready to Learn/Ready to

Teach program, the same as the 2001 amount for Ready to Learn

Television. The President’s budget did not request funding for this

program. Funding for the Ready to Learn program was previously

provided under the Education Reform account.

The Ready to Learn Television program and the Telecommunications Demonstration Project for Mathematics have been combined under a new program called Ready to Learn, Ready to Teach

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under H.R. 1 as passed by the House. Program objectives include

the development and distribution of educational and instructional

video programming for preschool and elementary school children

and their parents and developing digital content and a national

telecommunications program to improve the teaching of core academic subjects.

21st century community learning centers

The bill provides $1,000,000,000 for 21st century community

learning centers, $154,386,000 above the budget request and the

fiscal year 2001 level. Funding for this program was previously provided under the Education Reform account.

This program is being reauthorized as a formula grant to states.

Ninety-five percent of funds would be distributed on a competitive

basis from the state to local school districts, community-based organizations and other public entities and private organizations.

Grantees must target students who attend low-performing schools.

Funds may be used for before and after school activities that advance student academic achievement including remedial education

and academic enrichment activities; math, science, arts, music, entrepreneurial and technology education; tutoring and mentoring;

recreational activities; and expanded library service hours. The

Committee encourages grantees to include activities which promote

student self-esteem, with a goal of reducing the incidence of teen

pregnancy, by working with young people to develop stronger perceptions of themselves and to become active participants in their

communities.

Small, safe, and successful high schools

The bill provides $200,000,000 for small, safe and successful high

schools. This is an increase of $75,000,000 over the fiscal year 2001

level. The Administration did not request funding for this program.

Funding for this program was previously provided under the Education Reform account.

These funds shall be used only for activities related to the redesign of large high schools enrolling 1,000 or more students. The

Committee directs that fiscal year 2002 funds for Smaller Learning

Communities be used for both one-year planning, as well as threeyear implementation, grants and allocated giving consideration to

the number of applications received for each type of grant, the

quality of those applications, and the applicants’ demonstrated

need for assistance. In addition, the Committee directs the Department to submit prior to December 31, 2001, a plan describing how

the Smaller Learning Communities Program will be administered

within the Department and the planned allocation of funds for

evaluation, technical assistance, outreach, school networks, and

peer review. Further, the Committee expects the Department to

consult with the Committee on the fiscal year 2002 program guidance for the Smaller Learning Communities Program, and to continue outreach and technical assistance activities during fiscal year

2002 to help ensure that school districts are aware that smaller

schools and smaller learning communities are effective, researchbased strategies to improve student safety, morale, retention, and

academic achievement.

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Safe and drug-free schools and communities

The Committee recommends $644,250,000 for the Safe and Drug

Free Schools and Communities Act. This funding level is the same

as both the budget request and the fiscal year 2001 level.

Safe and drug-free schools and communities: State grants

The Committee bill includes $527,250,000 for the State grants program, $20,362,000 below the budget request and $88,000,000

above the fiscal year 2001 level. The program supports State formula grants for comprehensive, integrated approaches to drug and

violence prevention. Local educational agencies must use their

funds to implement a drug and violence prevention program for

students and employees. The Committee notes that the Department released a list of ‘‘promising and exemplary’’ safe and drug

free schools program models, as identified by an expert panel, on

January 18, 2001. This list has subsequently caused some confusion within communities. The Committee notes that funding for

local programs under the Safe and Drug Free Schools program is

not restricted to models appearing on this list. The Committee encourages the Department of clarify this matter with applicants.

Safe and drug-free schools and communities: national programs

For the national programs under the Safe and Drug-Free Schools and Communities Act, the bill provides $117,000,000, $38,000,000

below the fiscal year 2001 amount and $20,362,000 above the budget request. Under this program, the Secretary of Education administers a variety of activities to prevent the illegal use of drugs and

violence among, and promote safety and discipline for, students at

all educational levels, preschool through postsecondary. Within the

amount provided for national programs, the Committee has included $68,150,000 for the Safe Schools/Healthy Students initiative. These funds will enable the Department to make new awards

in fiscal year 2002 and to continue its participation, along with the

Departments of Health and Human Services and Justice, in this

interagency initiative to help communities adopt comprehensive

and coordinated strategies to improve school safety.

Safe and drug-free schools and communities: coordinator initiative

The bill does not include funding for the coordinator initiative. This program was funded at $50,000,000 in fiscal year 2001, but

has not been reauthorized as a separate line item in H.R. 1 as

passed by the House. The budget did not request funding for it.

Choice and Innovation State grants

The bill does not include $471,500,000 for this new program requested by the Administration. This program has not been authorized. Activities proposed to be funded by this program are funded

in other programs throughout this bill.

State assessments

The bill includes $400,000,000 for state assessments, $80,000,000

above the budget request. This is a new program which will provide states funding to develop annual assessments and to carry out

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activities related to ensuring accountability for results in the

state’s schools and school districts.

Reform and Innovation Fund

The bill does not include funding for the reform and innovation

fund. This is a new program for which the Administration requested $40,000,000. The program would reward states that make

significant progress in academic achievement for students. The primary indicators of state academic programs will be the state assessments. However, since states are not required to have their assessments in place until the 2004–2005 school year, no state will

qualify for a reward in fiscal year 2002 and funding in this fiscal

year is not necessary.

Inexpensive book distribution (reading is fundamental)

The bill provides $23,000,000 for the inexpensive book distribution program, the same as the fiscal year 2001 appropriation. The

Administration did not request funding for this program. This program makes an award to Reading is Fundamental, Inc., to buy inexpensive books, offer them through local community programs to

children from low-income families, and motivate children to read.

Federal funds provide for up to 75 percent of the costs of the books.

Arts in education

The bill provides $30,000,000 for the arts in education program.

This is $2,000,000 above fiscal year 2001 and $30,000,000 above

the budget request. This program supports arts programs in elementary and secondary education and supports demonstration programs for the involvement of disabled persons in the arts. Within

the amount provided in the bill, the Committee intends that the

following allocations be made: $7,000,000 for the Very Special Arts,

$6,000,000 for the John F. Kennedy Center for the Performing Arts

arts education programs; $4,000,000 for activities authorized under

subpart 2 of the Arts in Education program; and $2,000,000 for

model professional development programs for music educators.

Magnet schools assistance

The bill includes $110,000,000 for the magnet schools assistance

program, the same as the budget request and the same as the fiscal year 2001 level. The Committee directs the Secretary, when allocating these funds, to give priority for funding to the highestquality applications remaining from the previous year’s competition

before funding applications approved in a new competition. The

committee includes no funds for a new competition for magnet

schools innovative programs.

The magnet schools assistance program awards competitive

grants to local educational agencies for use in establishing or operating magnet schools that are part of a desegregation plan approved by a court or by the Department of Education’s Office for

Civil Rights. A magnet school is defined by the statute as ‘‘a school

or education center that offers a special curriculum capable of attracting substantial numbers of students of different racial backgrounds.’’ A funding priority is given to local educational agencies

that have not participated during the most recent funding cycle.

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Education for homeless children and youth

For the education of homeless children and youth program, the Committee recommends $50,000,000. This level is $15,000,000

above the budget request and the fiscal year 2001 appropriation.

Grants are allocated to States in proportion to the total that each

State receives under the title I program. For local grants, at least

50 percent must be used for direct services to homeless children

and youth, including tutoring or remedial or other educational

services.

Women’s educational equity

The bill includes $3,000,000 for Women’s Educational Equity. This program was funded at $3,000,000 in fiscal year 2001. The

Administration did not request funding for it. This program supports projects, technical assistance and dissemination activities to

promote educational equity for girls and women including those

who suffer multiple discrimination based on gender and race, ethnicity, national origin, disability, or age.

Training and advisory services

The bill includes $7,334,000 for training and advisory services

authorized by title IV–A of the Civil Rights Act. This amount is the

same as the budget request and the fiscal year 2001 amount. Title

IV–A authorizes technical assistance and training services for local

educational agencies to address problems associated with desegregation on the basis of race, sex, or national origin. Competitive

awards are made to civil rights units within State educational

agencies and to regional desegregation assistance centers. The Department awards 3-year grants to regional equity assistance centers (EACs) located in each of the 10 Department of Education regions. The EACs provide services to school districts upon request.

Typical activities include disseminating information on successful

education practices and legal requirements related to nondiscrimination on the basis of race, sex, and national origin in educational programs; training designed to develop educators’ skills in

specific areas, such as the identification of race and sex bias in instructional materials; increasing the skills of educational personnel

in dealing with race-based confrontations such as hate crimes; and

providing technical assistance in the identification and selection of

appropriate educational programs to meet the needs of limited

English proficient students.

Ellender fellowships/Close-Up

The bill provides $1,500,000 for Ellender fellowships, the same as the fiscal year 2001 level and $1,500,000 above the budget request.

The Ellender fellowship program makes an award to the Close-Up

Foundation of Washington, D.C. This organization provides fellowships to students from low income families and their teachers to

enable them to participate with other students and teachers for a

week of seminars on government and meetings with representatives of the three branches of the Federal government.

Education for native Hawaiians

The Committee recommends $28,000,000 for education for Native

Hawaiians, the same as the budget request and the fiscal year

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2001 amount. A number of programs limited to Native Hawaiians

are supported with these funds, including a model curriculum

project, family-based education centers, postsecondary education

fellowships, gifted and talented education projects, and special education projects for disabled pupils.

Alaska native education equity

The Committee recommends $15,000,000 for the Alaska native

education equity program, the same as both the budget request and

the fiscal year 2001 amount. These funds are used to develop supplemental educational programs to benefit Alaska natives.

Rural Education

The bill includes $200,000,000 for a new program to provide

rural school districts with resources. The budget did not request

funding for this program.

A school district would be eligible to receive services if the total

number of students in average daily attendance at all the schools

in the district is less than 600, and all the schools served by the

district are designated by the Secretary of Education to be in a

rural area. Funds would be allocated by formula to states and

could be used for teacher recruitment and retention; teacher professional development; education technology; parental involvement activities; or programs to improve student academic achievement.

The budget did not request funding for this program.

Character Education

The bill includes $25,000,000 for character education programs.

The President’s budget requested $25,000,000 for these activities

under a separate program. Comparable fiscal year 2001 funding for

this activity was $7,800,000. Funds would be used for grants to

states, school districts or a consortia of such agencies for the design

and implementation of character education programs that can be

integrated in state academic content standards and carried out in

conjunction with other educational reform efforts.

Mentoring programs

The bill includes $30,000,000 for a new mentoring program

which would provide competitive grants to school districts to promote mentoring programs for children with the greatest need. The

budget did not request funding for this program.

For the last two years the Committee has provided project funding for school-based mentoring, which has resulted in the establishment of 40,000 new one-to-one, school-based mentoring relationships in the United States. The Committee supports this type of effort to serve more at-risk children.

Charter schools

The Committee recommends $200,000,000 for support of charter

schools, the same as the budget request and $10,000,000 above the

fiscal year 2001 amount. Charter schools are developed and administered by individuals or groups of individuals, which may include

teachers, administrators, and parents. These groups enter into

charters for operation of their schools, which must be granted exemptions from State and local rules that limit flexibility in school

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operation and management. Under this program, grants are made

to State educational agencies in States that have charter school

laws; the State educational agencies will in turn make sub-grants

to authorized public chartering agencies in partnerships with developers of charter schools.

Charter schools homestead fund

The bill does not include $175,000,000 for this new program requested by the Administration. This program has not been authorized.

Comprehensive regional assistance centers

The Committee recommends $28,000,000 for comprehensive regional assistance centers, the same as the fiscal year 2001 amount

and the budget request. These funds are intended to continue the

existing centers for an additional year. This program supports 15

comprehensive regional technical assistance centers for improving

ESEA programs.

Advanced placement test fee program

The Committee recommends $22,000,000 for advanced placement

fees. This recommendation is the same as the budget request and

the fiscal year 2001 amount. The advanced placement test fee program awards grants to States to enable them to cover part or all

of the cost of advanced placement test fees of low-income students

who are enrolled in advanced placement classes and plan to take

the advanced placement test. This program also supports competitive grants to states for programs that encourage greater participation by low-income students in advanced placement courses.

READING EXCELLENCE ACT

The bill does not include funding for the Reading Excellence Act, which was funded at $286,000,000 in fiscal year 2001. Funding for

this Act was not requested by the President. The Committee notes

that reading activities are part of the reauthorization of the Elementary and Secondary Education Act, and are included under the

Reading First State grants and Early Reading First programs in

the Education for the Disadvantaged account.

INDIAN EDUCATION

The bill includes $123,235,000 for Indian education. This amount

is $7,735,000 above the fiscal year 2001 appropriation and

$7,235,000 above the budget request. This account supports programs authorized by part A of Title IX of the Elementary and Secondary Education Act and section 215 of the Department of Education Organization Act.

Grants to local education agencies

The bill provides $100,000,000 for grants to local education agencies, $7,235,000 above the budget request and the fiscal year 2001

amount. This program provides assistance through formula grants

to school districts and schools supported or operated by the Bureau

of Indian Affairs. The purpose of this program is to reform elementary and secondary school programs that serve Indian students, including preschool children. Grantees must develop a comprehensive

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plan and assure that the programs they carry out will help Indian

students reach the same challenging standards that apply to all

students. This program supplements the regular school program to

help Indian children sharpen their academic skills, bolster their

self-confidence, and participate in enrichment activities that would

otherwise be unavailable.

Special programs for Indian children

The Committee recommends $20,000,000 for special programs for

Indian children, the same as fiscal year 2001 and the budget request. These programs make competitive awards to improve the

quality of education for Indian students. This program also funds

a new Indian Teacher Corps, which hopes to train over 1,000 Indian teachers over a five-year period to take positions in schools

that serve concentrations of Indian children.

National activities

The bill provides $3,235,000 for national activities, $500,000

above fiscal year 2001 and the same as the budget request. Funds

under this authority support research, evaluation and data collection to provide information on the status of education for the Indian population and on the effectiveness of Indian education programs.

BILINGUAL AND IMMIGRANT EDUCATION

The bill includes $700,000,000 for bilingual and immigrant education programs. This amount is $240,000,000 above the budget request and the comparable fiscal year 2001 appropriation levels for

programs that have been consolidated in this account under H.R.

1 as passed by the House.

Existing bilingual and immigrant education programs have been

consolidated into a single state grant program under the House reauthorization bill. This program will distribute funds to states

based on the number of limited English proficient children in each

states, rather than by competitive award as is currently the case

for the bilingual education instructional services, support services

and professional development programs. School districts would be

able to choose the method of instruction they would use to teach

limited English proficient children, and states would be required to

monitor the progress in moving children into regular English classes.

SPECIAL EDUCATION

The bill includes $8,860,076,000 for programs for children with

disabilities authorized under the Individuals with Disabilities Education Act (IDEA). This funding level is $434,481,000 above the

budget request and $1,420,128,000 above the fiscal year 2001 appropriation.

State Grants: Grants to States for special education

The bill provides $7,714,685,000 for grants to States, which is

$375,000,000 above the budget request and $1,375,000,000 above

the fiscal year 2001 level. Out of the total made available for school

year 2002–2003, $2,642,685,000 is appropriated for fiscal year 2002

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for obligation after July 1, 2002 and $5,072,000,000 is appropriated

for fiscal year 2003 for obligation on, or after, October 1, 2002.

This program provides formula grants to assist the States in

meeting the excess costs of providing special education and related

services to children with disabilities. In order to be eligible for

funds, States must make free appropriate public education available to all children with disabilities. Starting in fiscal year 2000,

funds are being distributed based on the amount that each state

received from the fiscal year 1999 appropriation, and the numbers

of children in the general population and who live in poverty in the

age range for which each states mandates free appropriate public

education for children with disabilities.

State grants: Preschool grants

The bill provides $390,000,000 for preschool grants, the same as

the fiscal year 2001 level and the budget request. This program

provides grants to States on the basis of their proportionate share

of the total number of children in the 3 through 5 age range and

the number of these children living in poverty. These funds are

provided in order to assist States to make a free appropriate education available to all children with disabilities in the 3 through 5

age range.

State Grants: Grants for infants and families

The bill provides $430,000,000 for grants for infants and fami- lies, $46,433,000 above both the fiscal year 2001 level and the

budget request. This formula grant program assists States in developing and implementing statewide systems of coordinated, comprehensive, multidisciplinary, interagency programs to make available early intervention services to all children with disabilities,

aged birth through 2, and their families.

IDEA National Program: State improvement

The bill includes $54,200,000 for State improvement, $5,000,000

above both the budget request and the fiscal year 2001 appropriation. This program supports competitive grants to State educational agencies to assist them, in partnership with parents,

teachers, institutions of higher education, interest groups, and others, to improve results for children with disabilities by reforming

and improving their educational, early intervention, and transitional service systems. Among these systems are those for professional development, technical assistance, and dissemination of

knowledge about best practices. Awards are based on State improvement plans developed by the States.

The House Committee on Government Reform held a hearing recently looking at the challenges of special education and the implementation of IDEA. It was learned that the dramatic rise of autism

rates across the country is exacerbating the shortage of qualified

special education teachers, school nurses, occupational and speech

therapists as well as placing a significant financial burden on state

and local special education budgets. The Department is encouraged

to examine how special education teacher development funds are

being spent, and to examine innovative mechanisms to recruit

qualified professionals to fill the special education needs across the

nation.

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IDEA National Program: Research and innovation

The bill includes $70,000,000 for research and innovation,

$7,353,000 below the fiscal year 2001 level and the same as the

budget request. This program supports competitive awards to

produce and advance the use of knowledge to improve services and

results for children with disabilities. The program focuses on producing new knowledge, integrating research and practice and improving the use of knowledge.

IDEA National Program: Technical assistance and dissemination

The bill includes $53,481,000 for technical assistance and dissemination, the same as the budget request and the fiscal year

2001 appropriation. This program provides technical assistance and

information through competitive awards that support institutes, regional resource centers, clearinghouses, and efforts to build State

and local capacity to make systemic changes and improve results

for children with disabilities.

IDEA National Program: Personnel preparation

The bill includes $90,000,000 for personnel preparation, which is

$8,048,000 above the budget request and the fiscal year 2001 appropriation. This program supports competitive awards to help address State-identified needs for qualified personnel to work with

children with disabilities, and to ensure that those personnel have

the skills and knowledge they need to serve those children. Awards

focus on addressing the need for personnel to serve low incidence

populations and high incidence populations, leadership personnel,

and projects of national significance.

IDEA National Program: Parent information centers

The bill includes $26,000,000 for parent information centers, the

same as the fiscal year 2001 level and the budget request. 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. Technical assistance is also provided under this program for developing,

assisting and coordinating centers receiving assistance under this

program.

IDEA National Program: Technology and media services

The bill includes $31,710,000 for technology and media services,

which is $5,500,000 below the fiscal year 2001 appropriation and

the same as the budget request. This program makes competitive

awards to support the development, demonstration, and use of

technology and educational media activities of educational value to

children with disabilities.

The bill includes $9,500,000 for Recording for the Blind and

Dyslexic, the same as the amount appropriated for 2001. These

funds support continued production and circulation of recorded

textbooks, increased outreach activities to print-disabled students

and their teachers, and an accelerated use of digital technology.

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The Committee continues to recognize the importance of very

small businesses in increasing the quality and cost-effectiveness of

the television captioning program. As this program transitions into

a mandatory program under the Telecommunications Act, the Committee urges the Department to give full and fair consideration to

the applications of very small businesses.

REHABILITATION SERVICES AND DISABILITY RESEARCH

The bill includes $2,942,117,000 for rehabilitation services and

disability research. This amount is $12,000,000 above the budget

request and $136,778,000 above the fiscal year 2001 appropriation.

The programs in this account are authorized by the Rehabilitation

Act of 1973, the Helen Keller National Center Act, and the Assistive Technology Act of 1998.

Vocational rehabilitation grants to States

For vocational rehabilitation State grants, the bill includes

$2,481,383,000, $81,593,000 above fiscal year 2001 and the same as

the budget request. This program supports basic vocational rehabilitation services through formula grants to the States. These

grants support a wide range of services designed to help persons

with physical and mental disabilities prepare for and engage in

gainful employment to the extent of their capabilities. Emphasis is

placed on providing vocational rehabilitation services to persons

with the most significant disabilities.

The Committee intends that, in reallocating any fiscal year 2002

funds that become available for reallocation to states under the reallotment process authorized under section 110(b) of the Rehabilitation Act, the Department accord priority to states that received

a formula allocation providing less than the cost-of-living adjustment in fiscal year 2002 and to the early implementation states

under the Ticket to Work and Self Sufficiency Program that have

experienced an increase in the number of eligible applicants as a

result of the implementation of this program.

Client assistance

The bill includes $11,647,000 for the client assistance program,

the same as the budget request and the fiscal year 2001 amount.

A client assistance program is required in each State as a condition

of receipt of a basic State grant. State formula grants are used to

help persons with disabilities overcome problems with the service

delivery system and improve their understanding of services available to them under the Rehabilitation Act.

Training

For training personnel to provide rehabilitation services to persons with disabilities, the bill includes $39,629,000, the same as

the budget request and the same as the fiscal year 2001 amount.

The program supports long-term and short-term training, in-service

personnel training, and training of interpreters for deaf persons.

Projects in a broad array of disciplines are funded to ensure that

skilled personnel are available to serve the vocational needs of persons with disabilities.

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Demonstration and training programs

The bill includes $16,492,000 for demonstration and training programs, $4,600,000 below the fiscal year 2001 level and the same as

the budget request. These programs authorize discretionary awards

on a competitive basis to public and private organizations to support demonstrations, direct services, and related activities for persons with disabilities.

Migrant and Seasonal Farmworkers

For programs serving migrant and seasonal farmworkers, the bill

provides $2,350,000, which is the same as the fiscal year 2001

amount and the budget request. This program provides discretionary grants to make comprehensive vocational rehabilitation

services available to migrant and seasonal farmworkers with vocational disabilities. Projects emphasize outreach activities, specialized bilingual rehabilitation counseling, and coordination of vocational rehabilitation services with services from other sources.

Recreational programs

For recreational programs, the bill provides $2,596,000, the same

as the fiscal year 2001 amount and the same as the budget request.

This program provides individuals with recreation and related activities to aid in their employment, mobility, independence, socialization, and community integration. Discretionary grants are made

on a competitive basis to States, public agencies, and nonprofit private organizations, including institutions of higher education.

Protection and advocacy of individual rights

For protection and advocacy for persons with severe disabilities,

the bill provides $16,000,000, $2,000,000 above the budget request

and the fiscal year 2001 level. Grants are awarded to entities that

have the authority to pursue legal, administrative, and other appropriate remedies needed to protect and advocate the rights of

persons with severe disabilities.

Projects with industry

For projects with industry, the bill provides $22,071,000, the

same as both the fiscal year 2001 amount and the budget request.

This program is the primary Federal vehicle for promoting greater

participation of business and industry in the rehabilitation process.

The program provides training and experience in realistic work settings to persons with disabilities to prepare them for employment

in the competitive labor market. Awards are made to a variety of

agencies and organizations, including business and industrial corporations, rehabilitation facilities, labor organizations, trade associations, and foundations.

Supported employment State grants

For supported employment State grants, the bill includes

$38,152,000, which is the same as the fiscal year 2001 amount and

the budget request. These formula grants assist States in developing collaborative programs with public agencies and nonprofit

agencies for training and post-employment services leading to supported employment. In supported employment programs, persons

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with severe disabilities are given special supervision and assistance

to enable them to perform a job.

Independent living: State grants

For State grants for independent living, the bill includes $22,296,000. This amount is the same as both the fiscal year 2001

amount and the budget request. This program supports formula

grants to the States to provide services designed to meet the current and future needs of persons whose disabilities are so severe

that they do not presently have the potential for employment, but

who may benefit from services to enable them to live and function

independently.

Independent living: centers

For centers for independent living, the bill provides $63,000,000, which is $5,000,000 above the budget request and the fiscal year

2001 level. Discretionary grants support a network of consumercontrolled, nonresidential, community-based private nonprofit centers that provide a wide range of services to help persons with severe disabilities live more independently in family and community

settings. Centers provide information and referral services, independent living skills training, peer counseling, and individual and

systems advocacy.

Independent living: services for older blind persons

For independent living services for older blind individuals, the bill provides $25,000,000. This amount is $5,000,000 above both

the fiscal year 2001 amount and the budget request. Formula

grants support services for persons 55 years old or over whose severe visual impairment makes gainful employment extremely difficult to obtain, but for whom independent living goals are feasible.

Program improvement

For program improvement activities, the bill provides $900,000,

which is $1,000,000 below the fiscal year 2001 level and the same

as the budget request. The program: (1) Provides technical assistance and consultative services to public and non-profit private

agencies and organizations; (2) provides short-term training and

technical instruction; (3) conducts special demonstrations; (4) collects, prepares, publishes and disseminates educational or informational materials, and; (5) carries out monitoring and conducts evaluations.

Evaluation

The bill includes $1,000,000 for program evaluation, $587,000

below the fiscal year 2001 amount and the same as the budget request. These funds are used to evaluate the impact and effectiveness of individual programs authorized under the Rehabilitation

Act. Contracts are awarded on an annual basis for studies to be

conducted by persons not immediately involved in the administration of the programs authorized by the Act.

Helen Keller National Center

For the Helen Keller National Center for Deaf-Blind Youth and

Adults, the bill includes $8,717,000, which is the same as the fiscal

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year 2001 amount and the budget request. These funds are used

for the operation of the national center for intensive services for

deaf-blind individuals and their families at Sands Point, New York

and a network of 10 regional offices for referral and counseling. In

addition to support for the national and regional staff, the Helen

Keller Center provides seed money to State and private nonprofit

affiliate agencies to assist them in initiating programs for deafblind persons.

National Institute on Disability and Rehabilitation Research

The bill includes $110,000,000 for the National Institute on Disability and Rehabilitation Research, the same as the budget request and $9,600,000 above the fiscal year 2001 level. The Institute

supports research, demonstration and training activities that are

designed to maximize the employment and integration into society

of individuals with disabilities of all ages.

The Committee is pleased that the National Institute on Disability and Rehabilitation Research has recognized chronic fatigue

syndrome (CFS) as an unmet area of research and is funding a

CFS research study. The Committee encourages NIDRR to continue to pursue CFS-related research proposals and to inform educators about CFS and the special educational needs required by

students with CFS.

Assistive technology

For assistive technology activities, the bill provides $60,884,000, the same as the budget request and $19,772,000 above the fiscal

year 2001 amount. Technology assistance activities are authorized

under the Assistive Technology Act of 1998. This Act authorizes the

following activities: discretionary grants to the States to assist

them in developing statewide programs to facilitate the provision

of devices for, and services to, persons with disabilities; protection

and advocacy services related to assistive technology; discretionary

grants to the states for alternative financing programs; and technical assistance activities.

Access to telework fund

The bill includes $20,000,000 for the access to telework fund, the

same as the budget request and $20,000,000 above the fiscal year

2001 level. This program will provide grants to states to provide

loans for individuals with disabilities to purchase computers and

other equipment so they can telework from home.

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

The bill provides $13,000,000 for the American Printing House

for the Blind, an increase of $1,000,000 above the comparable fiscal

year 2001 appropriation and the budget request. This appropriation subsidizes the production of educational materials for legally

blind persons enrolled in pre-college programs. The Printing House,

which is chartered by the State of Kentucky, manufactures and

maintains an inventory of special materials that is distributed free

of charge to schools and States based on the number of blind students in each State. The Printing House also conducts research and

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field activities to inform educators about the availability of materials and how to use them.

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

The bill provides $55,376,000 for the National Technical Institute

for the Deaf (NTID), an increase of $2,000,000 above the comparable fiscal year 2001 amount and $2,806,000 above the request.

The bill allows the NTID to transfer a portion of its appropriation

to the endowment at its discretion. The Committee directs the Department to report to it within 15 days of executing such a transfer.

The bill includes $5,376,000 to remain available until expended

for construction on dormitory renovations, $806,000 more than the

budget request. The Committee notes that this will result in total

federal funding of $14,970,000 for this project, which was originally

projected to cost $12,400,000. In fiscal year 2001, the Committee

directed the Department to waive a 15 percent matching requirement proposed for this construction project.

The NTID was established by Congress in 1965 to provide a residential facility for postsecondary technical training and education

for deaf persons with the purpose of promoting the employment of

deaf individuals. The Institute also conducts applied research and

provides training in various aspects of deafness. The Secretary of

Education administers these activities through a contract with the

Rochester Institute of Technology in Rochester, New York.

GALLAUDET UNIVERSITY

The bill provides $95,600,000 for Gallaudet University, an increase of $6,200,000 above the comparable fiscal year 2001 appropriation and the budget request. The bill includes a provision that

allows Gallaudet to transfer a portion of its appropriation to the

endowment at its discretion. The Committee directs the Department to report to it within 15 days of executing such a transfer.

The Committee has provided additional funding above the request

to assist Gallaudet in making campus-wide security upgrades, including the installation of additional outdoor lighting and emergency Blue Lights.

Gallaudet is a private, non-profit educational institution Federally-chartered in 1864 providing elementary, secondary, undergraduate, and continuing education for deaf persons. In addition,

the University offers graduate programs in fields related to deafness for deaf and hearing students, conducts various deafness research, and provides public service programs for deaf persons.

VOCATIONAL AND ADULT EDUCATION

The bill includes $2,006,060,000 for vocational and adult education programs. This amount is $180,460,000 above the fiscal year

2001 appropriation and $204,400,000 above the budget request.

This appropriation account includes vocational education programs

authorized by the Carl D. Perkins Vocational and Applied Technology Education Act. The account also includes adult education

programs originally authorized by the Adult Education Act and reauthorized under the Workforce Investment Act of 1998.

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Vocational education basic grants

This bill includes $1,250,000,000 for basic grants to States under

the Carl D. Perkins Vocational and Applied Technology Education

Act, which is $150,000,000 above the fiscal year 2001 amount and

the budget request. Out of the total of $1,250,000,000 made available for school year 2002–2003, $441,250,000 is appropriated for

fiscal year 2002 for obligation after July 1, 2002 and $808,750,000

is appropriated for fiscal year 2003 for obligation on, or after, October 1, 2002.

State grants support a variety of vocational education programs

developed in accordance with the State plan. The Act concentrates

federal resources on institutions with high concentrations of low-income students. The populations assisted by Basic Grants range

from secondary students in pre-vocational courses to adults who

need retraining to adapt to changing technological and labor markets.

The Committee is aware that the distribution of vocational education basic grant funding varies from state to state with regard

to the proportion of funding distributed to secondary schools versus

technical training institutes. The Committee believes that technical

institutes play an important role in developing a highly-skilled

workforce, and that these institutes should have equal access to vocational and technical education funding. Accordingly, the Committee directs the Secretary to submit a report within six months

of the date of enactment of this appropriations Act, describing how

much vocational education funding is distributed to secondary

schools and how much is distributed to technical training institutes

for each state receiving funding under this program.

Tech-prep

The bill includes $110,000,000 for tech-prep, $4,000,000 above

fiscal year 2001 and the budget request. This appropriation includes activities under title III, part E of the Carl D. Perkins Vocational and Applied Technology Education Act. The tech-prep education program provides planning and demonstration grants to consortia of local educational agencies and postsecondary institutions

to develop and operate model technical education programs. These

programs begin in high school and provide students with the mathematical, science, communications and technological skills needed

to enter a 2–year associate degree or 2–year certificate program in

a given occupational field, and to make a successful transition into

further postsecondary education or begin their careers. The purpose of tech-prep is to develop structural links between secondary

and postsecondary institutions that integrate academic and vocational education and better prepares students to make the transition from school to careers.

Tribally controlled postsecondary vocational institutions

The bill includes $6,000,000 for grants for tribally controlled

postsecondary vocational institutions, $400,000 above the budget

request and the fiscal year 2001 amount. This program provides

grants for the operation and improvement of training programs to

ensure continuation and expansion of vocational training opportunities for Indian youth.

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National programs

For national programs, the Committee provides $12,000,000,

which is $5,500,000 below the fiscal year 2001 amount and the

same as the budget request. This authority supports the conduct

and dissemination of research in vocational education, and includes

support for the National Center for Research in Vocational Education, six regional curriculum coordination centers, and other discretionary research.

Tech-Prep Education Demonstration

The bill does not include funding for the Tech-Prep Education

Demonstration. The President’s budget did not request funding for

it. Last year this program was funded at $5,000,000. The program

makes competitive grants to consortia to establish Tech-prep programs in secondary schools located on the sites of community colleges.

Occupational and Employment Information Program

The bill does not include funding for the Occupational and Employment Information Program. The President’s budget did not request funding for it. Last year this program was funded at

$9,000,000. The program provides career information and guidance

services to students and adults through a network of state agencies.

State programs for adult education

For state grants, the Committee recommends $595,000,000,

which is $55,000,000 above the fiscal year 2001 amount and the

budget request. State formula grants support programs to enable

all 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.

Grants are provided on a formula basis to States under the new

Adult Education and Family Literacy Act. The formula provides an

initial allotment of $25,000 for each state and $100,000 to each outlying area, with additional allotments distributed on the basis of

population aged 16 through 60 who are without a high school diploma or equivalent who are not enrolled in secondary school.

States may use 12.5% of their allotments for state leadership activities and may use an additional 5% or $65,000 for state administration. States and localities must give priority to adult education

and literacy activities that are built on a strong foundation of research on effective practices and that effectively employ technology.

Funds are provided on a forward-funded basis.

The Committee notes that over 40 percent of new adult education

entrants are seeking English as-a-second language (ESL) services

and that ESL accounts for 51 percent of all adults receiving adult

education services and 76 percent of the hours of instruction received. The Committee expects that the funds provided in this program will be used by states with large concentrations of students

who seek English language proficiency training to meet the needs

of those individuals. The Committee bill retains language similar

to that contained in last year’s bill that guarantees a portion of the

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funds will be used to provide civics education services to new immigrants.

National Programs—National Leadership Activities

The Committee provides $9,500,000 for national leadership activities. This amount is $4,500,000 below the fiscal year 2001 level

and the same as the budget request.

Through applied research, development, dissemination, evaluation, and program improvement activities, this program assists

State efforts to improve the quality of adult education. The funds

support such projects as evaluations on the status and effectiveness

of adult education programs, national and international adult literacy surveys, and technical assistance on using technology to improve instruction and administration that show promise of contributing to the improvement and expansion of adult education.

National Institute for Literacy

For the National Institute for Literacy, the bill provides

$6,560,000, which is $60,000 above the fiscal year 2001 amount

and the same as the budget request. The Institute supports research and development projects, tracks progress made toward national literacy goals, supports research fellowships, disseminates

information through a national clearinghouse, and coordinates literacy information data from national and State sources.

The Committee continues to support the work of the National

Reading Panel (NRP), and encourages continuing efforts to disseminate the NRP findings and similar evidence-based reading research

findings relating to children, adolescents, and adults. The Committee supports continuation of the NRP work through a national

panel to be established by the National Institute for Literacy

(NIFL) that will apply the criteria developed by the NRP to research that has been published since the release of the NRP report.

This effort should identify additional evidence-based reading research that would be disseminated in support of the Reading Excellence Act and the Reading First Initiative and should include coordination within the Partnership for Reading, which includes the

NIFL, the National Institute of Child Health and Human Development (NICHD), and the U.S. Department of Education.

The National Institute for Literacy also disseminates information

on evidence-based reading research under the Reading Excellence

Act and its successor program, Reading First. The Committee intends that the Institute use no more than five percent of the funds

provided through the Reading Excellence Act and the Reading First

legislation to pay for administrative costs associated with implementing such legislation.

State grants for incarcerated youth offenders

The bill includes $17,000,000 for state grants for incarcerated

youth offenders, $5,000,000 below the fiscal year 2001 level and the

budget request. This program makes grants to state correctional

agencies to assist and encourage incarcerated youths to acquire

functional literacy skills and life and job skills.

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STUDENT FINANCIAL ASSISTANCE

The bill provides $12,410,100,000 for student financial assistance

programs, an increase of $1,736,100,000 over the comparable fiscal

year 2001 appropriation and $736,100,000 above the budget request.

Pell grants

The bill increases the maximum Pell Grant to $4,000, $150 above

the President’s request and $250 above the comparable fiscal year

2001 amount, providing the highest maximum grant ever awarded.

The bill provides $10,458,100,000 in new budget authority for the

Pell Grant program, $702,100,000 above the request and

$1,702,100,000 above the comparable fiscal year 2001 amount. Because of changing economic conditions, estimates for funds needed

in the Pell grant program are subject to change. The Committee

considers this program to be among the highest priorities under its

jurisdiction. Pell Grants are provided to postsecondary students

who may use them at any of over 6,000 eligible schools.

The Committee is aware that many postsecondary institutions

are struggling to make the most efficient use possible of their facilities as they prepare for enrollments that will grow by more than

two million students over the next decade. Under the Department

of Education’s current practice, however, the Committee understands that students may receive only one Pell grant in a calendar

year, limiting low-income students’ ability to enroll year-round. The

Committee requests the Department to submit a report, not later

than March 1, 2002, to the House and Senate Committees on Appropriations, the House Committee on Education and the Workforce, and the Senate Committee on Health, Education, Labor, and

Pensions, on the feasibility of conducting a demonstration program

under Section 487A(b) of the Higher Education Act to provide two

Pell grants in one calendar year to students at selected institutions

of higher education. The report shall address how this pilot program could be implemented and its budgetary implications.

Federal Supplemental Educational Opportunity Grants

The bill provides $725,000,000 for federal supplemental educational opportunity grants, $34,000,000 above the request and the

fiscal year 2001 level. The SEOG program provides grants through

postsecondary institutions to qualified students who demonstrate

exceptional financial need. Institutions have broad flexibility within the eligibility criteria for awarding these grants with the exception that priority must be given to Pell Grant recipients.

Work-study

The bill provides $1,011,000,000 for the work-study program, the

same as the comparable fiscal year 2001 appropriation and the

budget request. Funding for this program is provided through institutions to students who work part-time to meet the cost of education. Institutions receive funding according to a statutory formula and may allocate it for job location and job development centers.

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Perkins loans capital contributions

The Committee bill provides $100,000,000 in funding for new

capital contributions to federal Perkins revolving loan funds, the

same as the budget request and the comparable fiscal year 2001

appropriation.

Perkins loans cancellations

The bill provides $60,000,000 for federal Perkins loans cancellations, the same as the budget request and the fiscal year 2001

amount. The Federal Government reimburses institutional Perkins

revolving loan funds for loan cancellations permitted under Federal

law. Loans may be canceled when the borrower pursues a career

in one of 12 statutorily-designated professions including corrections, medical technical work, and peace corps or VISTA service.

Leveraging educational assistance partnership

The bill includes $55,000,000 for the leveraging educational assistance partnership (LEAP) program, the same as the fiscal year

2001 level and the budget request. LEAP provides dollar-for-dollar

matching funds to States as an incentive for providing need-based

grant and work study assistance to eligible postsecondary students.

Federally supported grants and job earnings are limited to $5,000

per award year for full-time students. By law, each State’s allocation is based on its relative share of the total national population

of students eligible to participate in the programs, except that no

state is to receive less than it received in 1979, when the appropriation was $76,750,000. If LEAP amounts are below this level,

each State is allocated an amount proportional to the amount of

funds it received in 1979. If a state does not use all of its allocation, the excess funds are distributed to other States in the same

proportion as the original distribution. States must, at a minimum,

match LEAP grants dollar for dollar with state funds provided

through direct state appropriations for this purpose.

Loan Forgiveness for Child Care

The bill includes $1,000,000 for loan forgiveness for child care,

the same as the fiscal year 2001 amount and the budget request.

This program was designed to retain and encourage more highly

trained individuals to enter into the early childcare profession.

Under this program, borrowers who have earned a degree in early

childhood education and who work for two full years as a child care

provider in a low-income community may have a portion of their

loan obligation forgiven. Additional forgiveness is awarded for each

additional consecutive year of service, up to a total of 100 percent

of the borrower’s outstanding balance after five full years.

FEDERAL FAMILY EDUCATION LOAN PROGRAM

The bill provides $49,636,000 for administration of the federal

family education loan (FFEL) program, $1,636,000 above the fiscal

year 2001 level and the same as the budget request. This discretionary administrative funding is provided in the FFEL appropriation account rather than under the Department’s Salaries and Expenses account pursuant to a requirement of the Federal Credit

Reform Act of 1990. These funds support Federal administrative

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activities including processing payments and claims, reducing loan

default costs, and program monitoring. FFEL loans are financed

with private capital and reinsured by the Federal Government

against borrower default, death, disability and bankruptcy. Federal

costs include payments for such insurance claims as well as support for borrower interest benefits. FFEL loans have supported

over $150,000,000,000 in loans to student and parent borrowers

since their inception. This account includes discretionary Federal

administrative costs only. Additional amounts for new FFEL subsidies and mandatory administrative expenses for fiscal year 2001

are provided under permanent legislative authority.

HIGHER EDUCATION

The bill provides $1,906,401,000 for higher education programs, a decrease of $5,309,000 below the fiscal year 2001 appropriation

and $183,178,000 above the budget request.

Strengthening institutions

The bill provides $73,000,000 for the regular strengthening institutions program, the same as the budget request and the fiscal

year 2001 level. This program provides general operating subsidies

to institutions with low average educational and general expenditures per student and significant percentages of low-income students. Awards may be used for faculty and academic program development, management, joint use of libraries and laboratories, acquisition of equipment, and student services.

Hispanic serving institutions

The bill provides $81,500,000 for the Hispanic serving institu- tions (HSI) program, $9,000,000 above the budget request and

$13,000,000 above the fiscal year 2001 level. The HSI program provides operating subsidies to schools that serve at least 25 percent

Hispanic students of whom at least half are low-income students.

Strengthening historically black colleges and universities

The bill provides $215,000,000 for strengthening historically black colleges and universities (HBCUs), $30,000,000 above the fiscal year 2001 appropriation and $18,000,000 above the budget request.

This program provides operating subsidies to accredited, legally

authorized HBCUs established prior to 1964 whose principal mission is the education of Black Americans. Funds may be used to

support both programs and management and are distributed

through a formula grant based on the enrollment of Pell Grant recipients, number of graduates, and the number of graduates entering graduate or professional schools in which blacks are underrepresented. The minimum grant is $500,000.

Strengthening historically black graduate institutions

The bill provides $50,000,000 for the strengthening historically black graduate institutions program, $5,000,000 above the fiscal

year 2001 appropriation and $2,000,000 above the budget request.

The program provides 5-year grants to the following 18 post-secondary institutions that are specified in section 326(e)(1) of the

Higher Education Act: Morehouse School of Medicine, Meharry

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Medical School, Charles R. Drew Postgraduate Medical School,

Clark-Atlanta University, Tuskegee University School of Veterinary Medicine, Xavier University School of Pharmacy, Southern

University School of Law, Texas Southern University Schools of

Law and Pharmacy, Florida A&M University School of Pharmaceutical Sciences, North Carolina Central University School of Law,

Morgan State University qualified graduate program, Hampton

University qualified graduate program, Alabama A&M qualified

graduate program, University of Maryland Eastern Shore qualified

graduate program, Jackson State qualified graduate program, Norfolk State University and Tennessee State University. Of the

amount appropriated, the first $21,600,000 is used to make grants

to the first 16 institutions listed above. Any amount appropriated

in excess of $21,600,000 but less than $28,600,000 is used to make

grants to Norfolk State University and Tennessee State University

and any remaining appropriation is made available to each of the

18 institutions based on a formula. Awards may be used for building endowments as well as the same purposes for which the

strengthening HBCU grants may be used.

Strengthening Alaska Native and Native Hawaiian-serving institutions

The Committee recommends $6,000,000 for strengthening Alaska

Native and Native Hawaiian-serving institutions, the same as both

the fiscal year 2001 level and the budget request.

Strengthening tribally controlled colleges and universities

The Committee recommends $17,000,000 for the strengthening tribally controlled colleges and universities program, $2,000,000

above the budget request and the fiscal year 2001 level.

Fund for the improvement of postsecondary education

The Committee recommends $52,400,000 for the fund for the improvement of postsecondary education (FIPSE), $1,200,000 above

the budget request and $94,287,000 below the fiscal year 2001

amount. FIPSE awards grants and contracts to a variety of postsecondary institutions and other organizations to improve the quality

and delivery of postsecondary education.

The Committee is aware of the University of South Florida’s

work in educational research and development as a member of the

Globalization Research Centers Consortium. The Center has developed special expertise in projects involving the Caribbean basin

and Central and South America. The Committee is also aware of

and encourages efforts by the State of Florida, working in conjunction with the University of South Florida’s Globalization Center, to

conduct a preliminary site analysis in connection with the proposal

to locate the Permanent Secretariat of the Free Trade Area of the

Americas in Miami, Florida.

The Committee is aware that the Department has awarded

$865,080 over three years from this account to create new opportunities for low-income students at urban high schools and community colleges to earn bachelor’s degrees at participating historically

black colleges and universities, Hispanic-serving institutions, and

tribal colleges. Because low-income and minority students are more

likely than other students to initially enroll at community colleges,

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the Committee believes that creating and promoting opportunities

to transfer to four-year colleges is vital to closing gaps in educational attainment. Therefore, the Committee urges the Department to consider providing additional funding for this project as it

becomes available.

Minority science improvement

The bill provides $8,500,000 for the minority science improvement program (MSIP), the same as the fiscal year 2001 appropriation and the budget request.

The MSIP program awards grants to improve mathematics,

science, and engineering programs at institutions serving primarily

minority students and to increase the number of minority students

who pursue advanced degrees and careers in those fields. The Committee encourages the Department to develop specific numerical

goals and baseline data for this program.

International education and foreign languages studies

Domestic Programs

The bill provides $80,000,000 for the domestic activities of the

international education and foreign languages studies programs,

$13,000,000 above both the fiscal year 2001 appropriation and the

budget request. The program assists graduate and undergraduate

foreign language and area studies programs and students at institutions of postsecondary education. Programs include national resource centers, foreign language and area studies fellowships, undergraduate international studies and foreign language programs,

international research and studies projects, business and international education projects, international business education centers, language resource centers, and American overseas research

centers and technological innovation and cooperation for foreign information access. In general, the Secretary has discretion to allocate funding among these various activities.

The Committee is aware of the urgent need to strengthen instruction in foreign languages and related area studies that are

less commonly taught. The Committee believes that foreign language skills and international expertise are essential factors in national security readiness. Ensuring U.S. security, foreign policy

leadership, economic competitiveness, an our ability to solve global

problems that affect the nation’s well being depend on Americans

who have an understanding of and ability of function effectively in

other cultural, business and value systems, as well as foreign language proficiency. The Committee intends that the increase of

$13,000,000 for the Title VI domestic programs be used first to

strengthen foreign language training and related area studies in

areas that are vital to our national security, including Central and

South Asia, the Middle East, Russia, and the Independent States

of the former Soviet Union. Further, the Committee urges the Department to place greater priority on requesting adequate funding

for the international education and foreign language programs and

on setting program goals and objectives that address national

needs. In addition, the Committee urges the Department to review

the organizational structures within the Department to (1)

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cation programs and responsibilities grow; (2) increase outreach activities and information about funding opportunities; (3) provide

greater national accessibility by government agencies, businesses,

the media, and education institutions to the expertise and knowledge these programs produce; and (4) increase coordination among

all international education activities and programs within the Department.

Overseas programs

The bill provides $11,500,000 for the overseas programs in international education and foreign language studies authorized under

the Mutual Educational and Cultural Exchange Act of 1961, popularly known as the Fulbright-Hays Act. The appropriation is

$1,500,000 above the budget request and the fiscal year 2001 appropriation. Funding for these programs supports group projects

abroad, faculty research abroad, special bilateral projects, and doctoral dissertation research abroad.

The Committee intends that the increase of $1,500,000 for the

Fulbright overseas programs be used first to strengthen foreign

language training and related areas studies in areas that are vital

to our national security, including Central and South Asia, the

Middle East, Russia, and the Independent States of the former Soviet Union.

Institute for International Public Policy

The bill provides $1,500,000 for the Institute for International

Public Policy, $478,000 above the budget request and the fiscal

year 2001 appropriation. This program provides a grant to the

United Negro College Fund to operate the Institute through subgrantees chosen among minority serving institutions.

Interest subsidy grants

The bill provides $5,000,000 for interest subsidy grants authorized under section 702 of the Higher Education Act, the same

amount requested in the budget and $5,000,000 below the fiscal

year 2001 appropriation. This program provides loan subsidies to

higher education institutions for facilities acquisition, construction

and renovation loans taken prior to 1974. All loans will terminate

by the fiscal year 2013. The authority to initiate new loan subsidy

commitments was repealed in the 1992 amendments to the Higher

Education Act. Interest subsidies provide institutions the difference

between the interest they pay on commercially-obtained loans and

3 percent of the loan balance. The bill provides funding sufficient

to meet the Federal Government’s commitments on the 124 loans

expected to be in repayment status in fiscal year 2002.

TRIO

The bill provides $800,000,000 for the six TRIO programs, an increase of $20,000,000 above the budget request and $70,000,000

above the fiscal year 2001 appropriation. The TRIO programs provide a variety of outreach and support services to encourage lowincome, potential first-generation college students to enter and

complete college. Discretionary grants of up to four or five years

are awarded competitively to institutions of higher education and

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other agencies. At least two-thirds of the eligible participants in

TRIO must be low-income, first-generation college students.

The Committee believes that technical institutes play an important role in developing a highly-skilled workforce, and that minority and disadvantaged students participating in the TRIO programs

should be counseled regarding the availability and benefits of technical training programs. Accordingly, the Committee directs the

Secretary to submit a report within six months after the date of enactment of this appropriations Act, describing how the Department

will ensure that TRIO students are informed of these options.

GEAR UP

The bill includes $285,000,000 for the GEAR UP program,

$58,000,000 above the budget request and $10,000,000 below the

fiscal year 2001 level.

The Committee is aware that the Department, in administering

the fiscal year 2001 funding for the GEAR UP program, decided to

fund new GEAR UP projects by providing all five years of funding

in the first year of the award, rather than the traditional practice

of providing funding one year at a time over a five-year period subject to the availability of appropriations. This decision resulted in

a funding a small number of new grantees. The Committee is concerned that it was not consulted in advance of this decision, given

that the Department’s actions represent a departure from the proposed allocation of fiscal year 2001 funds indicated in the Department’s budget justifications. It is the Committee’s intent that, in

administering GEAR UP funding in fiscal year 2002, the Department provide continuation grants to the fiscal year 1999 and 2000

grantees at the levels contemplated in their initial grant awards.

Further, the Committee strongly urges the Secretary to provide

funding to new grantees for the first year of five-year grant periods, with subsequent year funding to be provided subject to the

availability of appropriations.

GEAR UP provides grants to states and partnerships of low-income middle and high schools, institutions of higher education and

community organizations to target entire grades of students and

give them the skills and encouragement to successfully pursue

postsecondary education.

Byrd scholarships

The bill includes $41,001,000 for the Byrd scholarships program,

the same as the budget request and the fiscal year 2001 appropriation. The Byrd scholarship program provides formula grants to

States to award four-year, $1,500 scholarships to students who

demonstrate academic excellence in high school.

Javits fellowships

The Committee recommends $10,000,000 for the Javits fellowship program, the same as the budget request and the fiscal year

2001 appropriation. Under the Javits program, institutions receive

Federal support to make fellowship awards of up to $15,000 to students pursuing doctoral study in the arts, humanities, and social

sciences.

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Graduate assistance in areas of national need program

The Committee recommends $31,000,000 for the graduate assistance in areas of national need (GAANN) program, the same as both

the budget request and the fiscal year 2001 appropriation. The

GAANN program awards grants to institutions of higher education

to provide fellowships of up to five years and $15,000 to economically disadvantaged students who have demonstrated academic excellence and who are pursuing graduate education in designated

areas of national need.

Learning anytime anywhere

The Committee recommends no funding for learning anytime

anywhere partnerships. The President’s budget did not request funding for this program. The program was funded at $30,000,000

in fiscal year 2001.

This program supports grants of up to 5 years for regional or national partnerships aimed at widening the availability of new forms

of distance education, as well as improving instructional and program quality.

Teacher quality enhancement grants

The Committee recommends $100,000,000 for teacher quality en- hancement grants, $46,000,000 above the budget request and

$2,000,000 above the fiscal year 2001 appropriation. Teacher quality enhancement grants have three components: state grants, partnership grants and recruitment grants. By statute, state and partnership grants each receive 45 percent of the appropriation, and recruitment grants receive 10 percent.

Under the state grant component, states apply to receive up to

three years of funding to improve the quality of their teaching force

through promoting reform activities such as teacher licensing and

certification, accountability for high quality teacher preparation

and professional development and recruiting teachers for high-need

schools. States must match 50 percent of the federal award.

Under the partnership component, partnerships apply to receive

a five-year grant to strengthen the capacity of K–12 educators in

designing and implementing effective teacher education programs,

and by increasing collaboration among these practitioners and departments of arts and sciences and schools of education at institutions of higher education. Partnerships must match 25 percent of

the federal grant in the first year, 35 percent in the second year,

and 50 percent for the remaining years.

The recruitment component supports the efforts to reduce shortages of qualified teachers in high-need school districts. States or

partnerships may apply to receive these grants.

Child care access means parents in school

The Committee recommends $25,000,000 for child care access

means parents in school program, the same as the budget request

and the fiscal year 2001 appropriation. Under this program, institutions may receive discretionary grants of up to four years to support or establish a campus-based childcare program primarily serving the needs of low-income students enrolled at the institution.

Priority is given to childcare programs that leverage significant

local or institutional resources and utilize a sliding fee scale.

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Grants can only be used to supplement childcare services or start

new programs.

Demonstration projects to ensure quality higher education for students with disabilities

The Committee includes $6,000,000 for demonstration projects to

ensure quality higher education for students with disabilities. The

President’s budget did not request funding for this program. The

program was funded at $6,000,000 in fiscal year 2001.

This program provides discretionary grants for three years to

support model demonstration projects that provide technical assistance and professional development activities for faculty and administrators in institutions of higher education in order to provide students with disabilities a high-quality postsecondary education. The

Committee notes that fiscal year 2001 marks the completion of the

first cycle of grantees in this program.

Underground railroad program

The Committee includes $1,750,000 for the underground railroad

program, the same as the fiscal year 2001 appropriation. The budget did not request funding for this program. The underground railroad program provides grants to non-profit institutions to research,

display, interpret and collect artifacts relating to the history of the

underground railroad.

Web-Based education commission

The bill does not include funding for the web-based education

commission. This commission received $250,000 in fiscal year 2001

to complete its work and issue its recommendations. The budget request did not include funding for it.

GPRA data/HEA program evaluation

The Committee recommends $1,000,000 for program evaluation

and development of data required under the Government Performance and Results Act for Higher Education programs administered

by the Department. This is the same as the budget request and

$2,000,000 below the fiscal year 2001 appropriation.

The Committee understands that for many higher education programs, baseline and performance indicator data is sparse, nonexistent or difficult to collect. Funding under this activity will support the Department in developing high-quality data as required

under the Government Performance and Results Act and the teacher quality evaluation.

Thurgood Marshall scholarships

The bill includes $5,000,000 for Thurgood Marshall scholarships.

The President’s budget did not request funding for this program.

The program was funded at $4,000,000 in fiscal year 2001. This

program provides a single award to the Council on Legal Education

Opportunity (CLEO) to provide minority, low-income or disadvantaged college students with the information, preparation and financial assistance needed to gain access to and complete law school.

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Olympic scholarships

The bill includes $1,000,000 for Olympic scholarships, the same as the fiscal year 2001 level and $1,000,000 above the budget request. This program provides financial assistance to athletes who

are training at the U.S. Olympic Education Center or one of the

U.S. Olympic Training Centers and who are pursuing a postsecondary education at an institution of higher education.

HOWARD UNIVERSITY

The bill provides $242,474,000 for Howard University, $10,000,000 above the budget request and the fiscal year 2001 appropriation. The budget request earmarks a minimum of

$3,600,000 for the endowment, which is the same as the current

level. The Committee bill concurs with this recommendation. The

Committee is aware of Howard University’s planned construction of

an Interdisciplinary Science and Engineering Center, including a

Middle School of Math and Science. The Committee is also aware

of Howard University’s public television station, WHUT, and its required conversion from analog to digital broadcasting. The Committee notes that funding in this account is available to support

such activities at the University’s discretion.

Howard University is a ‘‘Research I’’ university located in the

District of Columbia. Direct appropriations for Howard University

are authorized by 20 U.S.C. 123, originally enacted in 1867. Howard University provides undergraduate liberal arts, graduate and

professional instruction to approximately 11,000 students from all

50 States. Masters degrees are offered in over 55 fields and Doctor

of Philosophy degrees in 26 fields.

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS PROGRAM

The bill provides $762,000 for the Federal administration of the

college housing and academic facilities loan (CHAFL) program, the

Higher Educational Facilities Loans program and the College

Housing Loans program, the same as the budget request and the

same as the fiscal year 2001 appropriation.

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL AND

FINANCING PROGRAM

Federal administration

The bill provides $208,000 for the administration of the historically black college and university capital financing program authorized under part D of title III of the Higher Education Act, the same

as the fiscal year 2001 appropriation and the budget request. The

program is intended to make capital available for repair and renovation of facilities at historically black colleges and universities.

In exceptional circumstances, capital provided under the program

can be used for construction or acquisition of facilities.

Bond subsidies

Under the HBCU capital program, a private, for-profit ‘‘designated bonding authority’’ issues construction bonds to raise capital for loans to historically black colleges and universities for construction projects. The Department provides insurance for these

bonds, guaranteeing full payment of principal and interest to bond

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holders. Federally insured bonds and unpaid interest are limited by

statute to $375,000,000. The letter of credit limitation establishes

the total amount of bonds which can be issued by the designated

bonding authority. The credit limitation must be explicitly stated

in an appropriation Act according to the authorizing legislation.

EDUCATION RESEARCH, STATISTICS, AND IMPROVEMENT

The bill includes $445,620,000 for education research, statistics,

and improvement programs. This amount is $63,500,000 above the

budget request, and $276,528,000 below the fiscal year 2001 level.

This account supports education research authorized under the

Educational Research, Development, Dissemination, and Improvement Act of 1994; the National Center for Education Statistics;

title II–B and C, title IV A and title VII–A of the Elementary and

Secondary Education Act as reauthorized by the House; and the

National Assessment of Educational Progress authorized by the

National Education Statistics Act of 1994, and title VI of P.L. 103– 382.

Research

This bill includes $147,567,000 for educational research,

$24,500,000 above the budget request and $27,000,000 above the

fiscal year 2001 level. The Office of Educational Research and Improvement conducts research and development activities, which are

authorized under the Educational Research, Development, Dissemination, and Improvement Act of 1994. The 1994 Act established a

National Educational Research Policy and Priorities Board within

the Office of Educational Research and Improvement, and authorizes five new national research institutes for the following subject

areas: (1) student achievement, curriculum, and assessment; (2)

education of at-risk students; (3) educational governance, finance,

policymaking, and management; (4) early childhood development

and education; and (5) postsecondary education, libraries, and lifelong learning. The Assistant Secretary is authorized to support activities to increase the participation of minority researchers and institutions as well as research and development centers, in order to

support the objectives of the national research institutes. Within

the amount included in the bill for research and development activities, the Committee has included funding to continue all existing grants and contracts for comprehensive school reform research

and development, capacity, and dissemination activities including

the national clearinghouse for comprehensive school reform. Within

the amount the Committee has also included $10,000,000 for the

National Board for Professional Teaching Standards.

Regional educational laboratories

The Committee has included $70,000,000 for the regional educational laboratories. This amount is $5,000,000 above the fiscal

year 2001 level and the budget request. The Committee reiterates

its intent, expressed in the Conference Report on the fiscal year

1996 bill (Report No. 104–537) that all work of the Regional Education Laboratories be based on the priorities established by their

regional governing boards. The Committee commends the work of

the regional educational laboratories in developing new products,

conducting research, evaluating programs, and providing technical

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assistance and training to states, districts and schools in support

of the Comprehensive School Reform Demonstration Program. The

bill includes an increase of $5,000,000 over fiscal year 2001 to enable the laboratories to address the increased demand for technical

assistance from states, districts and schools interested in implementing comprehensive school reforms.

Statistics

This bill includes $85,000,000 for the activities of the National

Center for Education Statistics, exclusive of the National Assessment of Educational Progress. This amount is the same as the

budget request and $5,000,000 above the fiscal year 2001 level.

Statistics activities are authorized under the National Education

Statistics Act of 1994, title VI of P.L. 103–382. The Center collects,

analyzes, and reports statistics on all levels of education in the

United States. Activities are carried out directly and through

grants and contracts. Major publications include ‘‘The Condition of

Education’’ and ‘‘Digest of Education Statistics.’’ Other products include projections of enrollments, teacher supply and demand, and

educational expenditures. Technical assistance to state and local

education agencies and postsecondary institutions is provided.

International comparisons are authorized.

Assessment

This bill includes $111,553,000 for the National Assessment of

Educational Progress, $2,500,000 above the budget request, and

$71,553,000 above the fiscal year 2001 level. The Assessment is authorized under section 411 of the National Education Statistics Act

of 1994, and is the only nationally representative survey of educational ability and achievement of American students. The primary goal of the Assessment is to determine and report the status

and trends of the knowledge and skills of students, subject by subject. Subject areas assessed in the past have included reading, writing, mathematics, science, and social studies, as well as citizenship,

literature, art, and music. The Assessment is operated by contractors through competitive awards made by the National Center for

Education Statistics; a National Assessment Governing Board formulates the policy guidelines for the program. Within the amounts

provided, $4,053,000 is for the National Assessment Governing

Board.

Within the funds provided for the National Assessment of Educational Progress, the Committee has included $2,500,000 to conduct a study in up to five voluntarily participating large urban

school districts of the feasibility for a Trial Urban Assessment as

a component of the National Assessment of Educational Progress.

In carrying out this initiative, results shall not be used to meet the

requirements of any Federal law, including requirements under

Title I of the Elementary and Secondary Education Act of 1965, as

amended, and no personally identifiable data shall be maintained.

Fund for the improvement of education

The bill does not include funding for the fund for the improvement of education, which was $338,781,000 in fiscal year 2001.

Funding for this program was not requested by the President. The

fund for the improvement of education has a broad portfolio of acVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00169 Fmt 6659 Sfmt 6602 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
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tivities related to the national education goals and systemic education reform. Under the fund, the Secretary of Education supports

activities that identify and disseminate innovative educational approaches. The Committee notes that activities currently carried out

under this program can be done in other programs funded in this

bill.

International education exchange

The bill does not include funding for the international education

exchange program, which was $10,000,000 in fiscal year 2001.

Funding for this program was not requested by the President. The

International Education Exchange program provides support for

education exchange activities in civics and government education

and economic education between the United States and eligible

countries in Central and Eastern Europe, the Commonwealth of

Independent States, and any country that was formerly a republic

of the Soviet Union. The Committee will continue to review the

need for continued funding for this program in fiscal year 2002

throughout the appropriations process.

Civic education

The bill includes $12,000,000 for the civic education program, the

same as the fiscal year 2001 level. Funding for this program was

not requested by the President. The Civic Education program funds

the Center for Civic Education to educate students about the history and principles of the Constitution of the United States and foster civic competence and responsibility. This purpose is accomplished primarily through the Center’s program ‘‘We the People

. . . The Citizen and the Constitution.’’

Eisenhower professional development national activities

The bill does not include funding for Eisenhower professional development national activities, which were $23,300,000 in fiscal year

2001. Funding for this program was not requested by the President. The Committee notes that activities currently carried out

under this program can be funded in other programs in this bill.

Eisenhower regional mathematics and science education consortia

The bill does not include funding for Eisenhower regional mathematics and science education consortia, which was $15,000,000 in

fiscal year 2001. Funding for this program was not requested by

the President. The Committee notes that activities currently carried out under this program can be done in other programs funded

in this bill.

Javits gifted and talented education

The bill includes $7,500,000 for Javits gifted and talented education, the same as in fiscal year 2001. Funding for this program

was not requested by the President. The purpose of this program

is to build nationwide capability to meet the special educational

needs of gifted and talented students. The program functions

through support for research, demonstration projects, teacher

training, and other activities.

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National writing project

The bill provides $12,000,000 for the National Writing Project,

$2,000,000 above the fiscal year 2001 level. The President’s budget

did not request funding for this program. Funds are provided to the

National Writing Project, a nonprofit educational organization that

supports teacher training programs in the effective teaching of

writing, and supports classroom-level research on teaching writing

that documents effectiveness in terms of student performance. To

provide these services, the National Writing Project contracts with

numerous institutions of higher education and nonprofit education

providers to operate small teacher training programs. Federal

funds support 50 percent of the costs of these programs, and recipients must contribute an equal amount.

DEPARTMENTAL MANAGEMENT

The bill includes $545,866,000 for departmental management

(salaries and expenses) at the Department of Education. This

amount is $21,437,000 above the fiscal year 2001 appropriation and

$3,000,000 more than the budget request. Within the funds provided, the Committee assumes a 4.6 percent pay increase. These

activities are authorized by the Department of Education Organization Act, P.L. 96–88, and include costs associated with the management and operations of the Department as well as separate costs

associated with the Office for Civil Rights and the Office of the Inspector General.

The Committee is very concerned that the Department has ‘‘front

loaded’’ new grants in several programs (provided all years of proposed funding in the first year of the award, rather than the traditional practice of providing funding one year at a time over a multiyear period) without prior consultation with or notification of Congress. The Committee believes that this practice should be limited

and utilized only when strongly justified by programmatic considerations. The Committee therefore directs the Secretary to provide

notification and justification to the Committee at least 60 days in

advance of any grant awards if such decisions are contemplated in

the future for any grant program. This notification and justification

may be provided in the Department’s operating plan or in the Congressional justifications.

The Committee continues to be pleased with the emphasis the

Department’s senior management team has placed on complying

with the Government Performance and Results Act. The Committee

expects the Department to continue to develop and refine GPRA

measures for all programs, focusing particularly on student

achievement outcomes.

The Committee requests the Secretary to prepare a report describing current policy and practice barriers to access and utilization of targeted and mainstream Federal education programs by

homeless people and recommendations for removing such impediments and strengthening such programs. The report should include

recommendations from all appropriate offices within the Department, including the Office of Elementary and Secondary Education,

the Office of Special Education and Rehabilitative Services, and the

Office of Vocational and Adult Education and should reflect consultations with homeless people, advocates for the homeless, and

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other appropriate educational and governmental representatives.

The Secretary should submit this report to the Committees on Appropriations of both the House and Senate, and to the House Committee on Education and the Workforce and the Senate Committee

on Health, Education, Labor and Pensions no later than September

30, 2002.

The Committee encourages the Secretary to work with States

and school districts to provide information to the public that explains their distribution of educational resources, including per

pupil expenditures, accessibility of technology, and range and quality of curriculum, among local educational agencies and schools.

The Committee believes that such information could prove useful

in educating parents and taxpayers on the nature of the State’s

educational investments, in addition to student academic performance data that is already reported.

Program administration

The bill includes $427,212,000 for program administration. This amount is $15,016,000 above the fiscal year 2001 appropriation and

$3,000,000 above the budget request. These funds support the staff

and other costs of administering programs and activities at the Department. Items include personnel compensation and health, retirement and other benefits as well as travel, rent, telephones, utilities, postage fees, data processing, printing, equipment, supplies,

technology training, consultants and other contractual services.

Office for Civil Rights

The bill includes $79,934,000 for the salaries and expenses of the Office for Civil Rights. This amount is $4,112,000 above the fiscal

year 2001 appropriation and the same as the budget request. This

Office is responsible for enforcing laws that prohibit discrimination

on the basis of race, color, national origin, sex, disability, and age

in all programs and institutions that receive funds from the Department. These laws extend to 50 State educational agencies,

16,000 local educational agencies, 3,500 institutions of higher education, as well as to proprietary schools, State rehabilitation agencies, libraries, and other institutions receiving Federal funds.

Office of the Inspector General

The bill includes $38,720,000 for the Office of the Inspector General. This amount is $2,309,000 above the fiscal year 2001 appropriation and the same as the budget request. This Office has authority to inquire into all program and administrative activities of

the Departments as well as into related activities of grant and contract recipients. It conducts audits and investigations to determine

compliance with applicable laws and regulations, to check alleged

fraud and abuse, efficiency of operations, and effectiveness of results.

The Committee expects the Inspector General to continue reporting to the Committee on actual collections, offsets and funds put

to better use as a result of the Office’s actions and investigations

as required by the fiscal year 2001 House report (105–635) and as

agreed upon by the Committee and the Office of the Inspector General. The Committee encourages the Secretary and the Inspector

General to continue efforts to root out such waste, fraud, and

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abuse. The Secretary should be prepared to report in his fiscal year

2003 testimony on the steps taken to increase financial record

keeping in the Department. Specifically, the Secretary should be

prepared to testify on the number of active investigations; the

amount of waste, fraud and abuse identified; the savings to taxpayers from these investigations; the number of referrals for prosecution by the Department; and suggestions for laws that will improve anti-waste, fraud and abuse efforts.

GENERAL PROVISIONS

Sec. 301. The Committee continues a provision which prohibits

funds under this Act from being used for the transportation of students or teachers in order to overcome racial imbalances or to carry

out a plan of racial desegregation.

Sec. 302. The Committee continues a provision which prohibits

funds under this Act from being used to require the transportation

of any student to a school other than the school which is nearest

the student’s home in order to comply with title VI of the Civil

Rights Act of 1964.

Sec. 303. The Committee continues a provision which prohibits

funds under this Act from being used to prevent the implementation of programs of voluntary prayer and meditation in public

schools.

Sec. 304. The Committee continues a provision which allows up

to 1 percent of any discretionary funds appropriated for the Department of Education to be transferred between appropriations accounts, provided that no appropriation is increased by more than

3 percent by any such transfer. This provision requires the Secretary to notify the Appropriations Committees of both Houses of

Congress at least 15 days in advance of a transfer.

TITLE IV—RELATED AGENCIES

ARMED FORCES RETIREMENT HOME

The bill provides authority to expend $71,440,000 from the

Armed Forces Retirement Home Trust Fund for operations and

capital activities at the United States Soldiers’ and Airmen’s Home

and the United States Naval Home, an increase of $1,608,000

above the comparable fiscal year 2001 authority and the same as

the budget request.

Operations

The bill provides authority to expend $61,628,000 from the

Armed Forces Retirement Home Trust Fund for operations of the

United States Soldiers’ and Airmen’s Home and the United States

Naval Home, an increase of $1,628,000 above the comparable fiscal

year 2001 authority and the same as the budget request.

Capital outlay

The bill provides authority to expend $9,812,000 from the Armed

Forces Retirement Home Trust Fund for capital activities at the

Soldiers’ and Airmen’s Home and the United States Naval Home,

a decrease of $20,000 below the comparable fiscal year 2001 authority and the same as the budget request.

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CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

DOMESTIC VOLUNTEER SERVICE PROGRAMS

The bill provides $324,450,000 for the Domestic Volunteer Service Programs that are administered by the Corporation for National

and Community Service. The recommended amount is $20,600,000

above the comparable fiscal year 2001 appropriation and

$7,600,000 above the budget request. Appropriations for these programs are not authorized in law for fiscal year 2002. Funding for

the Americorps program that is also administered by the Corporation for National and Community Service is provided in the VA/

HUD and Independent Agencies appropriations bill.

The Committee directs the Corporation not to reduce funding for

traditional VISTA and senior volunteer programs below the

amounts allocated for fiscal year 2001. In addition, the Committee

directs the Corporation not to reduce the number of traditional

VISTAs or senior volunteers below fiscal year 2001 levels.

VISTA

The bill provides $83,074,000 for the Volunteers in Service to

America (VISTA) program, the same as fiscal year 2001 and

$1,000,000 above the budget request. The VISTA program supports

individuals who recruit volunteers and organize community volunteer activities but who do not provide direct volunteer services.

National Senior Volunteer Corps

The bill provides a total of $209,147,000 for the National Senior

Volunteer Corps, $20,600,000 above fiscal year 2001 and

$6,600,000 above the budget request.

The bill provides $109,468,000 for the Foster Grandparents program, $10,600,000 above fiscal year 2001 levels and $6,600,000

above the budget request. This program provides volunteer service

opportunities for low-income people aged 60 and over. The Committee intends that this increase be used to increase the stipend for

Foster Grandparent volunteers by $0.10 per hour. The bill provides $44,395,000 for the Senior Companion program,

$4,000,000 above the fiscal year 2001 appropriation and the same

as the budget request. The program provides project grants to private, non-profit organizations and State and local public agencies

to offer volunteer service opportunities to low-income individuals

aged 60 and over. These volunteers assist older adults with physical, mental or emotional impairments that put them at risk for institutionalization.

The bill provides $54,884,000 for the Retired Senior Volunteer

Program (RSVP), $6,000,000 above the fiscal year 2001 appropriation and the same as the budget request. This program provides

part-time volunteer service opportunities for low-income individuals aged 55 and over to recruit volunteers and organize volunteer

activities relating to a variety of social needs.

The bill includes $400,000 for senior demonstration programs,

the same as the fiscal year 2001 level and the budget request. The

Committee intends this funding to be used to carry out evaluations

and to provide recruitment, training and technical assistance to

local projects particularly in the area of outcome-based programming.

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Program administration

The bill provides $32,229,000 for program administration, the

same as the fiscal year 2001 appropriation and the budget request.

CORPORATION FOR PUBLIC BROADCASTING

The bill provides $365,000,000 in advance funding for fiscal year

2004 for the Corporation for Public Broadcasting (CPB), the same

as the comparable appropriation for fiscal year 2003. The Committee is concerned that the basic support to the Independent Television Service has not risen comparable to the overall increases for

CPB funding. The committee encourages the CPB to increase baseline funding to ITVS.

The bill includes language providing an additional $25,000,000

for digitalization, if specifically authorized by subsequent legislation.

FEDERAL MEDIATION AND CONCILIATION SERVICE

The bill provides $39,482,000 for the Federal Mediation and Conciliation Service (FMCS), an increase of $1,282,000 above the comparable fiscal year 2001 authority and the same as the budget request.

The FMCS attempts to prevent and minimize labor-management

disputes having a significant impact on interstate commerce or national defense, except in the railroad and airline industries. The

agency convenes boards of inquiry appointed by the President in

emergency disputes and conducts dispute mediation, preventive

mediation, and arbitration. In addition, the Service offers alternative dispute resolution services and training to other Federal

agencies to reduce litigation costs and speed Federal administrative

proceedings.

The bill also includes provisions first enacted in the fiscal year

1996 Appropriations Act granting the agency the authority to accept gifts and to charge fees for certain services.

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

The bill provides $6,939,000 for the Federal Mine Safety and

Health Review Commission, $619,000 above the fiscal year 2001

level and the same as the budget request. The Commission is responsible for reviewing the enforcement activities of the Secretary

of Labor under the Federal Mine Safety and Health Act. The Commission’s administrative law judges hear and decide cases initiated

by the Secretary of Labor, mine operators, or miners. The fivemember Commission hears appeals from administrative law judge

decisions, rules on petitions for discretionary review, and may direct, of its own initiative, review of cases that present unusual

questions of law.

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

The Committee recommends $168,078,000 for the Institute of

Museum and Library Services, the same as the budget request. The

Institute makes state formula grants for library services and discretionary national grants for joint library and museum projects.

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MEDICARE PAYMENT ADVISORY COMMISSION

The Committee recommends $8,000,000 for the Medicare Payment Advisory Commission, the same as the comparable fiscal year

2001 level and the budget request. The Commission advises Congress on matters of physician and hospital reimbursement under

the Medicare and Medicaid programs.

NATIONAL COMMISSION ON LIBRARIES AND INFORMATION SCIENCE

The Committee provides $1,000,000 for the National Commission

on Libraries and Information Science, $495,000 below the comparable fiscal year 2001. The budget request did not include funding for the Commission. The Committee encourages the Commission to utilize this year’s funding to complete ongoing projects.

NATIONAL COUNCIL ON DISABILITY

The bill provides $2,830,000 for the National Council on Disability (NCD), $215,000 above the fiscal year 2001 level and the

same as the budget request. The Council monitors implementation

of the Americans with Disabilities Act and makes recommendations

to the President, the Congress, the Rehabilitation Services Administration, and the National Institute on Disability and Rehabilitation Research on public policy issues of concern to individuals with

disabilities.

NATIONAL EDUCATION GOALS PANEL

The Committee does not recommend funding for the National

Education Goals Panel. The Panel was funded at $1,500,000 in fiscal year 2001 and the budget requested $2,000,000 for it in fiscal

year 2002. the Panel was established in 1990 following the National Education Summit held in September 1989. The Committee

notes that the Goals Panel has been repealed in H.R. 1, the No

Child Left Behind Act of 2001.

NATIONAL LABOR RELATIONS BOARD

The bill provides $221,438,000 for the National Labor Relations

Board, $5,000,000 more than the fiscal year 2001 level and the

same as the budget request. The NLRB receives, investigates, and

prosecutes unfair labor practice charges filed by businesses, labor

unions, and individuals. It also schedules and conducts representation elections. The five-member Board considers cases in which administrative law judge decisions are appealed.

NATIONAL MEDIATION BOARD

The bill provides $10,635,000 for the National Mediation Board

(NMB), $235,000 above the comparable fiscal year 2001 authority

and the same as the budget request. The NMB mediates labor disputes between employees and railroad and airline carriers subject

to the Railway Labor Act. The Board also resolves representation

disputes involving labor organizations seeking to represent railroad

or airline employees.

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OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

The bill provides $8,964,000 for the Occupational Safety and

Health Review Commission (OSHRC), $244,000 above the fiscal

year 2001 level and the same as the budget request. The Commission adjudicates contested citations issued by the Occupational

Safety and Health Administration (OSHA) against employers for

violations of safety and health standards. The Commission’s administrative law judges settle and decide cases at the initial level of

review. The agency’s three appointed Commissioners also review

cases, issue rulings on complicated issues, and may direct review

of any decision by an administrative law judge.

RAILROAD RETIREMENT BOARD

DUAL BENEFITS ACCOUNT

The bill provides $146,000,000 for dual benefits, the same as the

request and a reduction of $14,000,000 below the comparable fiscal

year 2001 appropriation. These funds are used to pay dual benefits

to those retirees receiving both railroad retirement and social security benefits. The bill includes a provision permitting a portion of

these funds to be derived from income tax receipts on dual benefits

as authorized by law. The Railroad Retirement Board estimates

that approximately $9,000,000 may be derived in this manner.

FEDERAL PAYMENT TO THE RAILROAD RETIREMENT ACCOUNT

The bill provides $150,000 for the interest earned on unnegotiated checks, the same as the budget request and the comparable

amount provided for fiscal year 2001.

LIMITATION ON ADMINISTRATION

The bill provides a consolidated limitation of $97,700,000 on the

expenditure of railroad retirement and railroad unemployment

trust funds for administrative expenses of the Railroad Retirement

Board, $2,700,000 above the comparable fiscal year 2001 authority

and the same as the budget request. The bill includes a provision

from the fiscal year 1999 Appropriations Act prohibiting the transfer of resources formerly identified in a Memorandum of Understanding from the RRB to the Inspector General.

The Railroad Retirement Board (RRB) administers comprehensive retirement-survivor and unemployment-sickness insurance

benefit programs for 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 RRB for administrative expenses.

The Committee is pleased with the management of the Board

and reiterates its interest in quickly and comprehensively implementing the Government Performance and Results Act.

LIMITATION ON THE OFFICE OF INSPECTOR GENERAL

The bill provides authority to expend $6,042,000 from the railroad retirement and railroad unemployment insurance trust funds

for the Office of Inspector General. This amount is $342,000 above

the comparable fiscal year 2001 limitation. This account provides

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funding for the Inspector General to conduct and supervise audits

and investigations of programs and operations of the Board.

The Committee complements the work of the Office of the Inspector General of the Railroad Retirement Board for their work in obtaining information on actual collections, offsets, and funds put to

better use as required in House Report 105–635. This information

is of great use to the Committee and the Committee understands

the difficulty encountered by the OIG in obtaining it. The Committee expects that the Office of Inspector General will continue to

report the information to it.

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

The bill provides $434,400,000 for mandatory payments necessary to compensate the Old Age and Survivors Insurance (OASI)

and Disability Insurance (DI) Trust Funds for special payments to

certain uninsured persons (for which no payroll tax is received),

costs incurred for administration of pension reform activities and

interest lost on the value of benefit checks issued but not negotiated. This appropriation restores the trust funds to the position

they would have been in had they not borne these costs properly

charged to the general funds.

SPECIAL BENEFITS FOR DISABLED COAL MINERS

The bill provides $332,840,000 for special benefits for disabled

coal miners, the same as the budget request. This amount does not

include $114,000,000 in funding advanced in the prior year. The

appropriation provides cash benefits to miners who are disabled because of black lung disease and to widows and children of such

miners. The Social Security Administration was responsible for

taking, processing, and paying claims for miners’ benefits filed from

December 30, 1969 through June 30, 1973. Since that time, SSA

has continued to take claims but forwards most to the Department

of Labor for adjudication and payment. The SSA will continue to

be responsible for paying benefits and maintaining the beneficiary

roll for the lifetime of all persons who filed during its jurisdiction.

SUPPLEMENTAL SECURITY INCOME PROGRAM

The bill provides $21,570,412,000 for the Supplemental Security Income (SSI) program, not including $10,470,000,000 in fiscal year

2002 funding provided in the fiscal year 2001 Appropriations Act.

The bill provides $10,790,000,000 in advance funding for the first

quarter of fiscal year 2003. In addition to Federal benefits, SSA administers a program of supplementary State benefits for those

States that choose to participate. The funds are also used to reimburse the trust funds for the administrative costs of the program.

The SSI appropriation includes $37,412,000 for beneficiary services, the same as the budget request. This funding reimburses

State vocational rehabilitation services agencies for successful rehabilitation of SSI recipients.

Within the appropriation for SSI, the Committee provides

$30,000,000 for research and demonstration activities conducted

under section 1110 of the Social Security Act, the same as the request.

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The bill provides an additional $200,000,000 to process continuing disability reviews (CDRs) related to the SSI caseload as authorized by P.L. 104–121, the same as the budget request.

LIMITATION ON ADMINISTRATIVE EXPENSES

The bill provides a limitation on administrative expenses for the

Social Security Administration (SSA) of $7,035,000,000 to be funded from the Social Security and Medicare trust funds. The bill provides that not less than $1,800,000 within the limitation on administration shall be available for the Social Security Advisory Board,

the same as the budget request and the comparable fiscal year

2001 amount.

The Committee is pleased that SSA officials have continued to

educate adjudicators at all levels of the SSA process about the

April 1999 CFS ruling (99–2p). The Committee encourages SSA to

continue these educational efforts, as many SSA employees remain

unfamiliar with or misinformed about CFS and the functional limitations it imposes. Finally, the Committee encourages SSA to continue examining obstacles to benefits for persons with CFS, to assess the impact of the ruling on CFS patients’ access to benefits,

and to keep medical information updated throughout all levels of

the application and review process.

The Committee requests the Commissioner to prepare and submit to this committee and the authorization committees with jurisdiction over SSA programs by September 30, 2002 a report that describes current policy and practice barriers to access and utilization

of Supplemental Security Income and Social Security Disability Insurance programs by homeless people and recommendations for removing such impediments and strengthening such programs.

User fees

In addition to other amounts provided in the bill, the Committee recommends an additional limitation of $100,000,000 for administrative activities funded from user fees. This is the same as the request.

Continuing disability reviews

The bill provides $433,000,000 for continuing disability reviews

(CDRs). This activity is funded both by the regular Limitation on

Administrative Expenses account and by provisions of the Personal

Responsibility and Work Opportunity Reconciliation Act of 1996

(P.L. 104–193).

OFFICE OF INSPECTOR GENERAL

The bill provides $19,000,000 for the Office of the Inspector General, $2,056,000 more than the comparable fiscal year 2001 appropriation and the same as the budget request. The bill also provides

authority to expend $56,000,000 from the Social Security trust

funds for activities conducted by the Inspector General, the same

as the budget request.

UNITED STATES INSTITUTE OF PEACE

The bill provides $15,000,000 for the United States Institute of

Peace, the same as the fiscal year 2001 level and $207,000 below

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the budget request. The Institute was created in 1984 to provide

education and training, basic and applied research, and information services to promote conflict resolution.

TITLE V—GENERAL PROVISIONS

Sec. 501. The Committee continues a provision to allow the Secretaries of Labor, Health and Human Services, and Education to

transfer unexpended balances of prior appropriations to accounts

corresponding to current appropriations to be used for the same

purpose and for the same periods of time for which they were originally appropriated.

Sec. 502. The Committee continues a provision to prohibit the obligation of funds beyond the current fiscal year unless expressly so

provided.

Sec. 503. The Committee continues a provision to prohibit appropriated funds to be used to support or defeat legislation pending

before the Congress or any State legislature, except in presentation

to the Congress or any State legislature itself.

Sec. 504. The Committee continues a provision to limit the

amount available for official reception and representation expenses

for the Secretaries of Labor and Education, the Director of the Federal Mediation and Conciliation Service, and the Chairman of the

National Mediation Board.

Sec. 505. The Committee continues a provision to prohibit funds

to be used to carry out a needle distribution program.

Sec. 506. The Committee continues a Sense of the Congress provision related to buy American-made products.

Sec. 507. The Committee continues a provision to require grantees receiving Federal funds to clearly state the percentage of the

total cost of the program or project which will be financed with

Federal money.

Sec. 508. The Committee continues a provision to prohibit appropriated funds to be used for any abortion.

Sec. 509. The Committee continues a provision to provide exceptions for Sec. 508.

Sec. 510. The Committee continues a provision to prohibit the

use of funds in the Act concerning research involving human embryos. However, this language should not be construed to limit federal support for research involving human embryonic stem cells

listed on an NIH registry and carried out in accordance with policy

outlined by the President.

Sec. 511. The Committee continues a provision to prohibit the

use of funds for any activity that promotes the legalization of any

drug or substance included in schedule I of the schedules of controlled substances.

Sec. 512. The Committee continues a provision related to annual

reports to the Secretary of Labor.

Sec. 513. The Committee continues a provision to prohibit the

use of funds to promulgate or adopt any final standard providing

for a unique health identifier until legislation is enacted specifically approving the standard.

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TITLE VI—EXTENSION OF MARK-TO-MARKET PROGRAM

The bill includes the Mark-to-Market Extension Act of 2001. This

bill provides for a three-year extension of the Mark-to-Market program.

CONSTITUTIONAL AUTHORITY

Clause 3(d)(1) of rule XIII of the Rules of the House of Representatives states that:

Each report of a committee on a public bill or public

joint resolution shall contain the following: (1) A statement

citing the specific powers granted to Congress in the Constitution to enact the law proposed by the bill or joint resolution.

The Committee on Appropriations bases its authority to report

this legislation on Clause 7 of Section 9 of Article I of the Constitution of the United States of America which states:

No money shall be drawn from the Treasury but in consequence of Appropriations made by law * * *.

Appropriations contained in this Act are made pursuant to this

specific power granted by the Constitution.

COMPARISON WITH BUDGET RESOLUTION

Clause 3(c)(2) of rule XIII of the Rules of the House of Representatives requires an explanation of compliance with section

308(a)(1)(A) of the Congressional Budget Act of 1974 (Public Law

93–344), as amended, which requires that the report accompanying

a bill providing new budget authority contain a statement detailing

how the authority compares with the report submitted under section 302 of the Act for the most recently agreed to concurrent resolution on the budget for the fiscal year. This information follows:

[In millions of dollars]

Sec. 302(b) This bill

Budget authority Outlays Budget authority Outlays

Discretionary ................................................................... 119,725 106,224 123,371 106,828

Mandatory ....................................................................... 272,347 272,702 272,347 272,702

Note.—Pursuant to 314 of the Congressional Budget Act of 1974, as amended, increases to the Committee’s §302(a) allocation are mandated for funding in the reported bill for continuing disability reviews under the heading ‘‘Limitation on Administrative Expenses’’ for the Social Security Administration, for adoption incentive payments under the heading ‘‘Children and Families Services Programs’’ in the Administration for Children and Families, and for amounts provided and designated as emergency requirements under the heading ‘‘Low Income Home

Energy Assistance.’’ After the bill is reported to the House, the Committee will receive an increased §302(a) allocation consistent with the

funding provided in the bill, and the Committee will increase the suballocation accordingly.

In accordance with the Congressional Budget Act of 1974 (Public

Law 93–344), as amended, the following information was provided

to the Committee by the Congressional Budget Office:

FIVE-YEAR PROJECTIONS

In compliance with section 308(a)(1)(B) of the Congressional

Budget Act of 1974 (Public Law 93–344), as amended, the following

table contains five-year projections associated with the budget authority provided in the accompanying bill:

[In millions of dollars]

Budget authority in the bill .................................................................. 327,513

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Outlays:

2002 ................................................................................................. 257,118

2002 ................................................................................................. 87,817

2003 ................................................................................................. 18,200

2004 ................................................................................................. 3,508

2005 ................................................................................................. 999

FINANCIAL ASSISTANCE TO STATE AND LOCAL GOVERNMENTS

In accordance with section 308(a)(1)(C) of the Congressional

Budget Act of 1974 (Public Law 93–344), as amended, the financial

assistance to State and local governments is as follows:

[In millions of dollars]

Budget authority .................................................................................... 164,853

Fiscal year 2002 outlays resulting therefrom ...................................... 132,223

TRANSFER OF FUNDS

Pursuant to clause 3(f)(2), rule XIII of the Rules of the House of

Representatives, the following table is submitted describing the

transfers of funds provided in the accompanying bill.

The table shows, by Department and agency, the appropriations

affected by such transfers.

APPROPRIATION TRANSFERS RECOMMENDED IN THE BILL

Account to which transfer is to be made Amount Account from which transfer is to be made Amount

Department of Labor: Department of Labor:

Special Benefits .................................. (1) Postal Service ..................................... (1)

Employment Standards Administration—Salaries and Expenses.$31,443,000 Black Lung Disability Trust Fund ....... $31,443,000

Departmental Management:

Salaries and Expenses ........................ 22,590,000 Black Lung Disability Trust Fund ....... 22,590,000

Office of Inspector General ................. 328,000 Black Lung Disability Trust Fund ....... 328,000

Department of Health and Human Services:

National Institutes of Health: International Assistance Programs:

National Institute of Allergy and

Infectious Diseases.

up to

$25,000,000

Global Fund to Fight HIV/AIDS, ..........

Malaria, and Tuberculosis .............

up to

$100,000,000

Buildings and Facilities ............. up to

$75,000,000

Related Agencies:

Social Security Administration:

Office of Inspector General.

56,000,000 Social Security Administration: Limitation

on Administrative Expenses.

56,000,000

1 Such sums.

RESCISSIONS

Pursuant to clause 3(f)(2), rule XIII of the Rules of the House of

Representatives, the following table is submitted describing the rescissions recommended in the accompanying bill.

RESCISSIONS RECOMMENDED IN THE BILL

Department of Health and Human Services: Children and Families

Services Programs .............................................................................. $21,000,000

COMPLIANCE WITH RULE XIII, CL. 3(e) (RAMSEYER RULE)

In compliance with clause 3(e) of rule XIII of the Rules of the

House of Representatives, changes in existing law made by the bill,

as reported, are shown as follows (existing law proposed to be omitted is enclosed in black brackets, new matter is printed in italic,

existing law in which no change is proposed is shown in roman):

183

MULTIFAMILY ASSISTED HOUSING REFORM AND

AFFORDABILITY ACT OF 1997

TITLE V—HUD MULTIFAMILY HOUSING REFORM

* * * * * * *

SEC. 510. SHORT TITLE.

This title may be cited as the ‘‘Multifamily Assisted Housing Reform and Affordability Act of 1997’’.

Subtitle A—FHA-Insured Multifamily Housing

Mortgage and Housing Assistance Restructuring

SEC. 511. FINDINGS AND PURPOSES.

(a) FINDINGS.—Congress finds that— (1) * * *

* * * * * * *

(12) the authority and duties of the Secretary, not including

the control by the Secretary of applicable accounts in the

Treasury of the United States, may be delegated to State, local

or other entities at the discretion of the Secretary, to the extent the Secretary determines, and for the purpose of carrying

out this øAct¿ title, so that the Secretary has the discretion to

be relieved of processing and approving any document or action

required by these reforms.

* * * * * * *

SEC. 512. DEFINITIONS.

In this subtitle:

(1) * * *

(2) ELIGIBLE MULTIFAMILY HOUSING PROJECT.—The term ‘‘eligible multifamily housing project’’ means a property consisting

of more than 4 dwelling units— (A) * * *

* * * * * * *

Such term does not include any project with an expiring contract described in paragraph (1) or (2) of section 524(e), but

does include a project described in section 524(e)(3). Notwithstanding any other provision of this title, the Secretary may

treat a project as an eligible multifamily housing project for

purposes of this title if (I) the project is assisted pursuant to a

contract for project-based assistance under section 8 of the

United States Housing Act of 1937 renewed under section 524

of this Act, (II) the owner consents to such treatment, and (III)

the project met the requirements of the first sentence of this

paragraph for eligibility as an eligible multifamily housing

project before the initial renewal of the contract under section

524.

* * * * * * *

(19) OFFICE.—The term ‘‘Office’’ means the Office of Multifamily Housing Assistance Restructuring established under section 571.

184

SEC. 513. AUTHORITY OF PARTICIPATING ADMINISTRATIVE ENTITIES.

(a) PARTICIPATING ADMINISTRATIVE ENTITIES.— (1) * * *

(2) PORTFOLIO RESTRUCTURING AGREEMENTS.—Each portfolio

restructuring agreement entered into under this subsection

shall—

(A) * * *

* * * * * * *

(I) include, where appropriate, incentive agreements

with the participating administrative entity to reward superior performance in meeting the purposes of this øAct¿

title.

* * * * * * *

(b) SELECTION OF PARTICIPATING ADMINISTRATIVE ENTITY.— (1) * * *

* * * * * * *

(3) PARTNERSHIPS.—For the purposes of any participating administrative entity applying under this subsection, participating administrative entities are encouraged to develop partnerships with each other and with nonprofit organizations, if

such partnerships will further the participating administrative

entity’s ability to meet the purposes of this øAct¿ title.

* * * * * * *

SEC. 514. MORTGAGE RESTRUCTURING AND RENTAL ASSISTANCE

SUFFICIENCY PLAN.

(a) * * *

* * * * * * *

(f) TENANT AND OTHER PARTICIPATION AND CAPACITY

BUILDING.— (1) * * *

* * * * * * *

(3) FUNDING.— (A) IN GENERAL.—The øSecretary may provide not more than $10,000,000 annually in funding¿ Secretary shall make available not more than $10,000,000 annually in

funding, which amount shall be in addition to any

amounts made available under this subparagraph and carried over from previous years, from which the Secretary

may make obligations to tenant groups, nonprofit organizations, and public entities for building the capacity of tenant organizations, for technical assistance in furthering

any of the purposes of this subtitle (including transfer of

developments to new owners), for technical assistance for

preservation of low-income housing for which project-based

rental assistance is provided at below market rent levels

and may not be renewed (including transfer of developments to tenant groups, nonprofit organizations, and public øentities), and for tenant services,¿ entities), for tenant

services, and for tenant groups, nonprofit organizations,

and public entities described in section 517(a)(5), from

those amounts made available under appropriations Acts

for implementing this subtitle or previously made availVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00184 Fmt 6659 Sfmt 6601 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
185

able for technical assistance in connection with the preservation of affordable rental housing for low-income persons.

(B) MANNER OF PROVIDING.—Notwithstanding any other

provision of law restricting the use of preservation technical assistance funds, the Secretary may provide any

funds made available under subparagraph (A) through existing technical assistance programs pursuant to any other

Federal law, including the Low-Income Housing Preservation and Resident Homeownership Act of 1990 and the

Multifamily Housing Property Disposition Reform Act of

1994, or through any other means that the Secretary considers consistent with the purposes of this subtitle, without regard to any set-aside requirement otherwise applicable to those funds.

(g) RENT LEVELS.— (1) * * *

(2) EXCEPTIONS.— (A) IN GENERAL.—A contract under this section may include rent levels that exceed the rent level described in

paragraph (1) at rent levels that do not exceed 120 percent

of the fair market rent for the market area (except that

the Secretary may waive this limit for not more than five

percent of all units subject to ørestructured mortgages in

any fiscal year¿ portfolio restructuring agreements, based

on a finding of special need), if the participating administrative entity— (i) * * *

* * * * * * *

(h) EXEMPTIONS FROM RESTRUCTURING.—The following

categories of projects shall not be covered by a mortgage restructuring and rental assistance sufficiency plan if—

(1) the primary financing or mortgage insurance for the multifamily housing project that is covered by that expiring contract was provided by a unit of State government or a unit of

general local government (or an agency or instrumentality of a

unit of a State government or unit of general local government)

and the financing involves mortgage insurance under the National Housing Act, such that the implementation of a mortgage

restructuring and rental assistance sufficiency plan under this

subtitle is in conflict with applicable law or agreements governing such financing;

(2) the project is a project financed under section 202 of the

Housing Act of 1959 or section 515 of the Housing Act of 1949,

or refinanced pursuant to section 811 of the American Homeownership and Economic Opportunity Act of 2000 (12 U.S.C.

1701q note); or

* * * * * * *

SEC. 515. SECTION 8 RENEWALS AND LONG-TERM AFFORDABILITY

COMMITMENT BY OWNER OF PROJECT.

(a) * * *

* * * * * * *

(c) DETERMINATION OF WHETHER TO RENEW WITH PROJECTBASED OR TENANT-BASED ASSISTANCE.—

186

(1) MANDATORY RENEWAL OF PROJECT-BASED ASSISTANCE.—

Section 8 assistance shall be renewed with project-based

assistance, if—

(A) * * *

(B) a predominant number of the units in the project are

occupied by elderly families, disabled families, or elderly

and disabled families; or

* * * * * * *

SEC. 516. PROHIBITION ON RESTRUCTURING.

(a) * * *

* * * * * * *

(d) DISPLACED TENANTS.—øSubject to¿

(1) NOTICE TO CERTAIN RESIDENTS.—The Office shall notify

any tenant that is residing in a project or receiving assistance

under section 8 of the United States Housing Act of 1937 (42

U.S.C. 1437f) at the time of rejection under this section, of such

rejection, except that the Office may delegate the responsibility

to provide notice under this paragraph to the participating administrative entity.

(2) ASSISTANCE AND MOVING EXPENSES.—Subject to the availability of amounts provided in advance in appropriations Acts,

for any low-income tenant that is residing in a project or receiving assistance under section 8 of the United States Housing Act of 1937 at the time of rejection under this section, that

tenant shall be provided with tenant-based assistance and reasonable moving expenses, as determined by the Secretary.

SEC. 517. RESTRUCTURING TOOLS.

(a) MORTGAGE RESTRUCTURING.—

(1) In this subtitle, an approved mortgage restructuring and

rental assistance sufficiency plan shall include restructuring

mortgages in accordance with this subsection to provide—

(A) a restructured or new first mortgage that is sustainable at rents at levels that are established in section

514(g); and

(B) a second mortgage that is in an amount equal to øno

more than the¿ not more than the greater of—

(i) the full or partial payment of claim made under

this subtitle; or

(ii) the difference between the restructured or new

first mortgage and the indebtedness under the existing insured mortgage immediately before it is restructured or refinanced, provided that the amount of the

second mortgage shall be in an amount that the Secretary or participating administrative entity determines can reasonably be expected to be repaid.

* * * * * * *

(5) The Secretary may modify the terms of the second mortgage, assign the second mortgage to the acquiring organization

or agency, or forgive all or part of the second mortgage if the

Secretary holds the second mortgage and if the project is acquired by a tenant organization or tenant-endorsed commuVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00186 Fmt 6659 Sfmt 6601 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
187

nity-based nonprofit or public agency, pursuant to guidelines

established by the Secretary.

* * * * * * *

(b) RESTRUCTURING TOOLS.—In addition to the requirements of

subsection (a) and to the extent these actions are consistent with

this section and with the control of the Secretary of applicable accounts in the Treasury of the United States, an approved mortgage

restructuring and rental assistance sufficiency plan under this subtitle may include one or more of the following actions:

(1) FULL OR PARTIAL PAYMENT OF CLAIM.—ømaking¿ Making

a full payment of claim or partial payment of claim under section 541(b) of the National Housing Act, as amended by section

523(b) of this Act. Any payment under this paragraph shall not

require the approval of a mortgageeø;¿. (2) REFINANCING OF DEBT.—ørefinancing¿ Refinancing of all

or part of the debt on a project. If the refinancing involves a

mortgage that will continue to be insured under the National

Housing Act, the refinancing shall be documented through

amendment of the existing insurance contract and not through

a new insurance contractø;¿. (3) MORTGAGE INSURANCE.—øproviding¿ Providing FHA multifamily mortgage insurance, reinsurance or other credit enhancement alternatives, including multifamily risk-sharing

mortgage programs, as provided under section 542 of the Housing and Community Development Act of 1992. The Secretary

shall use risk-shared financing under section 542(c) of the

Housing and Community Development Act of 1992 for any

mortgage restructuring, rehabilitation financing, or debt refinancing included as part of a mortgage restructuring and rental assistance sufficiency plan if the terms and conditions are

considered to be the best available financing in terms of financial savings to the FHA insurance funds and will result in reduced risk of loss to the Federal Government. Any limitations

on the number of units available for mortgage insurance under

section 542 shall not apply to eligible multifamily housing

projects. Any credit subsidy costs of providing mortgage insurance shall be paid from the Liquidating Accounts of the General Insurance Fund or the Special Risk Insurance Fund and

shall not be subject to any limitation on appropriationsø;¿. (4) CREDIT ENHANCEMENT.—øproviding¿ Providing any additional State or local mortgage credit enhancements and risksharing arrangements that may be established with State or

local housing finance agencies, the Federal Housing Finance

Board, the Federal National Mortgage Association, and the

Federal Home Loan Mortgage Corporation, to a modified or refinanced first mortgageø;¿. (5) COMPENSATION OF THIRD PARTIES.—øconsistent¿ Consistent with the portfolio restructuring agreement, entering

into agreements, incurring costs, or making payments, including incentive agreements designed to reward superior performance in meeting the purposes of this Act, as may be reasonably

necessary, to compensate the participation of participating administrative entities and other parties in undertaking actions

authorized by this subtitle. Upon request to the Secretary, participating administrative entities that are qualified under the

188

United States Housing Act of 1937 to serve as contract administrators shall be the contract administrators under section 8

of the United States Housing Act of 1937 for purposes of any

contracts entered into as part of an approved mortgage restructuring and rental assistance sufficiency plan. Subject to the

availability of amounts provided in advance in appropriations

Acts for administrative fees under section 8 of the United

States Housing Act of 1937, such amounts may be used to compensate participating administrative entities for compliance

monitoring costs incurred under section 519ø;¿. (6) USE OF PROJECT ACCOUNTS.—øapplying¿ Applying any residual receipts, replacement reserves, and any other project accounts not required for project operations, to maintain the

long-term affordability and physical condition of the property

or of other eligible multifamily housing projects. The participating administrative entity may expedite the acquisition of residual receipts, replacement reserves, or other such accounts,

by entering into agreements with owners of housing covered by

an expiring contract to provide an owner with a share of the

receipts, not to exceed 10 percent, in accordance with guidelines established by the Secretaryø; and¿. (c) REHABILITATION NEEDS AND ADDITION OF SIGNIFICANT FEA- TURES.—

ø(7)¿ (1) REHABILITATION NEEDS.— (A) IN GENERAL.—Rehabilitation may be paid from the

residual receipts, replacement reserves, or any other

project accounts not required for project operations, or, as

provided in appropriations Acts and subject to the control

of the Secretary of applicable accounts in the Treasury of

the United States, from budget authority provided for increases in the budget authority for assistance contracts

under section 8 of the United States Housing Act of 1937,

the rehabilitation grant program established under section

236 of the National Housing Act, as amended by section

531 of subtitle B of this Act, or through the debt restructuring transaction. Rehabilitation under this paragraph

shall only be for the purpose of restoring the project to a

non-luxury standard adequate for the rental market intended at the original approval of the project-based assistance.

(B) CONTRIBUTION.—Each owner or purchaser of a

project to be rehabilitated under an approved mortgage restructuring and rental assistance sufficiency plan shall

contribute, from non-project resources, not less than 25

percent of the amount of rehabilitation assistance received,

except that the participating administrative entity may

provide an exception from the requirement of this subparagraph for housing cooperatives.

(2) ADDITION OF SIGNIFICANT FEATURES.— (A) AUTHORITY.—An approved mortgage restructuring

and rental assistance sufficiency plan may require the improvement of the project by the addition of significant features that are not necessary for rehabilitation to the standard provided under paragraph (1), such as air conditioning, an elevator, and additional community space. The

189

Secretary shall establish guidelines regarding the inclusion

of requirements regarding such additional significant features under such plans.

(B) FUNDING.—Significant features added pursuant to an

approved mortgage restructuring and rental assistance sufficiency plan may be paid from the funding sources specified in the first sentence of paragraph (1)(A).

(C) LIMITATION ON OWNER CONTRIBUTION.—An owner of

a project may not be required to contribute from non-project

resources, toward the cost of any additional significant features required pursuant to this paragraph, more than 25

percent of the amount of any assistance received for the inclusion of such features.

(D) APPLICABILITY.—This paragraph shall apply to all eligible multifamily housing projects, except projects for

which the Secretary and the project owner executed a mortgage restructuring and rental assistance sufficiency plan on

or before the date of the enactment of the Mark-to-Market

Extension Act of 2001.

ø(c) ROLE OF FNMA AND FHLMC.—Section 1335 of the Federal

Housing Enterprises Financial Safety and Soundness Act of 1992

(12 U.S.C. 4565) is amended— ø(1) in paragraph (3), by striking ‘‘and’’ at the end;

ø(2) paragraph (4), by striking the period at the end and inserting ‘‘; and’’;

ø(3) by striking ‘‘To meet’’ and inserting the following:

ø‘‘(a) IN GENERAL.—To meet’’; and

ø(4) by adding at the end the following:

ø‘‘(5) assist in maintaining the affordability of assisted units

in eligible multifamily housing projects with expiring contracts,

as defined under the Multifamily Assisted Housing Reform and

Affordability Act of 1997.

ø‘‘(b) AFFORDABLE HOUSING GOALS.—Actions taken under subsection (a)(5) shall constitute part of the contribution of each entity

in meeting its affordable housing goals under sections 1332, 1333,

and 1334 for any fiscal year, as determined by the Secretary.’’.¿

* * * * * * *

SEC. 520. REPORTS TO CONGRESS.

(a) * * *

(b) SEMIANNUAL REVIEW.—Not less than semiannually during the

2-year period beginning on the date of the enactment of this Act

and not less than annually thereafter, the Secretary shall submit

reports to the Committee on øBanking and¿ Financial Services of

the House of Representatives and the Committee on Banking,

Housing, and Urban Affairs of the Senate stating, for such periods,

the total number of projects identified by participating administrative entities under each of clauses (i) and (ii) of section 515(c)(2)(C).

* * * * * * *

SEC. 524. RENEWAL OF EXPIRING PROJECT-BASED SECTION 8 CONTRACTS.

(a) IN GENERAL.—

(1) * * *

* * * * * * *

190

(4) RENEWAL RENTS.—Except as provided in subsection (b),

the contract for assistance shall provide assistance at the following rent levels:

(A) * * *

* * * * * * *

(C) RENTS NOT EXCEEDING MARKET RENTS.—In the case

of a project that is not subject to subparagraph (A) or (B),

at rent levels that— (i) * * *

* * * * * * *

In determining the rent level for a contract under this subparagraph, the Secretary shall approve rents sufficient to

cover budget-based cost increases and shall give greater

consideration to providing rent at a level up to comparable

market rents for the market area based on the number of

the criteria under clauses (i) through (iii) of subparagraph

(D) that the project meets. Notwithstanding any other provision of law, the Secretary shall include in such budgetbased cost increases costs relating to the project as a whole

(including costs incurred with respect to units not covered

by the contract for assistance), but only (I) if inclusion of

such costs is requested by the owner or purchaser of the

project, (II) if inclusion of such costs will permit capital repairs to the project or acquisition of the project by a nonprofit organization, and (III) to the extent that inclusion of

such costs (or a portion thereof) complies with the requirement under clause (ii).

* * * * * * *

(e) CONTRACTUAL COMMITMENTS UNDER PRESERVATION LAWS.— Except as provided in subsection (a)(2) and notwithstanding any

other provision of this subtitle, the following shall apply:

(1) * * *

* * * * * * *

(3) MORTGAGE RESTRUCTURING AND RENTAL ASSISTANCE SUF- FICIENCY PLANS.—Notwithstanding paragraph (1), the owner of

the project may request, and the Secretary may consider, mortgage restructuring and rental assistance sufficiency plans to facilitate sales or transfers of properties under this subtitle, subject to an approved plan of action under the Emergency Low Income Housing Preservation Act of 1987 (12 U.S.C. 1715l note)

or the Low-Income Housing Preservation and Resident Homeownership Act of 1990 (12 U.S.C. 4101 et seq.), which plans

shall result in a sale or transfer of those properties.

* * * * * * *

SEC. 525. CONSISTENCY OF RENT LEVELS UNDER ENHANCED VOUCHER ASSISTANCE AND RENT RESTRUCTURINGS.

(a) IN GENERAL.—The Secretary shall examine the standards and

procedures for determining and establishing the rent standards described under subsection (b). Pursuant to such examination, the Secretary shall establish procedures and guidelines that are designed

to ensure that the amounts determined by the various rent standards for the same dwelling units are reasonably consistent and reVerDate 26-SEP-2001 05:25 Oct 10, 2001 Jkt 075591 PO 00000 Frm 00190 Fmt 6659 Sfmt 6603 E:\HR\OC\A229HR.XXX pfrm09 PsN: A229HR
191

flect rents for comparable unassisted units in the same area as such

dwelling units.

(b) RENT STANDARDS.—The rent standards described in this subsection are as follows:

(1) ENHANCED VOUCHERS.—The payment standard for enhanced voucher assistance under section 8(t) of the United

States Housing Act of 1937 (42 U.S.C. 1437f(t)).

(2) MARK-TO-MARKET.—The rents derived from comparable

properties, for purposes of section 514(g) of this Act.

(3) CONTRACT RENEWAL.—The comparable market rents for

the market area, for purposes of section 524(a)(4) of this Act.

* * * * * * *

Subtitle D—Office of Multifamily Housing

Assistance Restructuring

* * * * * * *

SEC. 572. DIRECTOR.

ø(a) APPOINTMENT.—The Office shall be under the management

of a Director, who shall be appointed by the President by and with

the advice and consent of the Senate, from among individuals who

are citizens of the United States and have a demonstrated understanding of financing and mortgage restructuring for affordable

multifamily housing. Not later than 60 days after the date of the

enactment of this Act, the President shall submit to the Senate a

nomination for initial appointment to the position of Director.

ø(b) VACANCY.—A vacancy in the position of Director shall be

filled in the manner in which the original appointment was made

under subsection (a).¿

(a) APPOINTMENT.—The Office shall be under the management of

a Director, who shall be appointed by the President from among individuals who are citizens of the United States and have a demonstrated understanding of financing and mortgage restructuring

for affordable multifamily housing.

(b) VACANCY.—A vacancy in the position of Director shall be filled

by appointment in the manner provided under subsection (a). The

President shall make such an appointment not later than 60 days

after such position first becomes vacant.

* * * * * * *

SEC. 573. DUTY AND AUTHORITY OF DIRECTOR.

(a) * * *

(b) AUTHORITY.—The Director is authorized to make such determinations, take such actions, issue such regulations, and perform

such functions assigned to the Director under law as the Director

determines necessary to carry out such functions, subject to the review and approval of the Secretary. The Director shall semiannually submit a report to the øSecretary¿ Assistant Secretary of the

Department of Housing and Urban Development who is the Federal

Housing Commissioner regarding the activities, determinations,

and actions of the Director.

* * * * * * *

(d) INDEPENDENCE IN PROVIDING INFORMATION TO CONGRESS.—

192

(1) * * *

(2) REQUIREMENT.—If the Director determines at any time

that the Secretary is taking or has taken any action that interferes with the ability of the Director to carry out the duties of

the Director under this Act or that affects the administration

of the program under subtitle A of this Act in a manner that

is inconsistent with the purposes of this Act, including any proposed action by the Director, in the discretion of the Director,

that is overruled by the Secretary, the Director shall immediately report directly to the Committee on øBanking and¿ Financial Services of the House of Representatives and the Committee on Banking, Housing, and Urban Affairs of the Senate

regarding such action. Notwithstanding subsection (a) or (b),

any determination or report under this paragraph by the Director shall not be subject to prior review or approval of the

Secretary.

* * * * * * *

SEC. 576. LIMITATION ON SUBSEQUENT EMPLOYMENT.

Neither the Director nor any former officer or employee of the Office who, while employed by the Office, was compensated at a rate

in excess of the lowest rate for a position classified higher than

GS–15 of the General Schedule under section 5107 of title 5,

United States Code, may, during the ø2-year¿ 1-year period beginning on the date of separation from employment by the Office, accept compensation from any party (other than a Federal agency)

having any financial interest in any mortgage restructuring and

rental assistance sufficiency plan under subtitle A or comparable

matter in which the Director or such officer or employee had direct

participation or supervision.

* * * * * * *

øSEC. 578. SUSPENSION OF PROGRAM BECAUSE OF FAILURE TO APPOINT DIRECTOR.

ø(a) IN GENERAL.—If, upon the expiration of the 12-month period

beginning on the date of the enactment of this Act, the initial appointment to the office of Director has not been made, the

operation of the program under subtitle A shall immediately be

suspended and such provisions shall not have any force or effect

during the period that ends upon the making of such appointment.

ø(b) INTERIM APPLICABILITY OF DEMONSTRATION PROGRAM.—Notwithstanding any other provision of law, during the period referred

to in subsection (a), the Secretary shall carry out sections 211 and

212 of the Departments of Veterans Affairs and Housing and

Urban Development, and Independent Agencies Appropriations

Act, 1997. For purposes of applying such sections pursuant to the

authority under this section, the term ‘‘expiring contract’’ shall

have the meaning given in such sections, except that such term

shall also include any contract for project-based assistance under

section 8 of the United States Housing Act of 1937 that expires

during the period that the program is suspended under subsection

(a).¿

SEC. 578. OVERSIGHT BY FEDERAL HOUSING COMMISSIONER.

All authority and responsibilities assigned under this subtitle to

the Secretary shall be carried out through the Assistant Secretary

193

of the Department of Housing and Urban Development who is the

Federal Housing Commissioner.

SEC. 579. TERMINATION.

ø(a) REPEAL.—Subtitle A (except for section 524) and subtitle D

(except for this section) are repealed effective October 1, 2001.¿

(a) REPEALS.—

(1) MARK-TO-MARKET PROGRAM.—Subtitle A (except for section

524) is repealed effective October 1, 2006.

(2) OMHAR.—Subtitle D (except for this section) is repealed

effective October 1, 2004.

(b) EXCEPTION.—Notwithstanding the repeal under subsection

(a), the provisions of subtitle A (as in effect immediately before

such repeal) shall apply with respect to projects and programs for

which binding commitments have been entered into under this Act

before October 1, ø2001¿ 2006.

(c) TERMINATION OF DIRECTOR AND OFFICE.—The Office of Multifamily Housing Assistance Restructuring and the position of Director of such Office shall terminate øupon September 30, 2001¿ at the

end of September 30, 2004.

ø(d) TRANSFER OF AUTHORITY.—Effective upon the termination

under subsection (c), any authority and responsibilities assigned to

the Director that remain applicable after such date pursuant to

subsection (b) are transferred to the Secretary.¿

(d) TRANSFER OF AUTHORITY.—Effective upon the repeal of subtitle D under subsection (a)(2) of this section, all authority and responsibilities to administer the program under subtitle A are transferred to the Secretary.

SECTION 223 OF THE NATIONAL HOUSING ACT

MISCELLANEOUS HOUSING INSURANCE

SEC. 223. (a) Notwithstanding any of the provisions of this Act

and without regard to limitations upon eligibility contained in any

section or title of this Act, other than the limitation in section

203(g), the Secretary is authorized upon application by the mortgagee, to insure or make commitments to insure under any section

or title of this Act any mortgage—

(1) * * *

* * * * * * *

(7) given to refinance an existing mortgage insured øunder

this Act: Provided, That the principal¿ under this Act, or an existing mortgage held by the Secretary that is subject to a mortgage restructuring and rental assistance sufficiency plan pursuant to the Multifamily Assisted Housing Reform and Affordability Act of 1997 (42 U.S.C. 1437f note), provided that—

(A) the principal amount of any such refinancing mortgage shall not exceed the original principal amount or the

unexpired term of such existing mortgage and shall bear

interest at such rate as may be agreed upon by the mortgagor and the mortgagee, except that ø(A)¿ (i) the principal amount of any such refinancing mortgage may equal

the outstanding balance of an existing mortgage insured

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194

ment due under the refinancing mortgage is less than that

due under the existing mortgage for the month in which

the refinancing mortgage is executed; ø(B)¿ (ii) a mortgagee may not require a minimum principal amount to be

outstanding on the loan secured by the existing mortgage;

ø(C)¿ (iii) in any case involving the refinancing of a loan

in which the Secretary determines that the insurance of a

mortgage for an additional term will inure to the benefits

of the applicable insurance fund, taking into consideration

the outstanding insurance liability under the existing insured mortgage, such refinancing mortgage may have a

term not more than twelve years in excess of the unexpired term of such existing insured mortgage; and ø(D)¿

(iv) any multifamily mortgage that is refinanced under

this paragraph shall be documented through amendments

to the existing insurance contract and shall not be structured through the provisions of a new insurance contractø:

Provided further, That a mortgage¿; and

(B) a mortgage of the character described in paragraphs

(1) through (6) of this subsection shall have a maturity and

a principal obligation not in excess of the maximums prescribed under the applicable section or title of this Act, except that in no case may the principal obligation of a mortgage referred to in paragraph (5) of this subsection exceed

90 per centum of the appraised value of the mortgage

property, and shall bear interest at such rate as may be

agreed upon by the mortgagor and the mortgagee; øor¿

(C) a mortgage that is subject to a mortgage restructuring and rental assistance sufficiency plan pursuant to

the Multifamily Assisted Housing Reform and Affordability

Act of 1997 (42 U.S.C. 1437f note) and is refinanced under

this paragraph may have a term of not more than 30 years;

or

* * * * * * *

SECTION 105 OF THE HOUSING AND COMMMUNITY

DEVELOPMENT ACT OF 1974

ELIGIBLE ACTIVITIES

SEC. 105. (a) Activities assisted under this title may include

only—(1) * * *

* * * * * * *

(8) provision of public services, including but not limited to

those concerned with employment, crime prevention, child

care, health, drug abuse, education, energy conservation, welfare or recreation needs, if such services have not been provided by the unit of general local government (through funds

raised by such unit, or received by such unit from the State in

which it is located) during any part of the twelve-month period

immediately preceding the date of submission of the statement

with respect to which funds are to be made available under

this title, and which are to be used for such services, unless

195

the Secretary finds that the discontinuation of such services

was the result of events not within the control of the unit of

general local government, except that not more that 15 per

centum of the amount of any assistance to a unit of general

local government (or in the case of nonentitled communities

not more than 15 per centum statewide) under this title including program income may be used for activities under this paragraph unless such unit of general local government used more

than 15 percent of the assistance received under this title for

fiscal year 1982 or fiscal year 1983 for such activities (excluding any assistance received pursuant to Public Law 98–8), in

which case such unit of general local government may use not

more than the percentage or amount of such assistance used

for such activities for such fiscal year, whichever method of calculation yields the higher amount, except that of any amount

of assistance under this title (including program income) in

each of fiscal years 1993 through ø2001¿ 2003 to the City of

Los Angeles and County of Los Angeles, each such unit of general government may use not more than 25 percent in each

such fiscal year for activities under this paragraph, and except

that of any amount of assistance under this title (including

program income) in each of fiscal years 1999, 2000, and 2001,

to the City of Miami, such city may use not more than 25 percent in each fiscal year for activities under this paragraph;

* * * * * * *

SECTION 8 OF THE UNITED STATES HOUSING ACT OF

1937

LOWER INCOME HOUSING ASSISTANCE

SEC. 8. (a) * * *

* * * * * * *

(t) ENHANCED VOUCHERS.—

(1) * * *

(2) ELIGIBILITY EVENT.—For purposes of this subsection, the

term ‘‘eligibility event’’ means, with respect to a multifamily

housing project, the prepayment of the mortgage on such housing project, the voluntary termination of the insurance contract

for the mortgage for such housing project (including any such

mortgage prepayment during fiscal year 1996 or a fiscal year

thereafter or any insurance contract voluntary termination during fiscal year 1996 or a fiscal year thereafter), the termination

or expiration of the contract for rental assistance under section

8 of the United States Housing Act of 1937 for such housing

project (including any such termination or expiration during

fiscal years after fiscal year 1994 prior to the effective date of

the Departments of Veterans Affairs and Housing and Urban

Development, and Independent Agencies Appropriations Act,

2001), or the transaction under which the project is preserved

as affordable housing, that, under paragraphs (3) and (4) of

section 515(c), section 524(d) of the Multifamily Assisted Housing Reform and Affordability Act of 1997 (42 U.S.C. 1437f

note), section 223(f ) of the Low-Income Housing Preservation

196

and Resident Homeownership Act of 1990 (12 U.S.C. 4113(f )),

or section 201(p) of the Housing and Community Development

Amendments of 1978 (12 U.S.C. 1715z–1a(p)), results in tenants in such housing project being eligible for enhanced voucher assistance under this subsection.

* * * * * * *

SECTION 811 OF THE AMERICAN HOMEOWNERSHIP AND

ECONOMIC OPPORTUNITY ACT OF 2000

SEC. 811. PREPAYMENT AND REFINANCING.

(a) * * *

* * * * * * *

ø(e) BUDGET ACT COMPLIANCE.—This section shall be effective

only to extent or in such amounts that are provided in advance in

appropriation Acts.¿

SECTION 101 OF THE McKINNEY-VENTO HOMELESS

ASSISTANCE ACT

(Public Law 100–77)

SECTION 101. SHORT TITLE AND TABLE OF CONTENTS.

ø(a) SHORT TITLE.—This Act may be cited as the ‘‘Stewart B.

McKinney Homeless Assistance Act’’.¿

(a) SHORT TITLE.—This Act may be cited as the ‘‘McKinney-Vento

Homeless Assistance Act’’.

* * * * * * *

CHANGES IN APPLICATION OF EXISTING LAW

Pursuant to clause 3, rule XIII of the Rules of the House of Representatives, the following statements are submitted describing the

effect of provisions in the accompanying bill which may directly or

indirectly change the application of existing law.

In some instances the bill includes appropriations for certain ongoing programs which are not yet authorized for fiscal year 2002.

The bill provides that appropriations shall remain available for

more than one year for some programs for which the basic authorizing legislation does not presently authorize such extended availability.

In various places in the bill, the Committee has earmarked funds

within appropriation accounts in order to fund specific sections of

a law. Whether these actions constitute a change in the application

of existing law is subject to individual interpretation, but the Committee felt that this fact should be mentioned.

In several instances, the bill provides advance appropriations for

fiscal year 2003 for programs for which such advances are not authorized by law.

197

TITLE I—DEPARTMENT OF LABOR

TRAINING AND EMPLOYMENT SERVICES

Language prohibiting the use of funds from any other appropriation to provide meal services at or for Job Corps centers.

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Language allowing the use of funds for amortization payments to

States which had independent retirement plans in their State employment service agencies prior to 1980.

Language allowing the Labor Department to withhold from State

allotments funds available for penalty mail under the WagnerPeyser Act.

Language providing that funds in this Act for one-stop career

centers and unemployment insurance national activities may be

used for contracts, grants or agreements with non-State entities.

Language providing that funds in this Act may be used by the

States for integrated Employment Service and Unemployment Insurance automation efforts.

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

Language authorizing the Secretary of Labor to accept and spend

all sums of money ordered to be paid to the Secretary, in accordance with the terms of a Consent Judgment in U.S. District Court

for the Northern Mariana Islands.

Language authorizing the Secretary of Labor to collect user fees

for processing certain applications and issuing certain certificates

and registrations under the Fair Labor Standards Act and the Migrant and Seasonal Agricultural Worker Protection Act.

SPECIAL BENEFITS

Language providing funds may be used under the Federal Employees’ Compensation Act in which the Secretary of Labor may reimburse an employer, who is not the employer at the time of injury, for portions of the salary of a reemployed, disabled beneficiary.

Language allowing the Secretary of Labor to transfer certain administrative funds from the Postal Service fund and certain other

government corporations and agencies related to the administration of the Federal Employees’ Compensation Act.

Language allowing the Secretary of Labor to require any person

filing a claim for benefits under the Federal Employees’ Compensation Act or the Longshore and Harbor Workers’ Compensation Act

to provide such identifying information as the Secretary may require, including a Social Security number.

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Language establishing a maximum amount available for grants

to States under the Occupational Safety and Health Act, which

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grants shall be no less than 50 percent of the costs of State programs required to be incurred under plans approved by the Secretary under section 18 of the Act.

Language authorizing the Occupational Safety and Health Administration to retain and spend up to $750,000 of training institute course tuition fees for training and education grants.

Language allowing the Secretary of Labor to collect and retain

fees for services provided to Nationally Recognized Testing Laboratories.

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Language allowing the Mine Safety and Health Administration

to collect up to $750,000 at the National Mine Health and Safety

Academy for room, board, tuition, and the sale of training materials, otherwise authorized by law to be collected, to be available

for mine safety and health education and training activities, notwithstanding 31 U.S.C. 3302.

Language allowing the Mine Safety and Health Administration

to purchase and bestow certificates and trophies in connection with

mine rescue and first-aid work; to accept land, buildings, equipment, and other contributions from public and private sources; to

prosecute projects in cooperation with other agencies, Federal,

State, or private; and to promote health and safety education and

training in the mining community through cooperative programs

with States, industry, and safety associations.

Language 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 major disasters.

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Language providing that no funds made available by this Act

may be used by the Solicitor of Labor to participate in a review in

any United States court of appeals of any decision made by the

Benefits Review Board under section 21 of the Longshore and Harbor Workers’ Compensation Act where such participation is precluded by the decision of the Supreme Court in Director, Office of

Workers’ Compensation Programs v. Newport News Shipbuilding,

115 S. Ct.1278 (1995), notwithstanding any provisions to the contrary contained in Rule 15 of the Federal Rules of Appellate Procedure.

Language providing that any decision under the Longshore Act

pending before the Benefits Review Board for more than one year

shall be considered affirmed by the Board and shall be considered

the final order of the Board.

199

TITLE II—DEPARTMENT OF HEALTH AND HUMAN

SERVICES

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Language providing that $35,000,000 from general revenues, notwithstanding § 1820(j) of the Social Security Act, shall be available

for carrying out the Medicare rural hospital flexibility grants program under section 1820 of such Act.

Language providing that in addition to fees authorized by

§ 427(b) of the Health Care Quality Improvement Act of 1986, fees

shall be collected for the full disclosure of information under the

Act sufficient to recover the full costs of operating the National

Practitioner Data Bank, and shall remain available until expended

to carry out that Act.

Language providing that all pregnancy counseling under the

family planning program shall be nondirective.

Language identifying a specific amount for maternal and child

health SPRANS activities, notwithstanding current law.

CENTERS FOR DISEASE CONTROL AND PREVENTION

Language permitting the Centers for Disease Control and Prevention to insure official motor vehicles in foreign countries.

Language providing that collections from user fees may be credited to the Centers for Disease Control and Prevention appropriation.

Language making amounts under § 241 of the Public Health

Service Act available to carry out the National Center for Health

Statistics surveys.

Language allowing the Director of the Centers for Disease Control and Prevention to redirect certain funds appropriated under

Public Law 101–502.

NATIONAL INSTITUTES OF HEALTH

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Language allowing the Director of NIH to transfer up to

$25,000,000 to International Assistance Programs, ‘‘Global Fund to

Fight HIV/AIDS, Malaria, and Tuberculosis,’’ to remain available

until expended.

NATIONAL LIBRARY OF MEDICINE

Language providing that the National Library of Medicine may

enter into certain personal services contracts.

OFFICE OF THE DIRECTOR

Language providing that the National Institutes of Health is authorized to collect third party payments for the cost of the clinical

services that are incurred in NIH research facilities and that such

payments shall be credited to the NIH Management Fund and

shall remain available for one fiscal year after they are deposited.

Language providing the Director of NIH authority to transfer

funds between appropriation accounts in this or any other Act.

200

BUILDINGS AND FACILITIES

Language allowing the Director of NIH to transfer up to

$75,000,000 to International Assistance Programs, ‘‘Global Fund to

Fight HIV/AIDS, Malaria, and Tuberculosis,’’ to remain available

until expended.

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Language is included to permit the Agency for Healthcare Research and Quality to retain and expend amounts received from

Freedom of Information Act fees, reimbursable and interagency

agreements and the sale of data tapes.

Language making amounts under section 241 of the Public

Health Service Act available to carry out agency activities.

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

A provision that in the administration of title XIX of the Social

Security Act, payments to a state for any quarter may be made

with respect to a State plan or plan amendment in effect during

any such quarter, if submitted in, or prior to, such quarter and approved in that or any such subsequent quarter.

PROGRAM MANAGEMENT

A provision that all funds collected in accordance with section

353 of the Public Health Service Act, together with such sums as

may be collected from authorized user fees, administrative fees collected relative to Medicare overpayment recovery activities, and the

sale of data, shall be available for expenditure by the Health Care

Financing Administration.

Language allowing fees charged in accordance with 31 U.S.C.

9701 to be credited to the Health Care Financing Administration

administrative account.

Language limiting the amount of funds available from the Health

Care Fraud and Abuse Control Account of the Federal Hospital Insurance Trust Fund.

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Language providing that the sum of the amounts available to a

State with respect to expenditures under title IV–A of the Social

Security Act in fiscal year 1997 under this appropriation and under

such title IV–A as amended by the Personal Responsibility and

Work Opportunity Reconciliation Act of 1996 shall not exceed the

limitations under § 116(b) of such Act.

SOCIAL SERVICES BLOCK GRANT

Language providing that States may transfer up to 10 percent of

Temporary Assistance for Needy Family funds to the Social Services Block Grant.

201

CHILDREN AND FAMILIES SERVICES PROGRAMS

Language providing that unexpended Community Services Block

Grant funds may be carried over to the next fiscal year by local

grantees.

Language reducing the funds appropriated from mandatory accounts for research activities under the Social Security Act.

OFFICE OF THE SECRETARY

OFFICE OF THE INSPECTOR GENERAL

Language limiting the amount of funds available from the Health

Care Fraud and Abuse Control Account of the Federal Hospital Insurance Trust Fund.

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Language allowing the funds available for the National Pharmaceutical Stockpile to remain available until expended.

TITLE III—DEPARTMENT OF EDUCATION

REHABILITATION SERVICES AND DISABILITY RESEARCH

Language allocating funds under title I of the Assistive Technology (AT) Act of 1998 notwithstanding section 105(b)(1) of the AT

Act.

Language providing $50,000 to each state for activities under

section 102 of the AT Act.

Language providing that funds shall be used for grants under

title III of the AT Act, and specifying Federal shares of such

grants.

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

GALLAUDET UNIVERSITY

The bill includes language providing that the National Technical

Institute for the Deaf and Gallaudet University may use funds for

their endowment programs at their discretion.

VOCATIONAL AND ADULT EDUCATION

Language stating that a portion of the amount provided for Adult

Education State Grants shall be for integrated English literacy and

civics education services to immigrants and other limited English

proficient populations, and specifying the distribution of such

funds.

STUDENT FINANCIAL ASSISTANCE

The bill includes language providing that the maximum Pell

grant a student may receive in the 2002–2003 academic year shall

be $4,000.

The bill includes language providing that notwithstanding section 401(g) of the Higher Education Act of 1965, if the Secretary

determines, prior to publication of the payment schedule for award

year 2001–2002, that the funds included within this appropriation

for Pell Grant awards for award year 2001–2002, and any funds

available from the FY 2000 appropriation for Pell Grant awards,

202

are insufficient to satisfy fully all such awards for which students

are eligible, as calculated under section 401(b) of the Act, the

amount paid for each such award shall be reduced by either a fixed

or variable percentage, or by a fixed dollar amount, as determined

in accordance with a schedule of reductions established by the Secretary for this purpose.

HIGHER EDUCATION

The bill includes language providing that funds are available to

fund fellowships for academic year 2003–2004 under part A, subpart 1 of title VII of the Higher Education Act of 1965, under the

terms and conditions of part A, subpart 1.

HOWARD UNIVERSITY

The bill includes language providing that Howard University

shall use not less than $3,600,000 for the endowment program pursuant to the Howard University Endowment Act.

EDUCATION RESEARCH, STATISTICS, AND IMPROVEMENT

Language providing that $77,500,000 of the funds provided for

the national education research institutes shall be allocated notwithstanding § 912(m)(1)(B–F) and subparagraphs (B) and (C) of

§ 931(c)(2) of Public Law 103–227.

TITLE IV—RELATED AGENCIES

ARMED FORCES RETIREMENT HOME

Language providing that notwithstanding any other provision of

law, a single contract or related contracts for development and construction, to include construction of a long-term care facility at the

United States Naval Home, may be employed which collectively include the full scope of the project and providing that the solicitation and contract shall contain the clause ‘‘availability of funds’’

found at 48 CFR 52.232–18 and 252.232–7007, Limitation of Government Obligations.

FEDERAL MEDIATION AND CONCILIATION SERVICE

SALARIES AND EXPENSES

The bill includes language specifying that notwithstanding 31

U.S.C. 3302, fees charged by the Federal Mediation and Conciliation Service, up to full-cost recovery, for special training activities

and for arbitration services shall be credited to and merged with

its administrative account, and shall remain available until expended; that fees for arbitration services shall be available only for

education, training, and professional development of the agency

workforce; and that the Director of the Service is authorized to accept on behalf of the United States gifts of services and real, personal, or other property in the aid of any projects or functions within the Director’s jurisdiction.

203

NATIONAL LABOR RELATIONS BOARD

SALARIES AND EXPENSES

The bill includes a provision requiring that appropriations to the

NLRB shall not be available to organize or assist in organizing agricultural laborers or used in connection with investigations, hearings, directives, or orders concerning bargaining units composed of

agricultural laborers as referred to in § 2(3) of the Act of July 5,

1935 (29 U.S.C. 152), and as amended by the Labor-Management

Relations Act, 1947, as amended, and as defined in § 3(f) of the Act

of June 25, 1938 (29 U.S.C. 203), and including in said definition

employees engaged in the maintenance and operation of ditches,

canals, reservoirs, and waterways, when maintained or operated on

a mutual non-profit basis and at least 95 per centum of the water

stored or supplied thereby is used for farming purposes.

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

The bill includes language providing that the total amount provided for railroad retirement dual benefits shall be credited to the

Dual Benefits Payments Account in 12 approximately equal

amounts on the first day of each month in the fiscal year.

LIMITATION ON ADMINISTRATION

The bill includes language providing that the Railroad Retirement Board shall determine the allocation of its administrative

budget between the railroad retirement accounts and the railroad

unemployment insurance administration fund.

SOCIAL SECURITY ADMINISTRATION

LIMITATION ON ADMINISTRATIVE EXPENSES

Language providing that unobligated balances at the end of fiscal

year 2002 shall remain available until expended for the agency’s

information technology and telecommunications hardware and software infrastructure, including related equipment and non-payroll

administrative expenses associated solely with this information

technology and telecommunications infrastructure; language authorizing the use of up to $35,000 for official reception and representation expenses; and language providing that reimbursement

to the trust funds under this heading for expenditures for official

time for employees of the Social Security Administration pursuant

to §7131 of title 5, United States Code, and for facilities or support

services for labor organizations pursuant to policies, regulations, or

procedures referred to in 7135(b) of such title shall be made by the

Secretary of the Treasury, with interest, from amounts in the general fund not otherwise appropriated, as soon as possible after such

expenditures are made.

Language providing that funds may be derived from administration fees collected pursuant to 1616(d) of the Social Security Act or

212(b)(3) of Public Law 93–66 and that, to the extent that the

amounts collected pursuant to such sections in fiscal year 2002 exceed $100,000,000, the amounts shall be available in fiscal year

2003 only to the extent provided in advance in appropriations Acts.

204

Language providing that unobligated funds at the end of fiscal

year 2001 previously appropriated to continue Federal-State partnerships to evaluate a means to promote Medicare buy-in programs

shall remain available.

OFFICE OF INSPECTOR GENERAL

Language permitting the transfer of a certain amount of funds

into this account from the SSA administrative account provided

that the Appropriations Committees are promptly notified.

POLICY RESEARCH

Language making amounts under section 241 of the Public

Health Service Act available to carry out agency activities.

GENERAL PROVISIONS

Sections 102, 201, 202, 204, 205, 206, 207, 208, 209, 210, 211,

212, 213, 214, 215, 301, 302, 303, 304, 501, 504, 507, 508, 509, 510,

511, 512 and 513 of the bill are general provisions, most of which

have been carried in previous appropriations acts, which place limitations on the use of funds in the bill or authorize or require certain activities, and which might, under some circumstances, be construed as changing the application of existing law.

DEFINITION OF PROGRAM, PROJECT, AND ACTIVITY

During fiscal year 2002 for purposes of the Balanced Budget and

Emergency Deficit Control Act of 1985 (Public Law 99–177), as

amended, the following information provides the definition of the

term ‘‘program, project, and activity’’ for departments and agencies

under the jurisdiction of the Labor, Health and Human Services,

and Education and Related Agencies Subcommittee. The term ‘‘program, project, and activity’’ shall include the most specific level of

budget items identified in the Departments of Labor, Health and

Human Services, and Education, and Related Agencies Appropriations Act, 2002, the accompanying House and Senate Committee

reports, the conference report and accompanying joint explanatory

statement of the managers of the committee of conference.

STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES

Pursuant to clause 3(c)(4) of rule XIII of the Rules of the House

of Representatives, the following is a statement of general performance goals and objectives for which this measure authorizes funding:

The Committee on Appropriations considers program performance, including a program’s success in developing and attaining

outcome-related goals and objectives, in developing funding recommendations.

APPROPRIATIONS NOT AUTHORIZED BY LAW

Pursuant to clause 3 of rule XIII of the Rules of the House of

Representatives, the following table lists the appropriations in the

accompanying bill which are not authorized by law:

205

DEPARTMENT OF LABOR

Employment and Training Administration

Training and Employment Services

Skills Standards

Community Service Employment for Older Americans

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Health Resources and Services

Community Health Centers

National Health Service Corps:

Field placements

Recruitment

Other HRSA Programs:

Organ Transplantation

Rural Outreach

Telemedicine

Rural Health Research

Nursing loan repayment for shortage area service

Family Planning

Centers for Disease Control

Preventive Health and Health Services Block Grant

Salaries and Expenses

Sexually Transmitted Diseases

Program

Salaries and Expenses

Injury Control

Program

Salaries and Expenses

National Institutes of Health

National Cancer Institute

National Heart, Lung, and Blood Institute

National Institute of Dental Research

National Institute Of Diabetes & Digestive & Kidney Diseases

National Institute of Neurological Disorders and Stroke

National Institute of Allergy and Infectious Diseases

National Institute of General Medical Sciences

National Institute of Child Health and Human Development

National Eye Institute

National Institute of Environmental Health Sciences

National Institute on Aging

National Institute on Arthritis & Musculoskeletal & Skin Diseases

National Institute on Deafness & Other Comm. Disorders

National Institute of Nursing Research

National Institute on Alcohol Abuse & Alcoholism

National Institute on Drug Abuse

National Institute of Mental Health

National Human Genome Research Institute

National Center for Research Resources

National Library of Medicine

Administration for Children and Families

Developmental Disabilities Program

Domestic Violence Hotline

206

Battered Women’s Shelters

Promoting Safe and Stable Families

Administration on Aging: Aging Services Programs

Office of the Secretary

General Departmental Management

Adolescent family life (Title XX)

DEPARTMENT OF EDUCATION

School Improvement Programs

Educational Technology

21st Century Community Learning Centers

Innovative Education (Education Block Grant)

Safe and Drug Free Schools:

Inexpensive Book Distribution (RIF)

State Grants for Improving Teacher Quality

Transition to Teaching/Troops to Teachers

Small, Safe and Successful High Schools

State Assessments

Arts in Education

Magnet Schools Assistance

Education for Homeless Children & Youth

Women’s Educational Equity

Ellender Fellowships/Close Up

Education for Native Hawaiians

Alaska Native Education Equity

Comprehensive Regional Assistance Centers

Rural Education

Character Education

Mentoring Programs

Elementary School Counseling

Charter Schools

Education for the Disadvantaged

Grants to Local Educational Agencies (LEAs)

Reading First

Capital Expenses for Private School Children

Even Start

State Agency Programs

Evaluation

Comprehensive School Reform Demonstration

Impact Aid

Indian Education

Bilingual and Immigrant Education

Education Research, Statistics, and Improvement

Research and Statistics

Civic Education

Javits Gifted and Talented Education

National Writing Project

RELATED AGENCIES

Corporation for National and Community Service:

Domestic Volunteer Service Programs, Operating Expenses

Cooperation for Public Broadcasting:

FY 2004 Regular Appropriation

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FULL COMMITTEE VOTES

There were no Full Committee rollcall votes.

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