68–379 PDF 

Calendar No. 178 

112TH CONGRESS REPORT " ! SENATE 1st Session 112–84 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2012 

SEPTEMBER 22, 2011.—Ordered to be printed 

Mr. HARKIN, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 1599] 

The Committee on Appropriations reports the bill (S. 1599) making appropriations for Departments of Labor, Health and Human 

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

ending September 30, 2012, and for other purposes, reports favorably thereon and recommends that the bill do pass. 

Amount of budget authority 

Total of bill as reported to the Senate ............. $742,432,508,000 

Amount of 2011 appropriations ........................ 722,738,724,000 

Amount of 2012 budget estimate ...................... 758,715,002,000 

Bill as recommended to Senate compared to— 

2011 appropriations .................................... ∂19,693,784,000 

2012 budget estimate ................................. ¥16,282,494,000 


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C O N T E N T S 

Page 

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

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

Fiscal Accountability ........................................................................................ 5 

Leveraging Reform ........................................................................................... 6 

Investing in the Future .................................................................................... 8 

Other Highlights of the Bill ............................................................................. 8 

Reprogramming and Transfer Authority ........................................................ 10 

Title I: Department of Labor: 

Employment and Training Administration .................................................... 12 

Employee Benefits Security Administration .................................................. 22 

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

Wage and Hour Division .................................................................................. 23 

Office of Labor-Management Standards ......................................................... 24 

Office of Federal Contract Compliance Programs .......................................... 24 

Office of Workers’ Compensation Programs ................................................... 25 

Occupational Safety and Health Administration ........................................... 28 

Mine Safety and Health Administration ........................................................ 29 

Bureau of Labor Statistics ............................................................................... 30 

Office of Disability Employment Policy .......................................................... 32 

Departmental Management ............................................................................. 33 

General Provisions ........................................................................................... 36 

Title II: Department of Health and Human Services: 

Health Resources and Services Administration ............................................. 36 

Centers for Disease Control and Prevention .................................................. 59 

National Institutes of Health .......................................................................... 84 

Substance Abuse and Mental Health Services Administration .................... 116 

Agency for Healthcare Research and Quality ................................................ 126 

Centers for Medicare and Medicaid Services ................................................. 129 

Administration for Children and Families ..................................................... 134 

Administration on Aging .................................................................................. 149 

Office of the Secretary ...................................................................................... 153 

General Provisions ........................................................................................... 164 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 166 

Impact Aid ......................................................................................................... 170 

School Improvement Programs ........................................................................ 171 

Indian Education .............................................................................................. 177 

Innovation and Improvement .......................................................................... 177 

Safe Schools and Citizenship Education ......................................................... 184 

English Language Acquisition ......................................................................... 186 

Special Education ............................................................................................. 187 

Rehabilitation Services and Disability Research ........................................... 191 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 196 

National Technical Institute for the Deaf ............................................... 197 

Gallaudet University ................................................................................. 197 

Career, Technical, and Adult Education ........................................................ 197 

Student Financial Assistance .......................................................................... 199 

Student Aid Administration ............................................................................ 202 

Higher Education ............................................................................................. 203 

Howard University ........................................................................................... 210 

College Housing and Academic Facilities Loans ............................................ 211 

Historically Black College and University Capital Financing Program 

Account .......................................................................................................... 211 


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Title III—Continued 

Institute of Education Sciences ....................................................................... 212 

Departmental Management: 

Program Administration ........................................................................... 214 

Office for Civil Rights ............................................................................... 215 

Office of the Inspector General ................................................................ 215 

General Provisions ........................................................................................... 215 

Title IV: Related Agencies: 

Committee for Purchase From People Who Are Blind or Severely Disabled ............................................................................................................... 217 

Corporation for National and Community Service ........................................ 217 

Corporation for Public Broadcasting ............................................................... 220 

Federal Mediation and Conciliation Service .................................................. 221 

Federal Mine Safety and Health Review Commission .................................. 221 

Institute of Museum and Library Services ..................................................... 222 

Medicaid and CHIP Payment and Access Commission ................................. 223 

Medicare Payment Advisory Commission ...................................................... 223 

National Council on Disability ........................................................................ 224 

National Health Care Workforce Commission ............................................... 224 

National Labor Relations Board ...................................................................... 224 

National Mediation Board ............................................................................... 225 

Occupational Safety and Health Review Commission ................................... 225 

Railroad Retirement Board .............................................................................. 225 

Social Security Administration ........................................................................ 226 

Title V: General Provisions ..................................................................................... 231 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the Senate .......................................................................................................................... 232 

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

Senate ................................................................................................................... 232 

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

Senate ................................................................................................................... 233 

Budgetary Impact of Bill ......................................................................................... 236 

Comparative Statement of New Budget Authority ............................................... 237 


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SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2012, the Committee recommends total budget au- thority of $742,432,508,000 for the Departments of Labor, Health 

and Human Services [HHS], and Education, and Related Agencies. 

Of this amount, $158,027,000,000 is current year discretionary 

funding, including offsets and $893,000,000 in cap adjustments for 

healthcare fraud and abuse and for program integrity at the Social 

Security Administration, in accordance with the 302(b) allocation 

for this bill. Not counting cap adjustments, the 302(b) allocation 

provided by the Committee for this bill is $308,000,000 below the 

fiscal year 2011 level. 

The Committee recommendation reflects a program level of $165,384,183,000 for fiscal year 2012. (Program level is current 

year discretionary funding plus additional spending that is offset 

by savings in mandatory programs and other adjustments to discretionary funding.) Within this total, the Committee included an 

additional $409,000,000 in spending necessary to receive the two 

cap adjustments. When program level is adjusted for this additional program integrity spending, the program level is 

$308,000,000 below the 2011 comparable level of $165,283,184,000. 

This difference mirrors the reduction in the Committee 302(b) allocation for this bill, before cap adjustments, from the fiscal year 

2011 enacted level to fiscal year 2012. 

The bill provides discretionary program level funding of $12,687,502,000 for the Department of Labor, $70,183,059,000 for 

the Department of HHS, $68,425,775,000 for the Department of 

Education and $14,087,847,000 for related agencies. The comparable fiscal year 2011 levels were $12,662,505,000 for Labor, 

$70,444,321,000 for HHS, $68,345,327,000 for Education and 

$13,831,031,000 for related agencies. 

OVERVIEW

It has been said that while the Defense appropriations bill defends America, the Labor, HHS, and Education, and Related Agencies appropriations bill defines America. 

This bill is made up of over 300 programs, spanning three Federal departments and numerous related agencies. But the bill is 

more than its component parts. Virtually every element of this bill 

reflects the traditional ideal of democracy: that every citizen deserves the right to a basic education and job skills training; protection from illness and want; and an equal opportunity to reach one’s 

highest potential. 

This year, the Committee has been asked to help Americans 

achieve those ideals with less funding than was available the year 

before. That constraint has forced the Committee to make difficult 

cuts, some of which may be unpopular, or eliminate programs altoVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00004 Fmt 6604 Sfmt 6604 E:\HR\OC\NIIAH3.XXX NIIAH3

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gether. In other cases, the Committee has recommended targeted 

increases to address needs that are particularly pressing in today’s 

struggling economy. 

Three themes permeate the Committee’s recommendation. First, 

the Committee recognizes that every taxpayer dollar should be 

used wisely; efforts to root out waste are bolstered, and duplicative 

and inefficient programs are eliminated. Second, just because times 

are lean doesn’t mean that innovation should cease. This bill 

launches or continues several new initiatives that will leverage reform and transform key Federal services. Finally, the Committee 

invests in the future of this Nation by helping ensure that our 

young people receive a strong education and are prepared to compete in a global economy. 

Each theme is described more fully below. 

FISCAL ACCOUNTABILITY

For fiscal year 2012, the Committee increases funding for key activities aimed at reducing fraud, waste and abuse of taxpayer dollars. These program integrity initiatives have proven to be a wise 

Federal investment, resulting in billions of dollars of savings in 

Federal entitlement programs. 

Health Care Program Integrity.—Fraud committed against Federal healthcare programs puts Americans at increased risk and diverts critical resources from providing necessary health services to 

some of the Nation’s most vulnerable populations. The Committee 

includes $581,000,000 for Health Care Fraud and Abuse Control 

activities at the Centers for Medicare and Medicaid Services. This 

amount is a $270,623,000 increase over the fiscal year 2011 level 

of $310,377,000. The historical return on investment for the life of 

the Medicare Integrity program has been about $14 for every $1 

spent. For fraud and abuse activities throughout Medicare and 

Medicaid, the Federal Government saves or recovers $6 for every 

$1 spent. 

Social Security Program Integrity.—The Committee recommendation includes $896,000,000, an increase of $139,516,000 over the 

fiscal year 2011 level, for the Social Security Administration to conduct continuing disability reviews and redeterminations of nonmedical eligibility under the Supplemental Security Income program. This investment will save approximately $8,900,000,000 over 

10 years for the Social Security, Medicare, and Medicaid programs, 

almost $10 for every $1 spent. 

340B User Fee.—The Committee has included a provision, requested by the administration, to institute a 0.1 percent user fee 

on 340B discount drugs. The fee is expected to generate $5,000,000 

in fiscal year 2012, which will be used to implement program integrity work recommended by the Government Accountability Office 

and mandated by the Patient Protection and Affordable Care Act. 

Unemployment Insurance Program Integrity.—The Committee 

recommendation includes $59,900,000 to conduct re-employment 

and eligibility assessments and unemployment insurance [UI] improper payment reviews. The recommendation will support the continuation of this initiative in approximately 40 States and will save 

State UI Trust funds by helping claimants exit the UI program 


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faster and avoid exhausting UI benefits. These activities have a return on investment of more than $3 for every $1 spent. 

Program Eliminations.—Lean economic times require tough 

choices and a critical look at all programs in the bill, even those 

that have been funded for decades. The fiscal year 2011 appropriations bill eliminated 46 programs, totaling $1,336,540,000, within 

the jurisdiction of this bill. In fiscal year 2012, the Committee recommendation eliminates another 15 programs totaling 

$263,383,000. 

LEVERAGING REFORM

Accelerating Cures.—The Committee bill includes $582,362,000 to 

create the National Center for Advancing Translational Sciences 

[NCATS] within the National Institutes of Health [NIH]. The new 

Center is part of a broader restructuring at NIH that also includes 

the termination of the National Center for Research Resources. The 

mission of NCATS is to transform the way NIH pursues the translation of basic science into treatments and cures. Too often, basic 

biomedical research will suggest a promising path for a treatment 

or cure, but funding falls short to pursue the idea to its fullest potential. A new program within NCATS—the Cures Acceleration 

Network [CAN]—will help speed the translation and application of 

discoveries that have shown signs of success at the laboratory level 

but have not advanced far enough to attract significant investments from the private sector. CAN, for which the Committee provides $20,000,000, will make grants to biotech companies, universities, and patient advocacy groups, and will also help facilitate 

FDA review for the high-need cures that are funded by this initiative. The other programs within NCATS will be transferred from 

other Institutes and Centers. 

Race to the Top.—The Committee includes $698,600,000, the 

same as the fiscal year 2011 level, for the administration’s signature education reform program. Race to the Top was created in the 

American Recovery and Reinvestment Act and continued in the fiscal year 2011 appropriations bill. This competitive program has 

achieved enormous success in spurring States to change their practices for the purposes of closing the achievement gap and making 

other needed improvements. Thus far, 11 States and the District 

of Columbia have been awarded funds and are now implementing 

their Race to the Top plans. This bill will offer additional opportunities to support reform, including new authority to award grants 

directly to local educational agencies interested in pursuing ambitious education reform in their local communities. 

The bill also continues to support the Race to the Top—Early 

Learning Challenge program, which was first funded in the fiscal 

year 2011 appropriations bill. More than 30 States and the District 

of Columbia have signaled an interest in applying for $500,000,000 

available in that bill. There is robust evidence that high-quality 

early learning programs help children develop the cognitive, social, 

and emotional skills needed to succeed in school and later in life. 

Yet quality varies greatly across settings, within States, and across 

the Nation. The fiscal year 2012 bill provides the Department with 

authority to further support States’ plans for raising the bar for 


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early childhood programs, particularly disadvantaged children, and 

ensure that more children enter kindergarten ready to succeed. 

Investing in Innovation.—The Committee bill includes 

$149,700,000, the same as the fiscal year 2011 level, to replicate 

education programs that have high levels of effectiveness as established under rigorous research and to develop and test promising 

new ideas. Like Race to the Top, Investing in Innovation was created in the Recovery Act and continued in the fiscal year 2011 bill. 

Workforce Innovation Fund.—In an increasingly competitive 

economy, America’s strength depends on the education and skills 

of our workforce. To that end, the Committee includes $100,000,000 

to continue the Workforce Innovation Fund, which will help reform 

the Nation’s workforce investment system and improve the delivery 

of training programs to workers. Created in the fiscal year 2011 appropriations bill, WIF will support innovative, systemic and evidence-based reforms and help determine which strategies are costeffective and have the greatest impact. 

Community Transformation Grants.—The Committee recommends dedicating $280,000,000 of the Prevention and Public 

Health Fund, an increase of $135,000,000 over the fiscal year 2011 

level, for implementing evidence-based public health interventions 

to reduce obesity and smoking and make preventive services more 

accessible. The Committee believes this program offers enormous 

potential to turn the environment in which Americans work, live 

and raise their families into one that offers a much greater array 

of healthy choices. 

Promoting School Readiness for Minors in SSI.—The Committee 

includes $4,000,000 and the authority to allocate unspent vocational rehabilitation State grant funds within the Department of 

Education and $10,000,000 at the Social Security Administration 

[SSA] for a new Promoting School Readiness for Minors in SSI 

[PROMISE] program. PROMISE will bring together these agencies 

with the Departments of HHS and Labor in unprecedented interagency effort to improve outcomes for children, and the families of 

children, receiving Supplemental Security Income benefits. Almost 

60 percent of child SSI recipients who turn 18, and become ineligible for child benefits, immediately continue receiving benefits as 

an adult. Those who do enter the workforce have average earnings 

that are only one-third the level as their peers. This program will 

improve services for these transition-aged youth by encouraging 

State-level innovation and facilitating better coordination between 

existing programs serving disabled youth. To the extent that this 

initiative can help young people with disabilities eventually support themselves, it will also reduce SSI program costs. 

Social Innovation Fund.—The Committee recommendation provides $49,900,000, the same as the fiscal year 2011 level, for the 

Social Innovation Fund at the Corporation for National and Community Service. This Fund mobilizes public and private resources 

to expand and evaluate promising, innovative community-based solutions in three areas: economic opportunity, healthy futures and 

youth development. 


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INVESTING IN THE FUTURE

Pell Grants.—One of the Committee’s highest priorities in the 

bill is maintaining the maximum Pell Grant award. Now more 

than ever, students need affordable, quality education opportunities to help make our economy strong and competitive. Pell Grants, 

the foundation of Federal postsecondary student aid, are essential 

to helping students enter college and gain the education and skills 

needed for jobs in the 21st century economy. 

The Committee bill maintains the discretionary portion of the 

maximum Pell Grant award level at $4,860 for the 2012–2013 

school year. Combined with mandatory funding, the total maximum award is maintained at $5,550. The Pell Grant program supports an estimated 9.4 million low- and middle-income students. 

Head Start.—Quality early childhood education has been proven 

to have lasting effects for low-income children and their families. 

Investments in early childhood education not only improve outcomes for low-income children and families, but save taxpayer dollars in the long-run through lower Federal and State welfare, special education, and criminal justice costs. The Committee recommendation includes a $340,000,000 increase for Head Start, 

maintaining the recent expansion of 61,000 Head Start slots funded with Recovery Act funding in fiscal years 2009 and 2010. In 

total, Head Start will provide comprehensive early childhood services to 968,000 low-income children and families. 

Striving Readers.—The Committee includes $183,000,000 for this 

comprehensive, competitive literacy program. Funds will be used 

by States to implement their statewide literacy plans, which address activities from birth through 12th grade and will support programs that advance literacy skills through professional development, screening and assessment, targeted interventions for students reading below grade level and other research-based methods 

of improving classroom instruction and practice. 

Promise Neighborhoods.—The Committee recommends 

$60,000,000—a doubling of the fiscal year 2011 level—for the 

Promise Neighborhoods program. Inspired by the successful Harlem Children’s Zone program, Promise Neighborhoods supports 

local efforts to establish cradle-to-career services designed to improve educational outcomes for students in distressed neighborhoods. Funds provided in this bill will allow a third group of communities to develop their Promise Neighborhood plans and enable 

communities that are farther along to implement their plans. Hundreds of communities from across the country have applied for 

Promise planning grants—evidence of the great interest in comprehensive solutions for our Nation’s most challenged communities. 

OTHER HIGHLIGHTS OF THE BILL

Mine Safety Appeals.—The number of violations appealed annually to the Federal Mine Safety and Health Review Commission 

has quadrupled since 2006. Because staffing at the Commission 

has not kept pace with this increase, the number of pending cases 

has skyrocketed and it now takes over 500 days to issue a final decision. These delays undermine mine safety and ultimately put 

miners at risk. The Committee recommendation includes a comVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00008 Fmt 6604 Sfmt 6604 E:\HR\OC\NIIAH3.XXX NIIAH3

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bined $26,656,000 increase at the Commission and the Department 

of Labor, building off of supplemental funding provided in fiscal 

year 2010, to continue efforts to reduce the backlog of cases, decrease case processing time, and improve the safety of American 

miners. 

Centers for Medicare and Medicaid Services [CMS].—The Committee recommends $4,044,876,000 for operations of CMS. The fiscal year 2011 level was $3,586,855,000. Additional funding is needed to continue implementation of the Patient Protection and Affordable Care Act and to accommodate an increase in the Medicare 

population, as 2011–2012 are the first years that the baby boom 

generation will begin enrolling in this program. 

National Institutes of Health [NIH].—The bill provides 

$30,498,289,000, a decrease of $190,000,000, to fund biomedical research at the 27 institutes and centers that comprise the NIH. 

Community Health Centers [CHCs].—The Committee bill includes $1,580,749,000 for CHCs. Combined with mandatory funding provided in the health reform law, the fiscal year 2012 program 

level for CHCs is $2,780,749,000—an increase of $200,000,000. 

This level will allow for base grant adjustments for all existing 

CHCs and the expansion of the national network of clinics. 

Low Income Home Energy Assistance.—The Committee recommendation includes $3,600,580,000 for the Low Income Home 

Energy Assistance Program. The fiscal year 2011 level was 

$4,700,580,000. The recommended level, while a significant cut, is 

$1,031,029,000 more than the administration’s budget request and 

$1,030,252,000 more than the comparable fiscal year 2008 funding 

level. 

Child Care and Development Block Grant.—The Committee recommendation includes $2,222,627,000 for the Child Care and Development Block Grant, including $283,592,000 specified for child 

care quality improvement activities. This recommendation maintains funding at the fiscal year 2011 level and, including mandatory funding, will allow States to provide child care subsidies to an 

estimated 1.6 million low-income children and their working families. 

Senior Nutrition.—The Committee recommendation includes 

$817,835,000 for senior nutrition programs, including congregate 

meals, home-delivered meals and the nutrition services incentive 

program. These programs provide seniors with the meals they need 

to stay healthy and remain independent in their community. The 

Committee recommendation maintains funding at the fiscal year 

2011 level. 

Homelessness.—The Committee recommendation includes 

$14,576,000 for a new initiative targeting mental health and substance abuse treatment services to homeless and at-risk families. 

This initiative, in collaboration with the Department of Housing 

and Urban Development, aims to provide permanent supportive 

housing to those who experience chronic, long-term homelessness. 

Community Services Block Grant [CSBG].—The Committee recommendation includes $678,640,000, the same as the fiscal year 

2011 funding level, for CSBG. This block grant provides critical 

funding for community action agencies across the country to help 


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ensure a safety net at the local level for the most vulnerable Americans. 

AIDS Drug Assistance Program [ADAP].—The Committee recommends $900,000,000 for ADAP, an increase of $15,000,000 over 

the fiscal year 2011 level. 

Polio Eradication.—The Committee bill provides $111,597,000, an increase of $10,000,000 over the fiscal year 2011 level, for CDC 

efforts to eradicate polio. 

Education for Individuals With Disabilities.—The Committee bill 

provides $11,482,200,000, the same amount as the fiscal year 2011 

level, under section 611 of part B grants to States for educating 

students with disabilities. 

Title I (Education for the Disadvantaged).—The Committee bill 

includes $14,463,417,000, the same amount as the fiscal year 2011 

level, for title I grants to local education agencies for improving 

education for low-income students. These funds support more than 

90 percent of the 15,000 school districts across the Nation—an important contribution given the reductions to education spending by 

State and local governments. 

Corporation for Public Broadcasting.—The Committee recommendation includes $445,000,000 in fiscal year 2014 advanced 

funding for the Corporation for Public Broadcasting, the same as 

the advance provided last year for fiscal year 2013. The Committee 

maintains 2-year advance funding, which has been in place since 

1975 to ensure the independence of public broadcasting programming. The Committee recommendation also includes $5,988,000 in 

fiscal year 2012 funding for digital broadcasting equipment and 

programming related to the transition from analog to digital broadcasting. 

Social Security Administration [SSA].—The Committee recommendation includes $11,631,948,000, an increase of 

$208,342,000 over the fiscal year 2011 level, for the SSA’s administrative expenses. This increase includes $139,516,000 for program 

integrity activities and $68,826,000 in base administrative expenses. As SSA faces sustained record levels of core workloads, the 

increase for base administrative expenses will allow SSA to provide 

targeted increases to parts of the agency facing the highest demand 

for services while maintaining the goal of eliminating the disability 

hearings backlog by the end of 2013. 

Corporation for National and Community Service.—The Committee recommendation includes $1,092,578,000 for the Corporation 

for National and Community Service, an increase of $17,000,000. 

The additional funds are necessary to offer over 82,000 Americans 

the opportunity to join AmeriCorps. AmeriCorps places members in 

settings where they can provide a service to the community while 

they gain valuable experience. Other programs of the Corporation 

engage seniors in part-time volunteerism, work with nonprofit organizations to improve their management, and link volunteers to 

programs of need. 

REPROGRAMMING AND TRANSFER AUTHORITY

The Committee includes bill language delineating permissible 

transfer authority in general provisions for each of the Departments of Labor, Health and Human Services, and Education, as 


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well as specifying reprogramming authority in a general provision 

applying to all funds provided under this act, available for obligation from previous appropriations acts, or derived from fees collected. 


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TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2011 ............................................................................. $3,344,497,000 

Budget estimate, 2012 ........................................................................... 3,626,947,000 

Committee recommendation ................................................................. 3,310,247,000 

The Committee recommends $3,310,247,000 for this account, 

which provides funding primarily for activities under the Workforce 

Investment Act [WIA]. The fiscal year 2011 comparable amount is 

$3,344,497,000 and the budget request provides $3,626,947,000 for 

this purpose. 

The training and employment services account is comprised of 

programs designed to enhance the employment and earnings of economically disadvantaged and dislocated workers, operated through 

a decentralized system of skill training and related services. Funds 

provided for fiscal year 2012 will support the program from July 

1, 2012, through June 30, 2013. A portion of this account’s funding, 

$1,772,000,000, is available on October 1, 2012, for the 2012 program year. 

Pending reauthorization of WIA, the Committee is acting on the 

basis of current law. 

The Committee recommendation includes bill language requiring 

that the Department take no action to amend, through regulatory 

or other administrative action, the definition established in 20 CFR 

677.220 for functions and activities under title I of WIA until such 

time as legislation reauthorizing the act is enacted. 

Grants to States 

The Committee recommends $2,660,268,000 for Training and 

Employment Services Grants to States. The fiscal year 2011 level 

for these grants is $2,785,018,000 and includes funding for the 

Workforce Innovation Fund [WIF]. The budget request is 

$2,959,043,000. Funding for WIF in fiscal year 2012 is provided 

under federally administered programs. 

The bill includes legislative language that allows a local workforce board to transfer up to 30 percent between the adult and dislocated worker assistance State grant programs, if such transfer is 

approved by the Governor. This language was proposed in the 

budget request. In addition, the bill includes language that allows 

a local board to award a contract to an institution of higher education or other eligible training provider if the local board determines that it would facilitate the training of multiple individuals 

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tomer choice. This language was also included in the budget request. 

Adult Employment and Training.—For Adult Employment and Training activities, the Committee recommends $770,922,000. This 

is the same amount provided in fiscal year 2011. The budget request provides $860,527,000 for this purpose and includes an 8 percent set-aside, $68,842,000, for WIF. 

This program is funded by formula to States and further distributed to local workforce investment areas. Three types of services 

for adults are provided through the one-stop system: core services, 

intensive services and job training. Core services are available to 

all adults with no eligibility requirements. Intensive services are 

provided to unemployed individuals who are not able to find jobs 

through core services alone. Training services may be available to 

adults who have been determined unable to obtain or retain employment through intensive services. Most customers receiving a 

training service will use their individual training accounts to determine which programs and providers fit their needs. 

The Committee commends the Employment and Training Administration for its collaborative work with the Institute for Museum 

and Library Services [IMLS] to integrate the education, employment and training services provided by and/or supported through 

public libraries into the workforce investment system. According to 

a survey conducted by IMLS and the Gates Foundation, 30 million 

people used public library computers to help address their career 

and employment needs and an estimated 3.7 million Americans 

found work with the support of their public libraries in 2009. The 

Committee encourages the Department to continue to invest in 

building and strengthening partnerships between the one-stop system and public libraries. 

The Committee is greatly concerned about the low level of literacy and numeracy skills among adult workers, as 1 in 7 adults 

do not have basic literacy skills to succeed in tomorrow’s industries 

and jobs. The Committee encourages the Department to work with 

the Department of Education to examine and publish best practices 

from local organizations that integrate adult literacy and workforce 

development skills to help adults with the lowest literacy levels improve their overall skills and employment opportunities. 

Funds made available in this bill support program year 2012 activities that occur from July 1, 2012, through June 30, 2013. The 

bill provides that $58,922,000 is available for obligation on July 1, 

2012, and that $712,000,000 is available on October 1, 2012. Both 

categories of funding are available for obligation through June 30, 

2013. 

Youth Training.—For youth training programs, the Committee 

recommends $825,914,000, the same as the fiscal year 2011 comparable amount. The budget request provides $923,913,000 for this 

purpose and includes an 8 percent set-aside, $73,913,000, for WIF. 

The purpose of this program is to provide eligible youth with assistance in achieving academic and employment success through 

improved education and skill competencies, connections to employers, mentoring, training and supportive services. The program also 

supports summer employment directly linked to academic and occupational learning, incentives for recognition and achievement, 


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and activities related to leadership development, citizenship and 

community service. Funds made available for youth training support program year 2012 activities, which occur from April 1, 2012, 

through June 30, 2013. 

Dislocated Worker Assistance.—For Dislocated Worker Assistance, the Committee recommends $1,063,432,000, the same as the 

fiscal year 2011 comparable amount. The budget request provides 

$1,174,603,000 for this purpose and includes an 8 percent set-aside, 

$93,968,000, for WIF. 

This program is a State-operated effort that provides core and intensive services, training and support to help permanently separated workers return to productive, unsubsidized employment. In 

addition, States must use statewide reserve funds for rapid response assistance to help workers affected by mass layoffs and 

plant closures. Also, States must use these funds to carry out additional statewide employment and training activities such as providing technical assistance to certain low-performing local areas, 

evaluating State programs and assisting with the operation of onestop delivery systems. States may also use funds for implementing 

innovative incumbent and dislocated worker training programs. 

Funds made available in this bill support program year 2012 activities, which occur from July 1, 2012, through June 30, 2013. The 

bill provides that $203,432,000 is available for obligation on July 

1, 2012, and that $860,000,000 is available on October 1, 2012. 

Both categories of funding are available for obligation through 

June 30, 2013. 

Federally Administered Programs 

Dislocated Worker Assistance National Reserve.—The Committee 

recommends $224,112,000 for the Dislocated Worker National Reserve, which is available to the Secretary for activities such as responding to mass layoffs, plant and/or military base closings and 

natural disasters that cannot be otherwise anticipated as well as 

for technical assistance, training, and demonstration projects. This 

amount is the same as the fiscal year 2011 level. The budget request includes $229,160,000. 

Funds made available in this bill support activities in program 

year 2012, which occurs from July 1, 2012, through June 30, 2013. 

The bill provides that $24,112,000 is available for obligation on 

July 1, 2012, and that $200,000,000 is available on October 1, 

2012. Both categories of funding are available for obligation 

through June 30, 2013. 

The Committee bill includes language authorizing the use of 

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

workers and assistance where there have been dislocations across 

multiple sectors or local areas of a State. This language was included in the budget request. 

Native American Programs.—The Committee recommends 

$52,652,000, the same amount provided in fiscal year 2011, for Native American programs. The budget request is $54,158,000. This 

program is designed to improve the economic well-being of Native 

Americans (Indians, Eskimos, Aleuts, and Native Hawaiians) 

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ployment-related services and opportunities that are intended to 

aid the participants in securing permanent, unsubsidized employment. 

Migrant and Seasonal Farmworker Programs.—The Committee 

recommends $84,451,000, the same amount as fiscal year 2011, for 

migrant and seasonal farmworkers. The budget request is 

$86,620,000 for this program. Authorized by WIA, this program is 

designed to serve members of economically disadvantaged families 

whose principal livelihood is derived from migratory and other 

forms of seasonal farmwork, fishing or logging activities. Enrollees 

and their families are provided with employment, training and related services intended to prepare them for stable, year-round employment within and outside of the agriculture industry. The Committee recommendation provides that $78,253,000 be 

used for State service area grants. The Committee recommendation 

also includes bill language directing that $5,689,000 be used for migrant and seasonal farmworker housing grants, of which not less 

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

housing organizations working on permanent housing solutions for 

migrant and seasonal farmworkers. The Committee recommendation also includes $509,000 to be used for section 167 training, 

technical assistance and related activities, including funds for migrant rest center activities. 

Women in Apprenticeship.—The Committee recommends 

$998,000 for program year 2012 activities as authorized under the 

Women in Apprenticeship and Non-Traditional Occupations 

[WANTO] Act of 1992. This amount is the same as the fiscal year 

2011 level. The budget request includes $1,000,000. These funds 

provide for technical assistance to employers and unions to assist 

them in training, placing and retraining women in nontraditional 

jobs and occupations. 

YouthBuild.—The Committee recommends $79,840,000, the same 

as the fiscal year 2011 level, for the YouthBuild program. The 

budget request includes $115,000,000 for this purpose. YouthBuild 

targets at-risk, high-school dropouts and prepares them with the 

skills and knowledge they need to succeed in a knowledge-based 

economy. 

Workforce Innovation Fund.—The Committee recommends 

$100,000,000 in fiscal year 2012 funding for WIF to make competitive awards for workforce innovation activities. The comparable fiscal year 2011 level is $124,750,000. The budget request includes 

$378,704,000 for this initiative by designating a portion of funds 

from the WIA formula programs and Department of Education Rehabilitation Services and Adult Education States Grants accounts. 

The Committee provided initial support for this initiative in fiscal year 2011 and requests that the Department brief the Committee not less than 30 days prior to the release of a solicitation 

of grant applications for this program. The Committee also encourages the Department to implement WIF in a manner consistent 

with the bipartisan framework that the Senate Health, Education, 

Labor and Pensions Committee developed for WIA reauthorization. 

The Committee continues its support for activities within the 

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en practices or promote workforce system reform. Among those activities are those that will improve services for youth who are 

transitioning from school to post-school activities, with the goal of 

improving employment outcomes. Within activities for youth, the 

Committee is particularly interested in addressing services to 

youth with disabilities. 

WIF awards should be made either to States, in partnership with 

local workforce investment boards, or to local workforce investment 

boards or consortia of such boards that serve a regional labor market. Priority should be given to applicants that demonstrate significant alignment across workforce development and supportive services at the State, regional or local level and that support economic 

development goals and improved employment outcomes for participants, particularly those who are hardest to serve. Awards should 

also prioritize applicants that demonstrate comprehensive strategic 

planning and coordination at the State, regional or local level. 

In addition, the Committee believes that a component of the WIF 

should include the promising results of pay-for-performance models. These models have been particularly successful at reaching 

populations with the most significant barriers to employment. The 

Committee encourages the Secretary to use innovation funds to 

replicate pay-for-performance models with proven track records of 

helping hard-to-serve workers in additional sites. 

National Activities 

Pilots, Demonstrations and Research.—The Committee recommends $10,480,000 for pilots, demonstrations and research authorized by section 171 of WIA. The comparable fiscal year 2011 

amount is $9,980,000. The budget request includes $6,616,000 for 

this purpose. These funds support grants or contracts to conduct 

research, pilots or demonstrations that foster promising practices 

for national policy application or launch pilot projects on a broader 

scale. 

The Committee recognizes the importance of building stronger 

linkages between title I job training programs and title II adult 

education and literacy programs in WIA in order to create career 

pathways that enhance participants’ long-term economic success. 

The Committee urges the Department to expand funding to programs that have successfully implemented strategies for delivering 

basic literacy instruction together with employment training so 

that they may document and disseminate best practices related to 

this goal. 

The Committee recommends $500,000 for a competitive grant to 

a national intermediary to support local initiatives that improve 

mobility and promote employment by improving transportation assistance. Lack of mobility is an obstacle for people living in small 

towns and farming communities as well as low-income people living 

in small cities and people with disabilities who are looking for work 

or seeking employment and training assistance. The grant award 

should allow for the demonstration of the effectiveness of specialized methods and activities that address employment and training 

needs of individuals by improving coordination between local government, employment and training agencies, and transit providers; 

providing technical assistance on revising routes and schedules; 


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and conducting demonstration programs that encourage partnerships between community-based transportation organizations and 

local job training and welfare departments. 

Green Jobs Innovation Fund.—The Committee does not recommend funding for the Green Jobs Innovation Fund, which was 

eliminated in fiscal year 2011. The budget request includes 

$60,000,000 for competitive grants to help workers access green 

training and green career pathways. 

Reintegration of Ex-offenders.—The Committee recommends 

$75,390,000 for the Reintegration of Ex-offenders program. The 

comparable fiscal year 2011 level is $85,390,000 and the budget request includes $90,000,000 for this program. The Reintegration of 

Ex-offenders program helps prepare and assist ex-offenders return 

to their communities through pre-release services, mentoring and 

case management. The program also provides support, opportunities, education and training to youth who are involved in court and 

on probation, in aftercare, on parole or who would benefit from alternatives to incarceration or diversion from formal judicial proceedings. Programs are carried out directly through State and local 

governmental entities and community-based organizations, as well 

as indirectly through intermediary organizations. 

The Committee recommendation includes $20,000,000 for competitive grants to national or regional intermediaries for activities 

that prepare young ex-offenders and school dropouts for employment. Priority should be given to projects that serve high-crime, 

high-poverty areas. The budget request also includes this set-aside. 

Evaluation.—The Committee recommends $9,581,000, the same 

as the fiscal year 2011 level, to provide for new and continuing rigorous evaluations of programs conducted under WIA, as well as of 

federally funded employment-related activities under other provisions of law. The budget requests $11,600,000 for this purpose. 

Workforce Data Quality Initiative.—The Committee recommends 

$12,475,000, the same as the fiscal year 2011 level, for the Workforce Data Quality Initiative. The budget request includes 

$13,750,000. Funds are used to assist States with incorporating 

comprehensive workforce information into longitudinal data systems being developed in part with the support of funding provided 

by the Department of Education. The initiative is also intended to 

help improve the quality and accessibility of performance data 

being produced by training providers. 

OFFICE OF JOB CORPS

Appropriations, 2011 ............................................................................. $1,706,171,000 

Budget estimate, 2012 ........................................................................... 1,699,747,000 

Committee recommendation ................................................................. 1,706,171,000 

For Job Corps, the Committee recommends $1,706,171,000. This 

is the same level provided in fiscal year 2011. The budget request 

includes $1,699,747,000 for Job Corps. 

The recommendation for operations of Job Corps centers is 

$1,572,049,000, comprised of $981,049,000 in fiscal year 2012 funds 

and $591,000,000 in advance appropriations provided in fiscal year 

2011. The Committee also recommends fiscal year 2013 advance 

funding of $591,000,000, which will become available on October 1, 

2012. The budget request provides $1,589,817,000, comprised of 


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$998,817,000 in fiscal year 2012 funds and $591,000,000 in advance appropriations provided in fiscal year 2011. The budget request also includes $591,000,000 for fiscal year 2013 advance funding. 

The Committee recommendation for administration costs is 

$29,132,000, the same amount as the fiscal year 2011 level. The 

budget request includes $31,430,000. The Committee also recommends a total of $104,990,000 in construction, renovation and acquisition [CRA] funds. Of this amount, 

$4,990,000 is available from July 1, 2012, to June 30, 2015. In addition, the Committee recommends $100,000,000 in advance appropriations, which will become available on October 1, 2012, through 

June 30, 2015. 

As requested by the administration, the Committee again includes bill language allowing the Secretary to transfer up to 15 percent of CRA funds, if necessary, to meet the operational needs of 

Job Corps centers or to achieve administrative efficiencies. 

Since fiscal year 2008, the Committee has highlighted the fact 

that a number of large metropolitan areas remain underserved by 

Job Corps and has called on the Department to establish a process 

for opening new centers. In fiscal year 2011, as a first step in initiating a competition for a new Job Corps center, the Department 

completed a study to determine needs around the country. The 

Committee urges the Department to continue to prepare for a future competition to expand Job Corps services in large, underserved metropolitan areas. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2011 ............................................................................. $449,100,000 

Budget estimate, 2012 ........................................................................... 450,000,000 

Committee recommendation ................................................................. 449,100,000 

The Committee recommends $449,100,000, the same as the fiscal 

year 2011 level, for the Community Service Employment for Older 

Americans [CSEOA] program. The budget request is $450,000,000. 

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

[OAA], provides part-time employment in community service activities for unemployed, low-income persons aged 55 and over. 

CSEOA provides a direct, efficient and quick means to assist economically disadvantaged older workers. Administrative costs for 

the program are low and the vast majority of the money goes directly to low-income seniors as wages and fringe benefits. 

Senior enrollees provide necessary and valuable services at Head 

Start centers, schools, hospitals, libraries, elderly nutrition sites, 

senior centers and elsewhere in the community. 

A large proportion of senior enrollees use their work experience 

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

only increases our Nation’s tax base but also enables more low-income seniors to participate in the program. 

The budget proposes to transfer the program to the Administration on Aging in the Department of Health and Human Services. 

The Committee does not recommend transferring the program. As 

authorized under OAA, CSEOA’s purpose is to foster individual 

economic self-sufficiency, which the Committee views as an employment activity. Additionally, the Senate authorizing committee with 


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jurisdiction over OAA is in the process of reauthorizing this law. 

As a result, the Committee recommendation follows current law. 

The Committee strongly encourages grantees to develop and implement research-based curriculum designed specifically for older 

adults. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2011 ............................................................................. $721,312,000 

Budget estimate, 2012 ........................................................................... 1,100,100,000 

Committee recommendation ................................................................. 1,100,100,000 

The Committee recommends $1,100,100,000, the same as the 

budget request, in mandatory funds for Federal unemployment 

benefits and allowances. The fiscal year 2011 comparable amount 

is $721,312,000. 

This program assists trade-impacted workers with services including: training, income support, employment, case management 

and assistance with health insurance coverage. The program also 

includes a wage insurance option for certain workers at least 50 

years old. These benefits and services are designed to help tradeimpacted participants find a path back into middle class jobs, improve earnings and increase credential and education rates. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2011 ............................................................................. $4,102,672,000 

Budget estimate, 2012 ........................................................................... 4,202,057,000 

Committee recommendation ................................................................. 4,094,672,000 

The Committee recommends $4,094,672,000 for this account. The 

recommendation includes $4,008,441,000 authorized to be drawn 

from the Employment Security Administration account of the unemployment trust fund and $86,231,000 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. 

The Committee bill continues language that enables States to 

use funds appropriated under this account to assist other States if 

they are impacted by a major disaster declared by the President; 

at the request of one or more States, authorizes the Secretary to 

reallot funds for States to carry out activities that benefit the administration of unemployment compensation laws of a requesting 

State; and permits the Secretary to use funds to make payments 

on behalf of States for the use of the National Directory of New 

Hires. 

The Committee recommends a total of $3,242,441,000 for unemployment insurance activities. The fiscal year 2011 level is 

$3,250,441,000 and the budget requests $3,286,920,000. 

For unemployment insurance [UI] State operations, the Com- mittee recommends $3,231,154,000. The fiscal year 2011 level is 

$3,239,154,000 and the budget request is $3,275,610,000. These 

funds are available for obligation by States through December 31, 

2012. However, funds used for automation acquisitions or for competitive grants to be awarded to States to address worker 


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misclassification, system improvements or improper payments are 

available for obligation by States through September 30, 2014. The recommendation includes $59,900,000, the same as the fiscal 

year 2011 level, to conduct in-person re-employment and eligibility 

assessments [REAs] and unemployment insurance improper payment reviews. The budget requests $70,000,000 for this purpose. 

The recommendation will support continuation of the REA initiative. This important program integrity initiative has been shown to 

help claimants exit the UI program faster and avoid exhausting UI 

benefits. The Committee intends for a portion of the funds to be 

used for additional technology-based overpayment prevention, detection and collection activities. 

The administration’s budget includes $24,711,000 for a new initiative to address the issue of employee misclassification, allowing 

States to compete for grants to increase their capacity in this area 

and provide funds to pilot high-performance awards to incentivize 

States to improve their misclassification efforts. The budget request also includes $10,000,000 for a new program 

to provide incentives for States to improve their UI operations, 

supplementing the current system of nonmonetary awards with 

grants for improved performance. 

The Committee recommendation for UI State operations does not 

explicitly include funds for expansion of REAs or for either of the 

new initiatives requested above. However, the projected improvement in the economy and resulting declines in State UI workload 

should result in sufficient funding being available for these activities. The Committee recommends that funds not required for workload be used to increase REA funding and other activities to address improper payments, to fund State requests for technology improvement funding, and to initiate the misclassification and performance improvement grants proposed in the budget. 

The Committee recommendation provides for a contingency reserve amount should the unemployment workload exceed an average weekly insured claims volume of 4,832,000, as proposed in the 

budget request. This contingency amount would fund the administrative costs of the unemployment insurance workload over the 

level of 4,832,000 insured unemployed persons per week at a rate 

of $28,600,000 per 100,000 insured unemployed persons, with a pro 

rata amount granted for amounts of less than 100,000 insured unemployed persons. 

For UI national activities, the Committee recommends 

$11,287,000, the same level provided in fiscal year 2011. The budget requests $11,310,000. These funds are directed to activities that 

benefit the State/Federal unemployment insurance program including helping States adopt common technology-based solutions to improve efficiency and performance and supporting training and contracting for actuarial support for State trust fund management. 

For the Employment Service allotments to States, the Committee 

recommends $702,169,000, which includes $22,638,000 in general 

funds together with an authorization to spend $679,531,000 from 

the Employment Security Administration account of the unemployment trust fund. This amount is the same as the fiscal year 2011 

level. The budget requests $764,757,000 and includes an 8 percent 

set-aside, $61,181,000, for WIF. 


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The Committee also recommends $20,952,000, the same as the 

fiscal year 2011 level, for Employment Service national activities. 

The budget request includes $20,994,000 for this purpose. The administration of the work opportunity tax credit accounts for 

$18,520,000 of the recommended amount and the balance is for 

technical assistance, training and the Federal share of State Workforce Agencies Retirement System payments. 

For carrying out the Department’s responsibilities related to foreign labor certification activities, the Committee recommends 

$65,517,000, the same amount provided in fiscal year 2011. The 

budget requests $65,666,000. In addition, 5 percent of the revenue 

from H–1B fees is available to the Department for costs associated 

with processing H–1B alien labor certification applications. 

For One-Stop Career Centers and Labor Market Information, the Committee recommends $63,593,000, the same as the fiscal year 

2011 level. The budget request includes $63,720,000. The Committee recommendation includes $11,976,000 for ETA, in collaboration with the Office of Disability Employment Policy [ODEP], to 

continue to implement their joint plan for improving effective and 

meaningful participation of persons with disabilities in the workforce. The Committee expects that these funds, in combination with 

funding available to ODEP, will improve the accessibility and accountability of the public workforce development system for individuals with disabilities. The Committee further expects these 

funds to continue promising practices implemented by disability 

program navigators. Such practices include the effective deployment of staff in selected States to improve coordination and collaboration among employment and training and asset development programs carried out at a State and local level, including the Ticket 

to Work program; and to build effective community partnerships 

that leverage public and private resources to better serve individuals with disabilities and improve employment outcomes. 

STATE PAID LEAVE FUND

Appropriations, 2011 ............................................................................. ........................... 

Budget estimate, 2012 ........................................................................... $23,000,000 

Committee recommendation ................................................................. ........................... 

Because of budget constraints, the Committee does not recommend funding to create a new State Paid Leave Fund, which 

would help States establish paid leave programs. The budget request includes $23,000,000 for this purpose. 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2011 ............................................................................. $290,000,000 

Budget estimate, 2012 ........................................................................... ........................... 

Committee recommendation ................................................................. ........................... 

The Committee recommends and the budget requests such sums 

as are necessary in mandatory funds for this account. The budget 

estimates that there will be no net costs in fiscal year 2012 because 

of expected repaid advances to the trust fund. 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. 


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The Committee bill includes language proposed in the budget request to allow the Department additional flexibility to access funds 

as needed for covered programs. 

PROGRAM ADMINISTRATION

Appropriations, 2011 ............................................................................. $147,360,000 

Budget estimate, 2012 ........................................................................... 159,882,000 

Committee recommendation ................................................................. 147,360,000 

The Committee recommends $97,320,000 in general funds for the 

Program Administration account, as well as authority to expend 

$50,040,000 from the Employment Security Administration account 

of the unemployment trust fund, for a total of $147,360,000, the 

same as the fiscal year 2011 level. The budget request provides 

$159,882,000 for this purpose. 

General funds in this account pay for the Federal staff needed 

to administer employment and training programs under the Workforce Investment Act, the Older Americans Act, the Trade Act of 

1974, the Women in Apprenticeship and Non-Traditional Occupations Act of 1992, and the National Apprenticeship Act. Trust funds 

provide for the Federal administration of employment security 

functions under title III of the Social Security Act. 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $159,363,000 

Budget estimate, 2012 ........................................................................... 197,528,000 

Committee recommendation ................................................................. 195,528,000 

The Committee recommends $195,528,000 for the Employee Benefits Security Administration [EBSA]. The budget request for fiscal 

year 2012 is $197,528,000, and the comparable fiscal year 2011 

amount is $159,363,000. 

EBSA plays a critical role in improving health benefits and retirement security for American workers and their families. EBSA 

is responsible for the enforcement of title I of the Employee Retirement Income Security Act of 1974 [ERISA] in both civil and criminal areas. EBSA is also responsible for enforcement of sections 

8477 and 8478 of the Federal Employees’ Retirement Security Act 

of 1986. EBSA administers an integrated program of regulation, 

compliance assistance and education, civil and criminal enforcement, and research and analysis. 

The Committee expects this appropriation to help EBSA better 

protect pension and health benefits for workers, retirees, and their 

families. These funds will provide for increased enforcement capacity, continued investments in EBSA education and compliance assistance programs, and enhanced research and evaluation activities. The Committee commends EBSA for its cost-reduction efforts, 

including the new paperless participant complaint system. The 

Committee requests that EBSA include in its fiscal year 2013 congressional budget justification information on additional steps it 

will take to carry out its responsibilities more cost effectively. 


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PENSION BENEFIT GUARANTY CORPORATION

The Pension Benefit Guaranty Corporation’s estimated obligations for fiscal year 2012 include single-employer benefit payments 

of $6,688,000,000, multi-employer financial assistance of 

$123,000,000 and administrative expenses of $476,901,000. Administrative expenses are comprised of three activities: (1) pension insurance activities, $86,023,000; (2) pension plan termination expenses, $243,372,000; and (3) operational support, $147,506,000. 

These expenditures are financed by permanent authority. 

The Pension Benefit Guaranty Corporation [PBGC] is a wholly 

owned Government corporation established by ERISA. The law 

places it within the Department of Labor and makes the Secretary 

of Labor the Chair of its Board of Directors. The corporation receives its income primarily from insurance premiums collected from 

covered pension plans, assets of terminated pension plans, collection of employer liabilities imposed by the act, and investment 

earnings. The primary purpose of the corporation is to guarantee 

the payment of pension plan benefits to participants if covered defined benefit plans fail or go out of existence. 

The President’s budget proposes to continue authority for a contingency fund for PBGC that provides additional administrative resources when the number of participants in terminated plans exceeds 100,000. When the trigger is reached, an additional 

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

management fees for plan terminations or asset growth. These additional funds would be available for obligation through September 

30, 2013. The Committee bill continues these provisions to ensure 

that PBGC can take immediate, uninterrupted action to protect 

participants’ pension benefits. The Committee expects to be notified 

immediately of the availability of any funds provided by these provisions. 

The President’s budget also proposes language slightly modified 

from current PBGC authority that allows PBGC additional obligation authority for unforeseen and extraordinary pre-termination expenses, after approval by the Office of Management and Budget 

and notification of the Committees on Appropriations of the House 

of Representatives and the Senate. The modification would allow 

PBGC to obligate funds for extraordinary multi-employer program 

related expenses. The Committee bill includes the requested language. 

The single-employer program protects about 33.8 million participants in approximately 28,000 defined benefit pension plans. The 

multi-employer insurance program protects about 10 million participants in more than 1,500 plans. 

WAGE AND HOUR DIVISION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $227,491,000 

Budget estimate, 2012 ........................................................................... 240,937,000 

Committee recommendation ................................................................. 227,491,000 


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The Committee recommends $227,491,000, the same amount as 

the fiscal year 2011 level, for the Wage and Hour Division [WHD]. 

The budget request for fiscal year 2012 is $240,937,000. 

WHD is responsible for administering and enforcing laws that 

provide minimum standards for wages and working conditions in 

the United States. The Fair Labor Standards Act, employment 

rights under the Family and Medical Leave Act, and the Migrant 

and Seasonal Agricultural Worker Protection Act are several of the 

important laws WHD is charged with administering and/or enforcing. 

The Committee strongly urges WHD to increase its oversight of 

organizations participating in the special minimum wage program 

for individuals with disabilities authorized under section 14(c) of 

the Fair Labor Standards Act, in order to protect the rights of 

workers with disabilities. 

The Committee notes that WHD is taking steps to provide better 

and timelier services to the public at a lower cost. The Committee 

requests that WHD include in its fiscal year 2013 congressional 

budget justification information on additional steps it will take to 

carry out its responsibilities more cost effectively. 

OFFICE OF LABOR-MANAGEMENT STANDARDS

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $41,367,000 

Budget estimate, 2012 ........................................................................... 41,367,000 

Committee recommendation ................................................................. 41,367,000 

The Committee recommends $41,367,000 for the Office of LaborManagement Standards [OLMS]. This is the same amount as the 

fiscal year 2012 budget request and comparable fiscal year 2011 

level. 

OLMS administers the Labor-Management Reporting and Disclosure Act of 1959 and related laws. These laws establish safeguards 

for union democracy and financial integrity. They also require public disclosure by unions, union officers, employers, and others. In 

addition, the office administers employee protections under federally sponsored transportation programs. 

The Committee notes that OLMS is taking steps to reduce costs 

and focus activities on its core mission. The Committee requests 

that OLMS include in its fiscal year 2013 congressional budget justification information on additional steps it will take to carry out 

its responsibilities more cost effectively. 

OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $105,386,000 

Budget estimate, 2012 ........................................................................... 109,010,000 

Committee recommendation ................................................................. 105,386,000 

The Committee recommends $105,386,000, the same amount as 

the fiscal year 2011 level, for the Office of Federal Contract Compliance Programs [OFCCP]. The budget request for fiscal year 2012 

is $109,010,000. 


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OFCCP protects workers and potential employees of Federal contractors from employment discrimination prohibited under Executive Order 11246, section 503 of the Rehabilitation Act of 1973 and 

the Vietnam Era Veterans’ Readjustment Assistance Act of 1974. 

The Committee notes that last year the Department issued an 

advance notice of proposed rulemaking regarding regulations implementing section 503 of the Rehabilitation Act. The Committee 

expects the Department to issue a final rule in fiscal year 2012, 

and encourages the Department to make technical assistance available to Federal contractors regarding the rule, and to increase Federal contractor employment opportunities for workers with disabilities. 

The Committee notes that OFCCP is taking steps to reduce costs 

and focus activities on its core mission. The Committee requests 

that OFCCP include in its fiscal year 2013 congressional budget 

justification information on additional steps it will take to carry out 

its responsibilities more cost effectively. 

OFFICE OF WORKERS’ COMPENSATION PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $118,063,000 

Budget estimate, 2012 ........................................................................... 123,538,000 

Committee recommendation ................................................................. 118,063,000 

The Committee recommends $118,063,000, the same amount as 

the fiscal year 2011 level, for the Office of Workers’ Compensation 

Programs [OWCP]. The budget request for fiscal year 2012 is 

$123,538,000. The bill provides authority to expend $2,124,000 

from the special fund established by the Longshore and Harbor 

Workers’ Compensation Act. 

OWCP administers four distinct compensation programs: the 

Federal Employees’ Compensation Act, the Longshore and Harbor 

Workers’ Compensation Act, the Black Lung Benefits programs and 

the Energy Employees Occupational Illness Compensation Program. In addition, the Office houses the Division of Information 

Technology Management and Services. 

The Committee notes that OWCP is taking steps to reduce costs, 

through automation efforts and increased use of teleconferencing 

among other efforts. The Committee requests that OWCP include 

in its fiscal year 2013 congressional budget justification information on additional steps it will take to carry out its responsibilities 

more cost effectively. 

DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS

COMPENSATION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $53,778,000 

Budget estimate, 2012 ........................................................................... 52,147,000 

Committee recommendation ................................................................. 52,147,000 

The Committee recommends $52,147,000 for the Division of Energy Employees Occupational Illness Compensation. The budget request for fiscal year 2012 is $52,147,000, and the comparable fiscal 


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year 2011 amount is $53,778,000. This is a mandatory appropriation. 

The Division administers the Energy Employees Occupational Illness Compensation Program Act [EEIOCPA], which provides benefits to eligible employees and former employees of the Department 

of Energy [DOE], its contractors and subcontractors or to certain 

survivors of such individuals. The mission also includes delivering 

benefits to certain beneficiaries of the Radiation Exposure Compensation Act. The Division is part of the Office of Workers’ Compensation Programs. 

In 2012, the volume of incoming claims under part B of the 

EEOICPA is estimated at about 8,000 claims from DOE employees 

or survivors, and private companies under contract with DOE, who 

suffer from a radiation-related cancer, beryllium-related disease, or 

chronic silicosis as a result of their work in producing or testing 

nuclear weapons. 

Under part E, approximately 6,600 new claims will be received 

during fiscal year 2012. Under this authority, the Department provides benefits to eligible DOE contractor employees who were found 

to have work-related occupational illnesses due to exposure to a 

toxic substance at a DOE facility or their survivors. 

SPECIAL BENEFITS

Appropriations, 2011 ............................................................................. $183,000,000 

Budget estimate, 2012 ........................................................................... 350,000,000 

Committee recommendation ................................................................. 350,000,000 

The Committee recommends $350,000,000, the same as the budget request for fiscal year 2012, for this account. The comparable fiscal year 2011 amount is $183,000,000. This mandatory appropriation primarily provides benefits under the Federal Employees’ 

Compensation Act [FECA]. This benefit program is administered 

by the Office of Workers’ Compensation Programs. 

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

account numbers by individuals filing claims under the Federal 

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

The Committee recommends continuation of appropriation language that provides authority to use FECA funds to reimburse a 

new employer for a portion of the salary of a newly re-employed injured Federal worker. FECA funds will be used to reimburse new 

employers during the first 3 years of employment, not to exceed 75 

percent of salary in the worker’s first year and declining thereafter. 

The Committee recommendation also continues language allowing carryover of unobligated balances to be used in the following 

year. 

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

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

without interruption. 

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count of the employees’ compensation fund those funds that the 

Postal Service, the Tennessee Valley Authority, and other entities 

are required to pay to cover their fair share of the costs of administering the claims filed by their employees under FECA. Finally, 

the Committee continues to allow use of fair share collections to 

fund capital investment projects and specific initiatives to strengthen compensation fund control and oversight. 

SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2011 ............................................................................. $203,220,000 

Budget estimate, 2012 ........................................................................... 182,227,000 

Committee recommendation ................................................................. 182,227,000 

The Committee recommends a mandatory appropriation of $141,227,000 in fiscal year 2012 for special benefits for disabled 

coal miners. This is in addition to the $41,000,000 appropriated 

last year as an advance for the first quarter of fiscal year 2012. 

These mandatory funds are used to provide monthly benefits to 

coal miners disabled by black lung disease and their widows and 

certain other dependents, as well as to pay related administrative 

costs. 

This account pays for the benefits and administrative costs of 

part B of the Black Lung Benefits Act. The program is administered by the Division of Coal Mine Workers’ Compensation, which 

is part of the Office of Workers’ Compensation Programs. 

Part B benefits are based on black lung claims filed on or before 

December 31, 1973. In fiscal year 2012, an estimated 21,150 beneficiaries will receive benefits. By law, increases in black lung benefit payments are tied directly to Federal pay increases. The yearto-year decrease in this account reflects a declining beneficiary population. 

The Committee recommends an advance appropriation of $40,000,000 for the first quarter of fiscal year 2013. This amount 

is the same as the budget request. These funds will ensure uninterrupted benefit payments to coal miners, their widows, and dependents. 

BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2011 ............................................................................. $296,960,000 

Budget estimate, 2012 ........................................................................... 300,495,000 

Committee recommendation ................................................................. 300,495,000 

The Committee recommends $300,495,000 for this mandatory appropriations account. This amount is the same as the budget request. The comparable fiscal year 2011 amount is $296,960,000. 

This benefit program is administered by the Division of Coal 

Mine Workers’ Compensation, which is part of the Office of Workers’ Compensation Programs. 

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

benefit payments. The recommendation assumes that $204,490,000 

for benefit payments will be paid in fiscal year 2012. In addition, 

the appropriation bill provides for transfers from the trust fund for 

administrative expenses for the following Department of Labor 

agencies: up to $32,906,000 for the part C costs of the Division of 

Coal Mine Workers’ Compensation Programs, up to $25,217,000 for 


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Departmental Management, Salaries and Expenses, and up to 

$327,000 for Departmental Management, Inspector General. The 

bill also allows a transfer of up to $356,000 for the Department of 

the Treasury. 

The trust fund pays all black lung compensation/medical and 

survivor benefit expenses when no responsible mine operation can 

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

are incurred in administering the benefits program and operating 

the trust fund. 

It is estimated that 22,850 individuals will receive black lung 

benefits financed through the end of the fiscal year 2012. 

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

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

from reimbursement from the Advances to the Unemployment 

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

operator is found liable. The advances to the fund assure availability of necessary funds when liabilities may exceed other income. 

The Emergency Economic Stabilization Act of 2008 authorized the 

restructuring of the Black Lung Disability debt and extended the 

current tax structure until the end of 2018. 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $558,619,000 

Budget estimate, 2012 ........................................................................... 583,386,000 

Committee recommendation ................................................................. 561,119,000 

The Committee recommends $561,119,000 for this account. The 

budget request for fiscal year 2012 is $583,386,000 and the fiscal 

year 2011 level is $558,619,000. This agency is responsible for enforcing the Occupational Safety and Health Act of 1970 in the Nation’s workplaces. 

The Committee continues bill language to allow the Occupational 

Safety and Health Administration [OSHA] to retain up to $200,000 

per fiscal year of training institute course tuition fees to be used 

for occupational safety and health training and education grants in 

the private sector. 

The Committee retains language that continues to effectively exempt farms employing 10 or fewer people from the provisions of the 

act with the exception of those farms having a temporary labor 

camp. The Committee also retains language exempting small firms 

in industry classifications having a lost workday injury rate less 

than the national average from general schedule safety inspections. 

These provisions have been in the bill for many years. 

The Committee recommendation supports the important mission 

carried out by OSHA. The Committee notes that an average of 12 

workers suffered a fatal occupational injury each day during calendar year 2010. While an improvement from recent years, this 

rate is still too high. This appropriation will help OSHA meet its 

goal of securing safe and healthy workplaces, particularly for the 

most dangerous workplaces. The Committee intends these funds to 

help rebuild OSHA’s enforcement capacity, accelerate safety and 


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health standards development, and maintain robust compliance assistance programs. The Committee recommends $104,393,000 for grants to States 

under section 203(g) of the Occupational Safety and Health Act. 

These funds are provided to States that have taken responsibility 

for administering their own occupational safety and health programs for the private sector and/or the public sector. State plans 

must be at least as effective as the Federal program and are monitored by OSHA. The Committee continues language that allows 

OSHA to provide grants of up to 50 percent for the costs of State 

plans approved by the agency. The Committee believes that, given 

the continuing fiscal pressures facing State budgets, OSHA should 

continue its practice of allowing States an extra year to match the 

appropriation provided by this bill for support of their State plans, 

and also should extend the period of expenditure for these funds 

for an additional quarter. 

The Committee also believes that OSHA’s worker safety and 

health training and education programs, including the grant program that supports such training, are a critical part of a comprehensive approach to worker protection. The Committee recommendation includes $10,729,000 for the OSHA Susan Harwood 

Training Grant Program. 

The Committee notes that OSHA has reduced travel costs by 

using videoconferencing technology for training and other purposes, 

and taken other steps to realize cost savings. The Committee requests that OSHA include in its fiscal year 2013 congressional 

budget justification information on additional steps OSHA will take 

to carry out its responsibilities more cost effectively. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $361,844,000 

Budget estimate, 2012 ........................................................................... 384,277,000 

Committee recommendation ................................................................. 371,500,000 

The Committee recommendation includes $371,500,000 for the 

Mine Safety and Health Administration [MSHA]. The budget request for fiscal year 2012 is $384,277,000, and the comparable fiscal year 2011 amount is $361,844,000. 

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

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

and improving training in conjunction with States and the mining 

industry. 

The Committee bill continues language authorizing MSHA to use up to $2,000,000 for mine rescue and recovery activities. It also retains the provision allowing the Secretary of Labor to use any 

funds available to the Department to provide for the costs of mine 

rescue and survival operations in the event of a major disaster. In 

order to prepare properly for an actual emergency, the Committee 

also directs MSHA to continue to devote additional resources toward effective emergency response and recovery training in various 

types of mine conditions. Funding for Brookwood Sago grants was 


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increased from $500,000 in fiscal year 2010 to $1,000,000 in fiscal 

year 2011, and a further increase is warranted in fiscal year 2012 

given the need to provide miners and rescue teams with opportunities for realistic mine emergency training. 

In addition, bill language is included to allow the National Mine 

Health and Safety Academy to collect not more than $750,000 for 

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

Bill language also allows MSHA to retain up to $1,475,000 from 

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

for such activities. 

In recent years, some mine operators have challenged an increasing share of their mine safety violations. The budget request proposes $15,000,000 to expand the Department’s effort to reduce the 

backlog of contested violations, and this bill includes sufficient 

funds to continue this backlog reduction plan. This effort was initiated with funding provided in the fiscal year 2010 supplemental 

appropriations bill and continued with funding in the fiscal year 

2011 full-year continuing appropriations act. The budget proposes 

and the Committee bill includes legislative language to transfer a 

portion of these funds to support related activities in the Office of 

the Solicitor. 

The Committee recommendation also includes funding to address 

other important issues at MSHA, including $3,100,000 to purchase 

continuous personal dust monitors and continue the spot inspection 

initiative related to respirable coal dust. These funds should help 

MSHA make progress on this important issue. Funds also are provided for the expansion and renovation of the Mount Hope laboratory, maintenance of mine emergency operations equipment, the 

operation of a new coal office district, the continued support of the 

Office of Accountability and other important priorities. 

The Committee notes that MSHA’s budget includes a proposal to 

reduce printing and mailing costs by adopting a suggestion made 

by one of MSHA’s employees. This suggestion was a finalist in the 

administration’s 2010 SAVE (Securing Americans Value and Efficiency) award process. The Committee appreciates this suggestion 

and requests that MSHA include in its fiscal year 2013 congressional budget justification information on additional steps the 

MSHA proposes to carry out its responsibilities more cost effectively. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $610,224,000 

Budget estimate, 2012 ........................................................................... 647,030,000 

Committee recommendation ................................................................. 611,224,000 

The Committee recommends $611,224,000 for this account. The 

budget request for fiscal year 2012 is $647,030,000 and the fiscal 

year 2011 level is $610,224,000. The recommendation includes 

$67,303,000 from the Employment Security Administration account 

of the unemployment trust fund, and $542,921,000 in Federal 


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funds. Language pertaining to the Current Employment Survey is 

retained from prior-year bills. 

The Bureau of Labor Statistics [BLS] is the principal fact-finding 

agency in the Federal Government in the broad field of labor economics. 

The Committee recommendation also includes $1,500,000 to continue to support the Mass Layoff Statistics Program. 

As requested by the administration, the Committee does not include bill language from prior years that requires BLS to continue 

the women worker series within the current employment statistics 

program. The Committee understands BLS will continue this data 

collection as it currently exists; therefore, this bill language is unnecessary. 

The Committee recognizes that the Nation requires current, accurate, detailed labor statistics for Federal and non-Federal data 

users. The Nation also requires Government programs to be administered as cost effectively as possible. However, the current ability 

of the cooperative statistics system to meet those needs is in question. This gap could reduce the ability of State and local regions to 

effectively plan for recovery, anticipate industry demand for workforce needs and meet other labor market information challenges. 

Therefore, the Committee directs the Secretary of Labor to commission a study of and report on a comprehensive assessment of 

the proper purpose, structure, methods, and operations of the Federal-State cooperative statistics system (including the CES, QCEW, 

LAUS, OES, and MLS programs), particularly regarding the appropriate roles and responsibilities of BLS, ETA, the State labor market information agencies, and the system’s relationship with the 

Census Bureau, the National Center for Education Statistics, State 

workforce agencies, State education agencies, and private vendors. 

The Committee believes the National Academies of Science (Committee on National Statistics) and the National Academy of Public 

Administration are very well qualified to produce such a report. 

The Committee requests the release of an interim report within 

12 months of the enactment of this act and a final report within 

24 months of the enactment of this act. The interim report shall 

contain, at minimum, a rigorous assessment of the Current Employment Statistics Program, including an evaluation of the accuracies of past and present methods for producing initial State and 

metro area CES estimates, identification of the methods most likely to produce accurate initial estimates, and recommendations for 

appropriate BLS and State roles and responsibilities in preparing 

such accurate estimates. The report also should consider recommendations for how to improve the collection of this large volume of information, including through the use of technology; coordinate the Federal and State data systems to provide timely, accurate, and geographically detailed information on employment, 

education and training, occupations and worker skills, as well as 

ease of access and technical assistance; and improve responsiveness 

to the data needs of labor market participants and policymakers at 

the Federal, State, and local levels. 

The Committee directs the Secretary of Labor to use such sums 

as may be necessary for this study which shall be allocated equally 

from funds available to the Secretary, BLS, ETA, and the States. 


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The State contribution should be made through a set-aside from 

BLS cooperative system grants to States. 

The Committee notes that BLS has reduced travel costs by using 

videoconferencing technology and Web-based services for training 

and other purposes, and taken other steps to realize cost savings. 

The Committee requests that the BLS include in its fiscal year 

2013 congressional budget justification information on additional 

steps it will take to carry out its responsibilities more cost effectively. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2011 ............................................................................. $38,953,000 

Budget estimate, 2012 ........................................................................... 39,031,000 

Committee recommendation ................................................................. 38,953,000 

The Committee recommends $38,953,000, the same amount as 

the fiscal year 2011 level, for this account. The budget request for 

fiscal year 2012 is $39,031,000. The Committee intends that at 

least 80 percent of these funds shall be used to design and implement research and technical assistance grants and contracts to develop policy that reduces barriers to competitive, integrated employment for youth and adults with disabilities. 

Congress created the Office of Disability Employment Policy 

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

and initiatives, and award grants furthering the objective of eliminating physical and programmatic barriers to the training and employment of people with disabilities. The Committee strongly supports each of the components of ODEP’s mission and, in particular, 

urges the Secretary to ensure that ODEP is properly supported in 

carrying out its leadership role with respect to Government-wide 

policies related to the training and employment of individuals with 

disabilities. The Committee is particularly interested in ODEP providing support and technical assistance to Federal agencies for the 

implementation of Executive Order 13548 (2010) regarding Federal 

hiring of persons with disabilities. The Committee recommendation includes $11,976,000 for ODEP, 

in collaboration with the Employment and Training Administration 

[ETA], to continue to implement their joint plan for improving effective and meaningful participation of persons with disabilities in 

the workforce. The Committee expects that these funds, in combination with funding available to ETA, will improve the accessibility and accountability of the public workforce development system for individuals with disabilities. The Committee further expects these funds to continue promising practices implemented by 

disability program navigators. Such practices include the effective 

deployment of staff in selected States to improve coordination and 

collaboration among employment and training and asset development programs carried out at a State and local level, including the 

Ticket to Work program; and to build effective community partnerships that leverage public and private resources to better serve individuals with disabilities and improve employment outcomes. 

The Committee notes that ODEP has prioritized its spending, including shifting some financing of its activities to other Federal 

agencies. The Committee requests that ODEP include in its fiscal 


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year 2013 congressional budget justification information on additional steps it will take to carry out its responsibilities more cost 

effectively. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $356,861,000 

Budget estimate, 2012 ........................................................................... 371,554,000 

Committee recommendation ................................................................. 366,861,000 

The Committee recommendation includes $366,861,000 for the 

Departmental Management account. The budget request for fiscal 

year 2012 is $371,554,000, and the comparable fiscal year 2011 

amount is $356,861,000. An amount of $326,000 is available by 

transfer from the Black Lung Disability Trust Fund. 

The primary goal of the Department of Labor is to protect and 

promote the interests of American workers. The departmental management appropriation pays the salaries of staff responsible for formulating and overseeing the implementation of departmental policy and management activities in support of that goal. In addition, 

this appropriation includes a variety of operating programs and activities that are not involved in departmental management functions, but for which other appropriations for salaries and expenses 

are not suitable. 

The Committee recommendation includes $10,000,000 within the 

legal services activity to continue support of the Department’s efforts to reduce the backlog of cases before the Federal Mine Safety 

and Health Review Commission [FMSHRC]. This effort was initiated with funding provided in the fiscal year 2010 supplemental 

appropriations bill and continued with funding in the fiscal year 

2011 full-year continuing appropriations act. The Committee remains concerned that the backlog of cases at the FMSHRC is currently higher than historical levels. The Committee understands 

that this increase has resulted largely from the fact that the rate 

of contested citations has grown from 7 percent before the enactment of the MINER Act of 2006 to more than 25 percent last year. 

The Committee is continuing its efforts to address this issue by increasing funding for the FMSHRC, as described later in the report, 

to reduce the backlog by engaging additional judges and support 

staff, and to continue the transition to an electronic case management system. 

The Committee intends these funds, as well as funds provided to 

MSHA, to support necessary expenses of the Department of Labor 

related to an increased capacity of the Commission to process caseloads pending before it. The Committee expects the Department to 

make every effort to support the timely processing of contested citations, particularly for operators that have the highest proportion 

of significant and substantial citations or other evidence of unacceptable health and safety records. 

The Committee recommendation includes $92,484,000, the same 

as the fiscal year 2011 level, for the Bureau of International Labor 

Affairs [ILAB]. The budget request for fiscal year 2012 is 

$101,504,000. These funds are available to help improve working 

conditions and labor standards for workers around the world and 


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carry out ILAB’s statutory mandates and international responsibilities. These funds may be used to support microfinance programs 

and other livelihood activities that contribute to a more comprehensive approach to addressing the root causes of labor exploitation, 

including child and forced labor, as provided in prior appropriations 

bills and proposed in the fiscal year 2012 budget. 

The budget request proposes making the appropriation for ILAB 

available for obligation through December 31, 2012. The Committee 

bill allows $66,500,000 to be available for obligation for an extra 

quarter. The Committee will continue to monitor ILAB’s use of the 

extended obligation authority provided for the current fiscal year in 

making a final decision about this budget proposal. The budget request proposes $18,400,000 for program evaluation 

and requests that the funds be available for obligation through 

September 30, 2013. The Committee recommends $8,500,000, the 

same amount as the fiscal year 2011 level, and allows funds to be 

available for obligation through September 30, 2013. The budget 

also proposes to continue the authority of the Secretary to transfer 

these funds to any other account in the Department for evaluation 

purposes. The Committee bill continues to provide this transfer authority and supports the mission of the Office of the Chief Evaluation Officer. The Committee bill also includes requested authority 

to use up to 0.5 percent of certain Department appropriations for 

evaluation activities identified by the Chief Evaluation Officer. The 

Committee expects to be notified of the planned uses of funds derived from this authority. 

The budget request also proposes $11,620,000 for the Women’s 

Bureau and requests bill language allowing the bureau to award 

grants to promote the interests of women in the workforce. The 

Committee bill includes $11,581,000 for the bureau and the requested language. The Committee believes the bureau should 

sharpen its mission and demonstrate effectively the impact of its 

efforts on important issues such as the wage gap, pay discrimination and family and medical leave. 

The Committee notes that agencies and offices funded within this 

account have taken steps to create efficiencies and realize cost savings by better using technology and prioritizing agency activities. 

The Committee requests that the Secretary include in the fiscal 

year 2013 congressional budget justification information on additional actions related to this account that will enable funded agencies to carry out their responsibilities more cost effectively. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2011 ............................................................................. $255,614,000 

Budget estimate, 2012 ........................................................................... 261,036,000 

Committee recommendation ................................................................. 258,614,000 

The Committee recommends $258,614,000 for this account, including $47,879,000 in general revenue funding and $210,735,000 

to be expended from the Employment Security Administration account of the unemployment trust fund. The budget request for fiscal year 2012 is $261,036,000, and the comparable fiscal year 2011 

amount is $255,614,000. 

This account includes resources for the Veterans’ Employment 

and Training Services [VETS] that enable it to maximize employVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00034 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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ment opportunities for veterans and transitioning service members, 

including protecting their employment rights. VETS carries out its 

mission through a combination of grants to States, competitive 

grants, and Federal enforcement and oversight. 

The Committee expects this appropriation to help VETS better 

meet the employment and training needs and employment rights 

of veterans and service members. The Committee requests that 

VETS include in its fiscal year 2013 congressional budget justification information on steps it will take to carry out its responsibilities more cost effectively. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $83,846,000 

Budget estimate, 2012 ........................................................................... 84,445,000 

Committee recommendation ................................................................. 83,846,000 

The Committee recommends $83,846,000 for the Office of the Inspector General [OIG]. The bill includes $77,937,000 in general 

funds and authority to transfer $5,909,000 from the Employment 

Security Administration account of the unemployment trust fund. 

In addition, an amount of $327,000 is available by transfer from 

the black lung disability trust fund. The budget request for the 

OIG for fiscal year 2012 is $84,445,000 and the comparable fiscal 

year 2011 amount is $83,846,000. 

The OIG was created by law to protect the integrity of departmental programs as well as the welfare of beneficiaries served by 

those programs. Through a comprehensive program of audits, investigations, inspections, and program evaluations, the OIG attempts to reduce the incidence of fraud, waste abuse, and mismanagement, and to promote economy, efficiency and effectiveness. 

The Committee requests that the OIG include in its fiscal year 

2013 congressional budget justification information on steps it will 

take to carry out its responsibilities more cost effectively. 

INFORMATION TECHNOLOGY [IT] MODERNIZATION

Appropriations, 2011 ............................................................................. ........................... 

Budget estimate, 2012 ........................................................................... $25,000,000 

Committee recommendation ................................................................. ........................... 

The Committee recommends no funds for the IT Modernization 

account. The budget request for fiscal year 2012 is $25,000,000 for 

this new account. The Departmental Management account includes 

$19,852,000 in fiscal year 2011 and 2012 resources for similar purposes. 

Funds requested in the budget request would be used for two primary activities. The first is a consolidated IT infrastructure modernization activity. Of the requested amount, $8,000,000 would assist in using information technology strategically to modernize the 

Department’s infrastructure and supporting project-oriented investments that will demonstrably improve program performance and 

contribute to achieving the Secretary’s outcome goals. The remaining $17,000,000 requested would be allocated to the Departmental 

Support Systems budget activity. 


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GENERAL PROVISIONS

General provision bill language is included to: 

Limit the use of Job Corps funding for compensation of an individual that is not a Federal employee at a rate not to exceed Executive Level I (sec. 101). 

Provide for general transfer authority (sec. 102). 

Prohibit funding for the procurement of goods and services utilizing forced or indentured child labor in industries and host countries already identified by the Labor Department in accordance 

with Executive Order 13126 (sec. 103). 

Require that funds available under section 414(c) of the American Competitiveness and Workforce Improvement Act of 1998 may 

only be used for training in occupations and industries for which 

employers are using H–1B visas to hire foreign workers (sec. 104). 

Require the Secretary to award competitively funds available for 

section 414(c) of the American Competitiveness and Workforce Improvement Act of 1998 (sec. 105). 

Prohibit the Secretary from taking any action to alter the procedure for redesignating local areas under subtitle B of title I of the 

Workforce Investment Act (sec. 106). 

Provide the Employment and Training Administration with authority to transfer funds provided for technical assistance services 

to grantees to program administration when it is determined that 

those services will be more efficiently performed by Federal employees (sec. 107). 

Allow up to 0.5 percent of discretionary appropriations provided 

in this act for all DOL agencies, except the Employment and Training Administration, to be used by the Office of the Chief Evaluation 

Officer for evaluation purposes consistent with the terms and conditions in this act applicable to such Office (sec. 108). 

Prohibit funding for the enforcement of the rule entitled ‘‘Wage 

Methodology for the Temporary Non-Agricultural Employment H– 

2B Program’’ (76 Fed. Reg. 3452 (January 19, 2011)) (sec. 109). 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

Activities of the Health Resources and Services Administration 

[HRSA] support programs to provide healthcare services for mothers and infants; the underserved, elderly and homeless; migrant 

farm workers; and disadvantaged minorities. This agency supports 

cooperative programs in community health, AIDS care, healthcare 

provider training, and healthcare delivery systems and facilities. 

HEALTH RESOURCES AND SERVICES

Appropriations, 2011 ............................................................................. $6,287,241,000 

Budget estimate, 2012 ........................................................................... 7,081,685,000 

Committee recommendation ................................................................. 6,229,517,000 

The Committee provides a program level of $6,229,517,000 for 

Health Resources and Services. The Committee recommendation 

includes $6,204,517,000 in budget authority and an additional 


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$25,000,000 via transfers available under section 241 of the Public 

Health Service [PHS] Act. The fiscal year 2011 comparable program level was $6,287,241,000. The budget request for fiscal year 

2012 was $7,081,685,000. 

In addition, the Committee recommendation includes 

$25,000,000 in transfers from the Prevention and Public Health 

[PPH] Fund. The fiscal year 2011 comparable transfer was 

$20,000,000, as was the budget request for transfers in fiscal year 

2012. 

BUREAU OF PRIMARY HEALTH CARE

Community Health Centers 

The Committee provides $1,580,749,000 in this bill for the community health centers program. Combined with the $1,200,000,000 

in mandatory funding appropriated for fiscal year 2012 in Public 

Law 111–152, the recommended fiscal year 2012 program level totals $2,780,749,000. 

The fiscal year 2011 comparable program level was 

$2,580,749,000. The budget request for fiscal year 2012 is 

$3,317,814,000. 

This group of programs includes community health centers, migrant health centers, healthcare for the homeless, and public housing health service grants. The Committee continues to support the 

ongoing effort to increase the number of people who have access to 

medical services at health centers. 

Within the amount provided, the Committee has provided up to 

$100,000,000 under the Federal Tort Claims Act [FTCA] for the 

Health Centers program. The Committee has included bill language making this funding available until expended. The Committee intends that the fund be used to pay judgments and settlements, occasional witness fees and expenses, and the administrative costs of the program, which include the cost of evaluating 

claims, defending claims and conducting settlement activities. The 

Committee intends FTCA coverage funded through this bill to be 

inclusive of all providers, activities and services included within 

the health centers’ federally approved scope. 

Base Grants.—The Committee recognizes the importance of 

maintaining a solid foundation of stable, viable existing health centers and urges HRSA to increase base funding to existing health 

centers due to increasing demands. The Committee also urges 

HRSA to use additional programmatic funding to expand access to 

health centers in those areas of the country with high need and inadequate access to services to meet such need. The Committee expects HRSA to implement any new expansion initiative using the 

existing, and statutorily required, proportionality for urban and 

rural communities, as well as migrant, homeless and public housing health centers. 

Health Care for the Homeless [HCH].—HCH projects funded 

under section 330(h) of the PHS Act provide essential services to 

people experiencing homelessness, providing the access to comprehensive services and the continuity of care that are critical to 

establishing and maintaining housing and health stability. Permanent supportive housing is an important step in the process to perVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00037 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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manent housing; however, the Committee believes that permanent 

supportive housing has important differences from truly permanent 

housing. Therefore the Committee believes that it is consistent 

with §330(h)(4) for HCH grantees to treat residents of permanent 

supportive housing or other housing programs that are targeted to 

homeless populations but do not limit tenant length of stay as persons who are homeless. 

Nurse-Managed Health Clinics.—Nurse-managed health clinics 

[NMHCs] strengthen nursing workforce development efforts by acting as clinical education sites for nursing students. The Committee 

strongly encourages HRSA to prioritize funding for NMHCs within 

any competition for new access points in fiscal year 2012. Expanding services this way will help expand coverage to underserved populations, including native and rural communities. The Committee 

also believes that supporting the nurse-managed model will facilitate the implementation the recommendations in the Institute of 

Medicine’s report on the future of nursing. 

Technical Assistance.—The Committee believes that adequate 

funding for technical assistance and networking functions for 

health centers is critical to the successful operation and expansion 

of the Health Centers program. Funds are available within the 

amount provided to invest in the technical assistance necessary to 

support existing centers and assist communities that currently 

lack, but seek, a health center presence. 

Workforce.—The Committee recognizes that the National Health 

Service Corps [NHSC] is an essential tool for the recruitment and 

retention of primary care health professionals in Health Professional Shortage Areas nationwide. The Committee applauds efforts 

by HRSA to enhance access to the NHSC by streamlining the application process for health professionals and prospective sites, implementing part-time service arrangements, enhancing customer 

service and accepting applicants with consolidated or refinanced 

educational loans. The Committee encourages HRSA to continue 

with these improvements, as well as collaborate with the Health 

Centers program in order to maximize the investment in both programs. 

Native Hawaiian Health Care 

The Committee again includes the legal citation in the bill for 

the Native Hawaiian Health Care Program. The Committee has included sufficient funding so that healthcare activities funded under 

the Native Hawaiian Health Care Program can be supported under 

the broader community health centers line. The Committee expects 

that not less than last year’s level be provided for these activities 

in fiscal year 2012. 

The Committee is concerned by a recent letter of clarification of 

Medicare payment policy that blocks implementation of a Hawaii 

State law allowing advanced practice registered nurses to practice 

without the physical supervision of a physician. Given the remote 

locations of many of the grantees of the Native Hawaiian Health 

Care program and the barrier imposed by island geography, enforcing the physical requirement may have the unintended consequence of reducing access to care. The Committee urges HRSA 

to work with the Centers for Medicare and Medicaid Services to 


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find a suitable resolution that maximizes access to care in remote 

locations. 

Free Clinics Medical Malpractice Coverage 

The Committee provides $40,000 in funding for payments of 

claims under the Federal Tort Claims Act to be made available for 

free clinic health professionals as authorized by section 224(o) of 

the PHS Act. The fiscal year 2011 comparable level and the budget 

request for fiscal year 2012 both included $40,000 for this program. 

This appropriation continues to extend Federal Tort Claims Act 

coverage to medical volunteers in free clinics in order to expand access to healthcare services to low-income individuals in medically 

underserved areas. 

National Hansen’s Disease Program 

The Committee includes $16,077,000 for the National Hansen’s 

Disease Program, the same as the fiscal year 2011 comparable 

level. The budget request for fiscal year 2012 was $16,075,000. The 

program consists of inpatient, outpatient and long-term care and 

training and research in Baton Rouge, Louisiana; a residential facility at Carville, Louisiana; and 11 outpatient clinic sites in the 

continental United States and Puerto Rico. 

National Hansen’s Disease Program Buildings and Facilities 

The Committee provides $129,000 for the repair and maintenance of buildings at the Gillis W. Long Hansen’s Disease Center, 

the same as the fiscal year 2011 comparable level and the budget 

request for fiscal year 2012. 

Payment to Hawaii for Hansen’s Disease Treatment 

The Committee provides $1,964,000 for Hansen’s Disease services, the same as the fiscal year 2011 comparable level. The budget 

request for fiscal year 2012 was $1,976,000. Payments are made to 

the State of Hawaii for the medical care and treatment of persons 

with Hansen’s Disease in hospital and clinic facilities at 

Kalaupapa, Molokai and Honolulu. Expenses above the level of appropriated funds are borne by the State of Hawaii. 

BUREAU OF HEALTH PROFESSIONS

National Health Service Corps 

The Committee provides $24,848,000 in this bill for National 

Health Service Corps [NHSC] activities. This is the same level as 

was provided in the fiscal year 2011 bill. Together with 

$295,000,000 appropriated for fiscal year 2012 in the Patient Protection and Affordable Care Act, the recommendation for the fiscal 

year 2012 program level is $319,848,000. The fiscal year 2011 comparable level was $314,848,000. The comparable budget request for 

fiscal year 2012 is $431,925,000. 

This program provides full-cost scholarships or sizable loan repayments to students in exchange for an agreement to serve as a 

primary care provider in a federally designated health professional 

shortage area. These funds should support multi-year, rather than 

single-year, commitments. Salary costs of most new assignees are 


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paid by the employing entity. The Committee has modified bill language to clarify that all NHSC funding may be used to adjust 

prior-year awards. 

Demonstrations.—An essential component of patient-centered, 

team-based care is the appropriate management of medications. 

This management also improves healthcare quality and lowers 

costs. The Committee has included funding in the past to conduct 

demonstration programs on the benefits of including pharmacists 

and chiropractic care into primary care teams through NHSC. The 

Committee is impressed by the results of those demonstrations and 

urges the Secretary to offer pharmacists and chiropractors loan repayment through NHSC so that eligible entities may be able to improve the quality of care for underserved patients and populations. 

HEALTH PROFESSIONS

The Committee recommendation includes $497,924,000 for HRSA 

health professions programs. The fiscal year 2011 comparable level 

was $514,922,000. The budget request for fiscal year 2012 was 

$823,529,000. 

Training for Diversity 

Centers of Excellence 

The Committee provides $24,452,000, the same as the fiscal year 

2011 comparable level, for the Centers of Excellence Program. The 

budget request for fiscal year 2012 was $24,602,000. 

This program was established to fund institutions that train a 

significant portion of the Nation’s minority health professionals. 

Funds are used for the recruitment and retention of students, faculty training and the development of plans to achieve institutional 

improvements. The institutions that are designated as centers of 

excellence are private institutions whose mission is to train disadvantaged minority students for service in underserved areas. 

The Committee recognizes the longstanding commitment of minority health professions schools to diversity in the health professional workforce and the vital role the Minority Centers of Excellence Program continues to play in assisting those institutions fulfill their mission. The Committee encourages HRSA to continue to 

support minority health professions schools’ work to diversify and 

improve the healthcare workforce, focusing the Centers of Excellence Program on institutions with a historic mission of promoting 

health professions diversity. 

Mid-Career Support.—The Committee is aware that unemployment is particularly high among minority populations at a time of 

acute shortages in health professionals. The Committee urges 

HRSA to encourage health professions schools to develop innovative programs for recruiting and supporting individuals, particularly underrepresented minorities, who decide to switch to a career 

in primary care or allied health professions. 

Health Careers Opportunity Program 

The Committee has not included funding for the Health Careers 

Opportunity Program. The fiscal year 2011 comparable level was 


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$21,998,000. The budget request for fiscal year 2012 was 

$22,133,000. 

This program provides funds to medical and other health professions schools for engagement of disadvantaged K–12 students in 

health professions education. 

The Committee strongly supports the goal of this program, but 

because of budget constraints and the prevalence of waiting lists 

for health training programs nationwide, the Committee has 

prioritized healthcare job training programs over recruitment and 

youth engagement programs. 

Faculty Loan Repayment 

The Committee provides $1,258,000, the same as the fiscal year 

2011 comparable level, for the Faculty Loan Repayment Program. 

The budget request for fiscal year 2012 was $1,266,000. 

This program provides for the repayment of education loans for 

individuals from disadvantaged backgrounds who are health professions students or graduates, and who have agreed to serve for 

at least 2 years as a faculty member of a health professions school. 

Scholarships for Disadvantaged Students 

The Committee provides $49,042,000, the same as the fiscal year 

2011 comparable level, for the Scholarships for Disadvantaged Students Program. The budget request for fiscal year 2012 proposed 

$52,921,000 in budget authority and another $7,079,000 in transfers available under section 241 of the PHS Act. 

This program provides grants to health professions schools for 

student scholarships to individuals who are from disadvantaged 

backgrounds and are enrolled as full-time students in such schools. 

Primary Care Training and Enhancement 

The Committee provides $39,036,000, the same as the fiscal year 

2011 comparable level, for Primary Care Training and Enhancement programs. The budget request for fiscal year 2012 proposed 

$53,018,000 in budget authority and another $86,914,000 in transfers available under section 241 of the PHS Act for this program. 

This program supports the expansion of training in internal medicine, family medicine, pediatrics and physician assistance. Funds 

may be used for developing training programs or providing direct 

financial assistance to students and residents. The Committee 

urges HRSA to prioritize the training of physician assistants and 

has included bill language allowing HRSA to determine the funding 

amount for this activity. 

Quality Improvements.—The Committee continues to support efforts to develop and implement national quality measures for clinical practice. The Committee urges HRSA to require that primary 

care physicians and dentists be educated and trained in relevant 

quality measures in use for clinical practice. 

Understanding Basic Science.—The Committee encourages HRSA 

to give preference to applicants that seek to develop or expand a 

research infrastructure, critical appraisal and evidence-based curricula, and longitudinal research opportunities for students. 


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Training in Oral Health Care 

The Committee recommends $32,781,000, the same as the fiscal 

year 2011 comparable level, for Training in Oral Health Care programs. The budget request for fiscal year 2012 proposed 

$35,419,000 in budget authority and another $14,509,000 in transfers available under section 241 of the PHS Act. 

These programs support a variety of training opportunities in the 

field of oral health, authorized under sections 748 and 340G of the 

PHS Act. Funds may be used to expand training in general dentistry, pediatric dentistry, public health dentistry, dental hygiene 

and other oral health programs. Funds may be used to plan and 

operate training programs, as well as to provide financial assistance to students and residents. 

The Committee supports opportunities for advanced training for 

dentists and faculty loan repayment programs because it recognizes 

that there is a shortage of pediatric and public health dentists. 

Dentists who complete a general residency receive additional training that allows them to take on complex cases of patients with 

autoimmune or systemic diseases. The Committee remains concerned about the growing aging population and encourages HRSA 

to initiate training programs that target vulnerable populations in 

risk-based clinical disease management of all populations. 

The Committee further encourages HRSA to create a grant program to provide access to unpaid, volunteer dental services for 

medically necessary but otherwise uncovered and unaffordable dental treatment. Grant costs may include the salaries and other employment costs of professionals who verify the medical and financial needs, including the absence of other insurance coverage, of individual patients potentially eligible for such services. 

Interdisciplinary, Community-based Linkages 

Area Health Education Centers 

The Committee provides $33,142,000, the same as the fiscal year 

2011 comparable level, for the Area Health Education Centers 

[AHEC] program. The budget request for fiscal year 2012 was 

$33,345,000, including $1,488,000 in transfers available under section 241 of the PHS Act. 

This program links university health science centers with community health service delivery systems to provide training sites for 

students, faculty and practitioners. The program supports three 

types of projects: core grants to plan and implement programs; special initiative funding for schools that have previously received 

AHEC grants; and model programs to extend AHEC programs with 

50 percent Federal funding. 

Allied Health and Other Disciplines 

The Committee provides $1,933,000, the same as the fiscal year 

2011 comparable level, for the Allied Health and Other Disciplines 

programs. The budget for fiscal year 2012 did not request funds for 

this program. 

Career Pathways and Articulation Agreements.—The Committee 

is concerned that many graduates of certificate and 2-year degree 

programs are often unable to pursue more advanced degrees in one 


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of the health professions. The Committee urges HRSA to support 

programs that encourage graduates of certificate and 2-year community college programs to enroll in baccalaureate degree-granting 

programs and health professions schools and to encourage articulation agreements between community colleges and baccalaureate-degree granting programs and health professions schools that allow 

for transfer of credits earned in the certificate and associate degree 

programs. 

Vacancy Rates.—The Committee remains concerned that many 

allied health professions continue to experience high vacancy rates 

and encourages HRSA to give priority consideration to schools that 

are educating and training people in these professions. 

Mental and Behavioral Health 

The Committee provides $2,927,000, the same as the fiscal year 

2011 comparable level, for Mental and Behavioral Health programs. The budget request for fiscal year 2012 was $17,945,000. 

These programs provide grants to higher education institutions 

and accredited training programs to recruit and train professionals 

and faculty in the fields of social work, psychology, psychiatry, 

marriage and family therapy, substance abuse prevention and 

treatment, and other areas of mental and behavioral health. 

Graduate Psychology Education Program.—The Committee is 

concerned that the Nation’s mental health infrastructure will experience increased strain for years to come as individuals and their 

families increasingly turn to behavioral healthcare professionals in 

local communities. The Nation’s population is rapidly aging and 

significant numbers of veterans are returning from war. Ramifications of current economic conditions also are significantly increasing the numbers of people seeking mental health services as they 

struggle with unemployment, job and income loss, and the many 

associated problems that result. The Committee supports efforts by 

HRSA that would expand training sites, reinstate the 

geropsychology component, initiate a new focus on veterans and 

help integrate health service psychology trainees at federally Qualified Health Centers to provide behavioral and mental health services to underserved populations. 

Geriatric Education 

The Committee provides $33,542,000 for Geriatric Education programs, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $36,907,000 in budget authority and $6,840,000 in transfers available under section 241 of 

the PHS Act. 

Geriatric programs include: Geriatric Education Centers, the 

Geriatric Academic Career awards program, and the Geriatric 

Training program for Physicians, Dentists, and Behavioral and 

Mental Health Professionals. 

Innovation.—The Committee remains concerned that 7 out 10 

deaths among older Americans each year are from chronic diseases. 

The Committee urges HRSA to support projects that propose innovative educational and practice techniques with regard to treating 

at least one of the 10 most prevalent chronic diseases (such as, 

heart disease, stroke, diabetes and cancer) in order to improve the 


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quality of care for that condition and have an effect on primary 

care and the health of the general public. 

Reducing Hospital Readmission Rates.—Approximately 20 percent of hospitalized Medicare patients are readmitted within 30 

days. The Committee urges HRSA to support curriculum projects 

that examine innovative educational and practice techniques with 

regard to preventing hospital readmissions among older Americans. 

State Health Care Workforce Development Grants 

The Committee has not included funding for the State Health 

Care Workforce Development Grant program, authorized in the Patient Protection and Affordable Care Act. The fiscal year 2012 

budget requests $51,000,000 for this new program. 

The State Health Care Workforce Development Program is designed to support State partnerships (generally the State Workforce Investment Board) to conduct planning and coordination 

among the variety of programs related to healthcare workforce 

training. 

Health Professions Workforce Information and Analysis 

The Committee is recommending $2,815,000 for health professions workforce information and analysis, the same as the fiscal 

year 2011 comparable level. The budget request for fiscal year 2012 

did not request new budget authority but did propose $20,000,000 

in transfers available under section 241 of the PHS Act. 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 analytic and 

research infrastructure, and program evaluation and assessment. 

The Committee commends HRSA for the information that the 

National Center for Health Workforce Analysis has collected and 

disseminated. The Committee encourages HRSA to make their Web 

site ‘‘one-stop shopping’’ for any researcher or policy-maker on 

health workforce issues. For that reason, the Committee encourages HRSA to integrate data from the Bureau of Labor Statistics 

and other Federal agencies to the greatest extent possible. 

Public Health and Preventive Medicine Training Programs 

The Committee provides $34,609,000 for these programs, including $9,609,000 in budget authority and $25,000,000 in transfers 

from the PPH Fund. The fiscal year 2011 comparable level was 

$9,609,000 in budget authority and $20,000,000 in funding from 

the PPH Fund. The budget request for fiscal year 2012 did not include new budget authority, but proposed $10,068,000 in transfers 

available under section 241 of the PHS Act and $15,000,000 from 

the PPH Fund for these programs. The Committee directs HRSA 

to fund preventive medicine residencies at no less than last year’s 

level. 

This funding supports awards to schools of medicine, osteopathic 

medicine, and public health to provide for residency training programs in preventive medicine and public health; and for financial 

assistance to trainees enrolled in such programs. 

The Committee recommendation includes $5,000,000 from the 

PPH Fund for an initiative on integrative medicine residency [IMR] 


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training. Of this amount, $2,500,000 is to be used for grants of 

$100,000 to $150,000 to accredited residency programs to incorporate competency-based integrative medicine curricula in graduate medical education. The remaining funds are intended to establish a national coordinating center responsible for conducting 

data collection, providing technical assistance to residency programs, and conducting an evaluation of the IMR training program. 

Nursing Workforce Development Programs 

The Committee provides $242,387,000 for the Nursing Workforce 

Development programs, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$224,550,000 in budget authority and $108,525,000 in transfers 

available under section 241 of the PHS Act. 

The Committee directs HRSA to maintain all Nursing Workforce 

Development programs at no less than last year’s level. 

Advanced Nursing Education Grants.—The Committee is concerned that masters and doctoral programs lack the resources necessary to keep pace with the demand for new nurse faculty. Doctoral prepared nurse educators are in especially high demand, as 

the majority of vacant faculty positions require this level of education. The Committee notes that lack of faculty is often cited as 

the reason why community colleges turn away potential nursing 

students, despite severe shortages at all levels of nursing. Therefore, the Committee encourages the Division of Nursing to establish 

a priority for funding full-time doctoral nursing students including 

Ph.D. or the doctor of nursing practice [DNP]. The Committee further encourages HRSA to give priority to nursing students who indicate an interest in teaching. 

Baccalaureate Nursing Degrees.—In recognition of the Institute 

of Medicine [IOM] and the Robert Wood Johnson Foundation report, ‘‘The Future of Nursing: Leading Change, Advancing Health,’’ 

the Committee urges the Division of Nursing to enhance programs 

that increase the number of nurses with baccalaureate degrees. Research has shown that nurses who hold a bachelor of nursing have 

better patient outcomes such as lower mortality and failure to rescue rates. The Committee further concurs with the IOM report recommendation that the Division’s programs need to encourage 

nurses with associate degrees and diplomas to enter baccalaureate 

programs. For that reason, the Committee encourages HRSA to 

focus grants in nursing education to create and support career ladder programs. 

Innovative Entry Points.—The Committee is encouraged by various innovative models in K–12 education that allow students to 

take college courses while in high school, some of which are partnerships with nursing programs. The Committee urges HRSA to 

partner with the Department of Education to promote innovative 

programs that support K–12 students as they transition into nursing education. 

Nurse Practitioners.—In the presence of an acute shortage of primary care providers, the need to prepare quality, cost effective clinicians such as nurse practitioners continues to be severe. Nurse 

practitioners are primary care providers who can assist in meeting 

the needs of our communities and help to increase access to priVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00045 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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mary care. The Committee urges HRSA to support educational programs and traineeships for nurse practitioners to help meet the 

growing health needs of the Nation particularly in rural America. 

Children’s Hospitals Graduate Medical Education Program 

The Committee provides $268,356,000 for the Children’s Hospitals Graduate Medical Education [GME] program, the same as 

the fiscal year 2011 comparable level. The administration did not 

request funds for this program for fiscal year 2012. 

The program provides support for graduate medical education 

training programs in freestanding children’s teaching hospitals and 

is intended to provide with them a similar level of Federal GME 

support that other teaching hospitals receive through Medicare. 

Prior to the enactment, the freestanding children’s hospitals, whose 

inpatients are predominantly under the age of 18, received only 

0.05 percent of Federal GME funding. Children’s Hospitals GME 

[CHGME] 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. 

The Committee recognizes the program’s contributions to the future pediatric workforce and children’s healthcare. The 56 freestanding children’s hospitals receiving CHGME funding train 40 

percent of all general pediatric residents and 43 percent of all pediatric specialty residents, in addition to serving large disproportionate underserved populations, such as those in Medicaid and the 

State Children’s Health Insurance Program [SCHIP]. CHGME 

funding has enabled the hospitals to increase their training by 35 

percent, in response to State, local and national needs, including 

the reversal of a prior decline in pediatric specialty residencies. The 

program improves access to healthcare by not only ensuring an 

adequate supply of pediatric providers, but also by expanding the 

capacity of the healthcare safety net as freestanding children’s hospitals care for underserved children in both inpatient and outpatient settings. The program has also enabled the hospitals to increase the diversity of their training experiences in underserved 

urban and rural areas. 

Patient Navigator 

The Committee recommendation does not include funding for the 

Patient Navigator Outreach and Chronic Disease Outreach Program. The comparable funding level for fiscal year 2011 was 

$4,990,000. The budget did not request funding for this program in 

fiscal year 2012. 

The program provides demonstration grants to public or nonprofit health centers to help patients overcome barriers in the 

healthcare system to prompt screening, referral, diagnosis, and 

treatment services. 

The Committee strongly supports efforts to reduce the complexity 

of the current healthcare system and notes that the expansion of 

decision support features in electronic health records and current 

CMS demonstrations on accountable care organizations and medical home models aim to reduce or even eliminate the need for patient navigation models. 


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Teaching Health Centers Development Grants 

The Committee has not provided funding for the Teaching Health 

Centers [THC] Development Grant program in fiscal year 2012. 

The administration requested $10,000,000 for this new program. 

The Teaching Health Centers [THC] Development Grant Program is designed to provide funding to cover the costs of curriculum development, accreditation, faculty salaries, and the recruitment, training and retention of residents and faculty. Eligible 

entities include community-based clinics that intend to operate a 

primary care residency program. 

The Committee is aware of $230,000,000 available in mandatory 

funds for graduate medical education payments to THCs for the period of fiscal years 2011 through 2015. These funds will cover the 

costs of new resident training in community-based ambulatory primary care settings, such as health centers. 

National Practitioner Data Bank 

The Committee provides $28,016,000 for the National Practitioner Data Bank, the same as the budget request. The comparable 

level for fiscal year 2011 was $23,508,000. The Committee and the 

budget request assume that full funding will be provided entirely 

through the collection of user fees and will cover the full cost of operating the data bank. Bill language is included to ensure that user 

fees are collected to cover all costs of processing requests and providing such information to data bank users. 

The National Practitioner Data Bank collects certain adverse information, medical malpractice payment history, and information 

related to healthcare fraud and abuse. The data bank is open to 

healthcare agencies and organizations that make licensing and employment decisions. 

MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant 

The Committee provides $606,319,000 for the maternal and child 

health [MCH] block grant. The fiscal year 2011 comparable level 

was $656,319,000 and the budget request for fiscal year 2012 was 

$654,489,000. 

The MCH block grant program provides a flexible source of funding that allows States to target their most urgent maternal and 

child health needs through the development of community-based 

networks of preventive and primary care that coordinate and integrate public and private sector resources and programs for pregnant women, mothers, infants, children and adolescents. The program supports a broad range of activities including providing prenatal care, well child services and immunizations; reducing infant 

mortality; preventing injury and violence; expanding access to oral 

healthcare; addressing racial and ethnic disparities; and providing 

comprehensive care for children, adolescents and families through 

clinics, home visits and school-based health programs. 

The Committee has included bill language requiring that the 

State grant portion of the block grant be funded at no less than 

$535,748,000, compared to $556,333,000 in fiscal year 2011 and the 

budget request. This reduction will be more than offset by an inVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00047 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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crease in mandatory appropriations for the Maternal, Infant, and 

Early Childhood Home Visiting [MIECHV] program. 

State agencies funded by the MCH block grant receive additional 

mandatory funding from the MIECHV program. In fiscal year 

2012, mandatory appropriations for this program will rise from 

$250,000,000 to $350,000,000, a majority of which will be distributed to State agencies. The MIECHV program and the MCH block 

grant serve the same population with overlapping goals. Both programs include a formula-based distribution to States and a demonstration authority to allow grants for special projects of regional 

and national significance. 

The Committee has included bill language identifying 

$60,171,000 for the Title V Special Projects of Regional and National Significance [SPRANS] set-aside. Within that total, the Committee recommendation includes sufficient funding to continue the 

set-asides for oral health, epilepsy and fetal alcohol syndrome at no 

less than last year’s level. 

Global Health Strategies.—The Committee recognizes that some 

global models of healthcare have been proven to be cost effective 

and provide a high level of quality care. The Committee urges the 

Department to consider projects that demonstrate and pilot global 

health strategies in underserved domestic healthcare markets. 

These projects should include programs that improve overall community health and wellness; increase access to primary health 

services; support innovative payment models that offer affordable 

healthcare payment options for low-income families; and improve 

access to immunizations. 

Healthy Homes.—The Committee supports efforts by HRSA to 

fund evidence-based maternal, infant and early childhood home visiting programs that are consistent with the Patient Protection and 

Affordable Care Act. The Committee is aware of nurse home visiting programs in New York State, Rhode Island and Oklahoma 

that have adopted healthy homes activities as part of their programming. This integrative approach of identifying and preventing 

environmental health and safety hazards in the homes of high-risk 

pregnant mothers and their babies is a cost-effective and efficient 

strategy for preventing disease and injury among the Nation’s most 

vulnerable families. The Committee recommends that HRSA expand and incentivize the implementation of these integrative programs in consultation with the Centers for Disease Control and 

Prevention. 

Hemophilia.—The Committee supports continued funding for the 

network of hemophilia treatment centers supported by the 

SPRANS program. 

Mobile Health Messaging.—The Committee is concerned that the 

United States now ranks 33rd among industrialized and developed 

Nations in its infant mortality rate. The Committee notes the successful use of mobile health outreach programs that send cell 

phone text messages to low-income women to provide advice to help 

keep the mothers and their babies healthy. The Committee encourages HRSA to engage and support mobile health messaging programs that target the goals of the title V program in areas with 

the worst overall outcomes. 


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Oral Health.—The Committee has included sufficient funding to 

continue early childhood oral health interventions and prevention 

programs encompassing the medical/dental interface, topical 

fluorides, school and community-based sealant programs, and systems building with Head Start and the Women, Infants and Children program. 

Sickle Cell Anemia Program 

The Committee provides $4,721,000 for the sickle cell anemia 

demonstration program, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$4,740,000. 

This program provides grants and contracts to help coordinate 

service delivery for individuals with sickle cell disease, including 

genetic counseling and testing; training of health professionals; and 

other efforts related to the expansion and coordination of education, treatment, and continuity of care programs for individuals 

with sickle cell disease. 

Traumatic Brain Injury Program 

The Committee provides $9,878,000 for the Traumatic Brain Injury program, the same as the fiscal year 2011 comparable level. 

The budget request for fiscal year 2012 was $9,918,000. 

The program supports implementation and planning grants to 

States for coordination and improvement of services to individuals 

and families with traumatic brain injuries, as well as protection 

and advocacy. Such services can include: pre-hospital care, emergency department care, hospital care, rehabilitation, transitional 

services, education, employment, and long-term support. The Committee includes no less than last year’s funding level for protection 

and advocacy services, as authorized under section 1305 of Public 

Law 106–310. 

The Committee supports the efforts of HRSA to develop a longrange plan for the Traumatic Brain Injury program. The Committee encourages HRSA to collaborate with other Federal agencies 

during this process and to solicit broad input from consumers, 

States, professionals and care providers in order to ensure that the 

program maximizes resources related to the treatment and prevention of traumatic brain injury. 

Autism and Other Developmental Disorders 

The Committee provides $47,708,000 for the Autism and Other 

Developmental Disorders initiative, the same as the fiscal year 

2011 comparable level. The budget request for fiscal year 2012 was 

$55,000,000. 

The program supports surveillance, early detection, education, 

and intervention activities on autism and other developmental disorders, as authorized in the Combating Autism Act of 2006. 

Bill language is included to ensure that fiscal year 2012 grants 

may be awarded. 

Newborn Screening for Heritable Disorders 

The Committee provides $9,952,000, the same as the fiscal year 

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ing program, as described in section 1109 of the Newborn Screening Saves Lives Act of 2008. The fiscal year 2012 budget request 

was $9,992,000. 

This program provides funding to improve States’ ability to provide newborn and child screening for heritable disorders. Newborn 

screening provides early identification and follow-up for treatment 

of infants affected by certain genetic, metabolic, hormonal, and/or 

functional conditions. 

Congenital Disabilities Program 

The Committee has not provided funding for the congenital disabilities program. The budget request for fiscal year 2012 included 

$499,000 for these activities. The program was discontinued in fiscal year 2011. 

The purpose of the program is to provide information and support services to families receiving a positive test diagnosis for down 

syndrome, spina bifida, dwarfism, or other prenatally and 

postnatally diagnosed conditions. 

The Committee is pleased with the materials created in this program and encourages HRSA to distribute them through the Maternal Child Health Bureau’s programs. 

Healthy Start 

The Committee provides $104,361,000 for the Healthy Start infant mortality initiative, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$104,776,000. 

The primary purpose of Healthy Start is to reduce infant mortality by 50 percent and generally improve maternal and infant 

health in at-risk communities. Grants are awarded largely to State 

and local health departments and nonprofit organizations to conduct an infant mortality review, develop a package of innovative 

health and social services for pregnant women and infants, and 

evaluate these efforts. 

The Committee is aware that racial disparities in stillbirth and 

sudden unexpected infant deaths [SUIDs] persist and significantly 

contribute to the more than 25,000 stillbirths and over 4,000 

SUIDs each year. The Committee encourages HRSA to support 

training and assistance that will enhance cooperative partnerships 

among local community health professionals, public health officers, 

community advocates and consumers to address racial disparities 

in SUIDs and stillbirth. In addition, the Committee encourages 

Healthy Start grantees to promote local efforts to review stillbirth 

and SUIDs, especially in addressing racial disparities. 

Universal Newborn Hearing Screening and Early Intervention 

The Committee provides $18,884,000 for universal newborn hearing screening and early intervention activities, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 

2012 was $18,960,000. 

The Committee expects HRSA to coordinate its early hearing detection and intervention activities with the National Center on 

Birth Defects and Developmental Disabilities, the National Institute on Deafness and Other Communication Disorders, the NaVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00050 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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tional Institute on Disability and Rehabilitation Research and the 

Office of Special Education and Rehabilitative Services. 

This program awards grants to 53 States and territories that 

support statewide systems of newborn hearing screening, 

audiologic diagnostic testing before 3 months of age and enrollment 

in early intervention programs before the age of 6 months. 

Emergency Medical Services for Children 

The Committee provides $21,369,000 for the Emergency Medical 

Services for Children [EMSC] program, the same as the fiscal year 

2011 comparable level. The budget request for fiscal year 2012 was 

$21,454,000. The program supports demonstration grants for the 

delivery of emergency care to acutely ill and seriously injured children. 

The EMSC program makes funding available to every State EMS 

office to improve emergency care for children and to pay for critical 

research and dissemination of best practices. The Committee commends the program’s efforts to improve the evidence base for pediatric emergency care in the pre-hospital and emergency department settings and to drive the rapid translation of new science into 

professional practice. 

The Committee commends the program’s efforts to improve the 

evidence base for pediatric emergency care and urges HRSA to continue creating innovative initiatives to improve evidence-based pediatric emergency care and be cognizant of the educational and 

training needs of those serving in rural America. 

HIV/AIDS BUREAU

ACQUIRED IMMUNE DEFICIENCY SYNDROME

RYAN WHITE AIDS PROGRAMS

The Committee provides $2,351,665,000 for Ryan White AIDS 

programs. The recommendation includes $25,000,000 in transfers 

available under section 241 of the Public Health Service Act. The 

fiscal year 2011 comparable level was $2,336,665,000, and the 

budget request for fiscal year 2012 was $2,400,587,000. 

These programs provide a wide range of community-based services, including primary and home healthcare, case management, 

substance abuse treatment, mental health services, and nutritional 

services. 

Emergency Assistance 

The Committee provides $672,529,000 for emergency assistance 

grants to eligible metropolitan areas disproportionately affected by 

the HIV/AIDS epidemic, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$679,074,000. 

Grants are provided to metropolitan areas meeting certain criteria. Two-thirds of the funds are awarded by formula, and the remainder is awarded through supplemental competitive grants. 

The Committee has continued a statutory provision that reduces 

the rate of cuts to metropolitan areas enacted in the reauthorization of the Ryan White Care Act formula in 2006. 


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Comprehensive Care Programs 

The Committee provides $1,323,141,000 for HIV healthcare and 

support services. The fiscal year 2011 comparable level was 

$1,308,141,000, and the budget request for fiscal year 2012 was 

$1,358,791,000. 

Funds are awarded to States to support HIV service delivery consortia, the provision of home and community-based care services for 

individuals with HIV disease, continuation of health insurance coverage for low-income persons with HIV disease and support for 

State AIDS Drug Assistance Programs. 

The Committee includes bill language providing $900,000,000 for 

AIDS medications in the AIDS Drug Assistance Program [ADAP]. 

The fiscal year 2011 comparable level was $885,000,000, and the 

budget request for fiscal year 2012 was $940,000,000. 

The Committee is very concerned by the vulnerability of State 

funding for ADAP, the continuing increases in drug prices, and ongoing high unemployment, which has caused spikes in enrollment. 

Sufficient funding is included to continue the emergency allocations 

from the past 2 fiscal years and extend additional life-saving support in fiscal year 2012. 

Early Intervention Services 

The Committee provides $205,564,000 for early intervention 

grants, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $211,522,000. 

Funds are awarded competitively to primary healthcare providers to enhance healthcare services available to people at risk of 

HIV and AIDS. Funds are used for comprehensive primary care, including counseling, testing, diagnostic, and therapeutic services. 

Children, Youth, Women, and Families 

The Committee provides $77,313,000 for grants for coordinated 

services and access to research for women, infants, children and 

youth, the same as the fiscal year 2011 comparable level. The 

budget request for 2012 was $77,787,000. 

Funds are awarded to community health centers, family planning agencies, comprehensive hemophilia diagnostic and treatment 

centers, federally qualified health centers under section 

1905(1)(2)(B) of the Social Security Act, county and municipal 

health departments and other nonprofit community-based programs that provide comprehensive primary healthcare services to 

populations with or at risk for HIV disease. 

AIDS Dental Services 

The Committee provides $13,511,000 for AIDS Dental Services, 

the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was $13,594,000. 

This program provides grants to dental schools, dental hygiene 

schools and postdoctoral dental education programs to assist with 

the cost of providing unreimbursed oral healthcare to patients with 

HIV disease. 


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AIDS Education and Training Centers 

The Committee provides $34,607,000 for the AIDS Education and 

Training Centers [AETCs], the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 included 

$34,819,000. 

AETCs train healthcare practitioners, faculty, and students who 

care for AIDS patients outside of the traditional health professions 

education venues and support curriculum development on diagnosis 

and treatment of HIV infection for health professions schools and 

training organizations. 

HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation 

The Committee provides $24,896,000 for organ donation and 

transplantation activities, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$25,991,000. 

Funds support a scientific registry of organ transplant recipients 

and the National Organ Procurement and Transplantation Network to match donors and potential recipients of organs. A portion 

of the appropriated funds may be used to educate the public and 

health professionals about organ donations and transplants, and to 

support agency staff providing clearinghouse and technical assistance functions. 

The Committee is aware of the large and growing national organ 

transplantation waiting list, in part due to the unavailability of organs. Healthcare professionals, particularly physicians, nurse, and 

physician assistants, if given enhanced knowledge and training, 

can positively impact organ donation. Therefore, the Committee encourages HRSA to develop curriculum and continuing education 

programs for targeted health professionals. 

Vascularized Composite Allografts Rulemaking Process.—The 

Committee notes that more than 3 years ago, on March 3, 2008, 

the Department published a Request for Information in the Federal 

Register to assist the Department in determining whether it should 

engage in a rulemaking with respect to the growing field of transplantation referred to as vascularized composite allografts [VCAs]. 

The Committee believes that this rulemaking process is necessary 

to bring this growing category of transplantation, which includes 

the transplantation of hands, arms and faces, under the policy umbrella of the National Organ Transplantation Act. The Committee 

therefore urges the Department to proceed with rulemaking to 

place VCA transplants under the policy oversight of the Organ Procurement Transplant Network. 

National Cord Blood Inventory 

The Committee has provided $11,910,000 for the National Cord 

Blood Inventory, the same as the fiscal year 2011 comparable level. 

The budget request for fiscal year 2012 was $13,883,000. The purpose of this program is to provide funds to cord blood banks to 

build an inventory of the highest-quality cord blood units for transplantation. 


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C.W. Bill Young Cell Transplantation Program 

The Committee provides $23,374,000 for the C.W. Bill Young 

Cell Transplantation Program, the same as the fiscal year 2011 

comparable level. The budget request for fiscal year 2012 was 

$26,544,000. 

Office of Pharmacy Affairs 

The Committee provides $4,480,000 for the Office of Pharmacy 

Affairs, the same as the fiscal year 2011 comparable level for this 

program. The budget request for fiscal year 2012 was $5,220,000. 

The Office of Pharmacy Affairs promotes access to clinical and 

cost-effective pharmacy services among safety-net clinics and hospitals that participate in the 340B Drug Pricing program. Section 

340B of the Public Health Service Act requires drug manufacturers 

to provide discounts or rebates to a specified set of HHS-assisted 

programs and hospitals that meet the criteria in the Social Security Act for serving a disproportionate share of low-income patients. 

These funds are used to help resolve deficiencies that could not be 

addressed within resources available for the normal operations of 

the office. Specifically, these deficiencies include noncompliance 

with the 340B pricing requirements and errors and omissions in 

the office’s covered entity database. 

The Committee strongly supports the efforts of the Office of 

Pharmacy Affairs to ensure the integrity of the 340B program. The 

Committee is particularly supportive of HRSA’s plan to develop a 

transparent system to verify the accuracy of the 340B ceiling price. 

Therefore, the Committee has included bill language, requested by 

the administration, to allow a nominal cost recovery fee to fund the 

implementation of program integrity provisions recommended by 

the inspector general and included in the Patient Protection and 

Affordable Care Act. The fee will be set at 0.1 percent for covered 

entities and is expected to generate $5,000,000. The Committee expects HRSA to report the expected and actual amounts generated 

by the fee in HRSA’s annual budget justification. 

New Access Points.—The Committee is strongly supportive of efforts to expand access to care, particularly for those who are currently uninsured. Therefore, HRSA is encouraged to review its application policy and guidance to find opportunities to move more 

expeditiously in making 340B available to new clinics and access 

points. For example, the Committee is aware that HRSA requires 

a filed Medicare cost report for all hospital-affiliated clinic applications, which can take up to a year after the clinic opens. The Committee encourages HRSA to explore other forms of documentation 

that might be available more quickly upon the opening of a new 

access point. 

Outpatient Coverage.—The Committee is aware that treatment 

guidelines over the last few decades have been moving to provision 

of care from inpatient to outpatient. The Committee encourages 

HRSA to review the definition of patient to ensure that the 340B 

program continues to serve the population it was intended to serve, 

even as that population accesses care in different ways. In any 

guidance that HRSA might issue, the Committee recommends that 

HRSA keep an eye trained on preventing society’s most vulnerable 

patients from losing access to affordable drugs. 


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Supplanting.—The Committee remains strongly supportive of the 

340B program and its emphasis on helping hospitals, health centers and other safety net providers extend care to those who need 

it most. For that reason, the Committee is troubled by reports of 

health care insurers and other third party payers setting reimbursement rates that discriminate against 340B covered entities 

and supplant the benefit of the 340B discounts. The Committee 

urges HRSA to clarify to healthcare insurers and other third party 

payers that discriminatory reimbursement rates for 340B covered 

entities is inconsistent with congressional intent. 

Poison Control Centers 

The Committee provides $21,866,000 for poison control center activities, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $29,250,000. The Poison 

Control Centers program currently supports a mix of grantees. 

Most grantees serve entire States; a few grantees serve multistate 

regions; and, in a handful of cases, more than one grantee serves 

a single State. 

HRSA estimates that $7 is saved in medical spending for every 

dollar spent on Poison Control Centers because treatment guidance 

for the majority of poison exposures (over 70 percent) can be provided over the phone, thereby reducing emergency department visits, ambulance use, and hospital admissions. For that reason, the 

Committee is strongly supportive of ensuring that all citizens have 

access to poison control hotlines. 

RURAL HEALTH PROGRAMS

Rural Healthcare Services Outreach Grants 

The Committee provides $55,658,000 for rural health outreach 

grants, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $57,266,000. This program 

supports projects that demonstrate new and innovative models of 

outreach in rural areas, such as integration and coordination of 

health services. 

The Delta States Network Grant Program provides network and 

rural health infrastructure development grants to the eight States 

in the Mississippi River Delta region. The Committee recognizes 

that residents in this region disproportionately experience disease 

risk factors and show positive behavioral change when communitybased programs and infrastructure are in place. The Committee believes that collaborative programs offering health, education, coordination of health services offer the best hope for breaking the 

cycle of poor health in this region. Therefore, the Committee has 

included sufficient funding to continue these activities at no less 

than last year’s level. 

Mental Health Outreach.—The Committee urges HRSA to support programs that demonstrate new and innovative models of regional outreach to meet the behavioral and mental health needs of 

rural America. In particular, HRSA is encouraged to give priority 

to clinical training sites that encompass a multicounty area; train 

students to use secure telemedicine applications that result in 

timely triage, disposition and treatment; and provide outreach to 


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veterans, older Americans and underserved populations with limited or no access to behavioral health services. 

Oral Health.—The Committee recognizes that access to oral 

health providers can be particularly challenging in rural areas. The 

Committee encourages HRSA to consider supporting oral 

healthcare outreach to underserved communities by accredited dental schools. 

Rural Health Research 

The Committee provides $9,885,000 for the Rural Health Research program, the same as the fiscal year 2011 comparable level. 

The budget request for fiscal year 2012 was $9,929,000. 

The funds provide support for the Office of Rural Health Policy 

to be the focal point for the Department’s efforts to improve the delivery of health services to rural communities and populations. 

Funds are used for rural health research centers, the National Advisory Committee on Rural Health, and a reference and information service. 

Rural Hospital Flexibility Grants 

The Committee provides $41,118,000 for rural hospital flexibility 

grants, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $26,200,000. 

Under this program, HRSA works with States to provide support 

and technical assistance to critical access hospitals to focus on 

quality and performance improvement and to integrate emergency 

medical services. 

The Committee remains supportive of the collaboration between 

the Department of Veterans Affairs and rural hospitals to provide 

locally based care, and understands that one of the largest barriers 

to this effort is the lack of electronic medical records that are interoperable with the VISTA system. For that reason, the Committee 

has again included bill language identifying $1,000,000 for grants 

authorized under section 1820(g)(6) of the Social Security Act to 

provide telehealth equipment and to develop electronic health 

records that are compatible with the VISTA system. The Committee encourages HRSA to coordinate with the Department of Veterans Affairs to ensure that this equipment furthers the goal of 

treating the illnesses and disabilities of our Nation’s veterans. The 

Committee is particularly concerned with ensuring that veterans 

receive appropriate mental healthcare. 

Rural Access to Emergency Devices 

The Committee provides $2,500,000 for rural access to emergency 

devices. The fiscal year 2011 comparable level was $236,000. The 

budget for fiscal year 2012 did not request funds for this program. 

This appropriation funds the Rural Access to Emergency Devices 

Act, authorized under section 413 of the Cardiac Arrest Survival 

Act of 2000. Funding will be used to purchase automated external 

defibrillators [AED], place them in public areas where cardiac arrests are likely to occur and train lay rescuers and first responders 

in their use. 

Only an estimated 8 percent of victims who suffer a sudden cardiac arrest outside of a hospital survive. Immediate 


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cardiopulmonary resuscitation and early intervention, using an 

AED, can more than double a patient’s chance of survival. Communities with comprehensive AED programs, including training of anticipated rescuers, have achieved survival rates of nearly 40 percent. 

The Committee directs HRSA to prepare and submit within 90 

days after the enactment of this act a report on the impact of this 

program since its inception, similar to the one released in 2005. 

The report should include the locations where AEDs were placed, 

the grant dollars requested and awarded, and the number of applications received and awards granted, lay rescuers and first responders trained in their use, and an estimate of the number of individuals saved under this program. This information, comparable 

to that requested in its January 2011 Funding Opportunity Announcement, should be shown by State and grantee as in the 2005 

report. 

State Offices of Rural Health 

The Committee provides $10,055,000 for State Offices of Rural 

Health, the same as the fiscal year 2011 comparable level. The 

budget request for fiscal year 2012 was $10,075,000. 

The State Offices of Rural Health program helps States strengthen rural healthcare delivery systems by allowing them to better coordinate care and improve support and outreach in rural areas. 

Black Lung Clinics 

The Committee provides $7,153,000 for black lung clinics, the 

same as the fiscal year 2011 comparable level. The budget request 

for fiscal year 2012 was $7,185,000. 

This program funds clinics that treat respiratory and pulmonary 

diseases of active and retired coal miners, steel mill workers, agricultural workers, and others with occupationally related respiratory and pulmonary impairments. These clinics reduce the incidence of high-cost inpatient treatment for these conditions. 

Radiation and Exposure Screening and Education Program 

The Committee provides $1,939,000 for activities authorized by 

the Radiation Exposure Compensation Act, the same as the fiscal 

year 2011 comparable level. The budget request for fiscal year 2012 

was $1,948,000. 

This program provides grants for the education, prevention, and 

early detection of radiogenic cancers and diseases resulting from 

exposure to uranium during mining and milling at nuclear test 

sites. 

Telehealth 

The Committee provides $13,524,000 for telehealth activities. 

The fiscal year 2011 comparable level was $11,524,000. The budget 

request for fiscal year 2012 was $11,575,000. The telehealth program promotes the effective use of technologies to improve access 

to health services for people who are isolated from healthcare and 

to provide distance education for health professionals. 

The Committee is aware of various telemonitoring demonstration 

programs, including programs for non-homebound patients with 


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chronic heart failure. The Committee believes that telemonitoring 

has the potential to reduce healthcare costs and improve patient 

outcomes in rural and frontier areas. The Committee encourages 

the Office for the Advancement of Telehealth to develop best practices that can reduce healthcare costs throughout the Federal Government. In particular, the Committee encourages HRSA to examine how these programs can scale across a large population, including patient identification and enrollment, communications with 

treating physicians, technology inventory management, customer 

support, and program evaluation. 

Family Planning 

The Committee provides $299,400,000 for the title X family planning program, the same as the fiscal year 2011 comparable level. 

The budget request for fiscal year 2012 was $327,356,000. 

Title X grants support preventive and primary healthcare services at clinics nationwide. Approximately 70 percent of family planning clients are at or below 100 percent of the poverty level. In 

2009, title X health centers saw more patients than at any time in 

the last decade. Title X of the PHS Act, which established the national family planning program, authorizes the provision of a broad 

range of effective family planning methods and preventive health 

services to individuals, regardless of age or marital status. This includes all FDA-approved methods of contraception. 

The Committee encourages HRSA to allocate resources from the 

Patient Protection and Affordable Care Act to the Office of Population Affairs to be used to provide technical assistance to grantees 

to help them prepare for the implementation of the Affordable Care 

Act, including the expansion of Medicaid, technology upgrades and 

participating essential community providers. 

The Committee is aware of a 2009 Institute of Medicine report 

which found that the title X family planning program provides 

critically needed health services to individuals with the most difficulty accessing family planning care. The Committee supports the 

Office of Family Planning’s efforts to review and update the title 

X program guidance and administrative directives. 

Program Management 

The Committee provides $161,815,000 for program management 

activities for fiscal year 2012, the same as the fiscal year 2011 comparable level. The budget request for fiscal year 2012 was 

$170,808,000. 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM

Appropriations, 2011 ............................................................................. $2,841,000 

Budget estimate, 2012 ........................................................................... ........................... 

Committee recommendation ................................................................. 2,841,000 

The Committee has provided $2,841,000 to administer the 

Health Education Assistance Loans program, the same as the fiscal 

year 2011 comparable level. The Committee has rejected the administration’s proposal to transfer the this workload to the Department of Education. 


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VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

Appropriations, 2011 ............................................................................. $226,489,000 

Budget estimate, 2012 ........................................................................... 241,502,000 

Committee recommendation ................................................................. 241,489,000 

The Committee provides that $241,489,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2012. The 

budget request for fiscal year 2012 was $241,502,000. The comparable level in fiscal year 2011 was $226,489,000. Of that amount, 

$6,489,000 is for administrative costs. 

The National Vaccine Injury Compensation program provides 

compensation for individuals with vaccine-associated injuries or 

deaths. Funds are awarded to reimburse medical expenses, lost 

earnings, pain and suffering, legal expenses, and a death benefit. 

The vaccine injury compensation trust fund is funded by excise 

taxes on certain childhood vaccines. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

Appropriations, 2011 ............................................................................. $6,281,544,000 

Budget estimate, 2012 ........................................................................... 6,393,242,000 

Committee recommendation ................................................................. 6,218,450,000 

The Committee recommendation for the Centers for Disease Control and Prevention [CDC] is $6,218,450,000, including 

$5,765,735,000 in discretionary budget authority and an additional 

$367,357,000 via transfers available under section 241 of the Public 

Health Service [PHS] Act. The recommendation also assumes 

$30,000,000 in balances from Public Law 111–32 in accordance 

with the budget request, and $55,358,000 in mandatory funds 

under the terms of the Energy Employees Occupational Illness 

Compensation Program Act [EEOICPA]. 

The comparable level in fiscal year 2011 was $6,281,544,000, including $352,357,000 in transfers available under section 241 of the 

PHS Act, $224,859,000 in balances from Public Law 111–32 and 

$55,358,000 in EEOICPA mandatory funds. 

The budget recommendation for fiscal year 2012 was 

$6,393,242,000, including $490,472,000 in transfers available under 

section 241 of the PHS Act, and $30,000,000 in balances from Public Law 111–32 and $55,358,000 in EEOICPA mandatory funds. 

In addition, the Committee has included statutory language 

transferring $848,000,000 in mandatory funds to CDC from the 

Prevention and Public Health [PPH] Fund. The fiscal year 2011 

comparable level was $610,900,000 and the budget request for fiscal year 2012 was $752,500,000. 

All told, the Committee provides a program level of 

$7,066,450,000 for CDC. 

The activities of CDC focus on several major priorities: providing 

core public health functions; responding to urgent health threats; 

monitoring the Nation’s health using sound scientific methods; 

building the Nation’s health infrastructure to insure our national 

security against bioterrorist threats; assuring the Nation’s preparedness for emerging infectious diseases and potential 

pandemics; promoting women’s health; and providing leadership in 

the implementation of nationwide prevention strategies to encourVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00059 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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age responsible behavior and adoption of lifestyles that are conducive to good health. 

NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES

The Committee has included a program level of $798,257,000 for 

the activities of this Center in fiscal year 2012, including 

$150,000,000 in transfers from the PPH Fund and $12,864,000 in 

transfers available under section 241 of the PHS Act. 

The comparable level for fiscal year 2011 was $748,257,000, including $156,344,000 in transfers from Public Law 111–32, 

$100,000,000 in PPH Fund transfers and $12,864,000 in section 

241 transfers. 

The budget request for fiscal year 2012 included $721,663,000 for 

this Center, including $61,599,000 in PPH Fund transfers and 

$12,864,000 in section 241 transfers. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Section 317 Immunization Program .......................................................... 425,571 433,503 425,571 

Section 317 Immunization Program (PPH Fund) ....................................... 100,000 61,599 150,000 

Influenza Planning and Response ............................................................. 159,681 159,672 159,681 

Program Implementation and Accountability ............................................ 63,005 66,889 63,005 

National Immunization Survey (non-add) ......................................... 12,864 12,864 12,864 

Section 317 Immunization Program.—The Committee recognizes 

that high rates of childhood immunization coverage are important 

for reducing child mortality and saving costs over a lifetime. For 

every $1 spent on the childhood series of vaccines, $16.50 is saved. 

Therefore, the Committee has included $150,000,000 from the PPH 

Fund to expand the section 317 immunization program. The additional funding will allow more recommended immunizations to be 

available through the existing network of private and public immunization providers, and support and expand the network as needed. 

Immunization Infrastructure.—The Committee recognizes that 

the Nation’s immunization infrastructure is essential for ensuring 

the continued high rates of childhood immunization coverage and 

supports efforts to modernize this infrastructure in making recommended immunizations more widely available. The Committee 

supports CDC’s decision to support these efforts out of the PPH 

Fund rather than at the expense of funding used for vaccine purchase. The Committee urges the Secretary to continue this policy. 

As investments are made to modernize the immunization infrastructure, and as the Nation’s health care delivery system continues to evolve though enhanced health insurance coverage, the 

Committee recommends that CDC develop strategies to (1) modernize immunization information systems; (2) prepare public health 

departments for changes in the health care delivery system, including new billing procedures related to privately insured patients; 

and (3) strengthen the evidence base to inform immunization policy 

and program monitoring, including vaccine-preventable disease 

surveillance, vaccine coverage assessment, and laboratory training. 

The strategy should also address how CDC will maintain and exVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00060 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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pand partnerships with the healthcare sector to provide routine 

and emergency immunization services. 

The Committee recognizes that past cost savings from the section 

317 program that supported an at-risk adult hepatitis B vaccine 

initiative have been expended. The Committee commends CDC for 

its efforts to provide hepatitis vaccinations through the section 317 

program. 

Immunization Report.—The Committee finds the annual report 

on the estimated funding needs of the section 317 immunization 

program to be vital information and requests that it be submitted 

not later than February 1 of each year to reflect the following fiscal 

year cost estimates. The report should include an estimate of optimum State and local operations funding, as well as CDC operations 

funding needed relative to current levels to conduct and support 

childhood, adolescent, and adult programs. In addition, the report 

should include a discussion of specific strategies to improve the 

overall immunization infrastructure and to reduce barriers and increase adult immunization rates in the United States and how section 317 immunization program funds are currently used to reach 

immunization goals. The report should further include a discussion 

of the evolving role of the 317 program as expanded coverage for 

vaccination becomes available from private and public sources over 

the next several years. 

NATIONAL CENTER FOR HIV, VIRAL HEPATITIS, STD, AND TB

PREVENTION

The Committee recommends $1,115,995,000 for the activities at 

this Center in fiscal year 2012 and an additional $10,000,000 in 

transfers from the PPH Fund. The fiscal year 2011 level was 

$1,115,995,000. The fiscal year 2012 budget request was 

$1,157,133,000 in discretionary appropriations and an additional 

$30,400,000 in transfers from the PPH Fund. The Committee has 

included funding for the following activities at the following 

amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

Domestic HIV/AIDS Prevention and Research ............................................ 800,445 827,208 800,445 

HIV Prevention by Health Department .............................................. 336,912 343,318 336,912 

HIV Surveillance ................................................................................ 117,667 115,803 117,667 

Enhanced HIV Testing Initiative ....................................................... 65,401 66,043 65,401 

Improving HIV Program Effectiveness .............................................. 102,406 120,602 102,406 

Non-Governmental Organizations ..................................................... 138,059 141,442 138,059 

School Health—HIV .......................................................................... 40,000 40,000 40,000 

Viral Hepatitis ............................................................................................ 19,784 25,000 19,784

Viral Hepatitis Screening (PPH Fund) ....................................................... ........................ ........................ 10,000 

Sexually Transmitted Infections ................................................................. 154,666 161,353 154,666 

Tuberculosis ............................................................................................... 141,100 143,572 141,100 

Hepatitis Testing.—The Committee recognizes that early diagnosis of hepatitis is a cost-effective way to reduce morbidity and 

mortality rates and encourages CDC to implement plans for riskbased hepatitis testing, including baby-boomers, injection drug 

users, and ethnic minorities such as Native Hawaiians, Native 

Alaskans, African Americans, and Asian and Pacific Islanders. 


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HIV Prevention.—The Committee commends CDC for conducting 

evaluations into a number of new locally developed and investigator-developed interventions for men who have sex with men 

[MSM], particularly African-American MSM, and conducting research to adapt existing effective behavioral interventions for additional populations such as women and other racial and ethnic minorities. The Committee looks forward to the results of this research and encourages CDC to develop a plan for disseminating 

any new proven interventions, including technical assistance and 

training opportunities for community-based organizations. 

HIV Testing.—The Committee commends CDC for recently expanding the Heightened Awareness HIV Testing program to include additional jurisdictions and risk groups. The Committee requests an update on the implementation of this expansion in the 

fiscal year 2013 congressional budget justification. 

Tuberculosis [TB].—The Committee notes that TB, including 

drug-resistant TB, remains a public health concern and that there 

are significant barriers to optimal diagnosis and treatment and national shortages of second-line TB drugs. The committee urges the 

Federal Tuberculosis Task Force to work with the Food and Drug 

Administration and other partners to accelerate the introduction of 

new rapid diagnostic tests and to alleviate national shortages of TB 

drugs. 

TB in High-Risk Areas.—The Committee is aware that the TB 

program distributes supplemental funding based on outbreaks. The 

Committee is concerned that areas with persistently high rates of 

TB and drug-resistant TB experience outbreak conditions routinely. 

The Committee directs CDC to review the epidemiology of TB in 

States and territories with more than double the average rate of 

TB cases to determine if a visit from CDC’s TB outbreak response 

team or an outbreak supplemental grant could jumpstart significant improvement in TB prevention and control in these high-risk 

areas. 

Viral Hepatitis.—The Division of Viral Hepatitis is the centerpiece of the Federal response to controlling, reducing and preventing the suffering and deaths resulting from viral hepatitis. 

CDC is responsible for surveillance, research, education, training 

and program development focusing on activities related to hepatitis 

A virus, hepatitis B virus [HBV], and hepatitis C virus [HCV]. 

CDC estimates that up to 5.3 million Americans have chronic 

HBV and HCV infections and that each year up to 15,000 Americans die of HBV- and HCV-related disease. Because of the asymptomatic nature of hepatitis B and hepatitis C, approximately 65 

percent and 75 percent, respectively, of the infected population are 

unaware that they are infected with HBV and HCV. The prevention of chronic hepatitis B and hepatitis C serves to prevent liver 

cancer, because HBV and HCV are the leading causes of this type 

of cancer throughout the world. 

The Committee directs that $10,000,000 transferred from the 

PPH Fund be prioritized to support Division efforts to expand identification of those chronically infected persons who do not know 

their status and their referral to medical care, particularly focusing 

on groups disproportionately affected by chronic hepatitis B and 

hepatitis C. In particular, the Committee notes that hepatitis B 


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and hepatitis C testing guidelines are not aligned across HHS operating divisions, and expects CDC to work expeditiously with the 

Assistant Secretary for Health, AHRQ and the U.S. Preventive 

Services Task Force to develop a consistent national testing guideline by early 2012 to improve testing rates. As noted in the HHS 

action plan, the effectiveness of risk-based approaches to testing is 

hindered by the reluctance of providers and patients to discuss behaviors not connected with the patient’s chief complaint. The Committee urges CDC to update and implement HHS recommendations 

for viral hepatitis testing as a standard of care in CDC-sponsored 

HIV/STD prevention programs, correctional health, and other programs serving populations with high disease prevalence. The Committee further encourages CDC to conduct prevention research to 

identify and disseminate best practices for screening and the 

prompt linkage to needed medical management and treatment. 

In addition, the Committee recognizes that the Adult Viral Hepatitis Prevention Coordinator program is the only Federal hepatitis 

prevention program operating in all States and understands that 

the program does not include any dedicated funding for direct services. The Committee encourages the Division of Viral Hepatitis to 

maintain this program in all previously funded jurisdictions to 

build the Federal response for both low- and high-impacted areas. 

The Committee further encourages CDC to continue to validate 

interventions focused on mother-child transmission. As the hepatitis B virus is the single greatest health disparity impacting the 

Asian and Pacific Islander [API] populations in the United States, 

the Committee urges a targeted and increased effort to address this 

issue, including the funding of replicable demonstration projects to 

help reach the API populations. 

Finally, the Committee encourages CDC to develop and implement a standard curriculum to train the multiple disciplines of the 

public health and clinical care workforce to deliver viral hepatitis 

prevention, screening and referral for care. CDC is also urged to 

help reduce health disparities by implementing a national education campaign targeting at risk communities, strengthening the 

capacity of community-based organizations to provide viral hepatitis prevention services and observing May 19 of each year as 

Viral Hepatitis Testing Day to raise awareness of the importance 

of viral hepatitis screening. 

NATIONAL CENTER FOR EMERGING AND ZOONOTIC INFECTIOUS

DISEASES

The Committee includes $252,443,000 for fiscal year 2012 for 

this Center, the same as the comparable fiscal year 2011 level. In 

addition, the Committee has included $51,750,000 in transfers from 

the PPH Fund, the same level as was transferred in fiscal year 

2011. 

The fiscal year 2012 budget request was $289,118,000 in discretionary appropriations and an additional $60,000,000 in PPH Fund 

transfers. This Center provides outbreak investigation, infection 

control and scientific evaluations of emerging zoonotic, vector-borne 

and infectious diseases, and conducts food-borne illness surveillance and investigation. 


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PPH Fund transfers ensure that CDC can invest no less than 

last year’s funding for Epidemiology-Laboratory Capacity grants. 

The Committee recommendation also includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Lyme Disease ............................................................................................. 8,773 ........................ 8,773 

Prion Disease ............................................................................................. 5,373 ........................ 5,373 

Chronic Fatigue Syndrome ......................................................................... 4,737 ........................ 4,737 

Blood Safety Surveillance.—The Committee supports the National Healthcare Safety Network [NHSN], a surveillance tool used 

by hospitals and other health care facilities to better understand 

and prevent healthcare-associated infections. With the addition of 

a hemovigilance module in fiscal year 2010, NHSN also became a 

tool to collect and analyze national data on adverse events and 

medical errors occurring during blood transfusions. The Committee 

encourages CDC to broaden its outreach to increase hospital participation, undertake measures to assure the quality of the data 

collected and disseminate the data in ways that support the development of effective interventions. 

Food Safety.—The Committee directs that CDC spend no less 

than last year’s level on food safety activities. The Committee 

strongly supports the CDC program to ensure food safety through 

surveillance outbreak response. The Committee supports an expansion of OutbreakNet to all 50 States in order to increase capacity 

and speed of food-borne outbreak detection and response. In addition, CDC is encouraged to support efforts to build a faster and 

more comprehensive public health laboratory and epidemiological 

surveillance and investigations. 

Infection Control.—The Committee is concerned by ongoing exposures and outbreaks caused by the reuse of syringes and misuse of 

vials in healthcare facilities. These outbreaks are entirely preventable when well-known infection control practices are practiced. The 

Committee urges CDC to continue its injection safety activities in 

three areas: provider education and awareness, detection and 

tracking, and response. 

Prion Disease.—The Committee has included sufficient funding 

to continue prion disease research and surveillance. The Committee 

recognizes the importance of surveillance and safeguarding the Nation against prion diseases. 

Vector-Borne Diseases.—As international travel becomes more 

commonplace, new pathogens can be introduced into new environments more quickly than ever before, as the Nation has seen with 

SARS, avian influenza and dengue fever. Arboviruses like 

chikungunya and others are a constant threat to travelers and to 

Americans overall. The Committee urges CDC to continue surveillance and monitoring of vector-borne diseases within the agency’s 

new structure. 


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NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH

PROMOTION

The Committee recommends $777,987,000 for chronic disease 

prevention and health promotion. The comparable level for fiscal 

year 2011 was $773,987,000 and the budget request for fiscal year 

2012 was $725,207,000. In addition, the Committee recommends 

$487,050,000 in mandatory funding to be transferred from the Prevention and Public Health [PPH] Fund, which compares to 

$300,950,000 in fiscal year 2011 and $460,301,000 in the fiscal year 

2012 budget request. 

America’s poor health is plaguing our country and taking a severe toll on our economy. One-half of all American adults have at 

least one chronic illness; such diseases account for nearly 70 percent of all U.S. deaths and cost the Nation approximately 

$1,800,000,000 per year. 

Many chronic diseases are preventable, so there is an urgent 

need to reduce their prevalence, both for the sake of the people affected by them and for the Nation’s economy. CDC administers numerous programs intended to prevent chronic diseases, but the 

funding structure for these programs evolved over the years in 

ways that were not well coordinated. In many States, the missions 

for several of these programs overlap. 

This Committee, CDC and States have all struggled with how to 

better coordinate chronic disease programs. Pilot programs have included giving States transfer authority and adding program coordination staff at the State and regional levels. The President’s budget 

for fiscal year 2012 proposed consolidating 27 programs in the National Center for Chronic Disease Prevention and Health Promotion. The Committee, meanwhile, has been particularly interested in streamlining CDC’s obesity-related programs. In fiscal 

year 2011, the Committee proposed consolidating the Diabetes; 

Heart Disease and Stroke; Arthritis; School Health; and Nutrition, 

Physical Activity and Obesity programs, all of which include a goal 

of reducing obesity. 

The Committee does not recommend a consolidation in fiscal year 

2012, not because the need has gone away but because budget constraints make it impossible to achieve without cutting funding to 

numerous States. 

States currently receive anywhere from 1 to 5 of the 5 obesityrelated grants listed above. Without significant additional resources, as the Committee had recommended providing in fiscal 

year 2011, creating a national, consolidated program might lead to 

increased funding for some States but would certainly cause cuts 

in many others, some of which might be national leaders in reducing obesity. The Committee cannot support a consolidation without 

enough funding to ensure that the new program would be effective, 

efficient and fair. 

In the meantime, there are numerous opportunities to reduce inefficiencies through administrative means. All of the obesity-related 

grants described above include reducing obesity as a key priority. 

Yet the obesity-related performance measures and goals in each of 

these programs vary. The Committee strongly urges CDC to reVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00065 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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evaluate the obesity-related grant programs and take administrative steps to improve their alignment. 

Within the total provided for the National Center for Chronic 

Disease Prevention and Health Promotion, the following amounts 

are available for the following categories of funding: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Tobacco ...................................................................................................... 108,685 107,226 108,685 

Tobacco (PPH Fund) ................................................................................... 50,000 79,000 100,000 

Nutrition, Physical Activity and Obesity .................................................... 34,189 ( 1 ) 34,189 

School Health on Chronic Disease ............................................................ 13,600 ( 1 ) 13,600 

Food Allergies (non-add) .................................................................. 488 ( 1 ) 488 

Glaucoma ................................................................................................... 3,337 ( 1 ) 3,337 

Alzheimer’s Disease ................................................................................... 1,812 ( 1 ) 1,812 

Inflammatory Bowel Disease ..................................................................... ........................ ( 1 ) 680 

Interstitial Cystitis ..................................................................................... ........................ ( 1 ) 654 

Excessive Alcohol Use ................................................................................ 2,454 ( 1 ) 2,454 

Chronic Kidney Disease ............................................................................. 2,093 ( 1 ) 2,093 

Prevention Research Centers ..................................................................... 18,001 ( 1 ) 18,001 

Prevention Research Centers (PPH Fund) ................................................. 10,000 ........................ 10,000 

Heart Disease and Stroke .......................................................................... 55,284 ( 1 ) 55,284 

Diabetes ..................................................................................................... 64,796 ( 1 ) 64,796 

Cancer Prevention and Control .................................................................. 345,332 ( 1 ) 345,332 

Breast and Cervical Cancer ............................................................. 206,001 ( 1 ) 206,001 

WISEWOMAN (non-add) ............................................................ 20,745 ( 1 ) 20,745 

Breast Cancer Awareness for Young Women ................................... 4,908 ( 1 ) 4,908 

Cancer Registries .............................................................................. 50,295 ( 1 ) 50,295 

Colorectal Cancer .............................................................................. 43,070 ( 1 ) 43,070 

Comprehensive Cancer ..................................................................... 20,313 ( 1 ) 20,313 

Ovarian Cancer ................................................................................. 4,909 ( 1 ) 4,909 

Prostate Cancer ................................................................................ 13,188 ( 1 ) 13,188 

Skin Cancer ....................................................................................... 2,150 ( 1 ) 2,150 

Cancer Survivorship Resource Center .............................................. 498 ( 1 ) 498 

Oral Health ................................................................................................. 14,726 14,609 14,726 

Safe Motherhood/Infant Health .................................................................. 44,049 55,734 44,049 

Breast-Feeding Promotion and Support grants (PPH Fund) ..................... ........................ 2,500 7,050 

Arthritis ...................................................................................................... 13,075 ( 1 ) 13,075 

Epilepsy ...................................................................................................... 7,801 ( 1 ) 7,801 

National Lupus Patient Registry ................................................................ 1,886 ( 1 ) 4,462 

Healthy Communities ................................................................................. 22,197 ( 1 ) 22,197 

Racial and Ethnic Approach to Community Health .................................. 14,018 ( 1 ) 14,018 

Racial and Ethnic Approach to Community Health (PPH Fund) ............... 25,000 ........................ 50,000 

Community Transformation Grants (PPH Fund) ........................................ 145,000 221,061 280,000 

Community Health Worker pilot (PPH Fund) ............................................. ........................ ........................ 20,000 

Chronic Disease Innovation grants (PPH Fund) ........................................ ........................ ........................ 10,000 

Small Business Workplace Wellness (PPH Fund) ...................................... 10,000 ........................ 10,000 

1 Not applicable. 

Breastfeeding.—The Committee is aware of research showing 

that suboptimal breastfeeding rates are a significant contributor to 

our Nation’s epidemic of obesity, increasing risks of several acute 

and chronic diseases and conditions, including diabetes and cardiovascular disease. The Committee supports the Surgeon General’s 

Call to Action to Support Breast Feeding. The Committee has included funding through the PPH Fund to support hospitals that 

promote breastfeeding and non-governmental organizations that 

assist breastfeeding mothers. The Committee urges CDC to collaborate with the Maternal and Child Health Bureau’s doula best practices initiative. 

Cancer Registries.—The Committee is pleased that CDC has provided 35 cancer registries with funding to transform information 


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technology that will improve electronic reporting of pediatric cancer 

patient data and that six additional registries will be supported in 

an effort to improve rapid patient data ascertainment and case 

completeness of pediatric cancer patients. These improvements will 

help create a national pediatric cancer database for researchers to 

use in finding pediatric cancer indicators, developing and applying 

appropriate treatments, and tracking long-term health outcomes of 

pediatric cancer patients. 

Chronic Disease Innovation Grants.—Of the amounts provided in 

the PPH Fund for Innovation grants, the Committee has included 

$10,000,000 to expand the National Diabetes Prevention program 

authorized in section 399V–3 of the PHS Act. The Committee recognizes that approximately one-third of people with diabetes do not 

know that they have it, while another 57 million have pre-diabetes 

and are at high risk for developing this deadly disease. The Committee strongly supports efforts to curb the growing cost of 

healthcare by targeting populations known to be at risk of developing disease. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee recognizes that COPD is now the third-leading cause of 

death in the United States. The Committee encourages CDC to 

work with the National Heart, Lung, and Blood Institute to prepare a national action plan to address COPD, including public 

awareness and surveillance activities. 

Chronic Kidney Disease [CKD].—The Committee notes that nearly 26 million Americans suffer from CKD and that CKD has a disproportionately high impact on minority communities such as Native Hawaiians and Pacific Islanders. The Committee continues to 

assign high priority to the CKD program, with particular emphasis 

on early detection to improve health outcomes and reduce the economic burden caused by dialysis and kidney transplantation. 

Community Health Worker Demonstration.—The Committee recommendation includes $20,000,000 in mandatory funding to be 

transferred from the PPH Fund for grants to hire community 

health workers, a program newly authorized in section 399V of the 

PHS Act. The Committee encourages CDC to prioritize applications 

from areas that have high health disparities and that propose increasing awareness of the new preventive benefits covered in the 

Patient Protection and Affordable Care Act. 

Community Transformation Grants.—The Committee recommends transferring $280,000,000 from the PPH Fund for Community Transformation Grants, authorized in section 4201 of the 

Patient Protection and Affordable Care Act. The Committee believes this program offers enormous potential to turn the environment in which Americans work, live and raise their families into 

one that offers a much greater array of healthy choices. 

Within this total, the Committee assumes the continuation of 

$145,000,000 in 5-year grants that will be awarded in September 

2011 in the fiscal year 2011 competition. This competition emphasized State health department coordination and required a wide 

range of activities related to chronic diseases. Funds will be used 

for the implementation, evaluation and dissemination of evidencebased community preventative health activities in order to develop 

strategies and practices that will enable States to control chronic 


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disease and co-morbidity health disparities. Grantees are charged 

with reducing obesity and smoking rates by 5 percent within 5 

years, two goals that are strongly supported by the Committee. 

In addition, the Committee has included statutory language requiring that the $135,000,000 increase over the fiscal year 2011 

level must be awarded through a new competition that will differ 

from the first one in several ways. In particular, this competition 

will allow applicants to propose catchment areas that are smaller 

than the minimum of 500,000 people required in the original competition. Grantees will have greater flexibility regarding the scope 

of the evidence-based interventions they wish to pursue; however, 

they must all relate to the prevention of chronic diseases. The 

Committee encourages the CDC to maintain the 5 percent reduction goal for the chronic disease or diseases targeted by a grantee. 

The Committee is eager to see public health interventions being 

adopted by towns, counties, neighborhoods and organizations for 

which public health is not their primary mission. Therefore, the 

pool of eligible applicants for the new competition will be focused 

on non-governmental organizations, school districts, local housing 

authorities, Indian tribes and local transportation authorities. As 

the authorization requires, not less than 20 percent of grant funds 

will be directed to rural and frontier areas, and eligible applicants 

will be required to show strong collaboration with multi-sector 

partners, such as business, government and non-profit organizations in order to ensure a broad base of support for changes to the 

community. 

Crohn’s and Colitis Area Registry.—A substantial Federal investment has already been made in connecting patients and providers 

to the Crohn’s and Colitis Area Registry, which has consistently 

improved insight into the etiology of inflammatory bowel disease, 

the course of illness, and methods to improve patient outcomes. 

The Committee restores funding for this program, which was eliminated by the Department in its fiscal year 2011 operating plan. 

Diabetes in Native Americans/Native Hawaiians.—The high incidence of diabetes and kidney disease among Native American, Native Alaskan, Native Hawaiian and Filipino populations persists. 

The Committee urges CDC to continue its efforts to target this population within Community Transformation grants and the REACH 

program. 

Farm-to-School Programs.—The Committee is strongly supportive of farm-to-school programs, which work to improve school 

nutrition through partnerships with local farms. The Committee 

urges CDC to give priority to applicants that propose to establish 

this type of partnership through the Healthy Communities and 

Community Transformation Grant programs. Further, the Committee is aware that the U.S. Department of Agriculture [USDA] 

will establish a mandatory funding stream for these programs in 

fiscal year 2013. The Committee further urges CDC to collaborate 

with USDA as the guidelines for this new program are established. 

Food Allergy.—The Committee encourages CDC to develop a 

comprehensive plan to provide healthcare providers with better information about food allergies. In addition, the Committee encourages CDC to collaborate with other relevant agencies to assure the 


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broadest possible dissemination of the NIAID Guidelines for the Diagnosis and Management of Food Allergy. 

Healthy Communities.—The Committee strongly supports 

Healthy Communities as an important entry point into community 

chronic disease prevention. This program provides rural and urban 

communities with the foundational knowledge to make changes in 

environments that enhance healthy options, leading to improved 

health outcomes. With these small, one-time grants, communities 

have leveraged $3 for each Federal $1 and have sustained their 

work with technical assistance and resources they have secured. 

Heart Disease and Stroke.—The Committee notes that heart disease, stroke and other forms of cardiovascular disease continue to 

be the leading cause of death in the United States. The Committee 

remains supportive of CDC’s Division for Heart Disease and Stroke 

Prevention, which provides public health leadership to improve cardiovascular health for all, as well as reduce the burden and eliminate disparities associated with heart disease and stroke. The Committee has included sufficient resources for the Division to continue 

its national heart disease and stroke evidence-based prevention 

and control programs and activities. They include the Paul Coverdell National Acute Stroke Registry and the ‘‘ABCs’’ initiative, 

which promotes appropriate low-dose aspirin therapy, improved 

high blood pressure and cholesterol control and prevention, and 

smoking avoidance and cessation. Also, the Division conducts prevention research and evaluation and works with communities, 

other Federal agencies, and food manufacturers to reduce sodium 

in food to help control heart disease and stroke. Further, the Division continues to develop a comprehensive national cardiovascular 

disease surveillance system to monitor and track heart disease, 

stroke, and their risk factors. 

Inflammatory Bowel Disease.—The Committee notes CDC’s history of supporting epidemiology research on inflammatory bowel 

disease and encourages CDC to facilitate opportunities for renewed 

support of current research in this area within the Comprehensive 

Chronic Disease and Prevention Program. The Committee requests 

a report on progress made on this issue in the fiscal year 2013 congressional budget justification. 

Interstitial Cystitis.—The Committee has included funding to 

continue its interstitial cystitis education and awareness activities 

and requests an update in the fiscal year 2013 congressional budget justification. 

Lupus.—The Committee remains committed to the objective of 

developing reliable epidemiological data on the incidence and prevalence of all forms of lupus among various ethnic and racial groups. 

The Committee has included sufficient funding to continue to expand the CDC National Lupus Patient Registry and address the 

epidemiological gaps among Hispanics/Latinos, Asian Americans 

and Native Americans. In addition, a cohort of registry patients 

will be established to further study long-term outcomes, socioeconomic burdens and mortality associated with the disease. 

Office on Smoking and Health [OSH].—The Committee includes 

$208,685,000 for OSH, including $100,000,000 in transfers from the 

PPH Fund. The Committee is pleased that HHS has developed a 

strategic action plan for ending the tobacco epidemic and that CDC 


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included tobacco as one of its priority ‘‘winnable battles.’’ The Committee has long recognized that efforts to reduce tobacco use are 

among the most effective and cost-effective investments in prevention. Funding from OSH is particularly important in fiscal year 

2012 because States have cut funding for tobacco prevention programs by 28 percent in the last 3 years and declines in high school 

smoking rates have slowed significantly in recent years, with 19.5 

percent of high school students still smoking. 

Within the increase provided, the Committee intends that no less than $15,000,000 be used to support a media campaign to prevent 

and reduce tobacco use. In addition, the Committee has long supported cessation counseling through quitlines. This funding will 

grow in importance when the quitline number, 1–800–QUIT–NOW, 

is included on the planned new, graphic warning labels on cigarette 

packages, which are scheduled to be implemented in September 

2012. 

The Committee is pleased with the work of the Environmental 

Health Laboratory’s effort to analyze tobacco products and cigarette smoke, and believes this work will become more important as 

the FDA continues to implement the Family Smoking Prevention 

and Tobacco Control Act. The Committee expects OSH to transfer 

no less than the amount it did in fiscal year 2011 to the Environmental Health Laboratory. The Committee notes that this transfer 

is to be provided to the lab in a manner that supplements and in 

no way replaces existing funding for tobacco-related activities. 

Finally, the Committee is deeply concerned by the development 

and sale of new nicotine delivery products with flavors or shapes 

that simulate candy in an effort to target youth. Research by HHS 

has revealed that nearly 90 percent of tobacco users began smoking 

at or before age 18. As of 2009, there are 400,000 new underage 

daily smokers in this country each year—and roughly one-third of 

them will eventually die prematurely from smoking-caused disease. 

In addition to funds for media campaigns that aim to prevent 

youth smoking, the Committee has included bill language making 

$10,000,000 available over a 2-year period for incentive grants to 

communities that succeed in reducing their youth nicotine consumption rate or that implement an evidence-based policy proven 

to reduce such rate. 

Oral Health.—The Committee is deeply concerned by CDC’s plan 

to convert the Division of Oral Health to a branch. This action appears to counter the recent IOM report ‘‘Advancing Oral Health in 

America,’’ which recommended that oral health be given a high priority within HHS. The Committee is concerned that this reorganization has instead lowered the visibility and priority of the Division of Oral Health. The Committee urges CDC to reestablish the 

Division. Absent such a move, the Committee directs CDC to report 

to the Committee by January 1, 2012, on how the oral health 

branch will be more effective in improving oral health in America, 

what steps CDC is taking to recruit and retain the high caliber 

staff that the Division employed, and how CDC intends to ensure 

that oral health is appropriately represented in leadership meetings at CDC. 

The Committee recognizes that reducing disparities in oral disease will require investments in proven prevention strategies at 


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the State and local levels. The Committee strongly supports broadbased community programs that can result in significant cost savings. The Committee recommendation assumes that CDC will support grants to States at no less than last year’s level to strengthen 

oral health infrastructure and community prevention programs. 

The Committee remains concerned about the high incidence of 

tooth decay among American Indian/Alaska Native [AI/AN] children and is pleased by the work CDC has done to support effective 

oral health messages in these communities. CDC is encouraged to 

continue pursuing collaborative efforts with the Indian Health 

Service and through the National Oral Health Surveillance System 

to assess early childhood caries [ECC] epidemiology in AI/AN children. The Committee encourages CDC to work with key external 

stakeholders to identify and fill strategic information gaps about 

age of onset, prevalence, severity and microbiology to improve and 

accelerate existing and novel approaches to prevent ECC. 

Pre-school Programs.—The Committee strongly supports efforts 

to build good nutrition and exercise habits early in life, to more effectively combat rising rates of childhood obesity. The Committee 

directs CDC to give priority within the Community Transformation 

Grants to interventions aimed at pre-school populations. 

Prevention Research Centers.—The Committee recognizes the importance of a focus on prevention in improving health, especially in 

rural America where access to care may be limited, and the significant contributions to research on evidence-based approaches in 

health promotion by the Prevention Research Centers network of 

community, academic and public health partners. The Committee 

has included the resources necessary to support the Prevention Research Centers program at no less than last year’s level so that this 

network of academic institutions and organizations can continue to 

contribute widely and effectively to prevention science. 

Psoriasis.—Approximately 7.5 million Americans are affected by 

psoriasis and/or psoriatic arthritis—chronic, inflammatory, painful, 

and disfiguring autoimmune diseases for which there are limited 

treatment options and no cure. The Committee is aware of evidence 

showing significant and costly co-morbidities associated with psoriasis, including heart attack, diabetes, Crohn’s disease, cancer, obesity and cardiovascular disease. The Committee is pleased that 

CDC used funding provided in fiscal year 2010 to establish a blueprint for how to better understand psoriasis, examine the relationship of psoriasis to other serious diseases, develop public health 

strategies to reduce the burden of these diseases and prevent the 

onset of co-morbid conditions, and gain insight into the long-term 

impact of psoriasis and psoriatic arthritis. 

Safe Motherhood and Infant Health.—The Committee commends 

CDC for its research and evaluation efforts regarding stillbirths, 

pre-term births and sudden unexpected infant deaths [SUIDs]. 

CDC is urged to improve and expand national and State data systems to track these conditions and to expand epidemiological research that focuses especially on their causes and prevention. 

In addition to focusing on infant health, the Committee commends CDC for collecting information on maternal mortality 

through the Pregnancy Mortality Surveillance System. 


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The Committee encourages the Safe Motherhood and Infant 

Health program to collaborate with the National Center for Health 

Statistics to explore how the implementation of the electronic death 

certificate might be used to expand the effort to collect information 

on pregnancy-related deaths, information about women’s health 

and behaviors around pregnancy, and the translation of findings 

and guidelines on preconception care into everyday practice and 

healthcare policy. 

Sleep Disorders.—The Committee is pleased with the activities of 

the National Sleep Awareness Roundtable and encourages CDC to 

continue to promote awareness of the importance of sleep and sleep 

disorders. 

Small Business Wellness Grants.—The Committee recommendation transfers $10,000,000 from the PPH Fund to continue the 

small business wellness grant program at no less than last year’s 

level. The Committee is aware of the struggle that small businesses 

face meeting the rising cost of health insurance premiums. For that 

reason, the Committee directs CDC to focus this program on small 

businesses, as authorized in section 10408 of the Patient Protection 

and Affordable Care Act. 

WISEWOMAN [Well-Integrated Screening and Evaluation for 

Women Across the Nation].—The Committee includes bill language 

stating that funding shall be available for making competitively 

awarded grants under section 1509 of the PHS Act to not less than 

21 States, tribes or tribal organizations. WISEWOMAN serves uninsured and under-insured low-income women ages 40 to 64. This 

program helps these women avoid heart disease and stroke by providing preventive health services, referrals to local healthcare providers, as needed, and lifestyle counseling and interventions tailored to their identified risk factors to promote lasting, healthy behavior modifications. From July 2008 to June 2010, WISEWOMAN 

reached more than 70,000 low-income women. At their initial 

screening, 89 percent of these women had at least one risk factor 

and 28 percent had three or more risk factors for heart disease and 

stroke. 

NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL

DISABILITIES, DISABILITY AND HEALTH

The Committee includes $138,072,000 for birth defects, developmental disabilities, disability and health in fiscal year 2012. The 

comparable level for fiscal year 2011 was $136,072,000 and the fiscal year 2012 budget request was $143,899,000. 

The Committee has rejected the consolidation proposed in the fiscal year 2012 budget for disability initiatives in the National Center on Birth Defects and Developmental Disabilities [NCBDDD] out 

of concern that the progress that has been made on behalf of people 

with disabilities would be lost in the proposed structure. Should 

the administration decide to put forward a similar request in fiscal 

year 2013, the Committee encourages CDC to ensure that it is accompanied by a needs assessment that includes the categories of 

disabilities currently served, validates the value of such a consolidation, considers the input of stakeholders and establishes the 

basis for any proposed efficiencies and commonalities. 


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Within the total provided, the following amounts are provided for 

the following categories of funding: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Craniofacial Malformation ......................................................................... 1,809 ( 1 ) 1,809 

Fetal Death ................................................................................................ 808 ( 1 ) 808 

Fetal Alcohol Syndrome .............................................................................. 9,891 ( 1 ) 9,891 

Folic Acid ................................................................................................... 2,795 ( 1 ) 2,795 

Infant Health .............................................................................................. 7,925 ( 1 ) 7,925 

Autism ........................................................................................................ 21,380 23,778 21,380 

Limb Loss ................................................................................................... 2,836 ( 1 ) 2,836 

Tourette Syndrome ..................................................................................... 1,701 ( 1 ) 1,701 

Early Hearing Detection and Intervention ................................................. 10,672 ( 1 ) 10,672 

Muscular Dystrophy .................................................................................... 5,865 ( 1 ) 5,865 

Paralysis Resource Center ......................................................................... 6,739 ( 1 ) 6,739 

Attention Deficit Hyperactivity Disorder ..................................................... 1,718 ( 1 ) 1,718 

Fragile X ..................................................................................................... 1,684 ( 1 ) 1,684 

Spina Bifida ............................................................................................... 5,812 ( 1 ) 5,812 

Congenital Heart Failure ............................................................................ ........................ ........................ 2,000 

Hemophilia ................................................................................................. 16,670 ( 1 ) 16,670 

Thallasemia ................................................................................................ 1,861 ( 1 ) 1,861 

1 Not applicable. 

Congenital Heart Disease.—Approximately 800,000 children and 

1,000,000 adults in the United States are now living with congenital heart disease [CHD], which requires life-long cardiac care. 

The Committee is concerned that there is a lack of rigorous epidemiological and longitudinal data on individuals of all ages with 

CHD and has included funding to begin to compile this information. The Committee is particularly interested in information on 

prevalence, barriers to effective care, survival outcomes and neurocognitive outcomes. 

Craniofacial Malformation.—The Committee commends the work 

that CDC has done on craniofacial malformation. In particular, the 

Committee is pleased with the goals and scope of work included in 

fiscal year 2011 grant competition and has included funding to continue that work. In addition, the Committee is impressed by the results of the March 2010 conference in Atlanta and would support 

a follow up conference, if funds are available. 

Duchenne Muscular Dystrophy [DMD].—The Committee commends CDC for developing the DMD Care Considerations. The 

Care Considerations serve as a milestone for the DMD community, 

as they provide a framework for recognizing the multisystem primary manifestations and secondary complications of DMD and for 

providing coordinated multidisciplinary care to improve the lives of 

those individuals living with DMD. The Committee encourages 

CDC to continue its work to enhance the Care Considerations by 

convening a meeting of scientific experts to identify what gaps still 

exist in the current guidelines and additional areas where further 

research is critical. Following the completion of the expert meeting, 

CDC is encouraged to publish the areas of consensus from the 

meeting. 

Fragile X-Associated Disorders [FXD].—The Committee encourages CDC to focus its efforts on identifying ongoing needs, effective 

treatments and positive outcomes for families through epidemiological research, surveillance, screening and the promotion of early 


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interventions and supports for individuals living with FXD. The 

Committee commends CDC for its efforts to establish the Fragile 

X Clinical & Research Consortium. The Committee encourages 

CDC to work with the National Institute of Child Health and 

Human Development to consolidate and coordinate Federal investments in data collection efforts related to Fragile X. Additionally, 

the Committee encourages CDC to focus on improving access to 

clinical services for underserved populations and to effectively disseminate information on promising practices related to diagnosis 

and early intervention to healthcare entities working with underserved populations. 

Hemophilia.—The Committee has included sufficient funding to 

maintain the Center’s hemophilia programs, particularly the surveillance, prevention and wellness activities of the hemophilia 

treatment centers. The comprehensive care provided by the network of hemophilia treatment centers has resulted in reduced morbidity and mortality rates for individuals with hemophilia and is 

a model system for caring for other high-cost, chronic conditions. 

Hereditary Angioedema [HAE].—The Committee is concerned by 

the high rate of fatalities caused by undiagnosed or misdiagnosed 

HAE. The Committee encourages CDC to support efforts to increase awareness and education of HAE among healthcare providers and the general public. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

encourages CDC to develop a sentinel network of surveillance utilizing HHT Centers that are currently co-located with Hemophilia 

Treatment Centers [HTCs]. The Committee hopes that the existing 

infrastructure at the HTCs can be used to collect data and conduct 

surveillance on HHT. The committee also encourages CDC to increase outreach and education to the public and health care professionals accessed by HHT patients. 

Infant Health.—The Committee is concerned by the lack of information available to pregnant women and their health care providers about the safety of various prenatal exposures that may be 

associated with birth defects or other health risks. These exposures 

range from prescription medicines to daily household products. The 

Committee requests a report no later than 180 days after enactment of this act on the current state of information and how CDC 

can work with States and stakeholders to improve access to this 

vital information. 

Intellectual Disabilities.—The Committee is aware of a growing 

body of evidence concluding that children and adults with mobility 

limitations and intellectual or learning disabilities face a high risk 

of obesity and other harmful health conditions. CDC is commended 

for its leadership in screening, referrals, research, epidemiological, 

preventative services, training, and other essential health services 

to the disability community. The Committee is particularly concerned about the lack of access to screening and preventative services within the growing population of people with intellectual disabilities. The Committee has included sufficient funding for CDC 

to extend screening and other preventative health services to address health disparities in this at-risk population. 

Maternal Infections.—The Committee encourages CDC to continue its activities to prevent Cytomegalovirus [CMV] infection 


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among women. These activities should include research to address 

gaps in knowledge, and the development of tools to prevent and reduce disease burden and disability from CMV in infants born to 

mothers with CMV infection. Research directed at congenital CMV 

prevention strategies will allow CDC to better understand how to 

prevent CMV transmission during pregnancy, support prenatal and 

newborn CMV testing and intervention for infants born to women 

with CMV infection, and work with providers on recommendations 

for CMV and infection during pregnancy. The Committee encourages CDC to develop evidence-based guidance to prevent congenital 

CMV and to continue research for more effective interventions, including longer-range options such as vaccines, aimed at preventing 

congenital CMV and reducing disease burden among children born 

to women with CMV infection during pregnancy. 

Marfan Syndrome.—Many people affected by Marfan syndrome, 

a genetic connective tissue disorder that can result in sudden loss 

of life from aortic dissection, remain undiagnosed or misdiagnosed 

until they experience a cardiac complication. The Committee encourages CDC to increase awareness of this disease among the general public and healthcare providers. 

Spina Bifida.—The Committee encourages CDC to work with the 

FDA to establish folic acid fortification levels of corn products 

grown and consumed both domestically and internationally to ensure that women of child-bearing age benefit from the advantages 

of folic acid contained in enriched foods. The Committee also recommends continued support of a data collection initiative to improve the efficacy and quality of care. 

PUBLIC HEALTH SCIENTIFIC SERVICES

The Committee recommendation includes a program level of $465,564,000 for Public Health and Scientific Services. The budget 

request for fiscal year 2012 was $493,616,000. The fiscal year 2011 

comparable funding level was $467,564,000. The Committee recommendation includes $70,000,000 in transfers from the PPH Fund 

and $247,769,000 in transfers available under section 241 of the 

PHS Act. 

The Center for Public Health and Scientific Services includes 

funding for the National Center for Health Statistics [NCHS]; the 

Offices of Surveillance, Epidemiology and Public Health 

Informatics; and Public Health Workforce Development. 

The Committee recommendation includes funding for each of 

these programs to continue at no less than last year’s level. 

The Committee requests a report to Congress no later than 120 

days after enactment of this act that details CDC’s various internal 

laboratory activities and associated funding levels. 

Preserving Integrity of Seminal Surveys.—The Committee encourages NCHS to fully support its ongoing seminal health surveys, in 

particular the National Health Interview Survey and National 

Health and Nutrition Examination Survey. The Committee urges 

NCHS to protect these core surveys without comprising data quality or accessibility, particularly with regard to minority populations. 

Sexual and Gender Identity Inclusion in Health Data Collection.—The Committee encourages CDC to consider expanding the 


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National Health Interview Survey to include questions relating to 

sexual orientation and gender identity to better enable government 

agencies to understand and meet the unique health needs of lesbian, gay, bisexual, and transgender individuals. 

Standardized Obesity Measurements.—The Committee is strongly 

supportive of the 2010 Institute of Medicine recommendation in 

‘‘For the Public’s Health: The Role of Measurement in Action and 

Accountability’’ that calls on CDC to develop a standardized set of 

measurements for obesity reduction and other public health programs. A standardized set of measurements would provide the Federal Government and other grant-making institutions with a consistent way to evaluate and compare the effectiveness and outcomes of obesity-reduction programs and other public health initiatives. The Committee urges NCHS to undertake this effort, in consultation with State and local health departments, medical and 

public health professional associations, charitable foundations, the 

academic and research communities, and other nonprofit and community-based organizations. 

Task Force on Community Preventive Services.—The Committee 

recommendation includes $11,800,000 for the task force, including 

$10,000,000 in transfers from the PPH Fund. 

Vital Statistics.—Vital statistics provide complete and continuous 

data on births, deaths and fetal deaths that are essential for understanding our Nation’s health. The Committee encourages CDC to 

obtain data items currently collected by States and territories and 

collect 12 months of these data within the calendar year. 

Vital Statistics Infrastructure.—The Committee understands that 

not all States and territories have adopted the more comprehensive 

2003 standard certificates of births and deaths, which have the potential to expand the scope and quality of vital statistics collected 

on a national basis. The Committee urges NCHS to sustain the National Vital Statistics System to support States and territories in 

implementing these certificates and modernizing their infrastructure to collect these data electronically. 

NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

The Committee recommends $105,855,000 for Environmental 

Health in fiscal year 2012. The fiscal year 2011 comparable funding 

level was $134,855,000 and the budget request for fiscal year 2012 

was $128,715,000. 

In addition, $35,000,000 is provided in transfers from the PPH 

Fund for the Environmental Health Tracking Network, the same 

level as was transferred in fiscal year 2011. 

Many modern public health successes can be traced to innovations in environmental health practices. However, emerging pathogens and environmental toxins continue to pose risks to our health 

and significant challenges to public health. The task of protecting 

people’s health from hazards in their environment requires a broad 

set of tools. First among these tools are surveillance and data collection to determine which substances in the environment are getting into people and to what degree. It also must be determined 

whether these substances are harmful to humans and at what level 

of exposure. 


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The Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Volcanic Emissions Research .................................................................... 197 ( 1 ) 197 

Amyotrophic Lateral Sclerosis Registry ..................................................... 5,903 ( 1 ) 5,903 

Built Environment and Health Initiative ................................................... 2,634 ( 1 ) 2,634 

Asthma ....................................................................................................... 27,444 ........................ 27,444 

Healthy Homes/Childhood Lead Poisoning ................................................ 29,257 ........................ ........................

Healthy Home and Community Environments ........................................... ........................ 32,674 ........................

1 Not applicable. 

Amyotrophic Lateral Sclerosis [ALS].—The Committee strongly 

supports the efforts of CDC and the Agency for Toxic Substances 

and Disease Registry [ATSDR] to maintain and enhance the National ALS Registry. The Committee intends the data collected in 

the registry to be used by researchers to advance the research into 

the cause, treatment and cure for ALS. CDC/ATSDR is encouraged 

to continue to collaborate with the ALS community in exploring additional ways in which the registry can support the ALS scientific 

and patient communities. The Committee is particularly supportive 

of the addition of a biorepository component and the development 

of strategies that can enhance clinical trials and clinical trial enrollment. 

Asthma.—The Committee is concerned that CDC’s proposal to 

consolidate the asthma program with the Healthy Homes/Childhood Lead Poisoning Program would jeopardize the Federal response to asthma at a time when asthma rates are rising. Asthma 

is a large public health problem in the country, affecting 25 million 

Americans, of whom 7 million are children. The Committee supports science-based, effective asthma interventions and management implemented by the National Asthma Control Program. The 

Committee directs CDC to continue its support of the program, its 

approach to asthma control, its community partners and its successful interventions. 

Biomonitoring.—The Committee strongly supports quality assurance in current biomonitoring program efforts aimed at ensuring 

that results are accurate and comparable across the many different 

State programs. CDC is encouraged to explore the feasibility of developing reference methods and materials for several cardiovascular disease biomarkers, including apolipoprotein B, high-sensitivity C-reactive protein, small LDL and troponion. The Committee recognizes both the need for reference methods for these biomarkers and the potential return on investment in the form of cost 

savings for Federal health care programs, like Medicare and Medicaid, and other programs. 

Blood Lead Proficiency Testing.—The Committee encourages 

CDC to collaborate with the Health Resources and Services Administration to ensure continued support for the National Blood Lead 

Proficiency Testing Program. Since 1988, this program has played 

an important role in combating childhood lead poisoning by assuring and improving the accuracy of lead poisoning screenings. 

Environmental Health Tracking Network.—The National Tracking Network was launched in July 2009, and CDC continues to exVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00077 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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pand the quality and quantity of health and environmental information and data available through the network. The network includes data for cancer, reproductive health outcomes, birth defects, 

demographics, socioeconomic status, outdoor air quality, drinking 

water quality, hospitalizations for asthma, cardiovascular disease, 

carbon monoxide poisoning and childhood lead poisoning. 

The Committee is aware of research suggesting that many diseases and conditions with rising rates may have environmental 

triggers. The Committee directs CDC to work with NIH and the 

ALS Registry to explore how the Environmental Health Tracking 

Network could map and help researchers evaluate potential environmental risk factors to autoimmune diseases, neurodegenerative 

diseases and autism. 

In addition, the Committee encourages CDC to develop a wide 

variety of baseline community health data that will be tracked over 

time. As drilling for natural gas increases across the Nation, this 

information will allow communities to monitor the impact of current and future drilling sites on the health of individuals living 

nearby. 

Healthy Homes and Lead Poisoning Prevention Program.—The 

Committee commends CDC for preventing approximately 100,000 

children from being poisoned by lead each year through the 

Healthy Homes and Lead Poisoning Prevention Program. The Committee has not included funding for this program in fiscal year 

2012. The Committee is aware of nurse home visiting programs in 

New York State, Rhode Island, and Oklahoma that have adopted 

healthy homes activities as part of their programming. This integrative approach of identifying and preventing environmental 

health and safety hazards in the homes of high-risk pregnant 

mothers and their babies is a cost-effective and efficient strategy 

for preventing disease and injury among the Nation’s most vulnerable families. The Committee notes that $350,000,000 will be spent 

by DHS to conduct home visiting programs in fiscal year 2012 

through the Maternal, Infant, and Early Childhood Home Visiting 

Program; this funding appropriated by the Patient Protection and 

Affordable Care Act, is $100,000,000 more than the fiscal year 2011 

level. The Committee intends the Health Resources and Services 

Administration and CDC to work together to ensure that activities 

previously funded through Healthy Homes will be fully incorporated into the Home Visiting Program. 

Newborn Screening Quality Assurance Program.—The Committee 

continues to support quality assurance efforts in the Nation’s newborn screening program. CDC is commended for providing training, 

consultation, guidelines, proficiency testing and reference materials 

to nearly 500 laboratories responsible for newborn screening and 

conducts research on new tests. 

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

The Committee recommends $129,714,000 for injury prevention 

and control activities at CDC and an additional $3,000,000 in 

transfers from the PPH Fund. The comparable fiscal year 2011 

funding level was $143,714,000. The budget request for 2012 was 

$147,501,000. The administration also requested $20,000,000 in 

transfers from the PPH Fund. 


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CDC is the lead Federal agency for injury prevention and control. 

Programs are designed to prevent premature death and disability 

and reduce human suffering and medical costs caused by fires and 

burns; poisoning; drowning; violence; lack of bicycle helmet use; 

lack of seatbelt and proper baby seat use; and other injuries. The 

national injury control program at CDC encompasses non-occupational injury and applied research in acute care and rehabilitation 

of the injured. Funds are utilized for both intramural and extramural research as well as assisting State and local health agencies 

in implementing injury prevention programs. The Committee recommendation includes $6,039,000 for Traumatic Brain Injury programs, $10,522,000 for the Injury Control 

Centers, $5,423,000 for Domestic Violence Community Projects and 

$3,479,000 for the National Violent Death Reporting System, the 

same as the comparable fiscal year 2011 levels. The Committee has 

included $44,474,000 for rape prevention activities, compared to 

$39,474,000 in fiscal year 2011. The Committee has not included 

funding for youth violence prevention programs, funded at 

$19,708,000 in fiscal year 2011. 

Falls Prevention Interventions.—The Committee has included 

$3,000,000 from the PPH Fund to expand older adult falls prevention activities at CDC, in coordination with the Administration of 

Aging [AOA]. The Committee intends that CDC use the funding to 

conduct research to evaluate and disseminate the most effective fall 

prevention interventions and that AOA use the funding provided 

that agency to conduct outreach and demonstration programs to expand the implementation of effective interventions. 

In addition, the Committee is aware that osteoporosis is a chronic condition that puts individuals at risk for more serious injuries 

in a fall. The Committee encourages CDC to develop an education 

and outreach plan in consultation with the patient and medical 

community to focus public health strategies on osteoporosis. 

Violence Against Women.—The Committee applauds CDC’s development of the National Institute Partner and Sexual Violence Surveillance System to monitor State and national trends and to inform public policies and prevention strategies. The Committee 

urges more research on the psychological impact of violence against 

women in order to increase and improve evidence-based interventions to support the recovery of women from the trauma of violence. 

Youth Violence Prevention.—The Committee remains supportive 

of efforts to reduce youth violence through evidence-based prevention strategies. The Committee notes that the Office of Juvenile 

Justice and Delinquency Prevention Programs [OJJDP] at the Department of Justice conducts a comprehensive suite of prevention 

programs aimed at youth in high-risk categories and exhibiting 

high-risk behaviors. The Committee urges CDC to continue providing technical assistance to OJJDP with the data gained from the 

National Violent Death Reporting System and other surveillance 

activities. 

OCCUPATIONAL SAFETY AND HEALTH

The Committee recommends a program level of $295,079,000 for 

occupational safety and health programs, including $106,724,000 in 


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transfers available under section 241 of the PHS Act. The comparable fiscal year 2011 program level was $316,079,000, and the 

budget request for fiscal year 2012 was $259,934,000, entirely 

funded through transfers available under section 241 of the PHS 

Act. 

The CDC’s National Institute for Occupational Safety and Health 

[NIOSH] is the only Federal agency responsible for conducting research and making recommendations for the prevention of work-related illness and injury. The NIOSH mission spans the spectrum 

of activities necessary for the prevention of work-related illness, injury, disability and death by gathering information, conducting scientific biomedical research (both applied and basic) and translating 

the knowledge gained into products and services that impact workers in settings from corporate offices to construction sites to coal 

mines. The Committee recommendation includes funding for the 

following activities at the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

Education and Research Centers .............................................................. 24,321 ........................ 24,321 

Healthier Workforce Center ........................................................................ 5,026 ........................ 5,026 

National Occupational Research Agenda [NORA] ..................................... 111,367 101,528 111,367 

Budget Authority ............................................................................... 19,643 ........................ 4,643 

PHS Evaluation Transfers ................................................................. 91,724 101,528 106,724 

Mining Research ........................................................................................ 52,687 ........................ 52,687 

Miners Choice ............................................................................................ 647 ........................ 647 

Cost Efficiency.—The Committee strongly encourages NIOSH to 

continue to use existing Federal research facilities and Federal 

property to conduct its existing research programs. The Committee 

recognizes the advantages of using existing federally owned property to fulfill NIOSH’s mandate and believes this approach will 

help NIOSH realize the most efficient use of Federal funds possible. 

Education and Research Centers [ERCs].—The Committee directs 

CDC to spend no less than last year for ERCs. 

National Occupational Research Agenda [NORA].—The Committee directs CDC to spend no less than last year for the Agriculture, Forestry and Fishing Program within the National Occupational Research Agenda. 

World Trade Center Health Program.—In the 10 years since September 11, this Committee was responsible for appropriating 

$408,000,000 in discretionary funding for the World Trade Center 

Health Program. This funding made it possible to screen 56,000 

workers who risked their lives after the World Trade Center attack 

and treat 18,000 who required medical care. Discretionary funds 

are no longer needed because of mandatory funding appropriated 

in the James Zadroga 9/11 Health and Compensation Act of 2010. 

From this point forward, all of the treatment costs previously borne 

by the discretionary appropriation will be funded through Zadroga 

Act funding. 

GLOBAL HEALTH

The Committee recommends $350,265,000 for global health-related activities at CDC in fiscal year 2012. The fiscal year 2011 


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comparable level was $340,265,000 and the budget request for fiscal year 2012 was $381,245,000. 

The Center for Global Health leads international programs and 

coordinates CDC’s global efforts funded out of other centers with 

the goal of promoting health and preventing disease in the United 

States and abroad, including ensuring rapid detection and response 

to emerging health threats. The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

Global AIDS Program ................................................................................. 118,741 118,023 118,741 

Global Immunization Program ................................................................... 150,854 163,602 160,854 

Polio Eradication ............................................................................... 101,597 112,441 111,597 

Measles and Other Vaccine Preventable Diseases .......................... 49,257 51,161 49,257 

Global Disease Detection and Emergency Response ................................ 41,902 44,191 41,902 

Parasitic Diseases and Malaria ................................................................ 19,467 19,643 19,467 

Global Public Health Capacity Development ............................................. 9,301 35,786 9,301 

Global Immunization Activities.—The bill provides not less than 

$111,597,000 for CDC’s global polio eradication activities. The 

Committee strongly supports the dramatic progress being made in 

the international partnership to eradicate polio. Although resources 

are limited, the Committee is well aware of the aligning of technical skill, vaccine availability and strong country engagement taking place in the four countries still plagued by this disease. The 

Committee encourages CDC and its partners to take advantage of 

this historic opportunity. 

Hepatitis B.—The Committee continues to encourage CDC to consider expanding global programs to increase the rate of vaccination, 

reduce mother-child transmission and promote educational programs to prevent hepatitis B and to reduce discrimination targeted 

against individuals with the disease. 

Parasitic Diseases and Malaria.—The Committee is pleased with 

the CDC’s ongoing efforts to fight global malaria and neglected 

tropical diseases through the Center for Global Health. Despite 

progress, much still needs to be done to address malaria and neglected topical diseases [NTDs] on a global scale. In 2009 more 

than 700,000 people died from malaria. NTDs, including enteric 

diseases, continue to affect more than 1 billion people worldwide. 

CDC research plays an essential role in the continued progress towards control and elimination efforts of global malaria and NTDs. 

The Committee encourages CDC to continue its research, monitoring and evaluation efforts for malaria and NTDs and its collaboration with other agencies as part of the Global Health Initiative. 

Product Development Partnerships [PDPs].—PDPs enable critical 

research and development in the global health arena while creating 

jobs in the United States. The Committee encourages CDC to cultivate public-private partnerships like PDPs and to work in collaboration with the National Institutes of Health and U.S. Aid for Institutional Development to identify and pursue other innovative research and development opportunities. 


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PUBLIC HEALTH PREPAREDNESS AND RESPONSE

The Committee recommends $1,405,416,000 for public health 

preparedness and response activities. The fiscal year 2011 level 

was $1,415,416,000. The amount requested by the administration 

in fiscal year 2012 was $1,452,618,000. The recommendation includes $30,000,000 in transfers from Public Law 111–32, as requested by the administration. The comparable fiscal year 2011 

transfer level is $68,515,000. The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

State and Local Preparedness and Response Capability ......................... 664,294 651,048 654,294 

Public Health Emergency Preparedness Cooperative Agreement 

Program (non-add) ....................................................................... 632,861 643,264 632,861 

CDC Preparedness and Response Capability ............................................ 160,121 146,570 160,121 

Strategic National Stockpile ...................................................................... 591,001 655,000 591,001 

Centers of Excellence.—The Committee supports the work of the 

Preparedness and Emergency Response Learning Centers and the 

Advanced Practice Centers. These centers provide training and 

support for the public health system to prepare for, respond to, and 

recover from public health emergencies. The Committee encourages 

CDC to support these centers to the extent of CDC’s ability. 

Public Health Emergency Preparedness.—The cooperative agreement provides funding to enable public health departments to have 

the capacity and capability to effectively respond to the public 

health emergencies consisting of terrorist threats, infectious disease outbreaks, natural disasters, and biological, chemical, nuclear, 

and radiological emergencies. 

Strategic National Stockpile.—The Committee is concerned that 

prior to the 2009 H1N1 influenza pandemic, the Strategic National 

Stockpile [SNS] contained only enough needles and syringes to immunize between 5 and 10 percent of the population. Stockpiling is 

an efficient means of preparedness for drug delivery devices and 

other medical supplies because these are generally low-cost products with long shelf-lives. The Committee requests a professional 

judgment recommendation as to the level of funding needed to acquire an adequate supply of these drug delivery devices. 

In addition, the Committee encourages CDC to continue efforts 

to ensure that vaccines, medications, and equipment in the SNS 

are replenished and upgraded as needed. In particular, the Committee encourages CDC to review the supply of antiviral medications remaining since the H1N1 outbreak, including a review of the 

supply in light of the needs of special populations, such as children. 

PUBLIC HEALTH LEADERSHIP AND SUPPORT

The Committee provides $121,419,000 for public health leadership and support activities at CDC, the same as the fiscal year 

2011 comparable level. The budget request for fiscal year 2012 was 

$121,368,000. 


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In addition, the Committee includes $41,200,000 in transfers 

from the PPH Fund, the same as was transferred in fiscal year 

2011. 

Throughout CDC’s accounts, the Committee has granted additional flexibility for CDC to respond to challenging budget times. 

The Committee does not expect that this flexibility will be used to 

reduce transparency on CDC’s expenditure of funds appropriated in 

this bill. The Committee directs that CDC include summaries of 

programmatic activities consistent with the fiscal year 2011 operating plan level, along with the associated funding levels in the annual congressional justification, beginning in fiscal year 2014. 

These summaries should include a short description of the nature 

of CDC’s work on a particular subject, the number of grants made, 

the average grant size, and a State-by-State table for any formulabased funding. The Committee understands that the fiscal year 

2013 justification is already in draft form; therefore, the Committee 

expects an operating plan 90 days after enactment of this act that 

details spending levels for all CDC budget lines included in the 

Senate Committee report accompanying the fiscal year 2011 Appropriations Act for Labor, Health and Human Services, and Education and Related Agencies (S. Rpt. 111–243). 

Extramural Research.—The Committee requests a report from 

CDC by March 1 of each year that details the breakdown of intramural and extramural funding for each program of the various offices and centers at CDC. The Committee believes that the balance 

between intramural and extramural funding is an important measure for assessing and understanding how the agency is meeting its 

national and State responsibilities. 

Institutional Research Training Grant Program.—The Committee 

encourages CDC to continue the Institutional Research Training 

Grant Program. 

Leadership and Management Savings.—The Committee strongly 

believes that as much of CDC’s of funding as possible should go to 

programs and initiatives that improve the health and safety of 

Americans. To facilitate this goal, any savings in leadership and 

management may be reallocated to the Director’s Discretionary 

Fund upon notification of the Committee. 

Public Health Infrastructure.—The Committee recommendation 

transfers $40,200,000 from the PPH fund, the same level as in fiscal year 2011, to continue the Strengthening Public Health Infrastructure for Improved Health Outcomes program. These resources 

are intended to support State, local, tribal, and territorial health 

departments to ensure that the systems supporting public health 

services are robust and efficient, including workforce capacity and 

competency; laboratory systems; health information and systems, 

as well as health information analysis for decisionmaking; communications; legal authorities; financing; organizations capacity; and 

other related activities. 

PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

The Committee does not provide funding for the Preventive 

Health and Health Services block grant [PHHSBG], in accordance 

with the administration proposal for fiscal year 2012. The fiscal 

year 2011 comparable level was $80,094,000. 


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For over 30 years, this block grant has supported States in improving their response to critical public health needs. The Committee has regretfully accepted the administration’s recommendation to eliminate this program in light of the overlap between this 

grant and other funds being awarded to States throughout this bill. 

The Committee is aware that over 10 percent of PHHSBG funding has been used to support national rape prevention activities. 

The Committee has included additional funding for this purpose in 

the National Center for Injury Prevention and Control. 

An additional 40 percent of PHHSBG funds have been used for 

activities related to chronic diseases. The Committee has provided 

a total of $329,582,000 in this bill to States for these purposes 

through various grant programs, including Community Transformation State grants in the PPH Fund and CDC’s grant programs for diabetes; heart disease and stroke; comprehensive cancer 

grants; and nutrition, physical activity and obesity. 

PHHSBG has also provided States with flexible funding to shore 

up critical infrastructure needs of their public health departments. 

The Committee has included $40,200,000 from the PPH Fund for 

the Strengthening Public Health Infrastructure for Improved 

Health Outcomes program, which allows States to provide many of 

the same activities covered by PHHSBG. State health departments 

can use this flexible funding source to improve their systems that 

support public health services, including workforce capacity and 

competency; laboratory systems; health information and systems, 

as well as health information analysis for decision making; communications; legal authorities; financing; organizations capacity; and 

other related activities. 

BUSINESS SERVICES AND SUPPORT

The Committee provides $427,026,000 for business services support functions including costs relating to buildings and facilities. 

The administration request for fiscal year 2012 was $447,466,000. 

The fiscal year 2011 comparable level was $362,026,000. These 

funds will be used to support agency-wide support functions. 

Due to budgetary constraints, the Committee is unable to provide 

the full President’s budget request for these costs. For that reason, 

the Committee has included bill language to allow CDC to begin 

creating a Working Capital Fund [WCF] to achieve greater cost efficiencies across the administrative operations of the agency. The 

Committee directs CDC to create a strong auditing system for the 

WCF and brief the Committee on controls CDC will put in place 

to ensure that WCF funds are used solely for administrative costs 

and that CDC Centers and Offices are not over-charged for services. 

NATIONAL INSTITUTES OF HEALTH

The Committee recommends an overall funding level for the Na- tional Institutes of Health [NIH] of $30,498,288,000. The budget request for NIH activities within the jurisdiction of this bill is 

$31,747,915,000 and the fiscal year 2011 level is $30,688,288,000. 

The Committee regrets that fiscal constraints prevent a higher 

recommended funding level for NIH. With tight budgets likely to 


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continue for the foreseeable future, the Committee strongly urges 

NIH to explore creative ways to rethink the way it allocates its 

funding. The alternative—continuing to nick away, little by little, 

at the success rate or the size of awards—will inevitably have a 

negative impact on young investigators, who represent the Nation’s 

future, and on high-risk, high-reward research opportunities. 

The Committee credits NIH with making significant efforts in 

both of these priority areas despite relatively flat budgets in recent 

years. With the help of the New Innovator Award and Pathway to 

Independence Award programs, NIH funded more new investigators in 2010 than in any year before. The Transformative Research 

Projects Program, meanwhile, rewards exceptionally innovative 

ideas. The Committee encourages NIH to continue and expand on 

these initiatives. 

The creation of the National Center for Advancing Translational 

Sciences [NCATS], proposed by the administration and endorsed in 

the Committee recommendation, is an even more far-reaching example of how NIH can refocus its mission in a difficult fiscal environment. This bill creates NCATS, abolishes the National Center 

for Research Resources [NCRR] and redistributes existing NCRR 

programs throughout other Institutes and Centers [ICs]. With the 

exception of $20,000,000 for the new Cures Acceleration Network, 

all of the changes involved in this restructuring are budget neutral. 

The mission of NCATS is nothing less than fundamentally 

changing the way NIH pursues the translation of basic science into 

treatments and cures. The average length of time from target discovery to FDA approval of a new drug is 14 years, a delay that is 

costing lives and prolonging human suffering. 

NCATS will study steps in the therapeutics development and implementation process, consult with experts in academia and the 

biotechnology and pharmaceutical industries to identify bottlenecks 

in the processes that are amenable to re-engineering, and develop 

new technologies and innovative methods for streamlining the processes. In order to evaluate these innovations and new approaches, 

NCATS will undertake targeted therapeutics development and implementation projects. In all of these efforts, the Committee expects 

that NCATS will complement, not compete with, the efforts of the 

private sector. 

While the Committee welcomes the creation of NCATS, it was 

disappointed by the way the administration requested it. The 

President’s proposed budget for fiscal year 2012 included a vague 

description of NCATS but did not formally request funding for the 

restructuring or provide any details about which components of 

NIH would be consolidated into the new Center. The failure to do 

so caused unnecessary uncertainty about the proposal and contributed to the impression that it was being rushed. 

Lessons learned with NCATS should guide NIH as it considers 

another proposed restructuring, one that would involve consolidating NIDA, NIAAA and components of other ICs into a new Institute devoted to research on substance use, abuse and addiction. 

The Committee understands that NIH plans to adopt a more deliberate approach in evaluating the need for this Institute. The Committee strongly recommends that if the administration ultimately 


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decides to seek such a restructuring, it should provide sufficient details in a formal budget request to Congress. 

NATIONAL CANCER INSTITUTE

Appropriations, 2011 ............................................................................. $5,058,577,000 

Budget estimate, 2012 ........................................................................... 5,196,136,000 

Committee recommendation ................................................................. 5,001,623,000 

The Committee recommends an appropriation of $5,001,623,000 for the National Cancer Institute [NCI]. Of this amount, $8,000,000 

is available for repairs and improvements to the NCI facility in 

Frederick, Maryland. The budget request for fiscal year 2012 is 

$5,196,136,000 and the comparable level for fiscal year 2011 is 

$5,058,577,000. 

Breast Cancer.—The Committee notes that triple-negative breast 

cancer is poorly understood and has a disproportionate prevalence 

among African-American women. The Committee encourages NCI 

to increase research and awareness of this disease, and to advance 

prevention, detection, diagnosis, care, and treatment. The Institute 

is urged to collaborate with ORWH, NIMHD, the Office of Minority 

Health, and the Office of Women’s Health in these efforts. 

Health Decisionmaking.—The Committee commends NCI for its 

efforts to understand how the ability to comprehend and use numerical information affects health decisionmaking, as low numerical skills may not only distort perception of risks and impair risk 

communication, but may also impede treatment. 

Health Services Research.—The Committee commends NCI for its 

efforts to determine how well state-of-the-art cancer care is actually 

delivered. Ongoing health services data collection and surveillance 

programs represent an important contribution to cancer surveillance and the efforts to understand and improve clinical and community practices. NCI is strongly urged to maintain support for ongoing activities that advance cancer prevention and early detection 

research, including data collection infrastructure that can contribute to measuring the delivery and outcome of services, and comparative effectiveness research. 

Liver Cancer.—The Committee urges NCI to increase its efforts 

in the area of liver cancer, particularly by creating a Specialized 

Program of Research Excellence [SPORE] for this disease and by 

funding projects focusing on pathogenesis, detection and/or therapeutics. 

Lung Cancer.—The Committee remains concerned by the high 

morbidity and mortality rates of lung cancer, particularly the increased lung cancer rates among women and the high incidence 

among African-American men. NCI is urged to enhance support for 

research in these areas. 

Melanoma.—The Committee urges more research on melanoma 

that will identify and develop molecular markers to aid accurate diagnosis of the primary tumor; prognostication that will determine 

extent and type of treatment; and prediction of treatment response. 

The Committee commends NCI for the inclusion of melanoma in 

The Cancer Genome Atlas; however, in view of the relative scarcity 

of melanoma biospecimens available for this effort, additional resources are needed to facilitate specimen collection. Given the rising incidence rates of melanoma, the Committee encourages NCI to 


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support research directed at the biology of tumor initiation including UV radiation as a carcinogen, host risk factors and risk reduction strategies. The Committee continues to urge NCI to promote 

mechanisms of collaboration between industry, the extramural program and foundations that will accelerate translational and clinical 

research as outlined in the strategic action plan, including annotated specimen collection from key trials independent of sponsorship and novel trial designs to accommodate testing agents contributed by more than one company. The Committee requests an update on these requests in the fiscal year 2013 congressional budget 

justification. 

Metastasis to Bone.—The Committee urges additional research 

on how to repair bone defects caused by cancer cells. Translational 

research is also needed to understand the impact of metastasis on 

the biomechanical properties of bone and the mechanisms by which 

bone marrow and tumor-derived cells can influence metastatic 

growth, survival and therapeutic resistance. 

Pancreatic Cancer.—The Committee commends NCI on its fiscal 

year 2011 Action Plan for Pancreatic Cancer, which marks an important first step to making a targeted research investment in this 

deadly disease. As the plan recommends, the Committee urges NCI 

to put in place a long-term, comprehensive strategic plan; move forward with requests for applications or program announcements 

specific to pancreatic cancer; and include more experts in pancreatic cancer on scientific review panels in fiscal year 2012. In addition, earlier this year NCI reported to the Committee that extramural research staff has been empowered to propose exceptions for 

promising pancreatic cancer research proposals that may not otherwise be funded, and that the Institute has made it a priority to 

identify novel research ideas. The Committee requests an update 

in the fiscal year 2013 congressional budget justification on the use 

of exceptions as well as a description of novel research ideas being 

pursued in relation to pancreatic cancer. 

Pediatric Cancer.—The Committee notes that childhood cancer 

research accounts for less than 5 percent of the Institute’s annual 

budget and encourages NCI to increase that amount, as cancer remains the leading cause of disease-related death in children. More 

effective and less toxic treatments are needed. 

Slow-Growing Children’s Brain Tumors.—Two primary roadblocks to basic research on pediatric low-grade astrocytoma [PLGA] 

brain tumors have been identified: a shortage of viable tissue samples and the lack of a mouse model. The Committee urges NCI to 

establish research priorities that address the shortage of tissue 

samples by incentivizing hospitals and medical institutions to centralize and share tissue samples. The Committee also urges NIH 

to examine possible solutions to address the lack of a mouse model 

for PLGA brain tumors. The Committee requests an update on 

these issues in the fiscal year 2013 congressional budget justification. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2011 ............................................................................. $3,069,723,000 

Budget estimate, 2012 ........................................................................... 3,147,992,000 

Committee recommendation ................................................................. 3,036,189,000 


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The Committee recommendation includes $3,036,189,000 for the 

National Heart, Lung, and Blood Institute [NHLBI]. The budget request for fiscal year 2012 is $3,147,992,000 and the comparable 

level for fiscal year 2011 is $3,069,723,000. 

The Committee recommendation for NHLBI includes sufficient 

funding to accommodate the transfer of gene vector grants currently administered by NCRR. 

Asthma.—NHLBI is urged to advance more effective life-saving 

and life-enhancing treatments for asthma and to collaborate with 

the FDA, NIAID, NICHD, NIMHD, and the Office of Minority 

Health in this regard. The Committee notes that the prevalence 

and burden of asthma are high among African-Americans, Latinos 

and other communities of color, as well as children. The Committee 

urges NHLBI to examine the impact of long-acting medications and 

prescribed steroids on overall health, growth and development of 

children. 

Cardiovascular Disease.—The Committee continues to place a 

high priority on research related to heart disease, stroke and other 

forms of cardiovascular disease and remains concerned that NIH 

still spends less than 8 percent of its budget on our Nation’s No. 

1 and most costly killer. The Committee strongly urges NHLBI to 

significantly enhance its investment and further stimulate interest 

in multidisciplinary and interdisciplinary basic, clinical, 

translational, and prevention cardiovascular disease research, including its risk factors, using all appropriate mechanisms. In addition, the Committee urges the prompt implementation of priority 

initiatives outlined in its Division of Cardiovascular Diseases Strategic Plan. NHLBI is also encouraged to increase its attention to 

the impact of cardiovascular disease on ethnic minorities such as 

Native Hawaiians and Asians. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee applauds NHLBI’s efforts to raise public awareness of 

COPD and encourages the Institute to work with community stakeholders and other Federal agencies, including CDC, to develop a 

national action plan to respond to the growing burden of this disease. 

Jackson Heart Study.—The Committee recognizes that the Jackson Heart Study in Jackson, Mississippi, is the largest investigation of cardiovascular disease in the African-American population. 

The Committee acknowledges the continued need for comprehensive research to address this health disparity and the important 

implications for such research to all persons threatened by cardiovascular disease. The Committee urges continued focus in addressing cardiovascular disease in African-Americans at NHLBI and 

NIMHD. 

Marfan Syndrome and Thoracic Aortic Aneurysms.—The Committee commends NHLBI for its ongoing support of clinical research on Marfan syndrome in the pediatric population, and it encourages support for basic and translational research on this complex connective tissue disorder. The Committee also notes recent 

advancements in genetic research related to thoracic aortic aneurysms and encourages the Institute to promote additional research 

on this condition. 


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Pulmonary Hypertension [PH].—The Committee encourages 

NHLBI to support the establishment of a Pulmonary Hypertension 

Clinical Research Network to expand clinical trials and facilitate 

collaboration and data sharing among PH investigators. The Committee also continues to encourage the Institute to collaborate with 

the PH community to raise awareness of the disease. 

RuSH Project.—The Committee supports the Registry and Surveillance System in Hemoglobinopathies [RuSH] project, which will 

determine the number of Americans with sickle cell disease, thalassemia and hemoglobin E disease. The Committee believes that 

NHLBI should retain control of the data system to fully characterize these patient populations and use the data to conduct research for new therapies, as well as to monitor the implementation 

of Healthy People 2020 using leading health indicators. NHLBI 

should also consult with HRSA concerning an expansion of sites for 

treatment centers. 

Sleep Disorders.—The Committee awaits the imminent release of 

the National Sleep Disorders Research Plan by the National Center 

on Sleep Disorders Research, which will articulate priorities and 

opportunities NIH-wide for addressing the challenge of sleep disorders and circadian disturbances. The Committee is concerned by 

the growing body of knowledge demonstrating linkages between 

sleep disorders and a number of health conditions, including obesity, diabetes and cardiovascular disease, and the impact of sleep 

disturbances on safety at the workplace and in transportation. The 

Committee recommends more collaboration among ICs regarding 

sleep research and accelerated efforts in sleep research training. 

Social Support.—NHLBI is encouraged to continue its research 

on how psychosocial factors, such as social support, may affect the 

course of prevention and treatment of, and recovery from, cardiovascular illness or events. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2011 ............................................................................. $409,608,000 

Budget estimate, 2012 ........................................................................... 420,369,000 

Committee recommendation ................................................................. 404,997,000 

The Committee recommendation includes $404,997,000 for the 

National Institute of Dental and Craniofacial Research [NIDCR]. 

The budget request for fiscal year 2012 is $420,369,000 and the 

comparable level for fiscal year 2011 is $409,608,000. 

Systemic Bone Active Therapeutics.—The Committee urges continued research on the effects of systemic bone active therapeutics 

on the craniofacial skeleton, including factors predisposing individuals to osteonecrosis of the jaw, as well as new approaches to facilitate bone regeneration. 

Temporomandibular Joint [TMJ] Disorders.—The Committee encourages NIDCR to collaborate with other ICs regarding the etiology and pathogenesis of TMJ disorders as well as the co-morbid 

chronic pain conditions and disorders that solely or predominantly 

affect women. In particular, NIDCR should work with NIAMS and 

NIBIB to develop research opportunities in the area of joint pain. 

Examples of topics that need more exploration include: a basic understanding of the kinematics and biomechanics of TMJ disorders 

as they relate to normal jaw function and in disease; the developVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00089 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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ment of biomarkers in bone, muscle and cartilage that are predictive of temporomandibular disease progression; the interactions 

of the TMJ musculoskeletal system with the nervous system; and 

the development of non-invasive measures of TMJ bone structure, 

growth, degradation and repair. The recent scientific meeting of the 

TMJ Association, co-sponsored by NIDCR and other ICs, concluded 

that there needs to be a shift in research toward a systematic exploration of common underlying root causes. The Committee 

strongly urges NIH to heed the recommendations from this meeting, which have the potential to accelerate scientific progress not 

just in TMJ disorders but in the other coexisting conditions. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2011 ............................................................................. $1,792,224,000 

Budget estimate, 2012 ........................................................................... 1,837,957,000 

Committee recommendation ................................................................. 1,772,045,000 

The Committee recommendation includes $1,772,045,000 for the 

National Institute of Diabetes and Digestive and Kidney Diseases 

[NIDDK]. The budget request for fiscal year 2012 is $1,837,957,000 

and the comparable level for fiscal year 2011 is $1,792,224,000. 

Chronic Pelvic Pain.—The Committee is pleased by the progress 

made in the Multidisciplinary Approach to the Study of Chronic 

Pelvic Pain [MAPP] Research Network, particularly the inclusion of 

male subjects, as the research plan continues to focus on the natural history of interstitial cystitis. The Committee encourages the 

MAPP Research Network to collaborate closely with patient health 

organizations. 

Depression and Diabetes.—NIDDK is encouraged to strengthen 

collaborations with other institutes regarding research on the links 

between diabetes and depression. 

Diabetes Prevention Program.—The Committee recognizes the 

success of the NIDDK-funded Diabetes Prevention Program, a clinical research trial which found that modest weight loss through dietary changes and increased physical activity could prevent or 

delay the onset of type 2 diabetes significantly. The Committee 

urges NIDDK to support further diabetes research that will build 

upon past successes, improve prevention and treatment, and close 

in on a cure. 

Functional Gastrointestinal Disorders and Gulf War Syndrome.— 

The Committee recognizes the direct link between functional gastrointestinal disorders, such as irritable bowel syndrome and functional dyspepsia, and gulf war syndrome, as detailed in the Institute of Medicine report ‘‘Gulf War and Health: Volume 8. Health 

Effects of Serving in the Gulf War.’’ The Committee urges NIDDK 

to collaborate with the Department of Defense and the Department 

of Veterans Affairs to advance research on the etiology, natural history and quality of functional gastrointestinal disorders in patients 

with gulf war syndrome. 

Gestational Diabetes.—The Committee urges NIDDK to explore 

additional opportunities for research on gestational diabetes, particularly regarding possible long-term health consequences such as 

a susceptibility to type 2 diabetes. 


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Glomerular Diseases.—The Committee recognizes the recent 

progress made in understanding glomerular diseases, such as focal 

segmental glomerulosclerosis [FSGS], including the discovery of 

specific genetic factors which make African-Americans five times 

more likely to develop FSGS than Caucasians. The Committee 

urges NIDDK to continue to support research on glomerular diseases and collaborate with NIMHD to expand research on the impact these diseases have on minority populations. 

Inflammatory Bowel Disease [IBD].—The Committee commends 

NIDDK for recent advancements in IBD research and encourages 

continued support for the study of genetic, cellular and environmental factors that contribute to the development of these complex 

diseases. The Committee also notes the increasing incidence of IBD 

in children and urges the Institute to expand support for genetic 

and clinical studies of pediatric patients. 

Pediatric Functional Gastrointestinal Disorders [FGIDs].—The 

Committee urges NIDDK to work with NICHD to support research 

on the quality of life for children suffering from FGIDs, which often 

interfere with emotional, social and professional development and 

can impair physical, economic and educational well being. 

Pediatric Kidney Disease.—The Committee supports NIDDK’s research emphasis on pediatric kidney disease and continues to encourage the development of multicenter, pediatric prospective clinical/translational trials. 

Polycystic Kidney Disease [PKD].—The Committee urges NIDDK 

to collaborate with other institutes and leverage discoveries from 

its portfolio of PKD grants for the purpose of developing a comprehensive strategic plan for PKD and other related neo-plastic genetic diseases. For example, the Committee understands that cysts 

in PKD emulate the uncontrolled cell growth observed in cancer. 

The Committee believes this analysis will allow NIH to more effectively use Federal funds, create and identify additional public-private partnerships to maximize investments, and more quickly move 

PKD research findings to clinical trials. 

Vitamin D Deficiency and Chronic Kidney Disease.—The Committee is pleased to note the full range of bone and mineral research under way in both the intramural and extramural programs 

at NIDDK, including the additional research emphasis the Institute is placing on the relationship between vitamin D deficiency 

and chronic kidney disease. These research findings are expected 

to be particularly relevant to national efforts aimed at reducing 

health disparities in diverse populations. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2011 ............................................................................. $1,622,003,000 

Budget estimate, 2012 ........................................................................... 1,664,253,000 

Committee recommendation ................................................................. 1,603,741,000 

The Committee recommendation includes $1,603,741,000 for the 

National Institute of Neurological Disorders and Stroke [NINDS]. 

The budget request for fiscal year 2012 is $1,664,253,000 and the 

comparable level for fiscal year 2011 is $1,622,003,000. 

Dystonia.—The Committee commends the participation of 

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Epilepsy.—The Committee applauds the establishment of the 

Interagency Collaborative to Advance Research in Epilepsy 

[ICARE], led by NINDS, which includes all Federal institutes and 

centers that fund epilepsy research along with voluntary organizations in the field. The Committee encourages ICARE’s continuation 

as a venue for sharing efforts and perspectives on finding cures for 

epilepsy. The Committee also commends NINDS for its plans to 

create the Epilepsy Centers Without Walls program, which will 

promote multidisciplinary research efforts targeted toward specific 

topic areas in epilepsy, including epileptogenesis, comorbidities and 

mortality in epilepsy. 

Muscular Dystrophy.—The Committee commends NIH for collaborating with the Parent Project Muscular Dystrophy [PPMD] 

End Duchenne Grant Award Program by referring applicants who 

propose translational research on Duchenne muscular dystrophy 

but miss NIH paylines to PPMD for the opportunity to seek bridge 

funding. The Committee encourages additional efforts at NIH to 

translate research findings on Duchenne into novel discoveries. 

Network of Excellence in Neuroscience Clinical Trials.—The Committee commends NINDS for its leadership in creating the Network 

of Excellence in Neuroscience Clinical Trials [NEXT] program, 

which will create a robust, standardized and accessible infrastructure to facilitate rapid development and implementation of protocols in neurological disorders affecting adult and/or pediatric populations. NINDS has indicated that the first project to utilize the 

new NEXT infrastructure will be a biomarker validation study of 

spinal muscular atrophy [SMA]. Identifying one or more biomarkers for SMA would represent a significant step towards accelerating efforts to create effective treatments for this disease. The 

Committee also urges NINDS to continue to demonstrate strong 

support for translational research on SMA that will accelerate the 

development of therapies for testing in the clinic and facilitate the 

submittal of investigational new drug applications to the Food and 

Drug Administration. The Committee requests an update in the fiscal year 2013 congressional budget justification on the specific 

goals for the NEXT SMA initiative and its efforts relative to 

translational research on SMA. 

Stroke.—The Committee continues to prioritize research into the 

causes, diagnosis, treatment, recovery, rehabilitation and prevention of stroke. The Committee urges NINDS to foster innovative 

basic, clinical, translational and prevention stroke research for all 

age groups affected by stroke, including children and newborns, 

through all available mechanisms as appropriate. Further, the 

Committee notes that NINDS will manage a novel stroke planning 

effort beginning in 2011, building on the work of the Stroke 

Progress Review Group, to assess the current state of stroke research and develop priorities to advance the most promising areas 

in prevention, treatment, recovery, and rehabilitation research. The 

Committee requests an update on this initiative in the fiscal year 

2013 congressional budget justification. 


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NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2011 ............................................................................. $4,775,968,000 

Budget estimate, 2012 ........................................................................... 4,915,970,000 

Committee recommendation ................................................................. 4,725,288,000 

The Committee recommendation includes $4,725,288,000 for the 

National Institute of Allergy and Infectious Diseases [NIAID]. The 

budget request for fiscal year 2012 is $4,915,970,000 and the comparable level for fiscal year 2011 is $4,775,968,000. Included in 

these funds is $299,000,000 to be transferred to the Global Fund 

to Fight HIV/AIDS, Malaria, and Tuberculosis. The budget request 

was $300,000,000 for this purpose and the fiscal year 2011 level 

was $297,300,000. 

Anti-Malarial Medicines.—The Committee encourages the Institute to continue supporting the work of institutions of higher learning in combating the health, economic and security impacts of malaria. The Committee encourages NIAID to increase its investment 

in public-private partnerships that are involved in research and development of anti-malarial medicines; the development of safe and 

effective drugs for malaria prophylaxis and treatment, including 8- 

aminoquinolines; new, effective pediatric formulations; and alternatives to artemisinin combination therapies in response to the 

rapidly emerging threat of artemisinin resistance. 

Food Allergies.—The Committee is pleased that NIAID has convened periodic expert panels on food allergy research since 1996 to 

make key recommendations to investigate the natural history of 

food allergy in young children who have risk factors predisposing 

them to develop food allergy; resolve impediments to clinical trials 

design and conduct; and perform clinical trials using food allergens, 

given orally or sublingually, to treat existing food allergy. The 

Committee is aware that public and private research to develop 

immunotherapies is progressing to an advanced clinical trials stage 

with the consensus support of the Nation’s leading food allergy research institutions. NIAID is strongly encouraged to support this 

stage of the research, which has the potential to cure food allergies. 

Hepatitis B Virus [HBV].—The Committee applauds NIAID’s efforts to pursue the development of new classes of drugs that are 

safe and effective in treating HBV. The Committee urges continued 

HBV research on different courses of treatment as well as ways to 

support efforts to identify new cellular and antiviral targets and 

develop new strategies for intervention. The Committee also urges 

an increased focus on pregnant women and pediatric cases of hepatitis B. 

Immunotherapy.—The Committee is aware of research showing 

that broader use of immunotherapy for the treatment of allergic 

rhinitis could improve clinical outcomes and significantly reduce 

healthcare costs. Additional research is needed to examine the clinical and economic impact of immunotherapy in both children and 

adults. The Committee encourages NIAID to collaborate with 

AHRQ and the Centers for Medicare and Medicaid Services on the 

development and support of a research initiative on this topic. 

Kidney Transplantation.—As the demand for suitable kidneys for 

transplantation continues to far exceed the supply, the Committee 

is pleased to learn that research funded by NIAID has resulted in 


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the establishment of desensitization protocols that have successfully demonstrated an increase to the suitability of a larger number 

of cadaver kidneys for transplantation for highly sensitized candidates, who are the sickest and most difficult to match on the kidney transplant waiting list. The Committee therefore urges NIAID 

to support a multi-center initiative with a companion data collection and analysis center to facilitate the use of this protocol at an 

increasing number of transplant centers across the country. 

Microbicides.—With NIH and USAID leadership, proof of concept 

has been established for an antiretroviral [ARV]-based microbicide 

to prevent HIV infection in women. The Committee encourages 

NIAID to coordinate with USAID, the State Department, other 

Federal agencies and global donors to prioritize and expedite 

microbicide development efforts with the goals of enabling regulatory approval of the first effective microbicide and providing support for efficacy trials of new and complementary ARV-based 

microbicides. 

Tuberculosis [TB].—The Committee notes the recent development 

of GeneXpert, the new TB diagnostic test that holds the potential 

to dramatically improve TB diagnosis, treatment and control. The 

Committee applauds NIAID for its continued attention to the development of new TB diagnostics, drugs and vaccines. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2011 ............................................................................. $2,033,782,000 

Budget estimate, 2012 ........................................................................... 2,102,300,000 

Committee recommendation ................................................................. 2,347,309,000 

The Committee recommendation includes $2,347,309,000 for the 

National Institute of General Medical Sciences [NIGMS]. The budget request for fiscal year 2012 is $2,102,300,000 and the comparable level for fiscal year 2011 is $2,033,782,000. 

The recommended increase for NIGMS over the fiscal year 2011 

level results mostly from the planned transfer of the Institutional 

Development Awards [IDeA] program and the Division of Biomedical Technology, Bioinformatics and Computational Biology 

from NCRR. 

Behavioral Research.—The Committee applauds the leadership of 

NIGMS in the development of the OppNet collaboration on basic 

behavioral and social science research, and it encourages NIGMS 

to maintain its commitment to that trans-NIH initiative. The Committee also commends NIGMS’s program of research on the efficacy 

of interventions to promote research careers, such as its studies on 

effective mentoring and career transitions. 

Institutional Development Awards [IDeA].—The Committee recognizes the importance of the Centers of Biomedical Research Excellence and the IDeA Networks of Biomedical Research Excellence 

programs, which are essential components to the overall success of 

the IDeA program. 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 the IDeA States. 


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EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH

AND HUMAN DEVELOPMENT

Appropriations, 2011 ............................................................................. $1,317,854,000 

Budget estimate, 2012 ........................................................................... 1,352,189,000 

Committee recommendation ................................................................. 1,303,016,000 

The Committee recommendation includes $1,303,016,000 for the 

Eunice Kennedy Shriver National Institute of Child Health and 

Human Development [NICHD]. The budget request for fiscal year 

2012 is $1,352,189,000 and the comparable level for fiscal year 

2011 is $1,317,854,000. 

Adverse Pregnancy Outcomes.—The Committee is pleased with 

the progress NICHD has made to identify women at risk for longterm morbidity, as women with severe, early adverse pregnancy 

outcomes are at increased risk for chronic health problems. The 

Committee encourages NICHD to continue developing strategies to 

prevent long-term adverse outcomes in these women. 

Chromosome Abnormalities.—The Committee appreciates recent 

accomplishments by NIH in addressing the science of dosage-sensitive and -insensitive genes. The Committee now urges NIH to leverage these efforts to achieve the translational science goal of producing detailed clinical data that can both move the science forward by being useful to researchers and assist clinicians in working with affected individuals and their families. The Committee 

also acknowledges and appreciates the ongoing NIH activities related to genetic disorders but urges new funding to support independent investigators whose work can provide pilot data or insight 

into future directions for the study of chromosome abnormalities, 

particularly those involving chromosome 18. 

Demographic and Economic Research.—The Institute’s investment in population-representative longitudinal studies, such as the 

National Longitudinal Study of Adolescent Health, the National 

Longitudinal Study of Youth Child Supplement and Panel Study of 

Income Dynamics has yielded groundbreaking scientific research 

and served as a model for making publicly funded research data 

widely available, spurring cost-effective research in numerous disciplines and across multiple institutions. The Committee urges 

NICHD to continue investing in these large-scale population data 

sets and to sustain support for critical research infrastructure for 

demographic and behavioral population science. 

Learning and School Readiness.—The Committee recognizes the 

important contribution of NICHD in establishing the scientific 

foundation of the development of reading, math and science skills 

that are critical to maintaining the Nation’s competitiveness in 

math and science achievement. 

Maternal Morbidity.—Though maternal morbidity rates are rising, the Committee understands that there are no uniform definitions of severe maternal morbidity. The Committee encourages 

NICHD to hold a consensus workshop to identify such definitions, 

which would help Federal, State and local agencies and research 

institutions establish standardized and interoperable processes for 

surveillance, data collection and research. 

Metabolic Bone Disease.—The Committee is encouraged by results thus far from the Bone Mineral Density in Childhood Study, 


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which will serve as a valuable resource for clinicians and investigators to assess bone deficits in children and risk factors for impaired 

bone health. The Committee urges the Institute to extend the study 

and explore additional research that will lead to a better understanding and prevention of osteopenia and osteoporosis. 

Preterm Birth.—The Committee notes that the preterm birth rate 

has begun to decline from its peak of 12.8 percent in 2006 to 12.3 

percent in 2008. The Committee urges increased Federal investment to continue the downward trend. Specifically, the Committee 

urges NICHD to expand its support of prematurity research by creating integrated transdisciplinary research centers on preterm 

birth as recommended by the Institute of Medicine and the Surgeon General’s Conference on the Prevention of Preterm Birth. To 

initiate this process, the Committee encourages NICHD to establish transdisciplinary research centers for prematurity. The Committee also encourages NICHD to expand its support for preterm 

birth-related research through the Maternal-Fetal Medicine Units 

Network, the Neonatal Research Network and the Genomic 

Proteomic Network for Preterm Birth Research. 

Prosthetics Research.—The Committee is aware that increasing 

numbers of Americans are undergoing amputation as a result of 

the growing prevalence of diabetes, cardiovascular disease and 

other reasons. The Committee also understands that, to date, little 

research has been done to examine prosthetic outcomes and to link 

prosthetic and orthotic treatments, devices and supports to patient 

outcomes. In order to support evidence-based healthcare practice in 

prosthetics and orthotics, and establish which approaches work 

best for which patients, the Committee encourages NICHD to work 

with the National Institute on Disability and Rehabilitation Research and experts in the field of prosthetic research to develop a 

prosthetics outcomes research agenda and implement needed research. 

Psychotropic Drugs and Children.—The Committee is aware that 

NICHD has formed a special workgroup, which includes representatives from NIMH and the FDA, to better understand the impact 

of medications on developing children. The Committee requests an 

update in the fiscal year 2013 congressional budget justification on 

the workgroup’s activities regarding psychotropic drugs and a description of the basic and clinical research the workgroup believes 

should be undertaken. 

Rehabilitation Research.—The Committee commends NIH for appointing a blue-ribbon panel to evaluate rehabilitation research at 

the National Center for Medical Rehabilitation Research [NCMRR] 

and across all of NIH. The Committee requests a copy of the panel’s report when it is available. The panel is urged to identify gaps 

in the field of rehabilitation research and recommend which ICs or 

other Federal agencies should be responsible for addressing them. 

In addition, the Committee recognizes the improvements that have 

been made in delineating rehabilitation research as part of NIH reporting mechanisms established since the passage of the NIH Reform Act. However, the Committee encourages NIH, through the 

leadership of NCMRR, to further clarify a consistent definition of 

rehabilitation across all institutes and centers and to seek ways to 

delineate between physical, cognitive, mental and substance abuse 


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rehabilitation when characterizing NIH-supported research. Finally, the Committee encourages NCMRR to explore the broader 

social, emotional and behavioral context of rehabilitation, including 

effective interventions to increase social participation and reintegrate individuals with disabilities into their communities. 

SMA Newborn Screening.—The Committee applauds NICHD for 

funding a pilot study of newborn screening for spinal muscular atrophy [SMA] that will confirm the efficacy and accuracy of the 

SMA screening technology. The Committee understands that newborn screening holds promise for assisting with early interventions 

of SMA and developing improved and more standardized care protocols for patients living with SMA, and it may also assist in the 

development of potential drug therapies. Natural history, preclinical and preliminary clinical data all suggest that potential 

therapies will demonstrate the greatest effectiveness when delivered presymptomatically. The Committee encourages NICHD to 

support the development of crucial follow-up care protocols for children identified with SMA through the pilot study, and to report on 

progress made in this area in the fiscal year 2013 budget justification. 

Vulvodynia.—The Committee is encouraged by positive signs 

that NICHD is devoting greater attention to this long-neglected 

condition, especially with regard to stimulating interest in both the 

intramural and extramural research community and ensuring adequate representation of vulvodynia experts on peer-review panels. 

The Committee expects to be updated on progress in these areas 

in the fiscal year 2013 congressional budget justification. The Committee also notes that vulvodynia often coexists with other persistent pain conditions, including interstitial cystitis, fibromyalgia, 

temporomandibular joint and muscles disorders, irritable bowel 

syndrome, endometriosis, headache, and chronic fatigue syndrome. 

The Committee strongly urges the creation of a trans-NIH research 

initiative that will support studies aimed at identifying common 

etiological pathways among these disorders, with the goal of developing potential therapeutic targets. 

NATIONAL EYE INSTITUTE

Appropriations, 2011 ............................................................................. $700,828,000 

Budget estimate, 2012 ........................................................................... 719,059,000 

Committee recommendation ................................................................. 692,938,000 

The Committee recommendation includes $692,938,000 for the 

National Eye Institute [NEI]. The budget request for fiscal year 

2012 is $719,059,000 and the comparable level for fiscal year 2011 

is $700,828,000. 

Age-Related Macular Degeneration [AMD].—The Committee commends NEI for conducting the Comparison of AMD Treatments 

Trial, a comparative effectiveness trial of the two leading antiangiogenic drug therapies currently used to treat the ‘‘wet’’ form of 

AMD. 

Diabetic Eye Disease.—The Committee acknowledges the NEI Diabetic Retinopathy Clinical Research Network’s results that laser 

treatment for diabetic macular edema, when combined with antiangiogenic drug treatment, is more effective than laser treatment 

alone, and notes that this finding will revolutionize the standard 


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of care that has been in place for the past 25 years. With NIDDK 

leading a new NIH strategic plan to combat diabetes, NEI’s research through its various diabetic eye disease networks will be 

more important than ever. 

Genetic Basis of Eye Disease.—The Committee commends NEI for 

elucidating the genetic basis of devastating eye diseases, such as 

AMD, retinitis pigmentosa and glaucoma. The Committee is 

pleased that, building upon the first successful use of genome-wide 

association studies [GWAS] to determine the increased risk of developing AMD from gene variants, NEI has created a new International AMD Genetics Consortium to bring together researchers 

to share and analyze GWAS results to further determine the genetic basis of the disease. 

Translational Research.—The Committee commends NEI’s 

translational research initiatives through partnerships with other 

ICs, other agencies within HHS, and private funding organizations. 

The Committee acknowledges NEI’s leadership of the human gene 

therapy clinical trial for neurodegenerative eye disease Leber Congenital Amaurosis, which has indicated that the treatment is safe 

and produces lasting visual improvement, and it is pleased that 

NEI is expanding the trial to younger patients with less severe disease. 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2011 ............................................................................. $683,724,000 

Budget estimate, 2012 ........................................................................... 700,537,000 

Committee recommendation ................................................................. 676,033,000 

The Committee recommendation includes $676,033,000 for the 

National Institute of Environmental Health Sciences [NIEHS]. The 

budget request for fiscal year 2012 is $700,537,000 and the comparable level for fiscal year 2011 is $683,724,000. 

Multidisciplinary Research.—The Committee notes that research 

conducted through NIEHS is steadily revealing previously unrecognized influences of environmental exposures on a wide range of diseases and conditions, including breast cancer, autism, obesity, asthma and chemical sensitivities, and has the potential to lead to 

novel methods of preventing, detecting and treating disease. The 

Committee commends NIEHS for its research across many disease 

areas, including the Institute’s translational and community-based 

studies, and involving those living in rural communities. 

Public Health Hazards.—The Committee recommends that 

NIEHS address the public health hazards associated with exposure 

to volcanoes, such as on the Big Island of Hawaii, and continue efforts to evaluate the health impact of natural environmental hazards. 

NATIONAL INSTITUTE ON AGING

Appropriations, 2011 ............................................................................. $1,100,481,000 

Budget estimate, 2012 ........................................................................... 1,129,987,000 

Committee recommendation ................................................................. 1,088,091,000 

The Committee recommendation includes $1,088,091,000 for the 

National Institute on Aging [NIA]. The budget request for fiscal 

year 2012 is $1,129,987,000 and the comparable level for fiscal year 

2011 is $1,100,481,000. 


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Age-Related Bone Loss.—The Committee supports the Institute’s 

continuing Biology of Aging Program and appreciates the focus on 

developing a further understanding of aging processes, health and 

longevity. Given the demographics of our rapidly aging population, 

a continuing need exists for new therapeutic approaches to prevent 

and treat age-related bone loss, fractures and other metabolic bone 

diseases, including osteogenesis imperfecta, glucocorticoid-induced 

osteoporosis and bone loss due to kidney disease. 

Basic Behavioral Research.—The Committee applauds the Institute’s leadership role in the OppNet initiative, which will build a 

collective body of knowledge about the nature of behavioral systems, deepen the understanding of basic mechanisms of behavioral 

processes and emphasize the relevance of basic behavioral science 

research throughout NIH’s mission. 

Demographic and Economic Research.—The Committee commends NIA for prioritizing support of the Health and Retirement 

Study [HRS], which includes data from a representative sample of 

20,000 Americans aged 50 and over regarding their health and 

healthcare needs, income and savings, and work and retirement 

plans. NIA is especially encouraged to continue its successful collaboration and co-funding agreements for the HRS with the Social 

Security Administration. The Committee commends NIA’s initiative in developing comparable international surveys, particularly in 

countries that have aged faster than the United States. The Committee anticipates important research advances regarding gene-environment interactions once the genome-wide array study of the 

HRS sample is fully implemented. 

Life Course Perspectives.—The Committee encourages NIA to 

maintain its important emphasis on life course studies, which focus 

on how transitions among family and other relationships may affect health, healthcare and aging. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2011 ............................................................................. $534,349,000 

Budget estimate, 2012 ........................................................................... 547,891,000 

Committee recommendation ................................................................. 528,332,000 

The Committee recommendation includes $528,332,000 for the 

National Institute of Arthritis and Musculoskeletal and Skin Diseases [NIAMS]. The budget request for fiscal year 2012 is 

$547,891,000 and the comparable level for fiscal year 2011 is 

$534,349,000. 

Marfan Syndrome.—The Committee encourages NIAMS to expand support for research on the multi-body system disorder 

Marfan syndrome, including musculoskeletal and extracellular matrix biology studies. 

Scleroderma.—The Committee continues to prioritize research on 

scleroderma and commends the Institute for its ongoing efforts in 

this area. The Committee notes the high mortality associated with 

pulmonary complications from scleroderma, and it encourages 

NIAMS to collaborate with NHLBI on this important issue. 

Temporomandibular Joint [TMJ] Disorders.—Many people who 

have TMJ disorders suffer from conditions that routinely affect 

other joints in the body, such as trauma and arthritis. Therefore, 


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the Committee calls on NIAMS to collaborate with NIDCR to study 

the jaw anatomy and physiology and the complex neural, endocrine 

and immune system interactions that orchestrate jaw function and 

trigger jaw joint pathology. NIAMS should integrate findings from 

studies of the structure, mechanical function, metabolism and blood 

flow of bone, joints and muscles with studies of central and peripheral neural pathways, as well as the endocrine, paracrine and 

cytokine factors that impact upon craniofacial structures as a 

means to understanding the underlying causes of pain and dysfunction. The Committee also urges NIAMS to support comparative 

studies of the TMJ with other joints that could document similarities and differences at the clinical and molecular levels. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2011 ............................................................................. $415,155,000 

Budget estimate, 2012 ........................................................................... 426,043,000 

Committee recommendation ................................................................. 410,482,000 

The Committee recommendation includes $410,482,000 for the 

National Institute on Deafness and Other Communication Disorders [NIDCD]. The budget request for fiscal year 2012 is 

$426,043,000 and the comparable level for fiscal year 2011 is 

$415,155,000. 

Early Detection, Diagnosis and Intervention.—The Committee 

urges NIDCD to continue to study the speech, language, voice, auditory and psychosocial outcomes of children identified with hearing loss through newborn screening, including evaluation of different sound amplification strategies (including multiple hearing 

aid fittings) on perception and understanding; the impact of complex listening environments, such as noisy classrooms, on hearing 

aid performance; and the effects of parental engagement and delivery of services on emotional well-being. The Committee also recommends continuing study of the neurological basis of variability 

in outcomes in children with cochlear implants. 

Hair Cell Regeneration.—The Committee continues to place a 

high priority on research involving inner ear hair cell regeneration 

and stem cells. It applauds NIDCD’s development of a system for 

making what appear to be functional hair cells from stem cells and 

recommends further studies in this area. The Committee encourages continuing development of in vitro assays to identify molecules involved in the differentiation of adult and embryonic stem 

cells into specific cell types used in communication, as well as research on how to regenerate connections between nerve cells that 

project to the brain and replacement hair cells. Also advocated are 

the continuation of gene transfer studies that have shown transcription factors are able to induce some non-sensory cells within 

the cochlea to develop as neurons. 

Hearing Aids and Cochlear Implants.—The Committee is pleased 

that NIDCD has launched a series of research initiatives between 

clinicians and researchers based on recommendations from a 2009 

NIDCD Working Group on Accessible and Affordable Health Care 

for Adults with Mild to Moderate Hearing Loss. The Committee 

urges continuing collaborations between industry, scientists, clinicians and consumers in the area of low-cost hearing aids so that 


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more of the population who need hearing aids can obtain them at 

affordable costs. The Committee is aware that some individuals 

need alternative hearing prostheses and therefore recommends additional studies evaluating the ‘‘bimodal’’ option of an implant in 

one ear and a hearing aid in the other as well as the option of implanting a short electrode, which combines electric and acoustical 

stimulation in the same ear. 

Synapse Function.—The use of hearing aids and cochlear implants may be limited by dramatic changes in synapse connections 

following developmental hearing loss. Recognizing this, the Committee supports research on genetic and cellular mechanisms of 

normal synapse function and on approaches to prevent or reverse 

deafness-caused disruptions that affect one’s ability to benefit from 

aids or implants. 

Hearing Impairment Among Children and Young Adults.—The 

Committee urges additional research on children and young adults 

with unilateral hearing loss [UHL] from all modes of injury. In particular, it recommends further studies on educational and behavioral problems among children with UHL and development of strategies to minimize this risk. The Committee also supports additional 

research to understand the susceptibility of adolescents and young 

adults to develop noise-induced hearing loss. The Committee commends NIDCD for its public education efforts about the dangers of 

hearing loss from noise exposure, especially the ‘‘It’s a Noisy Planet. Protect Their Hearing’’ campaign, which was expanded to include Spanish language publications. 

Hereditary Hearing Loss.—The Committee encourages additional 

efforts by NIDCD to identify and understand the structure, function and regulation of genes whose mutation results in deafness 

and other communication disorders. 

Noise-Induced Hearing Loss.—The Committee continues to put a 

high priority on better understanding and preventing noise-induced 

hearing loss. In particular, the Committee encourages NIDCD to 

support environmental and genetics studies assessing predisposition to noise-induced hearing loss and additional research on the 

use of antioxidants and other micronutrients to prevent cell death 

in the inner ear. Genetic and proteomic studies in zebrafish concerning the effect of ototoxic drugs on hair cells are also encouraged. 

Otitis Media.—The Committee recognizes the threat to infants’ 

and children’s health and development from ear infection, or otitis 

media. The Committee therefore urges NIDCD to accelerate its research on the pathogenesis of ear infection and its consequences. 

In particular, it urges additional studies of genetic risk factors, new 

treatments for chronic and recurrent otitis media, and new methods for the delivery of drugs to the middle ear. 

Plasticity.—The Committee continues to support research on 

functional changes of neurons and synapses of the central auditory 

nervous system during development and following hearing loss. 

Specifically, the Committee encourages the continuation of brainimaging research in children with severe to profound unilateral 

hearing loss to understand the reorganization that occurs to process sound, speech and language, as well as experiments in animals 

to understand perceptual and neural coding changes in the audiVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00101 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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tory cortex during conductive hearing loss and after restoration of 

normal hearing. 

Presbycusis.—The Committee urges NIDCD to continue multidisciplinary physiological and neurological studies of the peripheral 

and central mechanisms of presbycusis, or age-related hearing loss. 

It commends NIDCD’s support of a P50 Specialized Center on Experimental and Clinical Studies of Presbycusis. The Committee 

also recommends support for temporal bone banks so that inner ear 

bones from individuals diagnosed with presbycusis can be studied. 

Tinnitus.—The Committee urges NIDCD to address the lack of 

knowledge about the specific neural dysfunction responsible for 

tinnitus. It also encourages research on the prevention, treatment 

and cure of this prevalent disorder, including identifying chemicals 

to prevent development of chronic tinnitus; developing preventative 

delivery methods for ototoxic drugs; and discovering treatments to 

suppress hearing-system hyperactivity. 

Translational Research.—The Committee recommends additional 

research activities and clinical trials on the prevention and treatment of hearing loss from noise, drugs, aging, and genetic causes, 

and translation of these studies to therapies. Clinical trials relevant to Meniere’s disease, sudden deafness and autoimmune inner 

ear disease are encouraged. 

Usher Syndrome.—The Committee encourages NIDCD to continue to support genetic research into Usher syndrome, the most 

common condition that affects both hearing and vision. 

Vestibular Research.—The Committee continues to urge the 

NIDCD to conduct vestibular research in animal models and humans. 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2011 ............................................................................. $144,381,000 

Budget estimate, 2012 ........................................................................... 148,114,000 

Committee recommendation ................................................................. 142,755,000 

The Committee recommendation includes $142,755,000 for the 

National Institute of Nursing Research [NINR]. The budget request 

for fiscal year 2012 is $148,114,000 and the comparable level for 

fiscal year 2011 is $144,381,000. 

Science-Driven Practice.—The Committee supports NINR’s efforts 

to prepare faculty researchers, who are desperately needed to educate new nurses. NINR’s continued commitment to the science-driven practice of the nursing profession remains vital to preventing 

disease, improving quality patient care, and ensuring the proper 

training and development of nurse researchers. 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2011 ............................................................................. $458,286,000 

Budget estimate, 2012 ........................................................................... 469,197,000 

Committee recommendation ................................................................. 453,127,000 

The Committee recommendation includes $453,127,000 for the 

National Institute on Alcohol Abuse and Alcoholism [NIAAA]. The 

budget request for fiscal year 2012 is $469,197,000 and the comparable level for fiscal year 2011 is $458,286,000. 

Underage Drinking Initiatives.—The Committee applauds 

NIAAA’s continued focus on underage alcohol use and college binge 


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drinking research. The Committee urges NIAAA to continue research to evaluate campus-based programs that seek to reduce 

drinking and related problems among college students using both 

individual and environmental approaches, including mandated 

intervention and/or treatment and community partnerships that involve heavy publicity and highly visible enforcement. The Committee recognizes the critical role of psychological research in understanding drinking behavior and in developing behaviorally 

based interventions as well as the demonstrated effectiveness of 

those interventions alone or in combination with pharmacotherapy. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2011 ............................................................................. $1,050,542,000 

Budget estimate, 2012 ........................................................................... 1,080,018,000 

Committee recommendation ................................................................. 1,038,714,000 

The Committee recommendation includes $1,038,714,000 for the 

National Institute on Drug Abuse [NIDA]. The budget request for 

fiscal year 2012 is $1,080,018,000 and the comparable level for fiscal year 2011 is $1,050,542,000. 

Blending Initiative.—The Committee is concerned that NIDA has 

reduced funding for activities that help State substance abuse 

agencies infuse into the Nation’s publicly funded substance abuse 

system the knowledge gained by NIDA’s research. In particular, 

the Committee is concerned that NIDA reduced funds for its Blending Initiative, which supported a dialogue between NIDA, 

SAMHSA and State substance abuse agencies on ‘‘research to practice’’ and ‘‘practice to research’’ activities. The Committee urges 

NIDA to allocate funding to re-engage State substance abuse agencies on this important issue. 

Education.—The Committee encourages NIDA to continue its 

work in the area of education to inform people of all ages of the 

detriment to society that drug abuse causes in terms of pronounced 

effects on health and the extensive expense to the economy of the 

Nation. 

Medications Development.—The Committee encourages NIDA to 

use all available mechanisms, including the Small Business Innovation in Research program, to expand support for medications development to treat diseases of drug abuse and addiction. 

Military Personnel, Veterans, and Their Families.—The Committee commends NIDA for its successful efforts to coordinate and 

support research with the Department of Veterans Affairs and 

other NIH institutes on substance abuse and associated problems 

among U.S. military personnel, veterans and their families. Many 

military personnel need help confronting war-related problems including traumatic brain injury, post-traumatic stress disorder, depression, anxiety, sleep disturbances, and substance abuse, including tobacco, alcohol and other drugs. Many of these problems are 

interconnected and contribute to individual health and family relationship crises, yet there has been little research on how to prevent 

and treat the unique characteristics of wartime-related substance 

abuse issues. The Committee commends NIDA for this crucial 

work. 

Prescription Drug Abuse.—The Committee applauds the Committee for its continued effort to halt prescription drug abuse. This 


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effort requires the cooperation of many components of the Federal 

Government, but NIDA should maintain its comprehensive leadership role in this important area. 

Substance Abuse by Teenagers.—The Committee urges NIDA to 

concentrate its effort to reverse the recent increase in experimentation in substance abuse by teenagers. This effort will require innovative approaches in the education, prevention and treatment 

arenas. 

Translational Research.—The Committee recognizes the value of 

the translational research funded by NIDA, which includes preventive and treatment modalities directed toward a decrease in drug 

experimentation and most importantly the development of treatments for the diseases of drug dependence. 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2011 ............................................................................. $1,477,292,000 

Budget estimate, 2012 ........................................................................... 1,517,006,000 

Committee recommendation ................................................................. 1,460,671,000 

The Committee recommendation includes $1,460,671,000 for the 

National Institute of Mental Health [NIMH]. The budget request 

for fiscal year 2012 is $1,517,006,000 and the comparable level for 

fiscal year 2011 is $1,477,292,000. 

HIV/AIDS Behavioral Research.—The Committee supports 

NIMH’s critical work in developing behavioral interventions to prevent the spread of HIV/AIDS across multiple populations as well 

as addressing co-morbid mental and substance abuse disorders. 

The Committee recognizes that new research is needed to ensure 

the long-term maintenance of behavior changes as HIV/AIDS has 

become a chronic disease. Behavioral research aimed at reducing 

the likelihood of HIV infection should include structural, environmental and socioeconomic variables to ensure that research-based 

interventions can be evaluated as appropriate for racial and ethnic 

minority populations. 

Premature Mortality.—The Committee continues to be concerned 

about premature mortality and lower life expectancy experienced 

by adults living with serious mental illness as result of treatable 

medical conditions such as cardiovascular, pulmonary, endocrine, 

and infectious diseases. The Committee urges NIMH to collaborate 

with other institutes including NIDDK and NHLBI on a focused research program into the causes and interventions needed to address this crisis. The Committee requests an update on this topic 

in the fiscal year 2013 budget justification. 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2011 ............................................................................. $511,497,000 

Budget estimate, 2012 ........................................................................... 524,807,000 

Committee recommendation ................................................................. 505,738,000 

The Committee recommendation includes $505,738,000 for the 

National Human Genome Research Institute [NHGRI]. The budget 

request for fiscal year 2012 is $524,807,000 and the comparable 

level for fiscal year 2011 is $511,497,000. 


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NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2011 ............................................................................. $313,802,000 

Budget estimate, 2012 ........................................................................... 322,106,000 

Committee recommendation ................................................................. 333,671,000 

The Committee recommendation includes $333,671,000 for the 

National Institute of Biomedical Imaging and Bioengineering 

[NIBIB]. The budget request for fiscal year 2012 is $322,106,000 

and the comparable level for fiscal year 2011 is $313,802,000. 

The recommended increase for NIBIB over the fiscal year 2011 

level results from the planned transfer of several grants focused on 

point-of-care diagnostics and biomedical imaging from NCRR. 

NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2011 ............................................................................. $1,257,754,000 

Budget estimate, 2012 ........................................................................... 1,297,900,000 

Committee recommendation ................................................................. ........................... 

The Committee recommends eliminating the National Center for 

Research Resources [NCRR] as part of its plan to create NCATS. 

The budget request for fiscal year 2012 is $1,297,900,000 and the 

comparable level for fiscal year 2011 is $1,257,754,000. 

The Committee recommendation includes sufficient funding to 

accommodate the transfer of programs currently administered by 

NCRR to NIGMS, NIBIB, NIMHD, NHLBI and OD. 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2011 ............................................................................. $127,713,000 

Budget estimate, 2012 ........................................................................... 131,002,000 

Committee recommendation ................................................................. 126,275,000 

The Committee recommendation includes $126,275,000 for the 

National Center for Complementary and Alternative Medicine 

[NCCAM]. The budget request for fiscal year 2012 is $131,002,000 

and the comparable level for fiscal year 2011 is $127,713,000. 

Access to Natural Product Collections.—The Committee supports 

the efforts of NCCAM to increase its access to comprehensive and 

professionally organized natural product libraries, as such collections represent valuable research resources to facilitate the efficiency and cost-effectiveness of the Center’s research program. 

Behavioral Interventions.—The Committee commends NCCAM’s 

support of research on the cognitive and emotional effects of mindfulness meditation, and it encourages the Center to collaborate 

with other institutes and centers to explore additional behavioral 

interventions. 

NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2011 ............................................................................. $209,713,000 

Budget estimate, 2012 ........................................................................... 214,608,000 

Committee recommendation ................................................................. 272,650,000 

The Committee recommendation includes $272,650,000 for the 

National Institute on Minority Health and Health Disparities 

[NIMHD]. The budget request for fiscal year 2012 is $214,608,000 

and the comparable level for fiscal year 2011 is $209,713,000. 


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The bill includes new language allowing the planned transfer of 

the Research Centers in Minority Institutions program from 

NCRR. This transfer accounts for most of the recommended increase for NIMHD over the fiscal year 2011 level. 

Diabetes.—The Committee urges NIMHD to expand, intensify 

and support ongoing research and other activities with respect to 

pre-diabetes and diabetes, particularly type 2 diabetes, in minority 

populations, including research to identify clinical, socioeconomic, 

geographical, cultural and organizational factors that contribute to 

diabetes in such populations. Specifically, the Committee encourages the Institute to support research on behavior and obesity; environmental factors that may contribute to the increase in type 2 

diabetes in minorities; environmental triggers and genetic interactions that lead to the development of type 2 diabetes in minority 

newborns; genes that may predispose individuals to the onset of 

type 1 and type 2 diabetes and its complications; methods and alternative therapies to control blood glucose; and diabetic and gestational diabetic pregnancies in minority mothers. The Committee 

also asks that NIH, through NIMHD and the National Diabetes 

Education Program, mentor health professionals to be more involved in weight counseling, obesity research and nutrition; provide 

for the participation of minority health professionals in diabetes focused research programs; and encourage increased minority representation in diabetes-focused health fields. 

Glomerular Diseases.—The Committee notes that African-Americans are five times more likely to develop glomerular diseases, such 

as focal segmental glomerulosclerosis [FSGS], than Caucasians. 

The Committee urges NIMHD to collaborate with NIDDK on this 

important issue. 

Obesity.—The Committee strongly urges NIH to continue to support research to identify and reduce health disparities, including 

studies focusing on populations at disproportionate risk for obesity 

and its accompanying health consequences such as, but not limited 

to, cancer, diabetes and cardiovascular disease. To effectively address the problem of obesity and its health consequences, the Committee requests that NIMHD intensify its investment in obesity research and review the benefits of establishing a Comprehensive 

Center of Excellence for Obesity Research and Prevention. Further, 

the Committee urges NIH to develop a trans-NIH strategy for obesity research that is coordinated and has a significant health disparity obesity research focus coordinated through NIMHD. This 

comprehensive approach will critically and systematically explore 

the causes and potential solutions for health disparities in obesity. 

Studies should focus on regions with populations at disproportionate risk for obesity and its health consequences, in particular 

populations most affected—racial and ethnic minorities, low-income 

populations and rural populations—and include regional analysis. 

The Committee requests NIH to participate in a trans-HHS working group that sets measurable objectives based on scientific data 

and information that leverages the appropriate HHS agencies like 

AHRQ and CDC in order to improve dissemination and implementation of scientific information to clinicians and community organizations to aggressively improve obesity rates in health disparate 

populations. 


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Scleroderma.—The Committee commends the Institute for establishing the Exploratory Centers of Excellence Program and is 

pleased that health disparities research related to scleroderma will 

be prioritized. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2011 ............................................................................. $69,436,000 

Budget estimate, 2012 ........................................................................... 71,328,000 

Committee recommendation ................................................................. 68,653,000 

The Committee recommendation includes $68,653,000 for the 

Fogarty International Center [FIC]. The budget request for fiscal 

year 2012 is $71,328,000 and the comparable level for fiscal year 

2011 is $69,436,000. 

The Committee continues to support FIC’s efforts to foster longterm research and training partnerships between U.S. research institutions and those in developing countries. 

NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES

Appropriations, 2011 ............................................................................. ........................... 

Budget estimate, 2012 ........................................................................... ........................... 

Committee recommendation ................................................................. $582,326,000 

The Committee recommendation includes $582,326,000 to create 

the National Center for Advancing Translational Sciences 

[NCATS]. 

NCATS will house several programs that are currently administered by and/or funded through NCRR, NHGRI or OD. They include Clinical and Translational Science Awards [CTSAs], Therapeutics for Rare and Neglected Diseases [TRND], Rapid Access to 

Interventional Development, the Office of Rare Diseases Research 

[ORDR] and the NIH–FDA Regulatory Science Initiative. 

The recommended appropriation for NCATS is sufficient to fund 

the above programs at the same level at which they were funded 

in fiscal year 2011. The Committee especially urges no reduction in 

funding for CTSAs. 

In addition, the Committee includes $20,000,000 to create the 

Cures Acceleration Network [CAN], which was authorized in the 

Patient Protection and Affordable Care Act. The Committee believes this program offers exciting potential to help speed the 

translation and application of promising new treatments for diseases. CAN is authorized to make grants to biotech companies, universities and patient advocacy groups to target new discoveries 

that have shown potential at the laboratory level but have not advanced far enough to attract significant investments from the private sector. Specifically, CAN will focus on funding the development of ‘‘high need cures,’’ which are defined as drugs, biological 

products or medical devices that the NIH Director determines to be 

a priority ‘‘to diagnose, mitigate, prevent, or treat harm from any 

disease or condition, and for which the incentives of the commercial 

market are unlikely to result in its adequate or timely development.’’ CAN is also intended to reduce the barriers between laboratory discoveries and clinical trials for new therapies and facilitate 

FDA review for the high need cures funded by this initiative. 


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Two types of awards are authorized—grant awards and partner- ship awards, the latter of which require a $1 to $3 match. Up to 

20 percent of the appropriated funds may be used to obligate funds 

through ‘‘other transactions,’’ which are funding agreements or 

mechanisms that are not grants, contracts, or cooperative agreements, and are intended to provide additional flexibility akin to 

that of the Department of Defense’s Defense Advanced Research 

Projects Agency [DARPA]. 

Behavioral Research.—The Committee encourages NCATS to include staff expertise and resources to manage research on the 

translation of behavioral interventions into communities. 

Clinical and Translational Science Awards [CTSAs].—The Committee is encouraged by the success of the CTSA consortium and 

strongly recommends that the program be fully funded, consistent 

with professional judgment, as it nears full implementation. As the 

CTSA program transitions to NCATS, the Committee urges the 

NIH Director to ensure that the current focus on the full spectrum 

of translational research is maintained. The inclusion of patientcentered outcomes research, community engagement, training, dissemination science, and behavioral research is extremely important 

to the translation and application of basic science discoveries and 

success of the CTSAs. 

Drug Repurposing.—There are over 11,000 commercial compounds that are in a pool of late-stage, pre-clinical through phase 

III clinical trials that have been tested in humans, but whose development has been discontinued by pharmaceutical companies. By 

leveraging existing compounds, researchers and industry can develop new treatments for patients. The Committee encourages NIH 

to work with pharmaceutical companies to support drug 

repurposing and the sharing of compounds; in particular, NIH is 

encouraged to develop guidelines for drug repurposing technology 

transfer agreements. 

Dystonia Coalition.—The Committee commends ORDR for the 

work conducted in the Rare Diseases Clinical Research Network 

and requests an update on the patient registry of the Dystonia Coalition. 

Hereditary Angioedema [HAE].—The Committee encourages 

ORDR and relevant Institutes and Centers to expand research on 

HAE, a rare and potentially life-threatening genetic condition. In 

particular, the Committee urges ORDR to support a scientific conference on HAE, with the goal of identifying research opportunities 

and priorities for this disease. 

NATIONAL LIBRARY OF MEDICINE

Appropriations, 2011 ............................................................................. $336,733,000 

Budget estimate, 2012 ........................................................................... 387,153,000 

Committee recommendation ................................................................. 358,979,000 

The Committee recommendation includes $358,979,000 for the 

National Library of Medicine [NLM]. The budget request for fiscal 

year 2012 is $387,153,000 and the comparable level for fiscal year 

2011 is $336,733,000. An additional $8,200,000 is made available 

from program evaluation funds. Of the funds provided, $4,000,000 

is for the improvement of information systems, to remain available 

until expended. 


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The Committee recommendation allows that additional funding 

for the National Center for Biotechnology Information and support 

for the Public Access program may be provided directly to NLM. 

Under current practice, some of this funding is provided to NLM 

through a small tap on ICs. 

OFFICE OF THE DIRECTOR

Appropriations, 2011 ............................................................................. $1,166,963,000 

Budget estimate, 2012 ........................................................................... 1,298,412,000 

Committee recommendation ................................................................. 1,439,064,000 

The Committee recommendation includes $1,439,064,000 for the 

Office of the Director [OD]. The budget request for fiscal year 2012 

is $1,298,412,000 and the comparable level for fiscal year 2011 is 

$1,166,963,000. 

The recommended increase for OD over the fiscal year 2011 level 

results from several changes connected to the planned elimination 

of NCRR. OD will now house the Comparative Medicine Program, 

including National Primate Research Centers; shared and high-end 

instrumentation; Science Education Partnership Awards; and selected other programs that are currently administered by NCRR. 

The Committee recommendation is sufficient to allow up to $189,215,000 to be used for continuation of the National Children’s 

Study. 

The Committee recommends $537,811,000 for the Common Fund. 

The budget request is $556,890,000 and the fiscal year 2011 level 

is $543,021,000. 

Angiogenesis.—The Committee encourages NIH to support research that will determine the role angiogenesis may have in disease prevention and intervention. The Trans-Institute Angiogenesis 

Research Program should implement a vigorous agenda that examines current angiogenesis therapies in order to improve outcomes. 

In particular, the Committee urges NCI to take a leading role in 

examining angiogenic levels in the body prior, during and after 

treatments. The Committee urges NIH to use current population 

studies to determine the angiogenic effect of medication, diet and 

lifestyle. In addition, all relevant institutes are urged to coordinate 

efforts to study the correlation of platelet proteomes to 

angiogenesis with the goal of developing a health marker. 

Autism.—The Committee encourages NIMH, NINDS and NICHD 

to expand their support for the development of clinically based 

therapeutics for autistic children through the use of a variety of 

mechanisms, including grants, contracts and the Small Business 

Innovation in Research program. 

Black Scientists.—The Committee is deeply disturbed by the recent study which found that between 2000 and 2006, black scientists were much less likely to win approval of R01 grants than 

white scientists, even after controlling for the education level of the 

applicants and the academic institution where they work. Also of 

concern is the disproportionately low number of black researchers 

who applied for a grant—just 1.5 percent of all applicants. In addition, the study raises questions about the effectiveness of NIH’s 

graduate and postgraduate training, as black researchers do not 

seem to benefit from this training as much as white researchers do. 

The Committee notes that NIH itself funded this study and that 


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the agency appears to be responding with significant actions designed to redress the disparities. Ultimately, however, NIH will be 

judged on whether the disparities are reduced. The Committee requests an update on this issue in the fiscal year 2013 congressional 

budget justification. 

Bone Research.—The Committee urges the Director to work with 

all relevant institutes to enhance interdisciplinary research leading 

to targeted therapies for improving bone density, quality and 

strength for all Americans. More scientific knowledge is needed in 

a number of key areas involving bone and muscle, fat and the central nervous system. Research is also urgently needed to improve 

the identification of populations who might require earlier treatment because they are at risk of rapid bone loss due to a wide 

range of conditions or diseases, including obesity, diabetes, chronic 

renal failure, cancer, HIV, conditions that affect absorption of nutrients or medications, or addiction to tobacco, alcohol or other opiates. The Committee also encourages NIH to develop a plan to expand genetics and other research on rare bone diseases, including: 

osteogenesis imperfecta, Paget’s disease of bone, fibrous dysplasia, 

osteopetrosis, fibrous ossificans progressiva, melorheostosis, Xlinked hypophosphatemic rickets, multiple hereditary exostoses and 

multiple osteochondroma. 

Chemical Risk Assessment.—The Committee understands that 

NIH supports a new approach on chemical risk assessment based 

on the incorporation of advanced molecular biological and computational methods in lieu of animal toxicity tests as outlined in a recent National Research Council report. As part of that effort, the 

Committee encourages NIH to continue to support extramural and 

‘‘proof of concept’’ studies on the use of toxicity pathway analyses 

for assessing human risks to chemical exposures. The Committee 

requests an update on these efforts in the fiscal year 2013 congressional budget justification. 

Chimpanzees.—The Committee is eagerly anticipating the release 

later this year of the Institute of Medicine’s analysis of whether 

chimpanzees should continue to be used in medical research. 

Chronic Fatigue Syndrome [CFS].—The Committee commends 

NIH for holding a state of the knowledge workshop on CFS in 

2011. Within 1 year following that workshop, the Committee urges 

NIH to develop a CFS research plan outlining a coordinated strategy for intramural and extramural research on CFS and related 

funding opportunity announcements. Further, the Committee supports the development of a CFS research database to catalogue the 

intramural and extramural NIH research funding that has been 

awarded for CFS research to date and the resulting advances. 

Class B Animal Dealers.—The Committee is encouraged by the 

steps NIH is taking to increase the capacity of Class A vendors to 

supply the types of dogs that currently come from Class B random 

source dealers; to notify its grant recipients that as of 2015, the use 

of NIH grant funds to acquire dogs from Class B dealers will be 

prohibited; and to advise its grantees to identify new sources for 

such animals. The Committee urges NIH to set 2015 as the outside 

target date for completing this process. Meanwhile, NIH has informed the Committee that no phase-out of cats from Class B vendors is needed, because sufficient numbers of cats currently are 


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available through Class A vendors to support the needs of NIHsupported research. If there is already no need for Class B cats in 

NIH-funded research, the Committee sees no reason why NIH 

should wait until Class B dogs are prohibited—a process that will 

take at least 3 years—to prohibit the use of Class B cats as well. 

The Committee therefore expects NIH to begin informing researchers of this policy as soon as possible and requests an update in the 

fiscal year 2013 congressional budget justification. 

Cystic Fibrosis [CF].—While the life expectancy of CF patients 

has slowly improved, the Committee remains concerned regarding 

the severe morbidity and early mortality associated with the condition and acknowledges that improvements to date have largely focused on enhanced supportive care. The Committee cites the strong 

need for further research regarding treatments that target the underlying cause of CF and recognizes that protein structural studies 

may advance the understanding of the mechanisms of action of CF 

drugs in clinical development. The Committee encourages support 

for such protein structural studies and encourages the use of new 

technologies to discover, develop and characterize the effect of new 

treatments, including the use of airway imaging to characterize the 

function of the airways. The Committee also notes the potential for 

research in CF to have applications on a wide array of human diseases, and urges continued work to identify the applications of CF 

treatments to other disease states. 

Eosinophil-Associated Disorders.—The Committee urges NIH to 

prioritize research on eosinophilic disorders and develop a trans-institute strategy involving NIAID, NIDDK, NICHD and NIMH. Multidisciplinary research efforts are needed to develop improved 

methods of diagnosis and treatment in adults and children and to 

assess strategies for managing depression and emotional stress in 

patients with severe eosinophilic disorders. NIH should seek opportunities to collaborate with private sector organizations on this initiative. The Committee requests an update on this effort in the fiscal year 2013 congressional budget justification. 

Fragile X.—The Committee urges NIH, working with NICHD, 

the Fragile X Clinical Research Consortium and the private research sector, to fully implement the NIH Research Plan on Fragile 

X Syndrome and Associated Disorders. NIH is encouraged to support translational research that shows significant promise of safer 

and more effective treatments for the various Fragile X-associated 

disorders. The Committee requests an update in the fiscal year 

2013 congressional budget justification regarding the status of federally funded registry initiatives and how they might be coordinated. 

Global Rare Diseases Patient Registry and Data Repository.—The 

Committee commends NIH for its plans to develop the Global Rare 

Diseases Patient Registry and Data Repository [GRDR]. The Committee understands that a pilot program of the GRDR will include 

the creation of an infrastructure for an Internet-based platform to 

aggregate de-identified patient data from existing and newly established rare diseases registries and the development of a web-based 

template to allow any patient group to establish its own patient 

registry. The purpose of this pilot program is to develop a resource 

for patient support organizations and the scientific community, acaVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00111 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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demic centers and industry in the United States and globally to 

mine the de-identified, aggregate data for various medical research 

studies, including clinical trials. The Committee encourages NIH to 

consider Duchenne muscular dystrophy and glomerular disease for 

inclusion in the pilot program. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

urges the Director to bring together representatives from NHLBI, 

NINDS, NIDDK, NIAMS, NICHD, NCI and ORDR to develop a coordinated strategy for advancing research on HHT, particularly regarding translational research and early detection and intervention. 

Human Tissue Supply.—The Committee remains committed to 

matching the increased needs of NIH-funded researchers, both intramural and extramural, who rely upon human tissues and organs 

to study human diseases, both normal and rare, and strive to 

translate research advances and discoveries into treatments and 

cures. Furthermore, the Committee recognizes that meeting the national demand of production of high-quality biospecimens in a timely manner is crucial to advancing translational research across all 

institutes and centers. Therefore, the Committee urges the Director 

to maintain core and trans-NIH support for its nationwide human 

tissue and organ procurement network. 

Inflammatory Bowel Disease [IBD].—The Committee commends 

NIH for its support of the Human Microbiome Project and notes 

the significance of this groundbreaking research in advancing the 

understanding of inflammatory bowel disease. The Committee encourages NIH to expand research in this area in collaboration with 

the IBD scientific community. In particular, the Committee supports expanded genetic and clinical studies of pediatric patients. 

Interdisciplinary Research Consortia and the NeuroTherapeutics 

Research Institute.—The Committee encourages NIH to continue its 

initial investments in the development of the Interdisciplinary Research Consortia, in particular the NeuroTherapeutics Research Institute. 

Lymphatic Research and Lymphatic Disease.—The Committee 

commends the trans-NIH Coordinating Committee for Lymphatic 

Research [CCLR] for its efforts. Nevertheless, stronger oversight 

and engagement is needed from the leadership of the Office of the 

Director and the ICs to help make more meaningful advances into 

the lymphatic system and lymphatic diseases, as the Committee 

has requested for many years. In particular, the Committee requests explicit, prospective, actionable plans and implementation 

strategies for each of the 2007 CCLR Working Group Recommendations that detail the prospective roles that each pertinent Institute 

and Center would undertake. A particular emphasis is needed on 

the plans for the patient registry/tissue bank; clinical and experimental imaging initiatives; the incorporation of additional expertise 

in lymphatic biology/disease in the pertinent CSR study sections; 

and the creation of programs to train new investigators in lymphatic research. Furthermore, the Committee urges NIAID and 

NIAMS to demonstrate greater emphasis on lymphatics. 

Mitochondrial Disease.—The Committee appreciates the efforts of 

NIH to study mitochondrial function and primary mitochondrial 

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evant to progress on a host of common diseases and conditions 

where mitochondrial dysfunction is clearly implicated. The Committee encourages NIH to expand its mitochondrial research portfolio to support the training of young investigators in the field and 

incorporate researchers with expertise in mitochondrial structure 

and function into the grants review and priority-setting process. Finally, the Committee urges NIH to take tangible actions to implement the recommendation from NHLBI’s 2007 symposium on 

‘‘Modeling Mitochondrial Dysfunction’’ that NIH should better coordinate and share the advances that have been made by various 

ICs regarding mitochondrial disease. 

Mobile Technology.—The Committee supports the new initiative 

by the Office of Behavioral and Social Sciences Research [OBSSR] 

in the area of mobile technology research to enhance health. The 

Committee urges that research focus on developing pilot programs 

to support smoking cessation, the prevention and detection of diabetes, and maternal and child health. The Committee also encourages OBSSR to engage in discussions with the Department of State 

and USAID to evaluate and consider global initiatives in these 

areas. 

Mucopolysaccharidoses [MPS].—The Committee encourages 

NINDS, NIDDK, NIAMS and ORDR to expand research efforts in 

the development of effective treatments for MPS, a group of genetic, progressive disorders that are caused by the absence or malfunctioning of certain enzymes. The Committee also urges all relevant ICs and the ORDR to fund research consortia and support 

conferences on MPS and lysosomal diseases. The Committee commends NINDS and the ORDR for sponsoring the recent Gordon Research Conference focusing on the basic science of lysosomal biology and function but with strong emphasis on pathogenic mechanisms of lysosomal disease. The Committee also encourages NIAMS 

to continue to support investigator-initiated research focused on the 

skeletal complications associated with MPS. 

Neurofibromatosis [NF].—NF is an important research area for 

multiple NIH institutes. As NF is connected to many forms of cancer in children and adults, the Committee encourages NCI to substantially increase its NF research portfolio in pre-clinical and clinical trials by applying newly developed and existing drugs. The 

Committee also encourages NCI to support NF centers, clinical 

trials consortia, patient databases, and biospecimen repositories. 

The Committee urges additional focus from NHLBI, given NF’s involvement with hypertension and congenital heart disease. Because 

NF causes tumors to grow on the nerves throughout the body, the 

Committee urges NINDS to continue aggressive research on nerve 

damage and repair. In addition, the Committee continues to encourage NICHD and NIMH to expand funding of clinical trials for 

NF patients in the area of learning disabilities. Children with NF1 

are prone to the development of severe bone deformities, including 

scoliosis; the Committee therefore encourages NIAMS to expand its 

NF1 research portfolio. The NIDCD is urged to expand its research 

on NF2, which accounts for approximately 5 percent of genetic 

forms of deafness. The Committee encourages the NEI to support 

research on the treatment of optic gliomas, vision loss and cataracts, major clinical problems associated with NF. Finally, the 


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Committee encourages NHGRI to expand its NF portfolio, as NF 

represents an ideal model to study the genomics of cancer predisposition, learning and behavior, and bone disease. 

OppNet.—The Committee encourages NIH to continue its support of the NIH Basic Behavioral and Social Science Opportunity 

Network [OppNet] and requests an update on the network’s 

progress in the fiscal year 2013 congressional budget justification. 

Overlapping Chronic Pain Conditions.—The Committee recognizes that NIH has taken seriously its repeated calls for an improved and expanded research effort to better understand overlapping chronic pain conditions including chronic fatigue syndrome, 

endometriosis, fibromyalgia, headache, interstitial cystitis, irritable 

bowel syndrome, temporomandibular joint and muscle disorders, 

and vulvodynia. As noted by the IOM report on pain released in 

June, these poorly understood and neglected conditions impact 50 

million American women and cost the Nation $80,000,000,000 annually, an amount that could be substantially reduced with improved research, education and care. The Committee is aware that 

initial progress is being made toward the development and implementation of a trans-NIH research initiative to support studies 

aimed at identifying etiological pathways of these overlapping conditions, with the goal of identifying potential therapeutic targets, 

and expects further substantial progress to be made this fiscal 

year. This will require continued and expanded efforts by all the 

relevant ICs. The Committee urges NINDS to take the lead on this 

effort. 

Pain.—The Committee has for many years encouraged a stronger 

emphasis on pain research at NIH, and so it notes with great interest the recent Institute of Medicine report ‘‘Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and 

Research.’’ The report, which was mandated by the Patient Protection and Affordable Care Act and funded by NIH, estimates that 

chronic pain afflicts at least 116 million adults in the United States 

and costs the Nation between $560,000,000,000 and 

$635,000,000,000 a year, of which $99,000,000,000 is borne by the 

Federal Government and States. The report documents the growing 

recognition that chronic pain can be a disease in itself, causing 

changes throughout the nervous that often worsen over time. Nevertheless, the biological and psychological aspects of pain, as well 

as its diagnosis, treatment and prevention, remain poorly understood. NIH took a first step toward addressing these questions in 

a systematic way by creating the NIH Pain Consortium in 2003. 

Eight years later, it is clear that NIH must do more. Although 

every Institute and Center deals in some way with pain, none of 

them ‘‘owns’’ this critical area of research. If that is to be responsibility of the Pain Consortium rather than an individual IC, then 

the consortium needs more resources, more staffing and a more elevated status within NIH. The IOM report concludes that ‘‘there 

needs to be a transformation in how pain research is conducted and 

that the Pain Consortium should take an even more proactive role 

in effecting that transformation.’’ In addition, the report recommends that the consortium should hold ‘‘more frequent, regular, 

structured and productive meetings’’ and improve the process for 

reviewing grant proposals related to pain, and that NIH should 


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consider the possibility of identifying a lead IC on pain. The Committee requests a response to the IOM recommendations in the fiscal year 2013 congressional budget justification. 

Pediatric Low-Grade Astrocytoma [PLGA].—The Committee understands that current treatments for PLGA, a slow-growing children’s brain cancer, are invasive, toxic and largely ineffective, and 

have not advanced in almost 25 years. Therefore, the Committee 

urges NCI, NINDS, NIBIB, and ORDR to accelerate the pace of expansion of the pediatric cancer research portfolio by creating research priorities with a sequential agenda and timeline, and facilitating the collaboration of organizations (both public and private) 

already funding related research initiatives. The Committee further encourages the institutes to prioritize targeted translational 

research projects that will help identify chemical compounds or 

combination therapies for use as more effective, less toxic treatments. The Committee requests an update on these efforts in the 

fiscal year 2013 congressional budget justification. 

Primate Research.—The Committee continues to support the National Primate Research Centers, which allow NIH-supported scientists to conduct nonhuman primate research in the pursuit of improving human health. 

Product Development Partnerships.—Public-private partnerships, 

including product development partnerships [PDPs], can both enable critical research and development in the global health arena 

and create jobs in the United States. The Committee encourages 

NIH to cultivate PDPs and to work with CDC and other agencies 

that have a role in advancing global health to identify and pursue 

other innovative research and development opportunities. 

Rehabilitation Research.—The Committee recognizes the need to 

continue to build a sustainable infrastructure and capacity of 

emerging scientists in rehabilitation research. The Committee encourages the use of career development awards for emerging scientists, such as physical therapists, to meet this need. 

Spina Bifida.—The Committee encourages NIDDK, NICHD and 

NINDS to study the causes and care of the neurogenic bladder to 

improve the quality of life of children and adults with spina bifida; 

to support research to address issues related to treatment, management and associated secondary conditions, such as hydrocephalus; 

and to invest in understanding the myriad co-morbid conditions experienced by children with spina bifida, including those associated 

with both paralysis and developmental delay. 

Tuberous Sclerosis Complex [TSC].—The Committee continues to 

encourage additional research on TSC and related neurological disorders. Because TSC serves as a gateway for understanding more 

prevalent neurological disorders such as autism and epilepsy, the 

Committee encourages NIH to focus resources on clinical trials for 

new drug targets for TSC. 

Vulvodynia.—The Committee notes that educational materials 

developed as part of the vulvodynia educational campaign have not 

been made available to key audiences and urges ORWH to widely 

disseminate them to federally funded health centers and college 

health clinics, as well as to the public and patient and medical 

communities. 


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OFFICE OF AIDS RESEARCH

The Office of AIDS Research [OAR] coordinates the scientific, 

budgetary, legislative and policy elements of the NIH AIDS research program. The Committee recommendation does not include 

a direct appropriation for OAR. Instead, funding for AIDS research 

is included within the appropriation for each Institute, Center and 

Division of NIH. The recommendation also includes a general provision which directs that the funding for AIDS research, as determined by the Director of NIH and OAR, be allocated directly to 

OAR for distribution to the Institutes consistent with the AIDS research plan. The recommendation also includes a general provision 

permitting the NIH Director and OAR to shift up to 3 percent of 

AIDS research funding among Institutes and Centers throughout 

the year if needs change or unanticipated opportunities arise. 

The Committee includes bill language permitting OAR to use up to $8,000,000 for construction or renovation of National Primate 

Research Centers. This is the same as the fiscal year 2011 level 

and the budget request. 

BUILDINGS AND FACILITIES

Appropriations, 2011 ............................................................................. $49,900,000 

Budget estimate, 2012 ........................................................................... 125,581,000 

Committee recommendation ................................................................. 125,581,000 

The Committee recommendation includes $125,581,000, the same 

as the budget request, for NIH buildings and facilities. The comparable level for fiscal year 2011 is $49,900,000. 

The Committee understands that the average age of NIH’s 280 

buildings is 41 years and that the backlog of maintenance of repair 

exceeds $1,400,000,000. The Committee recommendation will not 

be sufficient to drive down the backlog, but it is expected to prevent further degradation of NIH facilities. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Appropriations, 2011 ............................................................................. $3,511,081,000 

Budget estimate, 2012 ........................................................................... 3,556,648,000 

Committee recommendation ................................................................. 3,484,262,000 

The Committee recommends $3,484,262,000 for the Substance 

Abuse and Mental Health Services Administration [SAMHSA] for 

fiscal year 2012. The comparable fiscal year 2011 level is 

$3,511,081,000 and the administration request is $3,556,648,000. 

The recommendation includes $129,625,000 in transfers available 

under section 241 of the PHS Act. SAMHSA is responsible for supporting mental health programs and alcohol and other drug abuse 

prevention and treatment services throughout the country, primarily through categorical grants and block grants to States. In addition, the Committee recommends that $88,000,000 in mandatory 

funds be transferred to SAMHSA from the Prevention and Public 

Health [PPH] Fund. 

SAMHSA’s work to improve the provision of mental health and 

substance abuse services is carried out by three statutorily-created 

Centers: the Center for Mental Health Services, Center for Substance Abuse Treatment and the Center for Substance Abuse Prevention. The Committee does not concur with the administration 


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proposal to reorganize the Programs of Regional and National Significance [PRNS] function of each center into a single agency-wide 

account for Innovation and Emerging Issues. The Committee believes the proposed consolidated structure would be detrimental to 

the specific programmatic and policy expertise of each center, especially as it relates to substance abuse prevention and substance 

abuse treatment. Therefore, the Committee has provided funding 

for PRNS under each of the three SAMHSA centers as it has done 

in previous years. 

The Committee has included new bill language that creates separate appropriations for each Center, along with a separate appropriation for cross-cutting Health Surveillance and Program Support 

activities. In previous years the Committee provided funding to 

SAMHSA through one agency-wide appropriation. The Committee 

believes this more detailed appropriation structure better reflects 

the organization of SAMHSA’s programmatic activities and provides for greater transparency and accountability of SAMHSA 

funding. 

The Committee recommendation includes $154,279,000 for grants 

throughout SAMHSA that fund mental health and substance use 

treatment services targeted to homeless and at-risk families. Within this total, $14,576,000 is included for a new Homeless Initiative 

Program with the Department of Housing and Urban Development 

to provide permanent supportive housing to those who experience 

chronic, long-term homelessness. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2011 ............................................................................. $977,236,000 

Budget estimate, 2012 ........................................................................... 1,020,769,000 

Committee recommendation ................................................................. 970,640,000 

The Committee recommends $970,640,000 for mental health 

services. The comparable level for fiscal year 2011 is $977,236,000 

and the administration request is $1,020,769,000. The recommendation includes $20,997,000 in transfers available under 

section 241 of the PHS Act. In addition, the Committee recommends that $45,000,000 in mandatory funds be transferred to 

the Center for Mental Health Services [CMHS] from the PPH 

Fund. Included in the recommendation is funding for programs of 

regional and national significance, the community mental health 

services block grant to the States, children’s mental health services, projects for assistance in transition from homelessness, and 

protection and advocacy services for individuals with mental illnesses. 

Programs of Regional and National Significance 

The Committee recommends $331,680,000 for programs of regional and national significance [PRNS]. The comparable level for 

fiscal year 2011 is $338,276,000 and the administration request is 

$273,342,000. In addition, the Committee recommends that 

$45,000,000 in mandatory funds be transferred to this activity from 

the PPH Fund. These programs address priority mental health 

needs through developing and applying evidence-based practices, 

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pacity expansion grants, and changing the delivery system through 

family, client-oriented and consumer-run activities. 

Within the total provided for PRNS, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

CAPACITY: 

Co-Occurring State Incentive Grant ................................................. $2,168 $2,168 $2,168 

Seclusion & Restraint ....................................................................... 2,449 2,449 2,449 

Youth Violence Prevention ................................................................ 77,568 94,333 77,568 

National Traumatic Stress Network .................................................. 40,718 11,300 40,800 

Children and Family Programs ......................................................... 9,194 6,486 6,486 

Consumer and Family Network Grants ............................................. 6,236 4,966 6,236 

MH System Transformation and Health Reform ............................... 26,606 10,623 10,623 

Project LAUNCH ................................................................................. 24,706 ........................ 34,706 

Primary and Behavioral Health Care Integration ............................. 27,807 14,000 27,807 

Primary & Behavioral Health Integration [PPHF] .................... 35,000 20,000 35,000 

Community Resilience and Recovery Initiative ................................ 5,000 5,000 ........................

Suicide Lifeline ................................................................................. 5,522 5,522 5,522 

GLS—Youth Suicide Prevention—States ......................................... 29,374 29,738 29,738 

GLS—Youth Suicide Prevention—Campus ...................................... 4,858 4,975 4,975 

Suicide Prevention [PPHF] ....................................................... 10,000 ........................ 10,000 

AI/AN Suicide Prevention Initiative ................................................... 2,944 2,944 2,944 

Homelessness Prevention Programs ................................................. 30,830 39,696 39,696 

Older Adult Programs ....................................................................... 2,814 ........................ ........................

Minority AIDS ..................................................................................... 9,283 9,283 9,283 

Criminal and Juvenile Justice Programs .......................................... 6,684 6,684 6,684 

SCIENCE AND SERVICE: 

GLS—Suicide Prevention Resource Center ...................................... 4,957 4,957 4,957 

Information Dissemination and Training .......................................... 8,168 7,878 7,878 

Consumer & Consumer Support T.A. Centers .................................. 1,927 1,927 1,927 

Minority Fellowship Program ............................................................. 4,279 4,279 5,099 

Disaster Response ............................................................................ 904 1,054 1,054 

Homelessness .................................................................................... 2,306 2,306 2,306 

HIV/AIDS Education ........................................................................... 974 774 774 

Child Trauma.—The Committee reiterates its strong support for 

the National Child Traumatic Stress Network [NCTSN]. The Committee has provided $40,800,000 under section 582 of the PHS Act 

to support the continuance of the current model and mission of the 

NCTSN. This activity provides grants to the National Center for 

Child Traumatic Stress [NCCTS] and academic, clinical, and community-based centers for the purposes of developing knowledge of 

best practices, offering trauma training to child-serving providers, 

and providing mental health services to children and families suffering from PTSD and other trauma-related disorders. 

The Committee also recognizes the extraordinary value of the 

core data set developed by the NCCTS, which identifies the impact 

of multiple traumas on the lives of children and the effectiveness 

of evidence-based treatment and services. Within the funding provided, the Committee again provides $1,000,000 for continued data 

analysis and reports related to the NCCTS core data set. Additional data collection by the NCCTS regarding clinical processes 

and outcomes could enhance evidence-based practices being utilized 

through the NCTSN. 

Clinical Training.—The Committee is aware that a new clinical 

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tioners in empirically supported treatments. SAMHSA is encouraged to continue its collaboration with relevant professional organizations regarding this program so that those seeking services are 

assured of receiving scientifically sound treatment. 

Disabilities.—The Committee recognizes the important role that 

SAMHSA plays relative to many Americans with disabilities. 

Emerging research indicates that persons with severe mental illness experience additional conditions that impact their ability to 

function within the community. These co-occurring or other functional disorders can include substance use disorder, hidden traumatic brain injury, chronic medical conditions, or other conditions. 

The Committee urges SAMHSA to continue making a substantial 

commitment to the development of new interventions and services 

for individuals with mental health conditions who have co-occurring or multiple disabilities. 

Minority Fellowship Program.—The Committee is concerned that 

while minorities represent 30 percent of the population and are 

projected to increase to 40 percent by 2025, only 23 percent of recent doctorates in psychology, social work and nursing were awarded to minorities. The Committee also recognizes that professional 

counselors are highly trained and well-qualified mental health professionals who deliver culturally appropriate behavioral health 

services to diverse populations. The Committee has provided an increase in funding to allow SAMHSA to increase the pool of culturally competent mental health professionals by granting professional counselors eligibility to participate in the Minority Fellowship Program. 

Primary and Behavioral Healthcare Integration.—The Committee 

notes that adults with serious mental illness have chronic health 

conditions, such as heart disease, hypertension, diabetes and chronic respiratory conditions, at higher rates than adults in the general 

population. The Committee continues to believe aggressive action is 

necessary to eliminate this disparity and has continued funding for 

Primary and Behavioral Health Care Integration grants at 

SAMHSA. The Committee provides $62,807,000 for this program, 

which includes $27,807,000 provided in discretionary appropriations and $35,000,000 in transfers from the PPH Fund. This is the 

same as the comparable level for fiscal year 2011. The Committee 

directs SAMHSA to ensure that new grants awarded for fiscal year 

2012 are funded under the authorities in section 520(k) of the PHS 

Act. 

Project LAUNCH.—The Committee recommendation includes 

$34,706,000 for the Project LAUNCH program, which funds mental 

health prevention and promotion strategies for young children aged 

zero to eight. The Committee notes that many prevention interventions that reduce risk factors and increase resilience are funded in 

other agencies such as HRSA and the Administration for Children 

and Families. The Committee intends that funds provided to 

Project LAUNCH not duplicate activities eligible for funding elsewhere in the Department. The Committee requests a list of all 

grant awards made under this program, along with a description 

of the activities undertaken by grantees. 

Suicide Prevention in Indian Populations.—The Committee continues to be concerned about the high incidence of drug and alcohol 


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abuse and suicide in American Indian populations. SAMHSA is encouraged to develop culturally competent suicide prevention training courses to be used with selected gatekeepers in Indian country. 

The Committee further urges SAMHSA to collaborate with the Indian Health Service to identify priority communities to pilot this 

gatekeeper initiative and to develop a plan to help insure the sustainability within American Indian and Alaska Native communities. 

Community Mental Health Services Block Grant 

The Committee recommends $419,933,000 for the community 

mental health services block grant. This amount is the same as the 

comparable fiscal year 2011 level. The administration request is 

$434,684,000. The recommendation includes $20,997,000 in transfers available under section 241 of the PHS Act. 

The community mental health services block grant distributes 

funds to 59 eligible States and territories through a formula based 

on specified economic and demographic factors. Grant applications 

must include an annual plan for providing comprehensive community mental health services to adults with a serious mental illness 

and children with a serious emotional disturbance. 

Children’s Mental Health Services 

The Committee recommends $117,803,000 for the children’s mental health services program. This amount is the same as the comparable fiscal year 2011 level for this program. The administration 

request is $121,316,000. This program provides grants and technical assistance to support a network of community-based services 

for children and adolescents with serious emotional, behavioral or 

mental disorders. Grantees must provide matching funds and services must be coordinated with the educational, juvenile justice, 

child welfare and primary healthcare systems. 

Projects for Assistance in Transition From Homelessness [PATH] 

The Committee recommends $64,917,000 for the PATH Program. 

This amount is the same as the comparable fiscal year 2011 level. 

The administration request is $65,047,000. The PATH program addresses the needs of individuals with serious mental illness who 

are experiencing homelessness or are at risk of homelessness. 

Funds are used to provide an array of services, such as screening 

and diagnostic services, emergency assistance, case management, 

and referrals to the most appropriate housing environment. 

Protection and Advocacy 

The Committee recommends $36,307,000 for the protection and 

advocacy for individuals with mental illness [PAIMI] program. This 

amount is the same as the comparable fiscal year 2011 funding 

level. The administration request is $36,380,000. This program 

helps ensure that the rights of mentally ill individuals are protected while they are patients in all public and private facilities, or 

while they are living in the community, including in their own 

homes. Funds are allocated to States according to a formula based 

on population and relative per capita incomes. 


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Mental Health State Prevention Grants 

The Committee recommendation does not include funding for the 

proposed Mental Health State Prevention Grant program. This is 

a new activity that was not funded in fiscal year 2011. The administration request is $90,000,000 for this program, which would promote the wellness of children, youth and young adults up to age 

25. While the Committee applauds the administration for emphasizing mental health prevention, it was not able to provide significant resources to a new State formula program in the current fiscal 

environment. The Committee also notes that several key features 

of the program—such as the allocation formula, required activities 

of grantees and outcome measures—have not yet been determined. 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2011 ............................................................................. $2,189,132,000 

Budget estimate, 2012 ........................................................................... 2,293,136,000 

Committee recommendation ................................................................. 2,194,227,000 

The Committee recommends $2,194,227,000 for substance abuse 

treatment programs, including programs of regional and national 

significance and the substance abuse prevention and treatment 

block grant to the States. The comparable fiscal year 2011 level is 

$2,189,132,000 and the administration request is $2,293,136,000. 

The recommendation includes $81,200,000 in transfers available 

under section 241 of the PHS Act. In addition, the Committee recommends that $25,000,000 in mandatory funds be transferred to 

the Center for Substance Abuse Treatment [CSAT] from the PPH 

Fund. 

Programs of Regional and National Significance 

The Committee recommends $411,575,000 for programs of regional and national significance [PRNS] within CSAT. The comparable fiscal year 2011 level is $406,480,000 and the administration request is $403,822,000. The recommendation includes 

$2,000,000 in transfers available under section 241 of the PHS Act. 

In addition, the Committee recommends that $25,000,000 in mandatory funds be transferred to PRNS from the PPH Fund. 

Programs of regional and national significance include activities 

to increase capacity by implementing service improvements using 

proven evidence-based approaches as well as science-to-services activities that promote the identification of practices thought to have 

potential for broad service improvement. 

Within the total provided for PRNS, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request Committee recommendation 

CAPACITY: 

Co-occurring State Incentive Grants [SIGs] ..................................... 4,263 4,263 4,263 

Opioid Treatment Programs/Regulatory Activities ............................ 8,903 8,903 8,903 

Screening, Brief Intervention, Referral, & Treatment [SBIRT] ......... 28,237 29,106 28,237 

SBIRT [PPHF] ............................................................................ 25,000 ........................ 25,000 

TCE—General ................................................................................... 28,033 17,411 28,033 

Pregnant & Postpartum Women ....................................................... 16,000 16,000 16,000 

Strengthening Treatment Access and Retention .............................. 1,775 1,675 1,675 


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[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

Recovery Community Services Program ............................................ 5,236 2,450 2,450 

Access to Recovery ........................................................................... 98,954 98,454 98,454 

Children and Families ...................................................................... 30,678 30,678 30,678 

Treatment Systems for Homeless ..................................................... 41,650 47,360 47,360 

Minority AIDS ..................................................................................... 65,988 65,988 65,988 

Criminal Justice Activities ................................................................ 65,135 67,635 67,635 

NASPER ............................................................................................. ........................ 2,000 ........................

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers ............................................ 9,081 9,081 9,081 

Minority Fellowship Program ............................................................. 547 547 547 

Special Initiatives/Outreach .............................................................. 2,000 2,271 2,271 

Addiction Services Workforce.—The Committee notes the growing 

workforce crisis in the addictions field due to high turnover rates, 

worker shortages, an aging workforce, stigma and inadequate compensation. The Mental Health Parity and Addiction Equity Act and 

the Patient Protection and Affordable Care Act are anticipated to 

increase the number of individuals who will seek substance use disorder services and may exacerbate current workforce challenges. As 

the provision of quality substance use disorder services is dependent on an adequate qualified workforce and SAMHSA is the lead 

Federal agency charged with improving these services, the Committee expects SAMHSA to focus on developing the addiction workforce and identify ways to address the current and future workforce 

needs of the addiction field. The Committee directs SAMHSA to 

submit a report by March 31, 2012, on current workforce issues in 

the addiction field, as well as the status and funding of its substance use disorder services workforce initiatives. This report 

should also detail how SAMHSA is working with HRSA to address 

addiction service workforce needs and should identify the two agencies’ specific roles, responsibilities, funding streams and action 

steps aimed at strengthening the addiction services workforce. 

Addiction Technology Transfer Centers [ATTCs].—The Committee directs SAMHSA to ensure that ATTCs continue to maintain a primary focus on addiction treatment and recovery services 

in order to strengthen the addiction workforce. As more individuals 

become eligible for substance abuse services through Medicaid and 

private insurance, the ATTC network is critical to ensure there is 

a skilled workforce able to meet the demand in substance use disorder services. 

Drug Courts.—The Committee directs SAMHSA to ensure that 

all funding appropriated to CSAT for drug treatment courts is allocated to serve people diagnosed with a substance use disorder as 

their primary condition. In addition, the Committee urges 

SAMHSA to ensure that State substance abuse agencies are eligible to apply for all drug treatment court grant programs in its portfolio. The Committee expects SAMHSA to ensure that non-State 

substance abuse agency applicants for these grants continue to 

demonstrate evidence of working directly and extensively with the 

corresponding State substance abuse agency in the planning, implementation and evaluation of the grant. 

Hepatitis Testing.—The Committee continues to recognize the 

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mittee encourages SAMHSA to develop a demonstration project on 

hepatitis education and testing for patients and providers. 

Screening, Brief Intervention, and Referral to Treatment 

[SBIRT].—The Committee recommendation includes $53,237,999 

for the SBIRT program, which includes $28,237,000 in discretionary and evaluation tap funding, along with $25,000,000 in 

transfers from the PPH Fund. The Committee directs SAMHSA to 

ensure that funds provided for SBIRT are used for existing evidence-based models of providing early intervention and treatment 

services to those at risk of developing substance abuse disorders. 

Substance Abuse Testing.—The Committee notes the scientific 

progress that has been made on alternative means of substance 

abuse testing, including oral fluid testing, and encourages 

SAMHSA to continue to update its drug testing guidelines in order 

to take advantage of these new opportunities. 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,782,652,000 for the substance 

abuse prevention and treatment [SAPT] block grant. The amount 

is the same as the comparable level for fiscal year 2011. The administration request is $1,494,314,000. The recommendation includes $79,200,000 in transfers available under section 241 of the 

PHS Act. The block grant provides funds to States to support alcohol and drug abuse prevention, treatment and rehabilitation services. Funds are allocated to the States according to a formula. State 

plans must be submitted and approved annually. 

The Committee recommendation does not include a waiver, requested by the administration, of the statutory requirement that 20 

percent of the SAPT block grant be set aside for substance abuse 

prevention. The administration proposes to reallocate these setaside funds to a new Substance Abuse State Prevention Grant program. The Committee is concerned that creating another State 

grant program with new requirements would represent an unnecessary and burdensome approach and would not support services 

being delivered on a continuum of prevention, treatment and recovery support services. Furthermore, a 1-year waiver of the setaside 

is not a stable basis for States to make long-term plans for substance abuse prevention programming. 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2011 ............................................................................. $186,061,000 

Budget estimate, 2012 ........................................................................... 74,582,000 

Committee recommendation ................................................................. 186,361,000 

The Committee recommends $186,361,000 for programs to prevent substance abuse. The comparable fiscal year 2011 level is 

$186,061,000 and the administration request is $74,582,000. The 

Center for Substance Abuse Prevention [CSAP] is the sole Federal 

organization with responsibility for improving accessibility and 

quality of substance abuse prevention services. 

Programs of Regional and National Significance 

The Committee has provided $186,361,000 for programs of regional and national significance [PRNS] within CSAP. Through the 

PRNS, CSAP supports: development of new practice knowledge on 


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substance abuse prevention; identification of proven effective models; dissemination of science-based intervention information; State 

and community capacity building for implementation of proven, effective substance abuse prevention programs; and programs addressing new needs in the prevention system. 

Within the total provided for PRNS, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee 

recommendation 

CAPACITY: 

Strategic Prevention Framework/Partnerships for Success .............. 110,015 ........................ 110,015 

Mandatory Drug Testing ................................................................... 4,906 5,206 5,206 

Minority AIDS ..................................................................................... 41,385 41,385 41,385 

Sober Truth on Preventing Underage Drinking (STOP Act) .............. 7,000 7,000 7,000 

National Adult-Oriented Media Public Service Campaign ...... 1,000 1,000 1,000 

Community-based Coalition Enhancement Grants .................. 5,000 5,000 5,000 

Intergovernmental Coordinating Committee on the Prevention 

of Underage Drinking .......................................................... 1,000 1,000 1,000 

SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder ...................................................... 9,821 8,000 9,821 

Center for the Application of Prevention Technologies .................... 8,074 8,511 8,074 

Science and Service Program Coordination ..................................... 4,789 4,409 4,789 

Minority Fellowship Program ............................................................. 71 71 71 

The Committee notes that the Strategic Prevention Framework 

State Incentive Grant [SPF SIG] program promotes an evidencebased, public health approach to substance abuse prevention. This 

program utilizes a five-step, data-driven planning model to ensure 

that services target areas of greatest need. Grantees use the findings from public health research along with evidence-based prevention programs to build State and local capacity, which will in turn 

promote resilience and decrease risk factors in individuals, families 

and communities. The Partnerships for Success program builds on 

this model by providing additional funding to eligible SPF SIG 

grantees that achieve a quantifiable decline in statewide substance 

abuse rates. Both programs are promising approaches to preventing the onset and reducing the progression of substance abuse, 

including childhood and underage drinking. 

The administration proposes to eliminate funding for both the 

SPF SIG and Partnerships for Success programs, terminating 

many grants mid-cycle and before an assessment of program performance is completed. While the administration proposed to redirect funding to a new Substance Abuse State Prevention Grant program, the Committee notes that the President’s budget would cut 

substance abuse prevention grants across SAMHSA by $71,545,000 

below the comparable fiscal year 2011 level. The Committee further 

notes that youth drug use rates are increasing and perceptions of 

harm decreasing. According to SAMHSA’s National Survey on Drug 

Use and Health, use of marijuana rose among Americans aged 12 

and older from 5.8 percent in 2007 to 6.9 percent in 2010. This is 

not the time to cut funding for substance abuse prevention or to 

disrupt a promising approach to this problem. For this reason the 

Committee recommendation does not approve the administration 

request and provides funding to the SPF SIG and Partnership for 

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cate funding to the remaining cohort of SPF SIG grantees at 

amounts not less than what they received in fiscal year 2011. 

The Committee recognizes substance abuse prevention as a 

unique and distinct field and urges SAMHSA to promote programming consistent with this finding. The Committee intends that 

funds specifically appropriated for bona fide substance abuse and 

underage drinking prevention purposes shall not be consolidated 

with, reallocated to or used for any other programs or initiatives 

in SAMHSA which do not have youth drug and underage alcohol 

abuse as a primary purpose, even if it may have secondary effects 

on these goals. 

Underage Drinking.—The Committee has provided $1,000,000 for 

the Interagency Coordinating Committee on the Prevention of Underage Drinking [ICCPUD] and expects this interagency group to 

explicitly address the issue of underage, high-risk drinking on college campuses through an identification of best practices, strategies 

and policies currently being implemented on college campuses to 

deal with this persistent and pervasive public health issue. The 

Committee expects to see this specific information included in the 

next ICCPUD report. 

HEALTH SURVEILLANCE AND PROGRAM SUPPORT

Appropriations, 2011 ............................................................................. $158,652,000 

Budget estimate, 2012 ........................................................................... 168,161,000 

Committee recommendation ................................................................. 133,034,000 

The Committee recommends $133,034,000 for health surveillance 

and program support activities. The comparable level for fiscal year 

2011 is $158,652,000 and the administration request is 

$168,161,000. The recommendation includes $27,428,000 in transfers available under section 241 of the PHS Act. In addition, the 

Committee recommends that $18,000,000 in mandatory funds be 

transferred to this account from the PPH Fund for surveillance activities. 

This activity supports Federal staff and the administrative functions of the agency. It also provides funding to SAMHSA’s surveillance and data collection activities, including national surveys such 

as the National Survey on Drug Use and Health. 

The Committee has also provided funding in this account for 

agency activities that cut across SAMHSA’s three centers. The 

Committee recommendation reflects the administration proposal to 

consolidate funding for public awareness, performance management and information dissemination, including SAMHSA’s Health 

Information Network and the National Registry of Evidence-based 

Programs. These support activities were previously funded in each 

Center. Combining these functions in a single budget line will 

allow SAMHSA to achieve efficiencies from the consolidation of 

multiple contracts. The fiscal year 2011 amounts have been adjusted for comparability. 

The Committee recommendation does not include funding requested by the administration for cross-cutting initiatives relating 

to military families or behavioral health information technology. 

The Committee was not able to fund either activity due to fiscal 

constraints. 


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The Committee recommendation does not provide discretionary 

funding or transfers from the PPH Fund for the administration’s 

proposed Prevention Prepared Communities initiative. According to 

the proposed budget, this new program would implement evidencebased programs to prevent substance abuse and mental health 

issues in individuals aged 9 to 25. The Committee believes the proposal would be duplicative of other programs, such as the SPF SIG 

and Partnerships for Success. The administration requested 

$22,600,000 for this new program. 

Due to budget constraints, the Committee has not provided funding or transfers from the PPH Fund for the administration’s proposed Tribal Behavioral Health Grant program. The administration 

requested $50,000,000 for this new program. 

The Committee is concerned by the reliance of SAMHSA on contractors for the provision of technical assistance. The Committee 

believes that dependence on contractors is detrimental to building 

and maintaining specific knowledge and expertise within 

SAMHSA’s workforce. In addition, the Committee notes a recent 

report by the Project on Government Oversight showing that the 

Federal government pays billions more annually in taxpayer dollars to hire contractors than it would to hire Federal employees to 

perform comparable services. In this time of fiscal constraint, the 

Committee is concerned that overuse of contractors may not maximize the amount of agency funding going to service provision. The 

Committee requests a report no later than 3 months after enactment, detailing all agency technical assistance contracts issued 

with fiscal year 2011 funding. The report should include descriptions of each contract, the entities receiving contracts and the 

amount provided. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2011 ............................................................................. $372,053,000 

Budget estimate, 2012 ........................................................................... 366,397,000 

Committee recommendation ................................................................. 372,053,000 

The Committee recommends $372,053,000 for the Agency for 

Healthcare Research and Quality [AHRQ]. This amount is the 

same as the comparable funding level for fiscal year 2011. The administration request is $366,397,000 for AHRQ. The Committee 

recommendation is funded entirely from transfers available under 

section 241 of the PHS Act. In addition, the Committee recommends that $12,000,000 in mandatory funds be transferred to 

AHRQ from the PPH Fund. 

AHRQ was established in 1990 to enhance the quality, appropriateness and effectiveness of health services, as well as access to 

such services. In order to fulfill this mission, AHRQ conducts, supports and disseminates scientific and policy-relevant research on 

topics such as reducing medical errors, eliminating healthcare disparities, using information technology, and comparing the effectiveness of drugs and medical procedures. AHRQ-supported research 

provides valuable information to researchers, policymakers, 

healthcare providers and patients on ways to improve our Nation’s 

health system and make healthcare more affordable. 


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HEALTH COSTS, QUALITY, AND OUTCOMES

The Committee provides $238,768,000 for research on health 

costs, quality and outcomes [HCQO]. The comparable funding level 

for fiscal year 2011 is $245,653,000 and the administration request 

is $232,612,000 for this activity. In addition, the Committee recommends that $12,000,000 in mandatory funds be transferred to 

HCQO from the PPH Fund. The HCQO research activity is focused 

upon improving clinical practice, improving the healthcare system’s 

capacity to deliver quality care, and tracking progress toward 

health goals through monitoring and evaluation. 

Within the total provided for HCQO, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

request 

Committee recommendation 

Patient-Centered Outcomes Research ....................................................... 21,000 21,600 19,600 

Prevention/Care Management .................................................................... 15,904 23,304 15,904 

Prevention and Public Health Fund Transfer (non-add) .................. 12,000 ........................ 12,000 

Value .......................................................................................................... 3,730 3,730 3,730 

Health Information Technology .................................................................. 27,645 27,572 25,572 

Patient Safety ............................................................................................ 65,585 64,622 65,585 

Crosscutting Activities Related to Quality, Effectiveness & Efficiency .... 111,789 91,784 108,377 

Within the total for HCQO, the Committee provides $19,600,000 

for patient-centered outcomes research, also known as comparative 

effectiveness research [CER]. The recommendation provides sufficient resources to maintain existing grants and contracts at AHRQ 

but does not include funding for new research. The Committee has 

not funded new CER research activity in recognition that the Patient Centered Outcomes Research Institute, created by the Affordable Care Act, will be responsible for managing and prioritizing 

CER. 

Building the Next Generation of Researchers.—The Committee is 

deeply concerned about declines in the number of, and funding for, 

training grants for the next generation of researchers. The Committee urges AHRQ to provide greater support to pre- and post-doctoral training grants and fellowships to ensure America stays competitive in the global research market. 

Clinical Preventive Services Research.—The Committee has included $5,000,000 in transfers from the PPH Fund to continue to 

build the evidence base regarding clinical preventive services. This 

research will address evidence gaps in implementation of preventive services in primary care, as well as advance the national research agenda regarding how to improve access, delivery and outcomes of clinical preventive services in priority populations. 

Investigator-Initiated Research.—The Committee continues to 

support investigator-initiated research, which forms the backbone 

of AHRQ’s ability to improve healthcare with creative and innovative approaches to ongoing and emerging healthcare issues. Within 

the Crosscutting Activities Related to Quality, Effectiveness and 

Efficiency Research portfolio, the Committee provides $43,364,000, 

the same as the comparable funding level for fiscal year 2011, for 

investigator-initiated research. This funding level will allow ARHQ 


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to support new investigator-initiated research grants to advance 

discovery and the free marketplace of ideas. 

Moving Research Into Practice.—The Committee continues to 

support AHRQ’s research translation activities, including practicebased research centers and learning networks that are designed to 

better understand healthcare delivery and move the best available 

research and decisionmaking tools into healthcare practice. The 

Committee recommendation includes funding for AHRQ to continue 

these programs. 

Nurse Staffing Ratios.—The Committee notes that minimum 

nurse staffing standards have been found to increase patients’ satisfaction with the care they receive and increase the number of 

nurses who serve at the bedside. The Committee encourages AHRQ 

to study the impact that nurse-to-patient ratios, in conjunction 

with the organizational setting, have on the quality of care and patient outcomes. AHRQ is also encouraged to recommend further integration of these ratios into quality measurement and quality improvement activities. 

Rehabilitation Research.—The Committee is aware that rehabilitation interventions offer potential solutions to many health policy 

issues regarding cost-effective interventions that improve the 

health of citizens and contribute to a higher quality healthcare delivery system. The Committee encourages AHRQ to seek opportunities to collaborate with CMS and the National Center for Medical 

Rehabilitation Research [NCMRR] within the Eunice Kennedy 

Shriver National Institute for Child Health and Human Development [NICHD]. The Committee believes such a partnership should 

advance potential opportunities to conduct comparative investigations of rehabilitation interventions with other healthcare treatment approaches. 

Scientific Freedom in Contracted Research.—The Committee understands that AHRQ continues to increase its use of contracts for 

conducting research and that in a number of circumstances the 

principal investigator is not allowed to publish scientific findings in 

peer-reviewed journals in a reasonable time due to contract clause 

limitations. The Committee is concerned that such contractual 

prior restraint clauses on the publication of research may inadvertently stifle scientific freedom and hinder the dissemination of findings that can inform health policymaking. The Committee directs 

AHRQ to review its policies to ensure researchers have the opportunity to publish research findings in scientific peer-reviewed journals without unreasonable restrictions to allow greater review and 

input from the scientific community. 

U.S. Preventive Services Task Force [USPSTF].—The Committee 

provides a program level of $11,300,000 for the USPSTF, the same 

as the comparable funding level for fiscal year 2011. The recommendation includes $4,300,000 in transfers available from section 241 of the PHS Act and $7,000,000 in transfers from the PPH 

Fund. 

MEDICAL EXPENDITURES PANEL SURVEYS

The Committee provides $59,300,000, the same as the administration request, for medical expenditures panel surveys [MEPS]. 

The comparable funding level for fiscal year 2011 is $58,800,000. 


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MEPS collects detailed information annually from households, 

healthcare providers and employers regarding how Americans use 

and pay for healthcare. The data from MEPS are used to develop 

estimates of healthcare utilization, expenditures, sources of payment and the degree of health insurance coverage of the U.S. population. The increase provided will support the precision of survey 

estimates and analytic capacity by maintaining MEPS’ sample size. 

PROGRAM SUPPORT

The Committee recommends $73,985,000 for program support. The comparable funding level for fiscal year 2011 is $67,600,000 

and the administration request is $74,485,000. The Committee recommendation includes funding requested by the administration for 

tenant improvement costs associated with a possible relocation of 

staff. Funding has also been provided to support dissemination of 

USPSTF recommendations and increase transparency of USPSTF 

methods and processes. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2011 .............................................................................$173,143,799,000 

Budget estimate, 2012 ........................................................................... 184,279,110,000 

Committee recommendation ................................................................. 184,279,110,000 

The Committee recommends $184,279,110,000 in mandatory 

funding for Grants to States for Medicaid. This is the same amount 

as the administration’s request for fiscal year 2012. The fiscal year 

2011 comparable level was $173,143,799,000. The fiscal year 2012 recommendation excludes $86,445,289,000 

in fiscal year 2011 advance appropriations for fiscal year 2012. As 

requested by the administration, $90,614,082,000 is provided for 

the first quarter of fiscal year 2013. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula that determines the appropriate Federal matching rate for State program costs. This matching rate is 

based on the State’s average per capita income relative to the national average and cannot be less than 50 percent. 

PAYMENTS TO HEALTHCARE TRUST FUNDS

Appropriations, 2011 .............................................................................$229,464,000,000 

Budget estimate, 2012 ........................................................................... 231,011,580,000 

Committee recommendation ................................................................. 231,012,000,000 

The Committee recommends $231,012,000,000 in mandatory 

funding for Payments to Healthcare Trust Funds. The administration’s request for fiscal year 2012 is $231,011,580,000. The fiscal 

year 2011 comparable level was $229,464,000,000. 

This entitlement account includes the general fund subsidy to 

the Federal Supplementary Medical Insurance Trust Fund for 

Medicare part B benefits and for Medicare part D drug benefits 

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istrative costs that have not been financed by payroll taxes or premium contributions. 

The Committee provides $178,041,000,000 for the Federal payment to the Supplementary Medical Insurance Trust Fund. This 

payment provides matching funds for premiums paid by Medicare 

part B enrollees. The Committee further provides $51,451,000,000 

for the general fund share of benefits paid under Public Law 108– 

173, the Medicare Prescription Drug, Improvement and Modernization Act of 2003. The Committee includes bill language requested 

by the administration providing indefinite authority for paying the 

general revenue portion of the part B premium match and provides 

resources for the part D drug benefit program in the event that the 

annual appropriation is insufficient. The Committee recommendation also includes $475,000,000 to be 

transferred to the Supplementary Insurance Trust Fund as the 

general fund share of part D administrative expenses. The Committee recommendation includes $581,000,000 in reimbursements 

to the Health Care Fraud and Abuse Control [HCFAC] fund. 

PROGRAM MANAGEMENT

Appropriations, 2011 ............................................................................. $3,586,855,000 

Budget estimate, 2012 ........................................................................... 4,396,973,000 

Committee recommendation ................................................................. 4,044,876,000 

The Committee recommends $4,044,876,000 for CMS program management. The administration requested $4,396,973,000. The 

fiscal year 2011 comparable level was $3,586,855,000. 

Research, Demonstrations and Evaluations 

The Committee recommends $31,200,000 for research, demonstrations and evaluation activities. The Committee includes sufficient funding to fulfill the President’s request for the Medicare 

Current Beneficiaries Survey, Real Choice Systems Change grants, 

other activities and continuations of the demonstrations previously 

authorized under this account. 

CMS research and demonstration activities expand efforts that 

improve the efficiency of payment, delivery, access and quality of 

the Medicare and Medicaid programs. 

The Committee encourages the Center for Medicare and Medicaid Innovation to collaborate with AHRQ to expand and implement research that has resulted in successful strategies to reduce 

waste and duplication in hospitals while improving the quality of 

healthcare. The Committee believes that AHRQ’s research translation activities, such as its ACTION network, could be used to promote these strategies to hospitals and help with their implementation. 

Atrial Fibrillation [AFib].—The Committee is aware that AFib is 

the most common chronic cardiac arrhythmia, affecting an estimated 2.3 million Americans. The number of patients with AFib is 

likely to increase significantly, underscoring a substantial public 

health risk. Already, the disease accounts for approximately onethird of hospitalizations for cardiac rhythm disturbances, costing 

$4,700 per patient annually. AFib also has significant morbidity 

and mortality consequences, increasing the risk of stroke approximately five-fold and causing an estimated 15 percent of all strokes 


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in the United States. The Committee encourages CMS to consider 

targeting AFib patients in current and planned Medicare payment 

and quality improvement programs for the purpose of improving 

patient outcomes and reducing avoidable healthcare costs, including those associated with hospital admissions and readmissions for 

these patients. Such programs could include those pertaining to 

quality reporting, performance measurement, medication therapy 

management, wellness assessments, transitions of care, support 

services, and post-acute care. 

Chronic Kidney Disease.—The Committee is aware that approximately 23 million Americans have evidence of kidney disease and 

another 20 million are at risk of developing it. Therefore the Committee strongly supports efforts to prevent kidney disease and detect symptoms early to improve treatment outcomes. The Kidney 

Disease Education and Awareness program authorized in section 

152 of the Medicare Improvements for Patients and Providers Act 

of 2008 is one such program. The intent of this program is to increase awareness and screening of chronic kidney disease and enhance surveillance systems to better assess the incidence and prevalence of this disease. The program would be carried out through 

a 5-year pilot project in three States, with a GAO evaluation. The 

Committee encourages CMS to consider implementing this demonstration to determine if greater outreach can improve health outcomes and generate cost savings for the Federal Government. 

Program Operations 

The Committee recommends $2,813,935,000 for program operations. The comparable funding level for fiscal year 2011 was 

$2,397,655,000 and the fiscal year 2012 budget request was 

$3,062,025,000. 

The program operations account covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance and technical support to both providers and 

beneficiaries. 

The Committee recommendation includes $167,863,000 for contract costs for the Healthcare Integrated General Ledger Accounting System and includes bill language that extends the availability 

of those funds until September 30, 2013. 

The Committee has included additional funding within Program 

Operations to help support the work required of CMS to implement 

the Patient Protection and Affordable Care Act, signed into law on 

March 23, 2010. 

This funding will be used to support the development of quality 

standards for the Medicare Shared Savings plan, performance 

measures to reduce hospital acquired infections, quality incentives 

on end-stage renal disease and value-based purchasing standards. 

In addition, the Patient Protection and Affordable Care Act requires CMS in fiscal year 2012 to improve parts C and D of Medicare by closing the ‘‘doughnut hole,’’ simplifying election periods, 

reducing wasteful dispensing, and extending special needs plans. 

CMS will expand consumer assistance and education efforts, 

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pand provider assistance as well, including the introduction of additional transparency in the Medicare appeals process. 

Finally, the Patient Protection and Affordable Care Act requires 

CMS in fiscal year 2012 to support States as they attempt to meet 

the January 1, 2013, deadline for a viable State-based health insurance exchange. 

The Committee recommendation also includes increased funding 

for the National Medicare Education program. This funding supports beneficiary materials, Internet sites, contact centers and support services. The Committee notes that the baby boom generation 

is beginning to age into Medicare, with average monthly enrollment jumping from 45.9 million in 2009 to 47.2 million in 2010. 

That trend will only accelerate in the coming years, causing a dramatic increase in the need for support as these Americans set up 

their Medicare benefit plans. Baby boomers access information in 

different ways than previous generations already on Medicare did 

and the Committee commends CMS for modifying beneficiary materials and support systems accordingly. 

Collaboration With the Food and Drug Administration [FDA].— 

The Committee encourages CMS to review information from FDA 

that describes if a newly approved drug indication was approved by 

FDA through either a noninferiority or a superiority trial. A manufacturer can choose to submit a new drug application using either 

a non-inferiority or a superiority clinical trial or both. 

Medicare Secondary Payer Reimbursement.—The Committee is 

concerned by the delays experienced in the Medicare Secondary 

Payer reimbursement system, in part caused by a lack of clear information about the amount owed to Medicare. The Committee expects CMS to submit a plan to the Committee within 180 days of 

enactment of this act that allows Medicare beneficiaries to obtain 

a final and reliable demand letter regarding how much they must 

reimburse Medicare under the Medicare Secondary Payer Act prior 

to reaching a settlement in the associated civil litigation. That plan 

must identify any statutory of other barriers to implementing such 

a process, make recommendations related to any barriers identified 

and propose a timeline for implementation. 

Mobile Oxygen Therapy.—The Committee is aware of ongoing research into mobile applications of oxygen therapy in wound care, 

which might allow for less onerous and less expensive forms of delivery. Some of these devices provide episodic oxygen delivery, 

while others provide continuous streams of oxygen. The Committee 

encourages CMS to review clinical data on all forms of mobile oxygen delivery, with an eye toward improved wound healing. 

Remote Access to Care.—The Committee is concerned by a recent 

letter from CMS to a grantee of the Federal Native Hawaiian 

Health Care program that effectively blocks the implementation of 

a Hawaii State law allowing advanced practice registered nurses to 

practice without the physical supervision of a physician. Given the 

barrier imposed by island geography, blocking the State law may 

have the unintended consequence of reducing access to care. The 

Committee urges CMS to work with the Health Resources Services 

Administration to find a suitable resolution that maximizes access 

to care in remote locations. 


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Uniformed Services Plans.—The Committee understands that 

CMS may assume responsibility for future enrollees of the Uniformed Services Family Health Plans [USFHP] past age 65 pending the final disposition of a Department of Defense [DOD] proposal included in the fiscal year 2012 National Defense Authorization Act. The Committee is aware of the high patient satisfaction 

rates that this plan enjoys. The Committee directs CMS to work 

with DOD to ensure that beneficiaries experience the smoothest 

possible transition. In addition, the Committee urges CMS to explore the quality of care, cost-effectiveness and medical outcomes of 

this model to determine if a demonstration is warranted on capitation-based payment systems. If this proposal is enacted, the Committee requests a report in the fiscal year 2013 justification on the 

steps CMS has taken to ensure the continuity of care for beneficiaries and to review the USFHP model for any strategies CMS 

might adopt around delivering high-quality integrated care. 

Vaccination.—It is estimated that the cost of the health burden 

to society from vaccine preventable diseases, including influenza, is 

approximately $10,000,000,000 annually. In particular, the Committee is concerned that the majority of healthcare workers do not 

get regularly recommended vaccinations and that adult vaccination 

rates are particularly low for minority groups. The Committee commends CMS for including healthcare workers in seasonal influenza 

vaccination reporting rates and performance metric. The Committee looks forward to reviewing the data that will be collected beginning in 2012. 

State Survey and Certification 

The Committee recommends $361,276,000, the same as the fiscal 

year 2011 level, for Medicare State survey and certification activities. The administration’s request for fiscal year 2012 was 

$400,283,000. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

meet Federal health, safety and program standards. On-site surveys are conducted by State survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. 

High Risk Insurance Pools 

The Committee has included $44,000,000, the same as the budget request, for High Risk Insurance Pools. The fiscal year 2011 

level was $54,890,000. 

Federal Administration 

The Committee recommends $794,465,000 for Federal administration costs. The fiscal year 2011 funding level was $737,505,000 

and the budget request was $859,465,000. 

Dental Disease.—The Committee notes that, although virtually 

all dental disease is fully preventable, tooth decay remains the 

most common chronic illness among children. With more children 

expected to receive coverage for dental services, there will be even 

greater pressure on an already challenged dental delivery system. 

Increasing entry points into the oral healthcare delivery system is 

increasingly being recognized as essential to improving access to 


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oral healthcare. Currently, 34 States allow dental hygienists to provide dental care outside of a dental office without a prior exam or 

pre-authorization by a dentist. The Committee urges CMS and 

HRSA to take steps to facilitate expanded access to dental services 

in community health centers and other public health settings. Further, dental Medicaid regulations should be updated to reflect how 

practice has evolved and dental services are currently delivered. 

Tuberculosis [TB].—The Committee is concerned about the 

growth in cases of drug-resistant forms of TB, including 114 cases 

of multi-drug-resistant TB in the United States in 2009. The Committee notes that timely and effective treatment regimens are necessary to reduce transmission of drug-resistant TB. Therefore, the 

Committee strongly supports the ongoing collaboration between 

CMS and CDC that has thus far resulted in multi-level communication to States about options in Medicaid. The Committee encourages CMS to continue this collaboration. 

HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2011 ............................................................................. $310,377,000 

Budget estimate, 2012 ........................................................................... 580,580,000 

Committee recommendation ................................................................. 581,000,000 

The Committee recommends $581,000,000, to be transferred from 

the Medicare trust funds, for health care fraud and abuse control 

activities. The comparable amount in fiscal year 2011 was 

$310,377,000 and the fiscal year 2012 budget request included 

$580,580,000. 

The Committee recommendation includes a base amount of 

$311,000,000 and an additional $270,000,000 through a budget cap 

adjustment authorized by section 251(b) of the Balanced Budget 

and Emergency Deficit Control Act of 1985. This amount, in addition to the $1,271,930,000 in mandatory monies for these activities, will provide a total of $1,852,930,000 for 

health care fraud and abuse control activities in fiscal year 2012. The Committee has included $345,715,000 in discretionary funds 

for the Medicare Integrity Program and intends the remaining 

funds to be allocated as they were requested in the administration’s budget for fiscal year 2012. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2011 ............................................................................. $2,964,323,000 

Budget estimate, 2012 ........................................................................... 2,305,035,000 

Committee recommendation ................................................................. 2,305,035,000 

The Committee recommends $2,305,035,000, the same as the 

budget request under current law, in fiscal year 2012 mandatory 

funds for payments to States for child support enforcement and 

family support programs. The comparable fiscal year 2011 appropriation is $2,964,323,000. In addition, the Committee recommends 

$1,100,000,000, the same as the budget request, in advance funding for the first quarter of fiscal year 2013. The comparable advance appropriation provided in fiscal year 2011 as an advance appropriation for fiscal year 2012 is $1,200,000,000. 


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These funds support States’ efforts to promote the self-sufficiency 

and economic security of low-income families, including administrative expenses matching funds and incentive payments to States for 

child support enforcement; grants to States to help establish and 

administer access and visitation programs between non-custodial 

parents and their children; payments to territories for benefits to 

certain aged, blind, or disabled individuals; and temporary benefits 

for certain repatriated citizens. 

The Committee notes that the budget request includes a legislative proposal that would require that child support payments made 

on behalf of youth in foster care are used in the best interest of 

the child, rather than as an offset to State and Federal child welfare costs. The Committee supports this initiative and will work 

with the Committees of jurisdiction on this proposal as necessary. 

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2011 ............................................................................. $4,700,580,000 

Budget estimate, 2012 ........................................................................... 2,569,551,000 

Committee recommendation ................................................................. 3,600,580,000 

The Committee recommends $3,600,580,000 for the low income 

home energy assistance program [LIHEAP]. The comparable fiscal 

year 2011 funding level is $4,700,580,000 and the fiscal year 2012 

budget request is $2,569,551,000. LIHEAP provides home heating 

and cooling assistance to low-income households, generally in the 

form of payments to energy vendors on behalf of the recipient. 

The Committee is aware of the significant continuing demand for 

LIHEAP assistance and regrets that budget constraints require a 

cut in funding. The Committee notes that the recommended level 

for fiscal year 2012 is $1,030,252,000 higher than the fiscal year 

2008 funding level and $1,031,029,000 higher than the administration’s budget request. 

Within the total, the Committee recommendation includes 

$3,400,653,000 for the State formula block grant. Bill language 

stipulates that all of the funds should be allocated to States based 

on the original LIHEAP formula. The comparable fiscal year 2011 

funding level is $4,500,653,000 and the budget request is 

$1,980,000,000. LIHEAP block grants are awarded to States, territories, Indian tribes, and tribal organizations according to a statutory formula, based in part on each State’s share of home energy 

expenditures by low-income households. Within this amount, the 

Committee includes up to $3,000,000 for program integrity and 

oversight efforts and $27,000,000 for leveraging incentive funds, as 

requested by the administration. 

The Committee recommendation also includes $199,927,000, the 

same as the comparable fiscal year 2011 level, for the contingency 

fund. The budget request is $589,551,000. The Committee does not 

include bill language making the contingency fund available until 

expended, as proposed by the administration. The contingency fund 

is used to provide additional assistance to States adversely affected 

by extreme heat or cold, significant price increases, or other causes 

of energy-related emergencies. 


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REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2011 ............................................................................. $729,466,000 

Budget estimate, 2012 ........................................................................... 824,694,000 

Committee recommendation ................................................................. 787,639,000 

The Committee recommends $787,639,000 for refugee and entrant assistance. The comparable fiscal year 2011 funding level is 

$729,466,000 and the fiscal year 2012 budget request is 

$824,694,000. The refugee and entrant assistance program is designed to assist refugees, asylees, Cuban and Haitian entrants, 

trafficking victims, and torture victims (summarized below as ‘‘refugees’’) to become employed and self-sufficient as quickly as possible. It also funds temporary shelter and services for unaccompanied alien children apprehended by law enforcement who are in 

Federal custody awaiting adjudication of their immigration status. 

Transitional and Medical Services 

The Committee recommendation includes $386,625,000 for transitional and medical assistance. The comparable fiscal year 2011 

funding level is $352,625,000 and the budget request is 

$394,224,000. 

Transitional and medical services provide grants to States and 

nonprofit organizations to provide up to 8 months of cash and medical assistance to incoming refugees as well as foster care services 

to unaccompanied minors. Within the total, the Committee recommendation includes not less than $65,000,000 for the voluntary 

agency matching grant program, which provides grants to resettlement agencies to provide comprehensive services, including case 

management, job development, job placement, and interim housing 

and cash assistance, with the goal of refugees becoming self-sufficient within their first 4 months. Refugees enrolled in this program 

are not eligible for regular transitional and medical assistance. The 

Committee continues to support the voluntary agency matching 

grant program and encourages the Office of Refugee Resettlement 

[ORR] to explore the continued expansion of this program. 

While many of the costs of the transitional and medical services 

program are outside of HHS’ control, the Committee remains concerned with the projected increases in these costs. The Committee 

directs ACF to include actual and projected information in their fiscal year 2013 budget justification, broken out by refugees in Stateadministered, voluntary agency matching grant, and Wilson-Fish 

programs where applicable, on the number of refugees arriving in 

the United States, potentially eligible for assistance and actually 

receiving assistance; the average amount of time refugees receive 

assistance; the average cash and medical assistance benefit; and 

the total obligations of the program. The Committee also directs 

ACF to separately include information on the actual and projected 

costs of reimbursing States for providing foster care for unaccompanied refugee minors [URM], including the number of URMs in 

foster care. 

Victims of Trafficking 

The Committee recommendation includes $9,794,000, the same 

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tims of trafficking. The fiscal year 2012 budget request is 

$9,814,000. This program supports a national network for identifying, certifying and providing comprehensive services to international victims of trafficking. 

Social Services 

The Committee recommendation includes $153,697,000, the same 

amount as the comparable fiscal year 2011 funding level, for social 

services. The fiscal year 2012 budget request is $179,005,000. 

These funds include formula and discretionary grants to States and 

nonprofit organizations to provide a variety of employment and 

support services to recently arrived refugees. 

Preventive Health 

The Committee recommendation includes $4,739,000, the same 

amount as the comparable fiscal year 2011 funding level, for preventive services. The budget request is $4,748,000. This program 

funds grants to coordinate and promote refugees’ access to health 

screening, treatment and follow-up services. 

Targeted Assistance 

The Committee recommendation includes $48,493,000 for targeted assistance, the same amount as the comparable fiscal year 

2011 funding level, for the targeted assistance program, which provides additional funds to States with an influx of refugee arrivals 

and a high concentration of refugees facing difficulties achieving 

self-sufficiency. The budget request is $48,590,000. 

Unaccompanied Alien Children 

The Committee recommendation includes $173,225,000 for unaccompanied alien children [UAC]. The comparable fiscal year 2011 

funding level is $149,052,000 and the budget request is 

$177,225,000. The unaccompanied alien children program provides 

shelter and support services to unaccompanied alien minors apprehended in the United States by the Department of Homeland Security or other law enforcement agencies. Children are taken into 

ORR’s care pending resolution of their claims for relief under U.S. 

immigration law or release to an adult family member or guardian. 

Within the total, the Committee provides $6,100,000 to continue 

the pro bono legal services initiative to ensure legal representation 

for both released and detained children. These funds should be 

used to train legal counsel to detect abuse, mistreatment, labor exploitation and trafficking of these children. In addition, a portion 

of these funds should be used to train legal counsel in methods that 

will ensure the appearance of children at all immigration court 

hearings. 

Victims of Torture 

The Committee recommendation includes $11,066,000, the same 

amount as the comparable fiscal year 2011 funding level, for victims of torture. The budget request is $11,088,000. This program 

provides treatment, social and legal services to victims of torture 

and training to healthcare providers on treating the physical and 

psychological effects of torture. 


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PAYMENTS TO STATES FOR THE CHILDCARE AND DEVELOPMENT BLOCK

GRANT

Appropriations, 2011 ............................................................................. $2,222,627,000 

Budget estimate, 2012 ........................................................................... 2,926,757,000 

Committee recommendation ................................................................. 2,222,627,000 

The Committee recommends $2,222,627,000, the same amount as 

the comparable fiscal year 2011 funding level, for the childcare and 

development block grant [CCDBG]. The budget request is 

$2,926,757,000. The CCDBG is a formula grant to States to provide 

financial assistance to low-income families to help pay for childcare 

and improve the quality of childcare programs. 

Within the total, the Committee recommendation includes 

$18,922,000 for resource and referral programs and school-aged 

childcare activities, of which $1,000,000 is specified in bill language 

for a national toll-free hotline and Web site that provides consumer 

education materials and assists families in accessing local information on childcare options. The Committee recommendation also includes $283,592,000 for childcare quality improvement activities, of 

which $104,005,000 is specified for improving infant and toddler 

childcare. These quality improvement funds are in addition to the 

4 percent quality improvement set-aside established in the authorizing legislation. Finally, the Committee recommendation includes 

$9,890,000 for childcare research and evaluation activities. 

The Committee notes the administration has proposed revised reporting requirements for tribes that integrate Federal funding, including CCDBG funding, for employment, job training and related 

services into a single coordinated program, as authorized by Public 

Law 102–477. While the Committee supports an improved reporting system, any changes should be made consistent with Public 

Law 102–477, which is intended to improve efficiencies and lessen 

the administrative burden on tribes. The Committee does not support the proposed requirement that tribes under this program report separately on CCDBG, Temporary Assistance for Needy Families, and Native Employment Works funding. The Committee expects notification prior to ACF implementing any changes to reporting requirements under these programs. 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2011 ............................................................................. $1,700,000,000 

Budget estimate, 2012 ........................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

The Committee recommends $1,700,000,000 in mandatory funds 

for fiscal year 2012 for the social services block grant [SSBG]. This 

amount is the same as the comparable fiscal year 2011 funding 

level and the budget request. The SSBG is a flexible source of funding that allows States to provide a diverse array of services to lowincome children and families, the disabled and the elderly. 

The Committee continues to regard the SSBG as a critical source 

of funding for services that protect children from neglect and 

abuse, including providing foster and respite care, as well as related services for children and families, persons with disabilities 

and older adults. The Committee recognizes the importance of this 

program, especially in providing mental health and counseling 


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services to underserved populations, and recommends continued 

usage and flexibility of these funds for such purposes. 

CHILDREN AND FAMILY SERVICES PROGRAMS

Appropriations, 2011 ............................................................................. $9,519,357,000 

Budget estimate, 2012 ........................................................................... 9,794,598,000 

Committee recommendation ................................................................. 9,845,685,000 

The Committee recommends $9,845,685,000 for fiscal year 2012 

for children and families services programs. The comparable funding level for fiscal year 2011 is $9,519,357,000 and the budget request is $9,794,598,000. The recommendation includes an additional $5,762,000 in transfers available under section 241 of the 

Public Health Service Act. 

This appropriation supports a variety of programs for children, 

youth and families; the developmentally disabled; Native Americans; victims of child abuse, neglect and domestic violence; and 

other vulnerable populations. 

Head Start 

The Committee recommends $7,899,633,000 for Head Start. The 

comparable funding level for fiscal year 2011 is $7,559,633,000 and 

the budget request is $8,099,783,000. 

Head Start provides comprehensive early childhood development 

services for low-income children and families that emphasize cognitive and language development, socio-emotional development, 

physical and mental health and parent involvement to enable each 

child to develop and function at his or her highest potential. At 

least 10 percent of enrollment opportunities in each State are made 

available to children with disabilities. 

The Committee recommendation maintains the expansion of the 

Head Start program started with Recovery Act funding in fiscal 

years 2009 and 2010. It fully supports the increase of over 61,000 

Head Start slots funded through the Recovery Act and in total will 

allow Head Start to provide comprehensive early childhood services 

to 968,000 low-income children and their families. 

There is considerable and increasing evidence that high-quality 

early childhood education has long lasting effects for low-income 

children and families. Children receiving high-quality care are 

more likely to graduate high school on time and go on to college, 

more likely to earn higher incomes later in life and less likely to 

commit a crime. The Committee’s investments in Head Start and 

elsewhere in HHS and the Department of Education, as well as 

changes in the Improving Head Start for School Readiness Act of 

2007, will ensure that more low-income children and families have 

access to high-quality early childhood education. 

Consolidated Runaway and Homeless Youth Program 

The Committee recommends $97,539,000, the same as the fiscal 

year 2011 level, for the consolidated runaway and homeless youth 

program. The budget request includes $102,734,000 for this purpose. This program supports basic centers which provide temporary 

shelter, counseling and after-care services to runaway and homeless youth under age 18 and their families; the transitional living 

program, which provides longer-term shelter and services for older 


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youth; and a national toll-free runaway and homeless youth crisis 

hotline. Because of budget constraints, the Committee recommendation regretfully does not include increased funding for the 

administration’s proposal targeted at enhancing services for youth 

victims of sex trafficking. 

Basic centers and transitional living programs provide services to 

help address the needs of some of the estimated 1,600,000 runaway 

and homeless youth, many of whom are running away from unsafe 

or unhealthy living environments. These programs have been proven effective at lessening rates of family conflict and parental abuse, 

as well as increasing school participation and the employment 

rates of youth. 

Education and Prevention Grants To Reduce Sexual Abuse of Runaway Youth 

The Committee recommends $17,935,000, the same as the fiscal 

year 2011 level, for education and prevention grants to reduce sexual abuse of runaway and homeless youth. The budget request is 

$17,971,000. This program provides competitive grants for streetbased outreach and education services for runaway and homeless 

youth who are subjected to or are at risk of being subjected to sexual abuse or exploitation. 

Child Abuse Prevention and Treatment Programs 

The Committee recommends $93,881,000, the same as the fiscal 

year 2011 level, for child abuse prevention and treatment programs. The budget request is $97,244,000. These programs seek to 

improve and increase activities that identify, prevent and treat 

child abuse and neglect through grants to States; research and 

demonstrations; technical assistance; and grants to communitybased organizations. 

State Formula Grants 

Within the total for child abuse prevention and treatment, the 

Committee recommendation includes $26,482,000 for State formula 

grants, the same as the comparable fiscal year 2011 funding level. 

The budget request is $26,535,000. This program provides formula 

grants to States to improve their child protective service systems. 

Discretionary Activities 

Within the total for child abuse prevention and treatment, the 

Committee recommendation includes $25,793,000 for discretionary 

activities, the same as the comparable fiscal year 2011 funding 

level. The budget request is $29,020,000. This program supports 

discretionary grants for research, demonstration and technical assistance to increase the knowledge base of evidence-based practices 

and disseminate information to State and local child welfare programs. 

Community-Based Grants 

Within the total for child abuse prevention and treatment, the 

Committee recommendation includes $41,606,000 for communitybased grants, the same as the comparable fiscal year 2011 funding 

level. The budget request is $41,689,000. This program provides 


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formula grants to States that then disburse funds to local, community-based organizations to improve local child abuse prevention 

and treatment efforts, including providing direct services and improving the coordination between State and community-based organizations. 

Abandoned Infants Assistance 

The Committee recommends $11,575,000, the same as the budget 

request, for the abandoned infants assistance program. The comparable fiscal year 2011 funding level is $11,605,000. This program 

provides discretionary grants to public and private community and 

faith-based organizations to develop, implement and operate demonstration projects that prevent the abandonment of infants and 

young children impacted by substance abuse and HIV. Funds may 

be used to provide respite care for families and caregivers, allow 

abandoned infants and children to reside with their natural families or in foster care, and carry out residential care programs for 

abandoned infants and children who are unable to reside with their 

families or be placed in foster care. 

Child Welfare Services 

The Committee recommends $281,181,000, the same as the comparable fiscal year 2011 funding level, for child welfare services. 

The budget request is $281,744,000. This formula grant program 

helps State and tribal public welfare agencies improve their child 

welfare services with the goal of keeping families together. States 

and tribes provide a continuum of services that prevent child neglect, abuse or exploitation; allow children to remain with their 

families, when appropriate; promote the safety and permanence of 

children in foster care and adoptive families; and provide training 

and professional development to the child welfare workforce. 

Child Welfare Research, Training and Demonstration 

The Committee recommends $27,153,000, the same as the fiscal 

year 2011 level, for child welfare research, training and demonstration. The budget request is $27,207,000. This program provides 

grants to public and nonprofit organizations for demonstration 

projects that encourage experimental and promising types of child 

welfare services, as well as projects that improve education and 

training programs for child welfare service providers. 

Within this amount, the Committee recommendation includes 

$20,000,000, as requested by the administration, for innovative approaches to foster care program. This continues funding for 5-year 

demonstration projects started in fiscal year 2010 to improve the 

outcomes of children and families in foster care, particularly those 

with long-term involvement in the foster care system. 

Adoption Opportunities 

The Committee recommends $39,253,000, the same as the comparable fiscal year 2011 funding level, for adoption opportunities. 

The budget request is $39,332,000. In fiscal year 2011 the more 

narrowly focused adoption awareness program was eliminated and 

its funding redirected to the adoption opportunities program. The 

Committee supports and maintains this consolidation. 


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The adoption opportunities program funds discretionary grants 

to help facilitate the elimination of barriers to adoption and provide 

technical assistance to help States increase the number of children 

adopted, particularly children with special needs. The adoption 

awareness program provided grants to train health center staff to 

inform pregnant women about adoption and to make referrals on 

request to adoption agencies. It also funded the planning, development and operation of a national campaign to inform the public 

about the adoption of children with special needs. The adoption opportunities program has broad authority to fund these types of 

awareness activities and will continue to fund them in the consolidated program. 

Consistent with the authorization of this program, the Committee expects that these funds will focus on facilitating the adoption of older children, minority children, and children with special 

needs, particularly infants and toddlers with disabilities who have 

life-threatening conditions. 

Adoption Incentives 

The Committee recommends $39,421,000, the same as the comparable fiscal year 2011 funding level, for the adoption incentives 

program. The budget request is $49,875,000. This program provides 

incentive payments to States based on a formula in law to encourage States to increase the number of adoptions of children from the 

foster care system, with an emphasis on children who are the hardest to place. If the payments due to States are higher than the 

amount of funds available, the payments are reduced on a pro rata 

basis based on the amount available. 

Strengthening Communities Fund 

The Committee recommendation does not include funding for the 

strengthening communities fund. This program was first funded in 

the American Recovery and Reinvestment Act but did not receive 

funding in fiscal year 2011. The budget request for fiscal year 2012 

is $20,000,000. The strengthening communities fund is designed to 

improve the capacity of community and faith-based organizations 

to contribute to economic development and revitalization. ACF is 

currently conducting an outcome-based evaluation of this program 

and the Committee will consider funding in future fiscal years 

pending the results of that evaluation. 

Social Services and Income Maintenance Research 

The Committee recommends $5,762,000, the same as the fiscal 

year 2011 level, for social services and income maintenance research. This entire amount is funded through transfers available 

under section 241 of the PHS Act, the same as in fiscal year 2011. 

The budget request is $8,762,000, of which $5,762,000 is from 

transfers available under the PHS Act. These funds support research and evaluation of cost-effective programs that increase the 

stability and economic independence of American families, and contribute to the healthy development of children and youth. 

The Committee recommendation does not provide increased funding specified for an early childhood care and education research 

and evaluation study. The Committee supports this research and 


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the administration’s initiative to strengthen program evaluation, 

but notes that research and evaluation funding for early childhood 

programs is set aside within Head Start and the Child Care and 

Development Block Grant. 

The Committee encourages ACF to continue to work with the Administration on Aging and other HHS agencies to evaluate intergenerational approaches aimed at improving the outcomes for vulnerable populations. The Committee is aware of effective neighborhood based programs that utilize older volunteers to foster permanency and improved outcomes for at risk youth. 

Developmental Disabilities 

The Committee recommends $163,056,000 for developmental disabilities programs. The comparable fiscal year 2011 funding level 

is $168,857,000 and the budget request is $163,366,000. These programs support community-based delivery of services that promote 

the rights of persons of all ages with developmental disabilities. 

Developmental disability is defined as severe, chronic disability attributed to mental or physical impairments manifested before age 

22, which causes substantial limitations in major life activities. 

State Councils 

Within the total for developmental disabilities, the Committee recommendation includes $74,916,000 for State councils, the same 

as the comparable fiscal year 2011 funding level. The budget request is $75,066,000. State developmental disability councils work 

to develop, improve and expand the system of services and supports for people with developmental disabilities. By engaging in activities such as training, educating the public, building capacity 

and advocating for change in State policies, these councils support 

the inclusion and integration of individuals with developmental disabilities in all aspects of community life. 

Protection and Advocacy 

Within the total for developmental disabilities, the Committee 

recommendation includes $40,942,000 for protection and advocacy 

programs, the same as the comparable fiscal year 2011 funding 

level. The budget request is $41,024,000. This formula grant program provides funds to States to establish and maintain protection 

and advocacy systems to protect the legal and human rights of persons with developmental disabilities who are receiving treatment, 

services or rehabilitation. 

Projects of National Significance 

Within the total for developmental disabilities, the Committee 

recommendation includes $8,333,000, the same as the budget request, for projects of national significance to assist persons with developmental disabilities. The comparable fiscal year 2011 funding 

level is $14,134,000. This program funds grants and contracts that 

develop new technologies and demonstrate innovative methods to 

support the independence, productivity and integration into the 

community of persons with developmental disabilities. 

The Committee recommendation supports the continuation of 

current grants, including initiatives on youth transition to employVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00143 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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ment, family support, technical assistance and data collection, as 

well as continued support of the Autism Research Center. 

University Centers for Excellence 

Within the total for developmental disabilities, the Committee recommendation includes $38,865,000 for the University Centers 

for Excellence in Developmental Disabilities [UCEDDs], the same 

as the comparable fiscal year 2011 funding level. The budget request is $38,943,000. The UCCEDD program supports a network of 

67 university-based centers that provide interdisciplinary education, conduct research and develop model services for children 

and adults with disabilities. The centers serve as the major vehicle 

to translate disability-related research into community practice and 

to train the next cohort of future professionals who will provide 

services and supports to an increasingly diverse population of people with disabilities. 

Voting Access for Individuals With Disabilities 

The Committee recommendation includes $5,245,000 for voting 

access for individuals with disabilities. The budget request did not 

include funding for this program. The comparable fiscal year 2011 

funding level is $17,375,000. This program supports formula grants 

to States for the Secretary of State or chief election official to make 

polling places more accessible and increase individuals with disabilities’ participation in the voting process, as well as a separate 

formula grant to States for protection and advocacy organizations 

to do the same. 

The Committee recommendation does not provide formula funding for Secretaries of State but maintains funding for protection 

and advocacy programs. States have over $33,000,000 in fiscal year 

2007 to fiscal year 2010 unexpended funds available to their Secretaries of State under this program, and States may still use those 

funds for these activities. In addition, the Committee encourages 

ACF to work with States and protection and advocacy organizations to ensure that these funds are used in a timely manner. The 

Committee also encourages ACF, in consultation with the National 

Council on Disability, to monitor the implementation of the Help 

America Vote Act for voters with disabilities during the 2012 election cycle. 

Native American Programs 

The Committee recommends $48,675,000, the same as the fiscal 

year 2011 level, for Native American programs. The budget request 

is $48,773,000. The Administration for Native Americans [ANA] assists tribal and village governments and Native Indian institutions 

and organizations to support and develop stable, diversified local 

economies. In promoting social and economic self-sufficiency, ANA 

provides financial assistance through direct grants for individual 

projects, training and technical assistance, and research and demonstration programs. 

Within the total, the Committee recommendation includes 

$12,000,000 for Native American language preservation activities, 

including no less than $4,000,000 for language immersion programs authorized by 803C(b)(7)(A)–(C) of the Native American ProVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00144 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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grams Act, as amended by the Esther Martinez Native American 

Language Preservation Act of 2006. The Committee strongly encourages ANA to give priority to grantees with rigorous immersion 

programs. 

Community Services Programs 

The Committee recommends $731,501,000 for community services programs. The comparable fiscal year 2011 funding level is 

$727,212,000 and the budget request is $393,907,000. 

Community Services Block Grant 

Within the total for community services programs, the Committee recommendation includes $678,640,000 for the community 

services block grant [CSBG], the same as the comparable fiscal 

year 2011 funding level. The budget request is $350,000,000. The 

CSBG is a formula grant to States and Indian tribes to provide a 

wide range of services and activities to alleviate causes of poverty 

in communities and to assist low-income individuals in becoming 

self-sufficient. States are required to pass on at least 90 percent of 

these funds to local community-based organizations, that vast majority of which are community action agencies. 

The Committee strongly supports the CSBG, which provides critical flexible funding for local organizations that serve as a central 

source of assistance for low-income populations. These local organizations typically administer larger Federal programs such as Head 

Start, LIHEAP and the Weatherization Assistance Program. The 

CSBG provides critical funding to support the administration of 

these programs at the local level, as well as flexible funding to fill 

in service gaps and meet the particular needs of local communities. 

The Committee supports efforts to improve accountability and 

transparency, but within the current framework of the program. 

Community Economic Development 

Within the total for community services programs, the Committee recommendation includes $21,964,000 for the community 

economic development program. The comparable fiscal year 2011 

funding level was $17,964,000. The budget request is $20,000,000. 

This program provides grants to community development corporations to support employment and business development opportunities for low-income individuals. 

Within this total for community economic development, the Committee recommendation includes up to $10,000,000, including any 

related program support and evaluation costs, for the Healthy 

Foods Financing Initiative [HFFI]. A recent study by the Department of Agriculture found that over 23 million Americans, including 6.5 million children, live in low-income areas without ready access to grocery stores. HFFI is a joint initiative with the Department of Agriculture and Department of the Treasury to provide financial and technical assistance to community development financial institutions, nonprofit organizations and businesses to expand 

access to healthy foods in these low-income and underserved areas. 


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Rural Community Facilities 

Within the total for community services programs, the Committee recommendation includes $6,990,000 for the rural community facilities program. The comparable fiscal year 2011 funding 

level was $4,990,000. The budget request did not include funding 

for this program. The rural community facilities program provides 

grants to regional nonprofit organizations to provide training and 

technical assistance to low-income rural communities in developing 

and managing safe and affordable water and wastewater treatment 

facilities. 

Job Opportunities for Low-Income Individuals 

Within the total for community services programs the Committee 

recommendation does not include funding for the job opportunities 

for low-income individuals [JOLI] program. The comparable fiscal 

year 2011 funding level is $1,641,000. The budget request did not 

include funding for this program. JOLI provides grants to nonprofit 

organizations to support employment and business opportunities 

for Temporary Assistance for Needy Families [TANF] recipients 

and other low-income individuals, focusing on micro-enterprise and 

self-employment. This small discretionary grant program has never 

been evaluated and duplicates activities funded in the TANF program. 

Individual Development Accounts 

Within the total for community services programs, the Committee recommendation includes $23,907,000, the same as the 

budget request, for individual development accounts. The comparable fiscal year 2011 funding level is $23,977,000. This program 

funds activities to encourage and help low-income individuals and 

families accumulate savings for dedicated purposes, including buying a home, paying for college or starting a business. 

Domestic Violence Hotline 

The Committee recommends $3,203,000, the same as the comparable fiscal year 2011 funding level, for the national domestic violence hotline. The budget request is $4,500,000. This national, 

toll-free hotline provides information and assistance to victims of 

domestic violence 24 hours a day. 

Family Violence Prevention and Services 

The Committee recommends $129,792,000, the same as the comparable fiscal year 2011 funding level, for the family violence prevention and services program. The budget request is $135,052,000. 

These funds support programs to prevent family violence and provide immediate shelter and related assistance for victims of domestic violence and their dependents. 

The Committee encourages ACF to provide funding for State resource centers to reduce disparities in domestic violence in States 

with high proportions of Indian (including Alaskan Native) or Native Hawaiian populations, as authorized by section (a)(2)(B)(i) of 

the Family Violence Prevention and Services Act. 


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Mentoring Children of Prisoners 

The Committee does not include funding for the mentoring children of prisoners program, which was eliminated in fiscal year 

2011. The budget request is $25,000,000. This program provided 

grants to community organizations to create and sustain mentoring 

relationships between children of prisoners and adults in their 

community. Program data showed that the majority of the mentoring relationships established through the program lasted fewer 

than 12 months. 

Independent Living Training Vouchers 

The Committee recommends $45,260,000, the same as the comparable fiscal year 2011 funding level, for independent living training vouchers. The budget request is $45,351,000. This program 

supports vouchers of up to $5,000 per year for postsecondary education and training for foster care youth up to 21 years of age. This 

program increases the likelihood that individuals who age out of 

the foster care system will be better prepared to live independently 

and contribute productively to society. 

Disaster Human Services Case Management 

The Committee recommends $1,996,000, the same as the comparable fiscal year 2011 funding level, for the disaster human services case management program. The budget request is $2,000,000. 

This program assists States in establishing the capacity to provide 

case management services in a timely manner in the event of a disaster. It ensures that States are able to meet social service needs 

during disasters by helping disaster victims prepare recovery 

plans, referring them to service providers and FEMA contacts in 

order to identify needed assistance, and providing ongoing support 

and tracking through the recovery process. 

Program Administration 

The Committee recommends $209,386,000, the same as the comparable fiscal year 2011 funding level, for program administration. 

The budget request is $226,184,000. Within this amount, the Committee includes $1,376,000 for the Center for Faith-based and Community Initiatives. 

SUPPORTING HEALTHY FAMILIES AND ADOLESCENT DEVELOPMENT

Appropriations, 2011 ............................................................................. $428,184,000 

Budget estimate, 2012 ........................................................................... 428,311,000 

Committee recommendation ................................................................. 428,184,000 

The Committee recommends $428,184,000, the same as the comparable fiscal year 2011 funding level, for supporting healthy families and adolescent development. The budget request is 

$428,311,000. The recommendation consists of $365,000,000 in 

mandatory funds authorized by the Social Security Act and 

$63,184,000 in discretionary appropriations. This account was previously named Promoting Safe and Stable Families and has been 

revised to better describe the activities funded within it. 

This program supports activities that can prevent the emergence 

of family crises which might require the temporary or permanent 


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removal of a child from his or her own home. Grants allow States 

to operate coordinated programs of family preservation services, 

time-limited family reunification services, community-based family 

support services, and adoption promotion and support services. 

PAYMENTS FOR FOSTER CARE AND PERMANENCY

Appropriations, 2011 ............................................................................. $4,769,000,000 

Budget estimate, 2012 ........................................................................... 5,153,000,000 

Committee recommendation ................................................................. 5,153,000,000 

The Committee recommends $5,153,000,000 in mandatory funds 

for payments for foster care and permanency, an appropriated entitlement that includes funding for the foster care, adoption assistance, guardianship assistance and independent living programs. 

This is in addition to the $1,850,000,000 appropriated last year as 

an advance appropriation for the first quarter of fiscal year 2012. 

The comparable funding level for fiscal year 2011 is 

$4,769,000,000, in addition to the $1,850,000,000 provided as an 

advance appropriation the previous year. The Committee recommends $2,100,000,000, the same as the budget request, for an 

advance appropriation for the first quarter of fiscal year 2013. The 

Committee recommendation provides the full amount requested 

under current law. 

The foster care program, authorized under title IV–E of the Social Security Act, provides Federal reimbursement to States and 

tribes for maintenance payments to families and institutions caring 

for eligible foster children. Funds are matched at the Federal medical assistance percentage [FMAP] rate for each State. Funding is 

also provided for administrative costs for the management of the 

foster care program, as well as training costs for foster care workers and parents. 

The adoption assistance program provides funds to States for 

maintenance payments and the nonrecurring costs of adoption for 

children with special needs. The goal of this program is to facilitate 

the adoption of hard-to-place children in permanent homes and 

thus prevent long, inappropriate stays in foster care. As in the foster care program, State administrative and training costs are eligible under this program for Federal reimbursement subject to a 

matching rate. 

The Fostering Connections to Success and Increasing Adoptions 

Act of 2008 created a new IV–E guardianship assistance program. 

This program gives States and tribes an option under their IV–E 

foster care programs to provide assistance payments to relatives 

taking legal guardianship of eligible children who have been in foster care. 

The independent living program provides services to foster children under 18 and foster youth ages 18 to 21 to help them make 

the transition to independent living by engaging in a variety of 

services including educational assistance, life skills training and 

health services. States are awarded grants based on their share of 

the number of children in foster care, subject to a matching requirement. 


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ADMINISTRATION ON AGING

AGING SERVICES PROGRAMS

Appropriations, 2011 ............................................................................. $1,549,322,000 

Budget estimate, 2012 ........................................................................... 1,787,944,000 

Committee recommendation ................................................................. 1,534,701,000 

The Committee recommends an appropriation of $1,534,701,000 for the Administration on Aging [AoA], which includes $52,000,000 

in Medicare trust funds. The comparable fiscal year 2011 level is 

$1,549,322,000. The administration request is $1,787,944,000 for 

AoA. In addition, the Committee recommends that $17,000,000 in 

mandatory funds be transferred to AoA from the PPH Fund. The 

AoA is charged with administering programs through the national 

aging network that promote the development of comprehensive, coordinated home- and community-based care for seniors. 

Supportive Services and Senior Centers 

The Committee recommends an appropriation of $367,611,000 for 

supportive services and senior centers. This amount is the same as 

the comparable funding level for fiscal year 2011. The administration request is $416,476,000. The supportive services program provides formula grants to States and territories to fund a wide range 

of social services such as multipurpose senior centers, adult day 

care, transportation and in-home assistance such as personal care 

and homemaker assistance. State agencies on aging award funds to 

designated area agencies on aging that, in turn, make awards to 

local services providers. 

Preventive Health Services 

The Committee recommends $20,984,000 for preventive health 

services. This amount is the same as the comparable funding level 

for fiscal year 2011. The administration request is $21,026,000 for 

this activity. The preventive health services program funds activities that help seniors stay healthy and avoid chronic disease, thus 

reducing the need for more costly medical interventions. The Committee has included bill language requiring States to use these 

funds for evidence-based interventions, such as enhanced fitness 

and wellness programs, depression screening and medication management programs. These evidence-based prevention programs 

have been shown through randomized-controlled trials to be effective at helping older adults improve their health status and lower 

their use of healthcare services. 

Protection of Vulnerable Older Americans 

The Committee recommends $21,839,000 for grants to States for 

protection of vulnerable older Americans. This is the same as the 

comparable fiscal year 2011 funding level. The administration request is $26,880,000. This activity funds the long-term care ombudsman program and the prevention of elder abuse program. Both 

programs provide formula grants to States to prevent the abuse, 

neglect and exploitation of older individuals. The ombudsman program focuses on the needs of residents of nursing homes and other 

long-term care facilities, while elder abuse prevention targets its 

message to the elderly community at large. 


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National Family Caregiver Support Program 

The Committee recommends $153,912,000 for the national family 

caregiver support program. This amount is the same as the comparable funding level for fiscal year 2011. The administration request for this program is $192,220,000. Funds appropriated for this 

activity establish a multifaceted support system in each State for 

family caregivers, allowing them to care for their loved ones at 

home for as long as possible. States may use funding to include the 

following five components into their program: information to caregivers about available services; assistance to caregivers in gaining 

access to services; caregiver counseling and training; respite care to 

enable caregivers to be temporarily relieved from their caregiving 

responsibilities; and limited supplemental services that fill remaining service gaps. 

Native American Caregiver Support Program 

The Committee recommendation includes $6,376,000, the same 

as the fiscal year 2011 level, to carry out the Native American caregiver support program. The administration request is $8,388,000 

for this activity. This program assists tribes in providing multifaceted systems of support services for family caregivers and for 

grandparents or older individuals who are relative caregivers. 

Congregate and Home-Delivered Nutrition Services 

For congregate nutrition services, the Committee recommends an appropriation of $439,901,000, which is the same as the comparable fiscal year 2011 level. The administration request is 

$440,718,000 for this activity. For home-delivered meals, the Committee recommends a funding level of $217,241,000. This is the 

same as the comparable fiscal year 2011 level. The administration 

request is $217,644,000 for this activity. 

These programs address the nutritional needs of older individuals. Projects funded must make home-delivered and congregate 

meals available at least once a day, 5 days a week, and each meal 

must meet a minimum of one-third of daily dietary requirements. 

While States receive separate allotments of funds for congregate 

meals, home-delivered meals and supportive services, they have 

flexibility to transfer funds between these programs. 

Nutrition Services Incentives Program 

The Committee recommendation includes $160,693,000 for the 

nutrition services incentives program [NSIP]. This amount is the 

same as the comparable funding level for fiscal year 2011. The administration request is $160,991,000. This program augments funding for congregate and home-delivered meals provided to older 

adults. Funds provided under this program are dedicated exclusively to the provision of meals. NSIP rewards effective performance by States and tribal organizations in the efficient delivery of 

nutritious meals to older individuals through the use of cash or 

commodities. 

Aging Grants to Indian Tribes and Native Hawaiian Organizations 

The Committee recommends $27,653,000 for grants to Native 

Americans. This amount is the same as the comparable fiscal year 


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2011 level. The administration request is $27,704,000. Under this 

program, awards are made to eligible organizations based on their 

share of Native Americans, Native Alaskans and Native Hawaiians 

aged 60 and over. 

Program Innovations 

The Committee recommends $12,728,000 for program innovations. The comparable fiscal year 2011 level is $13,023,000. The administration request is $18,705,000 for this activity. These funds 

support activities that expand public understanding of aging and 

the aging process, apply social research and analysis to improve access to and delivery of services for older individuals, test innovative 

ideas and programs to serve older individuals, and provide technical assistance to agencies that administer the Older Americans 

Act. 

Older Adults and Mental Health.—The Committee urges AoA to 

expand its efforts to address the mental and behavioral health 

needs of older adults, including an emphasis on mental health 

screening, treatment services for older individuals and programs to 

increase public awareness and reduce the stigma associated with 

mental disorders in older individuals. The Committee is pleased 

with AoA efforts to implement the mental and behavioral health 

aspects of the Older American Act Amendments of 2006 and continues to urge AoA to designate an officer to focus on the mental 

health needs of older Americans. 

Within funding for Program Innovations, the Committee has provided $1,000,000 to continue the 24-hour call center that provides 

Alzheimer family caregivers with professional care consultation 

and crisis intervention. 

Aging Network Support Activities 

The Committee recommends $24,143,000 for aging network support activities. The comparable fiscal year 2011 funding level is 

$34,214,000. The administration request is $17,727,000. These 

funds provide support for the national aging services network and 

also allow seniors and their families to obtain information about 

their care options and benefits. Programs funded include the 

Eldercare Locator, the Pension Information and Counseling program and Senior Medicare Patrols. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommendation includes $4,018,000 for the Alzheimer’s disease demonstration grants to States program. The comparable fiscal year 2011 funding level for this program is 

$11,441,000 and the administration request is $11,462,000. Due to 

budget constraints, the Committee recommendation includes funding only for the continuation costs of existing grants. This program 

was started in 1992 with the goal of testing and implementing new 

models of care for individuals with Alzheimer’s disease. The Committee notes that all States have received funding for one or more 

demonstrations. States should incorporate the successful models 

created as a result of these demonstrations into other funding 

streams, such as the Family Caregiver Support Services program. 


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Lifespan Respite Care 

The Committee recommends $2,495,000 for the Lifespan Respite 

Care program. This amount is the same as the comparable fiscal 

year 2011 level. The administration request is $10,000,000 for this 

program. The Lifespan Respite Care program provides grants to 

States to expand respite care services to family caregivers, improve 

the local coordination of respite care resources, and improve access 

and quality of respite care services thereby reducing family caregiver strain. The Committee recognizes that respite care can provide family caregivers with relief necessary to maintain their own 

health, bolster family stability and avoid or delay more costly nursing home or foster care placements. The Committee commends AoA 

efforts to ensure that grantees use the funds to serve all age 

groups, chronic conditions and disability categories equitably and 

without preference. 

Chronic Disease Self-Management Program 

The Committee recommends $10,000,000 in mandatory funding, 

provided through a transfer from the PPH Fund, for the Chronic 

Disease Self-Management Program [CDSMP]. The administration 

requested $10,000,000 in discretionary funds for this activity. This 

program was not funded in fiscal year 2011 but did receive funding 

through the American Recovery and Reinvestment Act of 2009. 

CDSMP assists those with chronic disease with managing their 

conditions and improving their health status. Topics covered by the 

program include nutrition, appropriate use of medications, fitness 

and effective communications with healthcare providers. The Committee notes that CDSMP has been shown through multiple studies 

to result in significant and measurable improvements in health and 

quality of life, as well as reductions in hospitalizations and emergency rooms visits. 

Elder Falls Prevention 

The Committee recommends that $7,000,000 in mandatory funding be transferred from the PPH Fund for elder falls prevention activities at AoA, in coordination with CDC. This is a new activity 

that was not funded in fiscal year 2011. The administration did not 

request funding. The Committee notes that falls are the leading 

cause of fatal and nonfatal injuries for those 65 and older. Among 

older adults who sustain hip fractures in falls, 25 percent remain 

institutionalized for at least 1 year and 50 percent cannot return 

home or live independently. The Committee intends that funds provided to AoA should be used for public education about the risk of 

these falls, as well as implementation and dissemination of community-based strategies that have been proven to reduce the incidence 

of falls among seniors. 

Adult Protective Services Demonstrations 

Due to budget constraints, the Committee recommendation does 

not include funding for Adult Protective Services demonstrations. 

The administration requested $16,500,000 for this new program, 

which would test and evaluate innovative approaches to preventing 

and responding to elder abuse. 


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State Health Insurance Assistance Program 

The Committee recommendation includes $52,000,000 for State 

Health Insurance Assistance Programs [SHIPs]. This amount is the 

same as the comparable funding level for fiscal year 2011. The administration request is $46,960,000 for this program. SHIPs provide accurate and understandable health insurance information to 

Medicare beneficiaries and their families. The Committee concurs 

with the administration’s proposal to transfer this grant program 

to AoA from the Centers for Medicare and Medicaid Services. The 

Committee notes that many SHIPs are already housed in, or are 

partnered with, area agencies on aging. Activities of the SHIPs are 

also aligned with AoA’s mission to develop a comprehensive system 

of home and community-based services to help seniors maintain 

their health and independence. 

Community Living Assistance Services and Supports 

The Committee recommendation does not include funding for the 

Community Living Assistance Services and Supports [CLASS] program, a new long-term care insurance program created by the Affordable Care Act. The administration requested $120,000,000 to 

fund an education campaign, information technology and other administrative costs. The Committee has not provided funding for 

this activity in recognition that its implementation has been delayed and the Congressional Budget Office estimates that AoA will 

not begin collecting premiums for CLASS until fiscal year 2013. 

Program Administration 

The Committee recommends $23,107,000 for program administration. The comparable fiscal year 2011 funding level is 

$19,939,000 and the administration request is $24,543,000. These 

funds support salaries and related expenses for program management and oversight activities. The Committee recommendation includes funding for tenant improvement and other costs related to 

the expiration of AoA’s lease and a possible office relocation. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2011 ............................................................................. $544,981,000 

Budget estimate, 2012 ........................................................................... 490,346,000 

Committee recommendation ................................................................. 549,032,000 

The Committee recommends $549,032,000 for general departmental management [GDM]. The comparable fiscal year 2011 funding level is $544,981,000. The administration request is 

$490,346,000 for this activity. The recommendation includes 

$72,811,000 in transfers available under section 241 of the PHS 

Act. In addition, the Committee recommends that $10,000,000 in 

mandatory funds be transferred to this account from the PPH 

Fund. 

This appropriation supports activities that are associated with 

the Secretary’s role as policy officer and general manager of the 

Department. It supports health activities performed by the Office 

of Public Health and Science [OPHS], including the Office of the 

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tralized services carried out by several Office of the Secretary staff 

divisions, including personnel management, administrative and 

management services, information resources management, intergovernmental relations, legal services, planning and evaluation, finance and accounting, and external affairs. The Committee recommendation includes $250,000 for the Advisory Council on Alzheimer’s Research, Care, and Services. This Advisory Council, as created by the National Alzheimer’s Project Act 

(Public Law 111–375), will coordinate the activity of Federal agencies conducting Alzheimer’s-related care, services and research. 

Antideficiency Act.—The Committee is aware that the Department recently reported 47 violations of the Antideficiency Act 

which involved several agencies and occurred over multiple fiscal 

years dating back at least to 2002. Contributing causes of the problems were inconsistent acquisition guidance regarding multi-year 

contracts and the lack of a legal review process for large contracts. 

While the Department has taken corrective action, including revising its guidance and providing appropriations law training, the 

Committee remains deeply concerned that these violations indicate 

a widespread lack of understanding of appropriations law by departmental staff. Accordingly, the Committee directs the Secretary 

to institute a process by which all large contracts above a certain 

dollar threshold are sent to the Office of the General Counsel for 

legal review to ensure sufficiency of available funds and compliance 

with appropriations law. The thresholds may vary from agency to 

agency. The Committee directs the Department to perform followup sampling of contracts to ensure that improper funding practices 

have been corrected. 

Blood Donor Policy.—The Committee commends the Department 

for releasing a research agenda that will yield the data necessary 

to re-evaluate FDA’s existing donor deferral policy and develop alternative policies that maintain the safety of blood and blood products. The Committee encourages the Secretary, working in collaboration with NIH, CDC and FDA, to move forward with this research agenda and to devote resources toward an evaluation of a 

screening strategy that assures blood safety and allows for the development of alternative deferral criteria. The Committee requests 

an update on the Department’s progress toward meeting the research agenda by April 1, 2012. 

Hearing Loss.—The Committee is aware that loud and prolonged 

noise can permanently damage hearing. The Committee continues 

to encourage the Department to educate the public about the importance of protecting their hearing, through public service announcements or other means, as there is no cure for deafness 

caused by exposure to loud noise. 

Human Services Transportation.—The Committee recognizes the 

importance of community providers that ensure safe, efficient and 

cost-effective transportation for older Americans, children, people 

with disabilities, and those with lower incomes. The Committee 

recommendation includes $1,000,000 for a competitive grant to provide assistance to local government and nonprofit transportation 

providers on the most cost-effective ways to provide transportation 

assistance and information and technical assistance to persons 

with disabilities. 


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Nursing.—The Committee is aware that the Institute of Medicine 

[IOM] report ‘‘The Future of Nursing: Leading Change, Advancing 

Health’’ made a series of important recommendations to advance 

nursing practice, education, leadership and workforce data as well 

as promote inter-professional education and collaboration. The 

Committee encourages the Secretary to develop an implementation 

plan regarding these recommendations, in collaboration with CMS 

and HRSA, and provide the Committee with an update on its 

progress in the fiscal year 2013 congressional budget justification. 

Oral Health Research.—The Committee notes that the recent 

IOM report ‘‘Advancing Oral Health in America’’ highlights the important role that the Department can play in improving oral health 

and oral healthcare in the United States. The Committee encourages the Secretary to place a high priority on efforts to advance 

oral health research, as recommended by IOM. 

Urban-Based Network.—The Committee encourages the Secretary and other agencies within the Department, such as HRSA 

and the Office of Minority Health, to partner with the NIH’s 

NIMHD in supporting a network of urban-based institutions focused on, and with demonstrated commitment and capacity to, addressing recruitment and training needs of minority and urban underserved populations and reducing health disparities in these 

urban communities. 

Viral Hepatitis.—The Committee commends the Secretary for developing the HHS Action Plan for the Prevention, Care and Treatment of Viral Hepatitis and urges her to increase the staff capacity 

at the Office of the Assistant Secretary for Health [OASH] to implement the plan. The Committee notes that hepatitis B and hepatitis C testing guidelines are not aligned across HHS operating divisions, and expects OASH to work expeditiously with CDC, AHRQ 

and the U.S. Preventive Services Task Force to develop a consistent national testing guideline by early 2012 to improve testing 

rates. 

Teen Pregnancy Prevention 

The Committee recommendation includes $113,245,000 for the 

Teenage Pregnancy Prevention [TPP] program. The recommendation includes $8,455,000 in transfers available under section 241 of 

the PHS Act. The administration requested $118,445,000 for the 

TPP program, with $110,000,000 funded through transfers from 

the PPH Fund. The comparable funding level for fiscal year 2011 

is $109,245,000. The Committee recommendation includes 

$4,000,000 for a Federal evaluation of the projects funded by this 

program. This program supports competitive grants to public and 

private entities to replicate evidence-based teen pregnancy prevention approaches. 

Adolescent Family Life 

The Committee recommendation does not include funding for the 

Adolescent Family Life [AFL] program. The comparable fiscal year 

2011 level is $12,474,000 and the administration did not request 

funding for this program. AFL is duplicative of the Pregnancy Assistance Fund, a mandatory program created by the Patient ProtecVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00155 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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tion and Affordable Care Act, which provides similar support services to pregnancy and parenting teens. 

Minority Health 

The Committee recommends $55,888,000 for the Office of Minority Health. This amount is the same as the comparable fiscal year 

2011 funding level. The administration requested $57,980,000. The 

Office of Minority Health [OMH] focuses on strategies designed to 

decrease health disparities and to improve the health status of racial and ethnic minority populations in the United States. OMH establishes goals and coordinates all departmental activity related to 

improving health outcomes for disadvantaged and minority individuals. 

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

the national health education program on lupus for healthcare providers. The Committee notes that this debilitating autoimmune disease is up to three times more common among African Americans, 

Hispanics and Native Americans and affects over 1.5 million persons, 90 percent of whom are women. The Committee continues to 

support this important national education effort to engage 

healthcare providers, educators and schools of health professions in 

working together to improve lupus diagnosis and treatment 

through education. 

Cancer in Asian/Pacific Islanders.—Asian and Pacific Islanders 

have a high incidence of stomach cancer and liver cancers compared to Caucasians. The Committee continues to urge the Department to focus on the unique and pressing needs regarding cancer 

in this population. 

Chronic Kidney Disease [CKD].—The Committee recognizes that 

African-Americans represent nearly 29 percent of all those treated 

for kidney failure and have an end-stage renal disease rate nearly 

three times that of their non-minority counterparts. Asian and Pacific Islanders experience a higher than average rate of CKD, with 

Filipinos having one of the highest rates of incidence per capita. 

The Committee encourages OMH to prioritize the early detection of 

CKD in minority communities in order to improve health outcomes 

and eliminate these disparities. 

Health Disparities in Women.—Women of racial and ethnic minorities face higher rates of obesity, cancer, diabetes, heart disease, 

HIV/AIDS and other diseases when compared with White women. 

A disproportionately higher rate of preterm birth exists among African American women that cannot be accounted for by known risk 

factors. The Committee encourages HHS to conduct research into 

the causes of these health disparities and develop and evaluate 

interventions to address these causes. The Committee also understands that continued and expanded collection of data capturing racial and ethnic information is essential in understanding and reducing disparities. 

Hepatitis B.—The Committee notes that Asian Americans, Native Hawaiians and other Pacific Islanders comprise more than 1.5 

million of the 2 million estimated hepatitis B carriers in the United 

States and consequently have the highest rate of liver cancer 

among all ethnic groups. The Committee urges OMH to expand 

outreach and preventive hepatitis B programs specific to Asian and 


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Pacific Islanders and other groups disproportionately affected by 

hepatitis B. The Committee believes that the recently completed 

HHS Action Plan for the Prevention and Treatment of Viral Hepatitis will inform and guide this expanded effort. 

Offices of Minority Health.—The Committee is encouraged by the 

implementation of the HHS Action Plan to Reduce Racial and Ethnic Health Disparities, as well as the National Stakeholder Strategy for Achieving Health Equity. The Committee strongly supports 

the Offices of Minority Health in the Office of the Secretary, 

AHRQ, CDC, CMS, FDA, HRSA and SAMHSA, which are charged 

with leading the strategy. The Secretary is encouraged to work 

closely with communities, as well as the public and private sectors, 

to end longstanding and costly disparities. 

Office of Women’s Health 

The Committee recommends $33,746,000 for the Office of Women’s Health [OWH]. This amount is the same as the comparable fiscal year 2011 level and the administration request. OWH develops, 

stimulates and coordinates women’s health research, healthcare 

services, and public and healthcare professional education across 

the Department. It advances important crosscutting initiatives and 

develops public-private partnerships, providing leadership and policy direction, and initiating and synthesizing program activities to 

redress the disparities in women’s health. 

The Committee recommendation includes $3,010,000 to continue 

the violence against women’s initiative. This initiative provides 

funding to public health programs that integrate domestic and sexual violence assessment and intervention into basic care, as well as 

encourages collaborations between healthcare providers, public 

health programs, and domestic and sexual violence programs. 

HIV/AIDS in Minority Communities 

The Committee recommends $53,783,000 for this activity, which 

addresses high-priority HIV prevention and treatment needs of minority communities heavily impacted by HIV/AIDS. This amount is 

the same as the comparable fiscal year 2011 level. The administration request is $53,891,000. The Committee has provided funding 

for this activity through budget authority, rather than through 

transfers available under section 241 of the PHS Act as requested 

by the administration. These funds are available to key operating 

divisions of the Department with expertise in HIV/AIDS services to 

assist minority communities with education, community linkages 

and technical assistance. 

Transformation of the Commissioned Corps 

The Committee request does not include funding for this activity. 

The comparable fiscal year 2011 level is $8,071,000 and the administration request is $7,013,000. The Committee has provided funding since fiscal year 2007 for an initiative to train and provide career development programs for Corps officers so that the Corps can 

respond more quickly and effectively to public health emergencies. 

The Committee has eliminated funding for this activity in recognition that this transformation initiative has been completed. 


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Embryo Donation and Adoption 

The Committee has not provided funding for embryo donation 

and adoption awareness activities. The comparable fiscal year 2011 

funding level is $2,004,000 and the administration requested 

$2,000,000 for this activity. This program has had a limited number of applicants since its inception and has been unable to demonstrate its effectiveness. 

Acquisition Reform 

The Committee recommendation does not include funding requested by the administration for an acquisition reform initiative. 

The administration request is $7,000,000 for this activity. While 

the Committee supports the Secretary’s efforts to improve the capability of the Department’s acquisition workforce and contracting 

systems, funding was not provided due to budget constraints. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2011 ............................................................................. $71,147,000 

Budget estimate, 2012 ........................................................................... 81,019,000 

Committee recommendation ................................................................. 71,147,000 

The Committee provides $71,147,000 for the Office of Medicare 

Hearings and Appeals [OMHA]. This amount is the same as the 

comparable level for fiscal year 2011. The administration request 

for OMHA is $81,019,000. 

OMHA is responsible for hearing Medicare appeals at the administrative law judge level, which is the third level of Medicare claims 

appeals. The Office ensures that Medicare beneficiaries who are 

dissatisfied with the initial decisions about their benefits or eligibility can appeal and exercise their right to a hearing in front of 

an administrative law judge. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2011 ............................................................................. $61,257,000 

Budget estimate, 2012 ........................................................................... 78,413,000 

Committee recommendation ................................................................. 61,257,000 

The Committee makes available $61,257,000 to the Office of the 

National Coordinator for Health Information Technology [ONC]. 

This amount is the same as the comparable fiscal year 2011 funding level. The administration request for ONC is $78,413,000. The 

Committee recommendation includes $19,011,000 in transfers 

available under section 241 of the PHS Act. 

ONC is responsible for promoting the use of electronic health 

records in clinical practice, coordinating Federal health information 

systems and collaborating with the private sector to develop standards for a nationwide interoperable health information technology 

infrastructure. ONC was permanently established under the 

Health Information Technology for Economic and Clinical Health 

[HITECH] Act, which was intended to promote not only the adoption of health information technology, but its meaningful use. 

The Committee recognizes the importance of widespread adoption of health information technology and encourages ONC to more 

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tives under Medicare and Medicaid. The Committee notes that 

ONC could assist these providers, many of which are in small 

towns and rural areas, in affording meaningful health IT options 

by building upon existing open source platforms such as the Veterans Health Administration’s VistA software and the Indian 

Health Services’ Resource and Patient Management System. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $50,178,000 

Budget estimate, 2012 ........................................................................... 63,329,000 

Committee recommendation ................................................................. 50,178,000 

The Committee recommends an appropriation of $50,178,000 for 

the Office of Inspector General [OIG]. This amount is the same as 

the comparable level for fiscal year 2011. The administration request is $63,329,000 for this activity, including $10,000,000 in 

funds transferred under section 241 of the PHS Act. In addition to 

discretionary funds provided in this act, the Health Insurance Portability and Accountability Act of 1996 provides a permanent appropriation of $193,387,000 for the Office of Inspector General. 

OIG conducts audits, investigations, and evaluations of the programs administered by the Department’s operating and staff divisions, including the recipients of the Department’s grant and contract funds. In doing so, the OIG addresses issues of waste, fraud 

and abuse and makes recommendations to improve the efficiency 

and effectiveness of the Department’s programs and operations. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2011 ............................................................................. $41,016,000 

Budget estimate, 2012 ........................................................................... 46,717,000 

Committee recommendation ................................................................. 41,016,000 

The Committee recommends $41,016,000 for the Office for Civil 

Rights [OCR]. This amount is the same as the comparable funding 

level for fiscal year 2011. The administration request is 

$46,717,000. OCR is responsible for enforcing civil rights-related 

statutes in healthcare and human services programs. To enforce 

these statutes, OCR investigates complaints of discrimination, conducts program reviews to correct discriminatory practices and implements programs to generate voluntary compliance among providers and constituency groups of health and human services. This 

office also has responsibility for implementing and enforcing privacy protections under the HITECH Act. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2011 ............................................................................. $517,537,000 

Budget estimate, 2012 ........................................................................... 564,505,000 

Committee recommendation ................................................................. 564,505,000 

The Committee provides an estimated $564,505,000 in mandatory funds for retirement pay and medical benefits for commissioned officers of the U.S. Public Health Service [PHS]. This 

amount is the same as the administration request. This account 

provides for retirement payments to PHS officers who are retired 

due to age, disability or length of service; payments to survivors of 


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deceased officers; and medical care to active duty and retired officers, as well as their dependents. 

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2011 ............................................................................. $1,089,829,000 

Budget estimate, 2012 ........................................................................... 1,360,023,000 

Committee recommendation ................................................................. 989,452,000 

The Committee recommends $989,452,000 for the Public Health 

and Social Services Emergency Fund. The administration requested $1,360,023,000 and the comparable fiscal year 2011 level 

is $1,089,829,000. This appropriation supports the activities of the 

Office of the Assistant Secretary for Preparedness and Response 

and other activities within the Office of the Secretary to prepare 

for the health consequences of bioterrorism and other public health 

emergencies, including pandemic influenza, and to support the Department’s cybersecurity efforts. 

Office of the Assistant Secretary for Preparedness and Response 

[ASPR] 

The Office of the Assistant Secretary for Preparedness and Response [ASPR] was created by the Pandemic and All-Hazards Preparedness Act to lead the Federal Government’s activities regarding preventing, preparing for and responding to public health emergencies and disasters. The Committee recommendation includes 

$931,724,000 for activities administered by ASPR. The administration requested $1,302,295,000 and the comparable funding level for 

fiscal year 2011 is $913,419,000. These funds will support the Department’s efforts to prepare for and respond to public health emergencies, including acts of terrorism. 

Virtual Training.—The Committee notes the need to provide 

major medical emergency preparedness and response training for 

doctors, nurses and paramedics using today’s enabling training 

technologies. There is also a need to develop a standardized competency-based simulation curriculum. Virtual training tools have 

the potential to revolutionize medical emergency response training 

with a corresponding reduction in costs. The Department is encouraged to explore developing and standardizing medical emergency 

training using state-of-the-art medical response simulation. 

Hospital Preparedness 

The Committee’s recommendation includes $375,466,000, the 

same as the budget request, for the hospital preparedness program. 

The comparable funding level for fiscal year 2011 is $377,997,000. 

This program provides grants to States and localities to enhance 

hospital preparedness and improve overall surge capacity in public 

health emergencies. These preparedness activities strengthen the 

capabilities of hospitals throughout the country to respond to 

floods, hurricanes, wildfires or infrastructure collapse, and also include training for a potential influenza pandemic or terrorist attack. Given the significant tornado devastation and flooding seen 

this year across the United States, the Committee believes this 

funding is vital to providing our Nation’s hospitals and emergency 

responders the necessary tools to respond quickly and collaboratively to these and other public health emergencies. 


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Emergency System for Advance Registration of Volunteer 

Health Professionals 

The Committee recommendation includes $5,000,000, the same 

as the administration request, for the Emergency System for Advance Registration of Volunteer Health Professionals. This program 

is a national network of State-based registries that allows health 

professionals to volunteer in public health emergencies and disasters. The comparable funding level for fiscal year 2011 is 

$5,861,000. 

Biomedical Advanced Research and Development 

The Committee has included bill language, proposed by the ad- ministration, to transfer $415,000,000 from the Project BioShield 

Special Reserve Fund [SRF] advance appropriation to fund advanced research and development of medical countermeasures. 

This amount is the same as the comparable level from fiscal year 

2011. The administration requested $665,000,000 for this activity. 

The Committee is concerned that the administration has proposed 

to greatly increase the amount of transfers from the Project BioShield SRF to fund advanced research and development. While the 

Committee strongly supports the efforts of the Biomedical Advanced Research and Development Authority [BARDA] to develop 

the countermeasures necessary to protect against public health 

threats, the Committee has not provided funding at the level requested by the administration. The Committee notes that after the 

award of a smallpox anti-viral contract in May, approximately 

$1,500,000,000 in SRF balances remain available. The SRF was intended to serve as a signal to the private sector that the Federal 

Government will purchase countermeasures for the Strategic National Stockpile. The Committee is concerned that increased transfers will further deplete the SRF and significantly weaken the private sector’s confidence that the SRF will remain a stable funding 

source. 

Advanced Research and Development.—The Committee is aware 

that in order to adequately prepare for and respond to public 

health emergencies, including those caused by acts of terrorism, 

there is a need by first responders to identify quickly and accurately potentially dangerous pathogens in complex samples. The 

Committee encourages ASPR to work with NIAID to ensure that 

sufficient research is being conducted to develop a bioagent detection and bioterrorism warning system based on bioinformatics technology that would allow for the direct identification and sample 

characterization of pathogens in rapid fashion. 

Manufacturing Surge Capacity.—The Committee remains concerned that during its response to the 2009 H1N1 influenza pandemic, the Department relied disproportionately on manufacturing 

surge capacity to produce the needles and syringes required to administer the vaccine. The Committee believes that the manufacturing surge capacity for these products may not be sufficient to respond to the next global public health emergency as well as support routine care. ASPR should conduct a review of the existing 

manufacturing surge capacity for drug-delivery devices as well as 

assess the adequacy of the Strategic National Stockpile’s current 

inventory of drug-delivery devices. 


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Medical Countermeasures.—The Committee commends the Department for the release of the Public Health Emergency Medical 

Countermeasures Enterprise Review Report in August 2010. The 

Committee urges increased coordination between FDA, NIH, 

BARDA and CDC in the development of medical countermeasures 

for public health emergencies. The Committee requests that the 

Department provide additional detail about implementation strategy for medical countermeasures, including a multiyear professional judgment budget. The implementation strategy should not 

simply focus on initial investments, but also on advanced development, procurement, distribution, dispensing and surveillance. 

Next Generation Anthrax Vaccine.—The Committee remains concerned about the country’s level of preparedness against biological 

threats. Anthrax remains the number one biological terrorist threat 

facing this country. However, nearly 10 years after 9/11, and 6 

years after the requirement for a recombinant anthrax vaccine was 

issued, the Nation still lacks a recombinant anthrax vaccine. The 

Committee directs BARDA, no later than 60 days after enactment 

of this act, to brief the Committee on its plans to deliver recombinant anthrax vaccine to the Strategic National Stockpile by 2015. 

Strategic Investor 

The Committee recommendation does not include funding or bill 

language requested by the administration for a Strategic Investor 

initiative. The purpose of this initiative is to provide financial support and business expertise to emerging biodefense companies that 

will develop Government-required countermeasures. The administration proposed to fund this activity through a transfer of 

$100,000,000 from the Project BioShield SRF. The Committee does 

not support additional SRF transfers for this purpose. 

Facilities Project 

The Committee recommendation does not include funding for the ASPR Facilities project. The administration requested $10,000,000 

to co-locate ASPR staff in a new facility. Funds were not provided 

for this activity in fiscal year 2011. 

Other Activities 

The Committee recommendation includes the following amounts 

for the following activities within the Office of the Assistant Secretary for Preparedness and Response: 

—Operations—$33,053,000; 

—Preparedness and Emergency Operations—$34,647,000; 

—National Disaster Medical System—$52,850,000; and 

—Policy, Strategic Planning and Communications—$15,708,000. 

Office of the Assistant Secretary for Administration 

The Committee recommendation for the Office of the Assistant 

Secretary for Administration includes $40,000,000 for information 

technology cybersecurity, the same as the administration request. 

The comparable funding level for fiscal year 2011 is $56,680,000. 

These funds provide for continuous monitoring and security incident response coordination for the Department’s computer systems 

and networks. 


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Office of Public Health and Science 

The Committee recommendation includes $11,268,000 for the 

medical reserve corps program, a national network of local volunteers that work to strengthen the public health infrastructure and 

preparedness capabilities of their communities. This amount is the 

same as the administration request. The comparable level for fiscal 

year 2011 is $11,925,000. 

Office of the Secretary 

The Committee recommendation includes $6,460,000 for activities within the Office of the Secretary. This amount is the same as 

the administration request. The comparable fiscal year 2011 level 

is $107,805,000. 

Pandemic Influenza Preparedness 

The Committee has not provided funding for pandemic influenza 

preparedness activities, consistent with the administration request. 

The Committee notes that the administration plans to use 

$47,000,000 in balances from Public Law 111–32, the fiscal year 

2009 emergency supplemental, for additional pandemic preparedness investments in fiscal year 2012. The comparable fiscal year 

2011 level is $65,447,000. 

Office of Security and Strategic Information 

The Committee has included $6,460,000 for the Office of Security 

and Strategic Information to secure and strengthen the Department’s critical assets. This amount is the same as the administration request. The comparable level for fiscal year 2011 is 

$7,428,000. 

PREVENTION AND PUBLIC HEALTH FUND

The Prevention and Public Health Fund was created in section 

4002 of the Patient Protection and Affordable Care Act [PPACA]. 

The fund provides $17,750,000,000 in mandatory funds over the 

next 10 years to supplement investments in public health and prevention. 

The Committee strongly believes that additional resources for 

prevention will improve people’s health and reduce healthcare costs 

over the long term. Discretionary funding is needed for these purposes because many of the health promotion activities that reach 

the populations most in need take place outside the reimbursement 

system, through community- and State-based initiatives. 

In recognition of the Committee’s responsibility to determine 

funding levels for community-based prevention and public health 

programs, the PPACA specifically gives the Committee authority to 

transfer funds into Federal programs that support the goal of making America healthier. 

The PPACA provided $750,000,000 for the fund in fiscal year 

2011. In fiscal year 2012, the level appropriated for the fund is 

$1,000,000,000. The Committee includes bill language in section 

219 of this act that requires that funds be transferred within 45 

days of enactment of this act to the following accounts, for the following activities, and in the following amounts: 


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Account Activity Amount 

Aging Services Programs ........................................... Chronic Disease Self Management program authorized under section 411 of the Older Americans 

Act.

$10,000,000 

Aging Services Programs ........................................... Elder falls prevention activities authorized under 

section 393D of the PHS Act.

$7,000,000 

Disease Control, Research, and Training .................. Activities of the Office of Smoking and Health ........ $100,000,000 

Disease Control, Research, and Training .................. Breastfeeding promotion and support grants ........... $7,050,000 

Disease Control, Research, and Training .................. Chronic Disease Innovation Grants ........................... $10,000,000 

Disease Control, Research, and Training .................. Community Health Worker program authorized under 

section 399V of the PHS Act.

$20,000,000 

Disease Control, Research, and Training .................. Community Transformation Grants authorized under 

section 4201 of the Patient Protection and Affordable Care Act.

$280,000,000 

Disease Control, Research, and Training .................. Elder falls prevention research authorized under 

section 393D of the PHS Act.

$3,000,000 

Disease Control, Research, and Training .................. Environmental and Health Outcome Tracking Network.$35,000,000 

Disease Control, Research, and Training .................. Epidemiology and Laboratory Capacity Grants authorized under section 2821 of the PHS Act.$40,000,000 

Disease Control, Research, and Training .................. National Center for Health Statistics ........................ $35,000,000 

Disease Control, Research, and Training .................. National Prevention, Health Promotion & Public 

Health Council authorized under section 4001 of 

the Patient Protection and Affordable Care Act.

$1,000,000 

Disease Control, Research, and Training .................. Prevention of healthcare associated infections ........ $11,750,000 

Disease Control, Research, and Training .................. Prevention Research Centers ..................................... $10,000,000 

Disease Control, Research, and Training .................. Public Health Infrastructure grants .......................... $40,200,000 

Disease Control, Research, and Training .................. Public Health Workforce ............................................. $25,000,000 

Disease Control, Research, and Training .................. Racial and Ethnic Approaches to Community 

Health.

$50,000,000 

Disease Control, Research, and Training .................. Immunization program authorized under Section 

317 of the PHS Act.

$150,000,000 

Disease Control, Research, and Training .................. Task Force on Community Preventive Services ......... $10,000,000 

Disease Control, Research, and Training .................. Infectious disease screening activities ..................... $10,000,000 

Disease Control, Research, and Training .................. Small Business Workplace Wellness grants authorized under section 10408 of the Patient Protection and Affordable Care Act.

$10,000,000 

General Departmental Management .......................... Tobacco prevention and cessation activities ............ $10,000,000 

Health Resources and Services .................................. Public Health and Preventive Medicine training programs.$25,000,000 

Healthcare Costs, Quality and Outcomes .................. Clinical preventive services research ........................ $5,000,000

Healthcare Costs, Quality and Outcomes .................. U.S. Preventive Services Task Force .......................... $7,000,000

Substance Abuse and Mental Health Services .......... Primary and Behavioral Health Integration grants ... $35,000,000 

Substance Abuse and Mental Health Services .......... Screening, Brief Intervention and Referral to Treatment.$25,000,000 

Substance Abuse and Mental Health Services .......... Suicide Prevention ..................................................... $10,000,000 

Substance Abuse and Mental Health Services .......... Surveillance activities ................................................ $18,000,000 

Not later than 90 days after enactment of this act, the Secretary 

shall submit to the Chairman and Ranking Members of the Committees on Appropriations, and Health, Education, Labor and Pensions a report identifying all recipients of funds provided pursuant 

to sections 4002 and 4201 of Public Law 111–148. The report 

should identify each individual recipient of funds, how much they 

received, the specific prevention, wellness and public health activities they will perform and how these activities will restrain the 

rate of growth in private and public sector health care costs. 

GENERAL PROVISIONS

The Committee recommendation continues a provision placing a 

$50,000 ceiling on official representation expenses (sec. 201). 

The Committee recommendation continues a provision which limits the assignment of certain public health personnel (sec. 202). 


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The Committee recommendation continues a provision limiting 

the use of certain grant funds to pay individuals more than an annual rate of executive level I (sec. 203). 

The Committee recommendation continues a provision restricting 

the Secretary’s use of taps for program evaluation activities unless 

a report is submitted to the Appropriations Committees of the 

House and Senate on the proposed use of funds (sec. 204). 

The Committee recommendation continues a provision authorizing the transfer of up to 2.5 percent of Public Health Service 

funds for evaluation activities (sec. 205). 

The Committee recommendation continues a provision restricting 

transfers of appropriated funds and requires a 15-day notification 

to both the House and Senate Appropriations Committees (sec. 

206). 

The Committee recommendation continues a provision permitting 

the transfer of up to 3 percent of AIDS funds among Institutes and 

Centers by the Director of NIH and the Director of the Office of 

AIDS Research at NIH (sec. 207). 

The Committee recommendation retains language which requires 

that the use of AIDS research funds be determined jointly by the 

Director of the National Institutes of Health and the Director of the 

Office of AIDS Research and that those funds be allocated directly 

to the Office of AIDS Research for distribution to the Institutes and 

Centers consistent with the AIDS research plan (sec. 208). 

The Committee recommendation continues a provision regarding 

requirements for family planning applicants (sec. 209). 

The Committee recommendation retains language which states 

that no provider services under title X of the PHS Act may be exempt from State laws regarding child abuse (sec. 210). 

The Committee recommendation retains language which restricts 

the use of funds to carry out the Medicare Advantage Program if 

the Secretary denies participation to an otherwise eligible entity 

(sec. 211). 

The Committee recommendation modifies a provision which facilitates the expenditure of funds for international health activities 

(sec. 212). 

The Committee recommendation continues a provision authorizing the Director of the National Institutes of Health to enter into 

certain transactions to carry out research in support of the NIH 

Common Fund (sec. 213). 

The Committee continues a provision that permits the Centers 

for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry to transfer funds that are available 

for Individual Learning Accounts to ‘‘Disease Control, Research, 

and Training’’ (sec. 214). 

The Committee recommendation includes bill language allowing 

use of funds to continue operating the Council on Graduate Medical 

Education (sec. 215). 

The Committee recommendation continues a provision permitting 

the National Institutes of Health to use up to $2,500,000 per 

project for improvements and repairs of facilities (sec. 216). 

The Committee recommendation includes a provision that transfers funds from NIH to HRSA and AHRQ, to be used for National 

Research Service Awards (sec. 217). 


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The Committee recommendation includes a provision transferring mandatory funds section 4002 of the Patient Protection and 

Affordable Care Act to accounts within the Department for activities outlined under the heading ‘‘Prevention and Public Health 

Fund’’ in this report (sec. 218). 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2011 ............................................................................. $15,535,934,000 

Budget estimate, 2012 ........................................................................... 16,224,267,000 

Committee recommendation ................................................................. 15,714,934,000 

The Committee recommends an appropriation of $15,714,934,000 

for education for the disadvantaged. The budget request for fiscal 

year 2012 is $16,224,267,000 and the comparable fiscal year 2011 

amount is $15,535,934,000. 

The President’s budget for fiscal year 2012 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA], but no such bill has passed the Senate. As a result, the Committee bill is based on current law for programs authorized under the ESEA. 

The programs in the Education for the Disadvantaged account 

help ensure that poor and low-achieving children are not left behind in the Nation’s effort to raise the academic performance of all 

children and youth. Funds appropriated in this account primarily 

support activities in the 2012–2013 school year. 

Grants to Local Educational Agencies 

Title I grants to local educational agencies [LEAs] provide supplemental education funding, especially in high-poverty areas, for 

local programs that provide extra academic support to help raise 

the achievement of eligible students or, in the case of schoolwide 

programs, help all students in high-poverty schools meet challenging State academic standards. 

The Committee recommends $14,463,417,000, the same amount 

as the fiscal year 2011 level, for the title I grants to LEAs program. 

The budget request for fiscal year 2012 is $14,792,401,000. 

Title I grants are distributed through four formulas: basic, concentration, targeted and education finance incentive grant [EFIG]. 

The budget request also proposes a new distribution mechanism 

and authority called Title I Rewards. 

For title I basic grants, including up to $3,992,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,584,750,000, the same amount as 

the fiscal year 2011 level. The budget request for fiscal year 2012 

is $6,597,946,000. 

For concentration grants, the Committee recommends 

$1,362,301,000, the same amount as the fiscal year 2011 level. The 

budget request for fiscal year 2012 is $1,365,031,000. 

For grants through the targeted formula, the Committee recommends $3,258,183,000, the same amount as the fiscal year 2011 

level. The budget request for fiscal year 2012 is $3,264,712,000. 


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For grants through the EFIG formula, the Committee rec- ommends $3,258,183,000, the same amount as the fiscal year 2011 

level. The budget request for fiscal year 2012 is $3,264,712,000. 

For grants for Title I Rewards, the Committee recommends no funds. The budget request for fiscal year 2012 is $300,000,000 for 

this proposed activity. This new authority would provide formula 

grants to States that would in turn allocate financial and other 

awards to high-poverty LEAs and schools that are highest-achieving and making the most progress in raising student achievement. Of the funds available for title I grants to LEAs, up to $3,992,000 shall be available on October 1, 2011, not less than $3,618,248,000 

will become available on July 1, 2012 and $10,841,177,000 will become available on October 1, 2012. The funds that become available on July 1, 2012 and October 1, 2012, will remain available for 

obligation through September 30, 2013. 

The Committee notes that the biggest barrier for homeless children and youth attempting to enroll in and attend school regularly 

is the lack of transportation. The Committee bill includes language 

clarifying that title I funds may be used to address this transportation issue, as well as support homeless liaisons. 

Early Learning Challenge Fund 

The Committee does not recommend resources for a separate 

Early Learning Challenge Fund. The budget request includes 

$350,000,000 for this activity. The fiscal year 2011 bill includes 

$500,000,000 for a new Race to the Top-Early Learning Challenge 

[RTT–ELC] program. 

The Committee will continue the effort to improve early learning 

and development programs for young children through the RTT– 

ELC program. The Early Learning Challenge Fund proposes to 

achieve the same goal. 

School Improvement Grants 

The Committee recommendation includes $534,562,000, the same 

amount as the fiscal year 2011 level, for the School Improvement 

Grants [SIG] program. The budget request for fiscal year 2012 is 

$600,000,000. 

The Committee continues authority provided by prior appropriations acts that addresses several issues. First, it continues the expansion of the number of schools that may receive funds through 

the program. This language allows schools to be eligible for SIG if 

they are eligible for title I and have not made adequate yearly 

progress for at least 2 years or are in the State’s lowest quintile 

of performance based on proficiency rates. Second, language also allows States to make subgrants of not more than $2,000,000 to each 

participating school. Funds made available in the fiscal year 2012 

bill will pay for the continuation costs of awards made previously. 

The Committee continues to have concerns about implementation 

challenges related to the SIG program. A recent Government Accountability Office interim report on the program noted that some 

States have implemented SIG more rigorously than others and that 

limited capacity, challenges in rural areas and short timeframes affected school reform efforts. Also, the Department’s monitoring reports have found significant implementation issues related to SIG 


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that require corrective action. The Committee strongly urges the 

Department to help build the capacity of States to carry out their 

responsibilities under the SIG program; make more timely awards, 

so States can run competitions that effectively identify the schools 

with the highest-quality plans for turning around; help engage 

communities and families in school turnaround planning and implementation; support the effective use of time in schools, including 

through the adoption of effective, extended learning time activities, 

and support the effective utilization of the knowledge available for 

turning around low-performing schools. To aid in this effort, the 

Committee bill includes language providing the Department with a 

set-aside of up to 5 percent of the SIG appropriation for national 

activities designed to address implementation issues identified 

through Department monitoring and other sources. Prior to obligating any of these national activities funds, the Committee requests a multi-year strategic vision and operating plan for how it 

will utilize this new authority and coordinate these new efforts 

with existing technical assistance and related efforts that the Department supports. 

Striving Readers 

The Committee recommends $183,000,000 to continue the Striving Readers initiative. The budget proposes to consolidate this 

funding within a new Effective Teaching and Learning program 

under its reauthorization proposal. The fiscal year 2011 bill did not 

include funds for Striving Readers, but fiscal year 2010 funding of 

$200,000,000 allowed the Department to make $180,500,000 in 3- 

and 5-year awards to States in September 2011 and support other 

activities. 

The Committee bill includes language that continues the competitive portion of the program as it was established in the fiscal 

year 2010 appropriations act. This comprehensive literacy program 

will advance literacy skills, including language development, reading and writing for all students, including English language learners and students with disabilities, from birth through grade 12. 

Funds provided by the 2012 appropriations bill will be used for 

the second-year costs of awards made in September 2011. States 

will be required to distribute not less than 95 percent of their funds 

as subgrants to LEAs or, in the case of early literacy, to LEAs or 

other entities providing early childhood care and education. State 

subgrants must first be prioritized to such agencies or other entities serving greater percentages or numbers of disadvantaged students and ensure that: at least 15 percent go to serve children from 

birth through age 5, 40 percent to serve students in kindergarten 

through grade 5, and 40 percent to serve students in middle and 

high school, through grade 12. States also must equitably distribute funds between middle and high schools. 

Migrant Education Program 

The Committee recommends $393,981,000, the same as the fiscal 

year 2011 level, for the migrant education program. The budget request for fiscal year 2012 is $394,771,000. 

The title I migrant education program authorizes grants to State 

educational agencies for programs to meet the special educational 


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needs of the children of migrant agricultural workers and fishermen. This appropriation also supports activities to improve interstate and intrastate coordination of migrant education programs, 

as well as identify and improve services to the migrant student 

population. 

Neglected and Delinquent 

The Committee recommends $50,326,000, the same amount as 

the fiscal year 2011 level, for the title I neglected and delinquent 

program. The budget request for fiscal year 2012 is $50,427,000. 

This program provides financial assistance to State educational 

agencies for education services to neglected and delinquent children and youth in State-run institutions and for juveniles in adult 

correctional institutions. States are authorized to set aside at least 

15 percent, but not more than 30 percent, of their neglected and 

delinquent funds to help students in State-operated institutions 

make the transition into locally operated programs and to support 

the successful re-entry of youth offenders who are age 20 or younger and have received a secondary school diploma or its recognized 

equivalent. 

Evaluation 

The Committee recommends $4,151,000 for evaluation of title I 

programs. The budget request proposes to fund evaluation efforts 

through a comprehensive evaluation authority contained in the administration’s reauthorization proposal. The comparable fiscal year 

2011 amount is $8,151,000. 

Evaluation funds are used to support large-scale national surveys that examine how the title I program is contributing to student academic achievement. Funds also are used to evaluate State 

assessment and accountability systems and analyze the effectiveness of educational programs supported with title I funds. 

Funds provided will support costs associated with studies of the 

implementation of title I and title II program initiatives, Early 

Childhood Language Development activities and School Turnaround. 

High School Graduation Initiative 

The Committee recommends $48,902,000, the same amount as 

the fiscal year 2011 level, for the High School Graduation Initiative 

under title I, part H of the ESEA. The budget request funds related 

activities through a broader College Pathways and Accelerated 

Learning program. 

The High School Graduation Initiative provides competitive 

grants to LEAs or State educational agencies to implement effective high school graduation and re-entry strategies in schools and 

districts that serve students in grades 6 through 12 and have annual school dropout rates that are above their State’s average. 

Funds also are used for certain national activities, including evaluation, technical assistance and dissemination of information on effective programs and best practices. 


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Special Programs for Migrant Students 

The Committee recommends $36,595,000, the same as the fiscal 

year 2011 level, for Special Programs for Migrant Students. The 

budget request for fiscal year 2012 is $36,668,000. 

The Higher Education Opportunity Act of 2008 reauthorized the 

High School Equivalency Program [HEP] and College Assistance 

Migrant Program [CAMP] within the Special Programs for Migrant 

Students, and added a new provision allowing the Department to 

reserve up to 0.5 percent of the funds appropriated between the 

two programs for outreach, technical assistance and professional 

development activities. In addition, under current law, if the total 

amount appropriated is below $40,000,000, the remaining funds 

are to be distributed between the two programs in the same proportion as the amounts available for each program the previous 

year. 

HEP projects are 5-year grants to institutions of higher education and other nonprofit organizations to recruit migrant students ages 16 and over and provide the academic and support services needed to help them obtain a high school equivalency certificate and subsequently gain employment, win admission to a postsecondary institution or a job-training program, or join the military. Projects provide counseling, health services, stipends, and 

placement assistance. 

CAMP projects are 5-year grants to institutions of higher education and nonprofit organizations to provide tutoring, counseling, 

and financial assistance to migrant students during their first year 

of postsecondary education. 

IMPACT AID

Appropriations, 2011 ............................................................................. $1,273,631,000 

Budget estimate, 2012 ........................................................................... 1,276,183,000 

Committee recommendation ................................................................. 1,273,631,000 

The Committee recommends $1,273,631,000, the same amount as 

the fiscal year 2011 level, for impact aid. The budget request for 

fiscal year 2012 is $1,276,183,000. 

Impact aid provides financial assistance to school districts for the 

costs of educating children when enrollments and the availability 

of revenues from local sources have been adversely affected by the 

presence of Federal activities. Children who reside on Federal or 

Indian lands generally constitute a financial burden on local school 

systems because these lands do not generate property taxes—a 

major revenue source for elementary and secondary education in 

most communities. In addition, realignments of U.S. military forces 

at bases across the country often lead to influxes of children into 

school districts without producing the new revenues required to 

maintain an appropriate level of education. 

The Committee bill retains language that provides for continued 

eligibility for students affected by the deployment or death of their 

military parent, as long as these children still attend schools in the 

same school district. 

Basic Support Payments.—The Committee recommends 

$1,135,724,000, the same amount as the fiscal year 2011 level, for 

basic support payments. The budget request for fiscal year 2012 is 


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$1,138,000,000. Under this statutory formula, payments are made 

on behalf of all categories of federally connected children, with a 

priority placed on making payments first to heavily impacted 

school districts and providing any remaining funds for regular 

basic support payments. 

The Department shall continue to make heavily impacted payments to qualifying school districts that are affected by ongoing 

military housing privatization projects, as required under section 

8003(b)(2)(H) of title VIII of the ESEA, including if the completion 

of these projects has been postponed due to economic conditions. 

Payments for Children With Disabilities.—The Committee bill includes $48,505,000, the same amount as the fiscal year 2011 level, 

for payments for children with disabilities. The budget request for 

fiscal year 2012 is $48,602,000. Under this program, additional 

payments are made for certain federally connected children eligible 

for services under the Individuals with Disabilities Education Act. 

Facilities Maintenance.—The Committee recommends $4,854,000, 

the same amount as the fiscal year 2011 level, for facilities maintenance. The budget request for fiscal year 2012 is $4,864,000. This 

activity provides funding for emergency repairs and comprehensive 

capital improvements to certain school facilities owned by the Department of Education and used by local educational agencies to 

serve federally connected military dependent students. Funds appropriated for this purpose are available until expended. 

Construction.—The Committee recommends $17,474,000, the 

same amount as the fiscal year 2011 level, for the construction program. The budget request for fiscal year 2012 is $17,509,000. Formula and competitive grants are authorized to be awarded to eligible LEAs for emergency repairs and modernization of school facilities. 

The Committee recommendation includes bill language allowing 

these funds to be awarded entirely through a competitive process, 

as proposed in the budget request. Funds also are available for obligation through September 30, 2013. Last year’s bill provided 

these funds entirely through formula allocations. 

Payments for Federal Property.—The Committee recommends 

$67,074,000, the same amount as the fiscal year 2011 level, for 

payments for Federal property. The budget request for fiscal year 

2012 is $67,208,000. These payments compensate LEAs in part for 

revenue lost due to the removal of Federal property from local tax 

rolls. 

SCHOOL IMPROVEMENT PROGRAMS

Appropriations, 2011 ............................................................................. $4,597,019,000 

Budget estimate, 2012 ........................................................................... 2,996,572,000 

Committee recommendation ................................................................. 4,570,145,000 

The Committee recommendation includes $4,570,145,000 for 

school improvement programs. The budget request for fiscal year 

2012 is $2,996,572,000 and the comparable fiscal year 2011 amount 

is $4,597,019,000. 

The President’s budget for fiscal year 2012 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA], but no such bill has passed the SenVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00171 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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ate. As a result, programs in this account are based generally on 

current law, as authorized under the ESEA. 

Effective Teaching and Learning: Literacy 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning: Literacy program. The budget request for 

fiscal year 2012 is $383,348,000. Activities supported under this 

proposed program are instead funded under current law. 

The Effective Teaching and Learning: Literacy program would 

provide competitive grants to State educational agencies [SEAs], or 

SEAs in partnership with appropriate outside entities, to support 

development and implementation of comprehensive, evidence-based 

State and local efforts to provide high-quality literacy programs 

aligned with college- and career-ready English language standards. 

Effective Teaching and Learning: Science, Technology, Engineering, 

and Mathematics [STEM] 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning: STEM program. The budget request for fiscal year 2012 is $206,046,000. Activities supported under this proposed program are instead funded under current law. 

The Effective Teaching and Learning: STEM would provide competitive grants to SEAs, or SEAs in partnership with appropriate 

outside entities, to support State and local efforts to implement a 

comprehensive strategy for the provision of high-quality STEM instruction and support to students from preschool through grade 12. 

Effective Teaching and Learning for a Well-Rounded Education 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning for a Well-Rounded Education. The budget 

request for fiscal year 2012 is $246,084,000. Activities supported 

under this proposed program are instead funded under current law. 

The Effective Teaching and Learning for a Well-Rounded Education would provide competitive grants to high-need local educational agencies [LEAs], SEAs and institutions of higher education 

or nonprofit organizations in partnership with one or more highneed LEAs to support the development and expansion of innovative 

practices to improve teaching and learning across a well-rounded 

curriculum that includes the arts, health education, physical education, foreign languages, civics and government, history, geography, environmental education, economics and financial literacy 

and other subjects. 

College Pathways and Accelerated Learning 

The Committee recommends no funds for the proposed College 

Pathways and Accelerated Learning program. The budget request 

for fiscal year 2012 is $86,000,000. Activities supported under this 

proposed program are instead funded under current law. 

The College Pathways and Accelerated Learning program would 

support efforts to increase high school graduation rates and preparation for college matriculation and success by providing collegelevel and other accelerated courses and instruction in middle and 

high schools with concentrations of students from low-income families and in high-schools with low graduation rates. 


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State Grants for Improving Teacher Quality 

The Committee recommends $2,468,054,000, the same amount as 

the fiscal year 2011 level, for State grants for improving teacher 

quality. The budget request proposes $2,500,000,000 for a new effective teacher and leaders State grants program within the Innovation and Improvement account. 

The appropriation for this program primarily supports activities 

associated with the 2012–2013 academic year. Of the funds provided, $786,613,000 will become available on July 1, 2012, and 

$1,681,441,000 will become available on October 1, 2012. These 

funds will remain available for obligation through September 30, 

2013. 

States and LEAs may use funds for a range of activities related 

to the certification, recruitment, professional development and support of teachers and administrators. Activities may include reforming teacher certification and licensure requirements, addressing alternative routes to State certification of teachers, recruiting teachers and principals, and implementing teacher mentoring systems, 

teacher testing, merit pay and merit-based performance systems. 

These funds may also be used by districts to hire teachers to reduce class sizes. 

The Committee bill continues a set-aside established in the fiscal 

year 2011 bill for competitive awards to national not-for-profit organizations for teacher training or professional enhancement activities. Up to 5 percent of funds available for the State grants for improving teacher quality program shall be used for this purpose. In 

fiscal year 2011, the set-aside was 1 percent. 

Mathematics and Science Partnerships 

The Committee recommends $175,127,000, the same amount as 

the fiscal year 2011 level, for the mathematics and science partnerships program. The budget proposes $206,046,000 for a new Effective Teaching and Learning: Science, Technology, Engineering, and 

Mathematics program. 

These funds will be used to improve the performance of students 

in the areas of math and science by bringing math and science 

teachers in elementary and secondary schools together with scientists, mathematicians and engineers to increase the teachers’ 

subject-matter knowledge and improve their teaching skills. The 

Department awards grants to States by a formula based on the 

number of children aged 5 to 17 who are from families with incomes below the poverty line. States then are required to make 

grants competitively to eligible partnerships, which must include 

an engineering, math or science department of an institution of 

higher learning and a high-need LEA. 

Supplemental Education Grants 

The Committee recommendation includes $17,652,000, the same 

amount as the fiscal year 2011 level, for supplemental education 

grants to the Republic of Marshall Islands [RMI] and the Federated States of Micronesia [FSM]. The budget request for fiscal 

year 2012 is $17,687,000. 

This grant program was authorized by the Compact of Free Association Amendments Act of 2003. These funds will be transferred 


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from the Department of Education to the Secretary of the Interior 

for grants to these entities. The Committee bill includes language 

that allows up to 5 percent to be used by the FSM and RMI to purchase oversight and technical assistance, which may include reimbursement to the Departments of Labor, Health and Human Services, and Education for such services. 

21st Century Community Learning Centers 

The Committee recommends an appropriation of $1,153,854,000, 

the same amount as the fiscal year 2011 level, for the 21st Century 

Community Learning Centers program. The budget request for fiscal year 2012 is $1,266,166,000. 

Funds are allocated to States by formula, which in turn, award 

at least 95 percent of their allocations to LEAs, community-based 

organizations and other public and private entities. Grantees use 

these resources to establish or expand community learning centers 

that provide activities offering significant extended learning opportunities, such as before- and after-school programs, recreational activities, drug and violence prevention and family literacy programs 

for students and related services to their families. Centers must 

target their services on students who attend schools that are eligible to operate a schoolwide program under title I of the ESEA or 

serve high percentages of students from low-income families. 

A growing body of evidence demonstrates that students benefit 

academically from a longer school day, week and year. The Committee notes that some school districts have adopted strategies to 

extend the school day without significant new investments, such as 

through staggered school schedules and innovative partnerships 

with community partners. 

The Committee believes State educational agencies should award 

grants to high-quality programs that address individual student 

learning needs and student well-being. Funded programs should (1) 

deliver services through a variety of high-quality and effective 

strategies for boosting learning and enrichment including after 

school, before school, summer school, and extended school day, 

week or year opportunities; and (2) align with and complement, 

rather than replicate, the regular school day by offering a range of 

activities that capture student interest and support student engagement to promote higher class attendance, reduce risk for retention or dropping out, and include activities that promote good 

health. The Committee directs the Department to provide guidance 

and support technical assistance on how to form and maintain 

strong community-school partnerships, promote continuous quality 

improvement and ensure that funded programs meet the needs of 

individual students. 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $389,951,000, the same amount as 

the fiscal year 2011 level, for State assessments and enhanced assessment instruments. The budget request for fiscal year 2012 is 

$420,000,000. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing and implementing 

standards and assessments required by the Elementary and SecVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00174 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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ondary Education Act. The Committee provides $380,000,000 for 

this purpose. 

Under the second component—grants for enhanced assessment 

instruments—appropriations in excess of the State assessment program are used for a competitive grant program designed to support 

efforts by States to improve the quality and fairness of their assessment systems. The Committee recommendation for the second component is $9,951,000. 

The Committee urges the Department to continue to place a high 

priority on grant applications that aim to improve the quality of 

State assessments for students with disabilities and students with 

limited English proficiency, and to ensure the most accurate means 

of measuring their performance on these assessments. 

Foreign Language Assistance 

The Committee recommends no funds for the foreign language 

assistance program. The comparable fiscal year 2011 amount is 

$26,874,000. 

The budget request proposes to fund similar activities under Effective Teaching and Learning for a Well-Rounded Education. 

Funds from this program have supported competitive grants to increase the quality and quantity of foreign language instruction. 

Education for Homeless Children and Youth 

For carrying out education activities authorized by title VII, subtitle B of the Stewart B. McKinney Homeless Assistance Act, the 

Committee recommends $65,296,000. The budget request for fiscal 

year 2012 is $65,427,000 and the comparable fiscal year 2011 

amount is $65,296,000. 

This program provides assistance to each State to support an office of the coordinator of education for homeless children and 

youth, to develop and implement State plans for educating homeless children, and to make subgrants to LEAs to support the education of those children. Grants are made to States based on the 

total that each State receives in title I grants to LEAs. 

Under the McKinney-Vento Homeless Children and Youths Program, State educational agencies must ensure that homeless children and youth have equal access to the same free public education, including a public preschool education, as is provided to 

other children and youth. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the 

Civil Rights Act, the Committee recommends $6,975,000. The budget request for fiscal year 2012 is $6,989,000 and the comparable fiscal year 2011 amount is $6,975,000. 

The funds provided will support awards to operate the 10 regional equity assistance centers [EACs]. Each EAC provides services to school districts upon request. Activities include disseminating information on successful practices and legal requirements 

related to nondiscrimination on the basis of race, color, sex, or national origin in education programs. 


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Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Committee recommends $34,246,000. The budget request for fiscal year 

2012 is $34,315,000 and the comparable fiscal year 2011 amount 

is $34,246,000. 

The Committee bill includes language that allows funding provided by this program to be used for construction. 

Alaska Native Educational Equity 

The Committee recommends $33,248,000, the same amount as 

the fiscal year 2011 level, for the Alaska Native educational equity 

assistance program. The budget request for fiscal year 2012 is 

$33,315,000. 

These funds address the severe educational handicaps of Alaska 

Native schoolchildren. Funds are used for the development of supplemental educational programs to benefit Alaska Natives. The 

Committee bill includes language that allows funding provided by 

this program to be used for construction. The Committee expects 

the Department to use some of these funds to address the construction needs of rural schools. 

The Committee bill also includes language overriding the authorizing statute’s requirement to make non-competitive awards to certain organizations. 

Rural Education 

The Committee recommends $174,532,000, the same amount as 

the fiscal year 2011 level, for rural education programs. The budget 

request for fiscal year 2012 is $174,882,000. 

The Committee expects that rural education funding will be 

equally divided between the Small, Rural Schools Achievement 

Program, which provides funds to LEAs that serve a small number 

of students, and the Rural and Low-Income Schools Program, 

which provides funds to LEAs that serve concentrations of poor 

students, regardless of the number of students served. 

Comprehensive Centers 

The Committee recommends $51,210,000, the same amount as 

the fiscal year 2011 level, for the comprehensive centers program. 

The budget request for fiscal year 2012 is $56,313,000. 

These funds provide support to a network of 21 comprehensive 

centers that are operated by research organizations, agencies, institutions of higher education or partnerships thereof, and provide 

training and technical assistance on various issues to States, LEAs 

and schools as identified through needs assessments undertaken in 

each region. The system also currently includes 16 regional centers, 

which are charged with providing intensive technical assistance to 

State educational agencies to increase their capacity to assist LEAs 

and schools with meeting the goals of the Elementary and Secondary Education Act, and five content centers, which are organized by topic area. 


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INDIAN EDUCATION

Appropriations, 2011 ............................................................................. $127,027,000 

Budget estimate, 2012 ........................................................................... 127,282,000 

Committee recommendation ................................................................. 128,027,000 

The Committee recommends $128,027,000 for Indian education 

programs. The budget request for fiscal year 2012 is $127,282,000 

and the comparable fiscal year 2011 amount is $127,027,000. 

Grants to Local Educational Agencies 

For grants to local educational agencies, the Committee recommends $104,122,000, the same amount as the fiscal year 2011 

level. The budget request for fiscal year 2012 is $104,331,000. 

These funds provide financial support to elementary and secondary school programs that serve Indian students, including preschool children. Funds are awarded on a formula basis to local educational agencies, schools supported and operated by the Department of the Interior/Bureau of Indian Education, and in some cases 

directly to Indian tribes. 

Special Programs for Indian Children 

The Committee recommends $19,022,000, the same amount as 

the fiscal year 2011 level, for special programs for Indian children. 

The budget request for fiscal year 2012 is $19,060,000. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $4,883,000 for national activities. 

The budget request for fiscal year 2012 is $3,891,000 and the comparable fiscal year 2011 amount is $3,883,000. 

Funds will be used to expand efforts to improve research, evaluation, and data collection on the status and effectiveness of Indian 

education programs. The $1,000,000 increase over the fiscal year 

2011 level shall be used for grants to tribes for education administration and planning. 

INNOVATION AND IMPROVEMENT

Appropriations, 2011 ............................................................................. $1,856,179,000 

Budget estimate, 2012 ........................................................................... 4,995,000,000 

Committee recommendation ................................................................. 1,740,212,000 

The Committee recommendation includes $1,740,212,000 for programs within the innovation and improvement account. The budget 

request for fiscal year 2012 is $4,995,000,000 for related activities 

and the fiscal year 2011 appropriation is $1,856,179,000 for programs in this account. 

The President’s budget for fiscal year 2012 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA], but no such bill has passed the Senate. As a result, programs in this account are based generally on 

current law, as authorized under the ESEA. 


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Race to the Top 

The Committee recommends $698,600,000, the same amount as 

the fiscal year 2011 level, for the Race to the Top [RTT] program. 

The budget request for fiscal year 2012 includes $900,000,000 for 

this program. These funds are available for obligation on July 1, 

2012, and will remain available through September 30, 2013. 

RTT was established in the American Recovery and Reinvestment Act and continued in the fiscal year 2011 appropriations bill. 

It has supported and incentivized reforms that are designed to reduce achievement gaps, significantly improve student achievement, 

graduation rates and college enrollments, and encourage the broad 

replication of effective practices. The Committee bill includes new 

language allowing local school districts to be eligible for RTT 

grants. With funds provided in this appropriations bill, the Department may make awards to SEAs and/or LEAs based on their commitment to and plan for innovation and reform that will improve 

student achievement. States receiving awards must use not less 

than 50 percent of their funds to local educational agencies participating in the State’s RTT plan. 

Funds also may be used for Race to the Top-Early Learning 

Challenge [RTT–ELC], a component that was added in the fiscal 

year 2011 appropriations bill. The goal of RTT–ELC is to improve 

the quality of early learning and development and close the 

achievement gap for children with high needs. The RTT–ELC grant 

competition focuses on improving early learning and development 

for young children by supporting States’ efforts to increase the 

number and percentage of low-income and disadvantaged children 

in each age group of infants, toddlers and preschoolers enrolled in 

high-quality early learning and development programs; and designing and implementing an integrated system of high-quality early 

learning and development programs and services. Grants are made 

to States, which may make subgrants to appropriate entities so 

they can help achieve the goals of States’ plans. 

The Committee bill includes new language providing up to 5 percent of the appropriation for this program to be used for evaluation 

and technical assistance. These funds may be used to continue to 

collect implementation data, possibly to expand the implementation 

study to include more districts or to conduct impact evaluations of 

interventions supported by RTT including impact studies of the 

RTT–ELC. The Committee expects to be notified in advance of the 

proposed uses of these funds. 

Investing in Innovation 

The Committee recommends $149,700,000, the same amount as 

the fiscal year 2011 level, for the Investing in Innovation program. 

The budget request for fiscal year 2012 is $300,000,000 for this 

purpose. 

Investing in Innovation was established in the American Recovery and Reinvestment Act and continued in the fiscal year 2011 appropriations bill. The program has provided a source for replicating 

education programs that meet the highest level of evidence; expanding those with significant levels of evidence; and supporting 

promising practices for which there is some level of appropriate research. The Committee supports this three-tier evidentiary model 


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and believes that this feature of the program should continue to 

guide future funding opportunities and decisions. The Committee 

also appreciates the priority given to rural applicants in the fiscal 

year 2011 competition and believes that this priority should continue to be used in the fiscal year 2012 competition. The Committee expects the Department to equally distribute grants among 

the absolute priority categories unless there are an insufficient 

number of qualified grants for a priority category. 

The Committee bill includes new language providing up to 5 percent of the appropriation for this program to be used for evaluation 

and technical assistance. These funds may be used to provide technical assistance and to summarize the evaluations from 2011 

grantees. The Committee expects to be notified in advance of the 

proposed uses of these funds. 

Effective Teachers and Leaders 

The Committee recommends no funding for the Effective Teachers and Leaders State grant program. The budget request for fiscal 

year 2012 includes $2,500,000,000 for this new program based on 

the administration’s reauthorization proposal. 

The Committee has provided $2,468,054,000 for State Grants for 

Improving Teacher Quality within the school improvement programs account. These funds may be used for similar purposes as 

those proposed under this new program. 

Effective Teachers and Leaders Innovation Fund 

The Committee recommends no funding for the Effective Teachers and Leaders Innovation Fund. The budget request for fiscal 

year 2012 includes $500,000,000 for this new program based on the 

administration’s reauthorization proposal. 

The Committee has provided $300,000,000 for the Teacher Incentive Fund and additional funds for other current law programs that 

may be used for similar purposes as those proposed under this new 

program. 

Teacher and Leader Pathways 

The Committee recommends no funding for the Teacher and 

Leader Pathways program. The budget request for fiscal year 2012 

includes $250,000,000 for this new program based on the administration’s reauthorization proposal. 

The Committee has provided resources under current law programs that may be used for similar purposes as those proposed 

under this new program. 

Expanding Educational Options 

The Committee recommends no funding for the Expanding Educational Options program. The budget request for fiscal year 2012 

includes $372,000,000 for this new program based on the administration’s reauthorization proposal. 

The Committee has provided resources under current law programs that may be used for similar purposes as those proposed 

under this new program. 


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Transition to Teaching 

The Committee recommends $20,125,000 for the Transition to 

Teaching program. The budget request for fiscal year 2012 proposes an Excellent Instructional Teams initiative that could support activities carried out under this program. The fiscal year 2011 

level is $41,125,000 for this program. 

This program provides grants to help support efforts to recruit, 

train and place nontraditional teaching candidates into teaching 

positions and to support them during their first years in the classroom. In particular, this program is intended to attract mid-career 

professionals and recent college graduates. Program participants 

are placed in high-need schools in high-need LEAs. 

The level recommended by the Committee is sufficient to pay the 

continuation costs for existing grants. 

Teaching of Traditional American History 

The Committee recommends $45,908,000, the same amount as 

the fiscal year 2011 level, for the Teaching of Traditional American 

History program. The budget request for fiscal year 2012 proposes 

an Effective Teaching and Learning for a Well-Rounded Education 

program that could support activities carried out under this program. 

The Teaching of Traditional American History program supports 

competitive grants to LEAs. Funds may be used only to undertake 

activities that are related to American history and cannot be used 

for social studies coursework. Grant awards are designed to augment the quality of American history instruction and to provide 

professional development activities and teacher education in the 

area of American history. Grants are awarded for 3 years, with 2 

additional years allowed for grantees that are performing effectively. 

The Committee bill retains language that allows the Department 

to reserve up to 3 percent of funds appropriated for this program 

for national activities. The Committee continues to believe that the 

Department should use these funds to help grantees reach those 

teachers most in need of services supported by these grant funds. 

School Leadership 

The Committee recommends $29,162,000, the same amount as 

the fiscal year 2011 level, for the school leadership program. The 

budget request for fiscal year 2012 proposes a Teacher and Leader 

Pathways program that could support activities funded through 

this program. 

The program provides competitive grants to assist high-need 

LEAs to recruit and train principals and assistant principals 

through activities such as professional development and training 

programs. The Committee continues to recognize the critical role 

that principals and assistant principals play in creating an environment that fosters effective teaching and high academic achievement for students. 

Charter Schools 

The Committee recommends a total of $255,519,000, the same 

amount as the fiscal year 2011 level, for the support of charter 


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schools. The budget request for fiscal year 2012 proposes no dedicated funding for the charter schools program, instead providing 

support for such activities through a broader Expanding Educational Options program. 

The Committee allocates the recommended funding as follows: up to $221,519,000 for charter school grants, not less than $23,000,000 

for the State facilities, and credit enhancement for charter schools 

facilities programs, and up to $11,000,000 for national activities designed to support local, State and national efforts to increase the 

number of high-quality charter schools. 

The Charter Schools grants program supports the planning, development and initial implementation of charter schools. State educational agencies [SEAs] that have the authority under State law 

to approve charter schools are eligible to compete for grants. If an 

eligible SEA does not participate, charter schools from the State 

may apply directly to the Secretary. 

Under the State facilities program, the Department awards 5- 

year competitive grants to States that operate per-pupil facilities 

aid programs for charters schools. Federal funds are used to match 

State-funded programs in order to provide charter schools with additional resources for charter school facilities financing. 

The credit enhancement program provides assistance to help 

charter schools meet their facility needs. Funds are provided on a 

competitive basis to public and nonprofit entities, to leverage nonFederal funds that help charter schools obtain school facilities 

through purchase, lease, renovation and construction. 

The Committee continues language initiated with the fiscal year 2010 bill that allows the Secretary to reserve up to $55,000,000 of 

the charter school grant funds to make multiple awards to charter 

management organizations and other entities for the replication 

and expansion of successful charter school models that have a track 

record of success. 

The Committee is particularly interested in the Department using a portion of the $11,000,000 available for national activities 

to help address issues related to services to students with disabilities enrolled in or interested in enrolling in charter schools, as 

well as efforts to strengthen charter authorizing practices. 

Voluntary Public School Choice 

The Committee recommends no funds for the voluntary public 

school choice program. The comparable fiscal year 2011 level is 

$25,767,000. The budget request for fiscal year 2012 includes no 

funds for this program, but instead consolidates them within the 

proposed Expanding Educational Options program. 

This program has supported efforts by States and school districts 

to establish or expand State- or district-wide public school choice 

programs, especially for parents whose children attend low-performing public schools. 

Magnet Schools Assistance 

The Committee recommends $99,800,000, the same amount as 

the fiscal year 2011 appropriation, for the magnet schools assistance program. The budget request for fiscal year 2012 includes 

$110,000,000 for this purpose. 


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This program supports grants to local educational agencies to establish and operate magnet schools that are part of a court-ordered 

or federally approved voluntary desegregation plan. Magnet schools 

are designed to attract substantial numbers of students from different social, economic, ethnic, and racial backgrounds. Grantees 

may use funds for planning and promotional materials, teacher salaries and the purchase of computers and other educational materials and equipment. 

Fund for the Improvement of Education 

The Committee recommends an appropriation of $70,900,000 for 

the Fund for the Improvement of Education [FIE]. The fiscal year 

2011 appropriation is $40,900,000 and the budget request for fiscal 

year 2012 is $63,000,000 for this purpose. 

Within programs of national significance, the Committee includes 

$30,000,000 for competitive awards to national not-for-profit organizations or school libraries for providing books and childhood literacy activities to children and families living in high need communities. The competition should be designed so that funds are 

awarded to entities that have evidence of effectiveness or highquality plans for addressing childhood literacy activities for the target population. The Committee expects no less than 50 percent of 

these funds to be made available to applications from school libraries proposing high-quality projects for increasing access to a wide 

range of print and electronic resources that provide learning opportunities to all students, but particularly those less likely to have 

access to such materials at home. 

Funds for programs of national significance also support 

$1,000,000 to continue the educational facilities clearinghouse, 

which provides information on planning, designing, financing, 

building, maintaining and operating safe, healthy, high-performance educational facilities, including early learning centers, and 

$9,750,000 to continue awards for full service community schools. 

The Committee also provides $2,600,000 for data quality and evaluation initiatives and peer review. 

Within the amount for FIE, the Committee also includes 

$27,550,000 for arts in education. The budget request includes 

funds for similar activities under its proposed Effective Teaching 

and Learning for a Well-Rounded Education program. The fiscal 

year 2011 appropriation is $27,447,000 for competitive awards for 

national nonprofit organizations engaged in arts education, professional development activities and model arts education programs. 

Funds also are used for evaluation and dissemination activities, as 

well as a partnership with the National Endowment for the Arts. 

The Committee recommends no funds for activities authorized by 

the Excellence in Economic Education Act. The Department used 

$1,444,000 from the fiscal year 2011 appropriation for this purpose. 

The budget proposes to support similar activities under its proposed Effective Teaching and Learning for a Well-Rounded Education program. Funds support a grant to a nonprofit educational 

organization to promote economic and financial literacy among kindergarten through 12th grade students. 


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Teacher Incentive Fund 

The Committee recommendation includes $300,000,000 for the 

Teacher Incentive Fund [TIF] program. The comparable fiscal year 

2011 level is $399,200,000. The budget proposal supports the program through a broader Teacher and Leader Innovation Fund 

based on the administration’s reauthorization proposal. 

The goals of TIF are to improve student achievement by increasing teacher and principal effectiveness; reform compensation systems to reward gains in student achievement; increase the number 

of effective teachers teaching low-income, minority, and disadvantaged students, and students in hard-to-staff subjects; and other activities designed to increase the effectiveness of teachers, principals 

and other personnel in high-need schools. 

The Committee-recommended funding level provides robust support for activities designed to support reforms in evaluation, compensation, hiring and advancement in order to increase the effectiveness of teachers, principals and other personnel in high-need 

schools. Grants funded under this program may continue to address reform of compensation, but the Committee bill now will 

allow applicants to propose additional activities designed to increase teacher and principal effectiveness. The Committee bill includes language broadening the TIF program because of the rigorous research released over the past year showing that performance-based compensation systems had no effect in increasing student achievement. 

At the Committee-recommended level, the Department will have more than $290,000,000 to make new awards. 

Ready-to-Learn Television 

The Committee recommendation includes $27,245,000, the same 

amount as the fiscal year 2011 level, for the Ready-to-Learn Television program. The budget request proposes to fund similar activities through its proposed Effective Teaching and Learning: Literacy 

program. 

The Ready-to-Learn program was created by Congress in 1992 to 

use the power and reach of public television to help prepare children, especially disadvantaged children, enter and succeed in 

school. The Elementary and Secondary Education Act requires that 

all programming and digital content created under Ready-to-Learn 

be specifically designed for nationwide distribution over public television stations’ digital broadcasting channels and the Internet. The 

act also requires funds to be made available to public telecommunications entities to ensure that these programs, and related educational materials, are disseminated and distributed to the widest 

possible audience and are made accessible to all Americans. 

Advanced Placement [AP] 

The Committee recommends $43,253,000, the same amount as 

the fiscal year 2011 appropriation, for AP programs. The budget request proposes to fund similar activities through its College Pathways and Accelerated Learning program. 

These funds support two programs, the Advanced Placement Test 

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crease access to AP and International Baccalaureate [IB] classes 

and tests for low-income students. Under the test fee program, the 

Department makes awards to State educational agencies to enable 

them to cover part or all of the cost of test fees of low-income students who are enrolled in an AP or IB class and plan to take an 

AP or IB test. Under the API program, the Department makes 3- 

year competitive awards to State educational agencies, LEAs, or 

national nonprofit educational entities to expand access for low-income individuals to AP programs through activities including 

teacher training, development of pre-advanced placement courses, 

coordination and articulation between grade levels to prepare students for academic achievement in AP or IB courses, books and 

supplies, and participation in online AP or IB courses. Under the 

authorizing statute, the Department must give priority to funding 

the test fee program. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2011 ............................................................................. $288,465,000 

Budget estimate, 2012 ........................................................................... 514,966,000 

Committee recommendation ................................................................. 270,463,000 

The Committee recommends a total of $270,463,000 for activities 

to promote safe schools, healthy students and citizenship education. The budget request for fiscal year 2012 is $514,966,000 and 

the comparable fiscal year 2011 amount is $288,465,000. 

The President’s budget for fiscal year 2012 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA], but no such bill has passed the Senate. As a result, the Committee bill is based on current law for programs authorized under the ESEA. 

Promise Neighborhoods 

The Committee recommends $60,000,000 for the Promise Neighborhoods program. The budget request for fiscal year 2012 is 

$150,000,000 and the comparable fiscal year 2011 amount is 

$29,940,000. 

Funds are available for obligation through December 31, 2012. 

By providing an extra quarter to obligate these funds, the Committee gives fiscal year 2011 planning grantees sufficient time to 

develop implementation plans that could be funded by this bill and 

provides the Department ample time to evaluate whether fiscal 

year 2011 implementation grantees are making significant progress 

required to justify the receipt of continuation awards in fiscal year 

2012. 

Competitive grants will be awarded to nonprofit, communitybased organizations for the development of comprehensive neighborhood programs designed to combat the effects of poverty and improve educational and life outcomes for children and youth, from 

birth through college. Each Promise Neighborhood grantee will 

serve a high-poverty urban neighborhood or rural community. 

Two types of awards will be made under this program, 1-year 

planning grants and implementation grants. Funds for planning 

grants are used by communities to develop a plan for providing a 

continuum of services and supports for the children and youth in 

a particular neighborhood. Implementation grants are awarded to 


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organizations with feasible plans for achieving the goals of the program. 

At the funding level recommended by the Committee, the Depart- ment could use more than $45,000,000 to support implementation 

grants for prior planning grant recipients or communities with 

high-quality plans for achieving the goals of the program. Approximately $10,000,000 would be available for another round of planning grants and for technical assistance activities. 

Successful, Safe, and Healthy Students 

The Committee recommends no funds for this proposed new program, which is based on the administration’s reauthorization plan. 

The Committee has allocated funds for related current law programs, as described under the individual headings in this account. 

Under this program, the Department would award grants to 

State educational agencies, title I eligible LEAs and their partners 

for programs designed to improve the school culture and climate; 

improve students’ physical health and well-being; and improve students’ mental health and well-being. 

Safe and Drug-Free National Activities 

The Committee recommendation includes $79,226,000 for the national activities portion of the Safe and Drug-Free Schools and 

Communities program. The fiscal year 2011 appropriation is 

$119,226,000 for this purpose. The budget request proposes to fund 

related activities within the proposed Successful, Safe and Healthy 

Students program. 

The Committee recognizes the need to address the problems of 

bullying, harassment, threats of violence and other types of behavior that detract from the learning environment in our Nation’s 

schools, and urges the Department to increase support for research-based programs, such as bullying prevention, threat assessment protocols, social and emotional learning, and positive behavioral supports and interventions. 

The Committee recommends no funds for Project SERV (School 

Emergency Response to Violence), which provides education-related 

services to LEAs and institutions of higher education in which the 

learning environment has been disrupted due to a violent or traumatic crisis. Project SERV funds are available until expended. The 

budget request includes $5,000,000 for this purpose. No funds were 

appropriated for Project SERV in fiscal year 2011. The Committee 

believes that no additional funds are required in fiscal year 2012, 

given the amount of unobligated funds that have been carried over 

from previous years. 

The Committee recommendation includes funds for continuation 

costs related to safe and supportive schools, Safe Schools/Healthy 

Students, and other activities. 

Alcohol Abuse Reduction 

The Committee recommends no funds for grants to LEAs to develop and implement programs to reduce underage drinking in secondary schools. The comparable fiscal year 2011 amount is 

$6,907,000. The budget recommended consolidating this program 

into its proposed Successful, Safe and Healthy Students program. 


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Elementary and Secondary School Counseling 

The Committee recommends $52,395,000, the same as the fiscal 

year 2011 level, to establish or expand counseling programs in elementary and secondary schools. The budget request recommended 

consolidating this program into its proposed Successful, Safe and 

Healthy Students program. As currently authorized, at least 

$40,000,000 must be used to support elementary school counseling 

programs. 

Carol M. White Physical Education for Progress Program 

The Committee recommendation includes $78,842,000, the same 

as the fiscal year 2011 level, to help LEAs and community-based 

organizations initiate, expand and improve physical education programs for students in grades K–12. The budget request proposed 

to consolidate this program into its proposed Successful, Safe and 

Healthy Students program. This funding will help schools and communities improve their structured physical education programs for 

students and help children develop healthy lifestyles to combat the 

national epidemic of obesity. 

Civic Education 

The Committee recommends no funds for the civic education program, which is intended to improve the quality of civics and government education, foster civic competence and responsibility, and 

improve the quality of civic and economic education through exchange programs with emerging democracies. The fiscal year 2011 

appropriation is $1,155,000 for this purpose. The budget request 

proposes to fund similar activities through the Effective Teaching 

and Learning for a Well-Rounded Education program. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2011 ............................................................................. $733,530,000 

Budget estimate, 2012 ........................................................................... 750,000,000 

Committee recommendation ................................................................. 733,530,000 

The Committee recommends an appropriation of $733,530,000, 

the same amount as the fiscal year 2011 level, for English language acquisition. The budget request for fiscal year 2012 is 

$750,000,000. 

The President’s budget for fiscal year 2012 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA], but no such bill has passed the Senate. As a result, the Committee bill is based on current law for programs authorized under the ESEA. 

The Department makes formula grants to States based on each 

State’s share of the Nation’s limited-English-proficient and recent 

immigrant student population. The program is designed to increase 

the capacity of States and school districts to address the needs of 

these students. The Committee includes bill language requiring 

that 6.5 percent of the appropriation be used to support national 

activities, which include professional development activities designed to increase the number of highly qualified teachers serving 

limited-English-proficient students; a National Clearinghouse for 

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grams; and evaluation activities. National activities funds shall be 

available for 2 years. 

The Committee bill continues language that requires the Secretary to use a 3-year average of the most recent data available 

from the American Community Survey for calculating allocations to 

all States under the English Language Acquisition State Grants 

program. Under the authorizing statute, the Department would use 

1-year estimates, which are not as reliable and produce more volatility in the allocations from year to year. 

SPECIAL EDUCATION

Appropriations, 2011 ............................................................................. $12,542,912,000 

Budget estimate, 2012 ........................................................................... 12,861,351,000 

Committee recommendation ................................................................. 12,553,066,000 

The Committee recommends an appropriation of $12,553,066,000 

for special education programs. The fiscal year 2011 funding level 

is $12,542,912,000 and the budget request includes $12,861,351,000 

for special education. 

Grants to States 

The Committee recommends $11,482,200,000, the same amount 

as the fiscal year 2011 level, for special education grants to States, 

as authorized under section 611 of part B of the IDEA. The budget 

request proposes $11,705,211,000 under this authority. 

This program provides formula grants to assist States, outlying 

areas and other entities in meeting the costs of providing special 

education and related services for children with disabilities. States 

pass along most of these funds to local educational agencies, but 

may reserve some for program monitoring, enforcement, technical 

assistance, and other activities. 

The appropriation for this program primarily supports activities 

associated with the 2012–2013 academic year. Of the funds available for this program, $2,889,817,000 will become available on July 

1, 2012, and $8,592,383,000 will become available on October 1, 

2012. These funds will remain available for obligation until September 30, 2013. 

As requested by the administration, the Committee continues bill 

language capping the Department of the Interior set-aside at the 

prior year level, adjusted by the lower of the increase in inflation 

or the change in the appropriation for grants to States. This provision also would prevent a decrease in the amount to be transferred 

in case the funding for this program decreases or does not change. 

Preschool Grants 

The Committee recommends $373,351,000, the same amount as 

the fiscal year 2011 level, for preschool grants. The budget request 

for fiscal year 2012 is $374,099,000. The preschool grants program 

provides formula grants to States to assist them in making available special education and related services for children with disabilities aged 3 through 5. States distribute the bulk of the funds 

to local educational agencies. States must serve all eligible children 

with disabilities aged 3 through 5 and have an approved application under the IDEA. 


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Grants for Infants and Families 

The Committee recommends $443,548,000 for the grants for infants and families program under part C of the IDEA. The budget 

request for fiscal year 2012 is $489,427,000 and the comparable fiscal year 2011 level is $438,548,000. Part C of the IDEA authorizes 

formula grants to States, outlying areas and other entities to implement statewide systems of coordinated, comprehensive, multidisciplinary interagency programs to make available early intervention services to all children with disabilities, ages 2 and under, 

and their families. 

State Personnel Development 

The Committee recommends $44,000,000 for the State personnel 

development program. The budget request for fiscal year 2012 is 

$48,000,000 and the comparable fiscal year 2011 amount is 

$46,846,000. This program focuses on the professional development 

needs in States by requiring that 90 percent of funds be used for 

professional development activities. The program supports grants 

to State educational agencies to help them reform and improve 

their personnel preparation and professional development related 

to early intervention, educational and transition services that improve outcomes for students with disabilities. 

The Committee encourages funds available for new awards to be 

used to support activities devoted to increasing the skills of general 

educators in working collaboratively with special educators, and ultimately, students with disabilities. 

Technical Assistance and Dissemination 

The Committee recommends $49,306,000 for technical assistance 

and dissemination. The budget request for fiscal year 2012 is 

$49,549,000 and the comparable fiscal year 2011 amount is 

$48,806,000. This program supports awards for technical assistance, model demonstration projects, the dissemination of useful information and other activities. Funding supports activities that are 

designed to improve the services provided under IDEA. 

The Committee continues to support activities that address the 

need for high-quality, evidence-based technical assistance activities 

that improve the services to and outcomes for students with disabilities. The Committee encourages the Department to strengthen 

its efforts to align the investments of the Office of Special Education Programs [OSEP] with a strategic plan designed to improve 

outcomes for students with disabilities and to ensure that OSEP’s 

technical assistance activities are coordinated with other Department technical assistance activities. 

Personnel Preparation 

The Committee recommends $88,966,000 for the personnel preparation program. The budget request for fiscal year 2012 is 

$90,653,000 and the comparable fiscal year 2011 amount is 

$88,466,000. 

Funds support competitive awards to help address State-identified needs for personnel who are qualified to work with children 

with disabilities, including special education teachers and related 

services personnel. The program has requirements to fund several 


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other broad areas, including training for leadership personnel and 

personnel who work with children with low incidence disabilities, 

and providing enhanced support for beginning special educators. 

Parent Information Centers 

The Committee recommends $28,972,000 for parent information centers. The budget request for fiscal year 2012 is $28,028,000 and 

the comparable fiscal year 2011 amount is $27,972,000. 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. 

Technology and Media Services 

The Committee recommends $30,644,000 for technology and 

media services. The budget request for fiscal year 2012 is 

$33,289,000 and the comparable fiscal year 2011 amount is 

$28,644,000. This program makes competitive awards to support 

the development, demonstration and use of technology and educational media activities of value to children with disabilities. 

The Committee is particularly interested in the fiscal year 2012 

competition on Educational Materials in Accessible Formats for 

Students with Visual Impairments and Other Print Disabilities 

and the recommendation includes no less than the fiscal year 2012 

budget request for this activity. The Committee notes that the last 

competition helped improve SEA and LEA compliance with requirements to provide accessible instructional materials to students with 

visual impairments and other print disabilities by providing 

130,000 students with disabilities with free access to instructional 

materials and making over 100,000 books digitally available in 

multiple accessible formats. The Committee expects the fiscal year 

2012 competition to continue to improve the speed and ease of access to materials as well as the volume of materials available to 

such students. 

Mentoring for Individuals With Intellectual Disabilities 

The Committee recommends no funds for this proposed program. 

The budget proposes $5,000,000 to support grants or contracts to 

expand the Best Buddies organization, as well as support activities 

to increase the participation of people with intellectual disabilities 

in social relationships and other aspects of community life, including education and employment. Legislation is pending in Congress 

that would authorize similar activities. 

PROMISE: Promoting Reading of Minors in SSI 

The Committee recommendation includes $4,000,000 for the 

PROMISE program and makes these funds available for obligation 

through September 30, 2013. The budget request includes 

$30,000,000 for this new activity. The Committee provides additional support for PROMISE through $10,000,000 for the Social Security Administration and the authority to use unobligated Vocational Rehabilitation State grant funds for the PROMISE program. 


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The Committee intends to provide additional funds for this program in fiscal year 2013 as the planning and grant competition 

process described below moves forward and helps identify any additional funding needed to accomplish the goal of this program. 

The goal of the PROMISE program is to improve outcomes of 

children who receive Supplemental Security Income [SSI], as well 

as their families. The Committee is aware of the research showing 

that less than half of 17- and 18-year-olds receiving SSI had 

worked during ages 16–17, almost 60 percent of child SSI recipients who turn 18, and become ineligible for child benefits, immediately continue receiving benefits as an adult, and fewer than a 

quarter of SSI youth ages 14–17 or their parents know about various work incentives available to them. The PROMISE program 

will primarily address the barriers preventing more positive outcomes for youths receiving SSI by encouraging innovation through 

better coordination between existing programs and services. The 

program will provide such youth with more intense and coordinated services, particularly around the transition to competitive, 

integrated employment, completion of postsecondary education, and 

other activities that are likely to reduce the likelihood of future dependency on SSI. The program also intends to help families of child 

SSI recipients through improved services and supports such as 

education and training. 

The Department, in cooperation with the Social Security Administration and Departments of Labor and Health and Human Services, may use funds provided in this bill to undertake a thorough 

planning process that includes consultation with experts on the relevant research base and possible program outcome measures as 

well as engagement with stakeholders on the research base and 

promising models, barriers to better uses of funds and improved 

outcomes, and possible approaches to evaluation of the PROMISE 

program. The goal of the process is to help the administration design and implement a program that will award grants to States 

that have proposed projects that have the greatest potential for 

transformational impact, including through the better use of existing resources and services, and to develop information that can improve program delivery and outcomes in all States and localities, 

including those that do not receive PROMISE pilot funding. 

The Committee expects the administration to update the Committees on Appropriations, Health, Education, Labor and Pensions, 

and Finance of its activities related to the PROMISE program. 

Such notification and consultation shall occur no later than 30 days 

after conclusion of the review of relevant research and engagement 

with stakeholders. If the administration determines, based on 

stakeholder input, that legislation is required to allow waivers of 

statutory barriers, the administration will request legislative authority to grant such waivers at least 60 days prior to their proposed issuance or announcement in notices of priorities or funding 

availability. Such requests should also explain the full range of administrative, regulatory and legislative flexibilities that would be 

granted by Federal agencies and the safeguards that would be instituted to protect program beneficiaries and taxpayers. 


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Special Olympics 

The Committee recommendation includes $8,079,000, the same 

amount as the fiscal year 2011 level, for Special Olympics education activities. The budget request for fiscal year 2012 is 

$8,095,000. Under the Special Olympics Sport and Empowerment 

Act of 2004, the Secretary is authorized to provide financial assistance to Special Olympics for activities that promote the expansion 

of Special Olympics and for the design and implementation of education activities that can be integrated into classroom instruction 

and are consistent with academic content standards. 

The Committee bill continues to allow funds to be used to support Special Olympics National and World Games, as authorized in 

the fiscal year 2011 bill and proposed in the budget request. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2011 ............................................................................. $3,474,719,000 

Budget estimate, 2012 ........................................................................... 3,521,845,000 

Committee recommendation ................................................................. 3,511,735,000 

The Committee recommends $3,511,735,000 for rehabilitation 

services and disability research. The comparable fiscal year 2011 

funding level is $3,474,719,000. The budget request includes 

$3,521,845,000 for programs in this account. 

Vocational Rehabilitation State Grants 

The Committee recommends $3,121,712,000 for vocational rehabilitation grants to States. The Committee recommends the full 

amount authorized by the Rehabilitation Act of 1973 for this mandatory funding stream. The comparable fiscal year 2011 level is 

$3,084,696,000. The fiscal year 2012 budget request is 

$3,140,978,000 and assumes several program consolidations and 

eliminations as part of a proposal to reauthorize the Workforce Investment Act [WIA]. While the Senate authorizing committee has 

made significant progress on a WIA reauthorization, legislation has 

not yet passed the Senate. As a result, the Committee recommendation follows current law. 

Basic State grant funds assist States in providing a range of 

services to help persons with physical and mental disabilities prepare for and engage in meaningful employment. Authorizing legislation requires States to give priority to persons with the most significant disabilities. Funds are allotted to States based on a formula that takes into account population and per capita income. 

States must provide a 21.3 percent match of Federal funds with the 

exception of construction costs for the development of a facility for 

community rehabilitation programs, for which States must provide 

a 50 percent match. 

The Rehabilitation Act requires that not less than 1 percent and 

not more than 1.5 percent of the appropriation in fiscal year 2012 

for vocational rehabilitation State grants be set aside for grants for 

Indians. Service grants are awarded to Indian tribes on a competitive basis to help tribes develop the capacity to provide vocational 

rehabilitation services to American Indians with disabilities living 

on or near reservations. 


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The Committee bill includes new language allowing unmatched 

funds in excess of any funds requested during the reallotment process to be available for the PROMISE program described under the 

Special Education account and Social Security Administration. 

Such funds used for the PROMISE program will remain available 

for obligation through September 30, 2013. 

Workforce Innovation Fund 

The Committee does not recommend any funds for the Workforce 

Innovation Fund [WIF] from this account. The budget request provides $30,000,000. The Committee is supportive of this initiative 

and instead recommends funding through the Department of Labor’s Employment and Training Administration. This program is 

intended to test innovative strategies or replicate proven practices 

that support systemic reform of the workforce investment system 

and substantially improve employment and education outcomes for 

people with disabilities. 

Client Assistance State Grants 

The Committee recommends $12,263,000 in discretionary funds, 

the same amount provided in fiscal year 2011, for the client assistance State grants program. The budget request provides 

$12,288,000. 

The client assistance program funds State formula grants to assist vocational rehabilitation clients or client applicants in understanding the benefits available to them and in their relationships 

with service providers. States must operate client assistance programs in order to receive vocational rehabilitation State grant 

funds. Funds are distributed to States according to a populationbased formula, except that increases in minimum grants are guaranteed to each of the 50 States, the District of Columbia, Puerto 

Rico, and each of the outlying areas, by a percentage not to exceed 

the percentage increase in the appropriation. 

Training 

The Committee recommends $35,582,000, the same as the comparable fiscal year 2011 level, for training rehabilitation personnel. 

The budget request provides $33,251,000. 

The purpose of this program is to ensure that skilled personnel 

are available to serve the rehabilitation needs of individuals with 

disabilities. It supports training, traineeships and related activities 

designed to increase the numbers of qualified personnel providing 

rehabilitation services. The program awards grants and contracts 

to States and public or nonprofit agencies and organizations, including institutions of higher education, to pay all or part of the 

cost of conducting training programs. Long-term, in-service, shortterm, experimental and innovative, and continuing education programs are funded, as well as special training programs and programs to train interpreters for persons who are deaf, hard of hearing and deaf-blind. 

Demonstration and Training Programs 

The Committee recommends $6,459,000 for this program, which 

is the same as the comparable fiscal year 2011 funding level. The 


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budget request eliminates funding for this program as part of the 

administration’s proposed program consolidations. 

This program awards grants to States and nonprofit agencies 

and organizations to develop innovative methods and comprehensive services to help individuals with disabilities achieve satisfactory vocational outcomes. Demonstration programs support projects 

for individuals with a wide array of disabilities. 

The Committee recommends continued support for parent training and information centers. The Committee expects the Rehabilitation Services Administration to coordinate with the Office of Special Education Programs in carrying out this activity. 

Migrant and Seasonal Farmworkers 

The Committee recommends $1,856,000, the same as the comparable fiscal year 2011 amount, for migrant and seasonal farmworkers. The budget request proposes consolidation of this program 

into the State Grants Program. 

This program provides grants for comprehensive rehabilitation 

services to migrant and seasonal farmworkers with disabilities and 

their families. The size of the grants is limited to 90 percent of the 

costs of the projects. Projects also develop innovative methods for 

reaching and serving this population. The program emphasizes outreach, specialized bilingual rehabilitation counseling and coordination of vocational rehabilitation services with services from other 

sources. 

Protection and Advocacy of Individual Rights 

The Committee recommends $18,065,000 for protection and advocacy of individual rights. This amount is the same as the comparable fiscal year 2011 funding level. The budget request provides 

$18,101,000 for this purpose. 

This program provides grants to agencies to protect and advocate 

for the legal and human rights of persons with disabilities who are 

ineligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Supported Employment State Grants 

The Committee recommends $29,123,000, the same as the comparable fiscal year 2011 amount, for the supported employment 

State grant program. The budget request eliminates funding for 

this program as part of the administration’s proposed program consolidations. 

This program assists the most severely disabled individuals by 

providing the ongoing support needed to obtain competitive employment. Short-term vocational rehabilitation services are augmented 

with extended services provided by State and local organizations. 

Federal funds are distributed on the basis of population. 

Grants for Independent Living 

The budget request includes $103,716,000 to create the Grants 

for Independent Living program as part of the administration’s proposed WIA reauthorization. The Committee does not include any 


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funds for this program because it recommends retaining the current account structure. 

Independent Living State Grants 

The Committee recommends $23,403,000, the same as the comparable fiscal year 2011 amount, for independent living State 

grants. The budget request does not include funding for this program as part of its consolidation proposal. 

The independent living State formula grants program provides 

funding to improve independent living services, support the operation of centers for independent living, conduct studies and analysis and provide training and outreach. 

Centers for Independent Living 

The Committee recommends $80,105,000 for independent living 

centers, which is the same as the comparable fiscal year 2011. The 

budget request eliminates funding for this program as part of the 

administration’s proposed program consolidations. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and operated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

The Committee commends the work by these centers and encourages them to continue their efforts to facilitate the transition of individuals with significant disabilities from institutional settings to 

home and community based residences, and from school to postsecondary life, including employment. 

Independent Living Services for Older Blind Individuals 

The Committee provides $34,083,000 for independent living services to older blind individuals. This is the same level as the comparable fiscal year 2011 amount. The budget requests $34,151,000 

for this program. 

Through this program, assistance is provided to persons aged 55 

or older to adjust to their blindness, continue living independently 

and avoid societal costs associated with dependent care. Services 

most commonly provided by this program are daily living skills 

training, counseling, community integration, information and referral, the provision of low-vision devices and communication devices 

and low-vision screening. These services help older individuals age 

with dignity, continue to live independently and avoid significant 

societal costs associated with dependent care. 

Helen Keller National Center 

The Committee recommends $9,163,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults. This is the same 

amount as the comparable fiscal year 2011 funding level. The 

budget request includes $9,181,000 for this purpose. 

The Helen Keller National Center consists of a national headquarters in Sands Point, New York, with a residential training and 

rehabilitation facility where deaf-blind persons receive intensive 

specialized services; a network of 10 regional field offices that provide referral and counseling assistance to deaf-blind persons; and 

an affiliate network of agencies. The center serves approximately 


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75 persons with deaf-blindness at its headquarters facility and provides field services to approximately 2,000 individuals and families 

and 1,000 organizations. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $109,023,000, the same as the comparable fiscal year 2011 level, for the National Institute on Disability and Rehabilitation Research [NIDRR]. The budget request 

includes $110,485,000 for this purpose. 

NIDRR develops and implements a comprehensive and coordinated approach to the conduct of research, demonstration projects 

and related activities that enable persons with disabilities to better 

function at work and in the community, including the training of 

persons who provide rehabilitation services or conduct rehabilitation research. The Institute awards competitive grants to support 

research in federally designated priority areas, including rehabilitation research and training centers, rehabilitation engineering research centers, research and demonstration projects, and dissemination and utilization projects. NIDRR also supports field-initiated 

research projects, research training and fellowships. 

The Committee strongly supports the mission of NIDRR, which 

includes research in the interrelated domains of health and function, employment, and participation and community living. 

NIDRR’s resources should focus on each of these statutory research 

priorities to ensure the advancement of economic and social selfsufficiency and full community inclusion and participation. Future 

Rehabilitation Research Training Centers’ priorities should advance knowledge of effective strategies to reduce the impact of poverty, promote affordable housing and independent living with improved access to long-term supports, how new technologies can promote independence and self-sufficiency and facilitate greater individual choice and control of individualized plans under the Rehabilitation and Social Security laws. 

The Committee is aware that along with the growing prevalence 

of diabetes and cardiovascular disease, increasing numbers of 

Americans are undergoing amputation. The costs of limb loss to 

Medicare, Medicaid, the Department of Veterans Affairs, Department of Defense and private healthcare systems are projected to increase dramatically over the coming decades. The Committee recognizes that, to date, little research has been done to examine prosthetic outcomes and to link prosthetic and orthotic treatments, devices and supports to patient outcomes. In order to support evidence-based healthcare practice in prosthetics and orthotics, and 

establish which approaches work best for which patients, the Committee encourages NIDRR to work with experts in the field of prosthetic research to develop a prosthetics outcomes research agenda 

and implement needed research. 

The Committee strongly supports the Traumatic Brain Injury 

Model Systems [TBIMS] Centers program funded by NIDRR. Almost 500 peer-reviewed publications have resulted from TBIMS research since 1987, bringing dramatic improvements to the treatment of traumatic brain injury for both civilian and military populations. The Committee is aware that the TBIMS Centers will compete for new 5-year awards in fiscal year 2012. The Committee bill 


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includes sufficient funds to support the current size of the TBIMS 

Centers program and to provide adequate resources to meet the research objectives of the TBIMS program. The Committee intends 

that funds provided will enhance the capability of the TBIMS Centers to conduct critical multi-center investigations, expand the 

TBIMS Centers’ scope of intervention studies, maintain the ongoing high quality TBIMS Centers’ longitudinal research while keeping pace with the increased number of participants followed, and 

promote continued collaboration to improve outcomes for civilians 

and military populations with traumatic brain injury. The Committee also commends NIDRR for establishing collaboration between the TBIMS Centers program and the Department of Veterans Affairs and encourages continuation of these efforts. 

Access Through Cloud Computing 

The Committee does not recommend funding for this program. 

The program did not receive funding in fiscal year 2011. The budget requests $10,000,000 for a new initiative that would improve access to technology for people with disabilities. 

Assistive Technology 

The Committee recommends $30,898,000 for assistive technology. 

This amount is the same as the comparable fiscal year 2011 funding level. The budget request includes $30,960,000 for this purpose. 

The Assistive Technology program is designed to improve occupational and educational opportunities and the quality of life for people of all ages with disabilities through increased access to assistive 

technology services and devices. The program supports various activities that help States develop comprehensive, consumer-responsive statewide programs that increase access to, and the availability of, assistive technology devices and services. The Committee recommendation includes $25,645,340 for State 

grant activities authorized under section 4 of the Rehabilitation Act 

of 1973, $4,325,720 for protection and advocacy systems authorized 

by section 5 and $926,940 for technical assistance activities authorized under section 6. 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2011 ............................................................................. $24,551,000 

Budget estimate, 2012 ........................................................................... 24,600,000 

Committee recommendation ................................................................. 24,551,000 

The Committee recommends $24,551,000 to help support the 

American Printing House for the Blind [APH]. This amount is the 

same as the comparable fiscal year 2011 funding level. The budget 

request includes $24,600,000 for this purpose. 

The APH provides educational materials to students who are legally blind and enrolled in programs below the college level. The 

Federal subsidy provides approximately 70 percent of APH’s total 

sales income. Materials are distributed free of charge to schools 

and States through per capita allotments based on the total number of students who are blind. Materials provided include textbooks 

and other educational aids in Braille, large type and recorded form 


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and computer applications. Appropriated funds may be used for 

staff salaries and expenses, as well as equipment purchases and 

other acquisitions consistent with the purpose of the Act to Promote the Education of the Blind. 

The Committee continues to support the APH’s National Instructional Materials Center, which was established by the Individuals 

with Disabilities Education Act of 2004. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2011 ............................................................................. $65,546,000 

Budget estimate, 2012 ........................................................................... 65,037,000 

Committee recommendation ................................................................. 65,546,000 

The Committee recommends $65,546,000, the same as the fiscal 

year 2011 level, for the National Technical Institute for the Deaf 

[NTID]. This funding supports operational costs at NTID. The 

budget request includes $65,037,000 for this purpose, of which 

$2,000,000 is provided for construction. 

The Institute, located on the campus of the Rochester Institute 

of Technology in Rochester, New York, was created by Congress in 

1965 to provide a residential facility for postsecondary technical 

training and education for persons who are deaf. The NTID also 

provides support services for students who are deaf, trains professionals in the field of deafness and conducts applied research. 

GALLAUDET UNIVERSITY

Appropriations, 2011 ............................................................................. $122,754,000 

Budget estimate, 2012 ........................................................................... 118,000,000 

Committee recommendation ................................................................. 125,754,000 

The Committee recommends $125,754,000 for Gallaudet University. The comparable fiscal year 2011 funding level is $122,754,000 

and the budget request includes $118,000,000 for the university. 

Gallaudet University is a private, nonprofit institution offering 

undergraduate and continuing education programs for students 

who are deaf, as well as graduate programs in fields related to 

deafness for students who are hearing and deaf. The university 

conducts basic and applied research related to hearing impairments and provides public service programs for the deaf community. 

Federal funding also supports the Model Secondary School for 

the Deaf, which serves as a laboratory for educational experimentation and development, disseminates curricula, materials and 

models of instruction for students who are deaf, and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary 

School develops and provides instruction for children from infancy 

through age 15. The Committee bill includes $7,990,000 for construction-related 

activities at Gallaudet University. The administration did not request funds for this purpose. 

CAREER, TECHNICAL, AND ADULT EDUCATION

Appropriations, 2011 ............................................................................. $1,738,946,000 

Budget estimate, 2012 ........................................................................... 1,683,392,000 

Committee recommendation ................................................................. 1,738,946,000 


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The Committee recommends a total of $1,738,946,000 for career, 

technical and adult education. This amount is the same as the comparable funding level in fiscal year 2011. The budget request provides $1,683,392,000. The recommendation consists of 

$1,131,503,000 for career and technical education and $607,443,000 

for adult education. 

Career and Technical Education 

The Committee recommends $1,131,503,000, the same as the 

comparable fiscal year 2011 level, for career and technical education. The fiscal year 2012 request provides $1,007,860,000. 

State Grants.—The Committee recommends $1,123,659,000, the 

same as the comparable fiscal year 2011 level, for Career and Technical Education [CTE] State grants. The fiscal year 2012 request 

level is $1,000,000,000. 

Funds provided under the State grant program assist States, localities and outlying areas expand and improve their programs of 

career and technical education and provide equal access to career 

and technical education for populations with special needs. Persons 

assisted range from secondary students in prevocational courses 

through adults who need retraining to adapt to changing technological and labor market conditions. Funds are distributed according to a formula based on State population and State per capita income, with special provisions for small States and a fiscal year 

1998 base guarantee. 

Under the Indian and Hawaiian Natives programs, competitive 

grants are awarded to federally recognized Indian tribes or tribal 

organizations and to organizations primarily serving and representing Hawaiian Natives for services that are additional to services received by these groups under other provisions of the Perkins 

Act. 

Of the funds available for this program, $332,659,000 will be- come available July 1, 2012 and $791,000,000 will become available 

on October 1, 2012. These funds will remain available for obligation 

until September 30, 2013. 

National Programs.—The Committee recommends $7,844,000 for 

national research programs and other national activities. This is 

the same amount as the comparable fiscal year 2011 funding level. 

The budget request includes $7,860,000. 

Funds will be used to support the national research center on career and technical education, as well as activities designed to improve the quality of performance data States collect and report to 

the Department. 

Adult Education 

The Committee recommends $607,443,000, the same as the fiscal 

year 2011 level, for adult education. The budget request includes 

$658,346,000. 

Adult Education State Programs.—For the adult basic and literacy education State grants program, the Committee recommends 

$596,120,000, the same as the fiscal year 2011 level. The budget 

request is $635,000,000 and includes an 8 percent set-aside to fund 

WIF. Funds are used by States for programs to enable adults to acquire basic literacy skills, to enable those who so desire to complete 


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a secondary education, and to make available to adults the means 

to become more employable, productive and responsible citizens. 

The Committee recommendation continues the English literacy 

and civics education State grants set-aside within the adult education State grants appropriation. Within the total, $74,850,000 is 

available to help States or localities affected significantly by immigration and large limited-English populations to implement programs that help immigrants acquire English literacy skills, gain 

knowledge about the rights and responsibilities of citizenship and 

develop skills that will enable them to navigate key institutions of 

American life. This set-aside is the same as the fiscal year 2011 

level. The budget request includes $75,000,000. 

The Committee does not recommend any funds for WIF from this 

account as requested by the administration. The Committee is supportive of this initiative, which is intended to test innovative strategies or replicate proven practices that support systemic reform of 

the workforce investment system and substantially improve employment and education outcomes for people with disabilities. However, the Committee recommends funding through the Department 

of Labor’s Employment and Training Administration. 

National Leadership Activities.—The Committee recommends 

$11,323,000, the same amount as the fiscal year 2011 level, for national leadership activities. The budget request includes 

$23,346,000. 

Grants to States for Workplace and Community Transition Training for Incarcerated Individuals 

The Committee does not recommend funding for this program. 

The program did not receive funding in fiscal year 2011. The administration requested $17,186,000 for education and training for 

incarcerated individuals. 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2011 ............................................................................. $24,670,517,000 

Budget estimate, 2012 ........................................................................... 33,513,957,000 

Committee recommendation ................................................................. 24,670,517,000 

The Committee recommends an appropriation of $24,670,517,000 

for programs under the student financial assistance account. This 

is the same as the fiscal year 2011 level. The budget request includes $33,513,957,000 for this account and proposes several legislative changes intended to provide a more sustainable financial 

foundation for the Pell Grant program. 

Federal Pell Grant Program 

The Committee has no higher priority in fiscal year 2012 than 

maintaining the maximum Pell Grant award. Now more than ever, 

students need affordable, quality education opportunities to help 

make our economy strong and competitive again. The Pell Grant 

program, the foundation of Federal postsecondary student aid, is 

essential to helping students enter college and gain the education 

and skills needed for jobs in the 21st century economy. The Bureau 

of Labor Statistics projects that 21 of the 30 fastest growing occupations will require a postsecondary degree or credential by the 

year 2018. 


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Pell Grants are especially important to our country’s neediest 

students as the cost of postsecondary education continues to rise. 

Since 2000, the cost of tuition and fees has more than doubled, outpacing the growth rates of healthcare, energy and housing costs. Of 

the 8 million students who relied on Pell Grants in the 2009–2010 

award year, 76 percent had incomes or came from families with incomes less than or equal to $30,000. 

Pell Grants provide need-based financial assistance that helps 

low- and middle-income undergraduate students and their families 

defray a portion of the costs of postsecondary education and vocational training. Awards are determined according to a statutory 

need-analysis formula that takes into account a student’s family income and assets, household size and the number of family members, excluding parents, attending postsecondary institutions. 

The HEA allows any eligible student to receive a Pell Grant 

award, regardless of whether there are sufficient funds for the program. Because of higher than projected costs in recent years, the 

Pell Grant program has faced a shortfall between the amount needed to meet actual program costs and the amount provided in appropriations based on projected program costs. Mandatory funds have 

been provided over the past several years to fill the gap, but the 

problem of insufficient appropriations and program costs persists. 

The Pell Grant program grows the most in years when the number of students attending postsecondary education increases. As 

usually occurs during difficult economic times, college enrollment is 

growing and students are demonstrating greater financial need. 

The number of recipients is expected to grow from 6.2 million in 

the 2008–2009 award year to a projected 9.4 million in the 2011– 

2012 award year, a 52 percent increase. Costs have also risen because of recent changes to the need-analysis formula that provided 

additional assistance and enabled more students to be eligible for 

the maximum award. 

The Budget Control Act of 2011 took an important step toward 

closing the Pell shortfall in fiscal year 2012 by providing 

$10,000,000,000 in mandatory funding for that fiscal year. The 

elimination of the ‘‘year-round Pell’’ provision included in the Department of Defense and Full-Year Continuing Appropriations Act 

of 2011 provided another $3,183,000,000 in mandatory funding for 

the program in fiscal year 2012. 

The Committee recommends $22,955,996,000 in discretionary 

funding for Pell in fiscal year 2012. This is the same amount as the 

fiscal year 2011 level. Combined with the measures described 

above, that leaves a fiscal year 2012 shortfall of $1,296,000,000. 

The Committee recommends closing the fiscal year 2012 shortfall 

by eliminating the grace period for interest on subsidized Stafford 

loans. Making this change also provides additional funding to address the expected shortfall in fiscal year 2013. Currently, the Federal Government pays interest on subsidized Stafford loans during 

the 6-month grace period that begins when a borrower leaves 

school. The Committee recommendation would still allow a 6- 

month grace period during which students would not be required 

to make monthly payments, but the interest would accrue to the 

outstanding loan balance and would need to be repaid after the 

grace period. 


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The Committee makes this change reluctantly, but believes it is 

preferable to reducing the maximum Pell Grant award. In addition, 

interest subsidies are poorly targeted because they are based on a 

student’s family’s income upon entering school and not on the student’s ability to repay loans after leaving school. Some students, for 

example, might obtain a well-paying job immediately after school 

and would not need a grace period. The subsidies also do not necessarily go to the neediest students. In 2008, 40 percent of subsidized loan recipients were dependent students from families with 

annual incomes above $60,000, and 31 percent of subsidized loan 

recipients were independent students with annual incomes over 

$30,000. 

For students whose Federal student loan debt is high in relation 

to their income, the Income-based Repayment [IBR] program provides relief by capping monthly loan payments at an affordable 

amount based on income and family size. The Student Aid and Fiscal Responsibility Act [SAFRA] of 2010 made the IBR program 

more generous, and the Committee urges the Department to educate more borrowers about these improvements and the program’s 

ability to provide assistance to borrowers struggling to repay their 

loans. 

Federal Supplemental Educational Opportunity Grants 

The Committee recommends $735,990,000 for Federal supplemental educational opportunity grants [SEOG]. This is the same 

amount as the fiscal year 2011 level. The budget request includes 

$757,465,000. This program provides funds to postsecondary institutions for need-based grants to undergraduate students. Institutions must contribute 25 percent toward SEOG awards. Students 

qualify for grants of up to $4,000 by demonstrating financial need. 

School financial aid officers have flexibility to determine student 

awards, though they must give priority to Pell Grant recipients 

with exceptional need. 

Federal Work-Study Programs 

The Committee bill provides $978,531,000 for the Federal workstudy program. This is the same amount as the comparable fiscal 

year 2011 level. The budget request includes $980,492,000 

This program provides grants to about 3,400 institutions to help 

an estimated 700,000 undergraduate, graduate and professional 

students meet the costs of postsecondary education through parttime employment. Work-study jobs must pay at least the Federal 

minimum wage and institutions must provide at least 25 percent 

of student earnings. Institutions also must use at least 7 percent 

of their grants for community service jobs. 

The Committee expects the Department to provide the same 

funding from the Federal Work-Study Program appropriation in 

fiscal year 2012 as in the prior year for the Work Colleges program 

authorized under section 448 of the HEA. 

Federal Perkins Loans 

The Federal Perkins loan program supports student loan revolving funds built up with capital contributions to nearly 1,700 participating institutions. Institutions use these revolving funds, 


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which also include Federal capital contributions [FCC], institutional contributions equal to one-third of the FCC, and student repayments, to provide low-interest (5 percent) loans that help financially needy students pay the costs of postsecondary education. 

The Committee recommends no new funds for the Perkins Loans 

program, as was the case in fiscal year 2011. The budget proposes 

to restructure the Perkins Loan program as a mandatory credit 

program, with nearly $8,500,000,000 a year in new loan volume— 

eight and a half times the current Perkins volume. Congress has 

not acted on this proposal. 

Leveraging Educational Assistance Partnership Program [LEAP] 

Neither the Committee nor the budget request recommends funding for the LEAP program, which was eliminated in fiscal year 

2011. The Committee requests that the Department report on the 

impact that the elimination of the LEAP program has had on the 

total amount of need-based grant aid available to low- and moderate-income students in the 2011–2012 academic year. The report 

should be submitted to the Committee by August 1, 2012. 

STUDENT AID ADMINISTRATION

Appropriations, 2011 ............................................................................. $992,012,000 

Budget estimate, 2012 ........................................................................... 1,095,418,000 

Committee recommendation ................................................................. 1,045,363,000 

The Committee recommends $1,045,363,000 for the Student Aid 

Administration account. The comparable fiscal year 2011 level is 

$992,012,000. The budget request includes $1,095,418,000. These 

funds are available until September 30, 2013. 

Funds appropriated for the Student Aid Administration account 

will support the Department’s student aid management expenses. 

The Office of Federal Student Aid and Office of Postsecondary Education have primary responsibility for administering Federal student financial assistance programs. 

SAFRA terminated the authority under the Higher Education 

Act of 1965 to make loans under the Federal Family Education 

Loan Program as of June 2010. Beginning July 1, 2010, 100 percent of student loans are now made through the William D. Ford 

Direct Loan [DL] Program. DL program loans are serviced by private for-profit and not-for-profit servicers under contract with the 

Department. 

The Committee recommendation includes $675,363,000 for administrative costs and $370,000,000 for loan servicing activities. 

The Committee recommendation for these two activities represents 

a $53,351,000 increase over the fiscal year 2011 level. The Committee recommendation reflects the increased application, origination and servicing costs associated with the legislative changes. 

These increases are necessary to manage the higher loan volume, 

ensure the operational integrity of Federal student aid systems and 

provide high-quality service to student and parent borrowers. The 

budget request includes $725,104,000 for administrative costs and 

$370,314,000 for servicing. 


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HIGHER EDUCATION

Appropriations, 2011 ............................................................................. $1,903,946,000 

Budget estimate, 2012 ........................................................................... 2,240,401,000 

Committee recommendation ................................................................. 1,903,946,000 

The Committee recommends an appropriation of $1,903,946,000 

for higher education programs, the same as the fiscal year 2011 

level. The fiscal year 2012 requested level is $2,240,401,000 for programs in this account. 

The Committee is concerned about the lack of useful, accurate 

and comparable information available to students regarding postsecondary education opportunities. Despite Higher Education Act 

[HEA] requirements on institutions of higher learning to disclose 

certain student outcome data and the efforts of the Department to 

make the National Center for Education Statistic’s College Navigator site more robust, students still have difficulty obtaining the 

information they need to make well-informed decisions on where to 

invest their time and financial resources. This is especially true for 

low-income students who may be the first in their family to attend 

college. These students often have difficulty finding the College 

Navigator site and other free resources to aid in the college search 

process. Better information on student outcomes is also important 

for policymakers who are facing difficult decisions on where to invest scarce taxpayer resources. 

Transfer rates, completion rates for part-time and transfer students, and rates of students who successfully complete developmental courses are among the factors that would assist students 

and policymakers in determining which institutions are serving 

students best. Information such as graduation rates for Pell Grant 

recipients, regardless of their first-time, full-time status, would 

help students and policymakers determine which postsecondary 

education choices provide the best outcomes for low-income students. 

The Committee is aware that some institutions of higher education are not disclosing information to students as required by the 

HEA. While there are institutions not meeting these obligations, 

others may be technically in compliance with the law but provide 

information in formats that are very difficult for students to find 

and understand. Even more of a challenge to students is comparing 

information across the institutions they are considering, since the 

information is not disclosed consistently. Additionally, because 

there is no systematic effort to evaluate whether all institutions 

are in compliance, the Committee is concerned that many schools 

may be violating HEA disclosure requirements. 

The Committee strongly believes better tools can and should be 

developed through the use of technology to assist students who are 

making the important decision of where to enroll in postsecondary 

education. The Committee also believes more can be done to evaluate which institutions are following not only the letter but the spirit of the law. The Committee requests that the Department submit 

a report describing how disclosure requirements can be improved 

by June 30, 2012. The report should also address how technology 

can be used to more thoroughly evaluate compliance with the HEA. 


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Aid for Institutional Development 

The Committee recommends $552,088,000, the same as the fiscal 

year 2011 level, for Aid for Institutional Development. The fiscal 

year 2012 requested level is $603,194,000. 

Strengthening Institutions.—The Committee bill recommends 

$83,832,000 to provide competitive, 1-year planning and 5-year development grants for institutions with a significant percentage of 

financially needy students and low educational and general expenditures per student in comparison with similar institutions. 

This is the same level provided in fiscal year 2011. The budget request is $84,000,000. Applicants may use these funds to develop 

faculty, strengthen academic programs, improve institutional management, and expand student services. 

Hispanic-Serving Institutions.—The Committee recommends 

$104,395,000, the same as the fiscal year 2011 level, for competitive grants to institutions at which Hispanic students make up at 

least 25 percent of enrollment. The budget request is $117,429,000. 

Funds may be used for acquisition, rental or lease of scientific or 

laboratory equipment, renovation of instructional facilities, development of faculty, support for academic programs, institutional 

management and purchase of educational materials. 

Promoting Postbaccalaureate Opportunities for Hispanic Americans.—The Committee recommends $9,336,000, the same as the 

fiscal year 2011 level, for competitive 5-year grants to Hispanicserving institutions to help Hispanic Americans gain entry into and 

succeed in graduate study. The budget request is $10,500,000. Institutions may use funding to support low-income students through 

outreach programs, academic support services, mentoring and financial assistance, acquisition, rental or lease of scientific or laboratory equipment, construction and other facilities improvements, 

and purchase of educational materials. 

Strengthening Historically Black Colleges and Universities 

[HBCUs].—The Committee recommends $236,991,000, the same as 

the comparable fiscal year 2011 level, for the strengthening HBCUs 

program. The budget request is $266,586,000. The program makes 

formula grants to HBCUs that may be used to purchase equipment, construct and renovate facilities, develop faculty, support 

academic programs, strengthen institutional management, enhance 

fundraising activities, provide tutoring and counseling services to 

students, and conduct outreach to elementary and secondary school 

students. In addition to the Committee-recommended level, this 

program will receive $85,000,000 of mandatory funding through 

SAFRA in each fiscal year through 2019. 

Strengthening Historically Black Graduate Institutions 

[HBGIs].—The Committee recommends $61,302,000, the same as 

the fiscal year 2011 level, for the Strengthening HBGIs program. 

The budget request is $61,425,000. This program provides 5-year 

grants to provide scholarships for low-income students and academic and counseling services to improve student success. Funds 

may also be used for construction, maintenance and renovation activities, the purchase or lease of scientific and laboratory equipment and the establishment of an endowment. 

Strengthening Predominately Black Institutions [PBIs].—The 

Committee recommends $9,602,000, the same as the comparable 


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fiscal year 2011 level, for the Strengthening PBIs program. The fiscal year 2012 budget request is $10,801,000. This program provides 

5-year grants to PBIs to plan and implement programs to enhance 

the institutions’ capacity to serve more low- and middle-income 

Black American students. Funding is allocated among PBIs based 

on the number of Pell Grant recipients enrolled, the number of 

graduates and the percentage of graduates who are attending a 

baccalaureate degree-granting institution or a graduate or professional school in degree programs in which Black American students 

are underrepresented. In addition to the Committee-recommended 

level, this program will receive $15,000,000 of mandatory funding 

through SAFRA in each fiscal year through 2019. 

Strengthening Asian American and Native American Pacific Islander-Serving Institutions [AANAPISIs].—The Committee recommends $3,199,000, the same as the comparable fiscal year 2011 

level, for this program. The budget request level is $3,600,000. This 

program provides competitive grants to AANAPISIs that have an 

enrollment of undergraduate students that is at least 10 percent 

Asian American or Native American Pacific Islander students. 

Grants may be used to improve their capacity to serve Asian American and Native American Pacific Islander students and low-income 

individuals. In addition to the Committee-recommended level, this 

program will receive $5,000,000 of mandatory funding through 

SAFRA in each fiscal year through 2019. 

Strengthening Alaska Native and Native Hawaiian-Serving Institutions.—The Committee recommends $13,412,000, the same as the 

comparable fiscal year 2011 level, for this program. The budget request level is $15,084,000. In addition to the Committee-recommended level, this program will receive $15,000,000 of mandatory funding through SAFRA in each fiscal through 2019. 

The purpose of this program is to improve and expand the capacity of institutions serving Alaska Native and Native Hawaiian students and low-income individuals. Funds may be used to plan, develop and implement activities that encourage: faculty and curriculum development; better fund administrative management; renovation and improvement of educational facilities; enhanced student services; and the purchase of library and other educational 

materials. 

Strengthening Native American-Serving Nontribal Institutions.— 

The Committee recommends $3,199,000, the same as the comparable fiscal year 2011 level, for this program. The fiscal year 

2012 budget request is $3,600,000. These institutions enroll at 

least 10 percent Native American students and at least 50 percent 

low-income students. In addition to the Committee-recommended 

level, this program will receive $5,000,000 of mandatory funding 

through SAFRA in each fiscal year through 2019. 

Strengthening Tribally Controlled Colleges and Universities.— 

The Committee recommends $26,820,000, the same as the comparable fiscal year 2011 level, for this program. The fiscal year 

2012 budget request is $30,169,000. Tribal colleges and universities 

rely on a portion of the funds provided to address developmental 

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gram will receive $30,000,000 of mandatory funding through 

SAFRA in each fiscal year through 2019. 

International Education and Foreign Language Studies 

The bill includes a total of $75,729,000, the same as the fiscal 

year 2011 level, for international education and foreign language 

programs. The budget request is $125,881,000 for this program. 

The Committee bill includes language allowing funds to be used 

to support visits and study in foreign countries by individuals who 

plan to utilize their language skills in world areas vital to U.S. national security in the fields of government, international development, and the professions. Bill language also allows up to 1 percent 

of the funds provided to be used for program evaluation, national 

outreach and information dissemination activities. This language 

was proposed in the budget request. 

Domestic Programs.—The Committee recommends $66,712,000 

for domestic program activities related to international education 

and foreign language studies, including international business education, under title VI of the HEA. This amount is the same as the 

fiscal year 2011 level. The budget request is $108,360,000. Domestic programs include national resource centers, undergraduate 

international studies and foreign language programs, international 

research and studies projects, international business education 

projects and centers, American overseas research centers, language 

resource centers, foreign language and area studies fellowships, 

and technological innovation and cooperation for foreign information access. 

The Committee funding level includes $2,000,000 to be made 

available under section 604 of the HEA to create new and improve 

existing undergraduate international student abroad programs. 

Overseas Programs.—The bill includes $7,465,000 for overseas 

programs authorized under the Mutual Educational and Cultural 

Exchange Act of 1961, popularly known as the Fulbright-Hays Act. 

This is the same amount as the comparable fiscal year 2011 funding level. The budget request is $15,576,000. Under these overseas 

programs, grants are provided for group, faculty or doctoral dissertation research abroad as well as special bilateral projects. Unlike other programs authorized by the Fulbright-Hays Act and administered by the Department of State, these Department of Education programs focus on training American instructors and students in order to improve foreign language and area studies education in the United States. 

Institute for International Public Policy.—The Committee provides $1,552,000 for the Institute for International Public Policy. 

This amount is the same as the comparable fiscal year 2011 funding level. The budget request is $1,945,000. This program is designed to increase the number of minority individuals in international policy and foreign service positions by providing a grant 

to a consortium of institutions for undergraduate and graduate 

level foreign language and international studies. A consortium of 

institutions of higher education consisting of one or more of the following entities is eligible to apply for the grant: Historically Black 

Colleges and Universities, Hispanic-Serving Institutions, Tribally 

Controlled Colleges and Universities, Alaska Native and Native 


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Hawaiian-Serving Institutions and institutions with programs to 

train foreign service professionals. An institutional match of 50 

percent is required. 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $19,607,000 for the Fund for the 

Improvement of Postsecondary Education [FIPSE]. This is the 

same as the comparable fiscal year 2011 funding level. The budget 

request is $150,000,000. The budget request includes $122,800,000 to support the proposed First in the World initiative, which would be modeled after 

the Investing in Innovation program for K–12. The initiative would 

help ensure institutions of higher education have access to innovative strategies and practices that have been shown to be effective 

in improving educational outcomes. The Committee recommendation does not include funding for this initiative because of budget 

constraints. 

Low-Income Single Parents.—The Committee recognizes the importance of providing targeted, supportive services to low-income, 

single-parent students, such as on-campus housing, childcare, counseling, advising, internship opportunities, financial aid and financial aid counseling and assistance. The Committee encourages the 

Department to promote replication of best practices that have proven to successfully provide postsecondary degree completion opportunities for low-income single parents, the overwhelming majority 

of whom are women, as they struggle to balance commitments to 

family with their need to pursue a college education and build a 

career. 

Training for Realtime Writers.—Within the total for FIPSE, the 

Committee recommendation includes $998,000 for the Training for 

Realtime Writers program authorized by section 872 of the HEA, 

which is the same as the fiscal year 2011 level. The budget request 

does not include funding for this program. This program provides 

grants to institutions of higher education to establish programs to 

train realtime writers. Eligible activities include curriculum development, student recruitment, distance learning, mentoring and 

scholarships. The program places a priority on encouraging individuals with disabilities to pursue careers in realtime writing. More 

than 30 million Americans are considered deaf or hard of hearing, 

and many require captioning services to participate in mainstream 

activities and gain access to emergency broadcasts. Federal law requires that all television broadcasts be closed captioned, yet a 

shortage of trained captioners is creating a barrier to full-quality 

captioning of realtime television programming such as news, 

weather and emergency messaging. 

Model Comprehensive Transition and Postsecondary Programs for 

Students With Intellectual Disabilities 

The Committee recommendation includes $10,978,000 for this 

program as authorized by section 769 of HEA. This is the same 

level that was provided in fiscal year 2011. The budget does not request funds for this program. 

These funds are used to award competitive grants to postsecondary institutions to establish model programs to help students 


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with intellectual disabilities transition to and complete college. 

Funds may be used for student support services; academic enrichment, socialization or independent living; integrated work experiences; and partnerships with local educational agencies to support 

students with intellectual disabilities participating in the model 

program who are still eligible for special education and related 

services under IDEA. Institutions of higher education receiving 

funds under this program are required to match Federal funds in 

an amount that is no less than 25 percent of the award amount. 

Minority Science and Engineering Improvement 

The Committee recommends $9,484,000 for the Minority Science 

and Engineering Improvement program. This amount is the same 

as the comparable fiscal year 2011 funding level. The budget request includes $9,503,000 for this program. Funds are used to provide discretionary grants to institutions with minority enrollments 

greater than 50 percent to purchase equipment, develop curricula 

and support advanced faculty training. Grants are intended to improve science and engineering education programs and increase the 

number of minority students in the fields of science, mathematics 

and engineering. 

Tribally Controlled Postsecondary Career and Technical Institutions 

The Committee recommends $8,146,000 for tribally controlled 

postsecondary vocational institutions. This amount is the same as 

the comparable fiscal year 2011 funding level. The budget request 

includes $8,162,000. This program provides grants for the operation and improvement of tribally controlled postsecondary vocational institutions to ensure continued and expanding opportunities 

for Indian students. 

Federal TRIO Programs 

The Committee recommends $826,522,000, the same amount as 

the fiscal year 2011 level, for Federal TRIO programs. The budget 

request is $920,089,000. 

TRIO programs provide a variety of services to improve postsecondary education opportunities for low-income individuals and 

first-generation college students: Upward Bound offers disadvantaged high school students academic services to develop the skills 

and motivation needed to pursue and complete a postsecondary 

education; Student Support Services provides developmental instruction, counseling, summer programs and grant aid to disadvantaged college students to help them complete their postsecondary 

education; Talent Search identifies and counsels individuals between ages 11 and 27 regarding opportunities for completing high 

school and enrolling in postsecondary education; Educational Opportunity Centers provide information and counseling on available 

financial and academic assistance to low-income adults who are 

first-generation college students; and the Ronald E. McNair 

Postbaccalaureate Achievement Program supports research internships, seminars, tutoring, and other activities to encourage disadvantaged college students to enroll in doctoral programs. 


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Gaining Early Awareness and Readiness for Undergraduate Programs [GEAR UP] 

The Committee recommends $302,816,000 for GEAR UP. This 

amount is the same as the comparable fiscal year 2011 funding 

level. The budget request includes $323,212,000. GEAR UP funds 

are used by States and partnerships of colleges, middle and high 

schools, and community organizations to assist cohorts or students 

in middle and high schools serving a high percentage of low-income 

students. Services provided help students prepare for and pursue 

a postsecondary education. 

The Committee is concerned that the Department has not awarded TRIO and GEAR UP grants in a timely manner. For TRIO programs, the HEA sets specific timelines for the Department to notify 

new, continuing and non-continuing grantees. Specifically, the law 

requires that grantees be notified of their funding status 8 months 

prior to the start date of their grant. The Department routinely 

misses this deadline. For awards made with fiscal year 2010 funds, 

Student Support Services applicants were not notified until August 

2010 of their awards. For fiscal year 2011 awards, the announcement of the Educational Opportunity Centers grant awards was 

not made until September 2011. Similarly, GEAR UP awards are 

not expected to be announced before the end of September 2011. 

These programs operate on an academic program year. Delays in 

making awards compromise the grantees’ abilities to serve students 

and successfully achieve the goals of the programs. 

The Committee expects that the Department provide within 30 

days of enactment of this act a report on the causes of the tardiness in making grant awards for these programs and an action 

plan to remedy them. 

Javits Fellowships 

The Committee recommends $8,084,000, the same amount as the 

fiscal year 2011 level, for the Javits Fellowships program. The administration proposed eliminating this program and consolidating 

the funds with the Graduate Assistance in Areas of National Need 

program. The Javits Fellowships program provides fellowships of 

up to 4 years to students of superior ability who are pursuing doctoral degrees in the arts, humanities, and social sciences at any institution of their choice. Each fellowship consists of a student stipend to cover living costs and an institutional payment to cover 

each fellow’s tuition and other expenses. 

Graduate Assistance in Areas of National Need [GAANN] 

The Committee recommends $30,968,000, the same amount as 

the fiscal year 2011 level, for the GAANN program. The budget request includes $40,717,000 for GAANN, which would have absorbed the Javits Fellowship program under the administration’s 

proposal. GAANN awards competitive grants to graduate academic 

departments and programs for fellowship support in areas of national need as determined by the Secretary. In fiscal year 2010, the 

Secretary designated the following areas of national need: biology, 

chemistry, computer and information sciences, engineering, mathematics, physics, nursing, and educational assessment, evaluation 

and research. 


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Teacher Quality Partnership Program 

The Committee recommends $42,914,000, the same as the fiscal 

year 2011 level, for the teacher quality partnership program. The 

budget request would eliminate this program and consolidate it 

into a proposed new Teacher and Leader Pathways authority as 

part of the administration’s plan for reauthorizing ESEA. The 

Teacher Quality Partnership Program helps improve the quality of 

teachers working in high-need schools and early childhood education programs by creating model teacher preparation and residency programs. 

Child Care Access Means Parents in Schools 

The Committee recommends an appropriation of $16,002,000 for 

the Child Care Access Means Parents in School [CCAMPIS] program. This amount is the same as the comparable fiscal year 2011 

funding level. The budget request includes $16,034,000 for this program. CCAMPIS supports the efforts of a growing number of nontraditional students who are struggling to complete their college 

degrees at the same time that they take care of their children. Discretionary grants of up to 4 years are made to institutions of higher 

education to support or establish a campus-based childcare program primarily serving the needs of low-income students enrolled 

at the institution. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $608,000 to collect data associated 

with the Government Performance and Results Act [GPRA] and to 

evaluate programs authorized by the HEA. This amount is the 

same as the comparable fiscal year 2011 funding level. The budget 

request includes $609,000. 

Thurgood Marshall Legal Educational Opportunity Program 

The Committee does not recommend funding for the Thurgood 

Marshall Legal Educational Opportunity Program, which was 

eliminated in fiscal year 2011. The budget request includes 

$3,000,000. This program helped provide low-income, minority or 

disadvantaged college students with the information, preparation 

and financial assistance needed to enter and complete law school 

study. 

Hawkins Centers of Excellence 

The Committee does not recommend funding for the proposed 

new Hawkins Centers of Excellence. The budget request included 

$40,000,000 for this program as a way to increase the talent pool 

of effective minority educators by expanding and reforming teacher 

education programs at minority-serving institutions. 

HOWARD UNIVERSITY

Appropriations, 2011 ............................................................................. $234,507,000 

Budget estimate, 2012 ........................................................................... 234,977,000 

Committee recommendation ................................................................. 234,507,000 

The Committee recommends an appropriation of $234,507,000 for 

Howard University. This is the same amount as the comparable fisVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00210 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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cal year 2011 funding level. The budget request is $234,977,000. 

Howard University is located in the District of Columbia and offers 

undergraduate, graduate, and professional degrees through 12 

schools and colleges. The university also administers the Howard 

University Hospital. Federal funds from this account support approximately 46 percent of the university’s projected educational 

and general expenditures, excluding the hospital. The Committee 

recommends, within the funds provided, not less than $3,600,000 

for the endowment program. 

Howard University Hospital.—Within the funds provided, the 

Committee recommends $28,888,000 for the Howard University 

Hospital. This is the same amount as the fiscal year 2011 funding 

level. The budget request is $28,946,000. The hospital provides inpatient and outpatient care, as well as training in the health professions. It also serves as a major acute and ambulatory care center 

for the District of Columbia and functions as a major teaching facility attached to the university. The Federal appropriation provides 

partial funding for the hospital’s operations. 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

Appropriations, 2011 ............................................................................. $460,000 

Budget estimate, 2012 ........................................................................... 478,000 

Committee recommendation ................................................................. 460,000 

Federal Administration.—The Committee bill includes $460,000 

for Federal administration of the College Housing and Academic 

Facilities Loans [CHAFL] program. This is the same amount as the 

comparable fiscal year 2011 level. The budget request is $478,000. 

These funds will be used to reimburse the Department for expenses 

incurred in managing the existing CHAFL loan portfolio during fiscal year 2012. These expenses include salaries and benefits, travel, 

printing, contracts (including contracted loan servicing activities) 

and other expenses directly related to the administration of the 

CHAFL program. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL

FINANCING PROGRAM ACCOUNT

Appropriations, 2011 ............................................................................. $20,541,000 

Budget estimate, 2012 ........................................................................... 20,582,000 

Committee recommendation ................................................................. 20,541,000 

The Committee recommends $20,541,000 for the Historically 

Black College and University [HBCU] Capital Financing Program. 

This is the same amount as the comparable fiscal year 2011 level. 

The budget request is $20,582,000 for this activity. 

The Committee recommendation includes $20,188,000 to pay the 

loan subsidy costs in guaranteed loan authority under this program. This will support $367,255,000 in new loan volume in fiscal 

year 2012. The budget proposes $20,228,000 to pay for the subsidy 

costs. The HBCU Capital Financing Program makes capital available to HBCUs for construction, renovation and repair of academic 

facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. As requested by the administration, the 

Committee includes new bill language allowing the program to 


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make loans to public and private HBCUs without regard to the 

limitations within section 344(a) of the HEA. 

The Committee recognizes the impact Hurricanes Katrina and 

Rita continue to have on institutions of higher education in the 

Gulf region, particularly HBCUs. Enrollments at these institutions 

declined after the hurricanes and have not returned to pre-hurricane levels. Given this challenging circumstance, the Committee includes new bill language that authorizes the Secretary of Education 

to modify the terms and conditions of loans issued through the 

HBCU Hurricane Supplemental Loan Program in such a way that 

does not result in any net cost to the Federal Government. 

INSTITUTE OF EDUCATION SCIENCES

Appropriations, 2011 ............................................................................. $608,788,000 

Budget estimate, 2012 ........................................................................... 760,473,000 

Committee recommendation ................................................................. 609,788,000 

The Committee recommends $609,788,000 for the Institute of 

Education Sciences [IES]. The budget request for fiscal year 2012 

is $760,473,000 and the comparable fiscal year 2011 level is 

$608,788,000. This account supports education research, data collection and analysis activities, and the assessment of student 

progress. 

The Committee commends IES’s attempts to improve the utilization of education research and to enhance classroom practices and 

collaborations between researchers and practitioners. The Committee believes more needs to be done, particularly with regard to 

research intended to improve academic achievement for students 

with mental, emotional and behavioral disorders as well as physical, intellectual and developmental disabilities. The Committee requests that IES describe its current and planned activities in these 

areas in the fiscal year 2013 congressional budget justification. 

RESEARCH, DEVELOPMENT, AND DISSEMINATION

The Committee recommends $199,796,000, the same as the fiscal 

year 2011 level, for education research, development and national 

dissemination activities. The budget request for fiscal year 2012 is 

$260,413,000. Funds are available for obligation for 2 fiscal years. 

These funds support research, development and dissemination activities that are aimed at expanding fundamental knowledge of 

education and promoting the use of research and development findings in the design of efforts to improve education. 

The Committee strongly urges IES to continue support for research and development activities related to gifted and talented 

education, particularly for underrepresented populations, to support a National Research Center on the Gifted and Talented, and 

to ensure that the condition of gifted and talented students is reported in key national reports produced by the IES. 

The Committee notes that some research has shown that captioned educational television programs have shown potential to improve literacy, particularly for low-income children. The Committee 

encourages IES to examine how closed captions could be best used 

to increase literacy and to evaluate whether changes to closed captions might enhance their effect. 


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STATISTICS

The Committee recommends $109,304,000 for data gathering and 

statistical analysis activities of the National Center for Education 

Statistics [NCES]. The budget request for fiscal year 2012 is 

$117,021,000 and the comparable fiscal year 2011 amount is 

$108,304,000. 

The NCES collects, analyzes and reports statistics on education 

in the United States. Activities are carried out directly and through 

grants and contracts. The Center collects data on educational institutions at all levels, longitudinal data on student progress and data 

relevant to public policy. The NCES also provides technical assistance to State and local educational agencies and postsecondary institutions. 

The Committee recommendation includes sufficient resources for 

NCES to update the report, Condition of America’s Public School 

Facilities: 1999. The Committee expects a First Look report on this 

topic to be published in calendar year 2013. 

REGIONAL EDUCATIONAL LABORATORIES

The Committee recommends $57,535,000, the same amount as 

the fiscal year 2011 level, to continue support for the regional educational laboratories. The budget request for fiscal year 2012 is 

$69,650,000. Funds available in this bill will support competitive 

grants to support a network of 10 laboratories. The laboratories are 

responsible for promoting the use and development of knowledge 

and evidence in broad-based systemic strategies to increase student 

learning and further school improvement efforts. The Committee 

appreciates the efforts of IES to strengthen the connections between practitioners and the research community, so that federally 

supported research is practical and meets the needs of the field. 

The Committee requests that IES describe in the fiscal year 2013 

congressional budget justification its efforts in this area, as well as 

how IES measures the extent of progress being achieved. 

RESEARCH AND INNOVATION IN SPECIAL EDUCATION

The Committee recommends $50,983,000, the same amount as 

the fiscal year 2011 funding level, for research and innovation in 

special education conducted by the National Center for Special 

Education Research. The budget request for fiscal year 2012 is 

$58,085,000. The center addresses gaps in scientific knowledge in 

order to improve special education and early intervention services 

and outcomes for infants, toddlers and children with disabilities. 

Funds provided to the center are available for obligation for 2 fiscal 

years. 

SPECIAL EDUCATION STUDIES AND EVALUATIONS

The Committee recommends $11,437,000, the same amount as 

the fiscal year 2011 funding level, for special education studies and 

evaluations. The budget request for fiscal year 2012 is $11,460,000. 

This program supports competitive grants, contracts and cooperative agreements to assess the implementation of the Individuals 

with Disabilities Education Act. Funds are also used to evaluate 

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cation services and early intervention programs. Funds are available for obligation for 2 fiscal years. 

STATEWIDE DATA SYSTEMS

The Committee recommendation includes $42,166,000, the same 

amount as the fiscal year 2011 funding level, for statewide data 

systems. The budget request for fiscal year 2012 is $100,000,000. 

This program supports competitive grants to State educational 

agencies to enable such agencies to design, develop and implement 

statewide, longitudinal data systems to manage, analyze, 

disaggregate and use individual data for students of all ages. Early 

childhood, postsecondary and workforce information and systems 

may be linked to, included in, or developed with program funds. 

Funds are available for obligation for 2 fiscal years. 

The Committee bill allows up to $12,500,000 to be used for 

awards to public or private agencies or organizations to support activities to improve data coordination, quality and use at the local, 

State and national levels. The Committee requests that, prior to 

obligating any funds for this purpose, the Department provide to 

the Committee an operating plan describing the proposed purpose 

and use of such funds. 

ASSESSMENT

The Committee recommends $138,567,000 to provide support for 

the National Assessment of Educational Progress [NAEP], a congressionally mandated assessment created to measure the educational achievement of American students. The budget request for 

fiscal year 2012 is $143,844,000 and the comparable fiscal year 

2011 amount is $138,567,000. 

The primary goal of NAEP is to determine and report the status 

and trends over time in educational achievement, subject by subject. 

Within the funds appropriated, the Committee recommends 

$8,706,000, the same amount as the fiscal year 2011 funding level, 

for the National Assessment Governing Board [NAGB]. The budget 

request for fiscal year 2012 is $8,723,000. NAGB is responsible for 

formulating policy for NAEP. 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2011 ............................................................................. $455,288,000 

Budget estimate, 2012 ........................................................................... 479,038,000 

Committee recommendation ................................................................. 449,074,000 

The Committee recommends $449,074,000 for program administration. The budget request for fiscal year 2012 is $479,038,000 and 

the comparable fiscal year 2011 level is $455,288,000. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, automated data processing and other services required to award, administer and monitor Federal education programs. Support for program evaluation and studies and advisory councils also is provided 

under this account. 


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The Committee recommendation does not include additional 

funds for building modernization activities for the Department of 

Education. The budget request for these activities for fiscal year 

2012 is $2,711,000 and the comparable fiscal year 2011 amount is 

$8,184,000. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2011 ............................................................................. $102,818,000 

Budget estimate, 2012 ........................................................................... 107,772,000 

Committee recommendation ................................................................. 102,818,000 

The Committee recommends $102,818,000, the same as the fiscal 

year 2011 level, for the Office for Civil Rights [OCR]. The budget 

request for fiscal year 2012 is $107,772,000. 

OCR is responsible for the enforcement of laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions funded by the Department of Education. To carry out this responsibility, OCR investigates and resolves discrimination complaints, monitors desegregation and equal educational opportunity plans, reviews possible discriminatory practices by recipients of Federal education funds, and 

provides technical assistance to recipients of funds to help them 

meet civil rights requirements. The Committee encourages OCR to 

focus resources on documenting and investigating the use of restraint and seclusion procedures by school personnel. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $59,933,000 

Budget estimate, 2012 ........................................................................... 67,187,000 

Committee recommendation ................................................................. 59,933,000 

The Committee recommends $59,933,000, the same as the fiscal 

year 2011 level, for the Office of the Inspector General. The budget 

request for fiscal year 2012 is $67,187,000. 

The Office of the Inspector General has the authority to investigate all departmental programs and administrative activities, including those under contract or grant, to prevent and detect fraud 

and abuse, and to ensure the quality and integrity of those programs. The Office investigates alleged misuse of Federal funds and 

conducts audits to determine compliance with laws and regulations, efficiency of operations and effectiveness in achieving program goals. 

GENERAL PROVISIONS 

The Committee bill contains language which has been included 

in the bill since 1974, prohibiting the use of funds for the transportation of students or teachers in order to overcome racial imbalance 

(sec. 301). 

The Committee bill contains language included in the bill since 

1977, prohibiting the involuntary transportation of students other 

than to the school nearest to the student’s home (sec. 302). 

The Committee bill contains language which has been included 

in the bill since 1980, prohibiting the use of funds to prevent the 

implementation of programs of voluntary prayer and meditation in 

public schools (sec. 303). 


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The Committee bill includes a provision giving the Secretary of 

Education authority to transfer up to 1 percent of any discretionary 

funds between appropriations (sec. 304). 

The Committee continues a provision that allows the outlying 

areas to consolidate funds under title V of the Elementary and Secondary Education Act (sec. 305). 

The Committee bill continues a provision that allows the Republic of Palau to receive certain Federal funds (sec. 306). 

The Committee bill includes new language related to the Pell 

Grant program (sec. 307). 

The Committee bill includes a new provision concerning the 

HBCU Hurricane Supplemental Loan Program (sec. 308). 

The Committee bill includes language clarifying the authority 

available under the Race to the Top—Early Learning Challenge 

(sec. 309). 


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TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $5,385,000 

Budget estimate, 2012 ........................................................................... 5,841,000 

Committee recommendation ................................................................. 5,385,000 

The Committee recommends $5,385,000 for fiscal year 2012 for 

the Committee for Purchase from People Who Are Blind or Severely Disabled. The fiscal year 2011 comparable level is 

$5,385,000. The fiscal year 2012 budget request was $5,841,000. 

The primary purpose of the Committee for Purchase from People 

Who Are Blind or Severely Disabled is to increase the employment 

opportunities for people who are blind or have other severe disabilities and, whenever possible, to prepare them to engage in competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

OPERATING EXPENSES

Appropriations, 2011 ............................................................................. $778,869,000 

Budget estimate, 2012 ........................................................................... 916,390,000 

Committee recommendation ................................................................. 781,869,000 

The Committee recommends $781,869,000 for the operating expenses of the Corporation for National and Community Service 

[CNCS] in fiscal year 2012. The administration request for fiscal 

year 2012 was $916,390,000. The fiscal year 2011 comparable level 

was $778,869,000. 

The Committee recommendation is sufficient to maintain the 

number of AmeriCorps members at over 82,000. 

CNCS, a corporation owned by the Federal Government, was established by the National and Community Service Trust Act of 

1993 to enhance opportunities for national and community service 

and provide national service education awards. The Corporation 

makes grants to States, institutions of higher education, public and 

private nonprofit organizations, and others to create service opportunities for students, out-of-school youth and adults. 

CNCS administers programs authorized under the Domestic Volunteer Service Act, the National and Community Service Trust Act 

and the SERVE America Act. 

VISTA

The Committee recommends $98,876,000, the same as the fiscal 

year 2011 level, for the Volunteers in Service to America [VISTA] 


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Program. The budget request for fiscal year 2012 was 

$100,000,000. 

VISTA, created in 1964 under the Economic Opportunity Act, 

provides capacity building for small, community-based organizations. VISTA volunteers raise resources for local projects, recruit 

and organize volunteers, and establish and expand local community-based programs in housing, employment, health and economic 

development activities. 

NATIONAL SENIOR VOLUNTEER CORPS

The Committee recommends $207,883,000, the same as the fiscal 

year 2011 level, for the National Senior Volunteer Corps Programs. 

The fiscal year 2012 budget request was $226,100,000. 

The Committee has included sufficient funding to continue all activities at no less than last year’s level. 

AMERICORPS STATE AND NATIONAL GRANTS

The Committee recommends $347,360,000, the same as the fiscal 

year 2011 level, for AmeriCorps State and National grants in fiscal 

year 2012. The budget request for fiscal year 2012 was 

$399,790,000. 

DISABILITY PLACEMENT FUNDS

The Committee recommendation includes $4,990,000 for Disability Placement funds, the same as the comparable fiscal year 

2011 level. The budget request for fiscal year 2012 was $5,000,000. 

Grant funds are for the placement of, reasonable accommodation 

of, and auxiliary services for members and potential members with 

disabilities serving in AmeriCorps programs. 

INNOVATION, DEMONSTRATION AND ASSISTANCE ACTIVITIES

The Committee has included $60,379,000 for Innovation, Demonstration and Assistance Activities. The comparable fiscal year 

2011 level was $60,379,000 and the budget request for fiscal year 

2012 was $80,500,000. 

Within the funds provided for the Innovation account, the Committee has included $49,900,000 for the Social Innovation fund authorized under section 1807 of the SERVE America Act. 

In addition, $3,992,000 is included for the Volunteer Generation 

Fund authorized under section 198P of the SERVE America Act. 

The Committee has included bill language similar to that requested 

by the administration to allow all funds to be awarded competitively. 

EVALUATION

The Committee recommendation includes $5,988,000, the same 

as the fiscal year 2011 level, for evaluation activities. The budget 

request for fiscal year 2012 was $6,000,000. 

NATIONAL CIVILIAN COMMUNITY CORPS

The Committee recommendation includes $31,942,000 for the National Civilian Community Corps. The comparable fiscal year 2011 


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level was $28,942,000 and the budget request for fiscal year 2012 

was $35,000,000. 

The National Civilian Community Corps is a full-time, teambased residential program for men and women ages 18 to 24. Members are assigned to one of five campuses for a 10-month service 

commitment. 

The Committee is concerned by the pending loss of the Atlantic 

campus of the National Civilian Community Corps and the gap in 

disaster response services that even a temporary displacement 

could create. Therefore, the Committee has included an additional 

$3,000,000 for contracting, planning and services required for the 

relocation of this campus. The Committee requests that the Corporation provide the chairs and ranking members of the appropriations and authorizing committees of relevant jurisdiction with a 

proposed plan for the relocation of the Atlantic campus within 60 

days of the enactment of this act. 

LEARN AND SERVE AMERICA

The Committee has not included funding for Learn and Serve 

America. The program was eliminated in fiscal year 2011. The 

budget request for fiscal year 2012 was $39,500,000. 

Learn and Serve America provided direct and indirect support to 

K–12 schools, community groups and higher education institutions 

to facilitate service-learning projects. 

STATE COMMISSION ADMINISTRATION GRANTS

The Committee has included $16,966,000, the same as the fiscal 

year 2011 level, for State Commission Administration grants. The 

budget request for fiscal year 2012 was $17,000,000. 

TRAINING AND TECHNICAL ASSISTANCE

The Committee recommendation includes $7,485,000, the same 

as the fiscal year 2011 level, for Training and Technical Assistance. 

The budget request for fiscal year 2011 was $7,500,000. 

NATIONAL SERVICE TRUST

Appropriations, 2011 ............................................................................. $201,200,000 

Budget estimate, 2012 ........................................................................... 235,326,000 

Committee recommendation ................................................................. 215,200,000 

The Committee recommends an appropriation of $215,200,000 for 

the National Service Trust. The comparable level for fiscal year 

2011 was $201,200,000. The administration request for fiscal year 

2012 was $235,326,000. 

The National Service Trust is an account in the Treasury of the 

United States from which the Corporation makes payments of 

Segal education awards, pays interest that accrues on qualified student loans for AmeriCorps participants during terms of service in 

approved national service positions, and makes other payments entitled to members who serve in the programs of CNCS. 

The Committee notes that the funding level recommended is sufficient to support no less than the same number of service members 

as were enrolled in fiscal year 2011. 


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SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $87,824,000 

Budget estimate, 2012 ........................................................................... 97,694,000 

Committee recommendation ................................................................. 87,824,000 

The Committee recommends an appropriation of $87,824,000, the 

same as the fiscal year 2011 level, for the Corporation’s salaries 

and expenses. The budget request for fiscal year 2012 was 

$97,694,000. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, advisory and assistance 

services, communications and utilities expenses, supplies, equipment and other operating expenses necessary for management of 

the Corporation’s activities under the National and Community 

Service Act of 1990 and the Domestic Volunteer Service Act of 

1973. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $7,685,000 

Budget estimate, 2012 ........................................................................... 8,450,000 

Committee recommendation ................................................................. 7,685,000 

The Committee recommends an appropriation of $7,685,000, the 

same as the fiscal year 2011 level, for the Office of Inspector General [OIG]. The administration request for fiscal year 2012 was 

$8,450,000. 

The goals of the OIG are to increase organizational efficiency and 

effectiveness and to prevent fraud, waste and abuse. 

ADMINISTRATIVE PROVISIONS

The Committee has retained language in previous bills concerning three administrative provisions: language requiring the 

Corporation to make any significant changes to program requirements or policy through rule-making (sec. 401), language stipulating minimum share requirements (sec. 402), and language requiring that donations supplement and not supplant operations 

(sec. 403). In addition, the Committee has included one new statutory provision requested in the President’s budget, aligning requirements regarding the use of Education Awards at GI Bill-eligible institutions (sec. 404). 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2011 ............................................................................. $435,138,000 

Budget estimate, 2012 ........................................................................... 451,000,000 

Committee recommendation, 2012 ....................................................... 450,998,000 

Appropriations, 2013 ............................................................................. 445,000,000 

Budget estimate, 2014 ........................................................................... 451,000,000 

Committee recommendation, 2014 ....................................................... 445,000,000 

The Committee recommends $445,000,000 for the Corporation for 

Public Broadcasting [CPB] as an advance appropriation for fiscal 

year 2014, the same as the advance appropriation provided last 

year for fiscal year 2013. The budget request for fiscal year 2014 

is $451,000,000. Two-year advance funding has been in place since 

1975 to ensure the independence of public broadcasting programming. 


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In addition to the advance appropriation, the Committee recommends $5,998,000 in fiscal year 2012 for digital broadcasting 

equipment and programming activities related to the transition 

from analog to digital broadcasting. This is the same as the comparable fiscal year 2011 funding level for these activities. The 

budget request is $6,000,000. In total, including $445,000,000 in 

advanced funding available in fiscal year 2012, the Committee recommends a fiscal year 2012 program level of $450,998,000. The 

comparable fiscal year 2011 program level is $435,138,000 and the 

budget request for fiscal year 2012 is $451,000,000. 

The majority of funds appropriated to CPB go directly to local 

public television and radio stations to support their programming. 

CPB funds also support the creation of content for radio, television 

and other platforms; system support activities that benefit the entire public broadcasting community; and the administration of the 

CPB. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $46,559,000 

Budget estimate, 2012 ........................................................................... 48,025,000 

Committee recommendation ................................................................. 46,559,000 

The Committee recommends $46,559,000, the same as the comparable fiscal year 2011 funding level, for the Federal Mediation 

and Conciliation Service [FMCS]. The budget request is 

$48,025,000. 

FMCS provides mediation, conciliation and arbitration services to 

labor and management organizations to prevent and minimize 

work stoppages and promote stable labor-management relationships. FMCS is also authorized to provide dispute resolution consultation and training to all Federal agencies. 

Within the total, the Committee recommendation includes 

$349,000 for labor-management partnership grants. The comparable fiscal year 2011 funding level is $348,302 and the budget 

request is $750,000. These grants support innovative approaches to 

collaborative labor-management relationships to resolve potential 

problems, explore ways to improve productivity and avert serious 

work stoppages. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $10,337,000 

Budget estimate, 2012 ........................................................................... 22,417,000 

Committee recommendation ................................................................. 17,337,000 

The Committee recommends $17,337,000 for fiscal year 2012 for 

the Federal Mine Safety and Health Review Commission 

[FMSHRC]. The comparable funding level for fiscal year 2011 is 

$10,337,000 and the budget request is $22,417,000. The Supplemental Appropriations Act, 2010 included an additional $3,800,000 

for FMSHRC, available over the 12-month period from July 2010 

through June 2011. 


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FMSHRC provides administrative trial and appellate review of 

legal disputes under the Federal Mine Safety and Health Act of 

1977. Most cases involve civil penalties proposed by the Department of Labor’s Mine Safety and Health Administration [MSHA]. 

FMSHRC’s administrative law judges [ALJs] decide cases at the 

trial level and the five-member Commission provides review of the 

ALJ decisions. 

This increase in funding, and corresponding increases at DOL, 

supports continued Federal efforts to reduce the backlog of appealed cases up for review at FMSHRC. The rate of contested 

MSHA citations has more than quadrupled since the passage of the 

MINER Act of 2006, resulting in a more than fourfold increase in 

the number of cases appealed to FMSHRC annually. As a result, 

the backlog of cases has increased from 1,300 at the beginning of 

fiscal year 2005 to over 18,000 at the beginning of fiscal year 2011. 

The disaster at the Upper Big Branch coal mine in April 2010 

was a tragic reminder of the importance of mine safety. The backlog of cases up for review at FMSHRC delays processing times and 

creates a dangerous incentive for mine operators, particularly those 

with a pattern of serious and substantial safety violations, to contest violations simply to delay enforcement. This delay undermines 

mine safety efforts and puts miners at risk. The Committee recommendation builds off of investments in the Supplemental Appropriations Act, 2010 and will enable FMSHRC to continue to work 

down the backlog of cases and reduce case processing times. The 

Committee recommendation also includes up to $1,000,000 to continue the transition to an electronic case management system that 

will further improve productivity. 

The Committee directs FMSRHC and the Department of Labor 

to brief the Committees on Appropriations of the House of Representatives and the Senate within 30 days of enactment of this act 

with an update on its backlog reduction plan based on the enacted 

fiscal year 2012 appropriation. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION

Appropriations, 2011 ............................................................................. $237,393,000 

Budget estimate, 2012 ........................................................................... 242,605,000 

Committee recommendation ................................................................. 237,393,000 

The Committee recommends $237,393,393, the same as the comparable fiscal year 2011 funding level, for the Institute of Museum 

and Library Services. The budget request is $242,605,000. 

Within the total for IMLS, the Committee recommendation includes the amounts below. The Museum Assessment Program and 

Conservation Assessment Program were consolidated with the National Leadership: Museums program in fiscal year 2011. The Committee supports and maintains this consolidation. 

[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

budget request 

Fiscal year 2012 

Committee 

recommendation 

Library Services Technology Act: 

Grants to States ............................................................................... 160,032 161,345 160,032 


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[In thousands of dollars] 

Budget activity Fiscal year 2011 

comparable 

Fiscal year 2012 

budget request 

Fiscal year 2012 Committee recommendation 

Native American Library Services ..................................................... 3,960 4,000 3,960 

National Leadership: Libraries .......................................................... 12,225 12,250 12,225 

Laura Bush 21st Century Librarian .................................................. 12,818 15,628 12,818 

Subtotal, LSTA .............................................................................. 189,035 193,223 189,035 

Museum Services Act: 

Museums for America ....................................................................... 18,453 18,976 18,453 

Museum Assessment Program .......................................................... ........................ ........................ ........................

21st Century Museum Professionals ................................................ 2,015 2,073 2,015 

Conservation Project Support ........................................................... 2,675 2,747 2,675 

Conservation Assessment Program .................................................. ........................ ........................ ........................

Native American/Hawaiian Museum Services .................................. 947 975 947 

National Leadership: Museums ........................................................ 6,050 6,062 6,050 

Subtotal, MSA ............................................................................... 30,140 30,833 30,140 

African American History & Culture Act: 

Museum Grants for African American History & Culture ................. 1,443 1,485 1,443 

Administration ............................................................................................ 14,845 15,130 14,845 

Research, Analysis & Data Collection ....................................................... 1,930 1,934 1,930 

MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. ........................... 

Budget estimate, 2012 ........................................................................... $11,000,000 

Committee recommendation ................................................................. 10,500,000 

The Committee recommends $10,500,000 for the Medicaid and 

CHIP Payment and Access Commission [MACPAC]. The fiscal year 

2012 budget request is $11,000,000. MACPAC was established in 

the Children’s Health Insurance Program Reauthorization Act of 

2009 and is tasked with reviewing State and Federal Medicaid and 

CHIP access and payment policies and making recommendations to 

Congress, the Secretary of Health and Human Services, and the 

States on a wide range of issues affecting those programs. 

MEDICARE PAYMENT ADVISORY COMMISSION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $12,425,000 

Budget estimate, 2012 ........................................................................... 13,100,000 

Committee recommendation ................................................................. 12,425,000 

The Committee recommends $12,425,000, the same as the comparable fiscal year 2011 funding level, for the Medicare Payment 

Advisory Commission (MedPAC). The budget request is 

$13,100,000. MedPAC was established by Congress as part of the 

Balanced Budget Act of 1997 and provides independent policy and 

technical advice on issues affecting the Medicare program. 


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NATIONAL COUNCIL ON DISABILITY

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $3,264,000 

Budget estimate, 2012 ........................................................................... 3,400,000 

Committee recommendation ................................................................. 3,264,000 

The Committee recommends $3,264,000, the same as the comparable fiscal year 2011 funding level, for the National Council on 

Disability. The fiscal year 2012 budget request is $3,400,000. 

The Council is mandated to make recommendations to the President, the Congress, the Rehabilitation Services Administration and 

the National Institute on Disability and Rehabilitation Research on 

the public issues of concern to individuals with disabilities. The 

Council gathers information on the implementation, effectiveness 

and impact of the Americans with Disabilities Act and looks at 

emerging policy issues as they affect persons with disabilities and 

their ability to enter or re-enter the Nation’s workforce and to live 

independently. 

NATIONAL HEALTH CARE WORKFORCE COMMISSION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. ........................... 

Budget estimate, 2012 ........................................................................... $3,000,000 

Committee recommendation ................................................................. 3,000,000 

The Committee recommendation includes $3,000,000 for the National Health Care Workforce Commission. The budget request is 

$3,000,000. The National Health Care Workforce Commission was 

authorized in the Patient Protection and Affordable Care Act but 

has not yet been funded. 

This commission will serve as a resource to Congress, the President, and State and local entities in evaluating healthcare workforce needs, including assessing education and training activities to 

determine to what extent the demand for health workers is being 

met, identifying barriers to improved coordination at the Federal, 

State and local levels and recommending changes to address those 

barriers. 

NATIONAL LABOR RELATIONS BOARD

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $282,833,000 

Budget estimate, 2012 ........................................................................... 287,699,000 

Committee recommendation ................................................................. 282,833,000 

The Committee recommends $282,833,000, the same as the comparable fiscal year 2011 funding level, for the National Labor Relations Board [NLRB]. The fiscal year 2012 budget request is 

$287,699,000. 

NLRB is a law enforcement agency that adjudicates disputes 

under the National Labor Relations Act. The mission of NLRB is 

to carry out the statutory responsibilities of the National Labor Relations Act as efficiently as possible and in a manner that gives full 

effect to the rights afforded to employees, unions and employers 

under the act. 


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NATIONAL MEDIATION BOARD

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $13,436,000 

Budget estimate, 2012 ........................................................................... 13,961,000 

Committee recommendation ................................................................. 13,436,000 

The Committee recommends $13,436,000, the same as the comparable fiscal year 2011 funding level, for the National Mediation 

Board [NMB]. The fiscal year 2012 budget request is $13,961,000. 

The NMB protects interstate commerce as it mediates labor-management relations in the railroad and airline industries under the 

Railway Labor Act. It mediates collective bargaining disputes, conducts elections to determine the choice of employee bargaining representatives and administers arbitration of employee grievances. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2011 ............................................................................. $11,689,000 

Budget estimate, 2012 ........................................................................... 12,773,000 

Committee recommendation ................................................................. 11,689,000 

The Committee recommends $11,689,000, the same as the comparable fiscal year 2011 funding level, for the Occupational Safety 

and Health Review Commission [OSHRC]. The budget request is 

$12,773,000. 

OSHRC serves as a court to justly and expeditiously resolve disputes between the Occupational Safety and Health Administration 

[OSHA] and employers charged with violations of health and safety 

standards enforced by OSHA. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2011 ............................................................................. $56,886,000 

Budget estimate, 2012 ........................................................................... 51,000,000 

Committee recommendation ................................................................. 51,000,000 

The Committee recommends $51,000,000, the same as the fiscal 

year 2012 budget request, for the Dual Benefits Payments Account. 

Of these funds, an estimated $2,000,000 is from income taxes on 

vested dual benefits. The comparable fiscal year 2011 funding level 

is $56,886,000, of which an estimated $3,000,000 is from income 

taxes. 

This appropriation provides for vested dual benefit payments to 

beneficiaries covered under both the railroad retirement and Social 

Security systems. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2011 ............................................................................. $150,000 

Budget estimate, 2012 ........................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for fiscal year 2011 for interest earned on non-negotiated checks. This is the same as the 

comparable fiscal year 2011 funding level and the fiscal year 2012 

budget request. 


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LIMITATION ON ADMINISTRATION

Appropriations, 2011 ............................................................................. $108,855,000 

Budget estimate, 2012 ........................................................................... 112,239,000 

Committee recommendation ................................................................. 108,855,000 

The Committee recommends $108,855,000, the same as the comparable fiscal year 2011 funding level, for the administration of 

railroad retirement/survivor and unemployment/sickness benefit 

programs. The fiscal year 2012 budget request is $112,239,000. 

The Board administers comprehensive retirement-survivor and 

unemployment-sickness insurance benefit programs for the Nation’s railroad workers and their families. This account limits the 

amount of funds in the railroad retirement and railroad unemployment insurance trust funds that may be used by the Board for administrative expenses. 

LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $8,170,000 

Budget estimate, 2012 ........................................................................... 9,259,000 

Committee recommendation ................................................................. 8,170,000 

The Committee recommends $8,170,000, the same as the comparable fiscal year 2011 funding level, for the Office of the Inspector General. The fiscal year 2011 budget request is $9,259,000. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2011 ............................................................................. $21,404,000 

Budget estimate, 2012 ........................................................................... 20,404,000 

Committee recommendation ................................................................. 20,404,000 

The Committee recommends $20,404,000, the same as the budget 

request, in mandatory funds for payments to Social Security trust 

funds. The comparable fiscal year 2011 funding level is 

$21,404,000. This account reimburses the old age and survivors 

and disability insurance trust funds for special payments to certain 

uninsured persons, costs incurred administering pension reform activities, and the value of the interest for benefit checks issued but 

not negotiated. This appropriation restores the trust funds to the 

same financial position they would have been in had they not borne 

these costs and they were properly charged to general revenues. 

SUPPLEMENTAL SECURITY INCOME PROGRAM

Appropriations, 2011 ............................................................................. $39,976,214,000 

Budget estimate, 2012 ........................................................................... 38,083,000,000 

Committee recommendation ................................................................. 37,922,543,000 

The Committee recommends $37,922,543,000 for the supplemental security income [SSI] program. This is in addition to 

$13,400,000,000 provided in fiscal year 2011 as an advance appropriation for fiscal year 2012, for a total program level of 

$51,216,714,000. The budget request for fiscal year 2012 is 

$38,083,000,000, for a total program level of $51,483,000,000. The 

comparable fiscal year 2011 appropriation is $39,976,214,000, plus 

an additional $13,400,000,000 provided as an advance appropriation the previous fiscal year for a total fiscal year 2011 program 


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level of $55,976,214,000. The significant decrease in the fiscal year 

2012 program level is due to the timing of monthly benefit payments that results in 13 monthly benefit payments in fiscal year 

2011 but only 11 in fiscal year 2012. 

In addition to these fiscal year 2012 funds, the Committee rec- ommends an advance appropriation of $18,200,000,000, the same 

as the budget request, for the first quarter of fiscal year 2013 to 

ensure benefit payments continue uninterrupted. 

The SSI program guarantees a minimum level of income to financially needy individuals who are aged, blind or disabled. In fiscal year 2012 the SSI program will provide an average monthly 

benefit of $521 to over 8 million recipients. In addition to benefit 

payments, these funds support beneficiary services including vocational rehabilitation and return-to-work activities; research and 

demonstration projects; and costs to administer the program. Except for administrative costs, this appropriation represents mandatory funding. 

Beneficiary Services 

The Committee recommendation includes $47,000,000, the same 

as the budget request, in mandatory funds for beneficiary services. 

The comparable fiscal year 2011 funding level is $60,000,000. 

These funds reimburse Vocational Rehabilitation [VR] agencies for 

successfully rehabilitating disabled SSI recipients by helping them 

achieve and sustain productive, self-supporting work activity. 

Funds also support the Ticket to Work program that provides SSI 

recipients with a ticket to offer employment networks [EN], including VR agencies, in exchange for employment and support services. 

Instead of reimbursing ENs for specific services, the Ticket to Work 

program pays ENs based on recipients achieving certain milestones 

and outcomes. 

Research and Demonstration 

The Committee recommendation includes $38,000,000, the same 

as the budget request, in mandatory funds for research and demonstration projects conducted under sections 1110, 1115 and 1144 

of the Social Security Act. The comparable fiscal year 2011 funding 

level is $42,928,000. Because of the availability of unobligated balances, these funds will support a fiscal year 2012 program level of 

$70,254,000, compared to $51,176,000 in fiscal year 2011. 

These funds support a variety of research and demonstration 

projects designed to improve the disability process; promote selfsufficiency and assist individuals in returning to work; encourage 

savings and retirement planning through financial literacy; and 

generally provide analytical and data resources for use in preparing and reviewing policy proposals. 

Within the total for research and demonstration the Committee 

recommends up to $10,000,000 for a new Promoting Readiness of 

Minors in SSI [PROMISE] program. This program will be jointly 

administered by SSA and the Department of Education and include 

interagency collaboration with the Department of Health and 

Human Services and the Department of Labor. The goal of the 

PROMISE program is to improve outcomes for children, and the 

families of children, receiving SSI benefits by encouraging innovaVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00227 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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tion and improving coordination between existing programs and 

services. The committee recommendation for SSA includes funds 

for program design and evaluation activities, as well as for incentive payments to States based on successful interventions. The 

Committee has also included funding for this program within the 

Department of Education. 

Within the total for research and demonstration, the Committee 

recommends $5,000,000 for the establishment of a new Disability 

Research Consortium [DRC]. The DRC will work to improve disability policy research by facilitating collaboration between researchers and focusing on cross-cutting issues affecting multiple 

Federal agencies and the disability population in general. The 

Committee encourages SSA to consult with the National Council on 

Disability in establishing the DRC. 

Administration 

The Committee recommendation includes $3,683,543,000 for SSI 

program administrative expenses. The comparable fiscal year 2011 

funding level is $3,486,286,000 and the budget request is 

$3,844,000,000. This appropriation funds the SSI program’s share 

of administrative expenses incurred through the limitation on administrative expenses account. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2011 ............................................................................. $11,423,606,000 

Budget estimate, 2012 ........................................................................... 12,513,200,000 

Committee recommendation ................................................................. 11,631,948,000 

The Committee recommends $11,631,948,000 for the Social Security Administration’s limitation on administrative expenses [LAE] 

account. The comparable fiscal year 2011 funding level is 

$11,423,606,000 and the budget request is $12,513,200,000. 

This account provides resources for SSA to administer the old 

age and survivors insurance [OASI], the disability insurance [DI], 

and the supplemental security income [SSI] programs, and to support the Center for Medicare and Medicaid Services in administering its programs. The LAE account is funded by the Social Security and Medicare trust funds for their share of administrative 

expenses, the general fund for the SSI program’s share of administrative expenses, and applicable user fees. 

The Committee recommendation includes a $139,516,000 increase for program integrity activities, provided through a cap adjustment mechanism described below, and a $68,826,000 increase 

for non-program integrity base administrative expenses. 

In fiscal year 2012 the number of disability claims and hearings 

requests SSA receives is expected to remain at near record levels. 

The Committee recommendation will allow SSA to continue towards the goal of eliminating the disability hearing backlog by the 

end of 2013 while providing targeted increases to those parts of the 

agency facing the greatest demand for services or abnormal staff 

attrition. Because of budget constraints, the Committee was not 

able to provide the full amount requested by the administration, so 

it recognizes that processing times and pending levels for other key 

workloads, including initial disability claims, will rise. The Committee directs SSA to provide a report to the Committees on ApproVerDate Mar 15 2010 01:27 Sep 23, 2011 Jkt 068379 PO 00000 Frm 00228 Fmt 6604 Sfmt 6602 E:\HR\OC\NIIAH3.XXX NIIAH3

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priations of the House of Representative and the Senate within 30 

days of enactment of this act on the impact of enacted funding levels on key workloads and services. 

Program Integrity 

Within the total for LAE, the Committee recommendation includes $896,000,000 for program integrity activities, including conducting continuing disability reviews [CDRs] and redeterminations 

of non-medical eligibility factors under the SSI program. This 

amount includes $273,000,000 in base funding and $623,000,000 in 

cap adjustment funding provided under section 251(b)(2)(C)(ii) of 

the Balanced Budget and Emergency Deficit Control Act of 1985. 

The comparable fiscal year 2011 funding level is $746,484,000 and 

the budget request is $938,000,000. 

This increase in funding in fiscal year 2012 will allow SSA to 

conduct 263,000 additional full-medical CDRs and 200,000 additional SSI redeterminations than in fiscal year 2011. In total, SSA 

will conduct 569,000 full-medical CDRs and 2,622,000 SSI redeterminations, saving approximately $8,900,000,000 over 10 years to 

the Social Security, Medicare and Medicaid programs. 

No-Year Information Technology Funding 

The Committee maintains bill language allowing SSA to carry 

over unobligated LAE balances for use in future fiscal years, without fiscal year limitation, for investments in information technology 

and telecommunications infrastructure. In fiscal year 2011 SSA 

made available $461,413,000 in prior-year unobligated balances for 

these activities and the Committee recommendation assumes SSA 

will make an additional $60,000,000 available in fiscal year 2012. 

This is in addition to funding within SSA’s annual appropriation 

used for these activities in those years. This significant decrease is 

due to a rescission of $275,000,000 in fiscal year 2011 that otherwise would have been available in fiscal year 2012. The Committee 

also includes new bill language directing SSA to include information in their congressional budget justification each year regarding 

the estimated amount of prior year unobligated balances that will 

be available and used for these purposes, and to notify the Committees on Appropriations of the House of Representatives and the 

Senate before those funds are made available. Information included 

in the congressional budget justification should include a consolidated information technology plan and include the actual and estimated amounts funded with annually appropriated and no-year 

funds. 

Social Security Advisory Board 

Within the total for LAE, the Committee recommendation includes not less than $2,150,000, the same as the budget request, 

for the Social Security Advisory Board. The comparable fiscal year 

2011 funding level is $2,295,000. The Social Security Advisory 

Board advises the Commissioner of Social Security and makes recommendations to Congress and the President on policies relating to 

the OASI, DI and SSI programs. 


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User Fees 

Within the total for LAE, the Committee recommendation includes $155,500,000 for administrative activities funded from user 

fees. This amount includes $155,000,000 in fees paid to SSA by 

States that request SSA to administer State SSI supplementary 

payments and $500,000 from a fee payment process for non-attorney representatives of claimants. 

Acquisition Workforce 

The Committee recommendation does not include funding specified for strengthening the capacity and capability of SSA’s acquisition workforce. The budget request includes $1,863,000 for this activity. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2011 ............................................................................. $102,477,000 

Budget estimate, 2012 ........................................................................... 107,113,000 

Committee recommendation ................................................................. 102,477,000 

The Committee recommends $102,477,000, the same as the comparable fiscal year 2011 funding level, for the Office of the Inspector General. The budget request is $107,113,000. The recommendation includes $73,535,000 funded from the OASI and DI trust funds 

for those programs’ share of inspector general expenses and 

$28,942,000 funded from general revenues for the SSI program’s 

share of expenses. 


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TITLE V—GENERAL PROVISIONS 

The Committee recommendation includes provisions which: authorize transfers of unexpended balances (sec. 501); limit funding 

to 1 year availability unless otherwise specified (sec. 502); limit lobbying and related activities (sec. 503); limit official representation 

expenses (sec. 504); prohibit funding of any program to carry out 

distribution of sterile needles for the hypodermic injection of any 

illegal drug without the approval of appropriate local officials (sec. 

505); clarify Federal funding as a component of State and local 

grant funds (sec. 506); limit use of funds for abortion (sec. 507 and 

sec. 508); restrict human embryo research (sec. 509); limit the use 

of funds for promotion of legalization of controlled substances (sec. 

510); prohibit the use of funds to promulgate regulations regarding 

the individual health identifier (sec. 511); limit use of funds to 

enter into or review contracts with entities subject to the requirement in section 4212(d) of title 38, United States Code, if the report 

required by that section has not been submitted (sec. 512); prohibit 

transfer of funds made available in this act to any department, 

agency, or instrumentality of the U.S. Government, except as otherwise provided by this or any other act (sec. 513); prohibit Federal 

funding in this act for libraries unless they are in compliance with 

the Children’s Internet Protection Act (sec. 514); maintain a procedure for reprogramming of funds (sec. 515); prohibit candidates for 

scientific advisory committees from having to disclose their political 

activities (sec. 516); require each department and related agency to 

submit an operating plan (sec. 517); require the Secretaries of 

Labor, Health and Human Services, and Education to submit a report on the number and amounts of contracts, grants, and cooperative agreements awarded by the Departments on a noncompetitive 

basis (sec. 518); prohibit the use of funds for first-class travel (sec. 

519); prohibit the use of funds for a grant or contract exceeding 

$5,000,000 unless the prospective contractor or grantee makes certain certifications regarding Federal tax liability (sec. 520); and a 

provision rescinding funds from the State Children’s Health Insurance Program performance bonus fund (sec. 521). 


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COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE 

STANDING RULES OF THE SENATE 

Paragraph 7 of rule XVI requires that Committee reports on general appropriations bills identify each Committee amendment to 

the House bill ‘‘which proposes an item of appropriation which is 

not made to carry out the provisions of an existing law, a treaty 

stipulation, or an act or resolution previously passed by the Senate 

during that session.’’ 

The Committee recommends funding for the following programs 

and activities which currently lack authorization: Elementary and 

Secondary Education Act; National Center for Special Education 

Research; parts C and D of the Individuals with Disabilities Education Act; Education Sciences Reform Act; Special Olympics Sport 

and Empowerment Act of 2004; Workforce Investment Act; Homeless Veterans Reintegration Program; Universal Newborn Hearing 

Screening; Organ Transplantation; Family Planning; Rural Health 

programs; Traumatic Brain Injury programs; Combating Autism 

Act; Public Health Improvement Act; Healthy Start; Telehealth; 

Health Professions Education Partnership Act; Children’s Health 

Act; Women’s Health Research and Prevention Amendments of 

1998; Birth Defects Prevention, Preventive Health Amendments of 

1993; Substance Abuse and Mental Health Services programs, except for Depression Centers of Excellence and grants for Primary 

and Behavioral Healthcare Integration; Low Income Home Energy 

Assistance Program; Refugee and Entrant Assistance programs; 

Adoption Opportunities; Child Welfare Services and Research; 

Child Care and Development Block Grant; Developmental Disabilities programs; Voting Access for Individuals with Disabilities; Native American Programs; Community Services Block Grant; Rural 

Facilities; Individual Development Accounts; Community Economic 

Development; Alzheimer’s Disease Demonstration Grants; Adolescent Family Life; Office of Disease Prevention and Health Promotion; Rehabilitation Services and Disability Research, except sections 4, 5, and 6 of the Assistive Technology Program; Institute of 

Education Sciences; Corporation for Public Broadcasting; Museum 

and Library Services Act programs; National Council on Disability; 

and Older Americans Act. 

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on September 21, 2011, 

the Committee ordered favorably reported an original bill (S. 1599) 

making appropriations the Departments of Labor, Health and 

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

year ending September 30, 2012, and for other purposes, provided 

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sistent with its spending allocations, by a recorded vote of 16–14, 

a quorum being present. The vote was as follows: 

Yeas Nays 

Chairman Inouye Mr. Cochran 

Mr. Leahy Mr. McConnell 

Mr. Harkin Mr. Shelby 

Ms. Mikulski Mrs. Hutchison 

Mr. Kohl Mr. Alexander 

Mrs. Murray Ms. Collins 

Mrs. Feinstein Ms. Murkowski 

Mr. Durbin Mr. Graham 

Mr. Johnson (SD) Mr. Kirk 

Ms. Landrieu Mr. Coats 

Mr. Reed Mr. Blunt 

Mr. Lautenberg Mr. Moran 

Mr. Nelson Mr. Hoeven 

Mr. Pryor Mr. Johnson (WI) 

Mr. Tester 

Mr. Brown 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or a joint resolution repealing or amending any statute include ‘‘(a) the text of the statute or part thereof which is proposed 

to be repealed; and (b) a comparative print of that part of the bill 

or joint resolution making the amendment and of the statute or 

part thereof proposed to be amended, showing by stricken through 

type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which would be 

made by the bill or joint resolution if enacted in the form recommended by the committee.’’ 

TITLE 20—EDUCATION 

CHAPTER 28—HIGHER EDUCATION RESOURCES AND STUDENT

ASSISTANCE

SUBCHAPTER IV—STUDENT ASSISTANCE

PART A—GRANTS TO STUDENTS IN ATTENDANCE AT INSTITUTIONS

OF HIGHER EDUCATION

SUBPART 1—FEDERAL PELL GRANTS

§ 1070a. Federal Pell Grants: amount and determinations; 

applications. 

(a) Program authority and method of distribution 

* * * * * * * 

(b) Purpose and amount of grants 

(1) * * * 

* * * * * * * 

(8) ADDITIONAL FUNDS.— 


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(A) IN GENERAL.— * * * 

(i) * * * 

* * * * * * * 

ø(iv) $3,090,000,000 for fiscal year 2011;¿ 

(iv) to carry out this section— 

(I) $13,500,000,000 for fiscal year 2011; 

(II) $13,583,000,000 for fiscal year 2012; 

(III) $8,940,000,000 for fiscal year 2013, of 

which $896,000,000 shall be available for the 

2012–2013 award year; 

(IV) $0 for fiscal year 2014; 

(V) $0 for fiscal year 2015; 

(VI) $0 for fiscal year 2016; 

(VII) $1,640,000,000 for fiscal year 2017; 

(VIII) $1,705,000,000 for fiscal year 2018; 

(IX) $1,775,000,000 for fiscal year 2019; 

(X) $1,870,000,000 for fiscal year 2020; and 

(XI) $2,055,000,000 for fiscal year 2021 and 

each succeeding fiscal year. 

* * * * * * * 

PART B—FEDERAL FAMILY EDUCATION LOAN PROGRAM

§ 1078. Federal payments to reduce student interest costs 

(a) Federal interest subsidies 

(1) Types of loans that qualify 

* * * * * * * 

(3) Amount of interest subsidy 

(A)(i) * * * 

ø(I) which accrues prior to the beginning of the repayment period of the loan, or¿ 

(I) which accrues prior to the date the student 

ceases to carry at least one-half the normal fulltime academic workload (as determined by the institution), or 

TITLE 48—TERRITORIES AND INSULAR POSSESSIONS 

CHAPTER 18—MICRONESIA, MARSHALL ISLANDS, AND PALAU

SUBCHAPTER I—MICRONESIA AND MARSHALL ISLANDS

PART A—APPROVAL AND IMPLEMENTATION OF RIGINALCOMPACT

§ 1921d. Supplemental provisions 

(a) Domestic program requirements 

* * * * * * * 

(f) Continuing programs and laws 


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(1) Federated States of Micronesia and Republic of the 

Marshall Islands 

* * * * * * * 

(A) Emergency and disaster assistance 

* * * * * * * 

(B) Treatment of additional programs 

(i) Consultation 

* * * * * * * 

(ix) Applicability 

The government, institutions, and people of Palau 

shall remain eligible for appropriations and to receive 

grants under the provisions of law specified in clauses 

(ii) and (iii) until the end of fiscal year ø2009¿ 2012, 

to the extent the government, institutions, and people 

of Palau were so eligible under such provisions in fiscal year 2003. 

AMERICAN RECOVERY AND REINVESTMENT ACT, 2009, 

PUBLIC LAW 111–5 

TITLE XIV—STATE FISCAL 

STABILIZATION FUND 

GENERAL PROVISIONS—THIS TITLE 

SEC. 14006. STATE INCENTIVE GRANTS. 

(a) IN GENERAL.— 

* * * * * * * 

(c) SUBGRANTS TO LOCAL EDUCATIONAL AGENCIES.—(1) IN GEN- ERAL.—* * * 

(2) EXCEPTION.—Paragraph (1) does not apply to grants made 

by the Secretary to consortia of States to develop academic assessments that are aligned with academic standards, or to a State or 

States for improving early childhood care and education except that 

such a State may use its grant funds to make subgrants to public 

or private agencies and organizations for activities consistent with 

the purposes of the grant. 


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BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 

308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

in bill 

Committee 

allocation 

Amount 

in bill 

Comparison of amounts in the bill with Committee allocations 

to its subcommittees of amounts in the Budget Resolution 

for 2012: Subcommittee on Labor, HHS, Education: 

Mandatory ............................................................................ 540,370 540,370 540,108 1 540,108 

Discretionary ........................................................................ 157,134 158,027 180,041 1 180,803 

Security ....................................................................... 299 299 NA NA 

Nonsecurity ................................................................. 156,835 157,728 NA NA 

Projections of outlays associated with the recommendation: 

2012 ..................................................................................... .................... .................... .................... 2 612,960 

2013 ..................................................................................... .................... .................... .................... 68,409 

2014 ..................................................................................... .................... .................... .................... 14,255 

2015 ..................................................................................... .................... .................... .................... 2,458 

2016 and future years ........................................................ .................... .................... .................... 98 

Financial assistance to State and local governments for 

2012 ......................................................................................... NA 323,580 NA 289,735 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

Consistent with the funding recommended in the bill for continuing disability reviews and redeterminations and for healthcare fraud and abuse control and in accordance with subparagraphs (B) and (C) of section 251(b)(2) of the BBEDCA of 1985 and section 106 of the Deficit Control Act of 2011, the Committee anticipates that the Budget Committee will file a revised section 302(a) allocation for the Committee on Appropriations reflecting an upward adjustment of $893,000 in budget authority plus associated outlays. 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

TITLE I — DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year .............................................................................................................................. 58,922 148,527 58,922 ............................ ¥89,605 

Advance from prior year ........................................................................................................................... (710,576 ) (712,000 ) (712,000 ) (∂1,424 ) ............................FY 2013 .................................................................................................................................................... 712,000 712,000 712,000 ............................ ............................

Subtotal ................................................................................................................................................ 770,922 860,527 770,922 ............................ ¥89,605 

Youth Training ................................................................................................................................................... 825,914 923,913 825,914 ............................ ¥97,999 Dislocated Worker Assistance, current year ...................................................................................................... 203,432 314,603 203,432 ............................ ¥111,171 

Advance from prior year ........................................................................................................................... (858,280 ) (860,000 ) (860,000 ) (∂1,720 ) ............................FY 2013 .................................................................................................................................................... 860,000 860,000 860,000 ............................ ............................

Subtotal ................................................................................................................................................ 1,063,432 1,174,603 1,063,432 ............................ ¥111,171 

Subtotal, Grants to States ............................................................................................................................ 2,660,268 2,959,043 2,660,268 ............................ ¥298,775 

Current Year ......................................................................................................................................... (1,088,268 ) (1,387,043 ) (1,088,268 ) ............................ (¥298,775 ) FY 2013 ................................................................................................................................................ (1,572,000 ) (1,572,000 ) (1,572,000 ) ............................ ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year .............................................................................................................................................. 24,112 29,160 24,112 ............................ ¥5,048 Advance from prior year ........................................................................................................................... (199,600 ) (200,000 ) (200,000 ) (∂400 ) ............................FY 2013 .................................................................................................................................................... 200,000 200,000 200,000 ............................ ............................

Subtotal ................................................................................................................................................ 224,112 229,160 224,112 ............................ ¥5,048 

Subtotal, Dislocated Worker Assistance ....................................................................................................... 1,287,544 1,403,763 1,287,544 ............................ ¥116,219 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Native Americans .............................................................................................................................................. 52,652 54,158 52,652 ............................ ¥1,506 Migrant and Seasonal Farmworkers ................................................................................................................. 84,451 86,620 84,451 ............................ ¥2,169 Women in Apprenticeship .................................................................................................................................. 998 1,000 998 ............................ ¥2 YouthBuild ......................................................................................................................................................... 79,840 115,000 79,840 ............................ ¥35,160 Workforce Innovation Fund ................................................................................................................................ 124,750 ............................ 100,000 ¥24,750 ∂100,000 

Subtotal, Federally Administered Programs (FAP) ........................................................................................ 566,803 485,938 542,053 ¥24,750 ∂56,115 

Current Year ......................................................................................................................................... (366,803 ) (285,938 ) (342,053 ) (¥24,750 ) (∂56,115 ) FY 2013 ................................................................................................................................................ (200,000 ) (200,000 ) (200,000 ) ............................ ............................

National Activities: 

Pilots, Demonstrations and Research ...................................................................................................... 9,980 6,616 10,480 ∂500 ∂3,864 Green Jobs Innovation Fund ..................................................................................................................... ............................ 60,000 ............................ ............................ ¥60,000 Reintegration of Ex-Offenders .................................................................................................................. 85,390 90,000 75,390 ¥10,000 ¥14,610 Evaluation ................................................................................................................................................. 9,581 11,600 9,581 ............................ ¥2,019 Workforce Data Quality Initiative ............................................................................................................. 12,475 13,750 12,475 ............................ ¥1,275 

Subtotal ................................................................................................................................................ 117,426 181,966 107,926 ¥9,500 ¥74,040 

Total, Training and Employment Services (TES) .......................................................................................... 3,344,497 3,626,947 3,310,247 ¥34,250 ¥316,700 

Current Year ......................................................................................................................................... (1,572,497 ) (1,854,947 ) (1,538,247 ) (¥34,250 ) (¥316,700 ) FY 2013 ................................................................................................................................................ (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

OFFICE OF JOB CORPS 

Administration ............................................................................................................................................................ 29,132 31,430 29,132 ............................ ¥2,298 Operations .................................................................................................................................................................. 981,049 998,817 981,049 ............................ ¥17,768 

Advance from prior year .................................................................................................................................... (589,818 ) (591,000 ) (591,000 ) (∂1,182 ) ............................FY 2013 ............................................................................................................................................................. 591,000 591,000 591,000 ............................ ............................

Construction and Renovation ..................................................................................................................................... 4,990 3,500 4,990 ............................ ∂1,490 

Advance from prior year .................................................................................................................................... (99,800 ) (100,000 ) (100,000 ) (∂200 ) ............................


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FY 2013 ............................................................................................................................................................. 100,000 75,000 100,000 ............................ ∂25,000 

Total, Office of Job Corps ............................................................................................................................. 1,706,171 1,699,747 1,706,171 ............................ ∂6,424 

Current Year ......................................................................................................................................... (1,015,171 ) (1,033,747 ) (1,015,171 ) ............................ (¥18,576 ) FY 2013 ................................................................................................................................................ (691,000 ) (666,000 ) (691,000 ) ............................ (∂25,000 ) 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS 1 ................................................................................ 449,100 450,000 449,100 ............................ ¥900 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ........................................................................................... 721,312 1,100,100 1,100,100 ∂378,788 ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS 

Unemployment Compensation (UI): 

State Operations ................................................................................................................................................ 3,239,154 3,275,610 3,231,154 ¥8,000 ¥44,456 National Activities ............................................................................................................................................. 11,287 11,310 11,287 ............................ ¥23 

Subtotal, Unemployment Compensation ....................................................................................................... 3,250,441 3,286,920 3,242,441 ¥8,000 ¥44,479 

Employment Service (ES): 

Allotments to States: 

Federal Funds ........................................................................................................................................... 22,638 83,864 22,638 ............................ ¥61,226 Trust Funds .............................................................................................................................................. 679,531 680,893 679,531 ............................ ¥1,362 

Subtotal ................................................................................................................................................ 702,169 764,757 702,169 ............................ ¥62,588 

ES National Activities ........................................................................................................................................ 20,952 20,994 20,952 ............................ ¥42 

Subtotal, Employment Service ...................................................................................................................... 723,121 785,751 723,121 ............................ ¥62,630 

Federal Funds ...................................................................................................................................... (22,638 ) (83,864 ) (22,638 ) ............................ (¥61,226 ) Trust Funds .......................................................................................................................................... (700,483 ) (701,887 ) (700,483 ) ............................ (¥1,404 ) 

Foreign Labor Certification: 

Federal Administration ...................................................................................................................................... 50,418 50,537 50,418 ............................ ¥119 Grants to States ................................................................................................................................................ 15,099 15,129 15,099 ............................ ¥30 

Subtotal, Foreign Labor Certification ........................................................................................................... 65,517 65,666 65,517 ............................ ¥149 

One-Stop Career Centers/Labor Market Information .................................................................................................. 63,593 63,720 63,593 ............................ ¥127 

Total, State UI and ES .................................................................................................................................. 4,102,672 4,202,057 4,094,672 ¥8,000 ¥107,385 

Federal Funds ...................................................................................................................................... (86,231 ) (147,584 ) (86,231 ) ............................ (¥61,353 ) Trust Funds .......................................................................................................................................... (4,016,441 ) (4,054,473 ) (4,008,441 ) (¥8,000 ) (¥46,032 ) 

STATE PAID LEAVE FUND ............................................................................................................................................ ............................ 23,000 ............................ ............................ ¥23,000 ADVANCES TO THE UI AND OTHER TRUST FUNDS 2 ................................................................................................... 290,000 ............................ ............................ ¥290,000 ............................


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

PROGRAM ADMINISTRATION 

Adult Employment and Training ................................................................................................................................ 46,765 51,577 46,765 ............................ ¥4,812 

Trust Funds ....................................................................................................................................................... 8,536 9,960 8,536 ............................ ¥1,424 

Youth Employment and Training ................................................................................................................................ 12,283 14,442 12,283 ............................ ¥2,159 Employment Security .................................................................................................................................................. 3,483 4,713 3,483 ............................ ¥1,230 

Trust Funds ....................................................................................................................................................... 39,417 41,298 39,417 ............................ ¥1,881 

Apprenticeship Services ............................................................................................................................................. 27,728 28,718 27,728 ............................ ¥990 Executive Direction ..................................................................................................................................................... 7,061 7,083 7,061 ............................ ¥22 

Trust Funds ....................................................................................................................................................... 2,087 2,091 2,087 ............................ ¥4 

Total, Program Administration ...................................................................................................................... 147,360 159,882 147,360 ............................ ¥12,522 

Federal Funds ...................................................................................................................................... (97,320 ) (106,533 ) (97,320 ) ............................ (¥9,213 ) Trust Funds .......................................................................................................................................... (50,040 ) (53,349 ) (50,040 ) ............................ (¥3,309 ) 

Total, Employment and Training Administration (ETA) ................................................................................ 10,761,112 11,261,733 10,807,650 ∂46,538 ¥454,083 

Federal Funds ...................................................................................................................................... 6,694,631 7,153,911 6,749,169 ∂54,538 ¥404,742 

Current Year ................................................................................................................................ (4,231,631 ) (4,715,911 ) (4,286,169 ) (∂54,538 ) (¥429,742 ) FY 2013 ....................................................................................................................................... (2,463,000 ) (2,438,000 ) (2,463,000 ) ............................ (∂25,000 ) 

Trust Funds .......................................................................................................................................... 4,066,481 4,107,822 4,058,481 ¥8,000 ¥49,341 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance ................................................................................................................... 131,137 149,884 149,884 ∂18,747 ............................Policy and Compliance Assistance ............................................................................................................................ 21,571 40,926 38,926 ∂17,355 ¥2,000 Executive Leadership, Program Oversight and Admin ............................................................................................... 6,655 6,718 6,718 ∂63 ............................

Total, EBSA ................................................................................................................................................... 159,363 197,528 195,528 ∂36,165 ¥2,000 

PENSION BENEFIT GUARANTY CORPORATION (PBGC) 

Pension Insurance Activities ...................................................................................................................................... (74,506 ) (86,023 ) (86,023 ) (∂11,517 ) ............................


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Pension Plan Termination .......................................................................................................................................... (242,300 ) (243,372 ) (243,372 ) (∂1,072 ) ............................Operational Support ................................................................................................................................................... (147,261 ) (147,506 ) (147,506 ) (∂245 ) ............................

Total, PBGC (program level) ......................................................................................................................... (464,067 ) (476,901 ) (476,901 ) (∂12,834 ) ............................

ENFORCEMENT OF WAGE AND HOUR STANDARDS ..................................................................................................... 227,491 240,937 227,491 ............................ ¥13,446 OFFICE OF LABOR-MANAGEMENT STANDARDS ........................................................................................................... 41,367 41,367 41,367 ............................ ............................FEDERAL CONTRACTOR EEO STANDARDS ENFORCEMENT .......................................................................................... 105,386 109,010 105,386 ............................ ¥3,624 

FEDERAL PROGRAMS FOR WORKERS’ COMPENSATION 

Salaries and Expenses ............................................................................................................................................... 115,939 121,354 115,939 ............................ ¥5,415 

Trust Funds ....................................................................................................................................................... 2,124 2,184 2,124 ............................ ¥60 

Total, Salaries and Expenses ....................................................................................................................... 118,063 123,538 118,063 ............................ ¥5,475 

Federal Funds ...................................................................................................................................... (115,939 ) (121,354 ) (115,939 ) ............................ (¥5,415 ) Trust Funds .......................................................................................................................................... (2,124 ) (2,184 ) (2,124 ) ............................ (¥60 ) 

SPECIAL BENEFITS 

Federal Employees’ Compensation Benefits .............................................................................................................. 180,000 347,000 347,000 ∂167,000 ............................Longshore and Harbor Workers’ Benefits ................................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Special Benefits .................................................................................................................................. 183,000 350,000 350,000 ∂167,000 ............................

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit Payments ....................................................................................................................................................... 198,000 177,000 177,000 ¥21,000 ............................Administration ............................................................................................................................................................ 5,220 5,227 5,227 ∂7 ............................

Subtotal, program level ................................................................................................................................ 203,220 182,227 182,227 ¥20,993 ............................

Less funds advanced in prior year .......................................................................................................... ¥45,000 ¥41,000 ¥41,000 ∂4,000 ............................

Total, Current Year .............................................................................................................................. 158,220 141,227 141,227 ¥16,993 ............................New advances, 1st quarter FY 2013 ................................................................................................... 41,000 40,000 40,000 ¥1,000 ............................

Total, Special Benefits for Disabled Coal Miners ........................................................................................ 199,220 181,227 181,227 ¥17,993 ............................

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION FUND 

Part B Administrative Expenses ................................................................................................................................. 53,778 52,147 52,147 ¥1,631 ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit Payments and Interest on Advances ............................................................................................................. 237,808 241,689 241,689 ∂3,881 ............................


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Employment Standards Administration, Salaries and Expenses ............................................................................... 33,075 32,906 32,906 ¥169 ............................Departmental Management, Salaries and Expenses ................................................................................................. 25,394 25,217 25,217 ¥177 ............................Departmental Management, Inspector General ......................................................................................................... 327 327 327 ............................ ............................

Subtotal, Black Lung Disability .................................................................................................................... 296,604 300,139 300,139 ∂3,535 ............................

Treasury Department Administrative Costs ............................................................................................................... 356 356 356 ............................ ............................

Total, Black Lung Disability Trust Fund ....................................................................................................... 296,960 300,495 300,495 ∂3,535 ............................Total, Federal Programs for Workers’ Compensation ................................................................................... 851,021 1,007,407 1,001,932 ∂150,911 ¥5,475 

Federal Funds ...................................................................................................................................... 848,897 1,005,223 999,808 ∂150,911 ¥5,415 

Current year ................................................................................................................................ (807,897 ) (965,223 ) (959,808 ) (∂151,911 ) (¥5,415 ) FY 2013 ....................................................................................................................................... (41,000 ) (40,000 ) (40,000 ) (¥1,000 ) ............................

Trust Funds .......................................................................................................................................... 2,124 2,184 2,124 ............................ ¥60 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) 

SALARIES AND EXPENSES 

Safety and Health Standards ..................................................................................................................................... 20,288 25,982 21,288 ∂1,000 ¥4,694 Federal Enforcement ................................................................................................................................................... 208,146 216,365 208,146 ............................ ¥8,219 Whistleblower enforcement ......................................................................................................................................... 14,806 20,948 16,306 ∂1,500 ¥4,642 State Programs ........................................................................................................................................................... 104,393 105,893 104,393 ............................ ¥1,500 Technical Support ....................................................................................................................................................... 25,868 25,950 25,868 ............................ ¥82 Compliance Assistance: 

Federal Assistance ............................................................................................................................................ 73,383 74,039 73,383 ............................ ¥656 State Consultation Grants ................................................................................................................................. 54,688 55,798 54,688 ............................ ¥1,110 Training Grants ................................................................................................................................................. 10,729 12,000 10,729 ............................ ¥1,271 

Subtotal, Compliance Assistance ................................................................................................................. 138,800 141,837 138,800 ............................ ¥3,037 

Safety and Health Statistics ...................................................................................................................................... 34,805 34,875 34,805 ............................ ¥70 


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Executive Direction and Administration ..................................................................................................................... 11,513 11,536 11,513 ............................ ¥23 

Total, OSHA ................................................................................................................................................... 558,619 583,386 561,119 ∂2,500 ¥22,267 

MINE SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Coal Enforcement ....................................................................................................................................................... 160,369 161,303 164,969 ∂4,600 ∂3,666 Metal/Non-Metal Enforcement .................................................................................................................................... 87,644 89,990 88,394 ∂750 ¥1,596 Standards Development ............................................................................................................................................. 4,352 5,550 4,352 ............................ ¥1,198 Assessments ............................................................................................................................................................... 6,221 6,574 6,221 ............................ ¥353 Educational Policy and Development ......................................................................................................................... 38,148 36,338 36,838 ¥1,310 ∂500 Technical Support ....................................................................................................................................................... 31,031 33,403 31,431 ∂400 ¥1,972 Program Evaluation and Information Resources (PEIR) ............................................................................................ 18,173 20,654 18,423 ∂250 ¥2,231 Program Administration ............................................................................................................................................. 15,906 30,465 20,872 ∂4,966 ¥9,593 

Total, Mine Safety & Health Administration MSHA ...................................................................................... 361,844 384,277 371,500 ∂9,656 ¥12,777 

BUREAU OF LABOR STATISTICS 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................................................................................... 210,673 219,043 210,673 ............................ ¥8,370 Labor Market Information ........................................................................................................................................... 67,303 69,136 68,303 ∂1,000 ¥833 Prices and Cost of Living .......................................................................................................................................... 205,410 232,839 205,410 ............................ ¥27,429 Compensation and Working Conditions ..................................................................................................................... 80,418 81,197 80,418 ............................ ¥779 Productivity and Technology ....................................................................................................................................... 12,078 10,201 12,078 ............................ ∂1,877 Executive Direction and Staff Services ...................................................................................................................... 34,342 34,614 34,342 ............................ ¥272 

Total, Bureau of Labor Statistics ................................................................................................................. 610,224 647,030 611,224 ∂1,000 ¥35,806 

Federal Funds ...................................................................................................................................... 542,921 577,894 542,921 ............................ ¥34,973 Trust Funds .......................................................................................................................................... 67,303 69,136 68,303 ∂1,000 ¥833 

OFFICE OF DISABILITY EMPLOYMENT POLICY 

SALARIES AND EXPENSES ........................................................................................................................................... 38,953 39,031 38,953 ............................ ¥78 

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ..................................................................................................................................................... 33,283 33,213 33,283 ............................ ∂70 Departmental IT Crosscut .......................................................................................................................................... 19,852 ............................ 19,852 ............................ ∂19,852 Departmental Program Evaluation ............................................................................................................................. 8,500 18,400 8,500 ............................ ¥9,900 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Legal Services ............................................................................................................................................................ 119,121 132,578 129,121 ∂10,000 ¥3,457 

Trust Funds ....................................................................................................................................................... 326 331 326 ............................ ¥5 

International Labor Affairs ......................................................................................................................................... 92,484 101,504 92,484 ............................ ¥9,020 Administration and Management ............................................................................................................................... 30,339 30,745 30,339 ............................ ¥406 Adjudication ................................................................................................................................................................ 29,227 30,576 29,227 ............................ ¥1,349 Women’s Bureau ......................................................................................................................................................... 11,581 11,620 11,581 ............................ ¥39 Civil Rights Activities ................................................................................................................................................. 6,798 7,223 6,798 ............................ ¥425 Chief Financial Officer ............................................................................................................................................... 5,350 5,364 5,350 ............................ ¥14 

Total, Salaries and expenses ........................................................................................................................ 356,861 371,554 366,861 ∂10,000 ¥4,693 

Federal Funds ...................................................................................................................................... (356,535 ) (371,223 ) (366,535 ) (∂10,000 ) (¥4,688 ) Trust Funds .......................................................................................................................................... (326 ) (331 ) (326 ) ............................ (¥5 ) 

VETERANS EMPLOYMENT AND TRAINING 

State Administration, Grants ..................................................................................................................................... 165,063 165,394 165,063 ............................ ¥331 Transition Assistance Program .................................................................................................................................. 6,986 9,000 8,006 ∂1,020 ¥994 Federal Administration ............................................................................................................................................... 35,242 35,222 35,222 ¥20 ............................National Veterans Training Institute .......................................................................................................................... 2,444 2,449 2,444 ............................ ¥5 Homeless Veterans Program ...................................................................................................................................... 36,257 39,330 38,257 ∂2,000 ¥1,073 Veterans Workforce Investment Programs ................................................................................................................. 9,622 9,641 9,622 ............................ ¥19 

Total, Veterans Employment and Training ................................................................................................... 255,614 261,036 258,614 ∂3,000 ¥2,422 

Federal Funds ...................................................................................................................................... 45,879 48,971 47,879 ∂2,000 ¥1,092 Trust Funds .......................................................................................................................................... 209,735 212,065 210,735 ∂1,000 ¥1,330 

OFFICE OF INSPECTOR GENERAL 

Program Activities ...................................................................................................................................................... 77,937 78,453 77,937 ............................ ¥516 

Trust Funds ....................................................................................................................................................... 5,909 5,992 5,909 ............................ ¥83 

Total, Office of Inspector General ................................................................................................................ 83,846 84,445 83,846 ............................ ¥599 


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IT MODERNIZATION 

Departmental support systems .................................................................................................................................. ............................ 17,000 ............................ ............................ ¥17,000 IT infrastructure modernization .................................................................................................................................. ............................ 8,000 ............................ ............................ ¥8,000 

Total, IT Modernization ................................................................................................................................. ............................ 25,000 ............................ ............................ ¥25,000 Total, Departmental Management ................................................................................................................ 696,321 742,035 709,321 ∂13,000 ¥32,714 

Federal Funds ...................................................................................................................................... 480,351 523,647 492,351 ∂12,000 ¥31,296 

Current Year ................................................................................................................................ (480,351 ) (523,647 ) (492,351 ) (∂12,000 ) (¥31,296 ) 

Trust Funds .......................................................................................................................................... 215,970 218,388 216,970 ∂1,000 ¥1,418 

Working Capital Fund ................................................................................................................................................. ............................ 4,620 ............................ ............................ ¥4,620 

Total, Workforce Investment Act Programs .................................................................................................. 5,060,290 5,336,335 5,026,040 ¥34,250 ¥310,295 

Current Year ......................................................................................................................................... (2,597,290 ) (2,898,335 ) (2,563,040 ) (¥34,250 ) (¥335,295 ) FY 2013 ................................................................................................................................................ (2,463,000 ) (2,438,000 ) (2,463,000 ) ............................ (∂25,000 ) 

Total, Title I, Department of Labor ............................................................................................................... 14,411,701 15,258,361 14,671,471 ∂259,770 ¥586,890 

Federal Funds ...................................................................................................................................... 10,059,823 10,860,831 10,325,593 ∂265,770 ¥535,238 

Appropriations, fiscal year 2012 ................................................................................................ (11,952,701 ) (12,821,361 ) (12,209,471 ) (∂256,770 ) (¥611,890 ) Appropriations ............................................................................................................................. (4,644,722 ) (5,043,206 ) (4,916,992 ) (∂272,270 ) (¥126,214 ) 

Current Year ....................................................................................................................... (7,555,823 ) (8,382,831 ) (7,822,593 ) (∂266,770 ) (¥560,238 ) FY 2013 .............................................................................................................................. (2,504,000 ) (2,478,000 ) (2,503,000 ) (¥1,000 ) (∂25,000 ) 

Trust Funds .......................................................................................................................................... 4,351,878 4,397,530 4,345,878 ¥6,000 ¥51,652 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) 

HEALTH RESOURCES AND SERVICES 

Bureau of Primary Health Care 

Community Health Centers ........................................................................................................................................ 1,580,749 2,117,814 1,580,749 ............................ ¥537,065 Free Clinics Medical Malpractice ............................................................................................................................... 40 40 40 ............................ ............................National Hansen’s Disease Program .......................................................................................................................... 16,077 16,075 16,077 ............................ ∂2 Hansen’s Disease Program Buildings and Facilities ................................................................................................. 129 129 129 ............................ ............................Payment to Hawaii, Treatment of Hansen’s .............................................................................................................. 1,964 1,976 1,964 ............................ ¥12 

Subtotal ......................................................................................................................................................... 1,598,959 2,136,034 1,598,959 ............................ ¥537,075 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Bureau of Health Professions 

National Health service Corps: .................................................................................................................................. 24,848 123,477 24,848 ............................ ¥98,629 

Health Professions 

Health Professions, Training for Diversity: 

Centers of Excellence ........................................................................................................................................ 24,452 24,602 24,452 ............................ ¥150 Health Careers Opportunity Program ................................................................................................................ 21,998 22,133 ............................ ¥21,998 ¥22,133 Faculty Loan Repayment ................................................................................................................................... 1,258 1,266 1,258 ............................ ¥8 Scholarships for Disadvantaged Students ........................................................................................................ 49,042 52,921 49,042 ............................ ¥3,879 

Evaluation Tap Funding ........................................................................................................................... ............................ (7,079 ) ............................ ............................ (¥7,079 ) 

Subtotal, Training for Diversity .................................................................................................................... 96,750 108,001 74,752 ¥21,998 ¥33,249 

Training in Primary Care Medicine ............................................................................................................................ 39,036 53,018 39,036 ............................ ¥13,982 

Evaluation Tap Funding .................................................................................................................................... ............................ (86,914 ) ............................ ............................ (¥86,914 ) 

Subtotal, Training in Primary Care Medicine ............................................................................................... 39,036 139,932 39,036 ............................ ¥100,896 

Oral Health Training ................................................................................................................................................... 32,781 35,419 32,781 ............................ ¥2,638 

Evaluation Tap Funding .................................................................................................................................... ............................ (14,509 ) ............................ ............................ (¥14,509 ) 

Subtotal, Oral Health programs ................................................................................................................... 32,781 49,928 32,781 ............................ ¥17,147 

Interdisciplinary Community-Based Linkages: 

Area Health Education Centers ......................................................................................................................... 33,142 33,345 33,142 ............................ ¥203 

Evaluation Tap Funding ........................................................................................................................... ............................ (1,488 ) ............................ ............................ (¥1,488 ) 

Allied Health and Other Disciplines .................................................................................................................. 1,933 ............................ 1,933 ............................ ∂1,933 Geriatric Programs ............................................................................................................................................ 33,542 36,907 33,542 ............................ ¥3,365 

Evaluation Tap Funding ........................................................................................................................... ............................ (6,840 ) ............................ ............................ (¥6,840 ) 

Mental and Behavorial Health .......................................................................................................................... 2,927 17,945 2,927 ............................ ¥15,018 

Subtotal, Interdisciplinary Community Linkages .......................................................................................... 71,544 96,525 71,544 ............................ ¥24,981 


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Workforce Information and Analysis .......................................................................................................................... 2,815 ............................ 2,815 ............................ ∂2,815 

Evaluation Tap Funding .................................................................................................................................... ............................ (20,000 ) ............................ ............................ (¥20,000 ) 

State Grants for Health Workforce Development ....................................................................................................... ............................ 51,000 ............................ ............................ ¥51,000 Public Health and Preventive Medicine programs ..................................................................................................... 9,609 ............................ 9,609 ............................ ∂9,609 

Evaluation Tap Funding .................................................................................................................................... ............................ (10,068 ) ............................ ............................ (¥10,068 ) Prevention and Public Health Fund 3 ................................................................................................................ (20,000 ) (15,000 ) (25,000 ) (∂5,000 ) (∂10,000 ) 

Subtotal ......................................................................................................................................................... 29,609 25,068 34,609 ∂5,000 ∂9,541 

Nursing Programs: 

Advanced Education Nursing ............................................................................................................................ 64,046 64,438 64,046 ............................ ¥392 

Evaluation Tap Funding ........................................................................................................................... ............................ (40,000 ) ............................ ............................ (¥40,000 ) 

Nurse Education, Practice, and Retention ........................................................................................................ 39,653 40,141 39,653 ............................ ¥488 

Evaluation Tap Funding ........................................................................................................................... ............................ (19,632 ) ............................ ............................ (¥19,632 ) 

Nursing Workforce Diversity .............................................................................................................................. 16,009 16,107 16,009 ............................ ¥98 

Evaluation Tap Funding ........................................................................................................................... ............................ (3,893 ) ............................ ............................ (¥3,893 ) 

Loan Repayment and Scholarship Program ...................................................................................................... 93,292 93,864 93,292 ............................ ¥572 Comprehensive Geriatric Education .................................................................................................................. 4,539 ............................ 4,539 ............................ ∂4,539 

Evaluation Tap Funding ........................................................................................................................... ............................ (5,000 ) ............................ ............................ (¥5,000 ) 

Nurse Managed Health Centers ........................................................................................................................ ............................ 10,000 ............................ ............................ ¥10,000 

Evaluation Tap Funding ........................................................................................................................... ............................ (10,000 ) ............................ ............................ (¥10,000 ) 

Nursing Faculty Loan Program .......................................................................................................................... 24,848 ............................ 24,848 ............................ ∂24,848 

Evaluation Tap Funding ........................................................................................................................... ............................ (30,000 ) ............................ ............................ (¥30,000 ) 

Subtotal, Nursing programs ......................................................................................................................... 242,387 224,550 242,387 ............................ ∂17,837 

Subtotal, Evaluation Tap Funding ....................................................................................................... ............................ 108,525 ............................ ............................ ¥108,525 

Subtotal, Health Professions ........................................................................................................................ 494,922 553,106 472,924 ¥21,998 ¥80,182 Subtotal, Evaluation tap funding ................................................................................................................. ............................ 255,423 ............................ ............................ ¥255,423 Subtotal, Prevention and Public Health Fund 3 ............................................................................................ (20,000 ) (15,000 ) (25,000 ) (∂5,000 ) (∂10,000 ) Total, Health Professions .............................................................................................................................. 514,922 823,529 497,924 ¥16,998 ¥325,605 

Children’s Hospitals Graduate Medical Education .................................................................................................... 268,356 ............................ 268,356 ............................ ∂268,356 Patient Navigator ....................................................................................................................................................... 4,990 ............................ ............................ ¥4,990 ............................Teaching Health Centers Planning Grants ................................................................................................................ ............................ 10,000 ............................ ............................ ¥10,000 National Practitioner Data Bank ................................................................................................................................ 23,508 28,016 28,016 ∂4,508 ............................

User Fees ........................................................................................................................................................... ¥23,508 ¥28,016 ¥28,016 ¥4,508 ............................


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Subtotal, Bureau of Health Professions (BHP) ............................................................................................. 793,116 686,583 766,128 ¥26,988 ∂79,545 Subtotal, Evaluation tap funding ................................................................................................................. ............................ (255,423 ) ............................ ............................ (¥255,423 ) Subtotal, Prevention and Public Health Fund 3 ............................................................................................ (20,000 ) (15,000 ) (25,000 ) (∂5,000 ) (∂10,000 ) Total, BHP program level .............................................................................................................................. 813,116 957,006 791,128 ¥21,988 ¥165,878 

Maternal and Child Health Bureau 

Maternal and Child Health Block Grant .................................................................................................................... 656,319 654,489 606,319 ¥50,000 ¥48,170 Sickle Cell Anemia Demonstration Program .............................................................................................................. 4,721 4,740 4,721 ............................ ¥19 Traumatic Brain Injury ............................................................................................................................................... 9,878 9,918 9,878 ............................ ¥40 Autism and Other Developmental Disorders .............................................................................................................. 47,708 55,000 47,708 ............................ ¥7,292 Heritable Disorders ..................................................................................................................................................... 9,952 9,992 9,952 ............................ ¥40 Congenital Disabilities ............................................................................................................................................... ............................ 499 ............................ ............................ ¥499 Healthy Start .............................................................................................................................................................. 104,361 104,776 104,361 ............................ ¥415 Universal Newborn Hearing ........................................................................................................................................ 18,884 18,960 18,884 ............................ ¥76 Emergency Medical Services for Children .................................................................................................................. 21,369 21,454 21,369 ............................ ¥85 

Subtotal, Maternal and Child Health Bureau .............................................................................................. 873,192 879,828 823,192 ¥50,000 ¥56,636 

HIV/AIDS Bureau 

Ryan White AIDS Programs: 

Emergency Assistance ....................................................................................................................................... 672,529 679,074 672,529 ............................ ¥6,545 Comprehensive Care Programs ......................................................................................................................... 1,308,141 1,358,791 1,323,141 ∂15,000 ¥35,650 

AIDS Drug Assistance Program (ADAP) (NA) ........................................................................................... (885,000 ) (940,000 ) (900,000 ) (∂15,000 ) (¥40,000 ) 

Early Intervention Program ................................................................................................................................ 205,564 211,522 205,564 ............................ ¥5,958 Children, Youth, Women, and Families ............................................................................................................. 77,313 77,787 77,313 ............................ ¥474 AIDS Dental Services ......................................................................................................................................... 13,511 13,594 13,511 ............................ ¥83 Education and Training Centers ....................................................................................................................... 34,607 34,819 34,607 ............................ ¥212 

Subtotal, Ryan White AIDS programs ........................................................................................................... 2,311,665 2,375,587 2,326,665 ∂15,000 ¥48,922 


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Evaluation Tap Funding (NA) ............................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

Subtotal, Ryan White AIDs program level .................................................................................................... (2,336,665 ) (2,400,587 ) (2,351,665 ) (∂15,000 ) (¥48,922 ) Subtotal, HIV/AIDS Bureau ............................................................................................................................ 2,311,665 2,375,587 2,326,665 ∂15,000 ¥48,922 

Healthcare Systems Bureau 

Organ Transplantation ............................................................................................................................................... 24,896 25,991 24,896 ............................ ¥1,095 National Cord Blood Inventory ................................................................................................................................... 11,910 13,883 11,910 ............................ ¥1,973 Bone Marrow Program ................................................................................................................................................ 23,374 26,544 23,374 ............................ ¥3,170 Office of Pharmacy Affairs ......................................................................................................................................... 4,480 5,220 4,480 ............................ ¥740 340B Drug Pricing User Fees ..................................................................................................................................... ............................ 5,000 5,000 ∂5,000 ............................

User Fees ........................................................................................................................................................... ............................ ¥5,000 ¥5,000 ¥5,000 ............................

Poison Control ............................................................................................................................................................ 21,866 29,250 21,866 ............................ ¥7,384 

Subtotal, Healthcare systems bureau .......................................................................................................... 86,526 100,888 86,526 ............................ ¥14,362 

Rural Health Programs 

Rural Outreach Grants ............................................................................................................................................... 55,658 57,266 55,658 ............................ ¥1,608 Rural Health Research/Policy Development ............................................................................................................... 9,885 9,929 9,885 ............................ ¥44 Rural Hospital Flexibility Grants ................................................................................................................................ 41,118 26,200 41,118 ............................ ∂14,918 Rural Access to Emergency Devices .......................................................................................................................... 236 ............................ 2,500 ∂2,264 ∂2,500 State Offices of Rural Health .................................................................................................................................... 10,055 10,075 10,055 ............................ ¥20 Black Lung Clinics ..................................................................................................................................................... 7,153 7,185 7,153 ............................ ¥32 Radiation Exposure Screening and Education Program ............................................................................................ 1,939 1,948 1,939 ............................ ¥9 Telehealth ................................................................................................................................................................... 11,524 11,575 13,524 ∂2,000 ∂1,949 

Subtotal, Rural health programs .................................................................................................................. 137,568 124,178 141,832 ∂4,264 ∂17,654 

Healthy Weight Collaborative Prevention and Public Health Fund 3 ......................................................................... ............................ (5,000 ) ............................ ............................ (¥5,000 ) Family Planning .......................................................................................................................................................... 299,400 327,356 299,400 ............................ ¥27,956 Program Management ................................................................................................................................................ 161,815 170,808 161,815 ............................ ¥8,993 

Total, Health resources & services program level ....................................................................................... (6,307,241 ) (7,101,685 ) (6,254,517 ) (¥52,724 ) (¥847,168 ) 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 

HEAL Liquidating Account .......................................................................................................................................... (1,000 ) ............................ (1,000 ) ............................ (∂1,000 ) HEAL Program Management ....................................................................................................................................... 2,841 ............................ 2,841 ............................ ∂2,841 

Total, HEAL .................................................................................................................................................... 2,841 ............................ 2,841 ............................ ∂2,841 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 

Post-FY 1988 Claims ................................................................................................................................................. 220,000 235,000 235,000 ∂15,000 ............................HRSA Administration .................................................................................................................................................. 6,489 6,502 6,489 ............................ ¥13 

Total, Vaccine Injury Compensation Trust Fund .......................................................................................... 226,489 241,502 241,489 ∂15,000 ¥13 Total, Health Resources & Services Administration ..................................................................................... 6,491,571 7,042,764 6,448,847 ¥42,724 ¥593,917 

Total, Evaluation tap funding ............................................................................................................. (25,000 ) (280,423 ) (25,000 ) ............................ (¥255,423 ) Total, Prevention and Public Health Fund 3 ........................................................................................ (20,000 ) (20,000 ) (25,000 ) (∂5,000 ) (∂5,000 ) 

Total, HRSA program level ............................................................................................................................ (6,537,571 ) (7,343,187 ) (6,499,847 ) (¥37,724 ) (¥843,340 ) 

CENTERS FOR DISEASE CONTROL AND PREVENTION 

DISEASE CONTROL, RESEARCH, AND TRAINING 

Immunization and Respiratory Diseases .................................................................................................................... 479,049 647,200 635,393 ∂156,344 ¥11,807 

Evaluation Tap Funding .................................................................................................................................... (12,864 ) (12,864 ) (12,864 ) ............................ ............................Pandemic Flu balances (Public Law 111–32) .................................................................................................. (156,344 ) ............................ ............................ (¥156,344 ) ............................Prevention and Public Health Fund 3 ................................................................................................................ (100,000 ) (61,599 ) (150,000 ) (∂50,000 ) (∂88,401 ) 

Subtotal ......................................................................................................................................................... (748,257 ) (721,663 ) (798,257 ) (∂50,000 ) (∂76,594 ) 

HIV/AIDS, Viral Hepatitis, STD, and TB Prevention .................................................................................................... 1,115,995 1,157,133 1,115,995 ............................ ¥41,138 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ (30,400 ) (10,000 ) (∂10,000 ) (¥20,400 ) 

Subtotal ......................................................................................................................................................... 1,115,995 1,187,533 1,125,995 ∂10,000 ¥61,538 

Emerging and Zoonotic Infectious Diseases .............................................................................................................. 252,443 289,118 252,443 ............................ ¥36,675 

Prevention and Public Health Fund 3 ................................................................................................................ (51,750 ) (60,000 ) (51,750 ) ............................ (¥8,250 ) 

Subtotal, Emerging and Zoonotic Infectious ................................................................................................ 304,193 349,118 304,193 ............................ ¥44,925 

Chronic Disease Prevention and Health Promotion ................................................................................................... 773,987 725,207 777,987 ∂4,000 ∂52,780 


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Prevention and Public Health Fund 3 ................................................................................................................ (300,950 ) (460,301 ) (487,050 ) (∂186,100 ) (∂26,749 ) 

Subtotal ......................................................................................................................................................... 1,074,937 1,185,508 1,265,037 ∂190,100 ∂79,529 

Birth Defects and Developmental Disabilities ........................................................................................................... 136,072 143,899 138,072 ∂2,000 ¥5,827 Public Health Scientific Services ............................................................................................................................... 147,795 205,942 147,795 ............................ ¥58,147 

Evaluation Tap Funding .................................................................................................................................... (247,769 ) (217,674 ) (247,769 ) ............................ (∂30,095 ) Prevention and Public Health Fund 3 ................................................................................................................ (72,000 ) (70,000 ) (70,000 ) (¥2,000 ) ............................

Subtotal, Health Statistics/Public Health Scientific Services, Program Level ............................................. (467,564 ) (493,616 ) (465,564 ) (¥2,000 ) (¥28,052 ) 

Environmental Health ................................................................................................................................................. 134,855 128,715 105,855 ¥29,000 ¥22,860 

Prevention and Public Health Fund 3 ................................................................................................................ (35,000 ) (9,000 ) (35,000 ) ............................ (∂26,000 ) 

Subtotal ......................................................................................................................................................... 169,855 137,715 140,855 ¥29,000 ∂3,140 

Injury Prevention and Control .................................................................................................................................... 143,714 147,501 129,714 ¥14,000 ¥17,787 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ (20,000 ) (3,000 ) (∂3,000 ) (¥17,000 ) 

Subtotal ......................................................................................................................................................... 143,714 167,501 132,714 ¥11,000 ¥34,787 

National Institute for Occupational Safety & Health 4 .............................................................................................. 224,355 ............................ 188,355 ¥36,000 ∂188,355 

Evaluation Tap Funding .................................................................................................................................... (91,724 ) (259,934 ) (106,724 ) (∂15,000 ) (¥153,210 ) 

Subtotal, Occupational Safety & Health Program4 ..................................................................................... (316,079 ) (259,934 ) (295,079 ) (¥21,000 ) (∂35,145 ) 

Energy Employees Occupational Illness Compensation Program .............................................................................. 55,358 55,358 55,358 ............................ ............................Global Health .............................................................................................................................................................. 340,265 381,245 350,265 ∂10,000 ¥30,980 Public Health Preparedness and Response ............................................................................................................... 1,336,901 1,422,618 1,375,416 ∂38,515 ¥47,202 Prevention and Public Health fund 3 ......................................................................................................................... (10,000 ) ............................ ............................ (¥10,000 ) ............................

Pandemic Flu balances (Public Law 111–32) .................................................................................................. (68,515 ) (30,000 ) (30,000 ) (¥38,515 ) ............................

Subtotal ......................................................................................................................................................... 1,415,416 1,452,618 1,405,416 ¥10,000 ¥47,202 

Public Health Leadership and Support ...................................................................................................................... 121,419 121,368 121,419 ............................ ∂51 

Prevention and Public Health Fund 3 ................................................................................................................ (41,200 ) (41,200 ) (41,200 ) ............................ ............................

Subtotal ......................................................................................................................................................... 162,619 162,568 162,619 ............................ ∂51 

Preventive Health and Health Services Block Grant ................................................................................................. 80,094 ............................ ............................ ¥80,094 ............................Business Services ....................................................................................................................................................... 362,026 447,466 427,026 ∂65,000 ¥20,440 

Total, Centers for Disease Control ............................................................................................................... 5,704,328 5,872,770 5,821,093 ∂116,765 ¥51,677 

Discretionary ........................................................................................................................................ 5,648,970 5,817,412 5,765,735 ∂116,765 ¥51,677 Evaluation Tap Funding (NA) .............................................................................................................. (352,357 ) (490,472 ) (367,357 ) (∂15,000 ) (¥123,115 ) 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Pandemic Flu balances (Public Law 111–32) .................................................................................... (224,859 ) (30,000 ) (30,000 ) (¥194,859 ) ............................Prevention and Public Health Fund 3 .................................................................................................. (610,900 ) (752,500 ) (848,000 ) (∂237,100 ) (∂95,500 ) 

Total, Centers for Disease Control Program Level ....................................................................................... (6,892,444 ) (7,145,742 ) (7,066,450 ) (∂174,006 ) (¥79,292 ) 

NATIONAL INSTITUTES OF HEALTH 

National Cancer Institute ........................................................................................................................................... 5,058,577 5,196,136 5,001,623 ¥56,954 ¥194,513 National Heart, Lung, and Blood Institute ................................................................................................................ 3,069,723 3,147,992 3,036,189 ¥33,534 ¥111,803 National Institute of Dental & Craniofacial Research .............................................................................................. 409,608 420,369 404,997 ¥4,611 ¥15,372 National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) ............................................................ 1,792,224 1,837,957 1,772,045 ¥20,179 ¥65,912 

Juvenile Diabetes (mandatory) .......................................................................................................................... (150,000 ) (150,000 ) (150,000 ) ............................ ............................

Subtotal, NIDDK program level ..................................................................................................................... 1,942,224 1,987,957 1,922,045 ¥20,179 ¥65,912 

National Institute of Neurological Disorders & Stroke .............................................................................................. 1,622,003 1,664,253 1,603,741 ¥18,262 ¥60,512 National Institute of Allergy and Infectious Diseases ............................................................................................... 4,478,668 4,615,970 4,426,288 ¥52,380 ¥189,682 

Global HIV/AIDS Fund Transfer ......................................................................................................................... 297,300 300,000 299,000 ∂1,700 ¥1,000 

Subtotal, NIAID program level ...................................................................................................................... 4,775,968 4,915,970 4,725,288 ¥50,680 ¥190,682 

National Institute of General Medical Sciences ........................................................................................................ 2,033,782 2,102,300 2,347,309 ∂313,527 ∂245,009 National Institute of Child Health & Human Development ....................................................................................... 1,317,854 1,352,189 1,303,016 ¥14,838 ¥49,173 National Eye Institute ................................................................................................................................................. 700,828 719,059 692,938 ¥7,890 ¥26,121 National Institute of Environmental Health Sciences ................................................................................................ 683,724 700,537 676,033 ¥7,691 ¥24,504 National Institute on Aging ........................................................................................................................................ 1,100,481 1,129,987 1,088,091 ¥12,390 ¥41,896 National Institute of Arthritis and Musculoskeletal and Skin Diseases ................................................................... 534,349 547,891 528,332 ¥6,017 ¥19,559 National Institute on Deafness and Other Communication Disorders ...................................................................... 415,155 426,043 410,482 ¥4,673 ¥15,561 National Institute of Nursing Research ..................................................................................................................... 144,381 148,114 142,755 ¥1,626 ¥5,359 National Institute on Alcohol Abuse and Alcoholism ................................................................................................ 458,286 469,197 453,127 ¥5,159 ¥16,070 National Institute on Drug Abuse .............................................................................................................................. 1,050,542 1,080,018 1,038,714 ¥11,828 ¥41,304 National Institute of Mental Health ........................................................................................................................... 1,477,292 1,517,006 1,460,671 ¥16,621 ¥56,335 National Human Genome Research Institute ............................................................................................................. 511,497 524,807 505,738 ¥5,759 ¥19,069 


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National Institute of Biomedical Imaging and Bioengineering ................................................................................. 313,802 322,106 333,671 ∂19,869 ∂11,565 National Center for Research Resources ................................................................................................................... 1,257,754 1,297,900 ............................ ¥1,257,754 ¥1,297,900 National Center for Complementary and Alternative Medicine ................................................................................. 127,713 131,002 126,275 ¥1,438 ¥4,727 National Institute on Minority Health and Health Disparities ................................................................................... 209,713 214,608 272,650 ∂62,937 ∂58,042 John E. Fogarty International Center ......................................................................................................................... 69,436 71,328 68,653 ¥783 ¥2,675 National Center for Advancing Translation Sciences ................................................................................................ ............................ ............................ 582,326 ∂582,326 ∂582,326 National Library of Medicine (NLM) ........................................................................................................................... 336,733 387,153 358,979 ∂22,246 ¥28,174 

Evaluation Tap Funding .................................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Subtotal ......................................................................................................................................................... 344,933 395,353 367,179 ∂22,246 ¥28,174 

Subtotal ................................................................................................................................................ 344,933 395,353 367,179 ∂22,246 ¥28,174 

Office of the Director ................................................................................................................................................. 1,166,963 1,298,412 1,439,064 ∂272,101 ∂140,652 

Common fund .................................................................................................................................................... (543,021 ) (556,890 ) (537,811 ) (¥5,210 ) (¥19,079 ) 

Buildings and Facilities ............................................................................................................................................. 49,900 125,581 125,581 ∂75,681 ............................

Total, National Institutes of Health (NIH) .................................................................................................... 30,688,288 31,747,915 30,498,288 ¥190,000 ¥1,249,627 

Global HIV/AIDS Fund Transfer out ..................................................................................................... ¥297,300 ¥300,000 ¥299,000 ¥1,700 ∂1,000 Evaluation Tap Funding ....................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Total, NIH Program Level .............................................................................................................................. (30,399,188 ) (31,456,115 ) (30,207,488 ) (¥191,700 ) (¥1,248,627 ) 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 

Mental Health: 

Programs of Regional and National Significance ............................................................................................ 338,276 273,342 331,680 ¥6,596 ∂58,338 Prevention and Public Health Fund 3 ................................................................................................................ (45,000 ) (20,000 ) (45,000 ) ............................ (∂25,000 ) 

Subtotal ......................................................................................................................................................... 383,276 293,342 376,680 ¥6,596 ∂83,338 

Mental Health block grant ................................................................................................................................ 398,936 413,645 398,936 ............................ ¥14,709 

Evaluation Tap Funding ........................................................................................................................... (20,997 ) (21,039 ) (20,997 ) ............................ (¥42 ) 

Subtotal, Program level ....................................................................................................................... (419,933 ) (434,684 ) (419,933 ) ............................ (¥14,751 ) 

Children’s Mental Health .................................................................................................................................. 117,803 121,316 117,803 ............................ ¥3,513 Grants to States for the Homeless (PATH) ....................................................................................................... 64,917 65,047 64,917 ............................ ¥130 Protection and Advocacy ................................................................................................................................... 36,307 36,380 36,307 ............................ ¥73 State prevention grants .................................................................................................................................... ............................ 90,000 ............................ ............................ ¥90,000 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Subtotal, Mental Health ................................................................................................................................ 956,239 999,730 949,643 ¥6,596 ¥50,087 Subtotal, Mental health program level ........................................................................................................ (1,022,236 ) (1,040,769 ) (1,015,640 ) (¥6,596 ) (¥25,129 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance ............................................................................................ 404,480 401,822 409,575 ∂5,095 ∂7,753 

Evaluation Tap Funding ........................................................................................................................... (2,000 ) (2,000 ) (2,000 ) ............................ ............................

Prevention and Public Health Fund 3 ................................................................................................................ (25,000 ) ............................ (25,000 ) ............................ (∂25,000 ) 

Subtotal, Program level ................................................................................................................................ (431,480 ) (403,822 ) (436,575 ) (∂5,095 ) (∂32,753 ) 

Substance Abuse block grant ........................................................................................................................... 1,703,452 1,419,603 1,703,452 ............................ ∂283,849 

Evaluation Tap Funding ........................................................................................................................... (79,200 ) (74,711 ) (79,200 ) ............................ (∂4,489 ) 

Subtotal, Program level ....................................................................................................................... (1,782,652 ) (1,494,314 ) (1,782,652 ) ............................ (∂288,338 ) 

Substance abuse prevention grants ................................................................................................................. ............................ 395,000 ............................ ............................ ¥395,000 

Subtotal, Substance Abuse Treatment ......................................................................................................... 2,107,932 2,216,425 2,113,027 ∂5,095 ¥103,398 

Subtotal, Program level ....................................................................................................................... (2,214,132 ) (2,293,136 ) (2,219,227 ) (∂5,095 ) (¥73,909 ) 

Substance Abuse Prevention: 

Programs of Regional and National Significance ............................................................................................ 186,061 74,582 186,361 ∂300 ∂111,779 

Subtotal ......................................................................................................................................................... 186,061 74,582 186,361 ∂300 ∂111,779 

Health Surveillance and Program Support: 

Health Surveillance ........................................................................................................................................... 2,000 2,000 2,000 ............................ ............................

Evaluation Tap Funding (NA) ................................................................................................................... (22,750 ) (45,428 ) (27,428 ) (∂4,678 ) (¥18,000 ) Prevention and Public Health Fund 3 ....................................................................................................... (18,000 ) ............................ (18,000 ) ............................ (∂18,000 ) 

Subtotal, Program level ....................................................................................................................... 42,750 47,428 47,428 ∂4,678 ............................


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Program Management ................................................................................................................................................ 77,039 80,166 77,039 ............................ ¥3,127 Health IT ..................................................................................................................................................................... 5,250 4,000 ............................ ¥5,250 ¥4,000 Military Families ......................................................................................................................................................... ............................ 10,000 ............................ ............................ ¥10,000 Performance and Quality Information Systems ......................................................................................................... 30,987 ............................ 12,996 ¥17,991 ∂12,996 

Evaluation Tap Funding (NA) ............................................................................................................................ (6,596 ) (12,996 ) ............................ (¥6,596 ) (¥12,996 ) 

Public Awareness and Support .................................................................................................................................. 14,030 ............................ 13,571 ¥459 ∂13,571 

Evaluation Tap Funding (NA) ............................................................................................................................ ............................ (13,571 ) ............................ ............................ (¥13,571 ) 

Prevention Prepared Communities—PPHF 3 .............................................................................................................. ............................ (22,600 ) ............................ ............................ (¥22,600 ) Tribal Prevention Grants—PPHF 3 .............................................................................................................................. ............................ (50,000 ) ............................ ............................ (¥50,000 ) 

Subtotal, Program level ................................................................................................................................ 56,863 113,167 26,567 ¥30,296 ¥86,600 Total, SAMHSA ............................................................................................................................................... 3,379,538 3,386,903 3,354,637 ¥24,901 ¥32,266 

Evaluation Tap Funding ....................................................................................................................... (131,543 ) (169,745 ) (129,625 ) (¥1,918 ) (¥40,120 ) (Prevention and Public Health Fund) 3 ................................................................................................ 88,000 92,600 88,000 ............................ ¥4,600 

Total, SAMHSA Program Level ...................................................................................................................... (3,599,081 ) (3,649,248 ) (3,572,262 ) (¥26,819 ) (¥76,986 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) 

HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Evaluation Tap Funding (NA) ............................................................................................................................ (245,653 ) (232,612 ) (238,768 ) (¥6,885 ) (∂6,156 ) Prevention and Public Health Fund 3 ................................................................................................................ (12,000 ) ............................ (12,000 ) ............................ (∂12,000 ) 

Medical Expenditures Panel Surveys: 

Evaluation Tap Funding (NA) ............................................................................................................................ (58,800 ) (59,300 ) (59,300 ) (∂500 ) ............................

Program Support: 

Evaluation Tap Funding (NA) ............................................................................................................................ (67,600 ) (74,485 ) (73,985 ) (∂6,385 ) (¥500 ) 

Total, AHRQ Program Level ........................................................................................................................... (372,053 ) (366,397 ) (372,053 ) ............................ (∂5,656 ) Total, Public Health Service (PHS) appropriation ........................................................................................ 46,982,625 48,915,452 47,083,865 ∂101,240 ¥1,831,587 Total, Public Health Service Program Level ................................................................................................. (48,097,637 ) (50,260,689 ) (48,017,100 ) (¥80,537 ) (¥2,243,589 ) 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid Current Law Benefits .................................................................................................................................. 242,714,348 253,884,907 253,884,907 ∂11,170,559 ............................State and Local Administration ................................................................................................................................. 13,567,479 12,808,496 12,808,496 ¥758,983 ............................Vaccines for Children ................................................................................................................................................. 3,651,354 4,030,996 4,030,996 ∂379,642 ............................


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Subtotal, Medicaid Program Level ................................................................................................................ 259,933,181 270,724,399 270,724,399 ∂10,791,218 ............................

Less funds advanced in prior year ..................................................................................................... ¥86,789,382 ¥86,445,289 ¥86,445,289 ∂344,093 ............................

Total, Grants to States for Medicaid ............................................................................................................ 173,143,799 184,279,110 184,279,110 ∂11,135,311 ............................

New advance, 1st quarter ................................................................................................................... 86,445,289 90,614,082 90,614,082 ∂4,168,793 ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental Medical Insurance ............................................................................................................................... 172,697,622 178,041,000 178,041,000 ∂5,343,378 ............................Federal Uninsured Payment ....................................................................................................................................... 275,000 262,000 262,000 ¥13,000 ............................Program Management ................................................................................................................................................ 229,000 222,000 222,000 ¥7,000 ............................General Revenue for Part D Benefit .......................................................................................................................... 55,548,000 51,431,000 51,431,000 ¥4,117,000 ............................General Revenue for Part D Administration .............................................................................................................. 404,000 475,000 475,000 ∂71,000 ............................HCFAC Reimbursement ............................................................................................................................................... 310,378 580,580 581,000 ∂270,622 ∂420 

Total, Payments to Trust Funds, Program Level .......................................................................................... 229,464,000 231,011,580 231,012,000 ∂1,548,000 ∂420 

PROGRAM MANAGEMENT 

Research, Demonstration, Evaluation ........................................................................................................................ 35,529 31,200 31,200 ¥4,329 ............................Program operations .................................................................................................................................................... 2,397,655 3,062,025 2,813,935 ∂416,280 ¥248,090 State Survey and Certification ................................................................................................................................... 361,276 400,283 361,276 ............................ ¥39,007 High Risk Insurance Pools ......................................................................................................................................... 54,890 44,000 44,000 ¥10,890 ............................Federal Administration ............................................................................................................................................... 737,505 859,465 794,465 ∂56,960 ¥65,000 

Total, Program management, Limitation on new BA ................................................................................... 3,586,855 4,396,973 4,044,876 ∂458,021 ¥352,097 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D Drug Benefit/Medicare Advantage (MIP) ........................................................................................................ 219,879 345,295 345,715 ∂125,836 ∂420 HHS Office of Inspector General ................................................................................................................................ 29,730 97,556 97,556 ∂67,826 ............................Department of Justice ................................................................................................................................................ 29,730 93,085 93,085 ∂63,355 ............................Medicaid/SCHIP .......................................................................................................................................................... 31,038 44,644 44,644 ∂13,606 ............................


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Total, Health Care Fraud and Abuse Control ............................................................................................... 310,377 580,580 581,000 ∂270,623 ∂420 Total, Centers for Medicare and Medicaid Services .................................................................................... 492,950,320 510,882,325 510,531,068 ∂17,580,748 ¥351,257 

Federal funds ....................................................................................................................................... 489,053,088 505,904,772 505,905,192 ∂16,852,104 ∂420 

Current year ................................................................................................................................ (402,607,799 ) (415,290,690 ) (415,291,110 ) (∂12,683,311 ) (∂420 ) New advance, FY 2013 ............................................................................................................... (86,445,289 ) (90,614,082 ) (90,614,082 ) (∂4,168,793 ) ............................

Trust Funds .......................................................................................................................................... 3,897,232 4,977,553 4,625,876 ∂728,644 ¥351,677 

ADMINISTRATION FOR CHILDREN AND FAMILIES 

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 

Payments to Territories .............................................................................................................................................. 33,000 33,000 33,000 ............................ ............................Repatriation ................................................................................................................................................................ 1,000 1,000 1,000 ............................ ............................

Subtotal, Welfare payments .......................................................................................................................... 34,000 34,000 34,000 ............................ ............................

Child Support Enforcement: 

State and Local Administration ........................................................................................................................ 3,507,323 2,942,035 2,942,035 ¥565,288 ............................Federal Incentive Payments .............................................................................................................................. 513,000 519,000 519,000 ∂6,000 ............................Access and Visitation ........................................................................................................................................ 10,000 10,000 10,000 ............................ ............................

Subtotal, Child Support Enforcement ........................................................................................................... 4,030,323 3,471,035 3,471,035 ¥559,288 ............................Total, Family Support Payments Program Level ........................................................................................... 4,064,323 3,505,035 3,505,035 ¥559,288 ............................

Less funds advanced in previous years .............................................................................................. ¥1,100,000 ¥1,200,000 ¥1,200,000 ¥100,000 ............................

Total, Family Support Payments, current year ............................................................................................. 2,964,323 2,305,035 2,305,035 ¥659,288 ............................

New advance, 1st quarter, FY 2013 ................................................................................................... 1,200,000 1,100,000 1,100,000 ¥100,000 ............................

LOW-INCOME HOME ENERGY ASSISTANCE (LIHEAP) 

Formula Grants ........................................................................................................................................................... 4,500,653 1,980,000 3,400,653 ¥1,100,000 ∂1,420,653 Contingency Fund ....................................................................................................................................................... 199,927 589,551 199,927 ............................ ¥389,624 

Total, LIHEAP, Program Level ....................................................................................................................... 4,700,580 2,569,551 3,600,580 ¥1,100,000 ∂1,031,029 

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ............................................................................................................................. 352,625 394,224 386,625 ∂34,000 ¥7,599 Victims of Trafficking ................................................................................................................................................. 9,794 9,814 9,794 ............................ ¥20 Social Services ........................................................................................................................................................... 153,697 179,005 153,697 ............................ ¥25,308 Preventive Health ....................................................................................................................................................... 4,739 4,748 4,739 ............................ ¥9 Targeted Assistance ................................................................................................................................................... 48,493 48,590 48,493 ............................ ¥97 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Unaccompanied Minors .............................................................................................................................................. 149,052 177,225 173,225 ∂24,173 ¥4,000 Victims of Torture ....................................................................................................................................................... 11,066 11,088 11,066 ............................ ¥22 

Total, Refugee and Entrant Assistance ........................................................................................................ 729,466 824,694 787,639 ∂58,173 ¥37,055 

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT 

Child Care and Development Block Grant ................................................................................................................. 2,222,627 2,926,757 2,222,627 ............................ ¥704,130 SOCIAL SERVICES BLOCK GRANT (TITLE XX) ............................................................................................................. 1,700,000 1,700,000 1,700,000 ............................ ............................

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth and Families: 

Head Start, current funded ............................................................................................................................... 7,559,633 8,099,783 7,899,633 ∂340,000 ¥200,150 Consolidated Runaway, Homeless Youth Program ........................................................................................... 97,539 102,734 97,539 ............................ ¥5,195 Prevention Grants to Reduce Abuse of Runaway Youth ................................................................................... 17,935 17,971 17,935 ............................ ¥36 Child Abuse State Grants ................................................................................................................................. 26,482 26,535 26,482 ............................ ¥53 Child Abuse Discretionary Activities ................................................................................................................. 25,793 29,020 25,793 ............................ ¥3,227 Community Based Child Abuse Prevention ....................................................................................................... 41,606 41,689 41,606 ............................ ¥83 Abandoned Infants Assistance .......................................................................................................................... 11,605 11,575 11,575 ¥30 ............................Child Welfare Services ...................................................................................................................................... 281,181 281,744 281,181 ............................ ¥563 Child Welfare Training/Innovative Approaches to Foster Care ......................................................................... 27,153 27,207 27,153 ............................ ¥54 Adoption Opportunities ...................................................................................................................................... 39,253 39,332 39,253 ............................ ¥79 Adoption Incentive ............................................................................................................................................. 39,421 49,875 39,421 ............................ ¥10,454 

Strengthening Communities Fund .............................................................................................................................. ............................ 20,000 ............................ ............................ ¥20,000 Social Services and Income Maintenance Research ................................................................................................. ............................ 3,000 ............................ ............................ ¥3,000 

Evaluation Tap Funding .................................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Subtotal, Program Level ............................................................................................................................... (5,762 ) (8,762 ) (5,762 ) ............................ (¥3,000 ) 

Developmental Disabilities Programs: 

State Councils ................................................................................................................................................... 74,916 75,066 74,916 ............................ ¥150 Protection and Advocacy ................................................................................................................................... 40,942 41,024 40,942 ............................ ¥82 


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Voting Access for Individuals with Disabilities ................................................................................................ 17,375 ............................ 5,245 ¥12,130 ∂5,245 Developmental Disabilities Projects of National Significance .......................................................................... 14,134 8,333 8,333 ¥5,801 ............................University Centers for Excellence in Developmental Disabilities ..................................................................... 38,865 38,943 38,865 ............................ ¥78 

Subtotal, Developmental Disabilities Programs ........................................................................................... 186,232 163,366 168,301 ¥17,931 ∂4,935 

Native American Programs ......................................................................................................................................... 48,675 48,773 48,675 ............................ ¥98 Community Services: 

Community Services Block Grant Act programs: 

Grants to States for Community Services ............................................................................................... 678,640 350,000 678,640 ............................ ∂328,640 Economic Development ............................................................................................................................. 17,964 20,000 21,964 ∂4,000 ∂1,964 Rural Community Facilities ...................................................................................................................... 4,990 ............................ 6,990 ∂2,000 ∂6,990 

Subtotal ................................................................................................................................................ 701,594 370,000 707,594 ∂6,000 ∂337,594 

Job Opportunities for Low-Income Individuals ......................................................................................... 1,641 ............................ ............................ ¥1,641 ............................Individual Development Account Initiative .............................................................................................. 23,977 23,907 23,907 ¥70 ............................

Subtotal, Community Services ...................................................................................................................... 727,212 393,907 731,501 ∂4,289 ∂337,594 

Domestic Violence Hotline .......................................................................................................................................... 3,203 4,500 3,203 ............................ ¥1,297 Family Violence/Battered Women’s Shelters .............................................................................................................. 129,792 135,052 129,792 ............................ ¥5,260 Mentoring Children of Prisoners ................................................................................................................................ ............................ 25,000 ............................ ............................ ¥25,000 Independent Living Training Vouchers ....................................................................................................................... 45,260 45,351 45,260 ............................ ¥91 Faith-Based Center .................................................................................................................................................... 1,373 1,376 1,373 ............................ ¥3 Disaster Human Services Case Management ............................................................................................................ 1,996 2,000 1,996 ............................ ¥4 Program Direction ....................................................................................................................................................... 208,013 224,808 208,013 ............................ ¥16,795 

Total, Children and Families Services Programs ......................................................................................... 9,519,357 9,794,598 9,845,685 ∂326,328 ∂51,087 

Current Year ......................................................................................................................................... (9,519,357 ) (9,794,598 ) (9,845,685 ) (∂326,328 ) (∂51,087 ) Evaluation Tap Funding ....................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, Program Level ..................................................................................................................................... (9,525,119 ) (9,800,360 ) (9,851,447 ) (∂326,328 ) (∂51,087 ) 

PROMOTING SAFE AND STABLE FAMILIES .................................................................................................................. 365,000 365,000 365,000 ............................ ............................

Discretionary Funds ........................................................................................................................................... 63,184 63,311 63,184 ............................ ¥127 

PAYMENTS FOR FOSTER CARE AND PERMANENCY 

Foster Care ................................................................................................................................................................. 3,967,000 4,288,000 4,288,000 ∂321,000 ............................Adoption Assistance ................................................................................................................................................... 2,480,000 2,495,000 2,495,000 ∂15,000 ............................Kinship Guardianship ................................................................................................................................................. 32,000 80,000 80,000 ∂48,000 ............................Independent Living ..................................................................................................................................................... 140,000 140,000 140,000 ............................ ............................


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Total, Payments to States ............................................................................................................................ 6,619,000 7,003,000 7,003,000 ∂384,000 ............................

Less Advances from Prior Year ........................................................................................................... ¥1,850,000 ¥1,850,000 ¥1,850,000 ............................ ............................

Total, payments, current year ..................................................................................................... 4,769,000 5,153,000 5,153,000 ∂384,000 ............................New Advance, 1st quarter .......................................................................................................... 1,850,000 2,100,000 2,100,000 ∂250,000 ............................

Total, Administration for Children & Families .................................................................................... 30,083,537 28,901,946 29,242,750 ¥840,787 ∂340,804 

Current year ................................................................................................................................ (27,033,537 ) (25,701,946 ) (26,042,750 ) (¥990,787 ) (∂340,804 ) FY 2013 ....................................................................................................................................... (3,050,000 ) (3,200,000 ) (3,200,000 ) (∂150,000 ) ............................Evaluation Tap Funding .............................................................................................................. (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, ACF Program Level .................................................................................................................... 30,089,299 28,907,708 29,248,512 ¥840,787 ∂340,804 

ADMINISTRATION ON AGING 

AGING SERVICES PROGRAMS 

Grants to States:.

Home and Community-based Supportive Services ........................................................................................... 367,611 416,476 367,611 ............................ ¥48,865 Preventive Health .............................................................................................................................................. 20,984 21,026 20,984 ............................ ¥42 Protection of Vulnerable Older Americans-Title VII .......................................................................................... 21,839 26,880 21,839 ............................ ¥5,041 Family Caregivers .............................................................................................................................................. 153,912 192,220 153,912 ............................ ¥38,308 Native American Caregivers Support ................................................................................................................ 6,376 8,388 6,376 ............................ ¥2,012 

Subtotal, Caregivers ..................................................................................................................................... 160,288 200,608 160,288 ............................ ¥40,320 

Nutrition: 

Congregate Meals ..................................................................................................................................... 439,901 440,718 439,901 ............................ ¥817 Home Delivered Meals .............................................................................................................................. 217,241 217,644 217,241 ............................ ¥403 Nutrition Services Incentive Program ....................................................................................................... 160,693 160,991 160,693 ............................ ¥298 

Subtotal ................................................................................................................................................ 817,835 819,353 817,835 ............................ ¥1,518 


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Grants for Native Americans ...................................................................................................................................... 27,653 27,704 27,653 ............................ ¥51 Program Innovations .................................................................................................................................................. 13,023 18,705 12,728 ¥295 ¥5,977 Aging Network Support Activities ............................................................................................................................... 34,214 17,727 24,143 ¥10,071 ∂6,416 Alzheimer’s Disease Demonstrations ......................................................................................................................... 11,441 11,462 4,018 ¥7,423 ¥7,444 Lifespan Respite Care ................................................................................................................................................ 2,495 10,000 2,495 ............................ ¥7,505 Chronic Disease Self-Management Program ............................................................................................................. ............................ 10,000 ............................ ............................ ¥10,000 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ ............................ (10,000 ) (∂10,000 ) (∂10,000 ) 

Elder Falls Prevention—PHHF 3 ................................................................................................................................. ............................ ............................ (7,000 ) (∂7,000 ) (∂7,000 ) Adult Protective Services Demonstration ................................................................................................................... ............................ 16,500 ............................ ............................ ¥16,500 State Health Insurance Program ................................................................................................................................ 52,000 46,960 52,000 ............................ ∂5,040 Community Living Assistance Services and Supports ............................................................................................... ............................ 120,000 ............................ ............................ ¥120,000 Program Administration—Aging services .................................................................................................................. 19,939 24,543 23,107 ∂3,168 ¥1,436 

Total, Administration on Aging ..................................................................................................................... 1,549,322 1,787,944 1,534,701 ¥14,621 ¥253,243 

Federal Funds ...................................................................................................................................... (1,497,322 ) (1,740,984 ) (1,482,701 ) (¥14,621 ) (¥258,283 ) Trust Funds .......................................................................................................................................... 52,000 46,960 52,000 ............................ ∂5,040 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT 

General Departmental Management: 

Federal Funds .................................................................................................................................................... 203,163 255,905 228,014 ∂24,851 ¥27,891 Prevention and Public Health Fund 3 ................................................................................................................ (19,100 ) (24,900 ) (10,000 ) (¥9,100 ) (¥14,900 ) Trust Funds ....................................................................................................................................................... 5,851 ............................ ............................ ¥5,851 ............................

Subtotal ......................................................................................................................................................... 228,114 280,805 238,014 ∂9,900 ¥42,791 

Teen Pregnancy Prevention Community Grants ......................................................................................................... 104,790 ............................ 104,790 ............................ ∂104,790 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ (110,000 ) ............................ ............................ (¥110,000 ) 

Teen Pregnancy Prevention approaches Evaluation Tap Funding ............................................................................. (4,455 ) (8,455 ) (8,455 ) (∂4,000 ) ............................

Subtotal, Pregnancy Grants .......................................................................................................................... (109,245 ) (118,455 ) (113,245 ) (∂4,000 ) (¥5,210 ) 

Adolescent Family Life (Title XX) ............................................................................................................................... 12,474 ............................ ............................ ¥12,474 ............................Minority Health ........................................................................................................................................................... 55,888 57,980 55,888 ............................ ¥2,092 Office of Women’s Health .......................................................................................................................................... 33,746 33,746 33,746 ............................ ............................Minority HIV/AIDS ........................................................................................................................................................ 53,783 ............................ 53,783 ............................ ∂53,783 

Evaluation Tap Funding .................................................................................................................................... ............................ (53,891 ) ............................ ............................ (¥53,891 ) 

Transformation of the Commissioned Corps ............................................................................................................. 8,071 7,013 ............................ ¥8,071 ¥7,013 Embryo Adoption Awareness Campaign ..................................................................................................................... 2,004 2,000 ............................ ¥2,004 ¥2,000 Acquisition reform ...................................................................................................................................................... ............................ 7,000 ............................ ............................ ¥7,000 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Planning and Evaluation, Evaluation Tap Funding ................................................................................................... (60,756 ) (64,356 ) (64,356 ) (∂3,600 ) ............................

Total, General Departmental Management ................................................................................................... 479,770 363,644 476,221 ¥3,549 ∂112,577 

Federal Funds ...................................................................................................................................... (473,919 ) (363,644 ) (476,221 ) (∂2,302 ) (∂112,577 ) Trust Funds .......................................................................................................................................... 5,851 ............................ ............................ ¥5,851 ............................Prevention and Public Health Fund 3 .................................................................................................. (19,100 ) (134,900 ) (10,000 ) (¥9,100 ) (¥124,900 ) Evaluation Tap Funding (NA) .............................................................................................................. (65,211 ) (126,702 ) (72,811 ) (∂7,600 ) (¥53,891 ) 

Total, General Departmental Management Program .................................................................................... 564,081 625,246 559,032 ¥5,049 ¥66,214 

OFFICE OF MEDICARE HEARINGS AND APPEALS ........................................................................................................ 71,147 81,019 71,147 ............................ ¥9,872 OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY ................................................ 42,246 57,013 42,246 ............................ ¥14,767 

Evaluation Tap Funding .................................................................................................................................... (19,011 ) (21,400 ) (19,011 ) ............................ (¥2,389 ) 

Total, Program Level ................................................................................................................................ (61,257 ) (78,413 ) (61,257 ) ............................ (¥17,156 ) 

OFFICE OF INSPECTOR GENERAL 

Inspector General Federal Funds ............................................................................................................................... 50,178 53,329 50,178 ............................ ¥3,151 

Evaluation tap funding ..................................................................................................................................... ............................ (10,000 ) ............................ ............................ (¥10,000 ) HIPAA/HCFAC funding (NA) ............................................................................................................................... (197,998 ) (193,387 ) (193,387 ) (¥4,611 ) ............................

Total, Inspector General Program Level ....................................................................................................... (248,176 ) (256,716 ) (243,565 ) (¥4,611 ) (¥13,151 ) 

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................................................................................... 37,709 46,717 41,016 ∂3,307 ¥5,701 Trust Funds ....................................................................................................................................................... 3,307 ............................ ............................ ¥3,307 ............................

Total, Office for Civil Rights ........................................................................................................................ 41,016 46,717 41,016 ............................ ¥5,701 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS 

Retirement Payments ................................................................................................................................................. 386,041 418,082 418,082 ∂32,041 ............................Survivors Benefits ...................................................................................................................................................... 27,888 31,625 31,625 ∂3,737 ............................


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Dependents’ Medical Care ......................................................................................................................................... 103,608 114,798 114,798 ∂11,190 ............................

Total,Medical Benefits for Commissioned Officers ...................................................................................... 517,537 564,505 564,505 ∂46,968 ............................

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 

Assistant Secretary for Preparedness and Response 

Operations .................................................................................................................................................................. 12,548 38,624 33,053 ∂20,505 ¥5,571 Preparedness and Emergency Operations .................................................................................................................. 32,999 34,647 34,647 ∂1,648 ............................National Disaster Medical System ............................................................................................................................. 55,925 52,850 52,850 ¥3,075 ............................Hospital Preparedness Cooperative Agreement Grants ............................................................................................. 377,997 375,466 375,466 ¥2,531 ............................Emergency Systems for Advanced Registration of Volunteer Health Professionals (ESAR-VHP) .............................. 5,861 5,000 5,000 ¥861 ............................Bioterrorism Advanced Research and Development Authority ................................................................................... 415,000 665,000 415,000 ............................ ¥250,000 Medical Countermeasure Strategic Investor .............................................................................................................. ............................ 100,000 ............................ ............................ ¥100,000 Medical Countermeasure Dispensing ......................................................................................................................... ............................ 5,000 ............................ ............................ ¥5,000 Global Medicine, Science, and Public Health ............................................................................................................ 8,731 ............................ ............................ ¥8,731 ............................Policy, Strategic Planning, and Communications ...................................................................................................... 4,358 15,708 15,708 ∂11,350 ............................ASPR Co-located Office Facility ................................................................................................................................. ............................ 10,000 ............................ ............................ ¥10,000 

Subtotal, AS for Preparedness and Response .............................................................................................. 913,419 1,302,295 931,724 ∂18,305 ¥370,571 

Assistant Secretary for Administration 

Assistant Secretary for Administration, Cybersecurity ............................................................................................... 56,680 40,000 40,000 ¥16,680 ............................

Public Health and Science 

Medical Reserve Corps ............................................................................................................................................... 11,925 11,268 11,268 ¥657 ............................

Office of the Secretary 

Parklawn Lease Expiration ......................................................................................................................................... 34,930 ............................ ............................ ¥34,930 ............................Office of Security and Strategic Information ............................................................................................................. 7,428 6,460 6,460 ¥968 ............................Pandemic Influenza Preparedness: 

Pandemic Flu balances (Public Law 111–32) .................................................................................................. ............................ (47,000 ) ............................ ............................ (¥47,000 ) Fiscal year 2011 ................................................................................................................................................ 65,447 ............................ ............................ ¥65,447 ............................

Subtotal, Office of the Secretary .................................................................................................................. 107,805 6,460 6,460 ¥101,345 ............................Subtotal, Non-pandemic flu/BARDA/BioShield/Parklawn .............................................................................. 574,452 595,023 574,452 ............................ ¥20,571 Total, PHSSEF ................................................................................................................................................ 1,089,829 1,360,023 989,452 ¥100,377 ¥370,571 Total, Office of the Secretary ....................................................................................................................... 2,291,723 2,526,250 2,234,765 ¥56,958 ¥291,485 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Federal Funds ...................................................................................................................................... 2,211,418 2,445,231 2,163,618 ¥47,800 ¥281,613 Trust Funds .......................................................................................................................................... 80,305 81,019 71,147 ¥9,158 ¥9,872 Evaluation Tap Funding (NA) .............................................................................................................. (84,222 ) (158,102 ) (91,822 ) (∂7,600 ) (¥66,280 ) 

Total, Office of the Secretary Program Level ............................................................................................... 2,395,045 2,819,252 2,336,587 ¥58,458 ¥482,665 Total, Title II, Dept of Health & Human Services ........................................................................................ 573,138,627 592,148,817 589,666,149 ∂16,527,522 ¥2,482,668 

Federal Funds ...................................................................................................................................... 569,109,090 587,043,285 584,917,126 ∂15,808,036 ¥2,126,159 

Current year ................................................................................................................................ (479,613,801 ) (493,229,203 ) (491,103,044 ) (∂11,489,243 ) (¥2,126,159 ) FY 2013 ....................................................................................................................................... (89,495,289 ) (93,814,082 ) (93,814,082 ) (∂4,318,793 ) ............................

Trust Funds .......................................................................................................................................... 4,029,537 5,105,532 4,749,023 ∂719,486 ¥356,509 1Pandemic Flu balances (Public Law 111–32) .................................................................................. (224,859 ) (30,000 ) (30,000 ) (¥194,859 ) ............................Prevention and Public Health Fund 3 .................................................................................................. (738,000 ) (1,000,000 ) (988,000 ) (∂250,000 ) (¥12,000 ) 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies (LEAs) 

Basic Grants: 

Advance from prior year ........................................................................................................................... (3,448,145 ) (2,962,510 ) (2,962,510 ) (¥485,635 ) ............................Forward funded ........................................................................................................................................ 3,618,248 2,806,504 3,618,248 ............................ ∂811,744 Current funded ......................................................................................................................................... 3,992 4,000 3,992 ............................ ¥8 

Subtotal, Basic grants current year approp ....................................................................................... 3,622,240 2,810,504 3,622,240 ............................ ∂811,736 Subtotal, Basic grants total funds available ..................................................................................... (7,070,385 ) (5,773,014 ) (6,584,750 ) (¥485,635 ) (∂811,736 ) 

Basic Grants FY 2013 Advance ........................................................................................................................ 2,962,510 3,787,442 2,962,510 ............................ ¥824,932 

Subtotal, Basic grants, program level ......................................................................................................... 6,584,750 6,597,946 6,584,750 ............................ ¥13,196 

Concentration Grants: 

Advance from prior year ........................................................................................................................... (1,365,031 ) (1,362,301 ) (1,362,301 ) (¥2,730 ) ............................


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FY 2013 Advance ..................................................................................................................................... 1,362,301 1,365,031 1,362,301 ............................ ¥2,730 

Targeted Grants: 

Advance from prior year ........................................................................................................................... (3,014,000 ) (3,258,183 ) (3,258,183 ) (∂244,183 ) ............................FY 2013 Advance ..................................................................................................................................... 3,258,183 3,264,712 3,258,183 ............................ ¥6,529 

Subtotal (excluding emergencies) ....................................................................................................... 3,258,183 3,264,712 3,258,183 ............................ ¥6,529 

Education Finance Incentive Grants: 

Advance from prior year ........................................................................................................................... (3,014,000 ) (3,258,183 ) (3,258,183 ) (∂244,183 ) ............................FY 2013 Advance ..................................................................................................................................... 3,258,183 3,264,712 3,258,183 ............................ ¥6,529 

Subtotal, Grants to LEAs, program level ............................................................................................. 14,463,417 14,792,401 14,463,417 ............................ ¥328,984 Subtotal ................................................................................................................................................ 3,258,183 3,264,712 3,258,183 ............................ ¥6,529 

Title I Rewards .................................................................................................................................................. ............................ 300,000 ............................ ............................ ¥300,000 

Subtotal, Grants to LEAs, program level ............................................................................................. 14,463,417 14,792,401 14,463,417 ............................ ¥328,984 

School Improvement Grants ....................................................................................................................................... 534,562 600,000 534,562 ............................ ¥65,438 Early Learning Challenge Fund .................................................................................................................................. ............................ 350,000 ............................ ............................ ¥350,000 Striving Readers ......................................................................................................................................................... ............................ ............................ 183,000 ∂183,000 ∂183,000 State Agency Programs: 

Migrant .............................................................................................................................................................. 393,981 394,771 393,981 ............................ ¥790 Neglected and Delinquent/High Risk Youth ...................................................................................................... 50,326 50,427 50,326 ............................ ¥101 

Subtotal, State Agency programs ................................................................................................................. 444,307 445,198 444,307 ............................ ¥891 

Evaluation ................................................................................................................................................................... 8,151 ............................ 4,151 ¥4,000 ∂4,151 High School Graduation Initiative .............................................................................................................................. 48,902 ............................ 48,902 ............................ ∂48,902 Migrant Education: 

High School Equivalency Program .................................................................................................................... 36,595 36,668 36,595 ............................ ¥73 

Total, Education for the disadvantaged ....................................................................................................... 15,535,934 16,224,267 15,714,934 ∂179,000 ¥509,333 

Current Year ......................................................................................................................................... (4,694,757 ) (4,542,370 ) (4,873,757 ) (∂179,000 ) (∂331,387 ) FY 2013 ................................................................................................................................................ (10,841,177 ) (11,681,897 ) (10,841,177 ) ............................ (¥840,720 ) 

Subtotal, Forward Funded ............................................................................................................................. (4,597,117 ) (4,501,702 ) (4,780,117 ) (∂183,000 ) (∂278,415 ) 

IMPACT AID 

Basic Support Payments ............................................................................................................................................ 1,135,724 1,138,000 1,135,724 ............................ ¥2,276 Payments for Children with Disabilities .................................................................................................................... 48,505 48,602 48,505 ............................ ¥97 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Facilities Maintenance (Sec. 8008) ........................................................................................................................... 4,854 4,864 4,854 ............................ ¥10 Construction (Sec. 8007) ........................................................................................................................................... 17,474 17,509 17,474 ............................ ¥35 Payments for Federal Property (Sec. 8002) ............................................................................................................... 67,074 67,208 67,074 ............................ ¥134 

Total, Impact aid .......................................................................................................................................... 1,273,631 1,276,183 1,273,631 ............................ ¥2,552 

SCHOOL IMPROVEMENT PROGRAMS 

Effective Teaching and Learning: Literacy ................................................................................................................ ............................ 383,348 ............................ ............................ ¥383,348 Effective Teaching and Learning: STEM .................................................................................................................... ............................ 206,046 ............................ ............................ ¥206,046 Effective Teaching and Learning for Well-Rounded Education ................................................................................. ............................ 246,084 ............................ ............................ ¥246,084 College Pathways ....................................................................................................................................................... ............................ 86,000 ............................ ............................ ¥86,000 State Grants for Improving Teacher Quality .............................................................................................................. 786,613 ............................ 786,613 ............................ ∂786,613 

Advance from prior year .................................................................................................................................... (1,681,441 ) (1,681,441 ) (1,681,441 ) ............................ ............................FY 2013 ............................................................................................................................................................. 1,681,441 ............................ 1,681,441 ............................ ∂1,681,441 

Subtotal, State Grants for Improving Teacher Quality, program level ........................................................ 2,468,054 ............................ 2,468,054 ............................ ∂2,468,054 

Mathematics and Science Partnerships .................................................................................................................... 175,127 ............................ 175,127 ............................ ∂175,127 Supplemental Education Grants ................................................................................................................................ 17,652 17,687 17,652 ............................ ¥35 21st Century Community Learning Centers ............................................................................................................... 1,153,854 1,266,166 1,153,854 ............................ ¥112,312 State Assessments/Enhanced Assessment Instruments ............................................................................................ 389,951 420,000 389,951 ............................ ¥30,049 Foreign Language Assistance .................................................................................................................................... 26,874 ............................ ............................ ¥26,874 ............................Consolidated Runaway and Homeless Youth programs ............................................................................................ 65,296 65,427 65,296 ............................ ¥131 Training and Advisory Services (Civil Rights) ........................................................................................................... 6,975 6,989 6,975 ............................ ¥14 Education for Native Hawaiians ................................................................................................................................ 34,246 34,315 34,246 ............................ ¥69 Alaska Native Education Equity ................................................................................................................................. 33,248 33,315 33,248 ............................ ¥67 Rural Education .......................................................................................................................................................... 174,532 174,882 174,532 ............................ ¥350 Comprehensive Centers .............................................................................................................................................. 51,210 56,313 51,210 ............................ ¥5,103 

Total, School improvement programs ........................................................................................................... 4,597,019 2,996,572 4,570,145 ¥26,874 ∂1,573,573 

Current Year ......................................................................................................................................... (2,915,578 ) (2,996,572 ) (2,888,704 ) (¥26,874 ) (¥107,868 ) 


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FY 2013 ................................................................................................................................................ (1,681,441 ) ............................ (1,681,441 ) ............................ (∂1,681,441 ) 

Subtotal, Forward Funded ............................................................................................................................. (2,745,373 ) (1,926,475 ) (2,745,373 ) ............................ (∂818,898 ) 

INDIAN EDUCATION 

Grants to Local Educational Agencies ....................................................................................................................... 104,122 104,331 104,122 ............................ ¥209 Federal Programs: 

Special Programs for Indian Children .............................................................................................................. 19,022 19,060 19,022 ............................ ¥38 National Activities ............................................................................................................................................. 3,883 3,891 4,883 ∂1,000 ∂992 

Subtotal, Federal Programs .......................................................................................................................... 22,905 22,951 23,905 ∂1,000 ∂954 Total, Indian Education ................................................................................................................................ 127,027 127,282 128,027 ∂1,000 ∂745 

INNOVATION AND IMPROVEMENT 

Race to the Top .......................................................................................................................................................... 698,600 900,000 698,600 ............................ ¥201,400 Investing in Innovation Fund ..................................................................................................................................... 149,700 300,000 149,700 ............................ ¥150,300 Effective Teachers and Leaders State Grants ........................................................................................................... ............................ 2,500,000 ............................ ............................ ¥2,500,000 Teacher and Leader Innovation Fund ........................................................................................................................ ............................ 500,000 ............................ ............................ ¥500,000 Teacher and Leader Pathways ................................................................................................................................... ............................ 250,000 ............................ ............................ ¥250,000 Expanding Educational Options ................................................................................................................................. ............................ 372,000 ............................ ............................ ¥372,000 Transition to Teaching ............................................................................................................................................... 41,125 ............................ 20,125 ¥21,000 ∂20,125 Teaching of Traditional American History .................................................................................................................. 45,908 ............................ 45,908 ............................ ∂45,908 School Leadership ...................................................................................................................................................... 29,162 ............................ 29,162 ............................ ∂29,162 Charter Schools Grants .............................................................................................................................................. 255,519 ............................ 255,519 ............................ ∂255,519 Voluntary Public School Choice .................................................................................................................................. 25,767 ............................ ............................ ¥25,767 ............................Magnet Schools Assistance ........................................................................................................................................ 99,800 110,000 99,800 ............................ ¥10,200 Fund for the Improvement of Education (FIE) ........................................................................................................... 40,900 63,000 70,900 ∂30,000 ∂7,900 Teacher Incentive Fund .............................................................................................................................................. 399,200 ............................ 300,000 ¥99,200 ∂300,000 Ready-to-Learn television ........................................................................................................................................... 27,245 ............................ 27,245 ............................ ∂27,245 Advanced Placement .................................................................................................................................................. 43,253 ............................ 43,253 ............................ ∂43,253 

Total, Innovation and Improvement .............................................................................................................. 1,856,179 4,995,000 1,740,212 ¥115,967 ¥3,254,788 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and Healthy Students ........................................................................................................................................ ............................ 364,966 ............................ ............................ ¥364,966 Promise Neighborhoods .............................................................................................................................................. 29,940 150,000 60,000 ∂30,060 ¥90,000 National Programs ...................................................................................................................................................... 119,226 ............................ 79,226 ¥40,000 ∂79,226 Alcohol Abuse Reduction ............................................................................................................................................ 6,907 ............................ ............................ ¥6,907 ............................Elementary and Secondary School Counseling .......................................................................................................... 52,395 ............................ 52,395 ............................ ∂52,395 Carol M. White Physical Education Program ............................................................................................................. 78,842 ............................ 78,842 ............................ ∂78,842 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Civic Education .......................................................................................................................................................... 1,155 ............................ ............................ ¥1,155 ............................

Total, Safe Schools and Citizenship Education ........................................................................................... 288,465 514,966 270,463 ¥18,002 ¥244,503 

ENGLISH LANGUAGE ACQUISITION 

Current funded ........................................................................................................................................................... 47,679 48,750 47,679 ............................ ¥1,071 Forward funded .......................................................................................................................................................... 685,851 701,250 685,851 ............................ ¥15,399 

Total, English Language Acquisition ............................................................................................................ 733,530 750,000 733,530 ............................ ¥16,470 

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................................................................................... 2,889,817 2,272,108 2,889,817 ............................ ∂617,709 

Part B advance from prior year ............................................................................................................... (8,592,383 ) (8,592,383 ) (8,592,383 ) ............................ ............................

Grants to States Part B (FY 2013) ................................................................................................................... 8,592,383 9,433,103 8,592,383 ............................ ¥840,720 

Subtotal, program level (excluding emergencies) ........................................................................................ 11,482,200 11,705,211 11,482,200 ............................ ¥223,011 

Preschool Grants ............................................................................................................................................... 373,351 374,099 373,351 ............................ ¥748 Grants for Infants and Families ....................................................................................................................... 438,548 489,427 443,548 ∂5,000 ¥45,879 

Subtotal, program level ................................................................................................................................ 12,294,099 12,568,737 12,299,099 ∂5,000 ¥269,638 

IDEA National Activities (current funded): 

State Personnel Development ............................................................................................................................ 46,846 48,000 44,000 ¥2,846 ¥4,000 Technical Assistance and Dissemination ......................................................................................................... 48,806 49,549 49,306 ∂500 ¥243 Personnel Preparation ....................................................................................................................................... 88,466 90,653 88,966 ∂500 ¥1,687 Parent Information Centers ............................................................................................................................... 27,972 28,028 28,972 ∂1,000 ∂944 Technology and Media Services ........................................................................................................................ 28,644 33,289 30,644 ∂2,000 ¥2,645 

Subtotal, IDEA special programs .................................................................................................................. 240,734 249,519 241,888 ∂1,154 ¥7,631 


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Mentoring for Individuals with Disabilities ............................................................................................................... ............................ 5,000 ............................ ............................ ¥5,000 Special Olympics Education programs ...................................................................................................................... 8,079 8,095 8,079 ............................ ¥16 PROMISE ..................................................................................................................................................................... ............................ 30,000 4,000 ∂4,000 ¥26,000 

Total, Special education ............................................................................................................................... 12,542,912 12,861,351 12,553,066 ∂10,154 ¥308,285 

Current Year ......................................................................................................................................... (3,950,529 ) (3,428,248 ) (3,960,683 ) (∂10,154 ) (∂532,435 ) FY 2013 ................................................................................................................................................ (8,592,383 ) (9,433,103 ) (8,592,383 ) ............................ (¥840,720 ) 

Subtotal, Forward Funded ............................................................................................................................. (3,701,716 ) (3,135,634 ) (3,706,716 ) (∂5,000 ) (∂571,082 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ..................................................................................................................... 3,084,696 3,121,712 3,121,712 ∂37,016 ............................

Discretionary supplement .................................................................................................................................. ............................ (19,266 ) ............................ ............................ (¥19,266 ) 

Subtotal, VR State grants program level ..................................................................................................... 3,084,696 3,121,712 3,121,712 ∂37,016 ............................

Client Assistance State grants .................................................................................................................................. 12,263 12,288 12,263 ............................ ¥25 Training ...................................................................................................................................................................... 35,582 33,251 35,582 ............................ ∂2,331 Demonstration and Training programs ...................................................................................................................... 6,459 ............................ 6,459 ............................ ∂6,459 Migrant and Seasonal Farmworkers .......................................................................................................................... 1,856 ............................ 1,856 ............................ ∂1,856 Protection and Advocacy of Individual Rights (PAIR) ............................................................................................... 18,065 18,101 18,065 ............................ ¥36 Supported Employment State grants ......................................................................................................................... 29,123 ............................ 29,123 ............................ ∂29,123 Independent Living: 

Independent Living grants ................................................................................................................................ ............................ 103,716 ............................ ............................ ¥103,716 State Grants ...................................................................................................................................................... 23,403 ............................ 23,403 ............................ ∂23,403 Centers .............................................................................................................................................................. 80,105 ............................ 80,105 ............................ ∂80,105 Services for Older Blind Individuals ................................................................................................................. 34,083 34,151 34,083 ............................ ¥68 

Subtotal ......................................................................................................................................................... 137,591 137,867 137,591 ............................ ¥276 

National activities to improve rehabilitation ............................................................................................................. ............................ 8,000 ............................ ............................ ¥8,000 Access through cloud computing ............................................................................................................................... ............................ 10,000 ............................ ............................ ¥10,000 Workforce innovation fund ......................................................................................................................................... ............................ 30,000 ............................ ............................ ¥30,000 Helen Keller National Center for Deaf/Blind Youth and Adults ................................................................................ 9,163 9,181 9,163 ............................ ¥18 National Institute on Disability and Rehabilitation Research (NIDRR) ..................................................................... 109,023 110,485 109,023 ............................ ¥1,462 Assistive Technology ................................................................................................................................................... 30,898 30,960 30,898 ............................ ¥62 

Subtotal ......................................................................................................................................................... 390,023 400,133 390,023 ............................ ¥10,110 Total, Rehabilitation services ....................................................................................................................... 3,474,719 3,521,845 3,511,735 ∂37,016 ¥10,110 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND ............................................................................................................ 24,551 24,600 24,551 ............................ ¥49 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF (NTID): 

Operations ......................................................................................................................................................... 65,306 63,037 65,546 ∂240 ∂2,509 Construction ...................................................................................................................................................... 240 2,000 ............................ ¥240 ¥2,000 

Total, NTID .................................................................................................................................................... 65,546 65,037 65,546 ............................ ∂509 

GALLAUDET UNIVERSITY: 

Operations ......................................................................................................................................................... 117,764 118,000 117,764 ............................ ¥236 Construction ...................................................................................................................................................... 4,990 ............................ 7,990 ∂3,000 ∂7,990 

Total, Gallaudet University ........................................................................................................................... 122,754 118,000 125,754 ∂3,000 ∂7,754 Total, Special Institutions for Persons with Disabilities .............................................................................. 212,851 207,637 215,851 ∂3,000 ∂8,214 

CAREER, TECHNICAL AND ADULT EDUCATION 

Career Education: 

Basic State Grants/Secondary & Technical Education State Grants, current funded ..................................... 332,659 209,000 332,659 ............................ ∂123,659 

Advance from prior year ........................................................................................................................... (791,000 ) (791,000 ) (791,000 ) ............................ ............................FY 2013 .................................................................................................................................................... 791,000 791,000 791,000 ............................ ............................

Subtotal, Basic State Grants, program level ...................................................................................... 1,123,659 1,000,000 1,123,659 ............................ ∂123,659 

National Programs ............................................................................................................................................. 7,844 7,860 7,844 ............................ ¥16 

Subtotal, Career Education ........................................................................................................................... 1,131,503 1,007,860 1,131,503 ............................ ∂123,643 

Adult Education: 

State Grants/Adult Basic and Literacy Education: 

State Grants, current funded ................................................................................................................... 596,120 635,000 596,120 ............................ ¥38,880 


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National Leadership Activities ................................................................................................................................... 11,323 23,346 11,323 ............................ ¥12,023 

Subtotal, Adult education ............................................................................................................................. 607,443 658,346 607,443 ............................ ¥50,903 

State Grants for Incarcerated Youth Offenders ......................................................................................................... ............................ 17,186 ............................ ............................ ¥17,186 

Total, Career and adult education ............................................................................................................... 1,738,946 1,683,392 1,738,946 ............................ ∂55,554 

Current Year ......................................................................................................................................... (947,946 ) (892,392 ) (947,946 ) ............................ (∂55,554 ) 

6FY 2013 (791,000 ) (791,000 ) (791,000 ) ............................ ............................

Subtotal, Forward Funded ............................................................................................................................. (947,946 ) (892,392 ) (947,946 ) ............................ (∂55,554 ) 

STUDENT FINANCIAL ASSISTANCE 

Pell Grants—maximum grant (NA) ........................................................................................................................... (4,860 ) (4,860 ) (4,860 ) ............................ ............................Pell Grants .................................................................................................................................................................. 22,955,996 31,776,000 22,955,996 ............................ ¥8,820,004 Federal Supplemental Educational Opportunity Grants ............................................................................................. 735,990 757,465 735,990 ............................ ¥21,475 Federal Work Study ..................................................................................................................................................... 978,531 980,492 978,531 ............................ ¥1,961 

Total, Student Financial Assistance (SFA) ................................................................................................... 24,670,517 33,513,957 24,670,517 ............................ ¥8,843,440 

STUDENT AID ADMINISTRATION 

Salaries and Expenses ............................................................................................................................................... 675,363 725,104 675,363 ............................ ¥49,741 Servicing Activities ..................................................................................................................................................... 316,649 370,314 370,000 ∂53,351 ¥314 

Total, Student Aid Administration ................................................................................................................ 992,012 1,095,418 1,045,363 ∂53,351 ¥50,055 

HIGHER EDUCATION 

Aid for Institutional Development: 

Strengthening Institutions ................................................................................................................................. 83,832 84,000 83,832 ............................ ¥168 Hispanic Serving Institutions ............................................................................................................................ 104,395 117,429 104,395 ............................ ¥13,034 Promoting Post-Baccalaureate Opportunities for Hispanic Americans ............................................................ 9,336 10,500 9,336 ............................ ¥1,164 Strengthening Historically Black Colleges (HBCUs) ......................................................................................... 236,991 266,586 236,991 ............................ ¥29,595 Strengthening Historically Black Graduate Institutions ................................................................................... 61,302 61,425 61,302 ............................ ¥123 Strengthening Predominantly Black Institutions .............................................................................................. 9,602 10,801 9,602 ............................ ¥1,199 Asian American Pacific Islander ....................................................................................................................... 3,199 3,600 3,199 ............................ ¥401 Strengthening Alaska Native and Native Hawaiian-Serving Institutions ......................................................... 13,412 15,084 13,412 ............................ ¥1,672 Strengthening Native American-Serving Nontribal Institutions ........................................................................ 3,199 3,600 3,199 ............................ ¥401 Strengthening Tribal Colleges ........................................................................................................................... 26,820 30,169 26,820 ............................ ¥3,349 

Subtotal, Aid for Institutional development ................................................................................................. 552,088 603,194 552,088 ............................ ¥51,106 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

International Education and Foreign Language: 

Domestic Programs ........................................................................................................................................... 66,712 108,360 66,712 ............................ ¥41,648 Overseas Programs ............................................................................................................................................ 7,465 15,576 7,465 ............................ ¥8,111 Institute for International Public Policy ............................................................................................................ 1,552 1,945 1,552 ............................ ¥393 

Subtotal, International Education & Foreign Lang ...................................................................................... 75,729 125,881 75,729 ............................ ¥50,152 

Fund for the Improvement of Postsecondary Education (FIPSE) ............................................................................... 19,607 150,000 19,607 ............................ ¥130,393 Postsecondary Program for Students with Intellectual Disabilities .......................................................................... 10,978 ............................ 10,978 ............................ ∂10,978 Minority Science and Engineering Improvement ........................................................................................................ 9,484 9,503 9,484 ............................ ¥19 Tribally Controlled Postsec Voc/Tech Institutions ...................................................................................................... 8,146 8,162 8,146 ............................ ¥16 Federal TRIO Programs ............................................................................................................................................... 826,522 920,089 826,522 ............................ ¥93,567 GEAR UP ..................................................................................................................................................................... 302,816 323,212 302,816 ............................ ¥20,396 Javits Fellowships ....................................................................................................................................................... 8,084 ............................ 8,084 ............................ ∂8,084 Graduate Assistance in Areas of National Need ....................................................................................................... 30,968 40,717 30,968 ............................ ¥9,749 Teacher Quality Partnerships ..................................................................................................................................... 42,914 ............................ 42,914 ............................ ∂42,914 Child Care Access Means Parents in School ............................................................................................................. 16,002 16,034 16,002 ............................ ¥32 GPRA Data/HEA Program Evaluation ......................................................................................................................... 608 609 608 ............................ ¥1 Thurgood Marshall Legal Education Opportunities .................................................................................................... ............................ 3,000 ............................ ............................ ¥3,000 Hawkins Centers of Excellence .................................................................................................................................. ............................ 40,000 ............................ ............................ ¥40,000 

Total, Higher Education ................................................................................................................................ 1,903,946 2,240,401 1,903,946 ............................ ¥336,455 

HOWARD UNIVERSITY 

Academic Program ..................................................................................................................................................... 205,619 202,431 202,019 ¥3,600 ¥412 Endowment Program .................................................................................................................................................. ............................ 3,600 3,600 ∂3,600 ............................Howard University Hospital ........................................................................................................................................ 28,888 28,946 28,888 ............................ ¥58 

Total, Howard University ............................................................................................................................... 234,507 234,977 234,507 ............................ ¥470 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS(CHAFL) ................................................................................. 460 478 460 ............................ ¥18 


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HBCU CAPITAL FINANCING PROGRAM 

HBCU Federal Administration ..................................................................................................................................... 353 354 353 ............................ ¥1 HBCU Loan Subsidies ................................................................................................................................................. 20,188 20,228 20,188 ............................ ¥40 

Total, HBCU Capital Financing Program ...................................................................................................... 20,541 20,582 20,541 ............................ ¥41 

INSTITUTE OF EDUCATION SCIENCES (IES) 

Research, Development and Dissemination ............................................................................................................... 199,796 260,413 199,796 ............................ ¥60,617 Statistics .................................................................................................................................................................... 108,304 117,021 109,304 ∂1,000 ¥7,717 Regional Educational Laboratories ............................................................................................................................ 57,535 69,650 57,535 ............................ ¥12,115 Research in Special Education .................................................................................................................................. 50,983 58,085 50,983 ............................ ¥7,102 Special Education Studies and Evaluations .............................................................................................................. 11,437 11,460 11,437 ............................ ¥23 Statewide Data Systems ............................................................................................................................................ 42,166 100,000 42,166 ............................ ¥57,834 Assessment: 

National Assessment ......................................................................................................................................... 129,861 135,121 129,861 ............................ ¥5,260 National Assessment Governing Board ............................................................................................................. 8,706 8,723 8,706 ............................ ¥17 

Subtotal, Assessment ................................................................................................................................... 138,567 143,844 138,567 ............................ ¥5,277 Total, IES ....................................................................................................................................................... 608,788 760,473 609,788 ∂1,000 ¥150,685 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses ...................................................................................................................................... 447,104 476,327 449,074 ∂1,970 ¥27,253 Building Modernization ...................................................................................................................................... 8,184 2,711 ............................ ¥8,184 ¥2,711 

Total, Program administration ...................................................................................................................... 455,288 479,038 449,074 ¥6,214 ¥29,964 

OFFICE FOR CIVIL RIGHTS .......................................................................................................................................... 102,818 107,772 102,818 ............................ ¥4,954 OFFICE OF THE INSPECTOR GENERAL ........................................................................................................................ 59,933 67,187 59,933 ............................ ¥7,254 

Total, Departmental management ................................................................................................................ 618,039 653,997 611,825 ¥6,214 ¥42,172 Total, Title III, Department of Education ...................................................................................................... 71,430,023 83,678,778 71,547,487 ∂117,464 ¥12,131,291 

Current Year ......................................................................................................................................... (49,524,022 ) (61,772,778 ) (49,641,486 ) (∂117,464 ) (¥12,131,292 ) FY 2013 ................................................................................................................................................ (21,906,001 ) (21,906,000 ) (21,906,001 ) ............................ (∂1 ) 

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ........................................... 5,385 5,841 5,385 ............................ ¥456 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

OPERATING EXPENSES 

Domestic Volunteer Service Programs: 

Volunteers in Service to America (VISTA) ......................................................................................................... 98,876 100,000 98,876 ............................ ¥1,124 National Senior Volunteer Corps: 

Foster Grandparents Program .................................................................................................................. 110,774 111,100 110,774 ............................ ¥326 Senior Companion Program ...................................................................................................................... 46,810 47,000 46,810 ............................ ¥190 1Senior Corps Demonstration ................................................................................................................... ............................ 5,000 ............................ ............................ ¥5,000 Retired Senior Volunteer Program ............................................................................................................ 50,299 63,000 50,299 ............................ ¥12,701 

Subtotal, Senior Volunteers ................................................................................................................. 207,883 226,100 207,883 ............................ ¥18,217 

Subtotal, Domestic Volunteer Service Programs .......................................................................................... 306,759 326,100 306,759 ............................ ¥19,341 

National and Community Service Programs: 

AmeriCorps State and National Grants ............................................................................................................ 347,360 399,790 347,360 ............................ ¥52,430 Disability Placement Funds ............................................................................................................................... 4,990 5,000 4,990 ............................ ¥10 Innovation, Assistance, and Other Activities .................................................................................................... 60,379 80,500 60,379 ............................ ¥20,121 Evaluation .......................................................................................................................................................... 5,988 6,000 5,988 ............................ ¥12 National Civilian Community Corps .................................................................................................................. 28,942 35,000 31,942 ∂3,000 ¥3,058 Learn and Serve America .................................................................................................................................. ............................ 39,500 ............................ ............................ ¥39,500 State Commission Administrative Grants ......................................................................................................... 16,966 17,000 16,966 ............................ ¥34 Training and Technical Assistance ................................................................................................................... 7,485 7,500 7,485 ............................ ¥15 

Subtotal, National & Community Service Programs .................................................................................... 472,110 590,290 475,110 ∂3,000 ¥115,180 Total, Operating expenses ............................................................................................................................ 778,869 916,390 781,869 ∂3,000 ¥134,521 

National Service Trust ................................................................................................................................................ 201,200 235,326 215,200 ∂14,000 ¥20,126 Salaries and Expenses ............................................................................................................................................... 87,824 97,694 87,824 ............................ ¥9,870 


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Office of the Inspector General .................................................................................................................................. 7,685 8,450 7,685 ............................ ¥765 

Total, Corporation for National and Community Service ............................................................................. 1,075,578 1,257,860 1,092,578 ∂17,000 ¥165,282 

CORPORATION FOR PUBLIC BROADCASTING: 

FY 2014 (current) with FY 2013 comparable ................................................................................................... 445,000 451,000 445,000 ............................ ¥6,000 FY 2013 advance with FY 2012 comparable (NA) ........................................................................................... (445,000 ) (445,000 ) (445,000 ) ............................ ............................FY 2012 advance with FY 2011 comparable (NA) ........................................................................................... (429,140 ) (445,000 ) (445,000 ) (∂15,860 ) ............................Digitalization program, current funded ............................................................................................................ 5,998 6,000 5,998 ............................ ¥2 

Subtotal, FY 2012 appropriation .................................................................................................................. 5,998 6,000 5,998 ............................ ¥2 

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................................................................................... 46,559 48,025 46,559 ............................ ¥1,466 FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION ...................................................................................... 10,337 22,417 17,337 ∂7,000 ¥5,080 INSTITUTE OF MUSEUM AND LIBRARY SERVICES ....................................................................................................... 237,393 242,605 237,393 ............................ ¥5,212 MEDICARE PAYMENT ADVISORY COMMISSION ........................................................................................................... 12,425 13,100 12,425 ............................ ¥675 MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION ....................................................................................... ............................ 11,000 10,500 ∂10,500 ¥500 NATIONAL COUNCIL ON DISABILITY ............................................................................................................................ 3,264 3,400 3,264 ............................ ¥136 NATIONAL HEALTH CARE WORKFORCE COMMISSION ................................................................................................. ............................ 3,000 3,000 ∂3,000 ............................NATIONAL LABOR RELATIONS BOARD ......................................................................................................................... 282,833 287,699 282,833 ............................ ¥4,866 NATIONAL MEDIATION BOARD ..................................................................................................................................... 13,436 13,961 13,436 ............................ ¥525 OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ..................................................................................... 11,689 12,773 11,689 ............................ ¥1,084 

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................................................................................... 56,886 51,000 51,000 ¥5,886 ............................Less Income Tax Receipts on Dual Benefits ............................................................................................................. ¥3,000 ¥2,000 ¥2,000 ∂1,000 ............................

Subtotal, Dual Benefits ................................................................................................................................ 53,886 49,000 49,000 ¥4,886 ............................

Federal Payment to the RR Retirement Account ....................................................................................................... 150 150 150 ............................ ............................Limitation on Administration ..................................................................................................................................... 108,855 112,239 108,855 ............................ ¥3,384 

Inspector General .............................................................................................................................................. 8,170 9,259 8,170 ............................ ¥1,089 

SOCIAL SECURITY ADMINISTRATION 

Payments to Social Security Trust Funds .................................................................................................................. 21,404 20,404 20,404 ¥1,000 ............................

SUPPLEMENTAL SECURITY INCOME 

Federal Benefit Payments .......................................................................................................................................... 52,387,000 47,554,000 47,554,000 ¥4,833,000 ............................Beneficiary Services ................................................................................................................................................... 60,000 47,000 47,000 ¥13,000 ............................Research and Demonstration ..................................................................................................................................... 42,928 38,000 38,000 ¥4,928 ............................Administration ............................................................................................................................................................ 3,486,286 3,844,000 3,683,543 ∂197,257 ¥160,457 


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COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2011 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2012—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2011 appropriation Budget estimate 

Subtotal, SSI program level .......................................................................................................................... 55,976,214 51,483,000 51,322,543 ¥4,653,671 ¥160,457 

Less funds advanced in prior year ..................................................................................................... ¥16,000,000 ¥13,400,000 ¥13,400,000 ∂2,600,000 ............................

Subtotal, regular SSI current year ................................................................................................................ 39,976,214 38,083,000 37,922,543 ¥2,053,671 ¥160,457 

New advance, 1st quarter, FY 2013 ................................................................................................... 13,400,000 18,200,000 18,200,000 ∂4,800,000 ............................

Total, SSI program ........................................................................................................................................ 53,376,214 56,283,000 56,122,543 ∂2,746,329 ¥160,457 

LIMITATION ON ADMINISTRATIVE EXPENSES 

OASDI Trust Funds ..................................................................................................................................................... 5,556,741 5,931,407 5,385,504 ¥171,237 ¥545,903 HI/SMI Trust Funds ..................................................................................................................................................... 2,049,942 2,253,780 2,093,751 ∂43,809 ¥160,029 Social Security Advisory Board ................................................................................................................................... 2,295 2,150 2,150 ¥145 ............................Acquisition Workforce Capacity and Capabilities ...................................................................................................... ............................ 1,863 ............................ ............................ ¥1,863 SSI .............................................................................................................................................................................. 3,144,970 3,546,000 3,372,543 ∂227,573 ¥173,457 

Subtotal, regular LAE .................................................................................................................................... 10,753,948 11,735,200 10,853,948 ∂100,000 ¥881,252 

User Fees: 

SSI User Fee activities ...................................................................................................................................... 185,628 155,000 155,000 ¥30,628 ............................

Subtotal, User fees ....................................................................................................................................... 185,628 155,000 155,000 ¥30,628 ............................Subtotal, Limitation on administrative expenses ......................................................................................... 10,939,576 11,890,200 11,008,948 ∂69,372 ¥881,252 

Program Integrity Funding: 

OASDI Trust Funds ............................................................................................................................................ 142,714 325,000 312,000 ∂169,286 ¥13,000 SSI ..................................................................................................................................................................... 341,316 298,000 311,000 ¥30,316 ∂13,000 

Subtotal, Program integrity funding ............................................................................................................. 484,030 623,000 623,000 ∂138,970 ............................Total, Limitation on Administrative Expenses .............................................................................................. 11,423,606 12,513,200 11,631,948 ∂208,342 ¥881,252 


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OFFICE OF THE INSPECTOR GENERAL 

Federal Funds ............................................................................................................................................................. 28,942 30,000 28,942 ............................ ¥1,058 Trust Funds ................................................................................................................................................................ 73,535 77,113 73,535 ............................ ¥3,578 

Total, Office of the Inspector General .......................................................................................................... 102,477 107,113 102,477 ............................ ¥4,636 

Adjustment: Trust fund transfers from general revenues ......................................................................................... ¥3,486,286 ¥3,844,000 ¥3,683,543 ¥197,257 ∂160,457 

Total, Social Security Administration ........................................................................................................... 61,437,415 65,079,717 64,193,829 ∂2,756,414 ¥885,888 

Federal funds ....................................................................................................................................... 53,612,188 56,490,267 56,326,889 ∂2,714,701 ¥163,378 

Current year ................................................................................................................................ (40,212,188 ) (38,290,267 ) (38,126,889 ) (¥2,085,299 ) (¥163,378 ) New advances, 1st quarter ........................................................................................................ (13,400,000 ) (18,200,000 ) (18,200,000 ) (∂4,800,000 ) ............................

Trust funds .......................................................................................................................................... 7,825,227 8,589,450 7,866,940 ∂41,713 ¥722,510 

Total, Title IV, Related Agencies .................................................................................................................. 63,758,373 67,629,046 66,547,401 ∂2,789,028 ¥1,081,645 

Federal Funds ...................................................................................................................................... 55,803,696 58,904,998 58,551,011 ∂2,747,315 ¥353,987 

Current Year ................................................................................................................................ (41,958,696 ) (40,253,998 ) (39,906,011 ) (¥2,052,685 ) (¥347,987 ) FY 2013 Advance ........................................................................................................................ (13,400,000 ) (18,200,000 ) (18,200,000 ) (∂4,800,000 ) ............................FY 2014 Advance ........................................................................................................................ (445,000 ) (451,000 ) (445,000 ) ............................ (¥6,000 ) 

Trust Funds .......................................................................................................................................... 7,954,677 8,724,048 7,996,390 ∂41,713 ¥727,658 

Grand total .................................................................................................................................................... 722,738,724 758,715,002 742,432,508 ∂19,693,784 ¥16,282,494 

Trust funds .......................................................................................................................................... (16,336,092 ) (18,227,110 ) (17,091,291 ) (∂755,199 ) (¥1,135,819 ) Advance appropriations, FY 2013 ....................................................................................................... (127,305,290 ) (136,398,082 ) (136,423,083 ) (∂9,117,793 ) (∂25,001 ) Advance appropriations, FY 2014 ....................................................................................................... (445,000 ) (451,000 ) (445,000 ) ............................ (¥6,000 ) 

1 The President’s Budget proposed to transfer this program to the Administration on Aging at HHS. 2 Two year availability. 3 Sec. 4002 of Public Law 111–148. 4 Includes Mine Safety and Health. 

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